• 제목/요약/키워드: Classification Framework

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Development of an evaluation tool for the quality of nursing care in abdominal surgery patients (복부수술 환자간호의 질평가 도구 개발)

  • Lee, Byoung-Sook
    • Journal of Korean Academy of Nursing Administration
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    • v.4 no.1
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    • pp.107-127
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    • 1998
  • The purpose of this study was to develop an evaluation tool for the quality of nursing care in abdominal surgery patient. The target subjects of the tool were adult patients having abdominal surgery under general anesthesia. Process-outcome framework was selected for the development of the tool in this study. The results were as follows. 1. Nine standards. 40 criteria and 88 indicators were developed. A standard was summary statement of the ideal level of excellencein a dimension of quality of nursing care. which could be evaluated by criteria. Several criteria indicated a specific standard and each criterion could be measured by observable and measurable indicators. 2. The standards were divided into two dimensions. One was process dimension which contained four standards(23 criteria), the other was outcome dimension which contatined five standards(17 criteria). 3. Average CVI was .985 at 9 standards. .947 at 40 criteria. and .987 at 88 indicators. 4. The evaluation tool for the quality of nursing care in abdminal surgery patients was a criterion-referenced tool. And data collection methods of the tool were investigation of patient's record and interview( or questionnaire) with the patients. 5. Interrater reliabilities of the tool were ; r= .7572 (agreement between two raters), and pI=.8487 (intraclass correlation between five raters who rated the 84 patients). 6. Internal consistency reliability ${\alpha}$ was .6194, which was obtained from 32 criteria. Eight criteria were missed in the analyzing process because of data omission. 7. Scores of the process and the outcome dimensions showed significant. but low correlation(r= .3759, p < .001). 8. There were significant differences in total scores between the hospitals and the departments of surgery(F = 15.233. p .0001). There was also significant interaction effect between hospitals and departments to total score(F = 8.396. p = .0001). Construct validity of the toool was verified by the known-group method. these kinds of difference were expected by the nursing experts participated in the study. From these results, more specific patient classification is suggested for the development of evaluation tool of the quallity of nursing care. And indicators to be used for objective measurement for the quality of nursing care must be developed.

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Analysis on Content and Trend of Nursing Intervention Studies Published in Adult Nursing Area (성인간호학 영역에서의 간호중재논문 내용 분석)

  • Suh, Moon-Ja;Jeong, Jae-Sim;Oh, Hyo-Sook
    • Journal of Korean Biological Nursing Science
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    • v.5 no.2
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    • pp.41-51
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    • 2003
  • Purpose : This descriptive study was performed to analyze the trends of nursing interventional studies in adult nursing area. Method : All interventional studies of 'Journal of Korean Academy of Adult Nursing Society', fifty three articles, from 1989 to 2000 were collected and reviewed Result : The research subject were patients in 38(66.7%) and 81.8% of researches was performed in hospital environment. There was only one true experimental design and most of articles(79.2%) were designed by quasi-experimental method Only 17% of articles have theoretical framework and 73.6% of articles described research hypotheses. The data collection methods for variables were as follows: Psychosocial measurement 60.8%, physiological measurement 25.7%, and observation 13.5%, respectively. Lecture(16.7%), audio-visual(16.7%), and book, pamphlet, or leaflets(13.6%) were the most frequently used instruments of the interventions. Behavioral domain(60.3%) and Physiological: Basic domain(29.3%) was the most common, when the interventions were classified by Nursing Intervention Classification. Physiological(50.8%) and psychosocial variables(49.2%) were the two major dependent variables. Conclusion : Considering the above results obtained, the nursing intervention studies in adult nursing area have been tested with quasi-experimental studies through clinical trials. For the development of clinical nursing practice and advancement of nursing theories, the amount of interventional studies should be increased and the quality of research methods refined more to develop nursing science and practice in adult nursing area.

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A Comparison & Analysis of Electronic Commerce of Korea's FTA (한국의 FTA전자상거래규정 비교·분석)

  • Kim, Yun-keun;Park, Bok-Jae
    • International Commerce and Information Review
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    • v.19 no.2
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    • pp.25-44
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    • 2017
  • Though electronic commerce has grown rapidly in international trade, there is no basic consensus for its concept and rule applied. So WTO has done practice of not imposing customs duties on digital contents and been researching overall on electronic commerce through Work Program while many countries of the world attempt to obtain their interests by stipulating chapter of electronic commerce in their FTAs. This paper has compared and analysed chapter of electronic commerce in all the FTAs which Korea has signed and enforced. Korea's FTA stipulates commonly no customs duties, the other chapter's priority when chapter of electronic commerce conflicts the other chapter, electronic authentication, protection of personal information and consumer protection. But it has weak consistency and framework as it has different provisions for the objects of electronic commerce respectively, reserves classification & applied rule for electronic commerce, stipulates differently on non discrimination treatment and so on. Korea should participate in the research of international organization including WTO and cope actively and elastically by analysing the provisions of electronic commerce of the other countries' FTA such as USA, EU, CHINA and so on.

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A case of Obturator using Swing-lock Attachment for Par tial Edentulous Patient with Hemi-Maxillectomy Patient (Hemi-Maxillectomy 부분무치악 환자의 Swing-Lock Attachment를 이용한 Obturator 수복 증례)

  • Oh, Byung-Doo;Lim, Jong-Hwa;Shin, Soo-Yeon
    • Journal of Dental Rehabilitation and Applied Science
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    • v.26 no.1
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    • pp.33-38
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    • 2010
  • Maxillectomy is a treatment option for maxillary cancer, which leaves the patient with a palatal defect. It may cause problems with facial deformation, swallowing, mastication, and speech. These functional problems and changes in appearance may result in psychological problems. To control these deficits after maxillectomy, surgical reconstruction or prosthodontic treatment can be chosen as a treatment option. Obturator prosthesis has been used as a preferred method of rehabilitation for most maxillectomy patients. This case is a patient who was classified Aramany classification II hemi-maxillectomy patient with residual teeth from #11-25, whose teeth had substantial labioversion and clinically lengthened from alveolar bone involution, thus making it hard to select proper framework design and resist to the rotational dislodging force of the obturator. Therefore we selected swing-lock attachment design to remain pre-existing crown and bridges and obtain retention and stability of obturator. The swing-lock RPD is economical than the conventional RPD because we can remain pre-existing crown and bridges. And residual teeth which have mobility and poor prognosis can be successfully retained through properly designed swing-lock RPD as it is functioning as a removable splint on the teeth.

States, Behaviors and Cues of Infants (영아의 상태, 행동, 암시)

  • Kim, Tae-Im
    • Korean Parent-Child Health Journal
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    • v.1
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    • pp.56-74
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    • 1998
  • The language of the newborn, like that of adults, is one of gesture, posture, and expression(Lewis, 1980). Helping parents understand and respond to their newborn's cues will make caring for their baby more enjoyable and may well provide the foundation for a communicative bond that will last lifetime. Infant state provides a dynamic pattern reflecting the full behavioral repertoire of the healthy infant(Brazelton, 1973, 1984). States are organized in a predictable emporal sequence and provide a basic classification of conditions that occur over and over again(Wolff, 1987). They are recognized by characteristic behavioral patterns, physiological changes, and infants' level of responsiveness. Most inportantly, however, states provide caregivers a framework for observing and understanding infants' behavior. When parents know how to determine whether their infant is sleep, awake, or drowsy, and they know the implications, recognition of states has for both the infant's behavior and for their caregiving, then a lot of hings about taking care of a newborn become much easier and more rewarding. Most parents have the skills and desire to do what is best for their infant. The skills 7373parents bring to the interaction are: the ability to read their infant's cues: to stimulate the baby through touch, movement, talking, and looking at: and to respond in a contingent manner to the infant's signals. Among the crucial skills infants bring to the interaction are perceptual abilities: hearing and seeing, the capacity to look at another for a period of time, the ability to smile, be consoled, adapt their body to holding or movement, and be regular and predictable in responding. Research demonstrates that the absence of these skills by either partner adversely affects parent-infant interaction and later development. Observing early parent-infant interactions during the hospital stay is important in order to identify parent-infant pairs in need of continued monitoring(Barnard, et al., 1989).

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A New Quantification Method of Rock Joint Roughness (I) - A Close Assessment of Problems (암석 절리면 거칠기의 정량화에 대한 연구 (I) - 문제점의 규명)

  • Hong, Eun-Soo;Nam, Seok-Woo;Lee, In-Mo
    • Journal of Korean Tunnelling and Underground Space Association
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    • v.7 no.4
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    • pp.269-283
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    • 2005
  • To figure out the cause of underestimating the roughness and shear strength of rock joints suggested by numerous researchers, we analyzed roughness mobilization characteristics, characteristics of roughness parameters, effects of sampling interval, and waviness for roughness parameters. It was found out that lack of understanding of the roughness mobilization characteristics, inappropriate applications of roughness parameters, and effect of aliasing provide a main reasons for those problems. Several practical alternatives for improving those problems were suggested. As far as digitizing methods are concerned, we can find that using a 3D scanner can give a relatively effective result. To avoid aliasing, sampling interval should be less than one-quarter of the minimum asperities. As for the quantification of roughness, it was analyzed that the roughness parameter should be classified into two components depending on the scale of roughness to apply the shear strength model. For classifying the roughness, a framework of the criterion was suggested based on the plastic flow concept for the asperity failure, and the basis for proposing a new alternative shear strength model was established.

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An Analysis of Questioning in an Instruction on the Probability that Event A and Event B Occur ('사건 A와 사건 B가 동시에 일어날 확률' 수업의 발문 분석)

  • Shin, Bomi
    • Journal of the Korean School Mathematics Society
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    • v.20 no.1
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    • pp.19-42
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    • 2017
  • This study analyzed characteristics of which a teacher asked questions in an instruction on the probability that event A and event B occur. The aim of this study based on the analysis was to deduce implications in terms of the various means which would enhance middle school students' understanding about the probability and assist teachers in designing instructions on the mathematics contents. To achieve this goal, this research firstly reviewed Morgan & Saxon(2006) which offers one classification of questioning that identifies a general intention for each category. Secondly, this study examined previous literature on teaching and learning the probability that event A and event B occur in order to identify didactical issues to teach the mathematics contents. Therefore, this study probed the questions of the instruction in the light of the framework descriptors from Morgan & Saxon(2006) and the issues to teach the probability that event A and event B occur. This research inspires the elaboration of what features have with regard to effective questioning in teaching mathematics through the analyzing process and additionally the elucidation of essential matters related to mathematics education on the basis of the analyzed results.

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Development of groundwater level monitoring and forecasting technique for drought analysis (I) - Groundwater drought monitoring using standardized groundwater level index (SGI) (가뭄 분석을 위한 지하수위 모니터링 및 예측기법 개발(I) - 표준지하수지수(SGI)를 이용한 지하수 가뭄 모니터링)

  • Lee, Jeongju;Kang, Shinuk;Jeong, Jihye;Chun, Gunil
    • Journal of Korea Water Resources Association
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    • v.51 no.11
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    • pp.1011-1020
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    • 2018
  • This study aims to develop a drought monitoring scheme based on groundwater which can be exploit for water supply under drought stress. In this context, groundwater level can be used as a proxy for better understanding the temporal evolution of drought state. First, kernel density estimator is presented in the monthly groundwater level over the entire national groundwater stations. The estimated cumulative distribution function is then utilized to map the monthly groundwater level into the standardized groundwater level index (SGI). The SGI for each station was eventually converted into the index for major cities through the Thiessen polygon approach. We provide a drought classification for a given SGI to better characterize the degree of drought condition. Ultimately, we conclude that the proposed monitoring framework enables a more reliable estimation of the drought stress, especially for a limited water supply area.

A Study on Developing the Contents of Historical Education Using Social Network Analysis (사회연결망분석을 활용한 거대사 교육 콘텐츠 개발 방향 제안)

  • Yun, Hye-Jeong;Seo, Hee-Chang;Park, Eun-Soo;Lee, Yoon-Sun;Kim, Jae-Jun;Lee, Hee-Soo;Lim, Seong-Bin;Lee, Tai-Sik
    • The Journal of the Korea Contents Association
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    • v.15 no.6
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    • pp.606-615
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    • 2015
  • This study aims to provide suggestions for the development of educational contents on historical events that can solve the existing curriculum's problems, such as the disproportionate weight given to Western historical events. The study focuses on content ranging from the start of the Agricultural Revolution (7000 BC.) to the start of the Industrial Revolution (AD. 1760). The results are as follows. We used the Delphi technique for deriving global historical events. Among them, 56 historical events were selected as the data for Social Network Analysis (SNA). The results of SNA showed that topics related to Civilization has a high priority. In addition, the results of a coagulation analysis showed the events can be divided into seven groups. The classification criteria is different from the criteria used for the current period. We expect that the suggested framework developed for historical contents will constitute a new approach to historical interpretation through network visualization and linkage analysis.

FUZZY LOGIC KNOWLEDGE SYSTEMS AND ARTIFICIAL NEURAL NETWORKS IN MEDICINE AND BIOLOGY

  • Sanchez, Elie
    • Journal of the Korean Institute of Intelligent Systems
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    • v.1 no.1
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    • pp.9-25
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    • 1991
  • This tutorial paper has been written for biologists, physicians or beginners in fuzzy sets theory and applications. This field is introduced in the framework of medical diagnosis problems. The paper describes and illustrates with practical examples, a general methodology of special interest in the processing of borderline cases, that allows a graded assignment of diagnoses to patients. A pattern of medical knowledge consists of a tableau with linguistic entries or of fuzzy propositions. Relationships between symptoms and diagnoses are interpreted as labels of fuzzy sets. It is shown how possibility measures (soft matching) can be used and combined to derive diagnoses after measurements on collected data. The concepts and methods are illustrated in a biomedical application on inflammatory protein variations. In the case of poor diagnostic classifications, it is introduced appropriate ponderations, acting on the characterizations of proteins, in order to decrease their relative influence. As a consequence, when pattern matching is achieved, the final ranking of inflammatory syndromes assigned to a given patient might change to better fit the actual classification. Defuzzification of results (i.e. diagnostic groups assigned to patients) is performed as a non fuzzy sets partition issued from a "separating power", and not as the center of gravity method commonly employed in fuzzy control. It is then introduced a model of fuzzy connectionist expert system, in which an artificial neural network is designed to build the knowledge base of an expert system, from training examples (this model can also be used for specifications of rules in fuzzy logic control). Two types of weights are associated with the connections: primary linguistic weights, interpreted as labels of fuzzy sets, and secondary numerical weights. Cell activation is computed through MIN-MAX fuzzy equations of the weights. Learning consists in finding the (numerical) weights and the network topology. This feed forward network is described and illustrated in the same biomedical domain as in the first part.

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