• 제목/요약/키워드: critical studies

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Southeast Asian Studies in the Age of STEM Education and Hyper-utilitarianism

  • Winichakul, Thongchai
    • 수완나부미
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    • 제10권2호
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    • pp.157-180
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    • 2018
  • Area studies, including Asian and Southeast Asian studies, in the post-Cold War era have been facing an epochal challenge that is rooted in two conditions: on the one hand, the end of the Cold War and the fading geopolitical rationale, and on the other, the emergence of the technology-driven transformation of the global economy and society. The consequences thus far are paradoxical: 1) While the technology-led transformation needs a workforce with critical and innovative abilities, higher education becomes more hyper-utilitarian; 2) While the transformation instigates increasing diversity of identities in global cultures, many countries thrive for STEM education at the expense of learning languages and cultures, including area studies which are essential for diversity. Southeast Asian studies programs need to change in response to these new conditions. These changing conditions and paradoxes, nevertheless, take different forms and degrees in the American, European and Asian academies, thanks to their different histories of higher education. The prospects for Southeast Asian Studies in these various academies are likely to be different too.

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Mechanical ventilation-associated pneumothorax presenting with paroxysmal supraventricular tachycardia in patients with acute respiratory failure

  • Eom, Jeong Ho;Lee, Myung Goo;Lee, Chang Youl;Kwak, Kyong Min;Shin, Won Jae;Lee, Jung Wook;Kim, Seong Hoon;Choi, Sang Hyeon;Park, So Young
    • Journal of Yeungnam Medical Science
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    • 제32권2호
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    • pp.106-110
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    • 2015
  • The prevalence of pneumothorax cases among Intensive Care Unit patients who require mechanical ventilation ranges from 4%-15%. A pneumothorax remains one of the most serious complications of positive pressure ventilation. It can be diagnosed in a critically ill patient through a physical examination or radiographic studies that include chest radiographs, ultrasonography, or computed tomography scanning. However, in a critically ill patient, the diagnosis of a pneumothorax is often complicated by other diseases and by difficulties in imaging sick and unconscious patients. Although electrocardiogram changes associated with a pneumothorax have been described for many years, there has been no report of such among patients who require mechanical ventilation. In this paper, we report 2 cases of a spontaneous pneumothorax with paroxysmal supraventricular tachycardia in patients who required invasive mechanical ventilation due to acute respiratory failure.

Cardiac Dysfunction Is Not Associated with Increased Reintubation Rate in Patients Treated with Post-extubation High-Flow Nasal Cannula

  • Sim, Jae Kyeom;Choi, Juwhan;Oh, Jee Youn;Min, Kyung Hoon;Hur, Gyu Young;Lee, Sung Yong;Shim, Jae Jeong;Lee, Young Seok
    • Tuberculosis and Respiratory Diseases
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    • 제85권4호
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    • pp.332-340
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    • 2022
  • Background: Cardiac dysfunction patients have long been considered at high risk of reintubation. However, it is based on past studies in which only conventional oxygen therapy was applied after extubation. We investigated association between cardiac dysfunction and reintubation rate in situation where high-flow nasal cannula (HFNC) was widely used during post-extubation period. Methods: We conducted a retrospective observational cohort study of patients treated with HFNC after planned extubation in medical intensive care unit of single tertiary center. Patients were divided into normal function group (ejection fraction [EF] ≥45%) and cardiac dysfunction group (EF <45%). The primary outcome was reintubation rate within 72 hours following extubation. Results: Of 270 patients, 35 (13%) had cardiac dysfunction. Baseline characteristics were similar in both groups. There were no differences in the changes in vital signs between the two groups during the first 12 hours after extubation except diastolic blood pressure. The reintubation rates were 20% and 17% for cardiac dysfunction group and normal function group, respectively (p=0.637). In a multivariate Cox regression analysis, cardiac dysfunction was not associated with an increased risk of reintubation within 72 hours following extubation (hazard ratio, 1.56; p=0.292). Conclusion: Cardiac dysfunction was not associated with increased reintubation rate within 72 hours when HFNC is immediately applied after planned extubation.

유아의 이야기 이해에 관한 연구들에 대한 고찰 (Assessment of Children's Story Comprehension : A Review of Research)

  • 채종옥
    • 아동학회지
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    • 제22권1호
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    • pp.227-240
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    • 2001
  • This review examined trends in research on the assessment of Korean children's story comprehension. Specific areas that were analyzed included types of questions asked in the assessment and variables treated as relevant to the assessment of story comprehension. Literal, inferential, and critical questions were identified. Among the 33 studies reviewed, 20 used all 3 types of questions, the other 13 used only literal questions. The studies using only literal questions interpreted comprehension of a story as "comprehension of letters and/or components of a story." The other studies interpreted it as "comprehension of implied meaning of a story." Other relevant variables were "teaching strategies" (29 studies) and "structural components" (4 studies). None of the studies treated "children's internal variables related to story comprehension."

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Approaches in Southeast Asian Studies: Developing Post-colonial Theories in Area Studies

  • Pamungkas, Cahyo
    • 수완나부미
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    • 제7권1호
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    • pp.59-76
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    • 2015
  • This paper proposes an approach in Southeast Asian studies using a post-colonial framework in the study of post-colonial Southeast Asia. This framework is based on the sociology of knowledge that analyzes the dialectical relationship between science, ideology, and discourse. Post-colonial studies is critical of the concept of universality in science and posits that a scientific statement of a society cannot stand alone, but is made by authors themselves who produce, use, and claim the so-called scientific statement. Several concepts in post-colonial theories can be used to develop area studies, i.e. colonial discourse, subaltern, mimicry, and hybridity. Therefore, this study also explores these concepts to develop a more comprehensive understanding of Southeast Asian culture. The development of post-colonial theories can be used to respond to the hegemony of social theories from Europe and the United States. The main contribution of area studies in the field of the social sciences and humanities is in revealing the hidden interests behind the universal social sciences.

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다중 사례 분석을 통한 BPM의 핵심성공요인에 관한 연구 (Critical Success Factors for BPM Implementation : A Multiple Case Study)

  • 이성호;이정훈;전호진
    • 한국전자거래학회지
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    • 제17권1호
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    • pp.189-214
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    • 2012
  • 최근 급격하게 변화하는 기업외부의 환경에 따라 기업의 민첩성(Agility)의 중요성이 대두되면서, 국내 외 기업들은 체계적인 비즈니스 프로세스 관리(Business Process Management) 중심의 경영을 통한 최적의 운영효율성을 확보하고자 한다. 그러나, BPM 도입 후 IT솔루션이라는 한정적 개념으로 인식하고 실패하는 사례들도 적지 않게 나타나고 있으며, 이에 대한 학술적 관점의 체계적인 BPM 연구가 부족한 실정이다. 따라서, 본 연구에서는 Dynamic Capability(동적역량)와 Task-Technology Fit(과업-기술적합도) 이론에 근거한 프레임워크를 제시하여 효과적인 BPM 도입 및 활용을 위한 핵심성공요인(CSF)을 도출하였다. 본 연구에서는 또한 이론을 바탕으로 도출된 CSF들을 실증적을 분석하기 위해 BPM을 도입한 세 개의 국내 기업에 대해 사례분석을 수행하여, 향후 BPM을 도입한 국내기업들에게 제시한 CSF들을 성과지표로 참조하고 활용하는데 기여하고자 한다.

중환자 통증 평가 도구에 관한 체계적 문헌고찰 (A Systematic Review on Pain Assessment Tools for Intensive Care Unit Patients)

  • 김은정;홍지원;강지연;김나경;김나리;맹수연;박혜련;반민경;양근영;이경숙;장은혜
    • 중환자간호학회지
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    • 제13권1호
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    • pp.44-62
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    • 2020
  • Purpose : The purpose of this study was to systematically review the measurement tools that are used to assess the pain of intensive care unit (ICU) patients. Method : In this systematic review, the studies published between 2009 and 2018 were selected based on the PRISMA flow chart. Data sources included MEDLINE, EMBASE, CINAHL, and Cochran. We assessed the quality of pain assessment tools reported in individual studies using Terwee et al.'s the Quality Criteria for Measurement Properties. Results : We reviewed 67 studies and 12 pain assessment tools that included two self-reported, seven observational, and three multifaced tools with observations and physiological indicators. The most frequently used tool was the Critical Care Pain Observation Tool. The Multidimensional Observational Pain Assessment Tool was rated the highest quality. Nine of the ten tools that included observations reported content validity, four reported construct validity and nine reported correlation coefficient. Conclusion : It was found that observational tools are appropriate for assessing pain in ICU patients with limited communication skills. To increase the validity and reliability of pain assessment in ICU patients, further research on the physiological indicators of pain is needed.

Beneficial effects of naringenin and morin on interleukin-5 and reactive oxygen species production in BALB/c mice with ovalbumin-induced asthma

  • Qi, Peng;Wei, Chunhua;Kou, Dianbo
    • The Korean Journal of Physiology and Pharmacology
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    • 제25권6호
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    • pp.555-564
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    • 2021
  • We investigated the effects of naringenin and morin on IL-5 and ROS production in PMA+ionomycin-treated EL-4 cells with the corroboration of their antioxidant and anti-inflammatory properties using an asthma-induced mouse model. The EL-4 cell line was used to study the outcomes of naringenin or morin, followed by cell viability studies. Western blot analysis and ELISA test were used to determine Th2 mediated cytokines. In vivo studies were carried out on BALB/c mice to induce allergic asthma using ovalbumin administered intraperitoneally. Intracellular ROS was determined using 2',7'-dichlorodihydrofluorescein diacetate, followed by serum enzymatic (AST and ALT) estimations and inflammatory cell count in the bronchoalveolar lavage fluid (BALF) and lung tissues. Histopathological studies were conducted to examine lung tissue-stained architecture. Our findings suggested that naringenin and morin significantly suppressed IL-5 and ROS production via various pathways. Interestingly, by reducing NFAT activity, naringenin and morin stimulated HO-1 expression, thereby suppressing IL-5 secretion due to regulating the transcription factor Nrf2 via P13/Akt or ERK/JNK signalling pathways in EL-4 cells, demonstrating the involvement of HO-1 expression in inhibiting asthmatic inflammation. The increased inflammatory cells in the BALF were substantially decreased by both naringenin and morin, followed by inhibition in the elevated Th-2 cytokines levels. The TNF-α protein levels in an allergic asthma mouse model were significantly reduced by suppressing Akt phosphorylation and eosinophil formation. Recent findings confirmed that naringenin and morin possess the potential to control asthma-related immune responses through antioxidant and anti-inflammatory properties, indicating potential therapeutic agents or functional foods.