• Title/Summary/Keyword: Early Assessment

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Early Wound Healing Score: a system to evaluate the early healing of periodontal soft tissue wounds

  • Marini, Lorenzo;Rojas, Mariana Andrea;Sahrmann, Philipp;Aghazada, Rustam;Pilloni, Andrea
    • Journal of Periodontal and Implant Science
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    • v.48 no.5
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    • pp.274-283
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    • 2018
  • Purpose: Numerous indices have been proposed to analyse wound healing in oral soft tissues, but each has specific shortcomings. A new method of analysis, the Early Wound Healing Score (EHS), was evaluated in the present study. The aim was to assess more accurately early healing by primary intention of surgical incisions in periodontal soft tissues. Methods: Twenty-one patients were treated with different surgical procedures comprising 1 or 2 vertical releasing incisions as part of a surgical access flap. Twenty-four hours after surgery, early wound healing at the vertical releasing incisions was assessed using the EHS. This score assessed clinical signs of re-epithelialization (CSR), clinical signs of haemostasis (CSH), and clinical signs of inflammation (CSI). Since complete wound epithelialization was the main outcome, the CSR score was weighted to be 60% of the total final score. Accordingly, a score of 0, 3, or 6 points was possible for the assessment of CSR, whereas scores of 0, 1, or 2 points were possible for CSH and CSI. Higher values indicated better healing. Accordingly, the score for ideal early wound healing was 10. Results: Thirty vertical releasing incisions were assessed in 21 patients. At 24 hours after incision, 16 vertical releasing incisions (53.33%) received the maximum score of CSR, while 6 cases (20%) received an EHS of 10. None of the cases received 0 points. Conclusion: The EHS system may be a useful tool for assessing early wound healing in periodontal soft tissue by primary intention after surgery.

The study of teachers' recognition analysis for system construction administrative and financial support system of integrated early education program (유아통합교육의 행·재정 지원체제 시스템 구축을 위한 교원의 인식 분석 연구)

  • Lee, Ok-Heui;Lee, Ki-Yong
    • The Journal of Korean Association of Computer Education
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    • v.17 no.5
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    • pp.69-77
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    • 2014
  • The purpose of this study was to investigate the recognition on the administrative and financial support system to execute integrated early education program by kindergarten and educational offices. The results were as follows. First, there has been a difference of recognition by three variables: 1) teachers' position in the area of all, law and institution, curriculum, administrative and financial support, and assessment, 2) educational career in the area of all, law and institution, curriculum, and supervision, 3) integrated education career in the area of all, law and institution, administrative and financial support and assessment. Second, there has been a difference of recognition by two variables: 1) kindergarten institutional establishment in the area of all, law and institutions, curriculum, teaching-learning, financial support, and assessment. 2) size in the area of all, law and institutions, curriculum, supervision, administrative and financial support, and assessment.

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Development and Validation of a Scale for the Measurement of Early Childhood Teacher's Competence in Unification Education (유아교사의 통일교육역량에 대한 평가척도 개발 및 타당화 연구)

  • Jung, Dae Hyun;Kwak, Youn Mi
    • Korean Journal of Human Ecology
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    • v.21 no.5
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    • pp.819-835
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    • 2012
  • The purpose of this study was to develop and test the validity of an assessment scale for determining the competency of early childhood teachers practicing unification education. For this purpose, an evaluation scale was constructed and then tested for reliability and validity. Participants for this study included 266 early childhood teachers in the unification education field. In order to the measure reliability and validity of this scale, Exploratory Factor Analysis and Confirmatory Factor Analysis were conducted with SPSS 18.0 and AMOS. The result of this study identified four principal factors: 1) Instruction skills, 2) Evaluation, 3) Attitude, and 4) Knowledge. The results of this study supported the scale's reliability and legitimacy as a valid instrument for the evaluation of early childhood teacher's competence in unification education.

Integrated Level 1-Level 2 decommissioning probabilistic risk assessment for boiling water reactors

  • Mercurio, Davide;Andersen, Vincent M.;Wagner, Kenneth C.
    • Nuclear Engineering and Technology
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    • v.50 no.5
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    • pp.627-638
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    • 2018
  • This article describes an integrated Level 1-Level 2 probabilistic risk assessment (PRA) methodology to evaluate the radiological risk during postulated accident scenarios initiated during the decommissioning phase of a typical Mark I containment boiling water reactor. The fuel damage scenarios include those initiated while the reactor is permanently shut down, defueled, and the spent fuel is located into the spent fuel storage pool. This article focuses on the integrated Level 1-Level 2 PRA aspects of the analysis, from the beginning of the accident to the radiological release into the environment. The integrated Level 1-Level 2 decommissioning PRA uses event trees and fault trees that assess the accident progression until and after fuel damage. Detailed deterministic severe accident analyses are performed to support the fault tree/event tree development and to provide source term information for the various pieces of the Level 1-Level 2 model. Source terms information is collected from accidents occurring in both the reactor pressure vessel and the spent fuel pool, including simultaneous accidents. The Level 1-Level 2 PRA model evaluates the temporal and physical changes in plant conditions including consideration of major uncertainties. The goal of this article is to provide a methodology framework to perform a decommissioning Probabilistic Risk Assessment (PRA), and an application to a real case study is provided to show the use of the methodology. Results will be derived from the integrated Level 1-Level 2 decommissioning PSA event tree in terms of fuel damage frequency, large release frequency, and large early release frequency, including uncertainties.

Early Identification of Gifted Young Children and Dynamic assessment (유아 영재의 판별과 역동적 평가)

  • 장영숙
    • Journal of Gifted/Talented Education
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    • v.11 no.3
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    • pp.131-153
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    • 2001
  • The importance of identifying gifted children during early childhood is becoming recognized. Nonetheless, most researchers preferred to study the primary and secondary levels where children are already and more clearly demonstrating what talents they have, and where more reliable predictions of gifted may be made. Comparatively lisle work has been done in this area. When we identify giftedness during early childhood, we have to consider the potential of the young children rather than on actual achievement. Giftedness during early childhood is still developing and less stable than that of older children and this prevents us from making firm and accurate predictions based on children's actual achievement. Dynamic assessment, based on Vygotsky's concept of the zone of proximal development(ZPD), suggests a new idea in the way the gifted young children are identified. In light of dynamic assessment, for identifying the potential giftedness of young children. we need to involve measuring both unassisted and assisted performance. Dynamic assessment usually consists of a test-intervene-retest format that focuses attention on the improvement in child performance when an adult provides mediated assistance on how to master the testing task. The advantages of the dynamic assessment are as follows: First, the dynamic assessment approach can provide a useful means for assessing young gifted child who have not demonstrated high ability on traditional identification method. Second, the dynamic assessment approach can assess the learning process of young children. Third, the dynamic assessment can lead an individualized education by the early identification of young gifted children. Fourth, the dynamic assessment can be a more accurate predictor of potential by linking diagnosis and instruction. Thus, it can make us provide an educational treatment effectively for young gifted children.

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A Study on the Method of Implementation Assessment for Total Maximum Daily Load Management (수질오염총량관리를 위한 효율적 이행평가방안 연구)

  • Park, Jun-Dae;Park, Ju-Hyun;Rhew, Doug-Hee;Jeong, Dong-Hwan
    • Journal of Environmental Impact Assessment
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    • v.17 no.2
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    • pp.125-132
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    • 2008
  • It is desirable that implementation assessment (IA) should be carried out efficiently in order to make successful progress of Total Maximum Daily Load (TMDL) in watershed management. There are many difficulties in the process of the implementation assessment because of the early stage in the application of TMDL in Korea. This study reviewed the present status of IA and proposed the methodology of its improvement such as flexible application of TMDL ledger, and standardization of assessment index and criteria. The deficient time for assessment period could be corrected by the consideration of the post-procedure after the submission of IA report.

The Perception of Delirium, Barriers, and Importance of Performing Delirium Assessment of ICU Nurses Utilizing the CAM-ICU (섬망사정도구를 사용하는 중환자실 간호사의 섬망인식, 섬망사정의 장애요인 및 섬망사정 수행의 중요도)

  • Gong, Kyung-Hee;Ha, Yi-Kyung;Gang, In-Soon
    • Journal of Korean Critical Care Nursing
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    • v.8 no.2
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    • pp.33-42
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    • 2015
  • Purpose: This study was conducted to identify the perception, barriers, and importance of delirium assessment of intensive care unit nurses utilizing a tool for delirium assessment. Methods: The subjects were 150 intensive care unit nurses who routinely use the CAM-ICU to screen delirium. Data were collected using self-report questionnaires and analyzed using descriptive statistics and ranking. Results: Most intensive care unit nurses had experience of education about delirium and delirium assessment, and had assessed over once in a shift. However, a small number of nurses recognized utilizing their assessment result and the effect on higher mortality and underdiagnosed and preventable problem. The first rank of barriers was being too busy to assess patients and the second was difficulty of interpreting intubated patients. The importance of delirium assessment was considered lower than assessing catheter placement and level of pain. Conclusion: The study identified intensive care unit nurses' use of a delirium assessment tool, and the perception, barriers, and importance of delirium assessment. Furthermore, it is necessary to develop education programs to improve the early recognition of delirium by intensive care unit nurses.