• Title/Summary/Keyword: qualitative assessment

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Screening and Assessment Tools for Measuring Delirium in Patients with Cancer in Hospice and Palliative Care: A Systematic Review

  • Yang, Eun Jung;Hahm, Bong-Jin;Shim, Eun-Jung
    • Journal of Hospice and Palliative Care
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    • v.24 no.4
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    • pp.214-225
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    • 2021
  • Purpose: This study reviewed screening and assessment tools that are used to measure delirium in patients with cancer in hospice and palliative care settings and examined their psychometric properties. Methods: Four databases were searched for studies using related search terms (delirium, tools, palliative care, cancer, and others). The inclusion criteria were a) studies that included screening/assessment tools for measuring delirium in cancer patients receiving hospice/palliative care, and b) studies published in English or Korean. The exclusion criteria were a) studies that were conducted in an intensive care setting, and b) case studies, qualitative studies, systematic reviews, or meta-analyses. Results: Out of the 81 studies identified, only 10 examined the psychometric properties of tools for measuring delirium, and 8 tools were ultimately identified. The psychometric properties of the Memorial Delirium Assessment Scale (MDAS) were the most frequently examined (n=5), and the MDAS showed good reliability, concurrent validity, and diagnostic accuracy. The Delirium Rating Scale had good reliability and diagnostic accuracy. The Delirium Rating Scale-Revised 98 also showed good reliability and structural validity, but its diagnostic performance was not examined in hospice/palliative care settings. The Nursing Delirium Screening Scale showed relatively low diagnostic accuracy. Conclusion: The MDAS showed evidence of being a valid assessment tool for assessing delirium in patients with cancer in palliative care. Few studies examined the diagnostic performance of delirium tools. Therefore, further studies are needed to examine the diagnostic performance of screening/assessment tools for the optimal detection of delirium in patients with cancer in hospice/palliative care.

Semi-quantitative Risk Assessment using Bow-tie Method for the Establishment of Safety Management System of Hydrogen Fuel Storage Facility in a Combined Cycle Power Plant (복합화력발전소 내 수소연료 저장설비의 안전관리 체계 구축을 위한 Bow-tie 기법을 활용한 반정량적 위험성 평가)

  • Hee Kyung Park;Si Woo Jung;Yoo Jeong Choi;Min Chul Lee
    • Journal of the Korean Society of Safety
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    • v.39 no.2
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    • pp.75-86
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    • 2024
  • Hydrogen has been selected as one of the key technologies for reducing CO2 emissions to achieve carbon neutrality by 2050. However, hydrogen safety issues should be fully guaranteed before the commercial and widespread utilization of hydrogen. Here, a bow-tie risk assessment is conducted for the hydrogen fuel supply system in a gas turbine power plant, which can be a mass consumption application of hydrogen. The bow-tie program is utilized for a qualitative risk assessment, allowing the analysis of the causes and consequences according to the stages of accidents. This study proposed an advanced bow-tie method, which includes the barrier criticality matrix and visualized maps of quantitative risk reduction. It is based on evaluating the importance of numerous barriers for the extent of their impact. In addition, it emphasizes the prioritization and concentrated management of high-importance barriers. The radar chart of a bow tie allows the visual comparison of risk levels before/after the application of barriers (safety measures). The risk reduction methods are semi-quantitatively analyzed utilizing the criticality matrix and radar chart, and risk factors from multiple aspects are derived. For establishing a secure hydrogen fuel storage system, the improvements suggested by the bow-tie risk assessment results, such as 'Ergonomic equipment design to prevent human error' and 'Emergency shutdown system,' will enhance the safety level. It attempts to contribute to the development and enhancement of an efficient safety management system by suggesting a method of calculating the importance of barriers based on the bow-tie risk assessment.

Verification of Landfill Hazard Ranking Model by Sensitivity Analysis (민감도 분석에 의한 LHR 모형의 검증)

  • Hong, Sangpyo;Kim, Jungwuk
    • Journal of Environmental Impact Assessment
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    • v.6 no.2
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    • pp.113-121
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    • 1997
  • LHR(Landfill Hazard Ranking Model) was developed for assessing the relative hazard of landfills by using the method of value-structured approach. LHR consists of combining a multiattribute decision-making method with a qualitative risk assessment approach. A pairwise comparision method was applied to determine weights of landfill factors related. To prove the validity of weights allocation of landfill hazard evaluation factors, sensitivity analysis was applied. Firstly, the impact on landfill hazard score according to variations of weights of landfill hazard factors was analyzed. Secondly, the impact on landfill hazard score according to conditions change of landfill hazard factors was analyzed. As a result of sensitivity analysis, LHR composite scores are largely influenced by some factors following sequential order such as waste volume, proximity to sensitive environments, containment facilities, distance from drinking water supplies, and waste toxicity. The relative order of landfill hazard evaluated by LHR is not influenced by the weights change of individual factors. Therefore, LHR seems to be a credible model to determine priorities of landfill remediation based on the vulnerability of water resources.

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An Improved Interval AHP Method for Assessment of Cloud Platform-based Electrical Safety Monitoring System

  • Wang, Shou-Xiang;Ge, Lei-Jiao;Cai, Sheng-Xia;Zhang, Dong
    • Journal of Electrical Engineering and Technology
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    • v.12 no.2
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    • pp.959-968
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    • 2017
  • Electrical safety monitoring System (ESMS) is a critical component in modern power systems, which is characterized by large-scale access points, massive users and versatile requirements. For convenience of the information integration and analysis, the software development, maintenance, and application in the system, the cloud platform based ESMS is established and assessed in this paper. Firstly the framework of the system is proposed, and then the assessment scheme with a set of evaluation indices are presented, by which the appropriate cloud product can be chosen to meet the requirements of a specific application. Moreover, to calculate the weights of the evaluation indices under uncertainty, an improved interval AHP method is adopted to take into consideration of the fuzziness of expert scoring, the qualitative consistency test, and the two normalizations in the process of eigenvectors. Case studies have been made to verify the feasibility of the assessment approach for ESMS.

Quantification of Ecological Impact as a Basis for Evaluation (독일에서의 환경영향의 정량적 평가)

  • Schweppe-Kraft, Burkhard
    • Journal of Environmental Impact Assessment
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    • v.2 no.2
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    • pp.59-71
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    • 1993
  • Evaluation methods are employed in environmental impact assessment to choose between different project site, to determine the required measures to compensate impact and to decide whether the environmental impacts are more important than the social or economic effects of a project. The main obstacles that restrict use of quantitative evaluation method are a Lack of knowledge about the environmental effects (e.g. if impacts on wildlife or landscape amenities are predicted) and the relative importance of economic and social issues compared with nature conservation stability of ecosystem or landscape beauty. In Germany, the most common method for site planning is the "ecological risk analysis". It is a kind of multi-criteria-decision-method based on quantitative and qualitative description and ordinal ranking. The various kinds of "ecological balancing methods" that are more recently developed (within the last decade) to quantify the required amount for compensatory measures instead often use cardinal figures to express the value of ecosystems, the intensity of impacts, the need for additional measures to compensate for long recuperative periods when restoring ecosystems and so on. There are still only a view attempts to quantify decisions between environmental and socio-economic issues. Multicriteria-analysis as well as cost-benifit-analysis was used. Some new approaches which are still in a preliminary status are based on contingent valuation and on calculations for compensatory payments (instead of compensatory measures).

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A Quantitative Assessment Modeling Technique for Survivality Improvement of Ubiquitous Computing System (유비쿼터스 컴퓨팅 시스템의 생존성 개선을 위한 정량적 분석 모델링 기법)

  • Choi, Chang-Yeol;Kim, Sung-Soo
    • The KIPS Transactions:PartC
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    • v.12C no.5 s.101
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    • pp.633-642
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    • 2005
  • Ubiquitous computing system is about networked processors, which is constructed with one or more computers interconnected by the networks. However, traditional security solution lacks a Proactive maintenance technique because of its focusing on developing the qualitative detection and countermeasure after attack. Thus, in this paper, we propose a quantitative assessment modeling technique, by which the general infrastructure can be improved and the attacks on a specific infrastructure be detected and protected. First of all, we develop the definition of survivality and modeling technique for quantitative assessment modeling with the static information on the system random information, and attack-type modeling. in addition, the survivality analysis on TCP-SYN attack and code-Red worm attack is performed for validating the proposed technique.

Status of New Health Technology in Korean Medicine Field Since 2007 (2007년 이후 한의약 분야의 신의료기술 현황)

  • LEE, Yeon Joo;KIM, Jong-Yeol
    • The Journal of Korean Medicine
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    • v.38 no.1
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    • pp.21-33
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    • 2017
  • Objectives: The purpose of this study is to present the needs for New Health Technology in Korean medicine field and suggest the strategy to raise the application and selection rate. Methods: In this study, we reviewed the application status of New Health Technology application from April 27, 2007 to June 30, 2016. And we analyzed the assessment methods, procedures, and failure factors through the two Research stage technologies reports in Korean medicine field. Results: In Korean medicine field, the application status of New Health Technology is very small as 2% of the whole applications. Moreover, 62.9% of the applied technology were either an existing technology or an early technology, so did not enter the assessment process. Two technologies categorized as Research stage technology also had failed to adopt New Health Technology because they were lacking evidences or need more research to prove effectiveness. Conclusions: In order to develop New Health Technology in Korean medicine, more efforts should be made to activate research that can prove the safety and effectiveness of medical technology, and to create a quantitative or qualitative basis for the results of the research. Also, it is necessary to increase researchers' awareness of New Health Technology. And the strategy to positively utilize the "Limited Approval" to promote clinical studies.

Analysis of Conversation between Elderly Patients with Dementia and Nurses: Focusing on Structure and Sequential Patterns (치매 노인환자와 간호사의 대화 분석: 대화의 구조와 연속체 형태를 중심으로)

  • Yi, Myung-Sun
    • Journal of Korean Academy of Nursing
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    • v.39 no.2
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    • pp.166-176
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    • 2009
  • Purpose: The purpose of the study was to identify functional structure and patterns of dialogue sequence in conversations between elderly patients with dementia and nurses in a long-term care facility. Methods: Conversation analysis was used to analyze the data which were collected using video-camera to capture non-verbal as well as verbal behaviors. Data collection was done during February 2005. Results: Introduction, assessment, intervention, and closing phases were identified as functional structure. Essential parts of the conversation were the assessment and intervention phases. In the assessment phase three sequential patterns of nurse-initiated dialogue and four sequential patterns of patient-initiated dialogue were identified. Also four sequential patterns were identified in nurse-initiated and three in patient-initiated dialogues in the intervention phase. In general, "ask question", "advise", and "directive" were the most frequently used utterance by nurses in nurse-initiated dialogue, indicating nurses' domination of the conversation. At the same time, "ask back", "refute", "escape", or "false promise" were used often by nurses to discourage patients from talking when patients were raising questions or demanding. Conclusion: It is important for nurses to encourage patient-initiated dialogue to counterbalance nurse-dominated conversation which results from imbalance between nurses and patients in terms of knowledge and task in healthcare institutions for elders.

A Preliminary Study for Quantifying Appearance Assessment of Assembly Seam Gaps - Case Study of Drawer Assembly (조립품 심(seam)의 갭(gap)에 대한 정량적 심미평가의 기초연구 - 서랍장을 대상으로 한 사례연구)

  • Lee, Hae-Seung;Lee, Rae-Woo;Yim, Hyun-June
    • Korean Journal of Computational Design and Engineering
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    • v.16 no.5
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    • pp.380-389
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    • 2011
  • Esthetic appeal of a product is often affected by the appearance quality of seams forming between components of the product. The appearance quality of seams is, however, assessed in a very subjective and qualitative manner that heavily depends on the evaluator. This paper presents a preliminary study to quantify such assessment by formulating a quantitative index which is a linear function of the seam gap sizes, seam gap ranges, and the size uniformity of seam gaps. By considering a highly simplified problem of a drawer system and utilizing subjective assessments by twenty evaluators, the index has been formulated. The validity of this index has been confirmed by observing its behavior with changes of the component tolerances. Also, the utility of this index has been demonstrated through a selective assembly scheme applied to the drawer system problem. Though the index formulated in this study for seam appearance quality may be useful, future studies are necessary to make the model readily applicable to real problems.

Recent Trends of the Assessment of Academic Library Services in the Context of American Regional Accreditation Standards (미국의 대학평가인정기준에 나타나는 대학도서관 평가기준의 최근 경향)

  • Suh, Hye-Ran
    • Journal of the Korean BIBLIA Society for library and Information Science
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    • v.15 no.2
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    • pp.255-270
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    • 2004
  • American Academic Accreditation System was reviewed. Current accreditation standards of the six regional accreditation associations were analysed with reference to the evaluation of academic libraries. That analysis was led to the recognition of some trends; mission and goal based assessment, qualitative evaluation, emphasis on the student learning outcomes, emphasis on the teaching role of academic librarians, distance education, and less prescriptive text. Some suggestions were made for revision of the Korean academic accreditation standards related to libraries.

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