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The Lived Experiences of Inpatients' Families in the Intensive Care Units (중환자실 입원환자 가족의 경험)

  • Hwang, Hye Nam;Kim, Kwuy Bun
    • Korean Journal of Adult Nursing
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    • v.12 no.2
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    • pp.175-183
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    • 2000
  • The study was done by applying a phenomenological study, which is qualitative research methods, in order to understand the meaning of the lived experiences, to confirm and describe the meaning structure, and to prepare nursing interventive strategies centering around the meanings of the inpatients' families in the intensive care units. In the study, the family members were the main important nursing providers for in the inpatients' who were admitted in the neurosurgical intensive care unit in K-university hospital and who agreed to participate in the study after being given on explanation about the purpose of the study. The data were collected from the seven participants who had feelings of trust and intimacy favorable toward the researcher as they were families of patients who had been cared for by the researcher in the ICU where the researcher has been assigned. The data were collected from April to October, 1999. The participants described their experiences as candidly as possible. The researcher described closely the lived experiences with their own words and the observations of the researcher. A tape recorder was used with the consent of the participants to prevent nursing information and communication. The analysis of the data was made through the phenomenological analytic method suggested by Giorgi; as an unit of description, which include the participants' expressions and the researcher's observations, the analysis was used based on the data described from the expressions of the participants and the details of observations of the researcher. The conclusions of the study were as follows : The meanings of the lived experience of the inpatients' families in the ICU was confirmed by indepth interviews and observations including these of the participatants : (1) Psychological impact: confusion, impatience, surprise, insensibility; (2) Physical suffering: fatigue, discomfort, indigestion; (3) Psychological suffering: heartbreaking emotion, anxiety, annoyance, fear, compassion, grief; (4) Economical suffering: economical difficulties; (5) Psychological disagreement: escape from reality, personnel avoidance, grudge, powerlessness, carefulness, transposition of life-tract, abandonment, role-crisis, hope, lack of understanding, regret, feeling of ambivalence(progressive process, medical personnel interest); (6) Psychological dependency; self-reliance group support, family support, religious support; (7) Psychological acceptance; acquaintance, gratitude, reassurance; The study will offer better understanding of experiences therefore, based on the experiences confirmed by the study, it may facilitate more appropriate nursing interventive strategies for health maintenance and to prevent occurrence of possible problems with the inpatients' families in the ICUs.

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The Healing Effects of Concentration Meditation(CM) on Mind-Body - Focusing on Meditation of Dhammakaya Temple - (집중명상(Concentration Meditation:CM)이 심신치유(心身治癒)효과에 미치는 영향 -태국 담마까야(Dhammakaya)사원 명상법 중심으로-)

  • Seo, Byung-Chan
    • The Journal of the Korea Contents Association
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    • v.20 no.2
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    • pp.534-546
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    • 2020
  • The purpose of this study is to prove the positive effect of mind and body healing through the modified meditation method of Southern Buddhism as a systematic practice to concentrate or empty consciousness of the Buddhist temple in Dhammakaya, Thailand. To investigate the effects of the program on the participants, the experimental measurement tools in this study include the Immeasurable scale, spirituality scale, simple mental test scale, and blood pressure scale, pulse meter, thermometer, and recorder. When the measured values were compared with the corresponding t-test, there were some differences before and after the measurements based on the significance probability p <0.05. As a result, there was a significant correlation between spiritual support scale and the Immeasurable scale. In addition, the results of analyzing the data through interviews showed that the body and physiologically effective concentration was well after the meditation experience, and the intention to actively utilize this meditation method was confirmed. In this study, it was confirmed that there was a positive effect of the Samata practice method of Concentration meditation(CM), and thus the theoretical and experimental effects of intensive meditation were presented. I hope that these studies will accumulate and follow-up studies will be conducted through intensive meditation as a healing effect.

A Study of the Lived Experiences of Clients Receiving Long-Term Hemodialysis (장기 혈액투석 수혜자들의 생활경험에 관한 연구)

  • 신미자
    • Journal of Korean Academy of Nursing
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    • v.27 no.2
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    • pp.444-453
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    • 1997
  • The purpose of this study was to construct a grounded theory as the basis for nursing intervention by describing and analysing the holistic lived experiences of clients receiving long-term hemodialysis. The subjects of this study were fifteen persons receiving regular hemodialysis regimen at artificial kindey treatment centers in two different university hospitals, and who were able to participate in conversation and were available for long and dup interviews. Eight of the subjects were male and seven were female and their ages ranged from 30's to 60's. The length of the hemodialysis experience ranged from two months to six years. The collection and analysis of data were done in accordance with the grounded theory methodology of Strauss & Corbin. The method to collect the data mainly depended. on long and deep interviews, participant observation and focused group interviews and the equipment used to collect data were a portable tape recorder and field notes. The study is summarized as follows : 1. The meaning of holistic lived experiences of clients receiving long -term hemodialysis was found to be uncertainty. which was identified as the core category. 2. The main categories following the core category were found to be shock, ambiguity, social support and quality of life. 3. Through the main category the type of behavior newly formed by clients receiving long-term hemodialysis was found to be as follows. That is to say, in the circumstances of shock caused by the identified fact and the ambiguity of hemodilysis they formed a quality of life based on social support, which was found to be a kind of chaotic phenomenon. 4. The lived experiences of clients receiving long-tern hemodialysis was found to include nine categories : emotional shock, feelings of isolation, burden, unclearness, dependency, help from others, coping strategies, maintenance of self-esteem and transitional life. 5. The intervening factors influencing each category are as follows : 1) The factors influencing 'emetional shock' were found to be set age, the level of knowledge received in advance, locus of control, the period of struggle against the disease before hemodialysis and whether any serious illness existed. 2) The factors influencing 'feelings of isolation' were found to be religion and the length of the hemodialysis experience. 3) The factors influencing 'burden' were found to be sex, economic situation, employment status and the length of the hemodialysis experience. 4) The factors influencing 'unclearness' were found to be sex, age, religion. economic situation, the length of the hemodiaysis experience, whether they had had a transfusion and whether there were any complications. 5) The factors influencing 'help from others' were found to be religion. economic situation, past experiences and whether family members lived together. 6) The factors influencing 'coping strategies' were foung to be age, level of education, experiences of illness and locus of control. 7) The factors influeruing 'maintenance of self-esteem' were found to be the length of the hemodialysis experience and self-actualization. 8) The factors influencing 'transitional life' were found to be age, religion, economic situation, employment status. locus of control. past experiences and whether there was a plan for a kidney transplant.

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TV Anytime Forum 규격 및 현황

  • 이석필
    • Communications of the Korean Institute of Information Scientists and Engineers
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    • v.20 no.5
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    • pp.17-22
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    • 2002
  • 만약 사용자가 원하는 멀티미디어 콘텐츠를 원하는 시간에 TV를 통해서 볼 수 있게 된다면, 다시 말해서 보고 싶을 때, 보고 싶은 방송을 포함한 멀티미디어 콘텐츠를 원하는 시간에 바로 볼 수 있게 된다면 사용자는 방송시간에 맞추어 TV를 보지 않아도 되고 원하는 콘텐츠를 검색하느라 시간을 보낼 필요도 없어질 것이다. 예약 녹화의 경우에는 시간정보를 가지고 미리 예약을 해야 하는 경우이므로 이와는 다른 경우라 하겠다. 이러한 서비스는 바로 디지털 콘텐츠와 이를 가정에서 저장할 수 있는 장치의 발달이 바탕이 되고 있다.(표 1 생략, 원문이미지 참조) 표 1은 영국의 BBC사에서 1998년에 조사한 자료로 디지털 멀티미디어 데이터를 저장하고 재생할 수 있는 저장장치의 가격과 용량의 전망을 나타낸다. 여기에서 데이터는 5.5 Mbps급의 MPEG-2 스트림을 기준으로 하였다. 표 1에서 보수적 견해는 매 18개월마다, 현실적 견해는 매 10개월마다 동일 가격의 용량이 2배가 되는 것으로 계산한 것이다. 여기서 보듯 저장장치의 가격 대비 성능이 갈수록 나아지고 있어 가정에서 멀티미디어 콘텐츠를 저장할 수 있는 가정용 서버의 등장이 멀지 않았음을 보여준다. 1999년 가을에 활동을 접은 DAVIC의 마지막 활동이 바로 이러한 저장장치를 이용한 "TV Anytime Service"였다 . Anytime Ser vice란 저장장치를 통해 사용자가 원하는 콘텐츠를 저장해 놓았다가 사용자가 원하는 시간에 언제나 볼 수 있다는 개념이다. 이를 소비자관점에서 보면 Personalized service라고 할 수 있다. 이어 1999년 여름에 창설이 된 "TV Anytime Forum"이라는 단체에서 이러한 저장장치를 이용한 서비스를 위한 환경을 구축하고 있다. TV Anytime Forum은 가정에서 저장장치가 있는 단말인 PDR(Personal Digital Recorder)을 이용한 서비스, 즉 Anytime Service 위한 응용을 가능하게 하기위한 콘텐트 개발자에서부터 가전기기에 이르는 분야에서 Interoperable한 규격을 만들어 보자는 것이 그 목적이다. 특히 여러가지 디지털미디어 전달방식, 예를 들어 DVB, ATSC, ARIB 등에 독립적인 규격을 만드는 것을 원칙으로 하고 있다. 1999년 7월에 첫 번째 회의를 하면서 설립이 되었다. 2001년 말 기준으로 BBC, NHK, Microsoft, Sony, IBM, Phillips, NTT, Intel, Canal+, Tivo, 대우전자, 삼성전자, LG전자, KETI, ETRI 등 콘텐츠 사업자, 방송업자, 네트웍 사업자, 가전업체, 소프트웨어 개발회상에 이르기까지 총 157개 회원사로 구성되어 있으며 년 6회 회의를 개최한다. 2000년 11월에는 서울에서 회의를 개최하였으며 2003년 6월에 다시 한국에서 개최하기로 확정되어 있다. 본 글에서는 이러한 Anytime Service 환경이 구축되었을 때의 각 산업별로 얻을 수 있는 이득에 대해서 알아보고 TV Anytime Forum의 각 Working Group들의 작업 내용들, 그리고 지난 1월에 열렸던 15차 회의의 결과들에 대해서 살펴보고 국내의 TV Anytime 활동에 대해서 간단하게 소개하고 마치도록 하겠다. 현재 디지털 방송기술, 비디오 스트리밍 기술이나 MPEG 등과 같은 기술수준으로도 충분히 이러한 서비스를 시작할 수 있으며 소비자들도 이러한 욕구를 서서히 느끼고 있다. 정보와 서비스를 선택할 수 있게 만들자는 목표를 설정하고 있다. 이러 목표는 통신$.$컴퓨터$.$멀티미디어 기술발전으로 가능하게 되었다.

A STUDY ON THE THERMAL DIFFUSION THROUGH VARIOUS THICKNESS OF BASE AND RESTORATION MATERIALS (수복물(修復物)과 양장재(襄裝材)의 열확산(熱擴散)에 관(關)한 연구(硏究))

  • Yoon, Dong-Ho;Park, Sang-Jin;Min, Byung-Soon;Choi, Ho-Young
    • Restorative Dentistry and Endodontics
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    • v.11 no.1
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    • pp.77-88
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    • 1985
  • The purpose of this study was to examine the thermal diffusion through bases and restorations. The three principle types of base and two restorative materials were included in this study. They were representive brands of a zinc phosphate cement, a zinc oxide-eugenol cement, a calcium hydroxide paste, an amalgam and a composite resin (table 1). The specimens were prepared by placing the bases or restorative materials in laminated plastic molds. 5-mm diameter holes were prepared in the center of square of plastics which were 0.5, 1.0, 2.0, and 3.0mm thick respectively (fig. 1). All materials were manipulated in accordance with manufacturer's recommended proportions. All experimental procedures were carried out dividing them into eight different groups (table 2). Thermal diffusion was measured by means of digital thermometer (DP-100, RKC. instrument Inc. JAPAN) with the surface thermocouple placed on bottom surface of the specimen applying a constant source of heat and cold to the top surface of the each specimen. The thermal stimulus temperature applied on the each specimen surface was in the range of $60^{\circ}C$, $0^{\circ}C$ and $-50^{\circ}C$ respectively. The thermal change were recorded automatically on the multi-Pen recorder (R-16, Rikadenki, Co. JAPAN) connected with thermocouple tips which were centered on the bottom of the specimen. The following results were as follows, 1. Temperature diffusion was highest through amalgam and slowest through the composite resin. 2. As the thickness of restorations increased, the temperature change was decreased. 3. Thermal diffusion was slowest in the presence of zinc oxide-eugenol bases, followed by calcium hydroxide and zinc phosphate cement. 4. The efficiency of the cement bases in providing thermal insulation was dependent on their thickness beneath the restorations. 5. Thermal change was great in the range of $60^{\circ}C$ and $-50^{\circ}C$, but little in the range of $0^{\circ}C$.

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Characteristics of Vocalizations of Laying Hen Related with Space in Battery Cage (케이지 내 사육 공간의 차이에 따른 산란계의 음성 특성)

  • Son, Seung-Hun;Shin, Ji-Hye;Kim, Min-Jin;Kang, Jeong-Hoon;Rhim, Shin-Jae;Paik, In-Kee
    • Journal of Animal Science and Technology
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    • v.51 no.5
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    • pp.421-426
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    • 2009
  • This study was conducted to clarify the characteristics of vocalization of laying hen related with space in battery cage. The size of cages were classified into control (0.30 m ${\times}$ 0.14 m ${\times}$ 0.55 m, length ${\times}$ width ${\times}$ height), small (0.21 m ${\times}$ 0.14 m ${\times}$ 0.55 m) and large (0.30 m ${\times}$ 0.30 m ${\times}$ 0.55 m) size. Vocalization of 16 individuals of laying hen in each group of Hy-Line Brown (80 week old) were recorded 3 hours per day (10:00am~11:00am, 3:00pm~4:00pm and 7:00pm~8:00pm) using digital recorder and microphone during October 2008 and February 2009. Characteristics of frequency, intensity and duration of vocalization were analyzed by GLM (general linear model) and Duncan's multi-test. There were differences in basic and maximum frequency, and intensity based on analysis of spectrogram and spectrum among different cage sizes. Vocalization of laying hen would be one of the indicators to understand the stress caused by rearing space in batter cage.

Experimental Studies on the Metabolism of Metoclopramide: The Effects of a Few Stabilizers (Metoclopramide의 생체내대사(生體內代謝)에 미치는 안정제(安定劑)의 영향에 관한 실험적(實驗的) 연구(硏究))

  • Jee, Ung-Kil
    • Journal of Pharmaceutical Investigation
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    • v.9 no.2
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    • pp.11-21
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    • 1979
  • It has been reported from our department that a few agents, such as $K_2S_2O_5,\;NaHSO_3,$ nicotinamide have a marked stabilizing effect in vitro on metoclopramide which is relatively unstable compound. In order to study the effect of these stabilizers on the action of metoclopramide in vitro, the fate of this compound combined with $K_2S_2O_5,\;NaHSO_3$ and nicotinamide, respectively, was studied and furthermore, the change of the biological activity of metoclopramide due to these stabilizers was studied by using the isolated stomach strip of rat. The blood concentration of metoclopramide was measured by using Bakke's method at the various time after intravenous injection of the mixed metoclopramide solution with the stabilizers. In order to study the excretion of the drug, rabbits were anesthesized and catheterized into bladder for withdrawal of urine. After intravenous injection of the mixed metoclopramide solution, urine was collected for 5 hours and the conjugated forms of metoclopramide as well as the free form were determined by using Arita's method. In the biological study of the metoclopramide combined with stabilizers, the contractability of the isolated rat stomach strip was observed by using polygraph recorder. The results were following: 1. When metoclopramide was administered with nicotinamide as stabilizer, the blood concentration of the unchanged from and the rate of the clearance of this compound were very similar to that of metoclopramide alone. On the other hand, other stabilizers, $K_2S_2O_5\;and\;NaHSO_3$, brought about 40% decrease in blood concentration of the unchanged form at 15 min after intravenous injection however, the rate of clearance of metoclopramide with $K_2S_2O_5\;or\;NaHSO_3$ was very slow. 2. In the case of urinary excretion, the excretory pattern of the metabolites of metoclopramide with $NaHSO_3$ or nicotinamide was very similar to that of metoclopramide alone. But metodopramide plus $K_2S_2O_5$ group showed the maked depression of excretion for first 1 hour. 3. In composition of metabolites, when metoclopramide was administered with $K_2S_2O_5$ or $NaHSO_3$, the sulfonate conjugation was predominant. But the glucuronic acid conjugation was predominant in metoclopramide plus nicotinamide gronp. 4. In the experiments on the biological activity of the metoclopramide, this compound exhibited the marked contracting effect in isolatd rat stomach strip. Specially, the meetoclopramide combined with $K_2S_2O_5$ showed the strong contraction of the isolated strip, suggesting the potenciating effect of $K_2S_2O_5$ on the action of metoclopramide in the isolated strip.

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Studies on the Improvement of the Productivity of the Purse Seine Fishery - The characteristics on the motion of purse seine in the experimental operation of one boat system - (선망어업의 생산성 향상에 관한 연구 - 단선식 시험조업에 있어서 선망의 운동특성 -)

  • 김석종;최찬문;정용진
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.39 no.2
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    • pp.99-111
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    • 2003
  • The fundamental studies on the productivity improvement of the purse seine fishery are presented in this paper. The experiment on net shooting and hauling was carried out in the near sea of Jeju Island (33$^{\circ}$37.8' N, 126$^{\circ}$31.1' E) by using the Cheju national university training ship (A-Ra, 990tons) which was constructed for the one boat system operation of purse seine. The corkline and leadline of the purse seine used for the experiment were 829.1m and 995.7m in length, respectively. Micro data recorder system, net sonde, and tensiometer were used to measure the depth of leadline and the tension of purse seine. Based on the measurement data, the motion and tension of purse seine at the time of shooting, hauling, and pursing were characterized. The experimental results are summarized as follows ; 1. The shooting and hauling of net were found to be possible in the one boat system experimental operation. 2. At the time of purse seine shooting, the relationship between the depth (Dp) of leadline and elapsed time (Et) was found to be Dp=7.58Et-6.48. 3. At the time of pursing, the relationship between the depth (Dp) of leadline and elapsed time (Et) was found to be Dp=-0.8Et$^2$+7.42Et+92.04. 4. At the time of pursing, the tension (metric tons) of purse seine attained its maximum value (14.7tons) when the elapsed time is 8 minutes. The relationship with the elapsed time was found to be T=-0.13Et$^2$+3.23Et-5.72.

A Comparison of Acoustic Parameters between Vocal Fold Bowing and Vocal Fold Polyp (궁형성대와 성대폴립 간의 음성 비교)

  • Kang, Young-Ae;Yoon, Yeo-Hoon;Yoon, Kyu-Chul;Seong, Cheol-Jae
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.22 no.1
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    • pp.40-46
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    • 2011
  • Background and Objectives : Vocal fold bowing is an organic voice disorder that is associated with an abnormal structure of the vocal folds whereas vocal fold polyp is a functional voice disorder caused by an abnormal use of the vocal folds. Both types of vocal folds share a common property in that they make one's voice breathy or strained. The purpose of this study is to compare voice from two types of vocal folds and to offer information of clinical importance. Materials and Method: Vocal fold bowing and vocal fold polyp groups consisted of 7 male subjects, respectively. All subjects recorded /a/ in the state of measuring MPT (maximum phonation time), repeating 3 times, by a voice recorder (48 kHz sampling rate; 24 bit quantization). They answered the questions of K-VHI. Time domain parameters (such as perturbation parameters including HNR, Jitter, etc.) were calculated for the whole duration of /a/ and those of the frequency domain were measured in initial 40 ms and stable 40 ms of /a/, respectively. Mann-Whitney V-test was used for the time domain parameters and K-VHI survey, and Wilcoxon signed rank test was applied to the frequency domain parameters (H1, H2, H1-H2). Results: For K-VHI survey and the time domain analysis, there was no significant difference between bowing and polyp group. For frequency domain analysis, H1 and H2 showed a significantly different result between two groups. Vocal fold bowing group has longer duration and lower intensity than that of vocal fold polyp group in the 'aspirated interval', which could be observable prior to ordinary vowel oscillation. Conclusion: Both groups seem to show breathy voice. This could be referred on the basis of the value of H1-H2. The K-VHI survey says that subjects with vocal fold bowing feel more uncomfortable than subjects with vocal fold polyp.

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Analysing the Differences in the Patterns of their Decision-Making and Personalities of Discourses for Socio-Scientific Issues as Argumented by Pre-Service Biology Teachers (의사결정 유형 및 성격특성에 따른 예비생물교사들의 SSI(Socio-Scientific Issues) 토론 담화 차이 분석)

  • Choi, Go-Eun;Cha, Heeyoung
    • Journal of The Korean Association For Science Education
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    • v.38 no.5
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    • pp.739-751
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    • 2018
  • The purpose of this study is to identify the differences of argumentation discourses for Socio-Scientific Issues in the types of decision-making and personality traits of pre-service biology teachers. For this study, SSI discussion topics were selected according to four types of decision making: logical reasoning, suggestion of complement, emotional base, and internal conflict. Three groups were constructed based on personality traits such as extroversion, acceptability, and integrity. Each three group used the workbook specially developed and freely used the smart device for discussion. A recorder and a camcorder were used to record each group, their behavior was recorded and the written materials during the discussion were collected for the results. Using Walton's analysis framework, the collected data analyzed in terms of the source of utterance, the process of dialogue shift, and the critical movements that can judge the reasoning of utterance. As a result of the study, it was confirmed that the decision-making type of SSI topics and learners' personalities were influential in the decision-making process of SSI small group discussions. This research shows that there is a need to develop instructional materials considering decision-making types and learners' personality types of students as well as pre-service teachers for SSI discussion.