Purpose: The global emphasis on preventing and systematically managing acute cardiac arrest necessitates improved education in cardiovascular emergencies. This study aims to provide foundational data on the effectiveness of simulation-based cardiovascular emergency management education, applying the think-aloud method for nurses. Method: A one-group pre-posttest experimental design was used from July 29 to August 15, 2022. Twenty-eight nurses participated in this study. Data were analyzed using descriptive statistics and the Wilcoxon signed-rank test with SPSS/WIN 25.0. Results: The educational intervention showed statistically significant improvements in outcomes: knowledge of cardiovascular emergency management (Z=-4.24, p<.001), confidence in cardiovascular emergency management (Z=-4.63, p<.001), clinical reasoning competence (Z=-4.16, p<.001), and self-efficacy for group work (Z=-3.47, p=.001), and selfregulation for group work (Z=-2.29, p=.022). Conclusion: This study indicates that the use of the think-aloud method in simulation-based learning can effectively enhance cardiovascular emergency management training by reducing learners’ cognitive load. Cardiovascular emergency management competencies can be strengthened through the development of diverse educational strategies and the expansion of training support.
Background: Swallowing disorder is a common disease that can cause various complications such as malnutrition, dehydration, aspiration pneumonia, and poor quality of life, and can affect people of all ages, from infants to the elderly. Swallowing disorder rehabilitation is a complex process involving various skills such as exercise, diet modification, and posture adjustment. This study implements a rehab program for swallowing disorders using the Kinesio Tapping technique. Design: Prospective pilot case study. Objectives: To improve laryngeal detachment by providing external support to the muscles involved in swallowing using kinesio taping for conventional complex swallowing disorder rehabilitation. Methods: The study included 16 participants who were diagnosed with swallowing difficulties after a stroke and admitted to a rehabilitation ward in Ulsan. The average age of the participants, consisting of 9 males and 7 females, was 69.0 years (SD=1.23) and 64.0 years (SD=1.45), respectively. The stroke types were hemorrhagic and infarction, with onset periods ranging from 6 to 12 months (SD=1.11) in all participants. Each participant received a video fluoroscopy study (VFSS) for six months using the taping method developed by the research team. Kinesio taping techniques were developed by two professional physical therapists and one occupational therapist based on anatomical movements. Results: Significant differences were observed in self-training on the bed after the rehabilitation program compared to the initial period Kinesio taping can help improve laryngeal dislocation and reduce the risk of aspiration by providing external support to the muscles involved in swallowing. However, the effectiveness and optimal application techniques of kinesio taping in the rehabilitation of swallowing disorders are not yet clear. Conclusion: The results of this study could lead to the development of a new treatment protocol that incorporates kinesio taping as a standard therapy for the rehabilitation of swallowing disorders in bedridden patients.
Most fishing vessels are less than 100 m in length (LBP), which is not mandatory for the IMO standards for ship maneuverability. Therefore, research on estimating the maneuverability of fishing vessel hull shapes are somewhat lacking compared to that of merchant ship hull shapes, and at the design stage, the numerical simulation method developed for merchant ships are applied without modification to estimate the maneuverability. Since this can cause estimation errors, the authors have derived a modified empirical formula that can improve the accuracy of estimating the maneuverability of fishing vessels in a previous study. In this study, using the modified empirical formula, the IMO maneuverability evaluation items, the turning motion test and Z-test simulations were performed on the fisheries training vessel BAEK-KYUNG and compared with the sea trial test result to verify the validity of the modified empirical formula. In conclusion, the modified empirical formula was able to estimate quantitatively and qualitatively similar to the result of the sea trial test. Such a study on estimating the maneuverability of fishing vessels will be a good indicator for fishing vessel operators and will help them analyze marine accidents.
시간과 지리, 문화, 제도, 언어의 장벽을 넘어 초월적 선교가 가능한 오늘날 그 기회와 방법은 너무도 많지만, 그에 적합한 선교의 혁신이 절실히 필요하다. 새로운 선교 패러다임을 받아들여 첨단 과학 기술의 발달과 그에 따라 급변하는 시대적 상황을 올바로 이해하고 그에 적합한 선교사 교육 훈련으로 대처해야 한다.
이 연구의 목적은 스마트 선교훈련 시스템의 중요성과 특성들을 알아 볼 뿐만 아니라, 이 방법이 선교 현장에서 스마트하게 활용 될 수 있는 지 알아보는 것이다. 이 연구는 새로운 선교사 교육 패러다임으로서의 스마트 선교사 훈련이 어떻게 세계 선교의 효과를 높일 수 있는지 검토하고, 혁신적 IT 방법을 활용한 스마트 선교전략들을 소개하면서 Semi-O2O 미션 퍼스펙티브의 유의미한 훈련 효과 및 그 이점을 검토하였다. 인공지능이 아닌 인간 선교 사역자의 노력을 중심으로, 아날로그와 디지털을 균형 있게 조화시켜 온-오프라인 등의 여러 채널들을 오가며 그 장점을 극대화 하여 이 모든 것을 선교지에 적용하는 훈련이다.
이 연구를 통해 온라인과 오프라인 세계 사이의 차이점을 인식 하고 상호 통신 및 상호작용을 활성화하기 위해 두 세계를 자유롭게 통합하거나 각각을 개별적으로 구분하여 탄력적으로 활용 하면 글로벌 선교에 도움이 됨을 발견하였다. 또한 첨단 과학기술과 관련하여 그에 적합한 퍼스펙티브 쉬프트를 통한 지성, 감성, 진정성을 담은 혁신적 IT 선교사 훈련이 선교 사역의 효율성을 높여 줌을 알게 되었다. 이 접근법은 앞으로도 파송 전 선교사 훈련에 큰 도움이 되어 시대적으로 더욱 스마트한 선교가 가능하게 할 것이다.
주민등록 인구가 현저히 감소되고 있음에도 지역여건을 고려하지 않는 운영보조금의 배정 및 획일적 프로그램 운영 등에 아쉬움을 남기고 있다. 현재 청소년들이 처한 환경은 입시 위주의 성적 제일주의로 학교 부적응과 학교중단 사유 등이 증가하고 있는 추세에 있다. 또한 가족구조가 변화하고 있어 조손, 다 문화, 소년소녀 가장 등이 늘고 있고 청소년 문제를 야기하고 있는 이들에게 상담과 치유를 동반하는 청 소년수련관은 건전한 육성과 균형 있는 성장을 지원할 수 있는 터전이고 수련 거리를 갖춘 시설로서의 목 적 수행과 청소년수련관 이용자 서비스 향상을 위해 운영하고 있다, 본 연구는 청소년들이 다양한 체험활 동과 청소년의 건전한 육성 발전과 균형 있는 성장을 위해 청소년수련관 운영 실태를 분석한 결과 나타난 문제점으로는 재정이 열악하고 전문 청소년지도사의 인력 부족 및 고용의 불안정, 청소년의 욕구에 부합 한 프로그램의 미흡하며, 청소년 이용 시 불편과 인지도가 낮은 편으로 나타났다. 이에 따라 청소년수련 관 이용자 서비스 만족도 향상을 위해서는 첫째로, 지역사회가 요구하는 욕구조사와 이를 토대로 창의적 이고 혁신적인 지역특성에 맞는 프로그램 개발이 선행되어야 하고, 둘째로, 청소년 지도사 들의 직업적 전문적 안정을 위해서는 신분보장과 더불어 급여체계를 복시시설 종사자와 동일하게 하되 호봉체계를 3호 봉~15호봉으로 조정하여 현실화가 필요하다. 이는 직업의 안정과 고용불안을 줄여 생동감 있는 직장으 로 변화되어야 만 한다. 셋째로, 재정운영에 관한 사항으로 법인 전입금의 철저한 지도감독과 수련관 수탁 운영 시 운영계획 안을 실행 여부를 준수할 수 있도록 정기적 지도감독이 선행되어야 하고 이를 위해서는 자립형과 지원형 의 목적 사업 비율을 철저하게 준용함과 동시 평가에서도 인센티브 제도를 도입하여 운영보조금 차등 지 급 등으로 경쟁력을 제고 할 필요가 있다.
An effective method for produce munitions effectiveness data is to calculate weapon effectiveness indices in the US military’s Joint Munitions Effectiveness Manuals (JMEM) and take advantage of the damage evaluation model (GFSM) and weapon Effectiveness Evaluation Model (Matrix Evaluator). However, a study about the Range Safety that can be applied in the live firing exercises is very insufficient in the case of ROK military. The Range Safety program is an element of the US Army Safety Program, and is the program responsible for developing policies and guidance to ensure the safe operation of live-fire ranges. The methodology of Weapon Danger Zone (WDZ) program is based on a combination of weapon modeling/simulation data and actual impact data. Also, each WDZ incorporates a probability distribution function which provides the information necessary to perform a quantitative risk assessment to evaluate the relative risk of an identified profile. A study of method to establish for K-Range Safety data is to develop manuals (pamphlet) will be a standard to ensure the effective and safe fire training at the ROK military education and training and environmental conditions. For example, WDZs are generated with the WDZ tool as part of the RMTK (Range Managers Tool Kit) package. The WDZ tool is a Geographic Information System-based application that is available to operational planners and range safety manager of Army and Marine Corps in both desktop and web-based versions. K-Range Safety Program based on US data is reflected in the Korean terrain by operating environments and training doctrine etc, and the range safety data are made. Thus, verification process on modified variables data is required. K-Range Safety rather than being produced by a single program, is an package safety activities and measures through weapon danger zone tool, SRP (The Sustainable Range Program), manuals, doctrine, terrain, climate, military defence M&S, weapon system development/operational test evaluation and analysis to continuously improving range safety zone. Distribution of this K-range safety pamphlet is available to Army users in electronic media only and is intended for the standing army and army reserve. Also publication and distribution to authorized users for marine corps commands are indicated in the table of allowances for publications.
Therefore, this study proposes an efficient K-Range Safety Manual producing to calculate the danger zones that can be applied to the ROK military’s live fire training by introducing of US Army weapons danger zone program and Range Safety Manual
승선실습교육은 해기사로서의 기본적인 소양과 기능을 연마하기 위하여 이론과 실무를 겸비하도록 하고 다양한 교육 및 훈련과정을 통해 위기상황 대처능력과 자립심을 향상시켜 선박이라는 특수한 작업환경에서 부여된 업무를 효과적으로 달성시키는데 있다. 따라서 본 연구에서는 전문적인 지식 및 리더십을 겸비한 유능한 해기사를 양성하고 승선실습교육의 목적을 달성하기 위하여 실습선 실습기관사 승선실습교육 향상 및 지도를 위한 몇 가지 개선 방안을 제안하고자 한다.
Since June 25th 1950, the beginning of the cold war (Korean war), Korean peninsula is still in a state of war. Officially South and North Korean government call a truceafter three years from the beginning day, however both countries are still having several combats in these days. So every Korean citizen male has duty for serving military duty and this lasts even after the serving regular military force, as reserved military. Although South Korea is very small country, the size of military is very large so informing all reserved military takes some time. Since this nation is confronting the enemy and considering the global potential threat, South Korean military needs expedite informing system to call up the reserved military to active duty. In this project, the current informing system has been analyzed and compared with the new method which is using social network service such as Twitter. However mobilization order is very critical. So in our new model there are two ways combined. Using twitter to inform and then use traditional ways to finish the order. This method will provide more efficient and accurate way to cover the call ups.
◉ 서론: 특수학교의 지적장애 1개 학급을 대상으로 학생들의 수준평가를 통하여 수준에 따라 3그룹으로 나눈 후 일상생활활동 중 의사소통에 관한 활동과제를 수행하고자 지역사회 상점에 전화로 음식 주문하기에 관한 연구 수업을 진행하였다. 본 사례안 소개를 통하여 수업안에 대한 이해와 국내 학교작업치료분야에서 장애를 가진 학생을 대상으로 한 특수학급에서의 일상생활교육 및 훈련에 대한 정보를 공유하고자 한다.
◉ 본론: 대상자는 서울지역의 D특수학교 고등부의 한 학급에 재학 중인 만 16세에서 20세의 지적장애 학생 11명을 대상으로 하였다. 학생들의 학교와 사회생활에의 참여수준을 알아보기 위해 School Function Assessment(SFA)와 사회 성숙도 검사를 사용하였고 이 결과들을 토대로 3그룹으로 분류하여 지역사회 상점에 전화로 음식주문하기에 대한 연구수업을 진행하였다.
연구수업 진행 후 학생들의 반응과 응답결과는 자신의 수준에 맞는 다양한 제재와 학습도구를 사용하여 전화를 사용하는 방법을 교육받고 훈련 받았다는 것에 만족하였고, 비슷한 수준을 가진 또래 사이에서의 학습과정을 통해 성취감과 독립성을 느꼈음을 나타내었다.
◉ 결론: 지적장애 학급을 대상으로 전화로 음식 주문하기와 같은 일상생활활동 훈련은 학생들에게 긍정적인 효과를 보였고 이는 곧 학생들의 자존감을 높이고 적극적인 사회참여를 하도록 준비하는데 도움이 된다.
본 시험은 7~9월 수확을 위한 고랭지 오이의 비가림 재배시 생력형 유인방법인 아치식의 재배방법을 개발하고자 실시하였다. 아치식의 유인높이(1.5 m, 1.8 m 및 2.1 m), 재식거리(90×40 cm, 90×50 cm 및 90×60 cm) 및 적심절위(20절, 25절, 30절, 35절 및 무적심)를 비교하였다. 비가림하우스 내 지표면 위 2.1 m의 기온은 37℃로 너무 높아, 2.1 mrn에서는 일소현상이 나타났다. 아치식 유인높이 1.8 mrn가 다른 유인높이에 비해 착과율과 상품율이 높았다. 상품수량은 1.8 m에서의 102,691 kg · ha-1로 1.5 mrn의 84,790 kg · ha-1보다 21% 많았다. 재식밀도가 높을수록 노균병 발생율은 증가되었다. LAI는 적심절위가 올라갈수록 높았으며 내부투광율은 재식밀도가 좁을수록 경엽이 밀집되어 낮아졌다. 착과수는 주지보다 측지가 많았으며, 적심절위가 낮을수록 증가하였다. 상품수량은 90×50 cm, 35절 적심구가 98,311 kg · ha-1로 90×40cm, 30절 적심구의 93,807 kg · ha-1보다 5% 증가되었다. 따라서 여름생산을 위한 고랭지에서 오이의 아치식유인 재배시 유인높이는 1.8 m, 재식거리는 90×50 cm 및 적심절위는 35절이 최대의 수량을 얻을 수 있는 재배시스템으로 생각되었다.
The word "Qi-Gong" firstly originated from Taoism in the Jin era means to concentrate true energy and to cultivate new energy and thus to make our vitality strong. Qi-Gong, which means breathing method and physical exercise had been developed in various directions from ancient China. "Zhubingyuanhoulun" intensively summarized these various methods for Qi-Gong, and the theory of Qi-Gong as practical treatment. Through this study, this author attempted to newly define the essences of Breathing training method and to review the conception, the history in "Zhubingyuanhoulun".
유한요소법의 강의와 학습을 지원하는 컴퓨터 기반 교육시스템(computer-based training system)을 개발하였다. 이 시스템은 유한요소해석을 요소 모델링에서부터, 최종결과의 계산에 이르기까지 여러 개념과 과정을 가시화하고, 사용자가 직접 상호작용 적으로 실습하고, 해석과정에 개입하여 모의 조작(simulation)하며, 그 반응을 관찰할 수 있는 여러 기능을 갖추고 있다. 이 시스템을 이용하여 실제적인 유한요소해석을 실행 할 수 있다. 따라서 이 시스템을 유한요소법의 보조 교육 재료로 활용할 뿐만 아니라 실제적인 유한요소해석 소프트웨어로 병용함으로써 유한요소법의 교육과 학습의 효과를 높일 수 있다.
Background : This study was investigated the effect of organic fertilizer application and stem training methods on the growth and yield of Cynanchum willfordii. Methods and Results : Traditional species, C. willfordii conducted the test to the field in Chungbuk ARES, Korea. Two methods, non-supporting (custom) and I-shape supporting was used for stem training method. Planting spacing was adjusted to 30 (interrow spacing) x 20 cm (intrarow spacing) and other key management is the followed the cultivation manual for standard medicinal crops. Organic fertilizer application is conducted in mid-March before planting of C. willfordii. Registered organic agricultural materials such as fungal cultures (CC), mixed organic materials (MO), fermented and mixed expeller cake (EC), and fermented fowl dropping (FD) was used. Application rate is based on the nitrogen application rate after soil testing. Plant height was both good in all at I-shape supporting (266.7 ㎝) and all in non-supporting (160.8 ㎝); however, stem diameter was more thicker in custom (4.6 ㎜) of I-shape supporting and EC (4.8 mm) of non-supporting. Number of branched stem were good at EC from I-shape supporting and non-supporting, as well as leaf growth. SPAD value was evaluated in MO (52.7) of I-shape supporting and EC (52.3) of non-supporting. Number of branched root per organic fertilizer were showed 7.0 at MO from I-shape supporting, but 7.3 at FD from non-supporting. While length of main root were 27.0 cm in MO of I-shape supporting and 31.3 ㎝ in FD of non-supporting. Root weight also more heavier in EC (66.3 g) of I-shape supporting and FD (53.0 g) of non-supporting. When applied organic fertilizer, total density of soil microorganisms were changed into 38.4 ppm in custom; however, it more plentiful of 90.7 ppm in MO, it showed good effect on the replication of soil microbiota. Conclusion : From the investigated results, MO of I-shape supporting was good at overall growth, including good tendency of roots growth.
Background : The effect of ridge-up bed cultivation and stem training method on the plant growth and yield of Cynanachum willfordii was investigated. Methods and Results : Domestic variety of Cynanachum willfordii was tested at Chungbuk ARES under the following conditions. Nonsupporting (custom) and I-form supporting was used for stem training method, and ridge height was set as 30 (custom) and 60 cm (high ridge). Planting spacing was adjusted to 30 (interrow spacing) × 20 cm (intrarow spacing), and other major management was followed the method of standard cultivation for medicinal crop. Investigated result from leaf characteristics, leaf length was longer in high ridge cultivation (HRC) as 11.1 cm than custom cultivation (CC) as 10.6 cm. Leaf width is proved to be 12.8 (HRC) > 11.2 cm (CC). Leaf number is proved to be 294 (HRC) > 254/plant (CC), with higher number of 44/plant at HRC and weight/10 leaves were more heavy at HRC (4.9 g) than that of CC (2.6 g). It was more fruit setting at HRC over 15/plant. According to the stem training method and ridge height from nonsupporting cultivation, main root was 4.0 (CC), higher than that of HRC over 0.5/plant. However, root length was more longer in HRC (28.6) than that of CC (25.0 cm). Main root diameter was also showed more thicker pattern in HRC. From staking cultivation, root number of HRC was 7/plant, it was recorded more 3/plant than that of CC, and it was also same pattern in main root length and root diameter. By the standard of commercial root, yield of living roots in nonsupporting cultivation were 59.0g/plant (HRC), it was more heavy over 10.4g/plant than that of CC. In staking cultivation, HRC were recorded as 74.2g/plant, more heavy 6.9g/plant than that of CC. Yield from I-form support stem training and ridge-up bed cultivation of HRC was higher approxmiately 52.7% than that of CC. Conclusion : Overall growth by high ridge cultivation of I-form support was good and yield of HRC was also increased over 52.7% than that of CC.