• Title/Summary/Keyword: 임상요인들

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Urinalysis and Mineral Composition of Calculus (30 Cases) (개에서의 요 결석증: 품종, 성별, 발생부위, 요 검사, 및 결석성분의 비교 (30예))

  • 정성목
    • Journal of Veterinary Clinics
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    • v.19 no.2
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    • pp.272-275
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    • 2002
  • A retrospective analysis was performed with 30 cases of canine urolithiasis presented in the period between January and December 2001 The miniature schnauzer (6 cases), maltese (5 cases) and Shih Tzu (4 cases) had higher incidences than other breeds. Canine urolithiasis occurred from one year till 12 years, but the most prevalent age was 3 years. Urinary calculi occurred more often in males (63%) than females. The most prevalent anatomic locations of calculi were urinary bladder (8 of 22 cases) and urethra (13 of 22 cases) in males and urinary bladder (10 of 18 cases) in females. The major mineral component of calculi was struvite (72%). In male dogs, out of 15 cases, 10 cases were struvite and 5 cases were calcium oxalate uroliths. And, in female dogs, 8 of 10 cases were struvite. In some cases, mineral composition and urine pH was not matched. In conclusion, in the dogs with predisposing factors for urolithiasis, regular examination or proper diet should be added to prevent the disease. And the mineral composition of calculi should not be predicted solely by the pH or crystal component of urine.

Chemical Preservation Methods of Urine Sediment for Quality Control (정도관리를 위한 요침사의 화학적 보존방법)

  • Cho, Soung Suck;Kim, Myong Soo;Shin, Kyung-A
    • Korean Journal of Clinical Laboratory Science
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    • v.49 no.4
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    • pp.359-365
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    • 2017
  • There is greater standardization of quality control for microscopic examination of urine than for physicochemical test. In this study, we investigated whether it is possible to control the sediment accuracy by microscopic examination through the real thing by preserving the essential sediment with glutaraldehyde, which is required for the rationality of sediment quality control. A urine specimen was prepared using 2.5% glutaraldehyde as a preservation solution. Samples treated with urine preservatives confirmed the morphological deformation of the cells for four weeks at intervals of one week and confirmed whether they should be preserved for 4 weeks thereafter. After preparing the required sediment slide, two more slides were produced; one was stored in a refrigerator for, and the other was stored at room temperature. The morphological deformation of the specimen was confirmed. Glutaraldehyde has the effect of preserving the refrigerated essential sediments and storing them for up to 8 weeks, refrigerated storage after slide production, stabilized by 3 days. Moreover, after treatment with preservatives, the production of the slide and comparison between the measured values between the laboratories and examiners showed a low consistency. In conclusion, we showed that the urine sediment components can be preserved, and it can be used for quality control and education through real objects.

Factors Affecting Disaster Nursing Core Competencies in Clinical Nurses (임상간호사의 재난간호 핵심수행능력 영향요인)

  • Cho, Jin-Young
    • Journal of Convergence for Information Technology
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    • v.9 no.8
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    • pp.93-101
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    • 2019
  • The aim of this research is to examine demand of disaster nursing education and core competencies of clinical nurses, and identify elements affecting their core competencies. The data analysis found that there was difference in demand of disaster nursing education(p=.036) depending on disaster experiences, and that there were differences in core competencies depending on age(p=.013), department(p=.007), experiences of disaster nursing education(p<.001), and consciousness of disaster preparedness(p<.001). In addition, it was identified that consciousness of disaster preparedness(p=.003) and experiences of disaster nursing education(p<.001) are the elements affecting core competencies in disaster nursing. It is expected that the findings of this research will be used as basic resources to improve the ability to quickly respond to disaster, and to explore development of education programs on clinical practices.

Incidence and outcome of congenital anomalies of the kidney and urinary tract detected by prenatal ultrasonography: a single center study (산전 초음파로 발견된 선천성 신 요로 기형의 발생률과 임상 결과: 단일 기관 연구)

  • Lim, Gina;Lee, Joo Hoon;Park, Young Seo;Kim, Kun Seok;Won, Hye-Sung
    • Clinical and Experimental Pediatrics
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    • v.52 no.4
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    • pp.464-470
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    • 2009
  • Purpose : This study assessed the incidence and outcome of congenital anomalies of the kidney and urinary tract (CAKUT) detected by prenatal ultrasonography Methods : There were 906 cases of CAKUT detected by prenatal ultrasonography and postnatally confirmed at the Asan Medical Center from October 1989 to October 2007. We investigated the incidence and outcome of these cases by reviewing medical records retrospectively. Results : The order of incidence was hydronephrosis, multicystic dysplastic kidney (MCDK), duplex kidney, vesico-ureteral reflux (VUR), single kidney, hydroureteronephrosis, ectopic kidney, polycystic kidney, ureterocele, and posterior urethral valve (PUV). There were 520 cases (57.4%) of hydronephrosis, and 20% of these needed an operation due to significant obstruction. MCDK was associated with other CAKUT in 25.4% of all cases. Approximately 57.9% of duplex kidney cases needed surgical treatment due to ureterocele and VUR. VUR had a male: female ratio of 10:1. Two out of seven cases of autosomal recessive polycystic kidney had progressed to chronic renal failure. Patients with PUV were relatively uncommon, and one out of nine cases progressed to end-stage renal disease. Conclusion : CAKUTs detected by prenatal ultrasonography were composed of various anomalies, and almost all of them had a good outcome without any intervention. However, in some cases, recurrent urinary tract infection or renal failure occurred, especially in bilateral cases. For further management, a long-term multicenter study is needed to investigate the precise incidence and outcome of each anomaly in the general population.

Analyzing the Impacts of Climate Change on Forest Composition in Korea (산림의 임상구조 결정요인 분석과 기후변화에 따른 임상구조 변화 예측)

  • Lee, Honglim;Kwon, Oh Sang
    • Environmental and Resource Economics Review
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    • v.26 no.2
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    • pp.229-255
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    • 2017
  • This study empirically estimates the impacts of climate change on forest composition in Korea using a fractional data regression model, and forecasts the change in forest composition in the 2040s and 2090s based on the IPCC climate change scenarios. Unlike the forest science studies that incorporate mostly only ecological variables as the determinants of forest composition, we take into account regional level socio-economic and forest management variables as well. Our estimation results found that not only environmental factors but also socio-economic and forest management related factors strongly affect the composition of Korean forest. Based on the estimation results and IPCC scenarios on climate change, we predict that the share of currently dominant coniferous forest will decline in the future under all scenarios. About 10% of total forest area is likely to be converted from coniferous forest into broadleaved forest until 2090s under the scenario RCP 8.5. It is also predicted that there will be a substantial regional variation in the effects of climate change on forest composition, and the coniferous forests in the inland regions will decline more dramatically.

Study on Landslide using GIS and Remote Sensing at the Kangneung Area($\textrm{I}$) -Relationship Analysis between Landslide Location and Related Factors (GIS와 원격탐사를 이용한 강릉지역 산사태 연구($\textrm{I}$) -산사태 발생 위치와 영향 인자와의 상관관계 분석)

  • 이명진;이사로;원중선
    • Economic and Environmental Geology
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    • v.37 no.4
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    • pp.425-436
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    • 2004
  • The purpose of this study is to analyze the spatial relationship between the landslides occurred by typhoon, Rusa in 2002 and geospatial dataset. Landslide locations were detected using satellite image and field survey. Topogra-phy, soil, forest, geology and land use data sets were constructed as a spatial database in GIS. From the database, slope, aspect, curvature, water system, type of topography, texture, material, drainage, effective thickness of soil, type, age, diameter, density of wood, lithology, lineament of geology, land use and lineament were used as the land-slide occurrence factors. Using a frequence ratio model, the spatial relationships between the landslides and the factors were extracted. The spatial relationships is helpful to explain the characteristics of the landslide, and to make landslide susceptibility map.

Affecting Factors on Stress of Clinical Practice in Nursing Students (간호대학생의 임상실습스트레스에 영향을 주는 요인)

  • Lee, Yun Jeong;Jang, Hyun-Jung
    • The Journal of the Convergence on Culture Technology
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    • v.7 no.4
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    • pp.429-434
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    • 2021
  • This study was conducted to identify factors affecting clinical practice stress of nursing students. Data were collected from 191 nursing students who experienced clinical practice and analyzed using the SPSS/WIN 22.0 program. Study result turned up interpersonal ability is 3.61points(5points), nunchi is 3.57points(5points), clinical practice stress is 2.94points(5points). Factors affecting clinical practice stress were interpersonal ability, and nunchi Behavior. These variables were 23.5% influential in explaining the clinical practice stress of nursing students. Based on this result, it can be used as basic data to prepare a plan to reduce the clinical practice stress of nursing students.

Febrile Urinary Tract Infections Caused by Community-Acquired Extended-Spectrum β-Lactamase-Producing and-Nonproducing Bacteria: A Comparative Study (Extended-Spectrum β-Lactamase 생성 균주와 비생성 균주에 의한 지역사회 획득 요로 감염 비교)

  • Ahn, Do Hee;Kim, Kyu Won;Cho, Hye-Kyung;Tchah, Han;Jeon, In Sang;Ryoo, Eell;Sun, Yong Han
    • Pediatric Infection and Vaccine
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    • v.22 no.1
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    • pp.29-35
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    • 2015
  • Purpose: The purpose of this study was to investigate the clinical characteristics and outcome of febrile urinary tract infections (UTIs) caused by community-acquired extended-spectrum ${\beta}$-lactamase (CA-ESBL)-producing and -nonproducing bacteria. Methods: We analyzed febrile UTIs in children hospitalized at Gachon University Gil Medical Center from January 2011 to December 2013 through retrospective data collection from their medical records. Results: Among pathogens causing 374 episodes of UTIs, the proportion of ESBL-producing bacteria was 13.1% (49/374). The proportion of ESBL-producing Escherichia coli and Klebsiella spp. was 13.6% (48/354) and 5.0% (1/20), respectively. There was no significant difference between the CA-ESBL and CA non-ESBL groups in duration of fever ($4.2{\pm}2.7$ vs. $3.7{\pm}2.1$ days, P=0.10) and bacterial eradication rate with empirical antibiotics (100% vs. 100%). The risk of cortical defects on renal scan significantly depended on existence of vesicoureteral reflux rather than ESBL production of pathogen. Conclusions: There was no significant difference between the CA-ESBL and CA non-ESBL groups in renal cortical defects and clinical outcome. Careful choice of antibiotics is important for treatment of community-acquired UTI in children.