• Title/Summary/Keyword: Critical

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2 Cases of a Benign Pulmonary Metastasizing Leiomyoma

  • Lee, Eun Joo;Jeong, Hye Cheol;Lee, Sung Yong;Kim, Je Hyeong;Lee, Sang Yeub;Shin, Chol;Shim, Jae Jeong;In, Kwang Ho;Kang, Kyung Ho;Yoo, Se Hwa;Lee, Sang Hoon;Kim, Han-Kyeom;Oh, Yu Whan
    • Tuberculosis and Respiratory Diseases
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    • v.67 no.6
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    • pp.551-555
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    • 2009
  • A benign pulmonary metastasizing leiomyoma is a recognized clinical entity that has been infrequently reported in the medical literature. We report two cases of a benign pulmonary metastasizing leiomyoma. A 35-year-old woman who underwent myomectomy and a cesarean section approximately 6 years earlier visited our hospital for further evaluation of incidentally revealed multiple lung nodules. A diagnostic percutaneuous biopsy was performed. Finally she was diagnosed with a benign metastasizing leiomyoma. The patient then received LH-RH and has been followed up since. The other 44-year-old woman presented after an initial radiology evaluation revealed the presence of multiple, small-sized lung nodules. She underwent a right middle lung wedge resection to confirm the diagnosis. Finally she diagnosed with a benign metastasizing leiomyoma. The multiple lung nodules have been followed up closely.

Study on the Characteristics of Surface Ozone Distributions and the Ozone Critical Levels to Vegetation in the South Korea (남한 지역의 지면 오존 농도 특성과 식생에 대한 임계값 적용 연구)

  • Koo, Hae-Jung;Park, Soon-Ung
    • Journal of Korean Society for Atmospheric Environment
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    • v.24 no.3
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    • pp.310-320
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    • 2008
  • Concentration of tropospheric ozone ($O_3$) was investigated for the South Korea. And then the critical ozone levels, expressed as AOT40 (Accumulated exposure over a threshold of 40 ppb) to vegetation have been used in this region within the UNECE (United Nations Economic Commission for Europe) Convention on Long-Range Trans-boundary Air Pollution (CLRTAP). Hourly ozone concentration data from 1996 to 2001 at 26 air monitoring stations was used to estimate the exceedance of the critical levels. It was calculated for daylight hours for each station, and mapped using surface interpolation over the South Korea. The critical levels of ozone have shown the highly exceeded value in the Gyeonggi region, southern coastal region and central inland of the South Korea. It was some different from the typical ozone distribution which represented highly in the western inland and coastal regions. The area exceeding the critical level for crops was founded to be more than 40% of the whole South Korean territory. While that for trees was to be about 17% of the South Korea. The critical ozone critical level was based upon data from experiments on specific species, and thus may not be fully representative for all types of vegetation. Nevertheless, the critical level and its exceedance of the ozone concentration would be one of the useful tools for international agreements on abatement strategies to prevent ecosystem damage.

Nontuberculous Mycobacterial Lung Disease Caused by Mycobacterium lentiflavum in a Patient with Bronchiectasis

  • Jeong, Byeong-Ho;Song, Jae-Uk;Kim, Wooyoul;Han, Seo Goo;Ko, Yousang;Song, Junwhi;Chang, Boksoon;Hong, Goohyeon;Kim, Su-Young;Choi, Go-Eun;Shin, Sung Jae;Koh, Won-Jung
    • Tuberculosis and Respiratory Diseases
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    • v.74 no.4
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    • pp.187-190
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    • 2013
  • We report a rare case of lung disease caused by Mycobacterium lentiflavum in a previously healthy woman. A 54-year-old woman was referred to our hospital due to chronic cough and sputum. A computed tomography scan of the chest revealed bilateral bronchiectasis with bronchiolitis in the right middle lobe and the lingular division of the left upper lobe. Nontuberculous mycobacteria were isolated twice from three expectorated sputum specimens. All isolates were identified as M. lentiflavum by multilocus sequence analysis based on rpoB, hsp65, and 16S rRNA fragments. To the best of our knowledge, this is the first documented case of M. lentiflavum lung disease in an immunocompetent adult in Korea.

Reliability and Validity of a Korean Version of the Critical Care Pain Observation Tool (CPOT) for ICU Patients Unable to Self Report (자가보고 능력이 없는 중환자의 통증사정을 위한 한국어판 Critical Care Pain Observation Tool의 신뢰도와 타당도 검증)

  • Lee, Hee Og;Kim, Yeon Su;Lee, Chang Ok;Hur, Sung Yi;Kwon, In Gak
    • Journal of Korean Critical Care Nursing
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    • v.6 no.1
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    • pp.1-10
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    • 2013
  • Purpose: The purpose of this study was to examine the reliability and validity of a Korean version of the Critical Care Pain Observation Tool (CPOT) developed for assessment of pain in critically ill nonverbal patients. Methods: Data were collected from a convenience sample of 30 critically ill patients admitted to a medical ICU in a hospital. The CPOT was tested at before, during and 20 minutes after changing a position and suction. Upon establishment of content and translation equivalence between the English and Korean version of CPOT. Results: The interrater reliability was found to be acceptable with the kappa coefficients of .76-1. The construct validity of the pain scores were increased from 0.43 to 2.5 in changing a position (t=-8.60, p<.001)and 0.1 to 3.23 (t=-9.36, p<.001) in suctioning. The pain scores were decreased from 6.06 to 4.01 in changing a position (t=-10.19, p<.001) and 6.45 to 4.13 (t=-10.39, p<.001) in suctioning. The concurrent validity the correlations between pain scores and physiological indicators, and a increased in Heart rate before and after changing a position (r=.65, p<.001). Conclusion: The CPOT can be used as a reliable and valid measure to assess pain in critically ill nonverbal a medical ICU patients.

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Cyber Security Framework for Critical Infrastructure (기반시설 사이버보안 프레임워크 도출방안)

  • Kwon, Sungmoon;Lee, Seokcheol;Jang, Jiwoong;Shon, Taeshik
    • Journal of the Korea Institute of Information Security & Cryptology
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    • v.27 no.2
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    • pp.241-250
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    • 2017
  • Contrary to past critical infrastructure network, current critical infrastructure network is adopting IoT devices and efficient management system using the external networks. Using this system, productivity and management efficiency could be enhanced compared to past critical infrastructure network. But cybersecurity issue could be occurred at external network connection, so cybersecurity guideline is necessary. However, critical infrastructure organizations tend to use the cybersecurity guideline issued by government because it is hard to develop cybersecurity guideline on their own. But the government's cybersecurity guideline isn't suitable for the critical infrastructure network because it doesn't include critical infrastructure's specific characteristics. Therefor, we suggested the development method of cybersecurity guideline for the critical infrastructure network based on analysing cybersecurity guideline standards and critical infrastructure networks.

A study on the critical thinking and problem-solving abilities of dental hygiene students (치위생과 학생의 비판적 사고성향과 문제해결능력에 관한 연구)

  • Shim, Hyung-Soon;Lee, Hyang-Nim;Kim, Eun-Mi
    • Journal of Korean society of Dental Hygiene
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    • v.17 no.6
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    • pp.1171-1182
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    • 2017
  • Objectives: The purpose of the study was to investigate the correlation between critical thinking and problem-solving abilities in dental hygiene students. Methods: This is a cross-sectional study. A self-reported questionnaire was completed by 386 dental hygiene students enrolled in Gwangju Health university from August 30, 2017 to September 2, 2017. The general characteristics of the subjects, their critical thinking and problem-solving abilities were measured for the study. The tool to measure critical thinking was adapted from Yoon which had a Cronbach' alpha of 0.77. The tool for problem-solving ability was adapted from that used in Heppner & Petersen, which had a Cronbach' alpha of 0.77. The collected data are analyzed using ANOVA, Pearson's Correlation analysis, and multiple regression using SPSS/Win 18.0 program. Results: The results show that critical thinking scored 3.45 while problem solving ability scored 3.20. The correlation between critical thinking and problem-solving abilities was found to be strong. The strongest positive correlation in problem-solving ability was critical thinking (p<0.001). The multiple regression analysis suggests that the factors affecting problem solving ability of the subjects was statistically significant. The significant variables included critical thinking (${\beta}=0.440$) (p<0.001), satisfaction with one's major (${\beta}=0.108$) (p<0.05), interpersonal relationships (${\beta}=0.104$) (p<0.05) and academic performance (${\beta}=0.086$) (p<0.05) with an explanatory power of 38.3%. Conclusions: It is necessary to develop a curriculum and learning method for critical thinking and problem-solving abilities in the dental hygiene students.

A Design for and Evaluation of a Critical Thinking Class for New Community Health Practitioners (신규 보건진료원을 위한 비판적 사고 수업설계 및 운영 평가)

  • Park, Ji Yeon;Seo, MinGyu;Kim, Hyoung Suk;Yoo, Kyung Hee;June, Kyung Ja
    • The Journal of Korean Academic Society of Nursing Education
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    • v.21 no.1
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    • pp.141-149
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    • 2015
  • Purpose: This study was carried out to describe the process and evaluation of a critical thinking class for new community health practitioners. Methods: The case study design was used to develop and evaluate a critical thinking class for 46 participants in the community health practitioners training program. The class was held two hours a week for 8 weeks. Critical thinking disposition was tested before and after the class and critical skill was graded according to the final test score. Data analysis was performed using descriptive statistics and paired t-tests using SPSS WIN 20.0. Results: Clinical critical thinking competences were identified through the literature review. The case situations with questions guiding the problem-solving process were developed and used for group discussion. Critical thinking disposition of participants was determined to have increased slightly after having taken the class. 17.4% of the participants had a competency level high enough to solve a problem and half of them stayed at the level of understanding of critical thinking. Compared with the class's satisfaction with the relevance to their jobs, the satisfaction with the learning method and instructor was high. Conclusion: The findings of this research will serve as the basis for developing critical thinking classes for community health nurses in order to improve their critical thinking competence.

A Case of Nonspecific Interstitial Pneumonitis Improved After Cyclosporin Therapy (Cyclosporin 치료로 호전된 비특이성 간질성 폐렴 1예)

  • Ahn, Sang Mi;Jo, Suk Kyoung;Lim, Seung Kwan;Song, Young Jun;Choi, Jun Hyuk;Sheen, Seung Soo;Oh, Yun Joung;Choi, Young Hwa;Park, Kwang Ju;Hwang, Sung Chul
    • Tuberculosis and Respiratory Diseases
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    • v.55 no.6
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    • pp.631-635
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    • 2003
  • Idiopathic interstitial pneumonia is a group of lung disease classified by clinical, radiological and pathologic findings. Steroid is described in many reports as an effective treatment for the idiopathic interstitial pneumonitis. For the treatment of steroid non-responders, immuno-suppressive or cytotoxic agents are used as second line drug of choice. We experienced a case of nonspecific interstitial pneumonitis who was treated initially with glucocorticoid and antibiotics without effects, but later did respond to cyclosporin treatment. This 63 year-old patient was admitted due to dyspnea, cough, and sputum production. He was started on glucocorticoid and antibiotics after he was diagnosed as having nonspecific interstitial pneumonitis by open lung biopsy. The initial steroid treatment was not effective, however, after cyclosprin treatment, the patient showed clinical and radiologic improvements.

Critical Thinking Disposition, Professional Self-Concept and Clinical Competence in Nursing Students (일개 대학 간호대학생의 비판적 사고성향, 전문직 자아개념과 임상수행 능력에 관한 연구)

  • Park, Narae;Jeon, Yourim;Jang, Eunsu;Kim, Yunyoung
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.20 no.1
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    • pp.27-36
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    • 2016
  • Objectives The purpose of this study was to revealed the association among the clinical performance, self-concept of the nursing profession and critical thinking disposition of nursing students. Methods The subjects were recruited from the university nursing students who was experienced Grade 3 and Grade 4 students. The general characteristics of the subjects were presented with the frequency and percentage. Differences in clinical performance, professional nursing self-concept and critical thinking disposition were analyzed by t-test, ANOVA according to the degree of general characteristics. A significant positive correlation were analyzed from $Scheff{\acute{e}}$ test. Multiple regression analysis was used to reveal the effective indexes for Clinical Competence of the subjects. The suitable significance was 0.05 Results Total 318(23 males and 295 females) participants were joined in this study. Critical thinking disposition of the nursing students was significantly different in the university satisfaction, academic record, major satisfaction, satisfaction of clinical practice, relationships with colleagues practice, satisfaction amount of practice(p<0.001). Clinical competence of nursing students was positively associated with critical thinking disposition, professional self-concept and professional self-concept was positively associated with critical thinking disposition. Critical thinking disposition and professional self-concept was significant (F=83.081, p<.001). The higher clinical competence was (${\beta}=.168$, p=.001), the higher professional self-concept was(${\beta}=.051$, p<.001). The explanation power of critical thinking disposition and professional self-concept was 34.5% in clinical competence. Conclusions There is significantly positive correlation among critical thinking disposition, professional self-concept, and clinical performance in the nursing students.

Strategy of Critical Materials Management in the World (세계(世界) Critical materials 관리(管理)를 위한 전략(戰略))

  • Kim, Yu Jeong
    • Resources Recycling
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    • v.22 no.5
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    • pp.3-12
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    • 2013
  • It is necessary to manage risk of metals which are has rigid supply structures and expected demand expansion, considering to industry structure and resource securing capacity of each country. Countries conducted various criticality analyses and selected mainly rare metals as critical materials(or Critical metals or Critical raw materials). This study examined cases of metals risk evaluation and management which are based on technology changes and imbalance supply-demand. EU and U.S.A evaluated risk on metals needed as supply expansion of renewable energy. Japan forecasted demand of rare metals needed in Japan's growth engine industry. U.K analyzed criticality of metals, considering environmental burden occurred from mining to refining. Critical materials has features such as weak price signal, inelastic supply structure, demand volatility in technology change.