• Title/Summary/Keyword: higher order theory

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The Effects of an Advanced Cardiac Life Support Simulation Training Based on the Mastery Learning Model (완전학습 모델을 기반으로 한 시뮬레이션 훈련이 전문심장소생술 습득에 미치는 효과)

  • Kwon, Eun Ok;Shim, Mi Young;Choi, Eun Ha;Lim, Sang Hee;Han, Kyoung Min;Lee, Eun Joon;Chang, Sun Ju;Lee, Mi Mi
    • Journal of Korean Clinical Nursing Research
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    • v.18 no.1
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    • pp.126-135
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    • 2012
  • Purpose: This study was aimed to develop a simulation training program of an advanced cardiac life support (ACLS) based on the mastery learning model (Simulation-MLM), and evaluate the effects of the program on critical care nurses. Methods: As an experimental pre-post test with a non-equivalent control group, the study employed convenience sampling of 38 critical care nurses. The experimental group received the Simulation-MLM including a theoretical lecture, formative evaluation, and simulation training, whereas only a theoretical lecture for the control group. The knowledge, self-efficacy, and performance degrees of respondents were measured to verify the effects of the Simulation-MLM. The statistical processing of the collected data utilized the SPSS WIN 17.0 program. Results: After receiving Simulation-MLM, the participants in the experimental group reported higher marks in the knowledge, self-efficacy and performance of ACLS compared with those in the control group. However, both experimental and control groups demonstrated no significant differences in knowledge, self-efficacy and performance. Conclusion: Despite of the limitation of a small sample size, this study was considered meaningful in a sense that it showed a venue for improving ACLS training efficiency. Future research with more distinct treatment differentiation and better adequate outcome variables was warranted in order to prove the effects of a theory-based simulation education.

Fracture Mechanism and Characterization of Falling Weight Impact in CF/Epoxy Composite Plates Under Law-Velocity Impact (저속충격 하에서 CFRP 복합적층판의 낙추 충격특성과 파괴기구)

  • 임광희;박노식;김영남;김선규;심재기;양인영
    • Composites Research
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    • v.17 no.4
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    • pp.53-60
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    • 2004
  • This paper describes a method for a falling weight impact test to estimate the impact energy absorbing characteristics and impact strength of CFRP laminate plates based on considerations of stress wave propagation theory. The absorbed energy of T300 orthotropic composites is higher than that of quasi-isotropic specimen over impact energy 6.8J, but in case of using T700 fiber, much difference does not show. Also, absorbed energy of T300 orthotropic composites, which are composed of the same stacking number and orientation became more than that of T700 fiber specimen; however there was no big difference in case of quasi-isotropic specimens. The delamination areas of the impacted specimen were measured with the ultrasonic C-scanner to find correlation between impact energy and delamination area. The fracture surfaces were observed by using the SEM (scanning electron microscope) through a low-velocity impact test in order to confirm the fracture mechanism.

A Systematic Review of Evidence for Education and Training Interventions in Microsurgery

  • Ghanem, Ali M.;Hachach-Haram, Nadine;Leung, Clement Chi Ming;Myers, Simon Richard
    • Archives of Plastic Surgery
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    • v.40 no.4
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    • pp.312-319
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    • 2013
  • Over the past decade, driven by advances in educational theory and pressures for efficiency in the clinical environment, there has been a shift in surgical education and training towards enhanced simulation training. Microsurgery is a technical skill with a steep competency learning curve on which the clinical outcome greatly depends. This paper investigates the evidence for educational and training interventions of traditional microsurgical skills courses in order to establish the best evidence practice in education and training and curriculum design. A systematic review of MEDLINE, EMBASE, and PubMed databases was performed to identify randomized control trials looking at educational and training interventions that objectively improved microsurgical skill acquisition, and these were critically appraised using the BestBETs group methodology. The databases search yielded 1,148, 1,460, and 2,277 citations respectively. These were then further limited to randomized controlled trials from which abstract reviews reduced the number to 5 relevant randomised controlled clinical trials. The best evidence supported a laboratory based low fidelity model microsurgical skills curriculum. There was strong evidence that technical skills acquired on low fidelity models transfers to improved performance on higher fidelity human cadaver models and that self directed practice leads to improved technical performance. Although there is significant paucity in the literature to support current microsurgical education and training practices, simulated training on low fidelity models in microsurgery is an effective intervention that leads to acquisition of transferable skills and improved technical performance. Further research to identify educational interventions associated with accelerated skill acquisition is required.

A Model for Design of Tailored Working Environment Intervention Programmes for Small Enterprises

  • Hasle, Peter;Kvorning, Laura V.;Rasmussen, Charlotte D.N.;Smith, Louise H.;Flyvholm, Mari-Ann
    • Safety and Health at Work
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    • v.3 no.3
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    • pp.181-191
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    • 2012
  • Objectives: Small enterprises have higher exposure to occupational hazards compared to larger enterprises and further, they have fewer resources to control the risks. In order to improve the working environment, development of efficient measures is therefore a major challenge for regulators and other stakeholders. The aim of this paper is to develop a systematic model for the design of tailored intervention programmes meeting the needs of small enterprises. Methods: An important challenge for the design process is the transfer of knowledge from one context to another. The concept of realist analysis can provide insight into mechanisms by which intervention knowledge can be transferred from one context to another. We use this theoretical approach to develop a design model. Results: The model consist of five steps: 1) Defining occupational health and safety challenges of the target group, 2) selecting methods to improve the working environment, 3) developing theories about mechanisms which motivate the target group, 4) analysing the specific context of the target group for small enterprise programmes including owner-management role, social relations, and the perception of the working environment, and 5) designing the intervention based on the preceding steps. We demonstrate how the design model can be applied in practice by the development of an intervention programme for small enterprises in the construction industry. Conclusion: The model provides a useful tool for a systematic design process. The model makes it transparent for both researchers and practitioners as to how existing knowledge can be used in the design of new intervention programmes.

The Silicon Type Load Cell with SUS630 Diaphragm (SUS630 다이아프램을 이용한 반도체식 로드셀)

  • Moon, Young-Soon;Lee, Seon-Gil;Ryu, Sang-Hyuk;Choi, Sie-Young
    • Journal of Sensor Science and Technology
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    • v.20 no.3
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    • pp.213-218
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    • 2011
  • The load cell is a force sensor and a transducer that is used to convert a physical force into a electrical signal for weighing equipment. Most conventional load cells are widely used a metal foil strain gauge for sensing element when force being applied spring element in order to converts the deformation to electrical signals. The sensitivity of a load cell is limited by its low gauge factor, hysteresis and creep. But silicon-based sensors perform with higher reliability. This paper presents the basic design and development of the silicon type load cell with an SUS630 diaphragm. The load cell consists of two parts the silicon strain gauge and the SUS630 structure with diaphragm. Structure analysis of load cell was researched by theory to optimize the load cell diaphragm design and to determine the position of peizoresistors on a silicon strain gauge. The piezo-resistors are integrated in the four points of silicon strain gauge processed by ion implantation. The thickness of the silicon strain gauge was polished by CMP under 100 ${\mu}M$. The 10 mm diameter SUS630 diaphragm was designed for loads up to 10 kg with 300 ${\mu}M$ of diaphragm thickness. The load cell was successfully tested, the variation of ${\Delta}$R(%) of four points on the silicon strain gauge is good linearity properties and sensitivity.

Factors Influencing Drinking of Employees: Focus on the White Collar Employees (직장인의 음주에 영향을 미치는 요인에 관한 연구: 사무직 직장인을 중심으로)

  • Kweon, Gu-Young
    • Korean Journal of Social Welfare
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    • v.57 no.2
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    • pp.93-118
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    • 2005
  • This research examined influence of job stress and drinking subculture on the drinking of white collar employees. The results are as follows: First, there are a higher percentage of population among white collar employees who hold drinking problems in terms of frequency of drinking, amount of drinking, frequency of binge drinking comparing with general populace. The results of research revealed that drinking problems of white collar employees is quite close to dangerous level. Second, job stress didn't display a consistent relationship with drinking and drinking problem, however, drinking subculture revealed that it was related with drinking and drinking problem exhibiting significant influence. And, the results of research didn't support tension reduction hypothesis, and it was identified that social learning theory is main factor that will explain drinking and drinking problem of white collar employees. Therefore, researcher suggested as follow; First, practitioners and researchers exert their efforts for studying about drinking in the relationship to white collar employees. They should also have more interests in the topic from a practical perspective. Second, suggest that EAPs be introduced in order to prevent white collar employees from drinking problem and to promote increase of entire welfare. Third, suggest that succeeding research endeavors be required, which shall embrace all of white & blue collar employees.

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Wiki Usage of LIS Undergraduates for Collaborative Learning (문헌정보학과 학생들의 위키를 활용한 협력학습에 대한 연구)

  • Park, Sung Jae
    • Journal of the Korean BIBLIA Society for library and Information Science
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    • v.23 no.4
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    • pp.93-108
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    • 2012
  • The purpose of this study is to find any contradictions which arise with the use of Wiki in the classroom, and to address such contradictions in order to promote learning among LIS students. This study employed a multi-methodology, including Wiki usage analysis, and interviews with 12 students who participated in an LIS class. Observations revealed that group projects are common in academic classes. Interviewees agreed that their performance through collaborative efforts was higher than that through individually performed activities. However, there were no pre-experiences with Wiki in learning and task-oriented cooperation which gave rise to a controversy. In addition, even though a new technology, as a more advanced form, was suggested, students cooperated with their peers according to their tradition without using the recommended new technology. Therefore, students should be taught about Wiki usage and experience the effective learning which is available to them through collaboration with their peers. Additionally, LIS curriculum should incorporate relationship-oriented activities using Web 2.0 applications with the expectation of enhanced learning among students.

Characteristics of Molecular Band Energy Structure of Lipid Oxidized Mammalian Red Blood Cell Membrane by Air-based Atmospheric Pressure Dielectric Barrier Discharge Plasma Treatment

  • Lee, Jin Young;Baik, Ku Youn;Kim, Tae Soo;Jin, Gi-Hyeon;Kim, Hyeong Sun;Bae, Jae Hyeok;Lee, Jin Won;Hwang, Seung Hyun;Uhm, Han Sup;Choi, Eun Ha
    • Proceedings of the Korean Vacuum Society Conference
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    • 2014.02a
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    • pp.262.1-262.1
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    • 2014
  • Lipid peroxidation induces functional deterioration of cell membrane and induces cell death in extreme cases. These phenomena are known to be related generally to the change of physical properties of lipid membrane such as decreased lipid order or increased water penetration. Even though the electric property of lipid membrane is important, there has been no report about the change of electric properties after lipid peroxidation. Herein, we demonstrate the molecular energy band change in red blood cell membrane through peroxidation by air-based atmospheric pressure DBD plasma treatment. Ion-induced secondary electron emission coefficient (${\gamma}$ value) was measured by using home-made gamma-focused ion beam (${\gamma}$-FIB) system and electron energy band was calculated based on the quantum mechanical Auger neutralization theory. The oxidized lipids showed higher gamma values and lower electron work functions, which implies the change of surface charging or electrical conductance. This result suggests that modified electrical properties should play a role in cell signaling under oxidative stress.

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Frequency and Importance of Nurse's Job in New Graduate Nurses Working in Musculoskeletal Ward (근골격계 병동 신규간호사의 간호직무 수행도와 중요도)

  • Lim, Nan-Young;Yun, Soon-Nyung;Kim, Jeong-Eun;Lee, Young-Sun;Jung, Yeon-Yi;Song, Jung-Hee
    • Journal of muscle and joint health
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    • v.13 no.2
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    • pp.108-118
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    • 2006
  • Purpose: The purpose of this study was to examine comparison in the frequency and importance of nurse's job in new graduate nurses working in musculoskeletal ward. Method: A descriptive design was used with convenience sampling of 72 new graduate nurses working in musculoskeletal ward of the 2 hospitals with over 500 beds. Data were collected using a structured questionnaire. Results: 1) The total score for frequency of nurse's job was $2.57{\pm}.41$ and the total score for importance of nurse's job was $3.00{\pm}.37$. 2) The most frequent category was to manage for a medication and the most frequent item was to administer a medication in the order. 3) The most important category was to control of tissue perfusion and the most important item was to keep the aseptic techniques. 4) The frequencies among the work places were different significantly in 3 categories. 5) The importances among the work places were different significantly in 2 categories. Conclusion: New graduate nurses perceived the importance than the frequency of nurse's job. Also check or analysis the vital sign and nurses job associated with medication were higher score. Therefore, further research is needed to develop the educational strategies to strengthen not only theory also practice.

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Information Technology Strategy and Architecture: An Explanatory Contingency Framework (정보기술전략과 정보기술아키텍쳐: 설명적 상황이론 프레임워크)

  • Yum, Ji-Hwan
    • Information Systems Review
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    • v.4 no.2
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    • pp.81-94
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    • 2002
  • The study employs the conceptual framework of the strategic success paradigm developed by Ansoff (1990). The strategic success paradigm denotes that optimal performance will be attained when the level of environmental turbulence is aligned with the strategic aggressiveness and organizational capability. Based on the paradigm, authors developed the concept of IT (information technology) aggressiveness (IT aggressiveness henceforth) and capability (IT capability henceforth). In order to clarify the different concept of IT aggressiveness and capability, the author brought the concept of IT architecture. The difference of capability and architecture lies in the depth of technical considerations. Where capability refers attitudinal aspects of managers, architecture emphasizes technical capacity of the organization as a whole. The study validated the need for alignment among IT architecture, environmental turbulence and IT aggressiveness. The imbalance between IT strategy and IT architecture (such as a higher level of IT aggressiveness but a lower level of IT architecture, or vice versa) has a marginal contribution to the organizational IT performance. The alignment among organizational environmental turbulence, IT aggressiveness, and IT architecture resulted in an optimal level of IT performance especially in a turbulent environment.