• Title/Summary/Keyword: 임상요인들

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A Study on the Satisfaction and Stress Factors of Clinical Practice for Dental Hygiene Students (일부 치위생학과 학생들의 병원실습 만족도와 스트레스 요인에 관한 연구)

  • Yoo, Ja-Hea;Kim, Jung-Hee
    • Journal of dental hygiene science
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    • v.16 no.1
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    • pp.62-69
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    • 2016
  • The purpose of this study was investigate the relationship between the degree of satisfaction of the clinical practice and the stress factors for dental hygiene students. Dental hygiene students to 232 people from May 21, 2012 to June 22, 2012 and analyzed using by SPSS for Windows ver. 12.0 program. Regarding the stress factors, by the school system, all the factors, including the environmental factor, the role factor, the interpersonal relationships factor, the ideal and value factor, and the Brief Encounter Psychosocial Instrument (BEPSI) were higher in the 3-year system than in the 4-year system (p<0.01). Regarding the stress factors according to the degree of satisfaction regarding the practices, all the factors were high when unsatisfied. Among these, the environmental factor was the highest (p<0.001). According to the practice organization, the environmental factor was the highest among the university dental hospital. The interpersonal relationship factor and the ideal and value factor were the highest among the dental hospitals. The role factor and the BEPSI were the highest among the dental clinics (p<0.01). When the hospital atmosphere was bad, the environmental factor was the highest (p<0.001). As a result of analyzing the correlations between the stress factors of the hospital practices, there were the positive correlations among the environment, the roles, the interpersonal relationship, the ideals and values, and the BEPSI (p<0.01). The stress factor that showed the biggest influence on the BEPSI was interpersonal relationships. In the clinical practice, because of the unfamiliar environment and the insufficiency of the interpersonal relationships, the stress indices of the students can be higher than at ordinary times. I believe that, as such, a systematic management plan for the clinical practice for raising the ability of the students to cope with the stress by themselves must be prepared.

A label induction method in the conditional random fields expressing long distance transition between separate entities in clinical narratives (임상 문서에서 서로 떨어진 개체명 간 전이 관계 표현을 위한 조건부무작위장 내 라벨 유도 기법 연구)

  • Lee, Wangjin;Choi, Jinwook
    • Annual Conference on Human and Language Technology
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    • 2018.10a
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    • pp.172-175
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    • 2018
  • 환자의 병력을 서술하는 임상문서에서 임상 개체명들은 그들 사이에 개체명이 아닌 단어들이 위치하기 때문에 거리상으로 서로 떨어져 있고, 임상 개체명인식에 많이 사용되는 조건부무작위장(conditional random fields; CRF) 모델은 Markov 속성을 따르기 때문에 서로 떨어져 있는 개체명 라벨 간의 전이 정보는 모델의 계산에서 무시된다. 본 논문에서는 라벨링 모델에 서로 떨어진 개체명 간 전이 관계를 표현하기 위하여 CRF 모델의 구조를 변경하는 방법론을 소개한다. 제안된 CRF 모델 디자인에서는 모델의 계산효율성을 빠르게 유지하기 위하여 Markov 속성을 유지하는 1차 모델 구조를 유지한다. 모델은 선행하는 개체명의 라벨 정보를 후행하는 개체명 엔터티에게 전달하기 위하여 선행 개체명의 라벨을 뒤 따르는 비개체명 라벨에 전이시키고 이를 통해 후행하는 개체명은 선행하는 개체명의 라벨 정보를 알 수 있게 된다. 라벨의 고차 전이 정보를 전달함에도 모델의 구조는 1차 전이 구조를 유지함으로 n차 구조의 모델보다 빠른 계산 속도를 유지할 수 있게 된다. 모델의 성능 평가를 위하여 서울대학교병원 류머티즘내과에서 퇴원한 환자들의 퇴원요약지에 병력과 관련된 엔터티가 태깅된 평가 데이터와 i2b2 2012/VA 임상자연어처리 shared task의 임상 개체명 추출 데이터를 사용하였고 기본 CRF 모델들(1차, 2차)과 비교하였다. 피처 조합에 따라 모델들을 평가한 결과 제안한 모델이 거의 모든 경우에서 기본 모델들에 비하여 F1-score의 성능을 향상시킴을 관찰할 수 있었다.

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A Study on the Design of Classifier for Urine Analysis System (요분석 시스템의 분류기 설계에 관한 연구)

  • 전계록;김기련;예수영;김철한;정도운;조진호
    • Journal of Biomedical Engineering Research
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    • v.24 no.3
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    • pp.193-201
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    • 2003
  • In this paper, a classifier of urine analysis system was designed using preprocessing and fuzzy algorithm. Preprocessing were processed by normalizing data of strip using calibration curve composed of achromatic colors value and by calculating three stimulus. FUZZY classifier capable of analyzing a qualitative concentration of test items was composed of fuzzifier by gaussian shaped membership function, inference of MIN method, and defuzzifier of centroid method through verification by measuring standard solution and by classifying concentration classes. After tuning membership function according to relating standard solution with urinalysis sample, the possibility to adapt classifier designed for urine analysis system near a bed was verified as classifying measured urinalysis samples and observing classified result. Of all test items, experimental results showed a satisfactory agreement with test results of reference system.

The Usefulness of Spot Urine Protein/Creatinine Ratio in Evaluating Proteinuria in Children and the Correlation between 24-hour Urinary Protein Amount and Spot Urine Protein/Creatinine Ratio (소아 단백뇨 검사에 있어서 단회뇨 단백/크레아티닌 비의 유용성 및 일일 요단백량과의 연관성)

  • Hong, Seon Young;Kim, Ji Young;Chung, Woo Yeong
    • Clinical and Experimental Pediatrics
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    • v.46 no.2
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    • pp.173-177
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    • 2003
  • Purpose : Recently, different results about factors affecting accurate quantitation of 24-hr urinary protein(24UP) amount using spot urine protein/creatinine ratio(PCR) have been reported. The current study was designed to evaluate correlation between 24UP amounts and PCR in children, and the effect of 24UP amounts, age, sex, and glomerular filtration rate(GFR) on this correlation. Methods : Among 94 patients who visited the department of pediatrics in Busan Paik Hospital from March 2002 to August 2002, 68 patients whose urinary creatinine excretion was ${\geq}15mg/kg/day$ were included in this study. All the patients were divided into I, II/A, B group(I : 24UP<500 mg/day, II : $24UP{\geq}500mg/day$, A : <10 years of age, B : ${\geq}10years$ of age). Pearson correlation analysis was performed between 24UP and PCR to evaluate the relationship. We defined fractional difference between 24UP and PCR, and then performed multiple regression analysis with 24UP amount, age, GFR and fractional difference. Results : There was a strong positive linear correlation between 24UP and PCR(R=0.936, P<0.0001) in all patients, and the correlation was also good in each group. Using PCR cutoff values of 0.5, the PCR provided high sensitivity, specificity, positive and negative predictive value in predicting 24UP amount ${\geq}500mg$. The factors affecting accurate quantitation of proteinuria using spot urine PCR was age, not 24UP amount, GFR or sex. Conclusion : Spot urine PCR is a useful test but has limitations in predicting 24UP amount. Therefore, it should be used only as screening method. Age-adjusted PCR cutoff values may be necessary to predict 24UP amount in children with proteinuria.

그람 양성균 감염증에서 Vancomycin 과 Teicoplanin 의 임상효과의 비교 연구

  • 최강원;오명돈;배현주
    • Proceedings of the Korean Society of Applied Pharmacology
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    • 1994.04a
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    • pp.331-331
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    • 1994
  • 최근 개발된 Teicoplanin은 glycopeptide계의 항생제로서 vancomycin과 그 작용 기전이 비슷하지만, 근육 주사가 가능하고, 반감기가 길어서 하루 한번 주사하여도 되며, 빨리 주입하더라도 red man syndrome이생기지 않는 장점이 있다. 이 연구의 목적은 그람 양성균에 의한 감염증을 치료하는데 teicoplanin이 효과적이고 안전한지를 vancomycin과 비교하는 것이다. 대상 환자 및 방법: 서울대학교병원에 입원하여 그람 양성균 감염증이 확인되거나 강력히 의심되는 환자를 대상으로 하였다. 감염증의 종류는 패혈증, 골수염, 하기도 감염증, 감염성 관절염, 피부 및 연조직 감염증, 요로 감염증으로 하였다. 대상 환자를 무작위로 teicoplanin또는 vancomycin군에 무작위 배정하였다. Teinoplanin은 처음에 loading을 위하여 400mg씩 12시간마다 3회 주사하고 이후에는 증증 감염이면 하루에 400mg, 중등중이면 200mg씩을 주사하였다. Vancomycin은 500mg을 6시간마다 또는 1. 0g을 12시간마다 정맥주사하였다. 치료 기간은 요로 감염증 5-10일, 하기도 감염증 5-10일, 패혈증 14-21일, 골수염 21-42일, 세균성 관절염 21-42일, 피부 및 연조직 감염증 5-10일로 하였다.

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Shoulder Prosthesis Mechanics (인공 견관절 역학)

  • Jeong, Jin-Young
    • Clinics in Shoulder and Elbow
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    • v.13 no.1
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    • pp.153-160
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    • 2010
  • Purpose: The goal of prosthetic replacement of the shoulder is the restoration of the normal anatomy of the joint. Materials and Methods: The physician should review the variations in normal anatomy because it does vary widely and the placement of the prosthetic needs to be modified to accommodate the variations. Results and Conclusion: Several factors including anatomic, prosthetic and surgical ones can lead to the best clinical results, and these are described.

Convergence Influence of Clinical Nurses' Resilience to the Job Stress, Turnover intention and Vitality (임상간호사의 직무스트레스, 이직의도 및 생동성이 리질리언스(Resilience)에 미치는 융복합적 요인)

  • Jung, Mi-Ra;Jeong, Eun
    • Journal of Digital Convergence
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    • v.15 no.6
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    • pp.305-314
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    • 2017
  • The purpose of this study was to examine relationships among resilience and job Stress, turnover intention and vitality in general hospital nurses and to provide the basic data for the development of resilience intervention programs. The data were collected from 140 nurses working in the four general hospital located S and Y city using self-reported questionnaires and February 1 2017 to February 17 2017. The data were analyzed by descriptive statistics, T-test, ANOVA, Pearson's correlation coefficient, and multiple regression with SPSS 20.0 program. Resilience was found to be in a significant positive correlation with job stress, turnover intention and vitality. The result of the multiple regression indicates that work pattern and vitality predict 31%(F=10.01, p<.001) of resilience. Therefore it is necessary to develop convergence program to strengthen the resilience of clinical nurses'.

Factors Influencing job Satisfaction of Clinical Dental Hygienists (임상치과위생사의 직무만족도에 미치는 영향 요인)

  • Sung, Jung-Hee;Choi, Gil-Bok
    • Journal of Convergence for Information Technology
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    • v.11 no.2
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    • pp.146-152
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    • 2021
  • Objectives: This study was conducted to understand influencing factors of job satisfaction of clinical dental hygienists and use them as basic data for enhancing their job satisfaction. Methods: A self-reported questionnaire was filled out by 182 dental clinic hygienists from April 1 to April 30 of 2019. Data were analyzed using SPSS 22.0. Results: The influencing factors of job satisfaction of clinical dental hygienists included job stress and professional self-concept. Conclusions: The higher the professional self - concept, the higher the job satisfaction, the lower the job stress of clinical dental hygienist. Therefore, it is necessary to develop and apply a program that can enhance the professional self concept of clinical dental hygienists and reduce job stress.

The Effect of Face-to-Face and non-Face-to-Face Clinical Practice Stress and Stress Coping on Clinical Competence in Nursing Students (간호대학생의 대면 및 비대면 임상실습스트레스와 스트레스 대처가 임상수행능력에 미치는 영향)

  • Hey Kyoung Kim;Jiye Park;Eunji Kang;Sunghyun Lee;Sunghyun Min;Jiyoon Lee;Jihyun Jung;Hyunseo Jung;So Young Lee
    • Journal of the Korean Applied Science and Technology
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    • v.40 no.3
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    • pp.521-533
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    • 2023
  • The purpose of this study was to investigate the effect on the clinical competence by the face-to-face, non-face-to-face clinical practice stress and the stress coping. A survey was conducted among nursing students of university in Seoul and Chungcheong City from June 10 to July 10, 2021. 201 copies were included in the final data analysis, Pearson's correlation coefficient and hierarchical regressions was used. As a result, in the first stage, nursing students grades, major satisfaction, and face-to-face practice satisfaction explained 19.4% of their clinical performance ability, in the second step, stress coping was added to increase explanatory power by 19.6% allowing a total of 39.0% of randomness to be explained. Therefore, this study could be used as a basic data for the counseling, development, and education programs for stress coping to increase clinical competence.

Factors Affecting Clinical Competence of Dental Hygienists (일부 지역 치과위생사의 임상수행능력에 영향을 미치는 요인들 간의 인과관계)

  • Lee, Hee-Su;Jang, Kyeung-Ae
    • Journal of dental hygiene science
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    • v.16 no.5
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    • pp.331-338
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    • 2016
  • This study sought to examine the factors influencing clinical competence of dental hygienists. A survey on burnout, critical thinking tendency, self-esteem, self-leadership, professional self-concept and clinical competence was conducted with 254 dental hygienists using self-administered questionnaires. Correlation analysis was performed between study variables, and linear regression analysis identified factors influencing clinical competence. To determine a causal relationship among these factors, a path analysis was conducted at the 0.05 level of significance. Relationships among research variables showed significant positive correlations (p<0.01). Self-esteem, self-leadership, and professional self-concept were found to influence clinical competence (p<0.01). A causal relationship was also found among variables influencing clinical competence. Burnout and critical thinking had an indirect effect, whereas self-esteem, professional self-concept, and self-leadership had both direct and indirect effects. In conclusion, important factors influencing clinical competence of dental hygienists include self-esteem, self-leadership, and professional self-concept. Based on these findings, programs to enhance clinical competence of dental hygienists should be developed.