• Title/Summary/Keyword: development and validation of scale

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Development and Evaluation of an Enteral Nutrition Protocol for Dysphagia in Patients with Acute Stroke (연하 곤란이 동반된 급성 뇌졸중 환자를 위한 장관 영양 프로토콜 개발 및 효과)

  • Yoo, Sung-Hee;Kim, So-Sun
    • Journal of Korean Academy of Nursing
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    • v.44 no.3
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    • pp.280-293
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    • 2014
  • Purpose: The study was done to develop an evidence-based enteral nutrition (EN) protocol for effective nutritional support for dysphagia in patients with acute stroke, and to evaluate effects of this protocol on clinical outcomes. Methods: A methodological study was used to develop the EN protocol and a quasi-experimental study to verify the effectiveness of the protocol. The preliminary EN protocol was drawn by selecting recommendations from previous well-designed EN guidelines, and then developing additional recommendations based on high-quality evidence. Content validation was assessed by an expert group, and clinical applicability by care providers and patients. The scale-level content validity index of the final EN protocol was 0.99. Assessment was done of differences in percentage of caloric goals achieved and presence of undernutrition, aspiration pneumonia, and gastrointestinal (GI) complications after application of the EN protocol. Results: In the EN protocol group, the percentage of caloric goals achieved ($R^2=.24$, p=.001) and the reduction of GI complications (p=.045) were significantly improved, but the presence of undernutrition (p=.296) and aspiration pneumonia (p=.601) did not differ from the usual care group. Conclusion: Results indicate that the new EN protocol for dysphagia in patients with acute stroke significantly increased their nutritional intake and reduced GI complications.

Development and Validation of a Postpartum Care Mobile Application for First-time Mothers (초산모를 위한 산후관리 모바일 앱 개발 및 효과 검증)

  • Lee, Ju Yeon;Kim, Hye Young
    • Women's Health Nursing
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    • v.23 no.3
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    • pp.210-220
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    • 2017
  • Purpose: The aims of the study were to develop mobile application for postpartum care of first-time mothers and to validate it's effect. Methods: Using a nonequivalent control group pretest-posttest design, 52 first-time mothers were recruited (26 each in experimental and control) and the experimental group used the mobile application for 6 weeks after delivery. Postpartum self-care knowledge and confidence, infant care knowledge and confidence, and postpartum depressive mood (Edinburgh Postnatal Depression Scale) were measured before discharge from the hospital and 6 weeks later. Results: Women who have used the postpartum care mobile application reported higher levels of postpartum self-care knowledge (p=.030) and confidence (p=.023) infant care knowledge (p=.001) and confidence (p=.004), while scores of postpartum depression (p=.021) were lower than those in the control group. Conclusion: The postpartum-care mobile application developed in this research may be effective in reinforcing knowledge and confidence for postpartum self-care and infant care and in reducing postpartum depressive mood.

Development and Validation of the Strengths Assessment Indicators for Daycare Centers (어린이집 강점평가지표 개발 및 타당화)

  • Hong, Sung hee;Hwang, Hae-Ik
    • Korean Journal of Childcare and Education
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    • v.14 no.6
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    • pp.143-170
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    • 2018
  • Objective: The purpose of this study was to develop assessment indicators and to verify the validity and reliability of the developed assessment indicators. Methods: A Delphi survey, focus group interviews, and content verification were conducted in order for experts to develop an evaluation index of the strengths of the day care center. A main survey was conducted on 438 daycare center principals and teachers to test their item quality, validity and reliability. Results: The final assessment indicators consisted of three areas, seven assessment criteria, 19 evaluation factors, 41 assessment items and a five-point rubric rating scale. As for the common strengths indicators, there were three assessment areas, five assessment criteria, 12 assessment elements and 22 assessment items. In regard to the selective strengths indicators, there were 3 assessment areas, 5 assessment criteria, 12 assessment elements and 16 assessment items. Conclusion/Implications: The efforts to confirm the strengths of daycare centers are expected to facilitate the identity building of the daycare center itself and for its organizational members to make a contribution to the qualitative improvement of childcare.

Development of a Rice Circulating Concurrent-flow Dryer(II) - Validation of Drying Simulation Model - (순환식 병류형 곡물건조기 개발(II) - 시뮬레이션모델의 검증 -)

  • Han, J.W.;Keum, D.H.;Kim, H.;Hong, S.J.
    • Journal of Biosystems Engineering
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    • v.32 no.5
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    • pp.309-315
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    • 2007
  • This study was performed to develop a simulation model of circulating concurrent-flow rice dryer. The simulation model consists of drying model, tempering model and crack prediction model. The drying and tempering models were developed based on mathematical analysis, and the crack prediction model was developed by thin layer drying tests. Rice drying tests were done with three replications by use of a pilot scale dryer of holding capacity of 700 kg. Experimental values for moisture content, rice temperature, rice crack, and drying energy were compared with predicted values by simulation model. The RMSEs of predicted moisture contents were ranged from 0.5807% (d.b.) to 1.1951% (d.b.). and the coefficients of determination were 0.9688 to 0.9812. The RMSEs of predicted rice temperatures at the exit of the drying chamber were 1.83 to $3.81^{\circ}C$ and the coefficients of determination were 0.8834 to 0.9482. The results for moisture contents and rice temperatures showed very good relationships between predicted values and experimental values. The RMSEs of predicted value of crack ratio were 0.4082 to 0.7967% and the coefficients of determination were 0.8742 to 0.9547.

Development of Three-Dimensional Finite Element Model Using Upwind Weighting Scheme for River Flow (하천흐름해석을 위한 상향가중의 3차원 유한요소모형 개발)

  • Han, Kun-Yeun;Baek, Chang-Hyun;Choi, Seung-Yong
    • Proceedings of the Korea Water Resources Association Conference
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    • 2005.05b
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    • pp.409-413
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    • 2005
  • Even though the relative importance of length scale of flow system allow us to simplify three dimensional flow problem to one or two dimensional representation, many systems still require three dimensional analysis. The objective of this study is to develop an efficient and accurate finite element model for analyzing and predicting three dimensional flow features in natural rivers and to offend to model spreading of pollutants and transport of sediments in the future. Firstly, three dimensional Reynolds averaged Navier-Stokes equations with the hydrostatic pressure assumption in generalized curvilinear coordinates were combined with the kinematic free-surface condition. Secondly. to simulate realistic high Reynolds number flow, the model employed the Streamline Upwind/Petrov-Galerkin(SU/PG) scheme as a weighting function for the finite element method in conjunction with an appropriate turbulence model(Smagorinsky scheme for the horizontal plain and Mellor-Yamada scheme for the vertical direction). Several tests is performed for the purpose of validation and verification of the developed model. A simple rectangular channel, 5-shaped and U-shaped channel are used for tests and comparisons are made with RMA-10 model. Runs for each case is converged stably without a oscillation and calculated water-surface deformation, longitudinal and transversal velocities, and velocity vector fields are in good agreement with the results of RMA-10 model.

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An efficient C1 beam element via multi-scale material adaptable shape function

  • El-Ashmawy, A.M.;Xu, Yuanming
    • Advances in nano research
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    • v.13 no.4
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    • pp.351-368
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    • 2022
  • Recently, promising structural technologies like multi-function, ultra-load bearing capacity and tailored structures have been put up for discussions. Finite Element (FE) modelling is probably the best-known option capable of treating these superior properties and multi-domain behavior structures. However, advanced materials such as Functionally Graded Material (FGM) and nanocomposites suffer from problems resulting from variable material properties, reinforcement aggregation and mesh generation. Motivated by these factors, this research proposes a unified shape function for FGM, nanocomposites, graded nanocomposites, in addition to traditional isotropic and orthotropic structural materials. It depends not only on element length but also on the beam's material properties and geometric characteristics. The systematic mathematical theory and FE formulations are based on the Timoshenko beam theory for beam structure. Furthermore, the introduced element achieves C1 degree of continuity. The model is proved to be convergent and free-off shear locking. Moreover, numerical results for static and free vibration analysis support the model accuracy and capabilities by validation with different references. The proposed technique overcomes the issue of continuous properties modelling of these promising materials without discarding older ones. Therefore, introduced benchmark improvements on the FE old concept could be extended to help the development of new software features to confront the rapid progress of structural materials.

Validation of a Translated Guideline on Pain Assessment and Management: Focused on Abdominal Surgery Patients (통증관리 근거중심 가이드라인의 국내 타당성 검증 - 복부수술 환자를 대상으로 -)

  • Hong, Sung Jung;Lee, Eunjoo
    • Journal of Korean Clinical Nursing Research
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    • v.18 no.1
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    • pp.159-170
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    • 2012
  • Purpose: This study was designed to examine the validity of the evidence-based guideline on pain developed by Registered Nurses Association of Ontario(RNAO) translated into Korean based on the experts' opinions. Methods: The panel consisted of experts of 60 registered nurses in surgical units, medical doctors and nursing managers who were experts in pain assessment and management. The validity of translated RNAO guideline was evaluated in terms of appropriateness, applicability, and utilization in current practice. Appropriateness and applicability of each recommendation were measured with 9 point scale, whereas utilization was measured by yes/no question. Data were analyzed by mean, standard deviation, and percent. The experts' opinions were analyzed by content analysis method. Results: In general, most of the recommendations in the guideline received above 7 point in appropriateness and applicability. However, above 20% of recommendations showed less than 50% of utilization rates in current practice. Conclusion: The reasons for low utilization of recommendations in current practice are in need for investigation. This study can be used for the development of guideline more acceptable in Korean health care settings and improve the quality of care for the abdominal surgery patients suffering from pain in Korea.

Development and validation of women's environmental health scales in Korea: severity, susceptibility, response efficacy, self-efficacy, benefit, barrier, personal health behavior, and community health behavior scales

  • Kim, Hee Kyung;Kim, Hyun Kyoung
    • Women's Health Nursing
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    • v.27 no.2
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    • pp.153-165
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    • 2021
  • Purpose: This study aimed to develop the following scales on women's environmental health and to examine their validity and reliability: severity, susceptibility, response efficacy, self-efficacy, benefit, barrier, personal health behavior, and community health behavior scales. Methods: The item pool was generated based on related scales, a wide literature review, and indepth interviews on women's environmental health according to the revised Rogers' protection motivation theory model. Content validity was verified by three nursing professionals. Exploratory factor analysis, convergent validity, and internal consistency reliability were examined. Results: The scales included 10 items on severity, 11 on susceptibility, 10 on response efficacy, 14 on self-efficacy, 8 on benefits, 10 on barriers, 17 on personal health behavior, and 16 on community health behavior. Convergent validity with the environmental behavior scale for female adolescents was supported. The Cronbach's α values for internal consistency were good for all scales: severity, . 84; susceptibility, .92; response efficacy, .88; self-efficacy, .90; benefits, .91; barriers, .85; personal health behavior, .90; and community health behavior, .91. Conclusion: The evaluation of the psychometric properties shows that these scales are valid and reliable measures of women's environmental health awareness and behaviors. These scales may be helpful for assessing women's environmental health behaviors, thereby contributing to efforts to promote environmental health.

Performance evaluation of smart prefabricated concrete elements

  • Zonta, Daniele;Pozzi, Matteo;Bursi, Oreste S.
    • Smart Structures and Systems
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    • v.3 no.4
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    • pp.475-494
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    • 2007
  • This paper deals with the development of an innovative distributed construction system based on smart prefabricated concrete elements for the real-time condition assessment of civil infrastructure. So far, two reduced-scale prototypes have been produced, each consisting of a $0.2{\times}0.3{\times}5.6$ m RC beam specifically designed for permanent instrumentation with 8 long-gauge Fiber Optic Sensors (FOS) at the lower edge. The sensing system is Fiber Bragg Grating (FBG)-based and can measure finite displacements both static and dynamic with a sample frequency of 625 Hz per channel. The performance of the system underwent validation in the laboratory. The scope of the experiment was to correlate changes in the dynamic response of the beams with different damage scenarios, using a direct modal strain approach. Each specimen was dynamically characterized in the undamaged state and in various damage conditions, simulating different cracking levels and recurrent deterioration scenarios, including cover spalling and corrosion of the reinforcement. The location and the extent of damage are evaluated by calculating damage indices which take account of changes in frequency and in strain-mode-shapes. The outcomes of the experiment demonstrate how the damage distribution detected by the system is fully compatible with the damage extent appraised by inspection.

Understanding Watching Patterns of Live TV Programs on Mobile Devices: A Content Centric Perspective

  • Li, Yuheng;Zhao, Qianchuan
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.9 no.9
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    • pp.3635-3654
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    • 2015
  • With the rapid development of smart devices and mobile Internet, the video application plays an increasingly important role on mobile devices. Understanding user behavior patterns is critical for optimized operation of mobile live streaming systems. On the other hand, volume based billing models on cloud services make it easier for video service providers to scale their services as well as to reduce the waste from oversized service capacities. In this paper, the watching behaviors of a commercial mobile live streaming system are studied in a content-centric manner. Our analysis captures the intrinsic correlation existing between popularity and watching intensity of programs due to the synchronized watching behaviors with program schedule. The watching pattern is further used to estimate traffic volume generated by the program, which is useful on data volume capacity reservation and billing strategy selection in cloud services. The traffic range of programs is estimated based on a naive popularity prediction. In cross validation, the traffic ranges of around 94% of programs are successfully estimated. In high popularity programs (>20000 viewers), the overestimated traffic is less than 15% of real happened traffic when using upper bound to estimate program traffic.