• Title/Summary/Keyword: Critical index

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Development and Validation of a Clinical Critical Thinking Skills Scale (임상적 비판적 사고능력 검사도구 개발 및 평가)

  • Shin, Su-Jin;Yang, Eunbae;Kong, Byunghea;Jung, Dukyoo
    • Korean Medical Education Review
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    • v.14 no.2
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    • pp.102-108
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    • 2012
  • This study developed a test entitled Clinical Critical Thinking Skills (CCTS) by using item response theory (IRT) and examined its validity. In the development stage, data obtained from a convenience sample of 627 undergraduate nursing students were analyzed using a discrimination and difficulty index with the TestAn 1.0 program. In the evaluation stage, data from a convenience sample of 284 nursing and non-nursing students were analyzed using a discrimination and difficulty index with the BILOG-MG program. Criterion validity was verified by the group comparison method. Five items received low discrimination index scores according to the IRT results. In terms of the criterion validity, CCTS scores differed according to major (t=2.21, p=0.028), location of high school (F=4.35, p=0.014), clinical experience (t=5.66, p=0.004), and grade point average (F=7.17, p< 0.001). The CCTS can be used to measure critical thinking skills in the clinical setting.

The Usefulness of the Chronic Obstructive Pulmonary Disease Assessment Test (만성 폐쇄성 폐질환 평가 테스트의 유용성)

  • Kim, Yu-Eun;Lee, Sang-Su;Kim, Cha-Young;Lee, Seung-Hun;Lim, Su-Jin;Cho, Yu-Ji;Jeong, Yi-Yeong;Kim, Ho-Cheol;Hwang, Young-Sil;Lee, Jong-Deog
    • Tuberculosis and Respiratory Diseases
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    • v.71 no.4
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    • pp.271-277
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    • 2011
  • Background: A chronic obstructive pulmonary disease (COPD) assessment test (CAT) has recently been developed as a short and simple method for assessing the quality of life in COPD patients. The object of this study was to assess the usefulness of the Korean version of the CAT for assessing COPD patients in an outpatient clinic. Methods: The study included 60 COPD patients in a stable state from an outpatient clinic. The authors investigated the frequency of acute exacerbation during aprevious year through reviewing medical records. We evaluated the spirometry test, a 6-min walk distance test, and obtained the MMRC dyspnea scale, the Korean version of the CAT, and the BODE index at the time of visit. To assess the usefulness of the CAT, correlations between the CAT and other methods were evaluated. Results: The mean age of patients was $68.3{\pm}8.6$ years and 95% of patients were male. There was a significant correlation between the CAT score and $FEV_1%$ (r=-0.323, p=0.012), the frequency of acute exacerbation (r=0.292, p=0.024), the MMRC dyspnea scale (r=0.554, p<0.001), the BODE index (r=0.380, p=0.003), and 6 MWD (r=-0.372, p=0.004). The mean CAT score increased according to the GOLD stage (stage 1, $10.7{\pm}4.5$; stage 2, $13.1{\pm}7.9$; stage 3, $16.3{\pm}6.2$; stage 4, $16.5{\pm}14.8$; p=0.746). Conclusion: The CAT was shown to be useful for the assessment of COPD severity. Therefore, the CAT is an easily applied and simple method for assessing COPD severity in an outpatient clinic.

Study on the Wrinkling Prediction in Sheet Metal Stamping Processes (박판 스탬핑 공정의 주름발생 예측에 관한 연구)

  • 황보원;금영탁
    • Transactions of the Korean Society of Automotive Engineers
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    • v.9 no.3
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    • pp.131-142
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    • 2001
  • A wrinkling is the instability phenomenon influenced by material properties, shape geometry, forming conditions, stress state, etc. The wrinkling is considered as a critical defect in appearance of product. Many wrinkling prediction methods using thickness strain distribution and farming analysis have been proposed. The wrinkling, however, is not easily predicted precisely by these methods. In this study, the region in the biaxial plane stress state is modeled with a rectangular plate introducing the effective dimension, and critical stress values for the wrinkling are calculated. Prediction index for the wrinkling is then evaluated by normalizing the actual stress with respect to the critical stress. In order to show the validity and efficiency of the method proposed, the wrinkling prediction for a squared sheet in the uniaxial tensile stress and auto-body front finder panel is performed.

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Size-dependent plastic buckling behavior of micro-beam structures by using conventional mechanism-based strain gradient plasticity

  • Darvishvand, Amer;Zajkani, Asghar
    • Structural Engineering and Mechanics
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    • v.71 no.3
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    • pp.223-232
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    • 2019
  • Since the actuators with small- scale structures may be exposed to external reciprocal actions lead to create undesirable loads causing instability, the buckling behaviors of them are interested to make reliable or accurate actions. Therefore, the purpose of this paper is to analyze plastic buckling behavior of the micro beam structures by adopting a Conventional Mechanism-based Strain Gradient plasticity (CMSG) theory. The effect of length scale on critical force is considered for three types of boundary conditions, i.e. the simply supported, cantilever and clamped - simply supported micro beams. For each case, the stability equations of the buckling are calculated to obtain related critical forces. The constitutive equation involves work hardening phenomenon through defining an index of multiple plastic hardening exponent. In addition, the Euler-Bernoulli hypothesis is used for kinematic of deflection. Corresponding to each length scale and index of the plastic work hardening, the critical forces are determined to compare them together.

A thermoelastic simulation on the (100) Si-wafer ((100) 실리콘 웨이퍼에 대한 열탄성모사)

  • Doo Jin Choi;Hyun Jung Woo
    • Journal of the Korean Crystal Growth and Crystal Technology
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    • v.4 no.1
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    • pp.71-75
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    • 1994
  • In this study, a thermoelastic stress index of (100) oriented single crystalline silicon wafer and a relationship between thermal stress and critical plastic deformation temperatures were simulated. The simulated results for the thermoelastic stress index indicated a maximum value on <110> direction and a minimum on <100>. Then, it could be predicted that silicon wafer is plastically deformable over 1000 K, based on the relationship between the thermal stress derived from the thermoelastic stress index and the critical plastic deformation temperature.

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Characteristics of Sound Reduction Index through Small Sized Lightweight Panel (소형 경량판넬을 이용한 차음성능 영향요인별 음향감쇠계수 분석)

  • Yang, Hong-Seok;Kim, Myung-Jun;Jeong, Gab-Chul
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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    • 2007.11a
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    • pp.138-147
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    • 2007
  • Recently, framed structure is increasingly being used as apartment structure due to the advantages during remodeling. Therefore, the use of lightweight panel as separating wall is increasing. To construct lightweight panel structures with sound insulation performance appropriate to the conditions of each field, measurement of sound reduction index(SRI) through panel structures should be performed. In this study, measurement of SRI through 46 kinds of panel structures was performed in the condition of various factors such as surface density, air space and absorber. The result showed that SRI of panel structures was generally higher by increasing of surface density. In the case of double panel with no absorber, SRI at below critical frequency was gradually increased according to rise of air space. Double panel with absorber make remarkable improvement in SRI at low frequency, but there is a little difference compared with SRI of double panel with no absorber over critical frequency.

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Fuzzy Test of Hypothesis by Uniformly Most Powerful Test (균일최강력검정에 의한 가설의 퍼지 검정)

  • Kang, Man-Ki
    • Journal of the Korean Institute of Intelligent Systems
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    • v.21 no.1
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    • pp.25-28
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    • 2011
  • In this paper, we study some properties of condition for fuzzy data, agrement index by ratio of area and the uniformly most powerful fuzzy test of hypothesis. Also, we suggest a confidence bound for uniformly most powerful fuzzy test. For illustration, we take the most powerful critical fuzzy region from exponential distribution by likelihood ratio and test the hypothesis of ${\chi}^2$-distribution by agreement index.

A Study on Voltage Stability Improvement by the Efficient Network Reconfiguration Algorithm

  • Kim, Byung-Seop;Shin, Joong-Rin;Park, Jong-Bae;Shin, Yong-Hak
    • KIEE International Transactions on Power Engineering
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    • v.4A no.2
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    • pp.58-68
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    • 2004
  • This paper presents an optimal routing algorithm (ORA) for maximizing voltage stability as well as for minimizing power loss in radial power systems. In the proposed ORA, a novel voltage stability index (VSI) for real-time assessment is newly introduced based on the conventional critical transmission path framework. In addition, the suggested algorithm can automatically detect the critical transmission paths resulting in voltage collapse when additional real or reactive loads are added. To implement an effective ORA, we have developed an improved branch exchange (IBE) method based on a loss calculation index and tie-branch power flow equations, which are suggested for real-time applications. The proposed algorithm has been tested with IEEE test systems as well as a large-scale power system in Korea to demonstrate its effectiveness and efficiency.

A method to evaluate the risk-based robustness index in blast-influenced structures

  • Abdollahzadeh, Gholamreza;Faghihmaleki, Hadi
    • Earthquakes and Structures
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    • v.12 no.1
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    • pp.47-54
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    • 2017
  • Introduction of robustness index in the structure is done in three ways: deterministic robustness index, probabilistic robustness index, and risk-based robustness index. In past decades, there have been numerous researches to evaluate robustness index in both deterministic and probabilistic ways. In this research, by using a risk analysis, a risk-based robustness index has been defined for the structure. By creating scenarios in accordance with uncertainty parameters of critical and unexpected gas blast accident, a new method has been suggested for evaluating risk-based robustness index. Finally, a numerical example for the evaluation of risk-based robustness index of a four-storey reinforced concrete moment frame, designed and built based on Eurocode 8 code, has been presented with results showing a lower risk of robustness.

Development and Implementation of a Critical Pathway in Patient with Osmidrosis (액취증 환자에서 표준 진료지침서의 개발과 적용)

  • Kim, Yang Woo;Kim, Heung Kyu;Shim, Kyung Won
    • Quality Improvement in Health Care
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    • v.9 no.1
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    • pp.66-73
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    • 2002
  • The current health care system demands provisions for patient care in perspectives of a cost-effectiveness and patient satisfaction. Critical pathway implementation facilitates optimal sequencing and intervention timing of patient care, and makes medical team and patients participate in a treatment actively. In this study, a critical pathway was developed and implemented to patients with osmidrosis who undertake operation. Sixty patients were included in the study. The critical pathway was implemented for care of 26 patients while the traditional care was implemented for 34 patients. In the critical pathway implemented group, time needed for charting and unessential working was reduced. Mean time amount of time for patient nursing was increased. The critical pathway implementation is an effective method to utilize time of medical team. Also it increases the satisfaction index of patients and medical team simultaneously.

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