• Tuberculosis and Respiratory Diseases
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• v.61 no.1
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• pp.34-40
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• 2006

Background: Extubation failure was associated with poor prognosis and high hospital mortality. Cuff leak test (CLT) has been proposed as a relatively simple method for detecting laryngeal obstruction that predispose toward postextubation stridor (PES) and reintubation. We examined the risk factors of extubation failure and evaluated the usefulness and limitation of CLT for predicting PES and reintubation. Methods: Thirty-four consecutive patients intubated more than 24 hours were examined. The subjects were evaluated daily for extubation readiness, and CLT was performed prior to extubation. Several parameters in the extubation success and failure group were compared. The accuracy and limitation of CLT were evaluated after choosing the thresholds values of the cuff leak volume (CLV) and percentage (CLP). Results: Of the 34 patients studied, 6 (17.6%) developed extubation failure and 3 (8.8%) were accompanied by PES. The patients who had extubation failure were more likely to have a longer duration of intubation and more severe illness. The patients who developed PES had a smaller cuff leak than the others: according to the CLV ($22.5{\pm}23.8$ vs $233.3{\pm}147.1ml$, p=0.020) or CLP ($6.2{\pm}7.3$ vs $44.3{\pm}24.7%$, p=0.013). The best cut off values for the CLV and CLP were 50ml and 14.7%, respectively. The sensitivity, negative predictive value, and specificity of CLT were relatively high, but the positive predictive value was low. Conclusion: The likelihood of developing extubation failure increases with increasing severity of illness and duration of intubation. A low CLV or CLP (<50ml or 14.7%) is useful in identifying patients at risk of PES, but the CLT is not an absolute predictor and should not be used an indicator for delaying extubation.

• Korean Medical Education Review
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• v.12 no.2
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• pp.27-33
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• 2010

The purpose of this study was to review the definition of cognitive load (CL), the relationship between CL and instructional design, and to provide a viewpoint of CL in curriculum and instructional design in medical education. Cognitive load theory (CLT) makes use of three hypotheses about the structure of human memory: working memory (WM) is limited in terms of the amount of information it can hold, in contrast with WM, long term memory is assumed to have no limits and organizes information as schemata. CL indicates the mental load on the limitation of WM. CLT has been used to design instructional interventions that help to ease the learning process. Extraneous CL is related to irrelevant instructional interventions, while intrinsic CL is the complexity of the information itself. Germane CL is the cognitive process for acquiring schema formation. It is a necessary CL to achieve deeper comprehension and solve problems. The range of medical education includes complex, multifaceted and knowledge-rich domains with clinical skills and attitudes. Therefore, CLT may be used to guide instructional design in medical education in terms of decreasing extraneous CL, adjusting intrinsic CL and enhancing the germane CL.

• International Journal of High-Rise Buildings
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• v.9 no.2
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• pp.175-185
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• 2020

Currently, few studies have been conducted to comprehend the seismic reliability of post-tensioned (PT) CLT shear wall structures, due to the complexity of this kind of structural system as well as due to lack of a reliable structural model. In this paper, a set of 4-, 8-, 12-, and 16-storey benchmark PT CLT shear wall structures (PT-CLTstrs) were designed using the direct displacement-based design method, and their calibrated structural models were developed. The seismic reliability of each PT-CLTstr was assessed based on the fragility analysis and based on the response surface method (RSM), respectively. The fragility-based reliability index and the RSM-based reliability index were then compared, for each PT-CLTstr and for each seismic hazard level. Results show that the RSM-based reliabilities are slightly less than the fragility-based reliabilities. Overall, both the RSM and the fragility-based reliability method can be used as efficient approaches for assessing the seismic reliabilities of the PT-CLTstrs. For these studied mid- and high-rise benchmark PT-CLTstrs, following their fragility-based reliabilities, the 8-storey PT-CLTstr is subjected to the least seismic vulnerability; while, following their RSM-based reliabilities, the 4-storey PT-CLTstr is subjected to the least seismic vulnerability

• Composites Research
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• v.16 no.4
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• pp.1-9
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• 2003

2 ply laminated composite is regarded to simulate the interply behavior of the belt layer of the tire. It was cone with 3 dimensional FE(Finite Element) analysis to determine interply shear stress and strain. Widthwise, the shear strain was measured by the pin method. These results are compared with those of CLT(classical lamination theory) in center region and those of Kassapoglou's and Kelsey's theory in edge region. In the FE analysis. rubber is assumed as linear elastic material. and rubber/cord laminate as the orthotropic material composed of cord and rubber In the FE result, interlaminar shear stress causing the interlaminar delamination has the largest value in the edge region of the inner rubber layer. Numerical results obtained coincides with CLT well in the center region, and agrees with other theoretical result little in the edge region.

• Journal of Energy Engineering
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• v.26 no.4
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• pp.1-6
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• 2017

This study evaluated hydrogen effect of metal and non-metallic materials used in the hydrogen blended natural gas vehicle. Hydrogen penetrated concentration of 34Cr-Mo steel(850MPa tensile strength) for winter driving conditions was measured 0.0018ppm and summer driving conditions was 5.3ppm. The critical hydrogen concentration of high strength metal used in this study was measured 1.03ppm by CLT. Therefore, 34CrMo steel cas cause problems in the 30% HCNG(25MPa) environment. In case of the test for non-metallic materials, all materials met the criteria of the gas resistance test, but Fluorocarbon Rubber material had a significant change in the volume. So if it is used, extra care is needed.

• Physical Therapy Rehabilitation Science
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• v.10 no.4
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• pp.414-420
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• 2021

Objective: The purpose of this study was to investigate the effects of coordinative locomotor training(CLT) using elastic bands on dynamic balance and grip strength for Elementary school baseball players and to provide correct posture guidance and reference on the prevention and rehabilitation program of sports damage and injury in the future. Design: Two groups pre-post randomized controlled design. Methods: Forty-six subjects were randomly divided in two groups;1) CLT using Elastic Band group(Experimental group, n=23), 2) Routine baseball training group(Control group, n=23). The intervention was conducted total 16 times for sixty minutes a day, 2 times a week, for 8 weeks. Evaluations of dynamic balance ability and grip strength were performed with all subjects before the commencement of training and 8 weeks after training. Results: Compared to the control group after training, the dynamic balance ability and dominant handgrip strength of the experimental group were significantly more improved(p<0.05). Conclusions: We confirmed that the effects of CLT using elastic bands on dynamic balance ability and grip strength in Elementary school baseball player. This study should be used for improving the quality of the Elementary school baseball player's training and would be contributed prevention and rehabilitation program of sports damage and injury.

• Journal of the Korean Wood Science and Technology
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• v.52 no.4
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• pp.301-318
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• 2024

Contrary to other materials like metals, glass, etc., wood continuously interacts with the environment, increasing and decreasing its moisture content according to the humidity of the air and changing its dimensions by swelling or shrinking. Water diffusion through laminated solid wood is crucial in wood bonding processes. The adhesive layer might block the diffusion if the water vapor diffusion is perpendicular to the bond line. As a result of this blockage, different proportions of deformation appear on the two sides of the bond line, which causes stresses in the bonded assembly. The question arises of how long the bonded structure will keep its integrity due to moisture diffusion blockage, inevitable tensions appearing in the glue line, and how these stresses could be avoided. With cross laminated timber (CLT) solid wood panel production, this question gains new importance. Despite the relevance, only a limited number of publications are available. Comprehensive research would also be necessary considering both the molecular structure and diffusion properties of the adhesive adjusted to the wood species (covering possible substituting wood species, too). Overall, this review serves as a resource for enhancing our understanding of water vapor diffusion through wood adhesive layers and provides insights that have implications for reducing stresses in bonded wood assemblies and the performance of the bonded group over time. Furthermore, identifying knowledge gaps is necessary to establish the basis for investigating the diffusion property of CLT panels.

• Journal of Korea Entertainment Industry Association
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• v.14 no.1
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• pp.17-25
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• 2020

The purpose of this study was to examine the effects of coordinative locomotor training (CLT) program on the balance for the promotion of life care of elderly obese women. Ten participants of elderly obese women who were able to walk independently without surgery experience of lumbar, hip or knee joint within the past year were recruited and under went the pretest, CLT (20 sessions), followed by the post-test. The test included BMI test using In-body, joint kinematics using myoVIDEO, muscle activation using surface EMG test (erector spinae (ER), external oblique abdominalis (EO), quadriceps femoris (Quad), hamstring muscle (Ham)) and balance tests including dynamic balance test using forced treadmill, Berg balance scale (BBS) and timed up go (TUG). The CLT program was conducted 60 minutes a day, 5 days a week, over 4 weeks period. As a result of this study, The the trunk and hip joints kinematics during the stance and swing phases of gait were a statistical significance levels were set at p <0.05. The ER and EO muscle activation were significantly improved after intervention (p <0.05). The length of gait line and single support line of change of center of pressure (COP) were significantly increased after intervention (p <0.05). The BBS and TUG were also significantly enhanced after intervention (p <0.05). The results of this study showed that CLT program for the improvement of life care had significant effects on improving postural instability, muscle weakness, reduced balance ability and falling risk of obese elderly women. Therefore, it is recommended to apply CLT program to improve life-care through improving balance ability and preventing fall of obese elderly women.

• Proceedings of the Korean Society For Composite Materials Conference
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• 2005.04a
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• pp.158-161
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• 2005

The fiber-reinforced composite materials have been advanced for various applications because of its excellent mechanical and electromagnetic properties. On their manufacturing processes, however, thermo-curing inherently produces the undesired thermal deformation mainly from temperature drop from the process temperature to the room temperature, so called spring-back. The spring-back must be removed to keep the precision of designed shape. In this research, the spring-back of {glass fiber / epoxy}+{carbon fiber / epoxy} unsymmetric hybrid composites were predicted using Classical Lamination Theory (CLT), and compared with the experimental data. Additionally, using finite element analysis (ANSYS), the predicted data and experimental data were compared. The predicted values by CLT and ANSYS were well matched with experimental data.

• Earthquakes and Structures
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• v.15 no.4
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• pp.351-360
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• 2018

Energy-based methodology is utilized to design novel timber-steel hybrid core wall system. The timber-steel core wall system consists of cross laminated timber (CLT), steel columns, angled brackets and t-stub connections. The CLT wall panels are stiff and strong, and ductility is provided through the steel t-stub connections. The structural system was modelled in SAP2000 finite element program. The hybrid system is explained in detail and validated using first principles. To evaluate performance of the hybrid core system, a 7-story building was designed using both forced-based design and energy based design (EBD) approaches. Performance of the structure was evaluated using 10 earthquakes records selected for 2500 return period and seismicity of Vancouver. The results clearly served as a good example of the benefits of EBD compared to conventional forced based design approaches.