• Tuberculosis and Respiratory Diseases
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• v.48 no.4
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• pp.500-512
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• 2000

Background : To evaluate the efficacy of two methods of obtaining lung recruitment to reduce ventilator-induced lung injury(VILI). Methods : Fifteen New-Zealand white rabbits were ventilated in the pressure-controlled mode while maintaining constant tidal volume(10 ml/kg) and fixed respiration rate. Lung injury was induced by repeated saline lavage (PaO2<100 mmHg), and the pressure-volume curve was drawn to obtain Pflex. The animals were then randomly assigned to three groups and ventilated for 4 hours. In the control group(n=5), positive end-expiratory pressure(PEEP) less than that of Pflex by 3 mmHg was applied throughout the study. In the recruitment maneuver(RM) group(n=5), RM(CPAP of 22.5 mmHg, for 45 seconds) was performed every 15 minutes in addition to PEEP level less than Pflex by 3 mmHg This phrase is unclear. In the Pflex group, PEEP of Pflex was given without RM. Gas exchange, lung mechanics, and hemodynamics parameters as well as pathology were examined. Results : 1) Both the control and RM groups showed decreasing tendency in PaO2 with time. There was significantly decreased PaO2 at 4 hr compared to Ihr(p<0.05). But in the Pflex group, PaO2 did not decrease with time(p<0.05 vs other groups at 3, 4 hr). PaCO2 did not show significant difference among the three groups. 2) There was no significant difference in static compliance and plateau pressure. Mean blood pressure and heart rate also did not show any significant difference among the three groups. 3) The pathologic exam showed significantly less neutrophil infiltration in the Pflex group than in the control group(p<0.05). There was borderline significant difference in hyaline membrane score among the groups (p= 0.0532). Conclusion : Although recruitment maneuver of the injured lung may be important in decreasing VILI, it alone may not be sufficient to minimize VILI.

• Quality Improvement in Health Care
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• v.7 no.1
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• pp.60-70
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• 2000

Background : The aim of this study was to examine the effectiveness of the critical pathway to diabetic patients who were admitted in the hospital. Methods : For establishment of critical pathway for diabetic patients, we organized the multidisciplinary care team. During 5 months, 31 diabetic inpatients were applied the critical pathway and the results were compared with 11 diabetic inpatients who were treated with conventional way. We assessed the patients satisfaction, knowledge on the disease, compliance of medical regimen, length of stay(LOS) and hospital cost. We used the computer program SAS for statistical analysis. Data were summarized with mean, and analyzed using t-test repeated measures ANOVA and Wilcoxon rank sum test. Results : Length of stay(LOS) was remarkably shortened in critical pathway group compared with the conventional treatment group($7.6{\pm}1.23$ vs $12.0{\pm}4.73$, p<0.000). Although LOS was significantly shortened in critical pathway group, patients satisfaction was much higher than conventional treatment group. There were no significant difference of knowledge on the disease, compliance of medical regimen and blood glucose level between two groups at discharge. Hospital cost of each patients also significantly decreased in critical pathway group(890,000 won vs 1,280,000 won, p<0.05). Conclusion : These results showed that establishment of critical pathway for diabetic inpatients with team approach is the one of the way to improve the quality of diabetic patients management and to enhance the efficiency of hospital management.

• Journal of the Korean Home Economics Association
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• v.20 no.4
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• pp.193-204
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• 1982

This study attempts to clarify the relationship between mother;s child-rearing practices and children's critical thinking abilities. More specifically this study wants to answer the questions: (a) Is there any relationship between mother's child-rearing practices and children's critical thinking abilities? (b) What dimensions of child-rearing practices are more important for children's critical thinking abilities? (c) Does the developmental process of children's critical thinking abilities show any difference according to the mother's child-rearing practices? This study is based on the conceptual model of child-rearing practices from the cognitive disciplinary viewpoint proposed by Lee et al.(1973). They polarized the child-rearing practices into the“mediated”types. These types were specified along seven dimensions of child-rearing. In general terms, the two types refer to the degree to which mother resorts to the description of concrete and immediate phenomena and immediate expression of momentary impulses, and positively reinforces such behaviors of her children. Two kinds of data were collected from 60 primary school boys and girls, and their mothers. A child-rearing practices questionnaire with 28 items was sent to the mothers. And the children were administered a critical thinking abilities test containing measures of 4 dimensions from the Ahn's Critical Thinking Measurement Technique. The major findings are those (a) the children of mothers who reported to have used more“mediated”types of child-rearing show relatively higher level of critical thinking abilities than their counterparts; (b) of the seven dimensions of child-rearing practices, the most significant are“mode of description”,“rationality-orientation”and“reward and punishment”; and (c) the“mediated”type of child-rearing practices tends to facilitate critical thinking abilities development. In conclusion, it is believed that a further refinement of this study will contribute to the development of child-rearing training program for mothers.

• Journal of The Korean Astronomical Society
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• v.38 no.2
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• pp.279-282
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• 2005

We report the millimeter-wave radio observations of molecular cloud cores in Taurus. The observed line is the $N_2H^+$ emission at 93 GHz, which is known to be less affected by molecular depletion. We have compared starless (IRAS-less) cores with star-forming cores. We found that there is no large difference between starless and star-forming cores, in core radius, linewidth, core mass, and radial intensity profile. Our result is in contrast with the result obtained by using a popular molecular line, in which starless cores are larger and less condensed. We suggest that different results mainly come from whether the employed molecular line is affected by depletion or not. We made a virial analysis, and found that both starless and star-forming cores are not far from the critical equilibrium state, in Taurus. Together with the fact that Taurus cores are almost thermally supported, we conclude that starless Taurus cores evolve to star formation without dissipating turbulence. The critical equilibrium state in the virial analysis corresponds to the critical Bonnor-Ebert sphere in the Bonnor-Ebert analysis (Nakano 1998). It is suggested that the initial condition of the molecular cloud cores/globules for star formation is close to the critical equilibrium state/critical Bonnor-Ebert sphere, in the low-mass star forming region.

• Journal of Korean Academy of Nursing
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• v.44 no.2
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• pp.129-138
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• 2014

Purpose: To develop a Critical Thinking Skill Test for Nursing Students. Methods: The construct concepts were drawn from a literature review and in-depth interviews with hospital nurses and surveys were conducted among students (n=607) from nursing colleges. The data were collected from September 13 to November 23, 2012 and analyzed using the SAS program, 9.2 version. The KR 20 coefficient for reliability, difficulty index, discrimination index, item-total correlation and known group technique for validity were performed. Results: Four domains and 27 skills were identified and 35 multiple choice items were developed. Thirty multiple choice items which had scores higher than .80 on the content validity index were selected for the pre test. From the analysis of the pre test data, a modified 30 items were selected for the main test. In the main test, the KR 20 coefficient was .70 and Corrected Item-Total Correlations range was .11-.38. There was a statistically significant difference between two academic systems (p=.001). Conclusion: The developed instrument is the first critical thinking skill test reflecting nursing perspectives in hospital settings and is expected to be utilized as a tool which contributes to improvement of the critical thinking ability of nursing students.

• Journal of Korean Academy of Nursing Administration
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• v.12 no.3
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• pp.434-443
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• 2006

Purpose: This study was to compare effects of preceptorship on nursing students' critical thinking propensity, clinical competency, and the satisfaction of clinical practice. Method: The subjects were 80 by preceptorship group and 51 by conventional method group. The data were analyzed by SPSS 12.0 program. Results: The subject's critical thinking propensity, clinical competency and satisfaction of clinical practices between the preceptorship group and the conventional method group revealed statistically significant difference. Subject's critical thinking propensity revealed significant correlations, along with the clinical competεncy and the satisfaction for clinical practice. And the clinical competency revealed statistically significant correlations with the satisfaction for clinical practice. Conclusion: Findings of this study reveals that the nursing students who had clinical practice by preceptorship showed higher scores in the critical thinking propensity, clinical competency, and the satisfaction for clinical practice than the conventional method group. Consequently, we are quite consciously encouraged to reinforce the preceptorship for realization of an effective clinical practice education for nursing students.

• Fire Science and Engineering
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• v.20 no.4 s.64
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• pp.91-97
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• 2006

This study was executed to review feasibility on the calculation of critical velocity with a reduced model of an actual tunnel in order to establish the optimum fire protection system for a fire in road tunnels. In a scaled model about 1/29 of an actual tunnel based on the Froude scaling, critical velocity was calculated by visualizing smoke flow and analyzing correlation with temperature. In the experiment, critical velocities at which smoke backflow length became zero showed a small difference within about 5% compared to results calculated by the Kennedy formula, and the relation between smoke flow and temperature distribution appeared similarly without getting greatly influenced by changes in fire intensity.

• 대한공업교육학회지
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• v.45 no.2
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• pp.70-85
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• 2020

The purpose of this study is to analyze the critical thinking level of activities in technology textbooks. For this purpose, we sampled 5 Technology-Home Economics textbooks of the 2015 revised curriculum and selected 187 activities in the textbooks. The main results of this study are as follows. First, the total score of the critical thinking level is 67.3, which is not high enough. The result of analyzing in the critical thinking level according to unit indicates that activities in units 'Construction(72.8)', 'Invention & Standard(70.4)', and 'Biotechnology & Appropriate Technology(70.4)' are higher score than those in other units, but activities in units 'Transportation & Energy(67.0)', 'Manufacturing(66.1)', and 'Information & Communication(57.0)'units are inadequate for inducing critical thinking. Second, the result of analyzing in the critical thinking level according to type of activity indicates that there is a difference between activities of 'theoretical type(69.3)' and 'practical type(61.5)'. Moreover activities in 'theoretical type' are inadequate for inducing critical thinking.

• Journal of Environmental Science International
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• v.16 no.4
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• pp.523-532
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• 2007

This study utilized the 1/25,000 topographic map of the upper area from the Geum-ho watermark located at the middle of Geum-ho river from the National Geographic Information Institute. For the analysis, first, the influence of the size of critical area to the hydro topographic factors was examined changing grid size to $10m{\times}10m,\;30m{\times}30m\;and\;50m{\times}50m$, and the critical area for the formation of a river to $0.01km^2{\sim}0.50km^2$. It is known from the examination result of watershed morphology according to the grid size that the smaller grid size, the better resolution and accuracy. And it is found, from the analysis result of the degree of the river according to the minimum critical area for each grid size, that the grid size does not affect on the degree of the river, and the number of rivers with 2nd and higher degree does not show remarkable difference while there is big difference in the number of 1st degree rivers. From the results above, it is thought that the critical area of $0.15km^2{\sim}0.20km^2$ is appropriate for formation of a river being irrelevant to the grid size in extraction of hydro topographic parameters that are used in the runoff analysis model using topographic maps. Therefore, the GIUH model applied analysis results by use of the river level difference law proposed in this study for the explanation on the outflow response-changing characters according to the decision of a critical value of a minimum level difference river, showed that, since an ogival occurrence time and an ogival flow volume are very significant in a flood occurrence in case of not undertow facilities, the researcher could obtain a good result for the forecast of river outflow when considering a convenient application of the model and an easy acquisition of data, so it's judged that this model is proper as an algorism for the decision of a critical value of a river basin.

• Transactions of the Korean hydrogen and new energy society
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• v.20 no.5
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• pp.390-396
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• 2009

The flooding, especially in channel, is one of the critical issue to put proton exchange membrane fuel cell (PEMFC) to practical use. In this paper, channel flooding was investigated the pressure difference at cathode channel outlet. A ratio of pressure difference changes to 25, 50% as its variation rate. The pressure variable rate is reflected in dimensionless number FN. As a result, modified dimensionless number $FN^*$ correctly predicted the channel flooding. This study analyzes that a variety of pressure difference is how to affect flooding at the cathode of the PEMFC.