• 제목/요약/키워드: Critical level

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제왕절개술 환자에 대한 Critical Pathway 적용효과 (The effect of Critical Pathway on the patients with Cesarean section)

  • 정경희;주정란;정휴성
    • 간호행정학회지
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    • 제6권2호
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    • pp.211-225
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    • 2000
  • With the drastically changing healthcare market, the adoption of DRG system and the use of Critical Pathway will be increased gradually in order to care hospitalized patients qualitatively and manage cost-effectively in Korea. The purpose of this quasi-experimental research is to apply and analyze the developed critical pathway to the patients with Cesarean section. 35 eligible subjects for the control group were chosen from postpartum patients who has delivered at H-hospital in Kwang-ju, and were questioned after appling previous care plan from May to December, 1998. For the experimental group, 37 subjects were chosen and questioned after applying Critical Pathway service from January to June, 1999. The instruments are a critical pathway for the patients with Cesarean section developed by chung(1998) and a questionnaire that evaluate patients and family members' satisfaction level. Also, educational materials were used to inform them in the process of Critical Pathway application. As a result of chi-square test on general characteristics, there is significant difference between control group and experimental group only in terms of room size(p= .010). There are no significant differences in the average length of stay in the hospital between control group and experimental group(t=.078). Also, the average medical consult fee has no difference significantly between two groups(t= .105). The findings showed that the experimental group with critical pathway service scored significantly higher than control group on the satisfaction level toward care services(p=.000). The items are post-operative care, postpartum exercise technique, breast feeding and breast manage through educational materials. In conclusion, the research indicates that the application of planned Critical Pathway can have a positive impact on satisfaction level of inpatients with Cesarian section.

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돼지도축장의 생물학적 위해요소에 대한 중요관리점 설정 (A study on establishment of bio-hazard analysis and critical control point for pork slaughter house)

  • 옥천석;정지영;송은아;이성식
    • 한국동물위생학회지
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    • 제24권2호
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    • pp.117-126
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    • 2001
  • To ensure the safety of domestic livestock products, the government made it obligatory to enforce the hazard analysis critical control point(HACCP) in all domestic slaughterhouses. Under the HACCP, most of the hazards generated in slaughterhouses are bio-hazards, especially pathogenic bacteria. In order to reduce to the pathogenic bacteria, critical control point (CCP) is established and controled in the process of slaughter. A study was carried out to measure the level of bacterial contamination of swine carcass in 6 slaughterhouses selected. As a result, the aerobic plate counts(cfu/$\textrm{cm}^2$) of all samples was $10^2$-10 in average, except slaughterhouse C. The level of the aerobic plate counts on the surface of lower loin in slaughterhouse C was $10^4$ and it was considered that slaughterhouse C should set the process of manual transport of carcass as the CCP. Escherichia coli level was the highest in middle line cut surface. Especially, E coli level of slaughterhouses C and D were about 6.5- and 3.0-fold higher than that of other 4 slaughterhouses. Thus, it was considered that the slaughterhouses C and D should set the process of the entrails treatment as the CCP. The air contamination was measured at two point in a slaughterhouse. The air contamination level was 4-13 times higher than that of the standard Japanese slaughterhouses.

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Effects of Critical Thinking Strategies on Knowledge Acquisition, Learning Outcome and Student Satisfaction in Web-based Argumentation

  • BHANG, Sunhee
    • Educational Technology International
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    • 제13권1호
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    • pp.207-231
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    • 2012
  • The purpose of this study is to analyze the effects of Critical Thinking Strategy supporting argumentation activities between learners. The research question is whether the form of Critical Thinking Strategy offered to support meaningful interaction of collaborative argumentation between learners influences the knowledge acquisition, learning outcome, and student satisfaction. For this, the collaboration outcome of the group, the level of individual knowledge acquisition, the level of students satisfaction were measured as outcome of argumentation activity and their differences analyzed. This study concludes the following: A comparison of the group that was provided with Critical Thinking Strategy (test group) and the group provided with general argumentation scaffolds (compared group) showed there wasn't statistically significant differences in the quality of the learning outcome of collaboration between the groups and in students satisfaction. But there was significant difference in the degree of individual acquisition depending on the offering of scaffolding for Critical Thinking. Therefore, as premised in this study, supporting meaningful mutual interaction between learners during collaborative argumentation using Critical Thinking Strategy has a positive influence on the individual acquisition of domain knowledge. The group provided with scaffolding for Critical Thinking gained higher effect in the degree of knowledge sharing and individual acquisition of domain knowledge compared to the group provided with general argumentation scaffolding.

치위생 전공 학생의 문제해결능력과 비판적사고가 전공만족도에 미치는 영향 -비판적사고의 매개효과를 중심으로- (The Influence of Problem-solving ability and Critical thinking on the Major Satisfaction of Dental Hygiene Student -Focused on Mediating Effects of Critical Thinking-)

  • 엄숙;최유진;이병호
    • 한국융합학회논문지
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    • 제10권12호
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    • pp.151-158
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    • 2019
  • 본 연구는 치위생을 전공하는 학생들의 문제해결능력과 비판적사고 및 전공만족도 수준과 관련성을 파악하고 전공만족도에 문제해결능력과 비판적사고가 매개하여 미치는 영향을 파악하고자 시행하였다. 연구대상은 경상남북도에 위치한 치위생을 전공하는 259명을 대상으로 구조화된 설문지를 통해 자료를 수집하였다. 분석결과 연구대상자의 문제해결능력은 2.56점, 비판적사고는 2.58점이었고, 전공만족도 수준은 2.32점으로 나타났으며, 문제해결능력과 비판적사고 및 전공만족도는 서로 양의 상관관계가 있는 것으로 나타났다. 문제해결능력의 하부요인 중 해결책수행과 해결방안모색은 전공만족도를 향상시킬 수 있는 유의한 요인이었으며 비판적 사고의 하부요인 중 지적공정성, 지적열정/호기심, 체계성이 전공만족도를 향상시킬 수 있는 유의한 요인으로 나타났다. 또한 비판적사고는 문제해결능력과 전공만족도를 유의하게 매개하였다(β=.2602, BCCI [.0908~.4529]). 본 연구결과를 통해 치위생 교육은 문제해결능력과 비판적 사고를 향상시켜 전공만족도를 높일 수 있는 교육환경 구축과 더불어 교육 프로그램 개발이 필요하며 추후 그 효과를 확인하는 연구가 지속되어야 할 것으로 사료된다.

간호대학생의 비판적 사고능력에 영향을 미치는 개인요인과 학교요인 (Individual and School Factors Affecting Critical Thinking Ability among Nursing Students)

  • 신수진;박인희;황은희;정덕유;김건희
    • 의학교육논단
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    • 제20권1호
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    • pp.44-50
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    • 2018
  • The purpose of this study was to investigate factors associated with the critical thinking ability of nursing students at the individual and school levels. The study adopted a descriptive design and recruited 465 nursing students from four nursing schools from November 2014 to September 2015 through convenience sampling. The Clinical Critical Thinking Skill Test was used to measure critical thinking ability, and the data were analyzed with the SAS ver. 9.4 program (SAS Institute Inc., Cary, NC, USA) for descriptive statistics, t-test, analysis of variance, and multi-level model. The results showed that clinical practicum experience (${\beta}=-0.72$, p=0.025), taking critical thinking courses (${\beta}=0.63$, p=0.010), and taking simulation courses (${\beta}=0.56$, p=0.035) improved critical thinking ability in the individual level model. In the school level model, the interaction effect between the years of clinical practice done by the student and the presence of full-time clinical instructors was significant (${\beta}=1.29$, p=0.011). These results suggest that critical thinking ability improves with the more years of clinical practice individual nursing students have, and this improvement is greater with the presence of full-time clinical instructors in the school. Therefore, it is recommended that nursing students undergo critical thinking and simulation courses to develop their critical thinking ability, and dedicated clinical instructors in nursing schools should play a vital role.

A simplified approach for fire-resistance design of steel-concrete composite beams

  • Li, Guo-Qiang;Wang, Wei-Yong
    • Steel and Composite Structures
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    • 제14권3호
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    • pp.295-312
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    • 2013
  • In this paper, a simplified approach based on critical temperature for fire resistance design of steel-concrete composite beams is proposed. The method for determining the critical temperature and fire protection of the composite beams is developed on the basis of load-bearing limit state method employed in current Chinese Technical Code for Fire safety of Steel Structure in Buildings. Parameters affecting the critical temperature of the composite beams are analysed. The results show that at a definite load level, section shape of steel beams, material properties, effective width of concrete slab and concrete property model have little influence on the critical temperature of composite beams. However, the fire duration and depth of concrete slab have significant influence on the critical temperature. The critical temperatures for commonly used composite beams, at various depth of concrete and fire duration, are given to provide a reference for engineers. The validity of the practical approach for predicting the critical temperature of the composite beams is conducted by comparing the prediction of a composite beam with the results from some fire design codes and full scale fire resistance tests on the composite beam.

비판적 사고 성향과 기초간호과학 간의 관계 (The Relationship between Critical Thinking Disposition and Basic Nursing Science)

  • 김정애
    • 문화기술의 융합
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    • 제2권2호
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    • pp.9-15
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    • 2016
  • Objectives : The purpose of this study to investigate the Critical Thinking disposition in Nursing College students and related to ability of basic nursing science. Methods : Data were collected from 36 students who were students belong to one of province University. The instrument used in this study was California Critical Thinking Disposition Inventory(CCTDI) by Facione & Facione. The instrument was composed of 7 sub-items, truth-seeking, analyticity, systematicity, open-mindness, critical thinking, self-confidence, inquisitiveness, and maturity. The data were analyzed by descriptive statistics, t-test, ANOVA, Pearson Correlations with SPSS 12.0. Results : The result of this study were as follow; The average of total score in critical thinking disposition was 44.8, which means middle level(below 40: low, above 50: high level). Maturity was the highest while open-mindness was the lowest with an average score 5.01. There was significant difference between critical thinking and basic nursing science grade while there was no difference between age, gender, and religion. There was strongly relation between critical thinking disposition and basic nursing science(F=2.84, p=.01). Conclusion : According to the results of this study, nursing curriculum should be considered critical thinking disposition.

비대칭 초기 조건을 갖는 얕은 아치의 동적 불안정과 순시 주파수 변화 (Dynamic Instability and Instantaneous Frequency of a Shallow Arch With Asymmetric Initial Conditions)

  • 손수덕;하준홍
    • 한국공간구조학회논문집
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    • 제20권2호
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    • pp.77-85
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    • 2020
  • This paper examined the dynamic instability of a shallow arch according to the response characteristics when nearing critical loads. The frequency changing feathers of the time-domain increasing the loads are analyzed using Fast Fourier Transformation (FFT), while the response signal around the critical loads are analyzed using Hilbert-Huang Transformation (HHT). This study reveals that the models with an arch shape of h = 3 or higher exhibit buckling, which is very sensitive to the asymmetric initial conditions. Also, the critical buckling load increases as the shape increases, with its feather varying depending on the asymmetric initial conditions. Decomposition results show the decrease in predominant frequency before the threshold as the load increases, and the predominant period doubles at the critical level. In the vicinity of the critical level, sections rapidly manifest the displacement increase, with the changes in Instantaneous Frequency (IF) and Instant Energy (IE) becoming apparent.

타이어 요마크로부터 임계속도 추정의 불확실성 해석 (Analysis of Uncertainties in Estimation of Critical Speeds from Tire Yaw Marks)

  • 한인환
    • 한국자동차공학회논문집
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    • 제23권4호
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    • pp.361-370
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    • 2015
  • There will inevitably be errors and uncertainties in tire yaw mark related critical speed formula, which is derived merely from the relationship between the centrifugal force and the friction force acting on the point-mass vehicle. Constructing and measuring yaw marks through appropriate simulation works have made it possible to perform uncertainty analysis in calculation of critical speeds under variation of variety of conditions and parameters while existing yaw mark experimental tests have not performed properly. This paper does not present only the critical speed analysis results for parametric sensitivity and uncertainty of chord and middle ordinate, coefficient of friction and road grade, but also modeling uncertainty such as variation of braking level during turning and vehicle size. The yaw mark analysis methods and results may be now applied in practice of traffic accident investigation.

Guaranteed GNSS-based Road Charging Applications through User-Level Integrity

  • Mark, Audrey;Schortmann, Joaquin Cosmen;Olague, Miguel Angel Martinez;Merino, Miguel Romay
    • 한국항해항만학회:학술대회논문집
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    • 한국항해항만학회 2006년도 International Symposium on GPS/GNSS Vol.2
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    • pp.77-82
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    • 2006
  • Integrity plays a fundamental role in the feasibility of 'liability critical' applications. Road charging, e.g. road tolling in urban zones or on highways, represents a series of liability critical applications where a guarantee in integrity could be a true enabler: being the mechanism that prevents the incorrect charging of users and enabling the advancement of these applications using GNSS such as Galileo and EGNOS that provide integrity mechanisms. However, the integrity of the end user position is not guaranteed by the EGNOS and Galileo integrity services alone as provided. Algorithms have been developed to supply a guarantee on the performance attainable at the user level through the provision of a horizontal protection level that responds to local user conditions such as multipath or interference. In addition, an application has been developed that implements road charging mechanisms based on the availability of user-level integrity. Results obtained show that the user-level integrity algorithms provided the required level of integrity guarantee and granularity of the horizontal protection levels necessary for executing urban and rural (highway) road charging. In addition, the road charging application developed shows that the current application domain requirements can be met through the provision of guaranteed integrity and that further reductions in the horizontal protection levels along with increased signal availability will enable future road charging modalities.

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