• 재활간호학회지
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• 제19권2호
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• pp.118-127
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• 2016

Purpose: This study was to develop an evidence-based clinical practice protocol of physical restraints by adaptation process for patients with a geriatric hospital. Methods: Protocol adaptation process was conducted in accordance with manual for guideline adaptation version 1.0 by ADAPTE collaboration. Results: The adapted physical restraint protocol was consisted of 3 domains and 37 recommendations. The number of recommendations in each domain were: 7 nursing assessment, 19 nursing intervention, and 11 nursing evaluation. More than half (56.8%) of the recommendations were rated as grade B, 37.8% as grade C, and 5.4% were rated as grade D. Conclusion: The adapted physical restraint protocol is expected to contribute as an evidence-based clinical practice protocol for healthcare workers in geriatric hospitals for reducing and improving efficiency of appropriate physical restraints use.

• 대한간호학회지
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• 제45권3호
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• pp.357-366
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• 2015

Purpose: This study was done to develop an evidence-based incontinence care protocol through an adaptation process and to evaluate the effects of the protocol. Methods: The protocol was developed according to the guideline of adaptation. A non-randomized controlled trial was used for testing the effects of the new Incontinence Care Protocol. A total of 120 patients having bowel incontinence with Bristol stool type 5, 6, and 7 and admitted to intensive care units were recruited to this study. The newly developed incontinence care protocol was used with patients in the experimental group and conventional skin care was given to patients in the control group. Outcome variables were incontinence-associated dermatitis (IAD) severity, pressure ulcer occurrence and severity. Results: The experimental group had significantly less severe IAD (t=6.69, p <.001), lower occurrence of pressure ulcers (${\chi}^2=7.35$, p =.007), and less severity of pressure ulcers (Mann-Whitney=86.00, p =.009) than the control group. Conclusion: Use of this incontinence care protocol has the effects of preventing pressure ulcers and inhibiting worsening of IAD and pressure ulcers. Therefore, this incontinence care protocol is expected to contribute to managing IAD and pressure ulcers.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제7권3호
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• pp.425-445
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• 2013

The IEEE 802.11 compliant stations can transmit at multiple transmission rates. Selection of an appropriate transmission rate plays a significant role in determining the overall efficiency of a communication system. The technique which determines the channel state information and accordingly selects an appropriate transmission rate is called rate-adaptation protocol. The IEEE 802.11 standard does not provide standard specification for implementing a rate-adaptation protocol for its multi-rate capable wireless stations. Due to the lack of standard specification, there is a myriad of rate-adaptation protocols, proposed by industry and various research institutes. This paper surveys the existing rate-adaptation schemes, discusses various features which contribute significantly in the process of rate-adaptation, the timing constraints on such schemes, and the performance gains in terms of throughput, delay and energy efficiency; which can be gained by the use of rate-adaptation. The paper also discusses the implication of rate-adaptation schemes on the performance of overall communication and identifies existing research challenges in the design of rate-adaptation schemes.

• Journal of Communications and Networks
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• 제13권6호
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• pp.583-590
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• 2011

Full-mesh IPSec tunnels pass through a black ("unsecure") network (B-NET) to any red ("secure") networks (RNETs). These are needed in military environments, because they enable dynamically changing R-NETs to be reached from a BNET. A dynamically reconfiguring security policy database (SPD) is very difficult to manage, since the R-NETs are mobile. This paper proposes advertisement process technologies in association with the tunnel gateway's protocol that sends 'hello' and 'prefix advertisement (ADV)' packets periodically to a multicast IP address to solve mobility and security issues. We focus on the tunnel gateway's security policy (SP) adaptation protocol that enables R-NETs to adapt to mobile environments and allows them to renew services rapidly soon after their redeployment. The prefix ADV process enables tunnel gateways to gather information associated with the dynamic changes of prefixes and the tunnel gateway's status (that is, 'down'/restart). Finally, we observe two different types of performance results. First, we explore the effects of different levels of R-NET movements on SP adaptation latency. Next, we derive the other SP adaptation latency. This can suffer from dynamic deployments of tunnel gateways, during which the protocol data traffic associated with the prefix ADV protocol data unit is expected to be severe, especially when a certain tunnel gateway restarts.

• 한국정보과학회논문지:컴퓨팅의 실제 및 레터
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• 제5권5호
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• pp.619-627
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• 1999

서로 다른 네트워크 환경을 갖는 도메인 사이에서 멀티미디어 서비스를 제공하기 위해서는 여러 가지 측면에 대한 기능 대응이 이루어져야 한다. 본 논문에서는 ATM 기반의 DAVIC(Digital Audio Visual Council) 서비스와 인터넷 AV 서비스를 연동하기 위하여, 프로토콜 변환 및 QoS(Quality of Service) 적응을 지원하는 연동 게이트웨이를 구현하였다. 구현된 연동 게이트웨이는 ATM 망에서 DSM-CC (Digital Storage Media Command & Control)를 기반으로 서비스되는 스트림을 RTSP(Real-Time STreaming Protocol)로 제어할 수 있으며, RTP(Real-Time Transport Protocol)를 이용하여 스트림을 전달한다. 또한 네트워크 대역폭 변화를 고려한 스트림 전달을 위해 QoS 모니터링과 MPEG 필터링을 이용한 QoS 적응 기능을 제공한다.

• 여성건강간호학회지
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• 제8권3호
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• pp.380-388
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• 2002

The purpose of this Quasi-experimental design was to assess the effects of a hysterectomy on women's emotional response and ultimately, to develop a nursing protocol recommending nursing education for women undergoing a hysterectomy. The subjects at D university hospital receiving a hysterectomy,(for benign gynecological disease) were invited to participate in the study. Subjects who agreed to participate were allocated into control or experimental groups. Each group consisted of 30 women. The subjects emotional adaptation was surveyed through mood questionnaires. The data were analyzed using SAS program. The findings of the study are as follows: In the post test, the "experimental group" reported higher emotional adaptation than the "control group". Between pre and post testing, the "experimental group" showed significant improvement in emotional response; the "control group" did not. In conclusion, allocating nursing information to women both before and after undergoing a hysterectomy was confirmed as an effective nursing intervention for promoting women's emotional adaptation. Therefore, we propose a nursing protocol should be adapted recommending nursing education for women undergoing a hysterectomy.

• 간호행정학회지
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• 제23권1호
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• pp.63-75
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• 2017

Purpose: This study was conducted to adapt the standardized evidence-based nursing protocol using the IPC (intermittent pneumatic compression) intervention to prevent venous thromboembolism in surgical patients. Further, an investigation was done to measure knowledge on prevention of venous thromboembolism, surrogate incidence of venous thromboembolism and to assess IPC compliance in the study patients compared with those in surgical patients who underwent IPC intervention due to previous clinical experience. Methods: An analysis was done of the nine modules suggested by National Evidence-based Healthcare Collaborating Agency (NECA) in the adaptation manual of the clinical practice guideline for protocol adaptation. A nonequivalent control group post test design as a quasi-experiment was used to verify the effect of the IPC protocol. Results: There was a significant difference in knowledge of prevention of venous thromboembolism, IPC application time after intervention and the number of IPC applications between the experimental group (n=50) using the IPC nursing protocol and the control group (n=49). However, the symptoms of deep vein thrombosis and pulmonary thromboembolism were not observed in either the experimental group or the control group after the intervention. Conclusion: Results confirm that the standardized IPC nursing protocol provides effective intervention to prevent venous thromboembolism in surgical patients.

• 한국정보통신설비학회:학술대회논문집
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• 한국정보통신설비학회 2003년도 하계학술대회
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• pp.349-352
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• 2003

In this paper, we introduce the concept, architecture, and service areas of FS-VDSL specification. We mainly focused on FS-VDSL CPE architecture, which consists of two different types, concentrated architecture and distributed one. We also provide the possibility of CPE adaptation in domestic in-home environment. As a result of our study, distributed CPE architecture is a better candidate to our in-home environment. Another important point of consideration in FS-VDSL adaptation in Korea is the protocol stack of FS-VDSL. Recently, Ethernet-based VDSL technology is more populated than ATM-based VDSL, which is originally adopted in FS-VDSL specification. So, we must deeply think about the modification of protocol stack of FS-VDSL when deploying it in Korea.

• 대한간호학회지
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• 제53권3호
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• pp.275-294
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• 2023

Purpose: This study aimed to develop an evidence-based extracorporeal membrane oxygenation (ECMO) nursing protocol for critically ill patients receiving ECMO treatment by using an adaptation process, and to verify the effects of the protocol. Methods: The protocol was developed according to the adaptation guidelines. A non-randomized controlled trial was conducted to test the protocol's effects. Data were collected between April 2019 and March 2021. The differences in physiological indicators and complication rates between the two groups were investigated using a chart review to evaluate patient outcomes. The nurses' outcome variables were evaluated using a questionnaire. Results: First, after reviewing 11 guidelines by appraisal of the guidelines for research and evaluation collaboration II, 5 guidelines with a standardization grade of over 50 points were selected. An ECMO nursing protocol was developed based on these guidelines. Second, there were no statistically significant differences in physiological indicators between the two groups of patients. However, the experimental group showed a statistically significant decrease in the infection rate (p = .026) and pressure injury rates (p = .041). The levels of satisfaction with ECMO nursing care, and empowerment and performance of the nurses who used the ECMO nursing protocol were higher than those of nurses who did not (p < .001). Conclusion: This protocol may help prevent infections and pressure injuries in patients, and improve nurses' satisfaction and empowerment. The nursing protocol developed for critically ill patients receiving ECMO treatment can be utilized in evidence-based nursing practice.

• 한국멀티미디어학회논문지
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• 제15권12호
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• pp.1464-1474
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• 2012

In this paper, we propose a QoS (Quality of Service)-aware and cooperative resource reservation scheme using cross-layer link adaptation for wireless high definition video transmission through UWB (Ultra Wide Band) network with D-MAC (Distributed Medium Access Control). A wireless high definition video transmission system usually requires stable high throughput even without line-of-sight, e.g., a destination device in another room separated by a wall. Since the WiMedia D-MAC supporting DRP (Distributed Reservation Protocol) scheme causes lots of DRP resource reservation conflicts due to failure of beacon detection in wireless channel environment, overall performances of the WiMedia D-MAC can be deteriorated. And the current WiMedia MAC standard has not considered QoS provisioning even though QoS parameters such as a range of service rates are provided to each traffic stream. Therefore, we propose Relay DRP protocol with QoS-based relay node selection criterion, which makes a relay path to avoid DRP resource reservation conflicts and guarantee QoS more stably through cross-layer link adaptation of cooperative relay transmission scheme and is compliant with the current WiMedia D-MAC protocol. Simulation results demonstrate performance improvements of the proposed method for throughput and QoS provisioning.