• 제목/요약/키워드: Mixed Methods Research

검색결과 1,016건 처리시간 0.024초

Preliminary study of Korean orthodontic residents' current concepts and knowledge of cleft lip and palate management

  • Cho, Il-Sik;Shin, Hyo-Keun;Baek, Seung-Hak
    • 대한치과교정학회지
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    • 제42권3호
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    • pp.100-109
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    • 2012
  • Objective: A national survey was conducted to assess orthodontic residents' current concepts and knowledge of cleft lip and palate (CLP) management in Korea. Methods: A questionnaire consisting of 7 categories and 36 question items was distributed to 16 senior chief residents of orthodontic department at 11 dental university hospitals and 5 medical university hospitals in Korea. All respondents completed the questionnaires and returned them. Results: All of the respondents reported that they belonged to an interdisciplinary team. Nineteen percent indicated that they use presurgical infant orthopedic (PSIO) appliances. The percentage of respondents who reported they were 'unsure' about the methods about for cleft repair operation method was relatively high. Eighty-six percent reported that the orthodontic treatment was started at the deciduous or mixed dentition. Various answers were given regarding the amount of maxillary expansion for alveolar bone graft and the estimates of spontaneous or forced eruption of the upper canine. Sixty-seven percent reported use of a rapid maxillary expansion appliance as an anchorage device for maxillary protraction with a facemask. There was consensus among respondents regarding daily wearing time, duration of treatment, and amount of orthopedic force. Various estimates were given for the relapse percentage after maxillary advancement distraction osteogenesis (MADO). Most respondents did not have sufficient experience with MADO. Conclusions: These findings suggest that education about the concepts and methods of PSIO and surgical repair, consensus regarding orthodontic management protocols, and additional MADO experience are needed in order to improve the quality of CLP management in Korean orthodontic residents.

생애말 치료결정 과정에 대한 중환자실 간호사의 인식, 태도, 경험: 국내 연구논문의 통합적 고찰 (Attitudes, Perceptions, and Experiences toward End-of-Life Care Decision-Making among Intensive Care Unit Nurses in Korea: An Integrative Review)

  • 최지연;손연정;이경훈
    • 중환자간호학회지
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    • 제13권1호
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    • pp.27-43
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    • 2020
  • Purpose : This integrative review aimed to synthesize studies on intensive care unit (ICU) nurses' attitude, perceptions, and experiences toward end-of-life care decision-making. Methods : Using Whittermore and Knafl (2005)'s methods, we identified and synthesized research articles published in domestic journals between the years 2003 and 2019 and evaluated the quality of selected articles using the Mixed Methods Appraisal Tool. Results : In the 13 studies reviewed, 12 were published prior to enactment of the "The Act for Hospice and Palliative Care and Decision-Making about Life-Sustaining Treatment (2018)." All nine quantitative studies identified were based on cross-sectional descriptive survey. In four qualitative studies, content analysis (n=2) and phenomenology (n=2) were used. Overall, ICU nurses were well-aware of the necessity of communicating and limiting life-sustaining treatments. Many ICU nurses had positive attitude towards limiting life-sustaining treatments to promote patients' comfort and dignity. Although nurses were willing to take active roles, they also reported having experienced high stress in the process of decision-making and implementation. Conclusions : It is important to prepare ICU nurses with proper knowledge and attitude regarding the topic area. It is also equally important to develop systems to support nurses' emotional stress and moral distress during communication, decision-making, and implementation.

아스팔트 노반 설계를 위한 간이 비파괴시험에 의한 동탄성계수 취득방법 적합성 분석 (Application of a Simple Non Destructive Test Method to Obtain the Dynamic Modulus of Asphalt Mixtures used for an Asphalt Trackbed Foundation)

  • 임유진;이성혁;이진욱;이병식
    • 한국철도학회논문집
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    • 제17권2호
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    • pp.114-122
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    • 2014
  • 지지력과 주행쾌적성을 개선시키기 위하여 아스팔트노반의 도입이 고려되고 있다. 다져진 아스팔트 혼합물의 동탄성계수는 아스팔트 노반설계에 있어 매우 중요한 설계입력요소이다. 동탄성계수($E^*$)를 획득하기 위하여 사용할 수 있는 간이 시험법으로서 소형충격공진시험 및 초음파시험의 사용적합성을 분석하였다. 간이 시험법에 의한 시험결과의 신뢰도를 검토하기 위하여 혼합물의 동탄성계수 예측식으로 사용되는 AASHTO 2002 MEPDG 제안식 및 한국형 포장설계법(KPRP)에서 제시한 예측식 계산 결과와 간이 비파괴시험법에 의한 취득결과를 비교, 분석하였다. 분석한 실험결과는 추가시험과 보완을 통해 철도 아스팔트 노반설계를 위한 간이시험법으로 적용할 수 있을 것으로 판단되었다.

수학 학습부진아 예방을 위한 가정학습 효율화 방안 연구 (A Study on a Home Teaching Method to Prevent Slow Learner in Elementary School Mathematics)

  • 이영하;박희연
    • 한국수학교육학회지시리즈A:수학교육
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    • 제40권2호
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    • pp.195-215
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    • 2001
  • The purpose of this paper is to present a specific set of home teaching methods in hopes to prevent slow learner of the elementary mathematics. This paper deals with the number and operations, one of five topics in the elementary mathematics A survey of two hundred elementary school teachers was made to see the teacher's opinions of the role of home studying and to concretize the contents of the research topics. There were asked which is the most essential contents for the concrete loaming and which is the most difficult monad that might cause slow leaner. And those were found to be; counting, and arithmetic operations(addition and subtraction) of one or two-digit numbers and multiplication and their concepts representations and operations(addition and subtraction) of fractions. The home teaching methods are based on the situated learning about problem solving in real life situations and on the active teaming which induces children's participation in the process of teaching and learning. Those activities in teaching each contents are designed to deal with real objects and situations. Most teaching methods are presented in the order of school curriculum. To teach the concepts of numbers and the place value, useful activities using manipulative materials (Base ten blocks, Unifix, etc.) or real objects are also proposed. Natural number's operations such as addition, subtraction and multiplication are subdivided into small steps depending upon current curriculum, then for understanding of operational meaning and generalization, games and activities related to the calculation of changes are suggested. For fractions, this paper suggest 10 learning steps, say equivalent partition, fractional pattern, fractional size, relationship between the mixed fractions and the improper fraction, identifying fractions on the number line, 1 as a unit, discrete view point of fractions, comparison of fractional sizes, addition and subtraction, quantitative concepts. This research basically centers on the informal activities of kids under the real-life situation because such experiences are believed to be useful to prevent slow learner. All activities and learnings in this paper assume children's active participation and we believe that such active and informal learning would be more effective for learning transfer and generalization.

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The effects of a maternal nursing competency reinforcement program on nursing students' problem-solving ability, emotional intelligence, self-directed learning ability, and maternal nursing performance in Korea: a randomized controlled trial

  • Kim, Sun-Hee;Lee, Bo Gyeong
    • 여성건강간호학회지
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    • 제27권3호
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    • pp.230-242
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    • 2021
  • Purpose: The purpose of this study was to develop a maternal nursing competency reinforcement program for nursing students and assess the program's effectiveness in Korea. Methods: The maternal nursing competency reinforcement program was developed following the ADDIE model. This study employed an explanatory sequential mixed methods design that applied a non-blinded, randomized controlled trial with nursing students (28 experimental, 33 control) followed by open-ended interviews with a subset (n=7). Data were analyzed by both qualitative and quantitative analysis methods. Results: Repeated measures analysis of variance showed that significant differences according to group and time in maternal nursing performance; assessment of and intervention in postpartum uterine involution and vaginal discharge (F=24.04, p<.001), assessment of and intervention in amniotic membrane rupture (F=36.39, p<.001), assessment of and intervention in delivery process through vaginal examination (F=32.42, p<.001), and nursing care of patients undergoing induced labor (F=48.03, p<.001). Group and time improvements were also noted for problem-solving ability (F=9.73, p<.001) and emotional intelligence (F=4.32, p=.016). There were significant differences between groups in self-directed learning ability (F=13.09, p=.001), but not over time. The three main categories derived from content analysis include "learning with a colleague by simulation promotes self-reflection and learning," "improvement in maternal nursing knowledge and performance by learning various countermeasures," and "learning of emotionally supportive care, but being insufficient." Conclusion: The maternal nursing competency reinforcement program can be effectively utilized to improve maternal nursing performance, problem-solving ability, and emotional intelligence for nursing students.

발사체 상단 자세제어용 추력기시스템 명령생성방식 연구 (A Study on Command Generation Methods of Reaction Control System for Upper Stage Attitude Control of Launch Vehicles)

  • 선병찬;박용규;오충석;최경준;노웅래
    • 항공우주기술
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    • 제13권1호
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    • pp.44-54
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    • 2014
  • 본 논문에서는 3구 추력기 2모듈 형태의 추력기시스템 기준으로 발사체 상단 자세제어용 추력기시스템 명령생성방식 2가지를 제시한다. 하나는 혼합오차함수를 이용하는 방식이고, 다른 하나는 명령혼합함수를 이용하는 방식이다. 시뮬레이션을 통해 두 방식을 비교 분석한 결과, 제어축 간의 상호 간섭, 각축 제어기의 독립적인 설계와 분석 용이성, 비행성능 예측 가능성 등의 관점에서 명령혼합 알고리듬이 상대적으로 유리함을 보인다.

건조 방법에 따른 호박 분말 및 죽의 품질 특성 (Quality Characteristics of Ripened Pumpkin Powder and Gruel in Relation to Drying Methods)

  • 황성희;정헌식;윤광섭
    • 동아시아식생활학회지
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    • 제16권2호
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    • pp.180-185
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    • 2006
  • To develop a new instant pumpkin gruel food, this study investigated the dried powder and gruel quality characteristics depend on drying method. The pumpkin powder was dried by infrared and freeze drying, and then milled to 80 mesh, after which the manufactured gruel was mixed with glutinous rice by heating. The gruels prepared by dried pumpkin powder were compared with steamed and freeze dried powder as a control, the crude protein and total sugar contents were high in the infrared drying powder, but freeze drying kept more carotenoid content. Soluble solid of gruel was higher in the freeze dried powder, and steam treated powder showed increased L and b values. Sensory test was carried out to select proper drying methods with 5-point scale. The gruel with freeze dried powder gained the highest score in overall quality. These results suggest that freeze drying could be used for manufacturing high quality instant pumpkin gruel.

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아질산성 질소의 현장 분석 방법 개발에 관한 기초 연구 (Feasibility Study of On-site Analysis on Nitrite)

  • 정용준
    • 한국습지학회지
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    • 제15권2호
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    • pp.265-269
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    • 2013
  • 본 연구는 아질산성 질소의 간이분석을 위한 기초 연구로 수행되었다. 수중 질소는 부영양화를 유발하는 암모니아, 아질산 및 질산으로 주로 구성되어 있다. 질소화합물을 제거하기 위한 많은 연구들이 진행되었고, 이에 따른 분석기술도 발달했다. 현장 모니터링을 위한 간이 분석방법의 개발은 수질관리를 위해 필요하므로, 본 연구는 아질산성 질소의 현장 분석법 개발을 위해 진행되었다. BCDMA와 바이페닐로 코팅된 PVC 흡착 칼럼을 이용한 아질산성 질소 분석의 기초 연구를 수행하였다. 흡착칼럼내의 흡착제는 4~20 $mgNO_2-N/L$ 범위내에서 발색길이를 나타내었고, 흡광도는 pH의 영향을 받는 것으로 나타났다.

한국 남부해역의 수온약층 추출 알고리즘 개발 (Development of Algorithms for Extracting Thermocline Parameters in the South Sea of Korea)

  • 윤동영;최현우
    • Ocean and Polar Research
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    • 제34권2호
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    • pp.265-273
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    • 2012
  • A new algorithm was developed, not only to detect the existence of a thermocline, but also to extract the thermocline parameters (such as thermocline thickness, mixed layer thickness, maximum temperature gradient, and temperature difference of thermocline), using the vertical profile of water temperature. According to Kappa analysis, in order to find adequate threshold values of vertical water temperature gradients ${\Delta}T$ ($^{\circ}C/m$), agreement and reliability were 87% and 0.74 respectively, in the conditions of maximum ${\Delta}T{\geq}0.5$ and surface and bottom layers ${\Delta}T<{\mid}0.2{\mid}$. Also, three different kinds of methods, viz. 1. Gradient method, 2. Hyperbolic tangent method, and 3. Differential hyperbolic tangent method, were tested to extract the key parameters of a thermocline. Comparing the results of three different methods, the differential hyperbolic tangent method was the most appropriate to extract the start and end point of a thermocline curve.

Personal Protective Equipment Availability and Utilization Among Interventionalists

  • Rose, Andre;Rae, William Ian Duncombe
    • Safety and Health at Work
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    • 제10권2호
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    • pp.166-171
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    • 2019
  • Objective: This study explored personal protective equipment (PPE) availability and PPE utilization among interventionalists in the catheterization laboratory, which is a highly contextualized workplace. Methods: This is a cross-sectional study using mixed methods. Participants (108) completed a survey. A hyperlink was sent to the participants, or they were asked to complete a paper-based survey. Purposively selected participants (54) were selected for individual (30) or group (six) interviews. The interviews were conducted at conferences, or appointments were made to see the participants. Logistic regression analysis was performed. The qualitative data were analyzed thematically. Results: Lead glasses were consistently used 10.2% and never used 61.1% of the time. All forms of PPE were inconsistently used by 92.6% of participants. Women were 4.3 times more likely to report that PPE was not available. PPE compliance was related to fit and availability. Conclusions: PPE use was inconsistent and not always available. Improving the culture of radiation protection in catheterization laboratories is essential to improve PPE compliance with the aim of protecting patients and operators. This culture of radiation protection must include all those involved including the users of PPE and the administrators and managers who are responsible for supplying sufficient, appropriate, fitting PPE for all workers requiring such protection.