• Title/Summary/Keyword: 임상통계

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Effects of critical thinking and nursing practice environment on clinical decision making among nurses (비판적 사고와 간호근무환경이 간호사의 임상적 의사결정에 미치는 영향)

  • Jang, Insil;Lee, Kyoung-Sook
    • Journal of Digital Convergence
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    • v.17 no.2
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    • pp.255-264
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    • 2019
  • This study was a cross-sectional study done to determine the relevance and impact factors of critical thinking and nursing practice environment on clinical decision making among nurses. A survey was conducted for April 2017 with self-report questionnaire. Participants were 261 registered nurses working in one tertiary hospital. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation coefficients, and hierarchical regression analysis with SPSS/WIN(21.0). Factors affecting clinical decision making included age, educational background, position, work shift, clinical career. Clinical decision making had a positive correlation with critical thinking and nursing practice environment. And position, critical thinking and nursing practice environment accounted for 35.8% of the variance in clinical decision making. Therefore, quality management for developing nursing professionalism and administrative support for effective staffing and resource adequacy in addition improving critical thinking increase nurses'clinical decision making.

Veterinary Clinicostatistical Observation on the Productive Performance in A Breeding Sow Herd in Japan (일본국내의 종빈돈장에 대한 수의임상통계학적 관찰)

  • Sakai Takeo;Luenyosluechaul Supol;Lee Won-Chang
    • Journal of Veterinary Clinics
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    • v.10 no.2
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    • pp.157-162
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    • 1993
  • Veterinary clinicostatistical observation on the productive performance in a breeding sow herd in Japan during the period from January to December in 1990, in a modernized breeding sow herd in kanagawa prefecture, consist monthly, varied from 347 to 363 sows on production(average 355) and boar on service of between 26~29(average 28) shows computerized analysing figures of moderate high production results per year of 20.8 weaning pigs per sow or 18.8 fatteners at market weight per sow when continue their rearing within farm. Sows perform average 2.25 litters per sow that year. On other hand, morbidity rate of piglets with clinical signs and symptoms was 0.2%(morbidity rate : 200 per 100,000 population In piglets) on average in year and that of mortality rate in suckling from birth was 17.8%, respectively Finally, these information may be used or reference in further study of the field of veterinary clinicostatistics and medicine.

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Analysis of individual exposure dose of workers and clinical practice students in radiation management area (방사선관리구역내의 종사자 및 임상실습 학생의 개인피폭선량 분석)

  • Lee, joo-ah;Kay, chul-seung
    • Proceedings of the Korea Contents Association Conference
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    • 2017.05a
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    • pp.307-308
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    • 2017
  • 방사선구역내의 종사자 간의 피폭선량 비교와, 동일한 구역내에서 임상실습에 임하는 학생들의 선량을 비교하여 방사선방어의 최적화에 대한 기초자료를 제공하고자 하였다. 연구대상은 2016년 1월부터 동년 12월까지 C대학병원 방사선관리구역에 재직중인 방사선관계종사자 121명과 방사선작업종사자 36명, 그리고 8주간의 임상실습을 이수한 121명의 학생을 비교 대상으로 하였다. 방사선관계종사자와 작업종사자 간의 평균 심부 및 표층선량은 관계종사자가 각각 $.7440{\pm}1.676mSv$$.7753{\pm}1.730mSv$ 가장 높게 나타났으며, 통계적으로 매우 유의하였다(p<.01). 3그룹간에는 심부선량의 경우 임상실습학생이 $.143{\pm}.136mSv$로 가장 높게 나타났고, 표층선량에서도 $.1513{\pm}.139mSv$로 가장 높게 나타났으며, 작업종사자가 두 경우 모두 가장 낮았으며, 그룹간의 평균의 차이는 통계적으로 매우 유의하였다(p<.01). 결론적으로 ALARA 원칙에 의거 철저한 관리가 필요하며, 특히 방사선안전관리의 사각지대에 놓여 있는 임상실습 학생에 대한 체계적인 피폭선량 관리가 필요할 것으로 사료된다.

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Role Expectations and Cooperation of Staff Nurses and Clinical Research Nurses who take care of Clinical Research Patientser (임상연구환자를 돌보는 병동간호사와 임상연구간호사의 역할기대와 협력 인식)

  • Lee, Hye-Young;Kim, Sanghee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.6
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    • pp.420-430
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    • 2021
  • This was an investigative study to identify the role expectations for clinical research related tasks that ward nurses can participate in and the awareness of cooperation between ward nurses and clinical research nurses (CRNs) and the obstacles for the same. The subjects were 66 ward nurses and 65 CRNs. The data were analyzed using descriptive statistics, the two-sample t-test, and the 𝑥2 test on SAS 9.3. As a result of this study, 4.56±0.41 ward nurses and 3.83±0.60 CRNs were found to have high role expectations of each other and statistically significant role expectations for ward nurses (p<.001). Significant differences were seen in the five categories of cooperation recognition between the two groups. Among the factors for cooperative disabilities, excessive work and lack of awareness of clinical research were ranked high. High role expectation becomes an element of role conflict. To organize the role of ward nurses and clinical research nurses in the new clinical research nursing work, procedures, establishing of effective practices, and the proper operation of an official system are expected to be necessary. To promote cooperation between the two groups, a culture of mutual trust and cooperation should be formed to enable each group to think of the other as partners and to recognize their expertise.

Comparison of binary data imputation methods in clinical trials (임상시험에서 이분형 결측치 처리방법의 비교연구)

  • An, Koosung;Kim, Dongjae
    • The Korean Journal of Applied Statistics
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    • v.29 no.3
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    • pp.539-547
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    • 2016
  • We discussed how to handle missing binary data clinical trials. Patterns of occurring missing data are discussed and introduce missing binary data imputation methods that include the modified method. A simulation is performed by modifying actual data for each method. The condition of this simulation is controlled by a response rate and a missing value rate. We list the simulation results for each method and discussed them at the end of this paper.

Investigation on the modified continual reassessment method in phase I clinical trial (1상 임상실험에서 수정된 CRM에 대한 연구)

  • 강승호
    • The Korean Journal of Applied Statistics
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    • v.15 no.2
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    • pp.323-336
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    • 2002
  • In this paper we consider the modified continual reassessment method in which a cohort consists of three patients. Simulation has been a main research tool in the investigation of CRM. In this paper we propose complete enumeration as an alternative of simulation. Using new method we show that the expected toxicity rate at the MTD converges to the target toxicity rate well as the sample size increases.

Statistical Consideration of the Development of Biosimilar Products (바이오시밀러 개발에 필요한 통계방법들에 대한 고찰)

  • Kang, Seung-Ho;Nam, Ju-Sun
    • The Korean Journal of Applied Statistics
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    • v.25 no.1
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    • pp.125-138
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    • 2012
  • Recent assessments of the biosimilarity of biologic products have received considerable global attention. A clinical trial should be conducted to assess the biosimilarity of a biosimilar product and a innovator biological product. In this paper we will describe several methods for the implementation of clinical trials and statistical analysis, a real international case and related international guidelines.

Clinical effect of combined treatment by subgingival curettage and $CO_2$ laser application (치은연하 소파술과 $CO_2$ 레이저의 병용시의 임상적 효과)

  • Lee, Sang-Heon;Jin, Mi-Sung;Im, Se-Ung;Kim, Chang-Sung;Choi, Seong-Ho;Kim, Chong-Kwan
    • Journal of Periodontal and Implant Science
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    • v.34 no.2
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    • pp.243-253
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    • 2004
  • 최근의 레이저 기술의 발전은 치의화영역에서 많은 가능성을 제시해 주고 있으며, 레이저를 이용한 외과적 치료의 기전과 안전성은 많은 분야에서 입증되어 있다. 근래에는 치주학적 분야에도 레이저를 적용하려는 노력이 계속되어 왔으며, 치석의 제거나 치근면의 세균제거 등에서 효과를 제시한 연구들이 있었다. 본 연구의 목적은 $CO_2$ 레이저를 통상적 치은연하소파술과 병용하였을때의 임상적 효과를 임상 지수의 측정을 통하여 평가하는 것이다. 만성 중둥도-고도의 치주염으로 진단된 12명의 환자가 본 임상연구에 포함되었다. 한 환자에서 각각 2부위의 사분악을 선택하여 임의로 2가지 치료군에 다음과 같이 나누어 포함시켰다: 1) 치은연하 소파술만을 적용한 사분악을 대조군 2) 치은연하 소파술과 0.8W의 에너지 수준을 갖는 $CO_2$ 레이저를 병용하여 적용한 사분악을 Laser 군으로 포함하였다. 치주낭 탐침 깊이, 임상 부착 수준, 치은 퇴축 및 탐침시 출혈풍의 임상지수를 치료전과 술후 각각 1, 3, 6개월 경과시에 측정하여 다음과 같은 결과를 얻었다. 치주낭 탐침 깊이, 임상 부착 수준, 치은 퇴축 및 탐침시 출혈 등의 모든 측정한 임상지수에서 치료전 ${\cdot}$ 후를 비교하였을 때 통계적으로 유의한 개선을 보였다. 그러나 실험군과 대조군간의 비교에서는 치주낭 탐침 깊이, 임상 부착 수준에서는 통계적으로 유의한 차이를 보이지 않았다. 탐침시 출혈은 술후 6개월시에 Laser군에서 대조군에 비하여 통계적으로 유의성있는 차이를 보이며 감소하였다(p<0.05). 결론적으로 $CO_2$ laser를 비외과적 치주 치료에 부가적으로 적용하였을 때 염증 감소에 기여할 가능성이 있을 것으로 사료된다.

The Relationship between Life Style and Periodontal Health Status (생활습관과 치주건강상태의 관련성)

  • Ryu, Hae-Gyum;Lee, Jung-Hwa
    • Journal of dental hygiene science
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    • v.13 no.4
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    • pp.418-425
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    • 2013
  • This study was investigated in order to provide basic data for prevention of periodontal disease and maintenance through proper lifestyle by finding the relevance of periodontal health with lifestyle habits. Data were collected from total of 326 subjects in their forties and fifties by using questionnaire and examination of periodontal health status. Results were analyzed by using IBM SPSS Statistics 19.0. The smoking status were statistically significant to gingival index (p<0.01), pocket depth (p<0.001), and clinical attachment loss (p<0.001). Smoking amount per day were statistically significant to gingival index (p<0.05), pocket depth (p<0.01), and clinical attachment loss (p<0.001). Duration of smoking were statistically significant to gingival index (p<0.05), pocket depth (p<0.01), and clinical attachment loss (p<0.001). Drinking cycle were statistically significant to gingival index (p<0.05), and clinical attachment loss (p<0.05). It is investigated that smoking (p<0.05) influence on clinical attachment loss. Dental care institute needs to make patients be aware of the fact that excessive smoking and drinking affect the periodontal health status for prevention of periodontal disease and maintenance of oral health. Therefore systematic educational programs to stop smoking and drinking should be prepared.

Semi-Markov 모형에 기초한 다중상태 생존자료의 준모수적 분석

  • 여성칠
    • Communications for Statistical Applications and Methods
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    • v.5 no.3
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    • pp.777-792
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    • 1998
  • 병원의 임상연구실험에서 종종 환자들의 치료에 따른 병세의 호전상태를 여러단계로 분류하여 상이한 치료방법에 대한 치료효과간의 차이론 알고자 하는 경우가 있다. 이와 같이 다중상태의 생존자료를 분석하기 위해서 본 논문에서는 semi-Markov 모형에 Cox 회귀모형을 적용하여 회귀계수와 기저생존함수를 추정하고 이를 바탕으로 반응확률함수를 추정하였다. 그리고 본 논문의 결과를 실제 임상실험에서 얻어진 자료에 적용하여 분석하였다.

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