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The Effects of Advance Care Planning on Decision Conflict and Psychological Distress: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

  • Yeun, Young-Ran
    • Journal of Hospice and Palliative Care
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    • v.24 no.3
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    • pp.144-153
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    • 2021
  • Purpose: Advance care planning (ACP) is widely understood to improve end-of-life care. This systematic review and meta-analysis aimed to examine the effects of ACP interventions on decision conflict and psychological distress. Methods: A search of PubMed, CINAHL, CENTRAL, EMBASE, KISS, KoreaMed, and RISS was conducted in November 2020. The study included randomized controlled trials. Data were pooled using fixed- and random-effects models. Results: Fourteen studies were identified that cumulatively included 1,548 participants. ACP interventions were effective in alleviating decision conflict (d=-0.53; 95% CI: -0.83 to -0.23), depression (d=-1.22; 95% CI: -1.71 to -0.74) and anxiety (d=-0.76; 95% CI: -1.12 to -0.39). Conclusion: ACP interventions have significant positive effects on reducing decision conflict and psychological distress. A high level of bias was shown related to allocation concealment and blinding. The results of this study are expected to be useful for end-of-life care providers to improve the effectiveness of ACP interventions.

End-of-Life Planning and the Influence of Socioeconomic Status among Black Americans: A Systematic Review

  • Chesney Ward;Katherine Montgomery
    • Journal of Hospice and Palliative Care
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    • v.27 no.1
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    • pp.21-30
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    • 2024
  • Purpose: The purpose of this systematic review is to explore end-of-life (EOL) care planning and the impact of socioeconomic status (SES) among people who identify as Black or African American. Methods: The Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) were used to guide and inform this systematic review process. The following academic electronic databases with publications that reflected the interdisciplinary fields related to the research objective were searched: APA PsycINFO, CINHAL, PubMed, Scopus, and Social Work Abstracts. Results: After the authors conducted the search, 14 articles (from 13 studies) ultimately met the criteria for inclusion. The results substantiated significant concerns highlighted in previous literature regarding SES and its relation to EOL planning, but also revealed an absence of original work and interventions to increase engagement in EOL planning among Black and African American populations. Conclusion: Black individuals deserve an equitable EOL experience. Researchers, practitioners, and policymakers need to move towards advocacy and action to meet this important need.

Mooring Cost Sensitivity Study Based on Cost-Optimum Mooring Design

  • Ryu, Sam Sangsoo;Heyl, Caspar;Duggal, Arun
    • Journal of Ocean Engineering and Technology
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    • v.23 no.1
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    • pp.1-6
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    • 2009
  • The paper describes results of a sensitivity study on an optimum mooring cost as a function of safety factor and allowable maximum offset of the offshore floating structure by finding the anchor leg component size and the declination angle. A harmony search (HS) based mooring optimization program was developed to conduct the study. This mooring optimization model was integrated with a frequency-domain global motion analysis program to assess both cost and design constraints of the mooring system. To find a trend of anchor leg system cost for the proposed sensitivity study, optimum costs after a certain number of improvisation were found and compared. For a case study a turret-moored FPSO with 3 ${\times}$ 3 anchor leg system was considered. To better guide search for the optimum cost, three different penalty functions were applied. The results show that the presented HS-based cost-optimum offshore mooring design tool can be used to find optimum mooring design values such as declination angle and horizontal end point separation as well as a cost-optimum mooring system in case either the allowable maximum offset or factor of safety varies.

A Study on the Korean Broadcasting Speech Recognition (한국어 방송 음성 인식에 관한 연구)

  • 김석동;송도선;이행세
    • The Journal of the Acoustical Society of Korea
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    • v.18 no.1
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    • pp.53-60
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    • 1999
  • This paper is a study on the korean broadcasting speech recognition. Here we present the methods for the large vocabuary continuous speech recognition. Our main concerns are the language modeling and the search algorithm. The used acoustic model is the uni-phone semi-continuous hidden markov model and the used linguistic model is the N-gram model. The search algorithm consist of three phases in order to utilize all available acoustic and linguistic information. First, we use the forward Viterbi beam search to find word end frames and to estimate related scores. Second, we use the backword Viterbi beam search to find word begin frames and to estimate related scores. Finally, we use A/sup */ search to combine the above two results with the N-grams language model and to get recognition results. Using these methods maximum 96.0% word recognition rate and 99.2% syllable recognition rate are achieved for the speaker-independent continuous speech recognition problem with about 12,000 vocabulary size.

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An Optimal Design of Man-On-Board Storage and Retrieval Warehousing System

  • Song, Jin Young;Lee, Kwang-Hee;Hwang, Hark
    • Journal of Korean Institute of Industrial Engineers
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    • v.19 no.4
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    • pp.97-104
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    • 1993
  • This paper deals with the design problem of a man-on-board(MOB) storage and retrieval warehousing system which is suitable for storing items of small size and light weight. It is assumed that the operator carries out a sequence of retrieving(or storing) operations traveling on a specially designed truck. Considering the operating characteristics of the man-on-board system, an optimal design model is developed in which the investment and maintenance costs of the system are minimized over a time horizon satisfying a set of constructional restrictions. The model is formulated as a nonlinear integer program and a search algorithm is proposed to find an optimum solution.

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Optimal Berth and Crane Scheduling Using Constraint Satisfaction Search and Heuristic Repair (제약만족 탐색과 휴리스틱 교정기법을 이용한 최적 선석 및 크레인 일정계획)

  • 류광렬;김갑환;백영수;황준하;박영만
    • Journal of Intelligence and Information Systems
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    • v.6 no.2
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    • pp.1-14
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    • 2000
  • The berth and crane scheduling problem in a container terminal encompasses the whole process of assigning berth to each ship, determining the duration of berthing, assigning container cranes to each ship, and determining the specific start and end time of each crane service, for all the ships scheduled to be arriving at the terminal during a certain scheduling horizon. This problem is basically a constraint satisfaction problem in which cranes and berths should be assigned in such a way that all the spatial and temporal constraints are satisfied without any interference. However, it is also an optimization problem because the requested arrival and departure time should be met for as many of the scheduled ships as possible, while the operation cost of the terminal should be minimized. In this paper, we present an effective and efficient approach to solving this type of problem, which combines constrain satisfaction search and heuristic repair. We first employ a constraint satisfaction search to find a feasib1e solution. Then, the feasible solution is modified to a more optimal one by iteratively applying our heuristic repair operations within the framework of constraint satisfaction search. Experimental results with a real data from Pusan East Container Terminal showed that our approach can derive a schedule of satisfactory quality in a very short time.

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A hybrid identification method on butterfly optimization and differential evolution algorithm

  • Zhou, Hongyuan;Zhang, Guangcai;Wang, Xiaojuan;Ni, Pinghe;Zhang, Jian
    • Smart Structures and Systems
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    • v.26 no.3
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    • pp.345-360
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    • 2020
  • Modern swarm intelligence heuristic search methods are widely applied in the field of structural health monitoring due to their advantages of excellent global search capacity, loose requirement of initial guess and ease of computational implementation etc. To this end, a hybrid strategy is proposed based on butterfly optimization algorithm (BOA) and differential evolution (DE) with purpose of effective combination of their merits. In the proposed identification strategy, two improvements including mutation and crossover operations of DE, and dynamic adaptive operators are introduced into original BOA to reduce the risk to be trapped in local optimum and increase global search capability. The performance of the proposed algorithm, hybrid butterfly optimization and differential evolution algorithm (HBODEA) is evaluated by two numerical examples of a simply supported beam and a 37-bar truss structure, as well as an experimental test of 8-story shear-type steel frame structure in the laboratory. Compared with BOA and DE, the numerical and experimental results show that the proposed HBODEA is more robust to detect the reduction of stiffness with limited sensors and contaminated measurements. In addition, the effect of search space, two dynamic operators, population size on identification accuracy and efficiency of the proposed identification strategy are further investigated.

Changes in Interests in the Korean Traveling Industry of International Visitor at the Post-Covid 19 by Analysis of Frequency in searching keyword (키워드 검색 빈도 분석을 통한 포스트 코로나 시대 외래관광객들의 한국 관광 관심도 변화)

  • Lee, Yongseol
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.26 no.9
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    • pp.1399-1404
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    • 2022
  • The transition to the untact era caused by the COVID-19 pandemic has greatly shrunk Korea's continuously growing tourism industry. In this paper, the size, gender ratio, and gender ratio of foreign tourists before and after the outbreak of Corona, gender ratio, It was noted that there was a very large change in the purpose of the visit. Considering the end of the mandatory outdoor mask, the lifting of the mandatory quarantine for all overseas arrivals regardless of vaccination, and the number of outbound tourists who started to recover rapidly from the first half of 2022, this thesis examines how the interest in Korean tourism in the post-corona era is I wanted to see if it had changed. To this end, we analyzed how major tourism-related search keywords changed before and after COVID-19, and suggested changes necessary for the development of the Korean tourism industry.

Efficient Hole Searching Algorithm for the Overset Grid System with Relative Body Motion (상대운동이 있는 중첩격자계에 효율적인 Hole Searching Algorithm 개발)

  • Lee, Seon-Hyeong;Chae, Sang-Hyun;Oh, Se-Jong;Yee, Kwan-Jung
    • Journal of the Korean Society for Aeronautical & Space Sciences
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    • v.39 no.11
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    • pp.995-1004
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    • 2011
  • Object X-ray method commonly used for hole search in overset grids requires huge amount of time due to complicated vector calculations to search the cross-points as well as time-consuming hole search algorithm with respect to background grids. Especially, when the grid system is in motion relative to the background, hole points should be searched at every time step, leading to hung computational burden. To cope with this difficulties, this study presents an efficient hole search algorithm mainly designed to reduce hole searching time. To this end, virtual surface with reduced grid points is suggested and logical operators are employed as a classification algorithm instead of complicated vector calculations. In addition, the searching process is further accelerated by designating hole points in a row rather than discriminating hole points with respect to each background grid points. If there exists a relative motion, the present algorithm requires much less time because only the virtual surface needs to be moved at every time step. The hole searching time has been systematically compared for a few selected geometries.

The Effect of Motivational Factors and Information Search Types on Waxing Care Intention (미용 왁싱에 대한 동기요인과 정보탐색유형이 왁싱관리의도에 미치는 영향)

  • Song, Sun-Hwa;Kim, Sang-Soo
    • Journal of the Korea Convergence Society
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    • v.11 no.10
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    • pp.329-335
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    • 2020
  • The purpose of this study is to examine how the motivational factors for beauty waxing affect the waxing care intention through information search types. To this end, a research model was established and 160 response data obtained by conducting a questionnaire survey on adult men and women in Seoul and Gyeonggi Province were used for structural model analysis. As a result, it was found that the motivational factors (i.e., interest, importance, and other's eye) for beauty waxing influenced the waxing management intention through the information search type (i.e., exploration and observation). This study has expanded the academic field of beauty by exploring the predecessors of waxing care intention and its process, and it has implications that it can practically improve understanding of potential users of beauty waxing. It is thought to be able to contribute to the activation of the waxing market.