• 대한간호학회지
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• 제52권5호
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• pp.535-549
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• 2022

Purpose: The study aimed to design and develop an automated personalized self-care (APSC) program for patients with type 2 diabetes mellitus. The secondary aim was to present a clinical protocol as a mixed-method research to test the program effects. Methods: The APSC program was developed in the order of analysis, design, implementation, and evaluation according to the software development life cycle, and was guided by the self-regulatory theory. The content validity, heuristics, and usability of the program were verified by experts and patients with type 2 diabetes mellitus. Results: The APSC program was developed based on goal setting, education, monitoring, and feedback components corresponding to the phases of forethought, performance/volitional control, and self-reflection of self-regulatory theory. Using the mobile application, the participants are able to learn from educational materials, monitor their health behaviors, receive weekly-automated personalized goals and feedback messages, and use an automated conversation system to solve the problems related to self-care. The ongoing two-year study utilizes a mixed method design, with 180 patients having type 2 diabetes mellitus randomized to receive either the intervention or usual care. The participants will be reviewed for self-care self-efficacy, health behaviors, and health outcomes at 6, 12, 18, and 24 months. Participants in the intervention group will be interviewed about their experiences. Conclusion: The APSC program can serve as an effective tool for facilitating diabetes health behaviors by improving patients' self-care self-efficacy and self-regulation for self-care. However, the clinical effectiveness of this program requires further investigation.

• Smart Structures and Systems
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• 제13권2호
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• pp.219-233
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• 2014

In a companion paper, Pasala and Nagarajaiah analytically and experimentally validate the Adaptive Length Pendulum Smart Tuned Mass Damper (ALP-STMD) on a primary structure (2 story steel structure) whose frequencies are time invariant (Pasala and Nagarajaiah 2012). In this paper, the ALP-STMD effectiveness on a primary structure whose frequencies are time varying is studied experimentally. This study experimentally validates the ability of an ALP-STMD to adequately control a structural system in the presence of real time changes in primary stiffness that are detected by a real time observer based system identification. The experiments implement the newly developed Adaptive Length Pendulum Smart Tuned Mass Damper (ALP-STMD) which was first introduced and developed by Nagarajaiah (2009), Nagarajaiah and Pasala (2010) and Nagarajaiah et al. (2010). The ALP-STMD employs a mass pendulum of variable length which can be tuned in real time to the parameters of the system using sensor feedback. The tuning action is made possible by applying a current to a shape memory alloy wire changing the effective length that supports the damper mass assembly in real time. Once a stiffness change in the structural system is detected by an open loop observer, the ALP-STMD is re-tuned to the modified system parameters which successfully reduce the response of the primary system. Significant performance improvement is illustrated for the stiffness modified system, which undergoes the re-tuning adaptation, when compared to the stiffness modified system without adaptive re-tuning.

• 한국임상약학회지
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• 제23권3호
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• pp.256-268
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• 2013

Objective: To study the attitudes and awareness of healthcare professionals (physicians, pharmacists, nurses and others) toward the Pharmacovigilance system and experience for adverse drug reactions (ADRs) from a Single University Hospital in Deajeon. Methods: A survey was performed using a structured questionnaire involving 360 health-care professionals at the hospital between $1^{st}$ November and $16^{th}$ November, 2012. Results: Sixty-five percent (n=235) of all respondents were experienced incidences of ADRs for their patients and 55.8% (n=201) knew the ADR Spontaneous Reporting System in the hospital. However, three-fourths (n=273, 75.8%) of respondents did not know the existence of the Korean Association of Regional Pharmacovigilance Centers (KARP) and 61.7% (n=222) were unaware of the obligation of ADR report from KFDA in cases of serious ADRs. About 83% (n=299) answered that the electronic ADR report system of the hospital was helpful while their work and most (n=336, 93.3%) agreed on the necessaries of the promotion and education about ADR. Conclusion: Seventy-five percent (n=271) of respondents wanted to continue the work for evaluation and feedback for ADRs reported in the hospital. However, the barriers to reporting ADR were; inconvenient ADR reporting system and the lack of time to report ADRs. This study showed that the easier ADR reporting system and education and promotion about ADRs for health-care providers are needed to improve the ADR reporting.

• 한국정보처리학회논문지
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• 제4권2호
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• pp.409-429
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• 1997

소프트웨어를 개발하고 운영하는 동안 직면하는 문제들은 소프트웨어나 하드웨어 또는 운영의 결함에 기인한다. 이들의 다양성 문제, 문제들을 조정하고 체계적으로 원인을 규명하기 위한 문제 발생의 규명 및 수정 작업을 중심적으로 관리하는 시스템이 요구 되고 있다.본 논문에서는 소프트웨어 개발 수명 주기(Softwate Development Life Cycle :SDIC)에서 획득할 수 있는 결함 데이터(Fault Data) 프로세스 데이터(Precess Data) 프로덕트 데이터(Preduct Data)를 수집하고 분석하기 위한 소프트웨어 문제 보고서 (Software Change Report:SCR)를 처리하는 SPR/SCR 관리시스를 개발하고 적용하였다. SPR/SCR 관리 시스템의 목적은 4가지가 있다. 첫째로 모든 소프트웨어 결함들을 문서 화하고, 수정하며 무시않는다. 둘째로 SPR의 타당성에 대해 평가된다. 셋째로 SPR의 진행 상태를 개발자 또는 사용자에게 피드백한다., 넷째로 소프트웨어 품질과 신뢰성을 예측하고 측정하기 위한 기본 자료를 제공한다. 이들 목표는 SRE/SCR 관리시스템의 적용에 의해 충족시킬 수 있다. 또한 소프트웨어 신뢰성의 달성 비욜, 테스트의 종료기준, 릴 리 즈 시기의 예측, 효율적인 개발 관리에 반영될 수 있다.

• 한국컴퓨터정보학회논문지
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• 제17권7호
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• pp.97-106
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• 2012

모바일 장치에서의바이오신호데이터의 관리는 용량이많은 실시간멀티미디어 데이터의전송이나 저장 장치에서 많은 문제점을야기시킨다. 따라서 본 논문은신속한 의료 서비스를 제공하기 위해서 모바일을 이용한 임상 데이터 처리 시스템인 m-Health 시스템을 제안한다. 이 시스템은 지역의 IP 네트워크 상의 헬스 시스템을 구축하여 원격의 여러 바이오 센싱으로 부터 출력을 조합하고, 다양한 바이오 센서에서의 전자적인 데이터 통합 처리를 수행하였다. m-Health 시스템은 다양한 바이오신호들을 측정 및 모니터링하고 원거리에 위치한 병원의 데이터 서버로 전송한다. 환자 및 가족, 의료진 모두가 언제 어디서나 사용할 수 있는 안드로이드 기반의 모바일 애플리케이션으로 의료 관련자는 병원의 데이터 서버에서 환자 데이터를 접근하여 환자 또는 사용자에게 의료 진단 및 처방을 피드백 한다. 그리고 환자 관찰을 위한 비디오 스트림은 스케일러블 트랜스코딩 기법을 이용하여 네트워크 트래픽에 알맞은 데이터 크기를 결정하고 비디오 스트림을 전송함으로서 모바일 시스템과 네트워크의 부하를 줄일 수 있다.

• 대한예방한의학회지
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• 제22권1호
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• pp.91-105
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• 2018

Objectives : The purpose of this study was to introduce the case of using eCRF system in the Smoking Cessation Program project in Vietnam (2017). And aimed to derive the usefulness of the eCRF system and it potential for future global health business. Method : Introduce the smoking cessation program in vietnam (2017). Smoking Cessation was conducted in three provices of central vietnam Tamphu, Binhtu, Duytrinh) and eCRF was developed on the web environment by building AMP(Apache, PHP, MySQL). Dedicated application have also been developed for user. Result : Using the eCRF, the results of the program of the smoking cessation participants were recorded on the Database server. The implemented system focused on the role of a case recording platform that was simplified in function rather than an electronic version of the case report. It was useful for monitoring. Conclusions : The eCRF system was useful in global health business, and upgrading the system to reflect the feedback derived from the project could potentially be used in other projects. In addition, there are few cases where ICT is used in overseas health promotion projects using Oriental medicine, so further research is needed.

• 대한간호학회지
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• 제50권1호
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• pp.101-115
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• 2020

Purpose: The purpose of this study was to identify and assess from nursing students and nurses in the clinical field what constitute good instruction, through the review of nursing students' opinions and clinical field demands. Methods: The study design was used Creswell's exploratory sequential design by collecting and analyzing qualitative data obtained from interviews and then analysis of quantitative data. The participations were 79 seniors in nursing schools and 85 nurses with less than three years of clinical experience. The data were collected through individual interviews and analyzed based on Elo and Kyngas's content analysis method. The quantitative data were collected using the questionnaire developed based on qualitative results and analyzed by SPSS 23.0 program and Importance Performance Analysis (IPA). Results: The results showed that IPA extracted seven items with high importance but low satisfaction: "nursing fads and trends," "teacher-learner communication and reflection," "materials used in clinical settings such as monitoring results and test results," "special presentations by experienced practitioners," "instruction assures learners' comprehension," "accurate and detailed evaluation standards" and "feedback on homework and exam." Conclusion: The factors comprising good instruction were verified, and the necessity for additional efforts to improve high importance and low performance factors was noted. Therefore, this study can serve as a guide for nursing education facilities and educators in developing of a thorough education system with excellent instruction designed to achieve an ideal nursing education.

• Management Science and Financial Engineering
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• 제8권1호
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• pp.21-38
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• 2002

Rapid advances in information technology(IT) and telecommunication systems impact the number and quality of decision-making in organizations. Specifically, middle mangers must posses or develop the creativity necessary for survival in a constantly changing and volatile business environment. While tradition and conventional wisdom tell us that a middle managers role centers on control and monitoring, todays competitive arena has spun out a new managerial requirement developing and maintaining an innovative attitude. Problematically, most previous research has focused on the issue of changing decision authority (i. e. centralization/decentralization). Moreover, much previous research has also largely ignored environmental changes exposing new roles that middle managers have assumed. This study explores the means of identifying middle managerial roles, managerial possibilities involving the growing popularity of open systems through electronic brainstorming, and an adaptation and development of Diffusion Theory and attempt to counter criticism leveled at the theory's inability to provide an adequate explanation for diffusion of complex organizational technology. This paper develops three ideas: 1) Introducing the 'Chasing Curve' as a theoretical background. 2) Suggesting a new methodology using electronic brainstorming for analyzing the gap between Knowing (the perceived importance of middle managers' roles) and Doing (the degree of current status of middle managers' roles), which we term the 'Spiral Gap Analysis Model'. 3) Identifying a feedback system for minimizing the Knowing - Doing gap, aimed at development of IT strategic priority decision support, which we call this the 'Star Process'.

• 한국통신학회논문지
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• 제30권3B호
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• pp.85-94
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• 2005

본 논문은 적응형 오류제어 기법을 바탕으로 신뢰성 있는 UDP 기반의 미디어 고속 전송을 제안한다. 제안된 적응형 전송기법은 대역폭의 변화에 효과적으로 대처하기 위해서 네트워크 모니터링을 기반으로 잉여 데이터의 양을 제어한다. 수신측 피드백은 패킷 손실의 유형, 전송률 등의 수신 상황을 송신측이 인지하도록 하여 앞으로 발생될 네트워크 상황을 예측하고 이를 바탕으로 전송률과 적응형 FEC 코드 조합을 적응적으로 제어함으로써 신뢰성 있는 전송을 가능하게 한다. 제안된 시스템의 성능을 측정하기 위한 고속 네트워크에서의 전송 실험은 수백 Mbps의 전송 속도를 보이며 향상된 신뢰성을 보여준다.

• 한국물환경학회지
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• 제36권6호
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• pp.535-545
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• 2020

This study aims to conserve and monitor energy use in public sewage treatment plants by utilizing data from the SCADA system and by controlling the aeration rate required for maintaining effluent water quality. Power consumption in the sewage treatment process was predicted using the equipment's uptime, efficiency, and inherent power consumption. The predicted energy consumption was calibrated by measured data. Additionally, energy efficiency indicators were proposed based on statistical data for energy use, capacity, and effluent quality. In one case study, a sewage treatment plant operated via the SBR process used ~30% of energy consumed in maintaining the bioreactors and treated water tanks (included decanting pump and cleaning systems). Energy consumption analysis with the K-ECO Tool-kit was conducted for unit processing. The results showed that about 58.7% of total energy consumed was used in the preliminary and biological treatment rotating equipment such as the blower and pump. In addition, the energy consumption rate was higher to the order of 19.2% in the phosphorus removal process, 16.0% during sludge treatment, and 6.1% during disinfection and discharge. In terms of equipment energy usage, feeding and decanting pumps accounted for 40% of total energy consumed following 27% for blowers. By controlling the aeration rate based on the proposed feedback control system, the DO concentration was reduced by 56% compared pre-controls and the aeration amount decreased by 28%. The overall power consumption of the plant was reduced by 6% via aeration control.