• Title/Summary/Keyword: adaptation process

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Development of Nursing Practice Guideline for External Ventricular Drainage by Adaptation Process (수용개작을 통한 뇌실외배액 간호 실무지침 개발)

  • Jung, Won Kyung;Yi, Young Hee
    • Journal of Korean Clinical Nursing Research
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    • v.22 no.3
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    • pp.294-304
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    • 2016
  • Purpose: This study was done to develop an evidence-based external ventricular drainage (EVD) nursing practice guideline in order to provide standardized nursing and prevent EVD related complications. Methods: We used the standardized methodology for nursing practice guideline adaptation developed by Korean Hospital Nurses Association for the guideline adaptation process in this study. Results: The newly developed EVD nursing practice guideline was adapted to the American Association of Neuroscience Nurses (AANN)'s clinical practice guideline which is 'Care of the patient undergoing intra-cranial pressure monitoring/external ventricular drainage of lumbar drainage.' There were 61 recommendations documented in the preliminary guideline all evaluated by 9 experts based on acceptability and applicability. The final practice guideline was composed of 3 domains with 57 recommendations. The three domains of nursing were the insertion, maintenance, and removal of the EVD. The number of recommendations in each domain was 8 in EVD insertions, 39 in EVD maintenance, and 10 in EVD removals. Of the 57 recommendations 3.5% were level 1, 31.5% were level 2, and 65% were level 3. Conclusion: The standardized practice guideline can improve nurses' performance and accuracy. It can also be used as the foundation for effective communication between all medical staff.

Non-ethic Behavior and the Process of Adaptation of Used Market Site: An Approach Based on Grounded Theory (아나바다 사이트 참여자의 비윤리적 행동과 반응양식 : 근거이론적 접근)

  • Nam, Su-Jung;Yoo, Hyun-Jung
    • Journal of the Korean Home Economics Association
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    • v.44 no.12
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    • pp.189-201
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    • 2006
  • The purpose of this study was to explore consumers' experiences in one used market site. For this purpose, in-depth interviews were conducted for the 8 consumers who were members of the used market site. In the study methodology, the grounded theory designed by Strauss and Corbin was utilized. From the analysis results, 23 subcategories and 11 categories were created. In the axial coding, the following paradigm model was proposed: 1) the casual conditions were "the pond of information" and "underground market," 2) the contextual conditions were "inconsistent behavior" and "error of communication", 3) the central phenomenon was "non-ethic behavior of seller/buyer, 4) the intervening conditions were "induction of intimacy", "use of patronage", and "creation of network", 5) the action/interaction strategy was "being shrewd", and 6) the consequence was "adaptation/non-adaptation". In selective coding, the core category was "to adapt of non-ethic behaviors through being shrewd." Based on the core category, the following four types of process of adaptation of the used market site were found: "A selfish addict," "An advanced utilitarian", "A hard philosopher," and "A cynical dropout".

Exploring Nurses' Experience in Long-term Care: Focusing on Role Adaptation and Barriers (노인장기요양분야 간호사의 역할 경험 탐색: 역할적응과 장애요인을 중심으로)

  • Yi, Kyunghee;Park, Bohyun;Seo, Sukyong
    • Journal of Korean Public Health Nursing
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    • v.36 no.2
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    • pp.212-226
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    • 2022
  • Purpose: The purpose of this study was to explore nurses' experience of the role adaptation process and barriers in long-term care (LTC) facilities including nursing homes, daycare centers, and home visit nursing centers. Methods: After in-depth interviews with 13 nurses who were working at the LTC facilities in G province, the data were analyzed using Colaizzi's phenomenological methodology. Results: 17 themes with 6 theme clusters, and 2 categories emerged: nursing role adaptation process in the LTC (role expectation and readiness, role perception and performance, limits of role performance), and barriers to nursing role adaptation in the LTC facility (organizational, situational, and institutional-environmental barriers). Conclusion: The results showed that it is critical to establish the nurses' role in caring for the health of the elderly and maintaining the quality of care in the LTC facilities. In response to the growing demand for quality care in the LTC facilities, more institutional and environmental changes are needed to address the current barriers that prevent nurses from performing their appropriate roles.

The Prediction Model of Adaptation in Patients with Rheumatoid Arthritis - Propositional Synthesis of Roy's and Lazarus & Folkman's Theory - (류마티스 관절염 환자의 적응 예측모형 -Roy이론과 Lazarus 및 Folkman 이론의 명제 합성-)

  • Kim, In-Ja;Suh, Moon-Ja
    • Journal of muscle and joint health
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    • v.4 no.2
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    • pp.197-220
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    • 1997
  • The lack of a comprehensive theory describing the mechanism of adaptation scientifically has been one of the limiting factors for the development of nursing intervention of patients with chronic illness. Since Roy's theory provides the general conceptual framework depicting adaptation process with structural stimuli and control mechanism, it is appropriate to understand the process of adaptation. But in Roy's theory, the propositions about cognator and regulator as control mechanisms are not clearly defined. For this reason, most of the previous researches applying the Roy's theory have disregarded the study of cognator and regulator. For the patients with chronic illness such as rheumatoid arthritis, it was reported that adaptation states were different for the same stimuli due to the difference of the control mechanism. Moreover in nursing it is important to identify the control mechanism which can be and must be intervened by nurses. It was the Lazarus and Folkman's theory that proposed the control mechanism. They suggested that individual differences in the reaction against the perceived stress are due to the difference in appraisal and coping. Therefore, the synthesis of Roy's and Lazarus and Folkman's propositions might help to clearly understand the mechanism of adaptation. From this point, a theoretical framework has been developed and tested. The subjects were the 297 patients who had been diagnosed rheumatoid arthritis and attended the outpatient clinic. A hypothetical prediction model of adaptation was tested by the covariance structure analysis with PC-LISREL 7.13. As a result, the overall fit was good($x^2$=78.83, p=0.00 ; GFI=0.96 : AGFI=0.90 ; RMR=0.04) for the hypothetical model. In the final model added GA(5, 1), the overall fit was increased ($x^2$=57.82, p=0.003 ; GFI=0.97 ; AGFI=0.93 : RMR=0.036). Except the fact that illness symptoms affected physical adaptation directly, it was supported that focal and contextual stimuli affected physical and psychosocial adaptation through appraisal and coping. Therefore, it was asserted that the synthesis of two theory's propositions was appropriate. So this model would be useful for the theoretical framework in the nursing practice. And this study synthesizing and testing the theory might contribute to establish nursing's scientific base.

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Civil legal relations in the context of adaptation of civil legislation to the legislation of the EU countries in the digital age

  • Kizlova, Olena;Safonchyk, Oksana;Hlyniana, Kateryna;Mazurenko, Svetlana
    • International Journal of Computer Science & Network Security
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    • v.21 no.12spc
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    • pp.521-525
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    • 2021
  • An essential area is the creation of a single digital market between the EU and Ukraine through information technology. Purpose: to investigate and analyze civil law relations in the field of adaptation of Ukrainian civil law to civil law regulations of the EU. The object of research: Ukrainian civil law and civil law of the EU. The subject of the study is civil law in the context of adaptation of civil law to the legislation of the EU. The following methods of scientific cognition were used during the research: semantic, historical, comparison, analysis and synthesis, generalization. The results of the study show that the harmonization of the legal system of Ukraine with EU law is caused by several goals: successful integration of Ukraine into the EU, legal reforms based on the positive example of EU countries, promoting access of Ukrainian enterprises to the EU market; attracting foreign investment, increasing the welfare of Ukrainian citizens. The adaptation includes three stages, the final of which is the preparation of an expanded program of harmonization of Ukrainian legislation with EU legislation. In the process of adaptation, it is important to take into account the legal history, tradition, features and mentality of Ukraine and before borrowing legal structures to analyze the feasibility of their application in the Ukrainian legal field.

Experience of Clinical Adaptation among Nurses in Intensive Care Unit (중환자실 간호사의 임상 적응 경험)

  • Hong, Jin Young;Sohn, Sue Kyung
    • Journal of Korean Critical Care Nursing
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    • v.17 no.1
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    • pp.1-16
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    • 2024
  • Purpose : This study aimed to explore and describe intensive care unit (ICU) nurses' experience of clinical adaptation. Methods : The participants were 14 ICU nurses with more than two years of working experience in the ICU. Data were collected through in-depth individual interviews conducted between July and October 2021. Theoretical sampling was used to the point of theoretical saturation. Data were analyzed using the Strauss and Corbin method. Results : A total of 79 concepts, 37 subcategories, and 16 categories were identified through open coding. Axial coding based on the paradigm model revealed that the central phenomenon was "The harsh adversity faced in the nursing field where life and death are determined" and the core category was "Enduring the adversity of caring for critically ill patients and achieving self-realization." ICU nurses' clinical adaptation process was explained in five phases: "confrontation period," "turbulent period," "seeking period," "struggling period," and "stabilized period." The five phases that affect interventional conditions were "Support from reliable people," "Recognition of administrative and financial support." Conclusion : This study provided novel insights for a comprehensive understanding of ICU nurses' clinical adaptation processes. Furthermore, the findings are expected to be used as basic data to develop multifaceted strategies to help ICU nurses' adaptation to critical care.

Development of A CAPP System Based on Case-Based Reasoning (Case-Based Reasoning을 이용한 자동공정계획 시스템의 구축)

  • 이홍희;이덕만
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.21 no.46
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    • pp.181-196
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    • 1998
  • The aim of this research is the development of a CAPP system which can use the old experience of process planning to generate a process plan for a new part and learn from its own experience using the concept of stratified case-based reasoning(CBR). A process plan is determined through the hierarchical process planning procedure that is based on the hierarchical feature structure of a part. Each part and case have their own multiple abstractions that are determined by the feature structure of the part. Retrieving the case in stratified case-based process planning is accomplished by retrieving the abstraction that is most similar to the input part abstraction in each abstraction level of the case-base. A new process plan is made by the adaptation that translates the old case's process plan into the process plan of a new part. Operations, machines and tools, setups and operation sequence in each setup are determined in the adaptation of abstraction using some algorithms and the reasoning based on knowledge-base. By saving a new part and its process plan as a case, the system can use this new case in the future to generate a process plan of a similar part. That is, the system can learn its own experience of process planning. A new case is stored by adding the new abstractions that are required to save as the new abstraction to the existing abstractions in the case-base.

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Effect of Different Level of Monensin Supplemented with Cold Process Urea Molasses Mineral Block on In vitro Rumen Fermentation at Different Days of Adaptation with Monensin

  • De, Debasis;Singh, G.P.
    • Asian-Australasian Journal of Animal Sciences
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    • v.18 no.3
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    • pp.320-325
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    • 2005
  • Effect of period of adaptation and levels of monensin were studied for microbial fermentation/ digestibility to find out the optimum period of adaptation of monensin in rumen and suitable level of monensin in wheat straw+concentrate and wheat straw+UMMB diet. The mean digestibility of dry matter was decreased upto T-3 treatment (49.17%), however, digestibility of DM was affected upto period (P-2). NDF digestibility was affected due to treatment under P1 and P2 (p<0.05). Average digestibility of ADF was increased to 53.33% at T-3 level of monensin and P4 days of adaptation. TVFA (mmole/100 ml) were decreased from 9.49 in T-1 to 7.70 in T-7. Periods were not effectives except P2 (14 days of adaptation). Similarly, total gas was decrease with the increase of monensin levels in diet. Although acetate percentage in TVFA was not affected either due to level of monensin or period of adaptation but propionate was increased due to increase in monensin at 21 days of adaptation (P-3). Butyrate (%) was decreased significantly in T-2 to T-6 as compared to T-1 group. Total gas was significantly (p<0.01) higher in group T-1 (control) and it reduced significantly in T-5, however, differences in gas production between group T-3, T-5 and T-7 at P-1 was not significant. Methane production was reduced on P-3 and P-4 level of adaptation due to treatment. The overall result indicated that 21 days of adaptation with monensin was sufficient to mask the inhibiting effect of monensin to cell wall digestibility and 35 ppm monensin is optimum to reduce methane production and increase propionate productions.

Dynamically Adaptable Mobile Agents for Scaleable Software and Service Management

  • Brandt, Raimund;Hortnag, Chistian;Reiser, Helmut
    • Journal of Communications and Networks
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    • v.3 no.4
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    • pp.307-316
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    • 2001
  • Two hard sub-problems have emerged relating to the use of mobile agents for service management tasks. First, what is their impact on security, and second, how can they receive a flexible capacity to adapt to an open range of different environments on demand, without introducing trio stringent prior assumptions. In this paper, we present work towards solving the second problem, which is of particular interest to management software, because it typically needs to excert fine-grained and therefore particular resource control. We suggest a mechanism that reassembles mobile agents from smaller sub-components during arrival at each hop. The process incorporates patterns of unmutable and mutable sub-components, and is informed by the conditions of each local environment. We discuss different kinds of software adaptation and draw a distinction between static and continuous forms. Our software prototype for dynamic adaptation provides a concept far exchanging environment-dependent implementations of mobile agents during runtime. Dynamic adaptation enhances efficiency of mobile code in terms of bandwidth usage and scalability.

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Robust architecture search using network adaptation

  • Rana, Amrita;Kim, Kyung Ki
    • Journal of Sensor Science and Technology
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    • v.30 no.5
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    • pp.290-294
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    • 2021
  • Experts have designed popular and successful model architectures, which, however, were not the optimal option for different scenarios. Despite the remarkable performances achieved by deep neural networks, manually designed networks for classification tasks are the backbone of object detection. One major challenge is the ImageNet pre-training of the search space representation; moreover, the searched network incurs huge computational cost. Therefore, to overcome the obstacle of the pre-training process, we introduce a network adaptation technique using a pre-trained backbone model tested on ImageNet. The adaptation method can efficiently adapt the manually designed network on ImageNet to the new object-detection task. Neural architecture search (NAS) is adopted to adapt the architecture of the network. The adaptation is conducted on the MobileNetV2 network. The proposed NAS is tested using SSDLite detector. The results demonstrate increased performance compared to existing network architecture in terms of search cost, total number of adder arithmetics (Madds), and mean Average Precision(mAP). The total computational cost of the proposed NAS is much less than that of the State Of The Art (SOTA) NAS method.