• Journal of Digital Convergence
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• v.19 no.6
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• pp.399-408
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• 2021

The purpose of this study was to determine the effects of simulation-based practice and clinical practice on nursing students' critical thinking disposition and nursing process confidence. This study is a quasi-experimental design using the non-equivalent control group pretest-posttest only design, targeting 103, 4th grade(51=control group, 52=experimental group) in the Department of Nursing at D University. The collected data were analyzed using the SPSS/WIN 23.0 program, and the main research results are as follows. Students who experienced simulation-based practice showed significant improvement in critical thinking tendencies(t=-3.28, p=.001) compared to those who experienced clinical practice. There was no significant difference in nursing process confidence (t=-1.78, p=.079), but it was significantly higher in actual application, collaborative contsistency, and nursing contsistency. As a result, There were no significant difference in some, but it was contfirmed that simulation-based practice improved the critical thinking disposition and nursing process confidence in of nursing students. In addition to clinical practice, it is considered necessary to study simulation-based practice using repetitive practice and standardized patients in a free simulation practice environment.

• Transactions of the Korean Society of Mechanical Engineers B
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• v.22 no.11
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• pp.1610-1624
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• 1998

An axisymmetric jet is forced with two helical fundamental waves of identical frequency spinning in opposite directions and an additional axisymmetric sub harmonic wave. The subharmonic component rapidly grows downstream from subharmonic resonance with the fundamental, significantly depending on the initial phase difference. The variations of the subharmonic amplitude with the initial phase difference show cusp-like shapes. The amplification of the sub harmonic results in 'vortex pairing of helical modes'. Furthermore, azimuthal variation of the amplification induces an asymmetric jet cross-section. When the initial subharmonics is imposed with an initial phase difference close to a critical value, the jet-cross section evolves into a three-lobed shape. One lobe is generated by the enhanced vortex pairing and the other two lobes are generated by the delayed vortex pairing. Thus, it is confirmed that the initial phase difference between the fundamental and the subharmonic plays an important role in controlling the jet cross-section.

• Journal of the Korean Operations Research and Management Science Society
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• v.26 no.4
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• pp.1-21
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• 2001

The purpose of this stuffy is to derive critical success factors for ERP system implementation by integrating managerial, technical. human resource and organizational culture factors welch have been proposed as influencing factors for the performance of ERP system implementation in previous studios. Especially, this stuffy divides ERP system implementation process into preparation stave, implement stage and settle-down and stabilization stave, and then derives critical success factors in each stage. The data for empirical analysis of the research model are collected from 64 companies and the respondents for questionnaire consist of ERP system implementation project managers and user department managers in companies which have already operated it after ERP system installation. The main results of this study are as follows. First, it derives 27 success factors through comprehensive review of various factors which may affect ERP system implementation performance, and categorizes them into one of three stapes preparation stave, implement stage, and settle-down and stabilization stage. Second, the relationship between many success factors at each stave (preparation stave, implement stage, and settle-down and stabilization stave) and performance variables is tested. As a result, the significant correlations between many success factors at each stage and ERP system implementation performance are found, and the difference among success factors in the degree of influencing the system performance is significantly shown. finally, the relationship between process-oriented performance variables and result-oriented performance ones is tested. As a result, it is found that there is significant correlation between process-oriented performance variables except for one variable-project resource management appropriateness - and result-oriented performance ones. The theoretical contribution of this study is to derive a comprehensive model of critical success factors for implementing ERP system project from the system deve1opment life cycle perspective, and empirically test it through field survey with a wide range of data collection. And, the practical implication of this study is to present the desirable guidelines for performing ERP system implementation project successfully.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.15 no.3
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• pp.1515-1521
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• 2014

This study applies simulation-based education and care for acute myocardial infarction nursing students to investigate the effect of critical thinking, problem solving, and academic achievement of a single group before and after the raw experimental design. A total of 137 subjects were arbitration period September-October 2011, enforcement and arbitration were evaluated after simulation-based training six weeks total. Data analysis was performed using SPSS Win17.0, Paired t-test, the mean and standard deviation, Pearson's correlation coefficient was used. Research results of simulation-based training program to improve critical thinking, problem solving, and academic achievement were As increase critical thinking and problem solving ability was improved. whereas, Critical thinking skills and problem solving ability was no significant difference with academic achievement. Simulation-based training program to improve the practical skills of nursing students learning was found how useful it, that there is a need to take advantage of hands-on training in a variety of cases that can be common in the field of clinical scenarios developed by. To do this, It seems to be necessary to the development and operation more varied and appropriate hands-on training method.

• Journal of the Korean Institute of Electrical and Electronic Material Engineers
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• v.20 no.7
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• pp.626-630
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• 2007

The AC loss is an important issue in the design of the high temperature superconductor (HTS) power cables and fault current limiters. In these applications, a cylindrical HTS conductor is often used. In commercialization of these apparatuses, AC loss is a critical factor but not elucidated completely because of complexities in its measurement, e.g. non-uniform current distribution and phase difference between currents flowing in an individual HTS tape. We have prepared two cylindrical conductors composed of a Bi-2223 tape with different critical current density. In this paper, the AC loss characteristics of the conductors have been experimentally investigated and numerically analyzed. The result show that the measured losses for two conductors are not dependent on both arrangements and contact positions of a voltage lead. This implies that most of loss flux is only in the conductors. The loss for the Bi-2223 conductor with low critical current density is in good agreement with the calculated loss from Monoblock model, whereas the loss measured for the Bi-2223 conductor with high critical current density doesn't coincide with the loss calculated from the Monoblock model. The measured loss is also different from numerically calculated one based on the polygon model especially in low transport current.

• Journal of Trauma and Injury
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• v.34 no.3
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• pp.155-161
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• 2021

Purpose: The coronavirus disease 2019 (COVID-19) pandemic has necessitated a redistribution of resources to meet hospitals' service needs. This study investigated the impact of COVID-19 on a regional trauma center in South Korea. Methods: We retrospectively reviewed cases of polytrauma at a single regional trauma center in South Korea between January 20 and September 30, 2020 (the COVID-19 period) and compared them to cases reported during the same time frame (January 20 to September 30) between 2016 and 2019 (the pre-COVID-19 period). The primary outcome was in-hospital mortality, and secondary outcomes included the number of daily admissions, hospital length of stay (LOS), and intensive care unit (ICU) LOS. Results: The mean number of daily admissions decreased by 15% during the COVID-19 period (4.0±2.0 vs. 4.7±2.2, p=0.010). There was no difference in mechanisms of injury between the two periods. For patients admitted during the COVID-19 period, the hospital LOS was significantly shorter (10 days [interquartile range (IQR) 4-19 days] vs. 16 days [IQR 8-28 days], p<0.001); however, no significant differences in ICU LOS and mortality were found. Conclusions: The observations at Regional Trauma Center, Pusan National University Hospital corroborate anecdotal reports that there has been a decline in the number of patients admitted to hospitals during the COVID-19 period. In addition, patients admitted during the COVID-19 pandemic had a significantly shorter hospital LOS than those admitted before the COVID-19 pandemic. These preliminary data warrant validation in larger, multi-center studies.

• Tuberculosis and Respiratory Diseases
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• v.84 no.3
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• pp.217-225
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• 2021

Background: Despite the proven benefits of dexamethasone in hospitalized coronavirus disease 2019 (COVID-19) patients, the optimum time for the administration of dexamethasone is unknown. We investigated the progression of COVID-19 pneumonia based on the timing of dexamethasone administration. Methods: A single-center, retrospective cohort study based on medical record reviews was conducted between June 10 and September 21, 2020. We compared the risk of severe COVID-19, defined as the use of a high-flow nasal cannula or a mechanical ventilator, between groups that received dexamethasone either within 24 hours of hypoxemia (early dexamethasone group) or 24 hours after hypoxemia (late dexamethasone group). Hypoxemia was defined as room-air SpO₂ <90%. Results: Among 59 patients treated with dexamethasone for COVID-19 pneumonia, 30 were in the early dexamethasone group and 29 were in the late dexamethasone group. There was no significant difference in baseline characteristics, the time interval from symptom onset to diagnosis or hospitalization, or the use of antiviral or antibacterial agents between the two groups. The early dexamethasone group showed a significantly lower rate of severe COVID-19 compared to the control group (75.9% vs. 40.0%, p=0.012). Further, the early dexamethasone group showed a significantly shorter total duration of oxygen supplementation (10.45 days vs. 21.61 days, p=0.003) and length of stay in the hospital (19.76 days vs. 27.21 days, p=0.013). However, extracorporeal membrane oxygenation and in-hospital mortality rates were not significantly different between the two groups. Conclusion: Early administration of dexamethasone may prevent the progression of COVID-19 to a severe disease, without increased mortality.

• Acute and Critical Care
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• v.33 no.4
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• pp.238-245
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• 2018

Background: Infection by multidrug-resistant (MDR) pathogens leads to poor patient outcomes in intensive care units (ICUs). Contact precautions are necessary to reduce the transmission of MDR pathogens. However, the importance of the surrounding environment is not well known. We studied the effects of ICU relocation on MDR respiratory pathogen detection rates and patient outcomes. Methods: Patients admitted to the ICU before and after the relocation were retrospectively analyzed. Baseline patient characteristics, types of respiratory pathogens detected, antibiotics used, and patient outcomes were measured. Results: A total of 463 adult patients admitted to the ICU, 4 months before and after the relocation, were included. Of them, 234 were admitted to the ICU before the relocation and 229 afterward. Baseline characteristics, including age, sex, and underlying comorbidities, did not differ between the two groups. After the relocation, the incidence rate of MDR respiratory pathogen detection decreased from 90.0 to 68.8 cases per 1,000 patient-days, but that difference was statistically insignificant. The use of colistin was significantly reduced from 53.5 days (95% confidence interval [CI], 20.3 to 86.7 days) to 18.7 days (95% CI, 5.6 to 31.7 days). Furthermore, the duration of hospital stay was significantly reduced from a median of 29 days (interquartile range [IQR], 14 to 50 days) to 21 days (IQR, 11 to 39 days). Conclusions: Incidence rates of MDR respiratory pathogen detection were not significantly different before and after ICU relocation. However, ICU relocation could be helpful in reducing the use of antibiotics against MDR pathogens and improving patient outcomes.

• Journal of the Korea Convergence Society
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• v.12 no.11
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• pp.467-473
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• 2021

The purpose of this study is to confirm the effect of health assessment classes applied with flip learning on self-directed learning ability, critical thinking disposition, and academic self-efficacy of nursing students. This is a comparative study before and after a single group, targeting sophomore students taking a health assessment by applying flip learning at a nursing college in K city, Gyeongsangbuk-do. The final analysis consisted of 104 subjects, and the pre-post difference was analyzed by a paired sample test. As a result, self-directed learning ability (t=-3.23, p<.01), critical thinking disposition (t=6.381, p<.001), and academic self-efficacy (t=-4.62, p<.001) were all statistically significantly increased. Based on the results of this study, it was confirmed that the flip-learning method is an effective program to enhance the self-directed learning ability, critical thinking ability, and academic self-efficacy of nursing students. In the long run, the application of the flipped learning learner will play a role in improving the educational environment and strengthening the abilities of students.

• Quality Improvement in Health Care
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• v.7 no.1
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• pp.32-45
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• 2000

Background : Critical pathway is an optional sequencing and timing of interventions by physicians, nurses, and other staff for a particular diagnosis or procedure, designed to minimize delays and resource utilization, and to maximize quality of care; abbreviated versions of case management plans that show critical outcome and key incidents that occur in a predictable and timely fashion to achieve an appropriate length of stay. This study is to develop a critical pathway for vaginal delivery and cesarean section to assess the degree of contentment of the patients and medical personnel and to implement clinical application to see how we could meet the need to guide patients to achieve continuum of care. Method : Critical pathways were developed for normal vaginal delivery and casarean section. LOS(length of stay) target for vaginal delivery was 1 day after delivery & 5 days after C-section. It was distributed to the mother at the OPD and explained thoroughly. It was applied when patients got into the Labor & Delivery Floor. We applied total of 42 patients (30 normal deliveries & 12 C-sections) from February to March, 2000. We performed patient satisfaction survey to all 42 patients, 24 nurses, and 7 residents for internal customer satisfaction. Results : Twenty six patients out of 42 responded to the survey. Twenty one patients out of 26 answered satisfactory. Eighty four percent of 21 respondents replied Critical pathway worked very well. Treatment column got the most compliance. Eleven out of 31 employees thought critical pathway is very helpful for the patient care. Eighteen people didn't see any difference. In their opinion, treatment got the least compliance, which is the contrary to patients opinion. Fifty eight percent of respondents thought that critical pathway can expedite early discharge. Conclusion : Patient satisfaction was higher than we expected but we still need to revise the form. It is recommended to analyze the cost and variance check in the future.