• 제목/요약/키워드: Combined Point

검색결과 1,040건 처리시간 0.031초

Nursing Home Employee and Resident Satisfaction and Resident Care Outcomes

  • Plaku-Alakbarova, Bora;Punnett, Laura;Gore, Rebecca J.;Procare Research Team
    • Safety and Health at Work
    • /
    • 제9권4호
    • /
    • pp.408-415
    • /
    • 2018
  • Background: Nursing home resident care is an ongoing topic of public discussion, and there is great interest in improving the quality of resident care. This study investigated the association between nursing home employees' job satisfaction and residents' satisfaction with care and medical outcomes. Methods: Employee and resident satisfaction were measured by questionnaire in 175 skilled nursing facilities in the eastern United States from 2005 to 2009. Facility-level data on residents' pressure ulcers, medically unexplained weight loss, and falls were obtained from the Centers for Medicare and Medicaid Services Long-Term Care Minimum Data Set. The association between employee satisfaction and resident satisfaction was examined with multiple and multilevel linear regression. Associations between employee satisfaction and the rates of pressure ulcers, weight loss, and falls were examined with simple and multilevel Poisson regression. Results: A 1-point increase in overall employee satisfaction was associated with an increase of 17.4 points (scale 0-100) in the satisfaction of residents and family members (p < 0.0001) and a 19% decrease in the incidence of resident falls, weight loss, and pressure ulcers combined (p < 0.0001), after adjusting for staffing ratio and percentage of resident-days paid by Medicaid. Conclusion: Job satisfaction of nursing home employees is associated with lower rates of resident injuries and higher resident satisfaction with care. A supportive work environment may help increase quality of care in the nation's nursing homes.

예비교사교육에서 수학적 연결성을 강조한 과제 개발 사례연구 (A Case Study on the Development of a Task with Emphasis on Mathematical Connectivity in Pre-Teacher Education)

  • 강향임
    • 한국수학교육학회지시리즈E:수학교육논문집
    • /
    • 제33권2호
    • /
    • pp.85-104
    • /
    • 2019
  • 본 연구의 목적은 수학적 연결성이 강조된 과제개발 활동을 통해 개발된 과제를 분석하여 교사의 역량 강화를 위한 교사교육에 시사점을 제공하는 것이다. 이를 위해 예비교사 52명을 대상으로 연결성이 강조된 과제 개발 활동을 적용하고 이를 통해 개발된 과제를 분석하였다. 분석결과, 예비교사들이 개발한 과제는 타 교과, 수학사, 현상, 공학, 실생활과의 외적 연결이 있었다. 또한 다른 표현, 부분-전체의 관련성, 암시, 절차, 설명-지향적 연결의 다양한 내적 연결 사례가 있었다. '논리'와 '표현'의 관점에서 예비교사들의 CCK와 SCK는 긍정적이었으며, '전략'으로서 KCT는 다양성에서 아쉬웠지만 의미가 있었다. 다만 '수준'의 측면에서 KCS는 학생의 수준에 부합하지 못한 과제가 있었다는 점에서 제한적임을 알 수 있었다. '논리', '표현', '전략'의 유연함과 다르게 '수준'에서 어려움을 나타냈다는 점을 고려해 볼 때, 교사교육에서 '학생에 대한 이해'가 더욱 강조될 필요가 있다.

근대의 이원론과 르 코르뷔지에의 사고 (Modern Dualism and Le Corbusier's Ideas)

  • 이재영
    • 대한건축학회논문집:계획계
    • /
    • 제35권11호
    • /
    • pp.101-108
    • /
    • 2019
  • In this study, Le Corbusier's ideas were investigated from the view point of modern dualism. Le Corbusier, pioneer of modern architecture, insisted a rationalistic architecture for the industrial period, considering a house as 'machine for living'. In the other way, he tried to arouse emotions through architecture, mentioning a house as 'machine for affecting'. In his writings and paintings, he divided the world in the two opposed things (ex: human and nature, reason and sensation, chaos and order, orthogonal and libre curve, man and woman, sun and moon, lightness and darkness, bull and woman, and etc), and tried to combined the these two divided things. In architecture, he amalgamated his white buildings with the green vegetation, which is styled in the harmony of contrast(nature and articial). In urbanism, Le Corbusier did not divide nature only into three material elements for living(sunlight, air, green space), but also pursued poetic and aesthetic nature through buildings under the rays of sun and among the vegetation. Le Corbusier's dualistic ideas are based on Descartes's modern dualism, which divided the world into the material and the spiritual and into the objective and the subjective. Due to this original division, modern dualism contains the limits of extreme subjectification on human signification and of separation from the world and nature. Le Corbusier pursued the combination of the two divided things to overcome the contradiction of dualism, but his ideas and works contain the limits of the modern dualism.

Super-resolution Microscopy with Adaptive Optics for Volumetric Imaging

  • Park, Sangjun;Min, Cheol Hong;Han, Seokyoung;Choi, Eunjin;Cho, Kyung-Ok;Jang, Hyun-Jong;Kim, Moonseok
    • Current Optics and Photonics
    • /
    • 제6권6호
    • /
    • pp.550-564
    • /
    • 2022
  • Optical microscopy is a useful tool for study in the biological sciences. With an optical microscope, we can observe the micro world of life such as tissues, cells, and proteins. A fluorescent dye or a fluorescent protein provides an opportunity to mark a specific target in the crowd of biological samples, so that an image of a specific target can be observed by an optical microscope. The optical microscope, however, is constrained in resolution due to diffraction limit. Super-resolution microscopy made a breakthrough with this diffraction limit. Using a super-resolution microscope, many biomolecules are observed beyond the diffraction limit in cells. In the case of volumetric imaging, the super-resolution techniques are only applied to a limited area due to long imaging time, multiple scattering of photons, and sample-induced aberration in deep tissue. In this article, we review recent advances in super-resolution microscopy for volumetric imaging. The super-resolution techniques have been integrated with various modalities, such as a line-scan confocal microscope, a spinning disk confocal microscope, a light sheet microscope, and point spread function engineering. Super-resolution microscopy combined with adaptive optics by compensating for wave distortions is a promising method for deep tissue imaging and biomedical applications.

가변 라운드 수를 갖는 블록 암호에 대한 차분 연관 암호 공격 (Differential Related-Cipher Attacks on Block Ciphers with Flexible Number of Rounds)

  • 성재철;김종성;이창훈
    • 정보보호학회논문지
    • /
    • 제15권1호
    • /
    • pp.77-86
    • /
    • 2005
  • 연관 암호 공격은 키의 길이에 따라 가변 라운드 수를 갖는 블록 암호알고리즘의 키 스케줄의 약점을 이용한 공격으로 2002년 Hongjun Wu에 의해 소개되었다. 이 공격은 두 개의 서로 다른 키 길이에 대해 각기 다른 라운드 수를 갖는 두 암호에서 사용되는 키 쌍이 유사-동치키일 경우에 적용되는 공격이다. 본 논문에서는 이러한 연관 암호 공격을 블록 암호알고리즘의 가장 강력한 공격 방법인 차분 공격과 결합한 차분 연관 암호 공격의 개념을 제시한다. 차분 연관 암호 공격은 기존의 연관 암호 공격에서 라운드 수의 차이가 커짐에 따라 공격 적용의 어려움을 극복한 방법이다. 이 공격법을 이용하여 블록 암호알고리즘 ARIA v.0.9와 SC2000을 분석한다. 또한, 차분 공격 뿐 아니라 선형 공격. 고계 차분 공격 등과 같은 기존의 블록 암호알고리즘 공격들과 연관 암호 공격이 결합 가능함을 이용하여, 가변 라운드 수존 갖는 블록 암호알고리즘인 SAFER++와 CAST-128을 분석한다.

S3PAS의 교차 공격에 대한 위협성 분석 (On the Security of S3PAS against Intersection Attack)

  • 신동오;강전일;양대헌;이경희
    • 정보보호학회논문지
    • /
    • 제21권1호
    • /
    • pp.77-84
    • /
    • 2011
  • 문자와 숫자의 조합으로 이루어진 패스워드는 외우기 쉽고 사용하기 쉽지만 낮은 복잡도를 가지고 있다. 그렇기 때문에 안전하지 않은 환경에서 키보드와 같은 입력 장치를 통하여 패스워드를 그대로 입력하는 행위는 훔쳐보기와 같은 공격으로 쉽게 노출될 수 있다. 이러한 문제를 극복하고자 사용자 비밀의 형태를 다른 것으로 바꾸거나 복잡한 입력과정을 통하여 인증을 수행하는 방법들이 제안되고 있으나, 보안성과 사용자 편의성에 있어서 적합한 타협점을 찾지 못하고 있다. S3PAS는 사용자의 편의성을 만족시키면서 훔쳐보기로부터 사용자의 패스워드를 보호할 수 있는 보안성도 갖추었다고 알려진 인증기법이다. 그러나 공격자가 인증 세션을 여러 번 바라본 이후에 얻어낸 정보를 이용하여 인증을 시도하는 교차 공격에 대해서는 고려하지 않았다. 이 논문에서는 S3PAS에 대하여, 인증세션이 여러 번 공격자에게 노출되었을 때 발생할 수 있는 보안문제에 대해서 살펴보고, 사용자 실험과 모의실험을 통하여 이를 확인한다. 또한, 이러한 문제를 극복하기 위한 대안에 대하여 고찰한다.

The effect of the digital manufacturing technique of cantilevered implant-supported frameworks on abutment screw preload

  • Altuwaijri, Shahad Mohammmed;Alotaibi, Hanan Nejer;Alnassar, Talal Mughaileth
    • The Journal of Advanced Prosthodontics
    • /
    • 제14권1호
    • /
    • pp.22-31
    • /
    • 2022
  • PURPOSE. The purpose of this study was to investigate the misfit and screw preload at the implant abutment connection of implant supported fixed dental prosthesis with cantilever (ICFDP) manufactured using different digital manufacturing techniques and to compare the screw preload before and after cyclic loading. MATERIALS AND METHODS. Mandibular jaw model with four intra-foraminal implants was scanned using digital scanner. Stereolithography file was used to design a framework with nonengaging (NE) abutments and 10 mm cantilever distal to one terminal implant. Five frameworks were constructed using combined digital-conventional techniques (CAD-cast), and five frameworks were constructed using three-dimensional printing (3DP). Additional CAD-cast framework was constructed in a way that ensures passive fit (PF) to use as control. Scanning electron microscope (SEM) measured the implant abutment connection misfit. Sixty screws were used on the corresponding frameworks. Screws were torqued and pre-cyclic loading reverse torque value (RTV) was recorded. Frameworks were subjected to 200,000 loading cycles with a loading point 9 mm from the center of terminal implants adjacent to the cantilever and post-cyclic loading RTVs were recorded. RESULTS. Microscopic readings showed significant differences between frameworks. PF demonstrated the lowest measurements of 16.04 (2.6) ㎛ while CAD-cast demonstrated the highest measurements of 29.2 (3.1) ㎛. In all groups, RTVs were significantly lower than the applied torque. Post-cyclic loading RTV was significantly lower than pre-cyclic loading RTV in PF and 3DP frameworks. Differences in RTVs between the three manufacturing techniques were insignificant. CONCLUSION. Although CAD-cast and three-dimensionally printed (3DP) both produce frameworks with clinically acceptable misfit, 3DP might not be the technique of choice for maintaining screw's preload stability under an aggressive loading situation.

Transcutaneous medial fixation sutures for free flap inset after robot-assisted nipple-sparing mastectomy

  • Kim, Bong-Sung;Kuo, Wen-Ling;Cheong, David Chon-Fok;Lindenblatt, Nicole;Huang, Jung-Ju
    • Archives of Plastic Surgery
    • /
    • 제49권1호
    • /
    • pp.29-33
    • /
    • 2022
  • The application of minimal invasive mastectomy has allowed surgeons to perform nipples-paring mastectomy via a shorter, inconspicuous incision under clear vision and with more precise hemostasis. However, it poses new challenges in microsurgical breast reconstruction, such as vascular anastomosis and flap insetting, which are considerably more difficult to perform through the shorter incision on the lateral breast border. We propose an innovative technique of transcutaneous medial fixation sutures to help in flap insetting and creating and maintaining the medial breast border. The sutures are placed after mastectomy and before flap transfer. Three 4-0 nylon suture loops are placed transcutaneously and into the pocket at the markings of the preferred lower medial border of the reconstructed breast. After microvascular anastomosis and temporary shaping of the flap on top of the mastectomy skin, the three corresponding points for the sutures are identified. The three nylon loops are then sutured to the dermis of the corresponding medial point of the flap. The flap is placed into the pocket by a simultaneous gentle pull on the three sutures and a combined lateral push. The stitches are then tied and buried after completion of flap inset.

공공데이터 서비스의 지속이용의도에 영향을 미치는 요인에 관한 연구 (Factors Influencing the Continuance Intention of Public Data Services)

  • 김영은;박지홍
    • 한국문헌정보학회지
    • /
    • 제56권1호
    • /
    • pp.277-296
    • /
    • 2022
  • 다양한 잠재력을 지니고 있는 공공데이터의 특성에도 불구하고 서비스의 활용 확대를 위한 연구는 물론 데이터에 대한 이해가 부족한 일반 이용자를 대상으로 한 연구도 거의 이뤄지지 않았다. 본 연구는 기대일치이론에 기반하여 어떠한 전자서비스 품질 요인이 공공데이터 서비스의 지속이용의도에 영향을 미치는지 검증하였다. 분석 결과 만족도는 하나의 요인으로 합쳐진 이해가능성 및 효율성에 대한 기대 일치와 지속이용의도 간을 부분 매개하였으며, 지각된 유용성에 대한 기대 일치와 지속이용의도 간 관계는 완전 매개하였다. 서비스가 제공하는 정보에 대한 이해와 유용성이 충족될수록 이용 의지가 높아진다고 볼 수 있다. 이에 서비스의 질적 발전을 위해, 자신만의 정보 사전을 구축할 수 있는 전자 책갈피 기능과 서비스 이용자의 자유로운 커뮤니티 공간을 제언하였다. 더불어 일반 이용자 관점에서 전자서비스의 설계 시 어떤 부분에 집중해야 하는지 근거 자료를 제공하였다는 점에서 연구 의의를 지닌다.

Model order reduction for Campbell diagram analysis of shaft-disc-blade system in 3D finite elements

  • Phuor, Ty;Yoon, GilHo
    • Structural Engineering and Mechanics
    • /
    • 제81권4호
    • /
    • pp.411-428
    • /
    • 2022
  • This paper presents the Campbell diagram analysis of the rotordynamic system using the full order model (FOM) and the reduced order model (ROM) techniques to determine the critical speeds, identify the stability and reduce the computational time. Due to the spin-speed-dependent matrices (e.g., centrifugal stiffening matrix), several model order reduction (MOR) techniques may be considered, such as the modal superposition (MS) method and the Krylov subspace-based MOR techniques (e.g., Ritz vector (RV), quasi-static Ritz vector (QSRV), multifrequency quasi-static Ritz vector (MQSRV), multifrequency/ multi-spin-speed quasi-static Ritz vector (MMQSRV) and the combined Ritz vector & modal superposition (RV+MS) methods). The proposed MMQSRV method in this study is extended from the MQSRV method by incorporating the rotational-speed-dependent stiffness matrices into the Krylov subspace during the MOR process. Thus, the objective of this note is to respond to the question of whether to use the MS method or the Krylov subspace-based MOR technique in establishing the Campbell diagram of the shaft-disc-blade assembly systems in three-dimensional (3D) finite element analysis (FEA). The Campbell diagrams produced by the FOM and various MOR methods are presented and discussed thoroughly by computing the norm of relative errors (ER). It is found that the RV and the MS methods are dominant at low and high rotating speeds, respectively. More precisely, as the spinning velocity becomes large, the calculated ER produced by the RV method is significantly increased; in contrast, the ER produced by the MS method is smaller and more consistent. From a computational point of view, the MORs have substantially reduced the time computing considerably compared to the FOM. Additionally, the verification of the 3D FE rotordynamic model is also provided and found to be in close agreement with the existing solutions.