• Title/Summary/Keyword: recommendations

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Validation of a Translated Guideline on Pain Assessment and Management: Focused on Abdominal Surgery Patients (통증관리 근거중심 가이드라인의 국내 타당성 검증 - 복부수술 환자를 대상으로 -)

  • Hong, Sung Jung;Lee, Eunjoo
    • Journal of Korean Clinical Nursing Research
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    • v.18 no.1
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    • pp.159-170
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    • 2012
  • Purpose: This study was designed to examine the validity of the evidence-based guideline on pain developed by Registered Nurses Association of Ontario(RNAO) translated into Korean based on the experts' opinions. Methods: The panel consisted of experts of 60 registered nurses in surgical units, medical doctors and nursing managers who were experts in pain assessment and management. The validity of translated RNAO guideline was evaluated in terms of appropriateness, applicability, and utilization in current practice. Appropriateness and applicability of each recommendation were measured with 9 point scale, whereas utilization was measured by yes/no question. Data were analyzed by mean, standard deviation, and percent. The experts' opinions were analyzed by content analysis method. Results: In general, most of the recommendations in the guideline received above 7 point in appropriateness and applicability. However, above 20% of recommendations showed less than 50% of utilization rates in current practice. Conclusion: The reasons for low utilization of recommendations in current practice are in need for investigation. This study can be used for the development of guideline more acceptable in Korean health care settings and improve the quality of care for the abdominal surgery patients suffering from pain in Korea.

Derived Limits for Radiological Protection Against ionizing Radiation Based on ICRP-60 Recommendations

  • Jang, Si-Young;Lee, Byung-Soo
    • Nuclear Engineering and Technology
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    • v.32 no.4
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    • pp.350-360
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    • 2000
  • In Korea, the dose limits are reduced and are set at the ICRP-60 iimits. However, derived limits tabulated as MPC in air and water are still specified in Notice No.98-12. There are some discrepancies between the primary dose limits and MPCs in air and water. Therefore, in order to accept ICRP-60 recommendations fully, derived limits such as ALI, DAC, ECL for radiological protection against ionizing radiation based on ICRP-60 recommendations were calculated using modified methods of those of 10 CFR part 20, dose limits and committed effective dose coefficients of the Basic Safety Standards of the IAEA. The derived limits in this study were also compared with those prescribed in 10 CFR part 20 as well as MPCs of Notice No. 98-12 in order to analyze the impact of implementing derived limits on nuclear facilities. ECLs in air and water for the control of radioactive discharge into the environment in this study are shown to have lower values (i.e. more conservative), for most part, than those in Notice No. 98-12. Especially, for uranium elements, ECLs in water are approximately a magnitude in the order of two lower than those in Notice No.98-12.

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Recommendations on dynamic pressure sensor placement for transonic wind tunnel tests

  • Yang, Michael Y.;Palodichuk, Michael T.
    • Advances in aircraft and spacecraft science
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    • v.6 no.6
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    • pp.497-513
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    • 2019
  • A wind tunnel test was conducted that measured surface fluctuating pressures aft of a ramp at transonic speeds. Dynamic pressure test data was used to perform a study to determine best locations for streamwise sensor pairs for shocked and unshocked runs based on minimizing the error in root-mean-square acceleration response of the panel. For unshocked conditions, the upstream sensor is best placed at least 6.5 ramp heights downstream of the ramp, and the downstream sensor should be within 2 ramp heights from the upstream sensor. For shocked conditions, the upstream sensor should be between 1 and 7 ramp heights downstream of the shock, with the downstream sensor 2 to 3 ramp heights of the upstream sensor. The shock was found to prevent the passage coherent flow structures; therefore, it may be desired to use the shock to define the boundary of subzones for the purpose of loads definition. These recommendations should be generally applicable to a range of expansion corner geometries in transonic flow provided similar flow structures exist. The recommendations for shocked runs is more limited, relying on data from a single dataset with the shock located near the forward end of the region of interest.

Using Experts Among Users for Novel Movie Recommendations

  • Lee, Kibeom;Lee, Kyogu
    • Journal of Computing Science and Engineering
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    • v.7 no.1
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    • pp.21-29
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    • 2013
  • The introduction of recommender systems to existing online services is now practically inevitable, with the increasing number of items and users on online services. Popular recommender systems have successfully implemented satisfactory systems, which are usually based on collaborative filtering. However, collaborative filtering-based recommenders suffer from well-known problems, such as popularity bias, and the cold-start problem. In this paper, we propose an innovative collaborative-filtering based recommender system, which uses the concepts of Experts and Novices to create fine-grained recommendations that focus on being novel, while being kept relevant. Experts and Novices are defined using pre-made clusters of similar items, and the distribution of users' ratings among these clusters. Thus, in order to generate recommendations, the experts are found dynamically depending on the seed items of the novice. The proposed recommender system was built using the MovieLens 1 M dataset, and evaluated with novelty metrics. Results show that the proposed system outperforms matrix factorization methods according to discovery-based novelty metrics, and can be a solution to popularity bias and the cold-start problem, while still retaining collaborative filtering.

Application of Citation Analysis Results to National Scientific and Technical Information Policy: Based on a Case Study of Electrical and Electronics Engineering Field (국가 과학기술정보 정책에 대한 인용분석 연구결과의 적용 - 전기$\cdot$전자공학 분야의 연구를 바탕으로 -)

  • Rieh Hae-young
    • Journal of the Korean Society for Library and Information Science
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    • v.28
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    • pp.109-133
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    • 1995
  • This study assessed citation analysis results in light of their usefulness for national scientific and technical information (STI) policy formulation and review in Korea. using electrical and electronics engineering field as a case. After brief summary of citation analysis results was presented. current Korean STI policy was reviewed. which aims at establishing national STI sharing system by constructing many STI databases and information networks. Citation analysis results were discussed in light of their significance for Korean databases and information network construction and for use of informal networks such as E-Mail and invisible colleges. The problem of access to current information was also reviewed. Some recommendations were made to policy makers. which include creation of a centralized national STI center: development of guidelines for effective utilization of STI networks and STI; and. standardization of information processing technology and support for the automation of information centers and libraries. Based on the literature review. the best possible way of presenting recommendations to policy makers was examined. It was concluded that citation analysis could be a useful methodology for STI policy formulation and review when reliability and validity of the study is assured and the samples well represent the population of scientists and engineers. Finally recommendations for further research were offered.

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An overview of the national immunization policy making process: the role of the Korea expert committee on immunization practices

  • Cho, Hee-Yeon
    • Clinical and Experimental Pediatrics
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    • v.55 no.1
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    • pp.1-5
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    • 2012
  • The need for evidence-based decision making in immunization programs has increased due to the presence of multiple health priorities, limited human resources, expensive vaccines, and limited funds. Countries should establish a group of national experts to advise their Ministries of Health. So far, many nations have formed their own National Immunization Technical Advisory Groups (NITAGs). In the Republic of Korea, the Korea Expert Committee on Immunization Practices (KECIP), established by law in the early 1990s, has made many important technical recommendations to contribute to the decline in vaccine preventable diseases and currently functions as a NITAG. It includes 13 core members and 2 non-core members, including a chairperson. Core members usually come from affiliated organizations in internal medicine, pediatrics, obstetrics, microbiology, preventive medicine, nursing and a representative from a consumer group, all of whom serve two year terms. Non-core members comprise two government officials belonging to the Korea Centers for Disease Control and Prevention (KCDC) and the Korea Food and Drug Administration. Meetings are held as needed, but at least twice a year, and sub-committees are formed as a resource for gathering, analyzing, and preparing information for the KECIP meetings. Once the sub-committees or the KCDC review the available data, the KECIP members discuss each issue in depth and develop recommendations, usually by a consensus in the meeting. The KECIP publishes national guidelines and immunization schedules that are updated regularly. KECIP's role is essentially consultative and the implementation of their recommendations may depend on the budget or current laws.

Evidence-Based Nursing Practice Guideline: Ostomy Care (근거기반 임상실무지침: 장루간호)

  • Lee, Yun Jin;Park, Hyun Suk;Kim, Min Kyung;Seo, Hui Won;Lee, Mi Ju;Won, Eun Ae;Jo, Gha Na
    • Journal of Korean Clinical Nursing Research
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    • v.26 no.2
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    • pp.154-163
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    • 2020
  • Purpose: The aim of this study was to develop an evidence-based guideline for stoma management providing institutional policy, assessment, complications and follow-up care. Methods: The guideline adaptation manual consisting of 23 steps developed by the National Evidence-Based Healthcare Collaborating Agency was used for this study. It presents an overview of the process used to develop the guideline and lists specific recommendations from the guideline. Results: It provides 55 recommendations that include the following 8 topics: 1) Organization and policy recommendations, 2) Preoperative nursing; Ostomy education, stoma site marking, 3) Ostomy formation, 4) Postpoperative nursing; education, assessment, high output stoma management, 5) Selection of ostomy products, 6) Colostomy irrigation, 7) Stomal and peristomal complications, 8) Follow-up care after discharge. Conclusion: The guideline can be used to address stoma management in hospital settings. The intent of the guideline is to provide information that will assist healthcare providers to manage adult patients with ostomies, prevent or decrease complications, and improve patients' outcomes.

A Study on Operation-Effectiveness Analysis of Clinical Nurse Specialists : Focused on Patient Satisfaction and Expected Profit (임상 전문간호사 운영 효과 분석)

  • Mo, Jin-A;Lim, Ji-Young
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.18 no.1
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    • pp.13-19
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    • 2011
  • Purpose: The aim of this study was to evaluate patient satisfaction and indirect marketing effects (recommendation, hospital re-visit intention) and additionally to calculate the expected incomes by clinical nurse specialists (CNS). Methods: Sixty-six patients who had lower varicose vein removal surgery performed at two general hospitals from August 1 to November 30, 2008, were recruited. The effects were evaluated by degree of patient satisfaction, the number of personal recommendations given, rate of hospital re-visit intention, and indirect marketing effects. Indirect marketing effects were calculated as the total cost of surgery multiplied by the score of other variables. Results: The patient satisfaction score was 0.82 for CNS and 0.43 for general nurses (GN). The number of personal recommendations given was 2.5 for CNS and 1.1 for GN. The rate of hospital re-visit intention was 0.31 for CNS and 0.21 fot GN. The ratio of expected incomes between CNS and GN is 2.07 to 1. Conclusion: We found that when a CNS serves a patient, satisfaction, number of personal recommendations, hospital re-visit intention, and indirect marketing effects were higher than those of GN. These results show that CNS have dominant roles and functions and that the effects of CNS employment can be measured using economics parameters.

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Atmospheric Stability Evaluation at Different Time Intervals for Determination of Aerial Spray Application Timing

  • Huang, Yanbo;Thomson, Steven J.
    • Journal of Biosystems Engineering
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    • v.41 no.4
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    • pp.337-341
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    • 2016
  • Purpose: Evaluation of atmospheric conditions for proper timing of spray application is important to prevent off-target movement of crop protection materials. Susceptible crops can be damaged downwind if proper application procedure is not followed. In our previous study, hourly data indicated unfavorable conditions, primarily between evening 18:00 hrs in the evening and 6:00 hrs next morning, during clear conditions in the hot summer months in the Mississippi delta. With the requirement of timely farm operations, sub-hourly data are required to provide better guidelines for pilots, as conditions of atmospheric stability can change rapidly. Although hourly data can be interpolated to some degree, finer resolution for data acquisition of the order of 15 min would provide pilots with more accurate recommendations to match the data recording frequency of local weather stations. Methods: In the present study, temperature and wind speed data obtained at a meteorological tower were re-sampled to calculate the atmospheric stability ratio for sub-hour and hourly recommendations. High-precision evaluation of temperature inversion periods influencing atmospheric stability was made considering strength, time of occurrence, and duration of temperature inversion. Results and Discussion: The results indicated that atmospheric stability could be determined at different time intervals providing consistent recommendations to aerial applicators, thereby avoiding temperature inversion with minimal off-target drift of the sprayed liquid.

The Influence of Public Welfare and Audit Findings on Audit Opinion: Empirical Evidence from Provincial Data in Indonesia

  • YAYA, Rizal;IRFANA, Siti Syifa;RIYADH, Hosam Alden;SOFYANI, Hafiez
    • The Journal of Asian Finance, Economics and Business
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    • v.8 no.4
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    • pp.181-191
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    • 2021
  • The aim of the study is to empirically investigate and analyze the influence of public welfare, audit findings, and follow-up of audit recommendations on audit opinion with the disclosure level of financial reports as an intervening variable using agency theory and signaling theory. To achieve this purpose, a quantitative research method was employed. Population of this study is Provincial Government Financial Reports in Indonesia for fiscal years 2016 to 2018. There were 84 financial reports that met the criteria of purposive sampling. The data were gathered from the websites of the Audit Board of the Republic of Indonesia and the Indonesian Central Bureau of Statistics. In this study, the hypothesis-testing tool is path analysis using the Statistical Package for Social Sciences version 15. Based on the multiple regression analysis, the results show that audit findings, public income, and the disclosure level of financial reports significantly influenced audit opinion. Besides, the follow-up of audit recommendations and public health significantly influenced audit opinion through the disclosure level of financial reports. This study suggests that, in order to have better audit opinion, local governments need to improve public welfare, follow-up audit finding, and disclose more details in financial report.