• Title/Summary/Keyword: 임상요인들

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The Diameter of Maximum Distended Urethra in Male Dogs (수컷 개에서 최대 확장된 요도의 직경)

  • Byeon, Ye-Eun;Lee, Sun-Tae;Kweon, Oh-Kyeong;Kim, Wan-Hee
    • Journal of Veterinary Clinics
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    • v.26 no.4
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    • pp.331-335
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    • 2009
  • This paper was performed to investigate the propensity of the diameter of maximum distended urethra from urethra to os penis in mature male dogs of 25 male dogs of different breeds. The measured sites of urethras were divided into 7 regions, i.e. prostate, membrane, isthmus, perineum, scrotum, prescrotum and os penis. By using the inflated balloon catheter filled with contrast medium, the maximum diameter of the distended urethras of each region was recorded and compared among regions. The mean diameter of the lumen from the prostatic urethra to the os penis urethra was gradually narrowed except for the isthmus portion, with a sense of resistance for retraction being noted at the level of ischiatic arch in 22 dogs. Proposed results from this should be utilized as a predictor of a treatment plan for the removal of urethroliths using an urohydropropulsion.

Factors affecting clinical dental hygienist emotional intelligence on burnout (임상치과위생사의 감성지능이 소진에 영향을 미치는 요인)

  • Kim, Young-Im
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.8
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    • pp.410-416
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    • 2018
  • The purpose of this study was to investigate the factors affecting the exhaustion of emotional intelligence of clinical dental hygienist and to improve the quality of customer service and effective management of clinical dental hygienist. The results of the study were as follows: 394 clinical dental hygienists working in Jeollabukdo from February 6 to May 31, 2017. Clinical dental hygienist's emotional intelligence showed a significant negative correlation with burnout(r=-.623, p<.001). Self emotion appraisal, others' emotion appraisal, and use of emotion were found to be related factors to exhaustion of clinical dental hygienist..Based on the results of this study, it would be necessary to develop programs to improve the emotional intelligence of clinical dental hygienists, to reduce burnout and to improve the work efficiency of clinical dental hygienists.

Factors Affecting Clinical Practice Satisfaction among Nursing Students (간호대학생의 임상실습 만족도에 영향을 미치는 요인)

  • Park, Hyun-Jung;Yeom, Young-Ran
    • Journal of Convergence for Information Technology
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    • v.11 no.5
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    • pp.66-73
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    • 2021
  • This study was to investigate the relationship of teamwork, burnout and clinical practice satisfaction and to identify the influencing factors on clinical practice satisfaction of nursing students. The participants were 197 nursing students in G city. The investigation period is from November 11, 2019 to November 21, 2019. As a result of the study, clinical practice satisfaction showed a positive correlation with teamwork, and a negative correlation with burnout. In the multiple regression analysis, burnout, teamwork, and age were the influencing factors. Those factors explainde 38.7% of the clinical practice satisfaction of nursing students. The most important factors were burnout of nursing students and teamwork. In order to improve clinical practice satisfaction of nursing students, it is considered that a curriculum that can reduce burnout and improve teamwork during the clinical practice is necessary.

Cholelithiasis Complicated with Biliary Sludge and Urolithiasis in a Dog (개의 담낭 슬러지와 요 결석증을 동반한 담석증)

  • Lee, Seung-Gon;Kim, Dong-Gun;Lee, Joon-Seok;Kwak, Ho-Hyun;Nam, Hyun-Sook;Woo, Heung-Myong;Park, In-Chul;Hyun, Chang-Baig
    • Journal of Veterinary Clinics
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    • v.23 no.3
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    • pp.325-328
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    • 2006
  • A 10-year-old intact female Miniature Schnauzer dog was referred with the primary complaint of persistent anorexia, remittent fever, vomiting and abdominal pain. Hemogram suggested a chronic inflammatory disease. Serum biochemistry showed moderate hepatobiliary cellular damage with severe cholestasis. Abdominal radiography and ultrasonography revealed hepatomegaly, choleliths and sludges in gall bladder and small stones in urinary bladder. Based on diagnostic findings, the case was diagnosed as cholelithiasis complicated with biliary sludge and urolithiais. Using cholecystectomy and cystectomy, choleliths and uroliths were removed from gall bladder and urinary bladder, respectively. The clinical condition was dramatically improved after surgery.

Correlation of motor and non-motor symptoms in Parkinson's disease: a factor-analytic convergence study (파킨슨병 환자의 운동과 비운동 증상의 상관관계: 요인 분석 융합 연구)

  • Gang, Miyeong
    • Journal of the Korea Convergence Society
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    • v.13 no.4
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    • pp.71-78
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    • 2022
  • Parkinson's disease (PD) is clinically characterized by a variety of motor and non-motor symptoms, including cognitive and neuropsychiatric symptoms. Integrating a large variety of symptoms into a small number of clinical subtypes could be valuable for appropriate and early therapeutic intervention. As a first step toward this aim, this study attempted to identify correlation patterns among motor, cognitive and neuropsychiatric symptoms in PD without dementia. One hundred four non-demented patients with PD underwent a comprehensive motor, neuropsychological, and neuropsychiatric assessments. Factor analysis was performed to identify correlation patterns among demographic, motor, cognitive and neuropsychiatric variables. The eight factors were extracted: 1 motor-related, 3 cognitive-related and 4 neuropsychiatric factors. We indentified that characteristics of correlation can have associated symptom pattern in the disease process of Parkinson's disease. The current results suggest that a broad range of motor and non-motor symptoms in PD may be reducible to a small number of clinical parameters, which may be useful for identifying clinical subtypes of PD for individual patients.

Convergence Analysis of the Factors Influencing Clinical Competency among Nursing Students Participated in Simulation-based Practice (시뮬레이션 실습을 경험한 간호대학생의 임상수행능력에 영향을 미치는 융합적 요인)

  • Yang, Seung Ae
    • Journal of Internet of Things and Convergence
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    • v.5 no.2
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    • pp.55-66
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    • 2019
  • Objectives: The purpose of the study was to identify the factors influencing the nursing students' Clinical Competency. Methods: A sample of convenience was 185 nursing students, and a questionnaire was used to measure their self-leadership, critical thinking disposition, self-directed learning ability, problem solving ability and clinical competency. Results: A significant positive correlation was found among clinical competency, self-leadership, critical thinking disposition, self-directed learning ability and problem solving ability. Grade of which the participant was in, interpersonal relationship, critical thinking disposition, problem solving ability, and self-directed learning ability were significant predictive variables of which accounted for 53% of the variance in clinical competency. Conclusions: The results from this study can be used to develop the programs for improving clinical competency.

Affecting Factors on Clinical Competence of Nursing Students (간호대학생의 임상수행능력 영향 요인)

  • Jang, Hee-Jung;Kwag, Youn-Kyoung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.9
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    • pp.4380-4387
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    • 2013
  • The purpose of this study was to investigate the level of clinical competence and influencing factors of clinical competence in nursing students. Convenience sample of 197 subjects were recruited from two colleges in D city. The survey was conducted from March 2nd to 21th 2011. The data was collected by questionnaires and was analyzed with SPSS statistics 21.0. The mean score of clinical competence was 3.96. Significant positive correlation among clinical thinking disposition, problem solving ability, major satisfaction, satisfaction with clinical practice, clinical competence were found. It was found that the effect of clinical thinking disposition, completion of logic course, problem solving ability on clinical competence was 27.2% and clinical thinking disposition influence on clinical competence in nursing students. The study findings suggest that to develop the effective learning program with achievement level of clinical competency for nursing students.

Cystopexy to Treat Urinary Incontinence Due to Urethral Sphincter Mechanism Incompetence in a Male Dog (수컷 개에서 발생한 요도 조임근 기능 부전에 의한 배뇨실금의 방광 고정술을 이용한 외과적 치료 증례)

  • Yoon, Hun-Young;Shin, Dong-Wook;Jeong, Soon-Wuk
    • Journal of Veterinary Clinics
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    • v.31 no.6
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    • pp.515-518
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    • 2014
  • A castrated male Yorkshire Terrier dog was presented for urinary incontinence and constipation. On physical examination, the dog showed difficult urination. There were no neurological abnormalities and no bacterial detection on urinalysis. Rectal examination revealed a regular, normal-sized prostate. Urethral catheterization was performed easily. Excretory urography and retrograde positive contrast urethrocystography showed displacement of the urinary bladder to the intrapelvic region. There was no evidence of an ectopic ureter. A tentative diagnosis of urethral sphincter mechanism incompetence accompanied with a pelvic bladder was made. Cystopexy was decided to place the urinary bladder to its normal position. The neck of the urinary bladder was anchored to the body wall and prepubic tendon using mattress sutures. Additional sutures were placed to appose the lateral part of the urinary bladder and abdominal wall. A simple interrupted suture was placed to tack the apex of the urinary bladder on the abdominal incision line. A urinary catheter was placed in the urinary bladder to provide post-operative evacuation. The catheter was removed when the dog was able to urinate with minimal straining at 3 days post-operatively. The owner reported that the dogs showed normal urination without straining at 3 days after the catheter was removed. Excretory urography revealed that the urinary bladder was located on its normal position at 2 months post-operatively. Subsequent communication with the owner by telephone revealed that the dog was in good urination at 3 years 11 months post-operatively.

Imaging and Clinical Findings of Primary Malignant Fibrous Histiocytoma of the Urinary Bladder: A Case Report (방광의 일차 악성 섬유성 조직구종의 영상 및 임상 소견: 증례 보고)

  • Yoon Jung Lee;Eun Ji Lee;Jae Heon Kim;So Young Jin;Seong Sook Hong;Jiyoung Hwang;Yun-Woo Chang
    • Journal of the Korean Society of Radiology
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    • v.85 no.3
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    • pp.654-660
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    • 2024
  • Primary malignant fibrous histiocytoma (MFH) is a malignant tumor of mesenchymal origin that rarely occurs in the urinary tract, particularly in the urinary bladder. Unlike urothelial carcinoma, which accounts for most bladder cancers, it occurs in the submucosal portion of the bladder wall and consists of the lamina propria, muscularis propria, and adventitia. It is presumed to originate from poorly differentiated pluripotent mesenchymal cells in which fibroblasts and histiocytes are partially differentiated. Radiologically, it is known as the "non-papillary tumor" and is commonly diagnosed as a large mass without necrosis, which shows invasion beyond the muscularis propia. Although the prognosis of this rare malignancy depends on pathological parameters, it generally has a poor prognosis with high local tumor recurrence. Here, we present a case of primary MFH in the urinary bladder with clinical symptoms of lower abdominal pain without gross hematuria that recurred rapidly and showed an aggressive disease course.

Effects of Polycan on bone Metabolism in healthy Perimenopausal Women: a 12-week Randomized, Double-blind, Placebo-controlled study (폴리칸이 중년 여성의 골대사에 미치는 영향: 12주간의 무작위배정, 이중눈가림, 플라세보 대조 연구)

  • Kim, Min-Gul;Ha, Ki-Chan;Back, Hyang-Im;Kim, Sun-Young;Kim, Joo-Wan;Kim, Ki-Young;Cho, Hyung-Rae;Chae, Han-Jung;Chae, Soo-Wan;Kim, Dal-Sik
    • Korean Journal of Clinical Pharmacy
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    • v.21 no.4
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    • pp.297-304
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    • 2011
  • 배경: 골다공증은 골대사의 불균형으로 인해 골 흡수가 골 형성보다 많아져 골밀도가 감소함으로서 발생한다. 골다공증의 이상적인 치료목표는 골형성을 증가시키거나 골소실을 방지하여 골량을 현 상태로 유지하는 것이다. 따라서 향후 발생되는 골소실을 에방하는 것이 골다공증의 원칙적이고 효과적인 치료방법이 될 것이다. 본 연구에서는 흑효모 중 $Aureobasidium$ $pullulans$으로부터 유래한 폴리칸(베타-글루칸)이 중년여성의 골대사에 미치는 영향을 규명하고자 하였다. 연구방법: 골대사에 대한 폴리칸의 효과를 규명하기 위해 12주간의 무작위배정, 이중눈가림, 플라세보 대조 임상연구를 수행하였다. 총 60명(폴리칸 투여군30명, 플라세보 투여군 30명)의 중년 여성 피험자가 등록되어 이 중 총 58명의 피험자가 최종적으로 12주간의 임상연구를 종료하였다. 결 과: 폴리칸(150 mg/d) 투여 12주 후, 폴리칸 투여군은 요 중 Deoxypyridinoline (DPD) 농도가 유의적인 감소를 보였다($P$=0.014). 혈청 중 Osteocalcin(OSC) 농도는 두 군 모두에서 유의적으로 증가하였으며, bone-specific alkaline posphatase (bALP) 와 collagen type 1 cross-linked C-telopeptide (CTx)는 유의적 변화가 보이지 않았다. 폴리칸은 골밀도(BMD)와 혈청 부갑상선 호르몬(iPTH)에 대해 유의적인 변화를 보이지 않았으나, 24시간 요 중 Ca 배설량은 폴리칸 투여군에서 유의하게 감소되었다($P$=0.028). 또한 폴리칸 투여군에서 고밀도지단백 콜레스테롤(HDL-cholesterol) 농도의 증가 경향 및 중성지방(triglyceride)의 유의적인 감소가 보였다. 임상연구 기간 중에 발생한 이상반응은 두 군간에 유의적인 차이를 보이지 않았다. 결 론: 본 연구에서는 폴리칸이 골대사 및 지질에 대해 일부 개선효과가 있음을 보여주었다. 그러나, 골다공증 예방 측면에서 보다 장기적인 임상연구와 피험자 수를 확대하여 골대사 및 지질대사에 대한 폴리칸의 예방적 효과를 규명할 필요가 있을것으로 사료된다.