• Title/Summary/Keyword: long-term feedback

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장기요양시설 인간중심 치매케어 온라인 교육 프로그램 개발을 위한 델파이 조사연구 (A Delphi Study for Developing a Person-centered Dementia Care Online Education Program in Long-term Care Facilities)

  • 김다은;사공혜;윤주영
    • 지역사회간호학회지
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    • 제30권3호
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    • pp.295-306
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    • 2019
  • Purpose: There has been a growing recognition that person-centered care enhances the quality of life of nursing home residents with dementia. This study was conducted to develop a person-centered dementia care online education program for direct care staff in long-term care facilities. Methods: Delphi method with expert group was used to validate contents. We developed 61 draft items based on literature review. Twenty experts participated in consecutive three round surveys including 5-point Likert scale questions and open-ended questions. Based on experts' opinions, the content validity ratio for content validity and the coefficient of variation for stability were calculated. Results: Three-round Delphi surveys and additional feedback from the expert panel established a consensus of core contents: 1) dementia (7 categories), 2) person-centered care (6 categories), 3) communication (8 categories), and 4) behavioral and psychological symptoms of dementia (6 categories). Specific sub-categories in each category were differentiated according to the job qualifications (65 sub-categories for registered nurses, 64 sub-categories for nursing aids, and 41 sub-categories for personal care workers). Conclusion: This delphi study identified person-centered dementia education curricula, in which the person-centered approach should be a key policy priority in Korean long-term care system. Now it is urgently needed to develop education programs utilizing online platforms that enable efficient and continuous learning for long-term care staff, which can contribute to behavior changes in the person-centered dementia care approach and improvement of care quality in long-term care facilities.

수행에 대한 지식의 상대적 빈도가 편마비 환자의 균형 재훈련에 미치는 영향 (Effects of Relative Frequency of Knowledge of Performance on Balance Retraining in Patients With Hemiplegia)

  • 오동식;최흥식;김택훈;노정석
    • 한국전문물리치료학회지
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    • 제8권1호
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    • pp.9-19
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    • 2001
  • During therapy sessions, feedback is often provided concurrently by the physical therapist as the patient attempts to perform a movement and after the movement attempt. This feedback is provided to enhance the patient's balance abilities. However, recent studies in nondisabled populations have suggested that frequent feedback may be detrimental to retention or learning of motor skills. This study compared the effects of 100% relative frequency of knowledge of performance (KP) with 66% relative frequency of KP for motor learning on balance retraining in patients with hemiplegia. Twenty patients with hemiplegic were randomly assigned to one of two experimental groups. The acquisition phase consisted of 16 blocks of 5 trials for 2 days (80 total practice trials). The retention phase consisted of 2 blocks of a short-term retention test, one day after the end of the acquisition phase and a long-term retention test, one week after the end of the short-term retention test. In the 100% feedback condition, participants received feedback after every practice trial. A faded KP schedule was used in the 66% condition. No significant differences were found between the two groups during all experimental phases (acquisition and retention phases), (p>.05). However, there were significant decreases in balance index for both groups of acquisition phase (p<.05). These results suggest that 66% relative frequency of KP is not more effective than 100% relative frequency of KP with respect to retention over time when hemiparetic patients attempt to learn balance.

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Compressed Channel Feedback for Correlated Massive MIMO Systems

  • Sim, Min Soo;Park, Jeonghun;Chae, Chan-Byoung;Heath, Robert W. Jr.
    • Journal of Communications and Networks
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    • 제18권1호
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    • pp.95-104
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    • 2016
  • Massive multiple-input multiple-output (MIMO) is a promising approach for cellular communication due to its energy efficiency and high achievable data rate. These advantages, however, can be realized only when channel state information (CSI) is available at the transmitter. Since there are many antennas, CSI is too large to feed back without compression. To compress CSI, prior work has applied compressive sensing (CS) techniques and the fact that CSI can be sparsified. The adopted sparsifying bases fail, however, to reflect the spatial correlation and channel conditions or to be feasible in practice. In this paper, we propose a new sparsifying basis that reflects the long-term characteristics of the channel, and needs no change as long as the spatial correlation model does not change. We propose a new reconstruction algorithm for CS, and also suggest dimensionality reduction as a compression method. To feed back compressed CSI in practice, we propose a new codebook for the compressed channel quantization assuming no other-cell interference. Numerical results confirm that the proposed channel feedback mechanisms show better performance in point-to-point (single-user) and point-to-multi-point (multi-user) scenarios.

해외 사례 고찰을 통한 지자체 노인요양시설 인증 체계 및 조사원 고도화 방안 (A Study on the Advancement of Accreditation Systems and Surveyors' Expertise for Long-term Care Facilities: Focusing on Overseas Cases)

  • 서윤정;이순성;서동민;윤주영;사공혜;김다은
    • Perspectives in Nursing Science
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    • 제15권2호
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    • pp.81-91
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    • 2018
  • Purpose: This study aimed to suggest strategies for advancing local-government-based accreditation systems and surveyor training in long-term care facilities in Korea. Methods: A comprehensive review of the literature including research papers and official reports issued by governments from the United States, Australia, and Japan was conducted to explore domestic and international policies related to long-term care facility certification and accreditation systems. Results: The USA has two types of care quality assurance systems including mandatory certification (5-star rating system) by the Centers for Medicare and Medicaid Services and voluntary accreditation by the Joint Commission on Accreditation of Healthcare Organizations. Australia operates a government-based mandatory accreditation system for all long-term care facilities through the Australian Aged Care Quality Agency. Japan, particularly the Tokyo district, operates a third-party evaluation system that involves the voluntary participation of long-term care facilities. Conclusion: This study provides several strategies to enhance accreditation processes and surveyors'expertise. For instance, motivating facilities to voluntarily participate in accreditation is necessary by 1) providing sufficient and continuous consultations and feedback about how to improve care quality, 2) differentiating accreditation domains and indicators from the national health insurance certification system, and 3) actively utilizing accreditation results and providing incentives.

한방분야 적정성 평가 대상 질환 선정을 위한 전문가 Delphi 조사 (Selection of Manageable Diseases for Quality Assessment in Korean Medicine by Delphi Method)

  • 박창현;임형호
    • 한방재활의학과학회지
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    • 제26권3호
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    • pp.129-141
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    • 2016
  • Objectives As awareness of the public about Korean medicine health care and the social demand about improvement for quality of health care service is constantly rising, the quality evaluation of Korean medicine health care service is needed to improve the quality. Through trial of Delphi method, we tried to set the priority in short, medium, long term among the disease which is the subject of quality assessment. Methods Carrying out the delphi survey to 50 experts of korean medicine who were recommended by the 41 member societies of Korean medicine and related organizations, we selected final candidates for quality assessment. It is composed with total 2 rounds, and we investigated the priority in three aspects; the importance of the matter, possibility quality assessment, potential about if there's any chance of improvement. Results By delphi method, we set the priority of quality assessment. Base on the result of the second round, we classified importance of the questions into above average, average, below average, and categorized items as short, medium, long term according on the final priority. We classified of musculoskeletal diseases and diseases of connective tissues and musculoskeletal injury as short term and cerebrovascular disease and disease of nerve system and malignant neoplasm as medium term, disease of digestive organs and diseases, symptoms and abnormal findings in clinical field or inspections which are not categorized as long term. Conclusions We set the subjects of quality assessment by delphi survey by experts, and classified into short, medium, long term. Further research is necessary for execution the Quality Assessment to each of the candidate. Also, we can send feedback to medical institution base on the result of Quality Assessment. then it would be able to induce the improvement in quality of medical institution by itself.

Servo control strategy for uni-axial shake tables using long short-term memory networks

  • Pei-Ching Chen;Kui-Xing Lai
    • Smart Structures and Systems
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    • 제32권6호
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    • pp.359-369
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    • 2023
  • Servo-motor driven uniaxial shake tables have been widely used for education and research purposes in earthquake engineering. These shake tables are mostly displacement-controlled by a digital proportional-integral-derivative (PID) controller; however, accurate reproduction of acceleration time histories is not guaranteed. In this study, a control strategy is proposed and verified for uniaxial shake tables driven by a servo-motor. This strategy incorporates a deep-learning algorithm named Long Short-Term Memory (LSTM) network into a displacement PID feedback controller. The LSTM controller is trained by using a large number of experimental data of a self-made servo-motor driven uniaxial shake table. After the training is completed, the LSTM controller is implemented for directly generating the command voltage for the servo motor to drive the shake table. Meanwhile, a displacement PID controller is tuned and implemented close to the LSTM controller to prevent the shake table from permanent drift. The control strategy is named the LSTM-PID control scheme. Experimental results demonstrate that the proposed LSTM-PID improves the acceleration tracking performance of the uniaxial shake table for both bare condition and loaded condition with a slender specimen.

Integrate-and-Fire Neuron Circuit and Synaptic Device using Floating Body MOSFET with Spike Timing-Dependent Plasticity

  • Kwon, Min-Woo;Kim, Hyungjin;Park, Jungjin;Park, Byung-Gook
    • JSTS:Journal of Semiconductor Technology and Science
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    • 제15권6호
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    • pp.658-663
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    • 2015
  • In the previous work, we have proposed an integrate-and-fire neuron circuit and synaptic device based on the floating body MOSFET [1-3]. Integrate-and-Fire(I&F) neuron circuit emulates the biological neuron characteristics such as integration, threshold triggering, output generation, refractory period using floating body MOSFET. The synaptic device has short-term and long-term memory in a single silicon device. In this paper, we connect the neuron circuit and the synaptic device using current mirror circuit for summation of post synaptic pulses. We emulate spike-timing-dependent-plasticity (STDP) characteristics of the synapse using feedback voltage without controller or clock. Using memory device in the logic circuit, we can emulate biological synapse and neuron with a small number of devices.

굴 산지시장의 위판량과 가격관계 (The Volume and Price Relationship of the Oyster Market in Producing Area)

  • 강석규
    • 수산경영론집
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    • 제32권1호
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    • pp.1-14
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    • 2001
  • The research on the price-volume relation in the market is very important because it examines into regular phenomenon revealed by market participants including producers and middlemen. The purpose of this study is to investigate the relationship between price and trading volume in the oyster producing market. In order to accomplish the purpose of this study, the contents of empirical analysis include the time series properties of price and trading volume, the short-term and long-term relationships between price and trading volume, and the determinants of trading volume. The data used in this study correspond to daily price and trading volume covering the time period from January 1998 to April 2001. The empirical results can be summarized as follows : First, price and trading volume follow random walks and they are integrated of order 1. The first difference is necessary for satisfying the stationary conditions. Second, price and trading volume are cointegrated. This long-run relationship is stronger from trading volume to price. Third, error correction model suggests that feedback effect exists in the long-run and that price tends to lead trading volume by about five days in the short run, that is, to be required period by digging, conveying, and peeling oystershell for selling oyster. Fourth, price and price volatility is a determinant of trading volume. In particular, trading volume is a negative function of price. It is believed that the conclusion drawn from this study would provide a useful standard for the policy makers in charge of reducing the oyster price volatility risk caused by trading volume(selling quantities).

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의사결정 트리를 이용한 학습 에이전트 단기주가예측 시스템 개발 (A Development for Short-term Stock Forecasting on Learning Agent System using Decision Tree Algorithm)

  • 서장훈;장현수
    • 대한안전경영과학회지
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    • 제6권2호
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    • pp.211-229
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    • 2004
  • The basis of cyber trading has been sufficiently developed with innovative advancement of Internet Technology and the tendency of stock market investment has changed from long-term investment, which estimates the value of enterprises, to short-term investment, which focuses on getting short-term stock trading margin. Hence, this research shows a Short-term Stock Price Forecasting System on Learning Agent System using DTA(Decision Tree Algorithm) ; it collects real-time information of interest and favorite issues using Agent Technology through the Internet, and forms a decision tree, and creates a Rule-Base Database. Through this procedure the Short-term Stock Price Forecasting System provides customers with the prediction of the fluctuation of stock prices for each issue in near future and a point of sales and purchases. A Human being has the limitation of analytic ability and so through taking a look into and analyzing the fluctuation of stock prices, the Agent enables man to trace out the external factors of fluctuation of stock market on real-time. Therefore, we can check out the ups and downs of several issues at the same time and figure out the relationship and interrelation among many issues using the Agent. The SPFA (Stock Price Forecasting System) has such basic four phases as Data Collection, Data Processing, Learning, and Forecasting and Feedback.

무용전공자와 일반인의 Heel-rise 자세 조절 메커니즘에 관한 연구 (The Study of the Control Mechanism of Heel-rise Posture in Dance Major Student and Non-dance Majors)

  • 정미라
    • 한국운동역학회지
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    • 제17권2호
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    • pp.83-91
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    • 2007
  • This experiment studied the change in a human's control of his or her static posture by analyzing the stabilogram diffusion and, by using the said study, evaluated the control ability of different groups with different experiences. The postures had a rising requirement of heel-rise according to three conditions: heel-toe, ball, toe; the groups were divided into dance major student and non-dance majors. The results of the critical points according to posture did not show a direct relation with the change in postures that had a rising requirement of heel-rise. The diffusion coefficient(D) had greater stochastic activity for short-term regions that utilize open-loop controls without feedback than for long-term regions that used closed-loop controls with feedback to maintain balance. The directional results of the body undergoing disturbance showed that A/P direction's diffusion coefficient (D) was larger than that of M/L direction. Both feet's planar diffusion coefficients were a linear combination of the diffusion coefficients calculated for the x and y axis. In studying the different abilities to control posture between a dance major student and a non-dance majors, a comparison of open-loop control's diffusion coefficient(D) was effective, and dance major student had superior control ability to that of non-dance majors.