• Title/Summary/Keyword: 임상특성

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The Factors Influence of Clinical Competency of Core Basic Nursing Skills During the Clinical Practice in Nursing Students (간호대학생의 임상실습 중 핵심기본간호술 수행자신감에 영향을 미치는 요인)

  • Kim, Dong-Ok;Byun, Soung-Won;Lee, Haejin
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.7
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    • pp.85-92
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    • 2019
  • This study was a descriptive study conducted to identify factors that had an influence on clinical competency of core basic nursing skills(CBNS) during the clinical practice in nursing students. Data were collected from 3rd and 4th grade 190 nursing students in G city using self-report questionnaire, and analyzed using descriptive statistics, the t-test, one way ANOVA, multiple regression with SPSS 23.0 program. This study found that the number of experience CBNS below 5 was 51.1%, and the number of observation CBNS over 11 was 78.4%. Clinical competency according to general characteristics, clinical practice satisfaction and the level of CBNS experience increased with male, increase age and grade, and major subject satisfaction and clinical practice satisfaction, especially, as the number of experience CBNS increased, clinical competency increased(p<0.001). But clinical competency did not differ according to the number of observation CBNS(p=0.463). The factors affecting the clinical competency of nursing students were age, grade, clinical practice satisfaction and the number of experience CBNS. Therefore, it is important to increase the opportunity to directly experience the various CBNS in clinical practice of nursing students in the nursing education curriculum, and it is necessary to find ways to actively use simulation education.

Lung Adenocarcinoma Mutation Hotspot in Koreans: Oncogenic Mutation Potential of the TP53 P72R Single Nucleotide Polymorphism (한국인의 폐선암 돌연변이 핫스팟: TP53 P72R Single Nucleotide Polymorphism의 발암성 돌연변이 가능성)

  • Jae Ha BAEK;Kyu Bong CHO
    • Korean Journal of Clinical Laboratory Science
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    • v.55 no.2
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    • pp.93-104
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    • 2023
  • This study aimed to identify new markers that cause lung adenocarcinoma by analyzing mutation hotspots for the top five genes with high mutation frequency in lung adenocarcinoma in Koreans by next generation sequencing (NGS) analysis. The association between TP53 mutation types and patterns with smoking, a major cause of lung cancer, was examined. The clinicopathological characteristics of lung adenocarcinoma patients with TP53 P72R SNPs were analyzed. In Korean lung adenocarcinoma cases, regardless of the smoking status, the TP53 P72R SNP was the most frequently occurring mutational hotspot, in which the nucleotide base was transversed from C to G, and the amino acid was substituted from proline to arginine at codon 72 of TP53. An analysis of the clinicopathological characteristics of lung adenocarcinoma cases with TP53 P72R SNP revealed no significant correlation with the patient's age, gender, smoking status, and tumor differentiation, but a significant correlation with low stage (P-value =0.026). This study confirmed an increase in TP53 rather than EGFR, which was reported as the most frequent mutations in lung adenocarcinoma in Koreans through NGS. Among them, TP53 P72R SNP is the most frequent regardless of smoking status.

음성장애 환자의 2음절어 및 지속 모음 발화시 나타나는 음향학적 특성 연구

  • 홍기환;채윤정
    • Proceedings of the KSLP Conference
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    • 1999.11a
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    • pp.187-187
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    • 1999
  • 본 연구는 성대 플립 환자가 2음절어 발화시 나타나는 음향학적 특성을 연구하고, 성대 폴립 환자와 성대 마비 환자에서 나타나는 음향학적 특성을 비교하여 음성장애의 임상적 진단 및 음성치료의 구체적인 활용방안을 마련하기 위한 기초자료로 사용하기 위함이다. (중략)

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Factors Influencing Objective Emergency Nursing Performance of Nursing Students on Simulation Practice (시뮬레이션 실습에서 간호학생의 객관적 응급간호 임상수행능력에 영향 미치는 요인)

  • Choi, Eun Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.3
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    • pp.296-303
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    • 2020
  • This study examined the factors affecting the emergency nursing performance of nursing students during a simulation. The variables related to the simulation were the objective and subjective emergency nursing performance, critical thinking, program outcome, simulation satisfaction, simulation confidence, and simulation immersion. The participants were 92 senior students who provided informed consent with an explanation about attending the study. The general characteristics and simulation-related data were obtained from the students before and after the simulation. An assessor evaluated the objective emergency nursing performance during the simulation and program outcome through a report reviewed after the simulation. Data analysis was performed using the number, percentage, mean, standard deviation, X2-test, one-way ANOVA, Pearson correlation, and progressive regression through the SPSS/WIN 22.0 program. Emergency nursing performance by the assessor was negatively associated with the satisfaction of clinical practice (r=-.31, p=.005) and positively related to the subjective clinical performance (r=.23, p=.036). The affecting rate was just 12%, which was low for explaining the objective emergency nursing performance during the simulation. Further studies will be needed to explore other factors affecting the emergency nursing performance.

Clinical data analysis in retrospective study through equality adjustment between groups (후향적연구의 집단 간 동등성확보를 통한 임상자료분석)

  • Kwak, Sang Gyu;Shin, Im Hee
    • Journal of the Korean Data and Information Science Society
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    • v.26 no.6
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    • pp.1317-1325
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    • 2015
  • There are two types of clinical research to figure out risk factor for disease using collected data. One is prospective study to approach the subjects from the present time and the other is retrospective study to find the risk factor using the subject's information in the past. Both approached and study design are different but the purpose of the two studies is to identify a significant difference between two groups and to find out what the variables to influence groups. Especially when comparing the two groups in clinical research, we have to look at the difference between the impact clinical variables by group while controlling the influence of the baseline characteristics variables such as age and sex. However, in the retrospective study, the difference of baseline characteristic variables can occur more frequently because the past records did not randomly assign subjects into two groups. In clinical data analysis use covariates to solve this problem. Typically, the analysis method using the analysis of covariance of variance, adjusted model, and propensity score matching method. This study is introduce the way of equality adjustment between groups data analysis using covariates in retrospective clinical studies and apply it to the recurrence of gastric cancer data.

An Application of Texture Analysis on Sonographic Diagnosis of the Fatty Infiltration of the Liver (초음파 영상 텍스쳐 변수 분석을 통한 지방간 진단)

  • 정지욱;이수열;김승환
    • Proceedings of the Korean Information Science Society Conference
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    • 2004.10b
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    • pp.757-759
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    • 2004
  • 본 연구에서는 초음파 영상에서 간실질의 에코 명도를 비롯한 픽셀 정보분포를 분석하여 정량화 지방간 진단 파라미터를 구하기 위해 규준화 에코 명도 값 및 다수의 텍스쳐 파라미터 값을 추출하여 선형결합을 통해 지방간의 진행 정도와의 상관성을 연구하였다. 임상 지방간 지수와 본 연구의 추정 지방간 지표 값과의 선형 상관계수를 구하였다 신장대조 방법으로 추출한 규준화 에코 명도 및 회색도 픽셀분포의 텍스쳐 특성 파라미터를 계산하여 임상결과와 비교한 결과 임상 지방간 지수와 높은 상관성을 보임을 알 수 있었고, 지방간 진단의 보조사료로 유용함을 확인하였다. 계산된 지방간 지수와 임상결과 간의 선형상관계수는 0.84-0.93이다.

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Realization on the Case-Tool for interfacing with Clinical Pathology Instrument (임상병리 의료기기 인터페이스용 Case-Tool 구현에 관한 연구)

  • Lee, Sang-Yeol;Chang, Yong-Hoon;Jun, Kye-Rok
    • Proceedings of the KOSOMBE Conference
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    • v.1995 no.11
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    • pp.95-97
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    • 1995
  • 본 연구에는 임상병리과의 자동화 검사기기와 컴퓨터간의 데이터 인터페이스용 Case-Tool을 구현하기 위한 통신 규약과 검사결과의 보관과 출력을 위한 데이터 베이스를 구성하였다. Case Tool의 주 처리 모듈은 Microsoft 사의 Visual C++ 2.1을 이용하여 프로그램하여 GUI 환경에서 구현되도록 하였으며, Borland사의 Delphi를 데이터베이스 관리도구로 이용하고 보고서 작성 및 출력은 Delphi에 내장된 Report Smith를 이용하였다. 구현된 Case-Tool은 임상병리과 검사기기의 특성에 관한 몇가지 규약을 조정하면 외부 컴퓨터와의 통신을 간단히 할 수 있었다. 또한, 임상병리과 정보시스템에서 일반적으로 많이 쓰이는 장비들을 선정하고 이들의 공통점과 차이점을 비교, 검토하여 Case-Tool의 유용성을 보였다.

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An Analysis of Physicians' Online Information Search Process at the Point of Care (의사의 임상질문 해결을 위한 온라인 정보검색과정 연구)

  • Kim, Soon;Chung, EunKyung
    • Journal of the Korean Society for information Management
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    • v.33 no.3
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    • pp.177-193
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    • 2016
  • This study aims to analyze physicians' online information search process to solve the clinical questions at the point of care. To achieve this purpose, ten university hospital-based physicians participated in-depth interviews and observation studies. Based on Wilson's problem solving process, this study analyzed the characteristics of each information search stage and efficiency of online searching. The results showed that participants tend to relatively immediately formulate their clinical questions. However, basic searching strategies were only used and a few preferred information sources were chosen. However, average satisfaction degree of online searching appeared high with 5.7 (7 Likert-scale) and problem-solving index increased after searching. As physicians are likely to use well organized and evidenced-based credible information easily, it implies the needs for an integrated search system within the electronic medical record (EMR). In addition, as other online resources' awareness is lower comparing Google and PubMed, active promotions and training of other resources are needed.

Spirituality and Stress of Clinical Practice among Nursing Students (간호학생의 영성과 임상실습 스트레스)

  • Hong, Sung-Sil;Hong, Jung-Ah;Jun, Won-Hee
    • The Journal of the Korea Contents Association
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    • v.13 no.6
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    • pp.361-369
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    • 2013
  • The purpose of this study was to investigate the level of spirituality and stress of clinical practice and to identify the relationship of variables among nursing students. Data were collected from 203 nursing students using self-report questionnaire composed of demographic characteristics and two scales including spirituality and stress of clinical practice. Data were analyzed by frequencies, t-test, ANOVA, Pearson's correlation coefficients using the SPSS program. The mean score for spirituality and stress of clinical practice were above medium level, with the value of 3.18 and 3.42 out of 5 respectively. There were significant mean differences in spirituality according to religion and satisfaction on major while those in stress of clinical practice according to sex and satisfaction on major. Significant negative correlation between spirituality and stress of clinical practice was found. In conclusion, to reduce clinical stress in nursing students, it is necessary to develop and apply educational program for spiritual improvement.

Effects of Clinical Nurses' Resilience on Job Stress and Burnout (임상간호사의 회복탄력성이 직무스트레스와 소진에 미치는 영향)

  • Kang, Jenong-Sook;Lim, Ji-Young
    • The Journal of the Korea Contents Association
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    • v.15 no.11
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    • pp.263-273
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    • 2015
  • The purpose of this study was to investigate an effect of resilience of clinical nurses on their job stress and burnout. A convenience sample of 166 subjects were recruited from one general hospital. The mean score of resilience, job stress, burnout were 2.48, 4.00, and 2.98 respectively. The relation between resilience and burnout was effected with the negative correlation. The explanation power of resilience of clinical nurses on burnout was 24.8%. In conclusion, we found that resilience decreased clinical nurse's burnout. From this result, we suggest resilience improvement programs for clinical nurses will be developed and implemented.