• 제목/요약/키워드: critical review

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심부전 환자와 가족 돌봄제공자를 위한 다이애딕 중재에 관한 체계적 고찰 (Dyadic Interventions for Heart Failure Patients and Their Family Caregivers: A Systematic Review)

  • 김다영;김선희;박은주;손연정
    • 중환자간호학회지
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    • 제14권3호
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    • pp.113-127
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    • 2021
  • Purpose : This systematic review was conducted to identify which dyadic intervention could be implemented for heart failure patient-family caregiver dyads to improve patient and/or their family caregivers outcomes. Method : Eleven databases were searched from their inception to July, 2021. This review considered any randomized controlled trials that evaluated the effectiveness of intervention including heart failure patient-family caregiver dyads. Two reviewers independently evaluated the methodological quality using the Cochrane Collaboration's tool for assessing risk of bias and extracted details of the included studies. The studies included in this review were not suitable for meta-analysis and therefore the results were presented as a narrative summary. Results : Six studies including 900 dyads were included and mainly primary family caregiver of patients was spouse. Majority of dyadic intervention were focused on psychoeducational intervention excepting one study on mobile health intervention. All studies included in this review focused on patients' outcomes compared to family caregivers' outcomes and dyadic outcomes. Individual interventions improved quality of life among heart failure patients and their family caregivers in two articles. The overall quality of selected articles was low. Conclusions : This study provides moderate support for the use of a dyadic intervention to improve quality of life among heart failure patients and their family caregivers. More rigorous high-quality studies investigating interventions to meet the needs of patient and family caregivers in heart failure care are needed.

KASS 시스템 통합 및 검증 활동 (Integration, Verification, Qualification Activities for KASS System)

  • 정환호;손민혁;이병석
    • 한국항행학회논문지
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    • 제27권6호
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    • pp.782-787
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    • 2023
  • KASS (korea augmentation satellite system) 시스템 통합 및 검증(IVQ; integration, verification, qualification) 활동은 시스템 및 하위시스템 요구사항 검증 활동으로 IART(inspection, analysis, review of design, test) 기반으로 상세설계 (CDR; critical design review) 이후 하위시스템 공장수락시험 (FAT; factory acceptance test)부터 현장수락시험 (SAT; site acceptance test) 그리고 시스템 통합 검증 시험 (TRR; test readiness review) 까지 수행하였다. FAT 단계의 활동은 개발된 장비를 테스트 플랫폼에 설치하고 각 장비별 인터페이스 검증과 통합운영국(KCS; kass control station)과의 연동시험을 통해 성능을 검증하였다. SAT 단계의 활동은 FAT 단계에서 검증된 KRS (kass reference station), KPS (kass processing station), KUS (kass uplink station), KCS를 운영 현장에 설치하고 검증하는 단계이며 개발 일정 및 여건을 고려하여 3단계로 구분하여 수행하였다. TRR 단계의 활동은 항공위성1호기에서 방송되는 SBAS (satellite based augmentation system) 메시지를 이용하여 SAT을 통해 검증된 장비를 FAT 단계에 수행했던 시험 항목과 추가 시험 항목 검증을 통해 전체 시스템에 대한 성능 검증을 완료하였다.

Management and rehabilitation of moderate-to-severe diabetic foot infection: a narrative review

  • Chi Young An;Seung Lim Baek;Dong-Il Chun
    • Journal of Yeungnam Medical Science
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    • 제40권4호
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    • pp.343-351
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    • 2023
  • Diabetic foot is one of the most devastating consequences of diabetes, resulting in amputation and possibly death. Therefore, early detection and vigorous treatment of infections in patients with diabetic foot are critical. This review seeks to provide guidelines for the therapy and rehabilitation of patients with moderate-to-severe diabetic foot. If a diabetic foot infection is suspected, bacterial cultures should be initially obtained. Numerous imaging studies can be used to identify diabetic foot, and recent research has shown that white blood cell single-photon emission computed tomography/computed tomography has comparable diagnostic specificity and sensitivity to magnetic resonance imaging. Surgery is performed when a diabetic foot ulcer is deep and is accompanied by bone and soft tissue infections. Patients should be taught preoperative rehabilitation before undergoing stressful surgery. During surgical procedures, it is critical to remove all necrotic tissue and drain the inflammatory area. It is critical to treat wounds with suitable dressings after surgery. Wet dressings promote the formation of granulation tissues and new blood vessels. Walking should begin as soon as the patient's general condition allows it, regardless of the wound status or prior walking capacity. Adequate treatment of comorbidities, including hypertension and dyslipidemia, and smoking cessation are necessary. Additionally, broad-spectrum antibiotics are required to treat diabetic foot infections.

The Critical Success Factors of Six Sigma in China Manufacturing Industry

  • Yi-Zhong, Ma;Gang, Yue;Li-Lin, Wang;Ree, Sang-Bok
    • International Journal of Quality Innovation
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    • 제9권2호
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    • pp.39-56
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    • 2008
  • Six Sigma has been one of main quality improvement approaches since Motorola first invented Six Sigma in 1987. Many scholars and consult experts have discussed the critical success factors of implementing Six Sigma management, but most of them are based on related theories or qualitative analyses. In the paper, we first review critical success factor of Six Sigma status quo based on literature. Then we design the questionnaire and survey China manufacturing enterprises that have introduced Six Sigma management. And finally, we analyze the critical success factors of China manufacturing industry implementing Six Sigma management by using structural equation model and find that leadership and Six Sigma strategy, focus on market and customer, evaluation and motivation, selecting, managing and implementing Six Sigma projects are four critical success factors of China manufacturing enterprises implementing Six Sigma management. At the same time, the paper also presents the relationships between the critical success factors. The results are of important role in China manufacturing industry locating resources, eliminating waste and improving Six Sigma performance.

도로터널 화재시 경사도에 따른 임계풍속산정에 관한 실험적 연구 (Experimental Study on Calculation of Critical Velocity in Accordance with Gradient of a Road Tunnel at Fire)

  • 김종윤;서태범;이동호;임경범;유지오
    • 한국안전학회지
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    • 제21권5호
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    • pp.1-5
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    • 2006
  • This study provides a basic data necessary to design a facility of smoke management after calculating the critical velocity of the gradient scale model tunnel and reviewing its adequacy to establish an optimum disaster prevention system for a road tunnel at fire. The experiment is carried out by using Froude scaling to a scale model which is about 1/29 as big as the real tunnel, and its critical velocity calculation is calculated to the 0-2% gradient of the tunnel. The result shows that the higher the gradient is, the stronger the critical velocity, but that it doesn't affect the critical velocity so much when the gradient is less 2%. In addition, this result is studied in comparison with the results done by other researchers to review the adequacy of the critical velocity.

Critical Care before Lung Transplantation

  • Lee, Jin Gu;Park, Moo Suk;Jeong, Su Jin;Kim, Song Yee;Na, Sungwon;Kim, Jeongmin;Paik, Hyo Chae
    • Acute and Critical Care
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    • 제33권4호
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    • pp.197-205
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    • 2018
  • Lung transplantation is widely accepted as the only viable treatment option for patients with end-stage lung disease. However, the imbalance between the number of suitable donor lungs available and the number of possible candidates often results in intensive care unit (ICU) admission for the latter. In the ICU setting, critical care is essential to keep these patients alive and to successfully bridge to lung transplantation. Proper management in the ICU is also one of the key factors supporting long-term success following transplantation. Critical care includes the provision of respiratory support such as mechanical ventilation (MV) and extracorporeal life support (ECLS). Accordingly, a working knowledge of the common critical care issues related to these unique patients and the early recognition and management of problems that arise before and after transplantation in the ICU setting are crucial for long-term success. In this review, we discuss the management and selection of candidates for lung transplantation as well as existing respiratory support strategies that involve MV and ECLS in the ICU setting.

크리티컬 패션의 문자 전유 - 2000년대 이후의 패션디자인 사례를 중심으로 - (Appropriation of Letter in Critical Fashion - Focusing on Fashion Design Examples after the Year 2000 -)

  • 정정희
    • 한국의류산업학회지
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    • 제24권5호
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    • pp.530-544
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    • 2022
  • Based on a follow-up study on critical fashion's strategies for object appropriation, this study aims to understand the appropriation of art as a social or cultural phenomenon influencing modern fashion, as well as to analyze and comprehend how to specifically approach the appropriation of critical fashion's letters through the appropriated interpretation. To explain the theoretical background of critical fashion's appropriated interpretation, it examined the related literature and data. Moreover, a fashion book-based literature review and a case study were conducted using sources, such as exhibition books, exhibited works, news, fashion magazines, and fashion sites, to examine letter appropriation strategies. In the critical fashion, the appropriation of subversive letters subverts meanings by providing experiences different from those based on real images of letters, which are displaceable. The appropriation of such subversive letters to challenge the value of modernism aims to subvert social value by bringing and relocating existing objects while focusing on their external forms. The appropriation of referential letters focuses on delineating the distance between the subjects who quote something and the quoted something and reprograms the existing letter objects with an introspective and reflective attitude. In other words, critical fashion designers can effectively express their messages through the appropriation of letters, such as graffiti and typography, which are manifestations of challenge or resistance. Appropriating letters as a creative action pursues unmarginalized humans who possess their existence.

한국의 비판언론학에 대한 비판적 성찰: 문화연구와 정치경제학을 중심으로 (A Critical Review on the Critical Communication Studies in Korea)

  • 조항제
    • 한국언론정보학보
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    • 제43권
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    • pp.7-46
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    • 2008
  • 이 글의 목적은 문화연구와 정치경제학을 중심으로 한국의 비판언론학을 성찰하고 미래의 방향을 제시보고자 하는 데 있다. 1980년대 중후반부터 나타나기 시작한 문화연구의 '소비로의 전환'은 문화연구를 신수정주의로 부르게 만든 결정적인 요소의 하나지만, 한국에서는 비판적 문제의식의 단절로 읽혀져 문화연구에 대한 끊임없는 정체성 논란을 불러일으켰다. 그러나 정작 정치경제학은 자신이 중시하는 생산(과정)/구조에 대해서도 많은 연구를 내지 못했고, 문화연구 역시 이 부문에서는 무관심으로 대응했다. 국면주의는 문화연구가 현실에 개입하는 유력한 방식이지만 초기의 연구 외에는 후속연구가 그다지 활발하지 못해 이론화 수준이 높지 않고, 한국에서의 연구 또한 아직은 많은 논란을 안고 있어 성과 여부가 불투명하다. 비판연구가 가진 저항성의 문제는 운동론에서 두드러지는데, 이 글에서는 문화연구의 특징이 잘 배어 있는 소수자문화운동론에 대한 검토를 통해 사회적 배치의 여전한 중요성을 강조했다. 미래의 방향에서는 일부 논자들이 제안한 바 있는 문화연구와 정치경제학의 화합 가능성을 긍정적으로 검토했고, 이의 근저에 있는 근대주의/탈근대주의 합의의 가능성과 필요성 역시 차이를 인정하면서도 결합의 가능성도 놓치지 않는 '복합적 합의'를 하나의 대안으로 제시했다. 마지막으로 '시공간의 재조직', '소비자본주의', '문화적 시민권'(또는 '문화적 공론장'), '생산문화', '시민/소비자', '차별화/차이', '공영방송의 미래' 등을 양측이 서로 경(결)합할 수 있는 공감대가 큰 연구주제로 꼽았다.

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The Hazard Analysis and Critical Control Point (HACCP) System and Its Implementation in an Aseptic Thermal Juice Processing Scheme: A Review

  • Min, Sea-Cheol;Min, David B.
    • Food Science and Biotechnology
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    • 제15권5호
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    • pp.651-663
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    • 2006
  • Hazard Analysis and Critical Control Point (HACCP), a systematic process that identifies, assesses, and controls hazards, has been developed as an effective alternative to conventional end-point analysis for food safety control. The importance of HACCP has been emphasized recently due to the development of new food processing technologies and the increase in international trade demanding worldwide of food product safety. This paper provides a review of HACCP and a generic HACCP template for its implementation for aseptic processing of a juice drink.

Roles of Leptin in Cancer Progression

  • Kang, Yu-Jin;Moon, A-Ree
    • Biomolecules & Therapeutics
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    • 제18권4호
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    • pp.363-374
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    • 2010
  • Growing evidence suggests a prominent role for leptin in human cancer progression. The intricate pattern of leptin cross-talk with other associated signaling pathways is a critical area of research that will ultimately contribute to comprehending the role of leptin in cancer progression. This review summarizes a portion of the current understanding of leptin signaling, with a critical focus on its contribution to tumor cell invasion and metastasis. Five topics are addressed in this review: (1) Leptin receptor, (2) Leptin signaling, (3) Leptin and cancer, and (4) Leptin and tumor invasion. Due to the complex cellular effects of leptin, a more precise understanding of leptin signaling pathways must still be elucidated. Leptin is clearly a major factor for stimulating tumor progression through a complex spectrum of interplay and cross-talk among various signaling molecules. An understanding of the role of leptin in invasion and metastasis will provide valuable information for establishing strategies to modulate leptin signaling, which should be a high priority for the development of anti-cancer therapeutics.