This was a descriptive study designed to identify the level of coping method and its influencing factors on the family caregivers of demented patients, and resolve the family caregivers' level of stress. The data were collected from September 10 to October 10, 2001. Subjects for this study were recruited from four clinics, which were chosen from 15 clinics located in Chunbuk-Do as the study sites because of their cooperation for the study. They were similar in terms of size, the characteristics of the local community. and the population and registration status of the demented patients. The instruments used for the study were as follows: 1. Problematic behaviors of demented patients are measured by the Memory and Behavior Problem Checklist (Zarit, 1980), and the Linguistic Communication Symptoms Questionnaire (Bayles and Tomoeda, 1991) 2. The ability to carry out daily activities was measured using the Barthel Index (1965) and Katz Index (1963), which as well-known ADL assessment methods. 3. Burden was measured using Cost of Care Index by the Kosberg and Cairl (1986). 4. Coping strategy was measured Bell's 18 methods (1977). The data were analyzed using SPSS/PC. The study results were as follows: 1. The total stress score was 2.90 out of a maximum score of 5. The highest score reported was 3.09 on the dimension of restriction of individual and social activities, and the lowest region reported was 2.58 on the dimension of mental and physical health. 2. The total score of the coping method was 2.65 out of a maximum score of 5. The highest score reported was 4.01 on the dimension of thinking that includes an ideation such that it is better than any possible worst case, and the lowest score reported was 1.45 on the dimension of the self-image as a scapegoat. 3. There were significant differences in coping method among the subjects by age (F=2.752 p=0.04), caregiver (F=4.33 p=0.003), care-giving period (F=2.68 p=0.049), and dementia stage (F=2.87 p=0.034). 4. There were highly negative correlations ($\gamma$=-0.301 p=0.000) between problematic behaviors of demented patients and the coping method of their family caregivers. The highest correlation coefficient ($\gamma$=-0.339 p=0.000) was found between aggressive behaviors of the demented patients and the coping method of their family caregivers. 5. There was a low negative correlation ($\gamma$=-0.201 p=0.019) between the ADL of the demented patients and the coping method of their family caregivers. 6. There were highly negative correlations ($\gamma$=-0.213 p=0.005) between stress and the coping method of the family caregivers. The highest correlation was found between financial burden ($\gamma$=-.327 P=.000) and the coping method of the family caregivers. There was no significant correlation among unpleasant aspects of the demented patients, willingness to the demented patients, and the coping method of the family caregivers.
본 논문에서는 입출력 응용을 위해 collective I/O 기법을 기반으로 한 실행시간 시스템의 설계, 구현 그리고 그 성능평가를 기술한다. 여기서는 모든 프로세서가 동시에 I/O 요구에 따라 스케쥴링하며 I/O를 수행하는 collective I/O 방안과 프로세서들이 여러 그룹으로 묶이어, 다음 그룹이 데이터를 재배열하는 통신을 수행하는 동안 오직 한 그룹만이 동시에 I/O를 수행하는 pipelined collective I/O 등의 두 가지 설계방안을 살펴본다. Pipelined collective I/O의 전체 과정은 I/O 노드 충돌을 동적으로 줄이기 위해 파이프라인된다. 이상의 설계 부분에서는 동적으로 충돌 관리를 위한 지원을 제공한다. 본 논문에서는 다른 노드의 메모리 영역에 이미 존재하는 데이터를 재 사용하여 I/O 비용을 줄이기 위해 collective I/O 방안에서의 소프트웨어 캐슁 방안과 두 가지 모형에서의 chunking과 온라인 압축방안을 기술한다. 그리고 이상에서 기술한 방안들이 입출력을 위해 높은 성능을 보임을 기술하는데, 이 성능결과는 Intel Paragon과 ASCI/Red teraflops 기계 상에서 실험한 것이다. 그 결과 응용 레벨에서의 bandwidth는 peak point가 55%까지 측정되었다.Abstract In this paper we present the design, implementation and evaluation of a runtime system based on collective I/O techniques for irregular applications. We present two designs, namely, "Collective I/O" and "Pipelined Collective I/O". In the first scheme, all processors participate in the I/O simultaneously, making scheduling of I/O requests simpler but creating a possibility of contention at the I/O nodes. In the second approach, processors are grouped into several groups, so that only one group performs I/O simultaneously, while the next group performs communication to rearrange data, and this entire process is pipelined to reduce I/O node contention dynamically. In other words, the design provides support for dynamic contention management. Then we present a software caching method using collective I/O to reduce I/O cost by reusing data already present in the memory of other nodes. Finally, chunking and on-line compression mechanisms are included in both models. We demonstrate that we can obtain significantly high-performance for I/O above what has been possible so far. The performance results are presented on an Intel Paragon and on the ASCI/Red teraflops machine. Application level I/O bandwidth up to 55% of the peak is observed.he peak is observed.
This paper proposes an efficient data structure for forwarding IPv4 and IPv6 packets at the gigabit speed in backbone routers. The LPM(Longest Prefix Matching) search becomes a bottleneck of routers' performance since the LPM complexity grows in proportion to the forwarding table size and the address length. To speed up the forwarding process, this paper introduces a data structure named BMT(Bit-Map Tie) to minimize the frequent main memory accesses. All the necessary search computations in BMT are done over a small index table stored at cache. To build the small index table from the tie representation of the forwarding table, BMT represents a link pointer to the child node and a node pointer to the corresponding entry in the forwarding table with one bit respectively. To improve the poor performance of the conventional tries when their height becomes higher due to the increase of the address length, BMT adopts a binary search algorithm for determining the appropriate level of tries to start. The simulation experiments show that BMT compacts the IPv4 backbone routers' forwarding table into a small one less than 512-kbyte and achieves the average speed of 250ns/packet on Pentium II processors, which is almost the same performance as the fastest conventional lookup algorithms.
Current ontology studies use the Hadoop distributed storage framework to perform map-reduce algorithm-based reasoning for scalable ontologies. In this paper, however, we propose a novel approach for scalable Web Ontology Language (OWL) Horst Lite ontology reasoning, based on distributed cluster memories. Rule-based reasoning, which is frequently used for scalable ontologies, iteratively executes triple-format ontology rules, until the inferred data no longer exists. Therefore, when the scalable ontology reasoning is performed on computer hard drives, the ontology reasoner suffers from performance limitations. In order to overcome this drawback, we propose an approach that loads the ontologies into distributed cluster memories, using Spark (a memory-based distributed computing framework), which executes the ontology reasoning. In order to implement an appropriate OWL Horst Lite ontology reasoning system on Spark, our method divides the scalable ontologies into blocks, loads each block into the cluster nodes, and subsequently handles the data in the distributed memories. We used the Lehigh University Benchmark, which is used to evaluate ontology inference and search speed, to experimentally evaluate the methods suggested in this paper, which we applied to LUBM8000 (1.1 billion triples, 155 gigabytes). When compared with WebPIE, a representative mapreduce algorithm-based scalable ontology reasoner, the proposed approach showed a throughput improvement of 320% (62k/s) over WebPIE (19k/s).
The purpose of this study was to provide basic data for the development of educational material in Korean for patient3 being discharge after open heart surgery. The subjects were 45 adult patients who were seen in the out -patient department of the thoracic surgery unit of P University hospital between February 1993 and May 1993. The data were collected through a chart review and interview. Nursing needs, and the patients status related to diet, activity, medication, physical and psychoemotional limitations were analyzed. The results are summarized as follows ; 1. Mitral valve replacement was the most frequent type of surgery(91.2%). In most cases, a mechanical valve was used (91.0%) . The duration of admission after the operation was two to four weeks for most of the patients(48.9%). The follow-up period was between one and two years for 28.9% of the patients and below 6 years for all of the patients. 2. Many Patients didn’t know the importance of a low salt diet(57.8%), and did not get any education on low salt diet (66.7%). Gimchi was included as one of the most commonly ingested foods (77.8%). All of the patients indicated nursing needs related to education about low salt diets and further they indicated a major interest in foods that are harmful (57.7%) or foods that are safe(51.1% ). 3. Most patients did not recognize the need for limitations on physical activity(84.4%). Further, 31.1% of them could not return to work at the time of the study. All patients had nursing needs related to physical activity, with the most frequent questions being about the permissble degree of activity and special cautions dictated by their illness (60.0%). 4. Many patients were ignorant of the necessity of medication(55.6%) . Forty percent of the patients were taking additional drugs, usually herb drugs. The time and duration of medication and the side effects of drugs were common concerns (57.7%) related to nursing. needs about medication and were mentioned by all of the patients. 5. All of the patients complained of physical discomfort including the following : memory disturbance(62.2%), weight gain(60.0%), chest tightness (55.6%), hair loss(51.1%), sleep disturbance(46.7%) and other symptoms in that order of frequency. Nursing needs related to physical condition were a concern for all of them. The viability and function of the replaced valve(53.3%) and weight gain(60.0%) were mal or concerns. 6. Looking at their psychoemotional condition it was found that 36 patients(80.0%) were emotionally unstable. The causes were physical discomfort(17 patients), insufficient knowlege of open heart surgery(6 patients), fear of death(6 patients), familial over protection(2 patients ) and lack of support (5 patients).
Recently, there has been an increase in the number of people who use the smart-phone navigation for using various latest functions such as group driving and location sharing. But smart-phone has a limited storage space for one application, since a lot of applications with different purposes are installed in the smart-phone. For this reason, road network data with a large space of memory used for map matching in the device for navigation cannot be stored in the smart-phone for this reason map matching is impossible. Besides, smart-phone which doesn't use the external GPS device, provides inaccurate GPS information, compared to the device for navigation. This is why the smart-phone navigation is hard to provide accurate location determination. Therefore, this study aims to help map matching that is more accurate than the existing device for navigation, by reducing the capacity of road network data used in the device for navigation through format design of a new road network and conversion and using a database of driver's driving patterns. In conclusion, more accurate map matching was possible in the smart-phone by using a storage space more than 80% less than existing device at the intersection where many roads cross, the building forest that a lot of GPS errors occur, the narrow roads close to the highway. It is considered that more accurate location-based service would be available not only in the navigation but also in various applications using GPS information and map in the future Navigation.
This study aimed to identify middle school students' perceptions and practices of handwriting, and factors affecting their attitudes towards handwriting. Data were collected by means of a survey targeting 346 students enrolled in 9 middle schools(Male=172, Female=172, Unknown=2, M=13.5 years old, SD= .94). Interviews, too, were conducted with 12 students in order to identify the students' perceptions of handwriting. The analyses of both survey and interview data revealed the following: (1) the majority of the interviewee students believed that handwriting is useful for memory and summarization so as to get a better school grade, including performance evaluations; (2) Many of the interviewee students were unsatisfied with their handwriting skills, giving higher scores to their peers' handwriting; (3) 45.7% of the students reported that mother was the one who taught them how to write for the first time; and 49.7% of them had no learning experience of taking notes; (4) Girls than boys and 1st graders than 2 or 3 graders showed more positive attitude towards handwriting; and (5) A multiple regression analysis showed that all the variables entered in the regression model, including sex, grade, affective attitude toward hands-on activities, physical abilities, time spent using a computer, and perceptions of Korean characters, had significant impacts on the students' attitudes towards handwriting.
The purpose of this study was to explore the stressors in pediatric intensive care unit and impaired psychological responses of children after open heart surgery. Sixteen children aged 6 to 11, who were admitted to the hospital for open heart surgery during the period from July, 1991 to February, 1992 were the subjects of the study. Observations, drawings, and interviews were used to collect data for study. Behavioral responses about intensive care unit phenomena were analyzed according to the 4 categories identified to assess children's perceived stressors in ICU. Impaired psychological responses were examined using observational and interview data. Drawings were analyzed by content and color by this researcher and validated by the psychologist. The findings were as follows : 1. The most frequently perceived stressors by children in ICU were the physical stressors causing pain and discomfort(68.5%). It was followed by social stressors which denote disruption of relationship with family and friends(13.0% ), environmental stressors which denote unfamiliar surroundings, noise, staff, and other patients (11.2%), and psychological stressors which denote factors affecting self-esteem such as inability to communicate and inadquate knowledge of the situation (7.3%). 2. 81.3% of the children showed of least one of the impaired psychological responses. Three children (18.8%) experienced time disorientation. An equal number of subject experienced perceptual illusion. Two children(12.5%) experienced hallucination. Vivid dream about ICU phenomena was reported by 2 children. Seven children(43.8%) were identified as having exaggerated fear. They feared about oxygen mask and ICU environment in general. Seven children(43.8%) experienced impairment of memory about treatments, procedures, and environment of ICU. 3. The analysis of children's drawing revealed that 56.3% of children experienced fear in the ICU. 75% of children included nurses in the drawings and 62.5% of children drew other children. 81.3% of children drew and identified himself in the drawing. The colors used most by children were green, purple, and brown. From this result, it is recommended to prepare children before open heart surgery to reduce their stressors and impaired psychological responses in ICU.
The purpose of this paper was to identify the performance of health promoting lifestyles and health perception over 18 years old women living Wonju city so that the results will be based for setting up women's health nursing center. The subjects were 1080 women selected by stratified and purposive sampling. The data were collected by self reporting questionnaire and interview from May to June, 1998. Data were analyzed by SPSS win program. The results were as follows : 1. The range of age was 18-84 years, The proportion according to women's lifecycle was premarital group 20.0%, delivery and rearing group 49.9%, over middle aged-elderly group 29.8%. 2. The mean menarchial age was 15.2 and menopausal age was 48. Mean frequenices of pregnancy is 2.4 and artificical abortion rate is 36.4%. Primary cause of abortion was unwanted babies 42.8%. The practice rate of family planning was 79.4% and permanent sterilization rate was 37.6%. 3. Fatigue was predominated problem in target population. Depression and headache was predominated in premarital group, headache and nervous felling in delivery and rearing group, arthritis and loss of memory in over middle aged-elderly group. 4. Only 13.7% of the target population make some efforts for their health in compare to 85.9% have attention for their health. Perception of unhealthy rate was 9.1% in premarital group, 24.8% in delivery and rearing group, 30.1% in middle aged-elderly group. 5. The average score of the HPLP(Health Promoting Lifestyle Profile) was 2.41. The variable with the highest degree of performance was interpersonal relationship, whereas the one with the lowest degree was the professional health maintenance. The significant difference was found in HPLP according to age, residential area, marital status, educational level, income level. 6. Majority(95.1%) of the target population agreed on necessity for women's health nursing center. Proper location area was presented to women's center and public health center. The priority for health education program was proper diet, family health, stress management, and exercise. In conclusion, we should prepare the education program for women's health according to women's lifecycle, because health perception, HPLP, and education program needed was differentiated in women's lifecycle. Also we suggest that women's health nursing center based community was needed for proper management of women's health.
Kim, Hyun Su;Chun, Seung Man;Chung, Yun Seok;Park, Jong Tae
Journal of the Institute of Electronics and Information Engineers
/
v.53
no.4
/
pp.3-11
/
2016
In the environment of Internet of Things (IoT), IoT devices are limited by physical components such as power supply and memory, and also limited to their network performance in bandwidth, wireless channel, throughput, payload, etc. Despite these limitations, resources of IoT devices are shared with other IoT devices. Especially, remote management of the information of devices and patients are very important for the IoT healthcare service, moreover, providing the interoperability between the healthcare device and healthcare platform is essential. To meet these requirements, format of the message and the expressions for the data information and data transmission need to comply with suitable international standards for the IoT environment. However, the ISO/IEEE 11073 PHD (Personal Healthcare Device) standards, the existing international standards for the transmission of health informatics, does not consider the IoT environment, and therefore it is difficult to be applied for the IoT healthcare service. For this matter, we have designed and implemented the IoT healthcare system by applying the oneM2M, standards for the Internet of Things, and ISO/IEEE 11073 DIM (Domain Information Model), standards for the transmission of health informatics. For the implementation, the OM2M platform, which is based on the oneM2M standards, has been used. To evaluate the efficiency of transfer syntaxes between the healthcare device and OM2M platform, we have implemented comparative performance evaluation between HTTP and CoAP, and also between XML and JSON by comparing the packet size and number of packets in one transaction.
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