• Title/Summary/Keyword: Component States

Search Result 268, Processing Time 0.034 seconds

Nurse Practitioner Roles and Curriculums in the United States (미국 전문간호사(NP)의 역할과 교육과정에 관한 고찰)

  • Lee Sun-Ock
    • The Journal of Korean Academic Society of Nursing Education
    • /
    • v.5 no.1
    • /
    • pp.97-105
    • /
    • 1999
  • Based on literature, status and role of the NP in America was reviewed. The process of developing NP program in America suggests us many things. In America, nurse practitioners have sustained a mutually beneficial status with their patients for over thirty years. Excel fence in academic education and clinical training will enable nurse practitioners to continue to provide quality health care. The magnitude changes in the health care system of the United States, the challange of providing real access of health care continues. Lack of access to adequate primary care was the driving force in the initial 1965 Federal Involvement in developing the NP role. In 1993 President Bill Clinton's health care reform initiative provided policy support for NPs as primary care providers. The Institute of Medicine explicitly recognized NPs as an integral part of the primary care team. In addition, several national reports recognized NPs as affordable, accessible, high-quality care providers. The recent passage of direct Medicare reimbursement for NPs reflected public policy statements coincided with and likely contributed to a growth spurt in the NP workforce. From 1965 to 1977 NP programs offered traditional primary care clinical tracks(adult, family, woman's health, and pediatrics) for relatively small clusters of students in a variety of institutional settings. From 1978 to 1990 these educational programs were incorporated into graduate schools of nursing. By 1990 the majority of NPs received educational preparation in master's-level nursing programs. A new emphases was placed on postmaster's NP programs designed for master's prepared clinical nurse specialists and nurse managers. he the health care system shifted hospital nursing resources toward community-based care, these master's -level nurses sought additional NP preparation. NP educational programs are defined as the educational structure in which one or more NP clinical tracks are offered. NP clinical tracks, in turn, offer curriculum and supervised clinical experiences that match standards in specific practice areas such as family(FNP), adult(AUP), geriatrics(GNP), pediatrics(PNP), women's health (WHNP), neonatal (NNP), and acute care(ACNP). There were indications that NP practice was expanding into new clinical areas as evidenced by new types of tracks, particularly in acute care and psychiatry. The increase in acute care NP students likely reflects the increased demand from hospitals and other acute care settings. In Korea, change of nurse's role into nurse practitioner's role may have many difficulties. The need of health consumer, policy support of government, approval of medical care team are all essential component. Every nursing personnel make effort to planning the new health care delivery system.

  • PDF

A Conceptual Comparison between Public Interest and Universal Service (공익성 보편적 서비스 개념의 비교 연구)

  • Lee, Sahang-Shik
    • Korean journal of communication and information
    • /
    • v.20
    • /
    • pp.111-139
    • /
    • 2003
  • This study aims to explore concepts of public interest and universal service which have been essential ideologies and policy goals, but which have been a the state of conceptual chaos so far. It sheds light upon three aspects : (1) the origins of public interest and universal service, (2) conceptual components of public interest and universal service, and (3) the implementation of public interest and universal service ideologies into policy. As a result of this analysis, it was found, firstly, that public interest of broadcasting originated from western countries, was rooted in the United States, and then spread all over the world later. After universal service was begun in the United States, it became a key ideology of information and telecommunication in European countries and other countries as well. Secondly, when examining the conceptual components, more differences were found than commonalities between these two concepts. The most conspicuous common point was universalism The concept of public interest includes not only universal service, but also connotes other components such as independence, diversity, quality, and locality which are related to content. Thirdly, when these two ideologies are implemented into policy, there Is a contrast. This study shows that the public interest ideology was realized into regulatory policies, while the universal service ideology was realized into supportive policies. In conclusion, this paper suggests more exact usage academically, showing the differences between the two concepts. This paper recommends an enforced legal duty of broadcasters to provide universal service when the current broadcasting law is revised.

  • PDF

China and global leadership (Китай и глобальное лидерство)

  • Mikheev, Vasily;Lukonin, Sergey;Ignatev, Sergei
    • Analyses & Alternatives
    • /
    • v.1 no.2
    • /
    • pp.31-43
    • /
    • 2017
  • The article is devoted to the theoretical and practical analysis of Chinese global leadership. The concept of leadership is applied as a methodology, which involves identifying the main factors, such as strategic power, the attractiveness of political institutions, the ability to provide acceptable ideas and the presence of allies that contribute to a comprehensive analysis of the country's leadership potential. The authors also describe the relevance of Chinese global leadership and analyze its domestic, economic and international causes. Moreover, the ''Belt and Road'' initiative is defined as the main mechanism for providing the influence of China on the global level which is now being changed its quantitative component, namely the increasing attention to the security aspects of this initiative. In addition to that, it is important to note that China maintains its economic and political positions in Africa, Central Asia and South-East Asia. Africa has a special role in the Chinese ''Belt and Road'' initiative as a recipient of Chinese investments and a site for the deployment of China's naval facilities to protect the trade routes. On the regional level, China will strive to become a leader of the trade and economic processes in the Asia-Pacific region, the South China Sea and the North Korea nuclear program issues. The American factor in modern international relations, namely so-called "Trump factor", which means the U.S. withdrawal from the Trans-Pacific Partnership and the Paris Agreement, will cause demand for Chinese leadership in the Asia-Pacific region and in the world as well. However, in this case a number of questions arise: is China prepared for this? Is Beijing able to bear greater responsibility? Does China have the potential for this? The article concludes that China will not become global leaders in the next 20-30 years, because of internal (political reforms) and foreign policy reasons (doctrinal formulation of foreign policy initiatives, military-political and economic power, international posture and relations with other states). The authors believe that the implementation of Chinese leadership is possible not on the condition of confrontation between China and the United States, but on the establishing of constructive relations between these countries. The last meeting between Trump and Xi Jinping showed a trend for creating channels for dialogue between Beijing and Washington, which can become the basis for interaction. An important place in the work is given to the analysis of development and forecasting the evolution of Russian-Chinese and U.S.-China relations. As for Russia, Moscow should conduct a policy that will not allow it to become a ''junior partner'' of China.

  • PDF

The Concept and Assessment of River Continuity: Review of Global Trends for Domestic Application (하천 연속성의 개념과 평가: 국외 사례 비교를 통한 국내 적용성 고찰)

  • Yerim Choi;Dae-Hee Lee;Kyung-A You;Kwang-Hyeon Chang;Jeong-Hui Kim
    • Korean Journal of Ecology and Environment
    • /
    • v.57 no.3
    • /
    • pp.169-188
    • /
    • 2024
  • Recently, Korean government has incorporated the assessment and restoration of river continuity as a key component of its integrated water management policy. While, methodologies for evaluating discontinuities and degradation, as well as the procedures for assessment and restoration, have been developed and proposed, there is a need for further improvement. Therefore, further research is required to establish a conceptual framework for continuity specific to domestic river ecosystems and to formulate appropriate assessment methods and restoration strategies. In this study we conduct a comparative analysis of the concepts, restoration approaches, and comprehensive evaluation methods for river continuity as proposed by Japan, the United States, and the European Union (EU), all of which have long-standing frameworks for river continuity assessment and restoration projects. Each country demonstrates distinct objectives and guidelines: Japan emphasizes habitat continuity within the context of river and watershed continuity, the United States integrates continuity as a tool for watershed management, and the EU prioritizes biodiversity conservation by advocating for the removal of artificial barriers and promoting the restoration of free-flowing rivers (FFR). By investigating these international examples, this study provides insights that can guide the development of long-term strategies and evaluation criteria for securing aquatic ecosystem continuity in Korea.

A Study on Test Technology Analysis for Railway System (철도분야 시험기술 분석에 관한 연구)

  • Han, Young-Jae;Park, Chan-Kyoung;Hwang, Jong-Gyu;Kim, Young-Guk
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.18 no.12
    • /
    • pp.722-728
    • /
    • 2017
  • As the demand for high-speed railway, light railway, and metropolitan railway is increasing, the demand for safe and comfortable railways is increasing. The evaluation technology for a railway system manufactured according to this trend is becoming more important. This study examined the domestic and foreign technology trends through patent analysis of the railway test technology. To accomplish this, the patents filed in Korea, Europe, and the United States since 1990 were analyzed using Thomson Innovation DB. First, the technology was classified as a component test, combined test, and on-line test. Through patent analysis, the technology trends in the railway test technology and how the technological progress has been made from the past to the present were reviewed. In addition, through an analysis of the country and main applicant, this study examined the countries and applicants that are actively developing technologies. In addition, the countries that have secured technology related to the test technology were studied through an analysis of the market security index and the influence index. Through this analysis, this study analyzed the trend of the test technology in the railway area.

A Supervised Learning Framework for Physics-based Controllers Using Stochastic Model Predictive Control (확률적 모델예측제어를 이용한 물리기반 제어기 지도 학습 프레임워크)

  • Han, Daseong
    • Journal of the Korea Computer Graphics Society
    • /
    • v.27 no.1
    • /
    • pp.9-17
    • /
    • 2021
  • In this paper, we present a simple and fast supervised learning framework based on model predictive control so as to learn motion controllers for a physic-based character to track given example motions. The proposed framework is composed of two components: training data generation and offline learning. Given an example motion, the former component stochastically controls the character motion with an optimal controller while repeatedly updating the controller for tracking the example motion through model predictive control over a time window from the current state of the character to a near future state. The repeated update of the optimal controller and the stochastic control make it possible to effectively explore various states that the character may have while mimicking the example motion and collect useful training data for supervised learning. Once all the training data is generated, the latter component normalizes the data to remove the disparity for magnitude and units inherent in the data and trains an artificial neural network with a simple architecture for a controller. The experimental results for walking and running motions demonstrate how effectively and fast the proposed framework produces physics-based motion controllers.

γ'-Precipitation Free Zone and γ' Rafting Related to Surface Oxidation in Creep Condition of Directionally Solidified CM247LC Superalloy (일방향 응고 CM247LC 초내열합금의 크리프 조건에서 표면 산화와 연계된 γ'-석출 고갈 지역 및 γ' 조대화)

  • Byung Hak Choe;Kwang Soo Choi;Sung Hee Han;Dae Hyun Kim;Jong Kee Ahn;Dong Su Kang;Seong-Moon Seo
    • Korean Journal of Materials Research
    • /
    • v.33 no.10
    • /
    • pp.406-413
    • /
    • 2023
  • This study used optical and scanning electron microscopy to analyze the surface oxidation phenomenon that accompanies a γ'-precipitate free zone in a directional solidified CM247LC high temperature creep specimen. Surface oxidation occurs on nickel-based superalloy gas turbine blades due to high temperature during use. Among the superalloy components, Al and Cr are greatly affected by diffusion and movement, and Al is a major component of the surface oxidation products. This out-diffusion of Al was accompanied by γ' (Ni3Al) deficiency in the matrix, and formed a γ'-precipitate free zone at the boundary of the surface oxide layer. Among the components of CM247LC, Cr and Al related to surface oxidation consist of 8 % and 5.6 %, respectively. When Al, the main component of the γ' precipitation phase, diffused out to the surface, a high content of Cr was observed in these PFZs. This is because the PFZ is made of a high Cr γ phase. Surface oxidation of DS CM247LC was observed in high temperature creep specimens, and γ'-rafting occurred due to stress applied to the creep specimens. However, the stress states applied to the grip and gauge length of the creep specimen were different, and accordingly, different γ'-rafting patterns were observed. Such surface oxidation and PFZ and γ'-rafting are shown to affect CM247LC creep lifetime. Mapping the microstructure and composition of major components such as Al and Cr and their role in surface oxidation, revealed in this study, will be utilized in the development of alloys to improve creep life.

A Method for Observation of Benign, Premalignant and Malignant Changes in Clinical Skin Tissue Samples via FT -IR Microspectroscopy

  • Skrebova, Natalja;Aizawa, Katsuo;Ozaki, Yukihiro;Arase, Seiji
    • Journal of Photoscience
    • /
    • v.9 no.2
    • /
    • pp.457-459
    • /
    • 2002
  • Sunlight causes various types of adverse skin changes on the sun-exposed areas of the skin, in which the most hazardous one is the induction of malignant skin tumours. FT -IR spectra were obtained from specimens excised from normal skin, BCCs, SCCs, MMs, nevi, lesions of solar keratosis and Bowen's disease. Tissue samples from freshly frozen specimens were cut into 2 sections in strictly sequential order to be stained with H & E for histopathological analysis, and then to be air-dried on CaF$_2$ slide glasses for further spectral data acquisition from defined area of interest. Intra- and inter-sample variations were estimated within grouped lesion categories according to each skin component. Mean spectra for each type of tissue pathology in the 800-1800 $cm^{-1}$ / region was interpreted using the classical group frequency approach that showed the most visible differences in spectra of benign, premalignant and malignant changes directly related to protein conformation and nucleic acid bases. The relative intensity of the nucleic acid peak was increased with progression to malignancy. In addition, PCA was able to evaluate and maximise the differences in the spectra by reducing the number of variables characterizing each patient and pathology category. This type of approach to non-destructively estimate the complexity of IR-spectra of inhomogeneous samples such as skin demonstrates the advantage of FT -IR microspectroscopy to be able to observe diseased states (benign, premalignant, malignant) and distinguish them from normal against a huge background of inter- and intra-subject variability.

  • PDF

Analysis of Advanced School Health Promotion Policies and Programs for Developing Effective School Health Strategies (학교건강증진사업의 주요 영역과 전략 개발을 위한 선진사례 분석)

  • Kim, Myung;Kim, Hye-Kyung
    • The Journal of Korean Society for School & Community Health Education
    • /
    • v.8 no.1
    • /
    • pp.13-27
    • /
    • 2007
  • The role of school as a key setting for health promotion practices should be empathized. However, there were limitations for the effectiveness of school health promotion practices in Korea because of the lack of recognition about its importance, social support, guiding principles of the school health promotion services by the school health related law, and cooperation between school and community. The purpose of this study was to analyse the advanced cases from The United States, Japan, Europe and Australia, and to evaluate the applicability to school health promotion services in Korea for establishing the strategy for effective implementation of school health promotion program in Korea. Four cases of school health program were selected for analysis, including Coordinated School Health Program and National School Health Strategies in the USA, Healthy Japan21, National School Health Initiative in Australia and the European Network of Health Promoting Schools. Major conclusions were as follows: 1. Advanced cases of school health programs were comprehensive in nature. 2. Integrated school and community health promotion efforts was emphasized. mostly. 3. Governmental agencies played an active role in conducting surveillance activities to monitor priority health risk behaviors, developing school health program and training manual, providing periodic program evaluation. 4. Life skill focused health education was the key component for the comprehensive school health program. For the improvement of efficiency in school health promotion practices, above advanced strategies for school health promotion program would be necessary.

  • PDF

A Study on Selecting Model for Small and Medium Management Innovative Manufacturers (경영혁신형 중.소 제조기업 선정 모형에 관한 연구)

  • You, Yen-Yoo;Roh, Jae-Whak
    • The Journal of Society for e-Business Studies
    • /
    • v.15 no.2
    • /
    • pp.55-75
    • /
    • 2010
  • The primary purposes of this study are to find a proper model for government's selections of Mainbiz and present what are the better weights of the current indexes. We prepared three sets of models:first one using original 10 variables; second one using 9principally composed variables; third one using 7 principally composed variables. Among 3 models, the last one had higher explanation power than the other two models. Therefore, if index weights are adjusted according to the third newly developed model, the credibility in evaluating and selecting Mainbiz will be improved. When transforming the index weights and running the analysis, 5 variables(organization process, marketing management, management process, production-facility states, the level of forecasting) have more direct influences than other 4 variables(innovation strategies, knowledge management, achieving level, operational level) on selecting Main-biz.