• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.3
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• pp.460-468
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• 2017

The purpose of this study was to compare the effects of class-based and simulation-based CPR education for the rural elderly on their attitudes toward CPR, self-efficacy, and satisfaction. Using a quasi-experimental design with a nonequivalent control group, this study used a pretest-posttest method with a sample of 43 elderly people aged 65 or older in rural areas. The twenty-two elderly people in the control group received class-based CPR education, while the experimental group underwent both class-based and simulation-based education. Both groups were given surveys to complete before and after the education. The statistical analysis was based on the $X^2$-test, Fisher's exact test, paired t-test, and ANCOVA. The study found no significant differences between the two groups in terms of their attitudes (F=0.89, p=.353). However, statistical differences were found in the self-efficacy (F=5.54, p=.025) and satisfaction (F=4.66, p=.039) between the two groups. This study provides the baseline data indicating that the education methods implemented in this study were effective for the elderly living in rural areas. Thus, it is necessary to make efforts to ensure that the elderly are able to manage emergency situations by boosting their CPR self-efficacy and educational satisfaction through simulation-based education.

• Nuclear Engineering and Technology
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• v.29 no.6
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• pp.49-59
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• 1997

본 기술 보고는 임계 열유속(Critical Heat Flux; CHF)을 예측하기 위해 사용되고 있는 상관식의 형태와 적용 방법, 이에 따른 예측 오차와 여유도의 변화 등을 종합적으로 분석한다. CHF 현상에 대해서는 지난 반 세기 동안 발생 메커니즘, 예측 모델, 설계에의 적용 방법 등에 대한 연구가 광범위하게 수행되어 대부분의 운전 조건에 대해 신뢰할만한 예측 모델들이 확립되어 있다. 그러나 예측 모델의 이용에서 가장 중요한 기준이 되는 예측 오차의 의미가 잘못 이해되는 경우가 많으므로, 이 글에서는 예측 모델의 형태 및 적용 방법에 따라 예측 오차가 달라지는 원인을 명확하게 해석하고, 실제 계산을 통하여 예시하였다. 그리고 상관식 형태 및 이용 방법에 따라 임계 열유속비(Critical Heat Flux Ratio: CHFR)와 임계 출력비(Critical Power Ratio; CPR)가 어떠한 관계를 갖는가를 논의하였다.

• Journal of Chest Surgery
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• v.31 no.12
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• pp.1147-1158
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• 1998

Background: Portable cardiopulmonary bypass(CPB) technique has been used increasingly as a potent and effective option for emergency cardiopulmonary resuscitation(CPR) because it can maintain more stable hemodynamics and provide better survival than conventional CPR techniques. This study was designed to develop a prototype of Korean portable CPB system and, by applying it to CPR, to discriminate whether it would be superior to standard open-chest CPR. Material and Method: By using adult mongrel dogs, open-chest CPR(OCPR group, n=4) and portable-CPB CPR(CPB group, n=4) were compared with respects to restoration of spontaneous circulation(ROSC), hemodynamics, effects on blood cells, blood gas patterns, biochemical markers, and survivals. Ventricular fibrillation-cardiac arrest(VF-CA) of arrest(VF-CA) of 4 minutes followed by basic life support(BLS) of 15 minutes was applied in either group, which was standardized by the protocol of American Heart Association. Then, advanced life support(ALS) was applied to either group under the support of internal cardiac massage or CPB. ALS was maintained until ROSC was achieved but not longer than 30 minutes regardless of the presence of ROSC. All of the measured values were expressed as means±SD percent change from baseline. Result: During the early ALS, higher mean arterial pressure was maintained in CPB group than in OCPR group(90±19 vs. 71±32 %; p<.05) and lower mean pulmonary arterial pressure was also maintained in CPB group than in OCPR group(105±24 vs. 146±6%; p<.05). ROSC was achieved in all dogs. Post-ROSC levels of hematocrit, RBC, and platelet were decreased and plasma free hemoglobin was increased significantly in CPB group compared to OCPR group(p<.05). Changes in blood gas patterns, lactate, and CK-MB levels were not different between groups. Early mortality was seen in 3 dogs in OCPR group(survival time 31±36 hours) and 2 in CPB group(228±153 hours, p=ns). The remainders in both groups showed prolonged survival. Conclusion: These findings indicate that portable CPB can be effective to maintain stable hemodynamics during cardiac arrest, to achieve ROSC and to prolong survival. Further study is needed to refine the portable CPB system and to meet clinical challenges.

• Journal of the korean academy of Pediatric Dentistry
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• v.44 no.2
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• pp.243-255
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• 2017

Cardiopulmonary resuscitation (CPR) is an emergency treatment that stimulates blood circulation and breathing when the function of the heart stops or stops breathing. CPR can be divided by basic life support (BLS) and advanced life support (ALS). BLS involves the use of chest compression to force the blood flow to the main organs, rescue breathing to improve the breathing to the respiratory failure patient and the use automated external defibrillator (AED). The categories of advanced life support include advanced cardiovascular life support (ACLS) for adult and pediatric advanced life support (PALS) for children. In the treatment of dental care for children, which is extremely difficult to deal with, and for a variety of reasons, the use of sedation is considered to treat the children who are unlikely to cooperate with dentistry. This is why there is an increasing possibility of an emergency situation involving cardiac arrest. PALS includes the BLS, and it presents a systematic algorithm to treat respiratory failure, shock and cardiogenic cardiac arrest. In order to manage emergency situations in the pediatric dental clinic, respiratory support is most important. Therefore, mastering professional PALS, which includes respiratory care and core cases, particularly upper airway obstruction and respiratory depression caused by a respiratory control problem, would be highly desirable for a physician who treats pediatric dental patients. Regular training and renewal training every two years is necessary to be able to immediately implement professional skills in emergency situations.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.2
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• pp.261-269
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• 2018

This study was conducted to identify the effects of repeated cardiopulmonary resuscitation (CPR) training using smart learning on nursing students' knowledge, self-efficacy, and clinical competency. A quasi-experimental nonequivalent control group, pretest-posttest design was used. The subjects of the study were 102 nursing college students who had received CPR training for 6 months. The CPR training was divided into smart learning, lecture education, and practical education. Data were collected from November to December, 2016 and analyzed by descriptive statistics, ${\chi}^2$-test, t-test and one way ANOVA using the SPSS/WIN 21.0 program. The scores of cardiopulmonary resuscitation knowledge were higher in the lecture education group than the practical education group and the smart learning group. Scheffe's post hoc test revealed a statistically significant difference among groups (F=8.23, p=<.001). The self-efficacy of the practical education group was higher than that of the lecture education group and smart learning group, but this difference was not significant (F=2.46, p=.091). The clinical competency of the practical education group and smart learning group were higher than that of the lecture education group. Scheffe's post hoc test revealed that the value of clinical competency differed significantly among groups (F=59.90, p=<.001). Overall, the results showed that effective education differs based on nursing students' knowledge, self-efficacy, ad clinical competency. Combination training would be required for more effective repeated cardiopulmonary resuscitation training.

• Journal of Hospice and Palliative Care
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• v.16 no.1
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• pp.1-9
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• 2013

Purpose: The aim of this study was to investigate nursing students' awareness of biomedical ethics and attitudes toward death of terminal patients. Methods: A structured questionnaire was developed to examine nursing students' biomedical ethics. Their attitudes toward terminal patients' death were measured by using the Collett-Lester Fear of Death Scale. Surveys were conducted with 660 nursing students enrolled at a three-year college located in Daejeon, Korea. Data were analyzed using descriptive statistics, Wilcoxon rank sum test and Kruskall Waills test. Results: Students who have experienced biomedical ethics conflicts, agreed to prohibition of cardiopulmonary resuscitation (CPR) and have no religion exhibited more negative attitudes toward death compared to students without the above characteristics. Of the participants, 81.2% answered that life sustaining treatment for terminal patients should be discontinued and 76.4% replied that CPR on terminal patients should be prohibited. The majority of the correspondents stated that the two measures above are necessary "for patients' peaceful and dignified death". Conclusion: Study results indicate the need to establish a firm biomedical ethics value to help nursing students form a positive attitude toward death. It also seems necessary to offer students related training before going into clinical practice, if possible. The training program should be developed by considering students' religion, school year, experience with biomedical ethics conflicts and opinion about CPR on terminal patients. The program should also include an opportunity for students to experience terminal patient care in advance via simulation practice on standardized patients.

• Journal of the Korean Society of Marine Environment & Safety
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• v.29 no.7
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• pp.819-827
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• 2023

If respiratory arrest occurs or cardiopulmonary resuscitation (CPR) is performed for a long period on board ships, CPR with rescue breathing (not compression-only CPR) is required. Accordingly, ships must have resuscitation equipment for oxygen supply, and seafarers must have the maritime competence to use it. This study aimed to analyze the placement status of resuscitation equipment on ships and seafarers' intention to use them in order to increase the usability of resuscitation equipment on board ships and propose improvement measures. The study was conducted from February 2, 2023, to April 21, 2023, and a total of 340 seafarers were surveyed. The data were analyzed by frequency, percentage, and chi-square test using SPSS WIN 23.0. The results showed that the checking of resuscitation equipment was high among seafarers in the positions of officer, captain, deck department personnel, and ocean-going personnel. The intention of seafarers to use resuscitation equipment was low, and the main barrier was the lack of knowledge on how to use. Among the general characteristics of the study participants, those whose rank was that of officer or captain, whose working department was the deck, voyage who were ocean-going, and who managed a gross tonnage of 20,000 tons or more had a high intention to use resuscitation equipment. Participants who knew the necessity of rescue breathing and had received practice and equipment-based training were active in using resuscitation equipment. Therefore, a system should be developed so that all ships can be equipped with resuscitation equipment, and an environment must be created to increase accessibility to resuscitation equipment on board ships. In addition, an education system based on practical and resuscitation equipment training must be established to ensure that seafarers have maritime competence.

• Current Photovoltaic Research
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• v.2 no.4
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• pp.157-167
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• 2014

Colloidal quantum dot (CQD) solar cells have attracted great attention due to their cost-effectiveness and solution-processability, as well as their size-dependent optical and electrical properties. The power conversion efficiency of CQD solar cells has rapidly increased up to ~8.6%, which corresponds to the 3 - 4 fold improvement during the last 3 - 4 years. Up to now, there have been many pioneering results in CQD solar cells. Here, we review the recent progress of CQD solar cells including CQD synthesis strategy and device structure engineering.

• Current Photovoltaic Research
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• v.11 no.2
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• pp.58-65
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• 2023

The expanding significance of energy storage (ES) technology is increasing the acceptability of power systems by augmenting renewable energy supply. To deploy such ES technologies, we must select the optimal technology that meets the requirements of the system and confirm the technical and economic feasibility of the business model based on it. Herein, we propose a method and tool for selecting the optimal ES technology and service suitable for meeting the requirements of the system, based on its performance characteristics. The method described in this study can be used to discover and apply various ES technologies and develop business models with excellent economic feasibility.

• Proceedings of the Korea Water Resources Association Conference
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• 2012.05a
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• pp.265-265
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• 2012

한반도 지역의 강설(snowfall)은 전체 연 강수량의 약 10% 이하로 매우 적은 양을 차지하고 있다. 하지만 강설은 대기질(air quality)을 개선하고 산불 발생률을 저감시키며, 특히 봄철 수자원의 제공과 가뭄피해 경감 등 수문학적으로도 중요한 기능을 가진다. 하지만 최근 기후변화로 인해 폭설 현상이 빈번하게 발생하여 사회 경제적 손실을 유발하고 있다. 따라서 강설로 인한 피해를 최소한으로 줄이기 위해서는 정확한 강설탐지 및 강설 추정 방법이 필요하다. 최근 해외의 수많은 연구들을 통하여 수동 마이크로파 센서 자료를 활용한 강설 추정의 가능성이 확인되고 있다. 하지만 수동 마이크로파 센서의 휘도온도를 이용한 추정 방법들은 대기의 연직 구조 파악에 어려움이 있기 때문에 정확한 강설량을 추정하는 데에 한계가 있다. 그러나 2006년 발사된 CloudSat의 Cloud Profiling Radar는 강설의 연직 프로파일에 대한 가치 있는 정보를 제공하기 때문에 수동 마이크로파 센서 자료와의 결합을 통해 보다 정확한 강설 추정 알고리즘을 제시할 수 있을 것으로 판단된다. 따라서 본 연구에서는 CloudSat의 Cloud Profiling Radar (CPR) 자료와 수동 마이크로파 센서인 NOAA의 Microwave Humidity Sounder (MHS) 센서 자료를 결합하여 한반도 강설 추정에 적합한 알고리즘을 개발하고자 한다.