• Title/Summary/Keyword: 임상 연구

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A Systematic Review of Clinical Trials on Alternative Medicine (대체의학의 임상실험 현황에 대한 체계적 고찰)

  • Cho, Hyun;Yoo, Jin-Yeong;Park, Soo-Hee
    • Proceedings of the KAIS Fall Conference
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    • 2010.11b
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    • pp.603-606
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    • 2010
  • 본 논문은 근거중심 대체의학의 현황과 범위를 알아보기 위한 것이다. 연구방법: 2000년부터 2010년 3월까지 Pubmed에 게재된 논문 중 alternative medicine으로 검색하여 체계적 고찰을 하였다. 2000년부터 2010년 현재까지 근거중심 대체의학에 대한 다양한 연구결과을 통합하기 위해 체계적 문헌고찰을 실시하였다. 682편의 연구 중 대체의학에 관한 임상연구는 19개였으며 연구전체 대상자는 2,573명이었다. 논문분석 결과 RCT(Randomized Controlled Trial) 실험 설계연구가 44%였으며 CCT(Controlled Clinical Trials)가 16%, OD(efficacy studies with either a controlled or an Other than controlled Design) 40%였다. 가장 많은 임상실험이 시행된 중재 방법은 Acupuncture과 Massage 였다. 대상 질병군 분포는 근골격계 및 결합조직의 질환과 관련된 '통증 완화'에 대한 임상연구가 20%, 다음으로 특정 감염성 및 기생충성 질환, 신생물이 각각 15% 순이었다. 근거중심 대체의학 현황을 파악하고자 체계적으로 고찰한 결과 대체의학을 통한 중재가 질병치료에 효과가 있는지에 대한 과학적 근거를 제시한 임상연구가 부족하다. 대체의학의 품질, 안정성, 유효성 확보를 위해 대체의학에 대한 질 높은 연구필요하며 근거중심 대체의학의 활성화가 필요할 것으로 생각된다.

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The Effect of Splinting with Concomitant Root Planing;Clinical and Digital Subtraction Radiographic Study (치근활택술과 스프린트 병행처치의 효과에 관한 연구;디지털 공제 촬영술을 이용한 임상적 연구)

  • Lee, Ji-Young;Kye, Seung-Bum;Kim, Won-Kyoung;Lee, Yong-Moo;Ku, Young;Ryu, In-Chul;Chung, Chong-Pyoung;Choi, Sang-Mook;Han, Soo-Boo
    • Journal of Periodontal and Implant Science
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    • v.31 no.1
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    • pp.207-227
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    • 2001
  • 스프린트는 치주처지료에서 부가적 처치법으로 널리 사용되고 있으며, 한편, 디지털 공제 활영술은 기존방사선촬영술의 한계점을 극복하기 위해 기발된 새로운 방법이다. 이번 연구에서는 치근활택술 단독시행시와 스피린트 병행 처치시의 효과를 임상적, 방사선학적으로 비교하였다. 중정도의 성인성 치주염을 가진 20명의 환자를 대상으로 하되 10명은 치근활택술 단독으로, 나머지 10명은 스프린트 병행처치로 처치하였다. 임상적, 방사선학적인 평가는 처치전, 처치후 6개월에 행하고, 임상적 평가의 경우 3개월에 추가로 실시하였다. 이번 연구에서 사용된 임상 지수로는 치태지수, 치은지수, 치은퇴축, 치주낭깊이, 임상부착수준, 임상부착증가, 탐침시출혈, 치아동요도 등이며, 방사선학적 평가는 기존 방사선촬영술에 의한 방법과 디지털 공제촬영수렝 의한 방법으로 행하였다. 디지털 공제 촬영술에 의한 평가시, 영상은 Digora 프로그램에 의해 획득하고 Emago 프로그램으로 처리 하여 다음과 같은 결론을 얻었다. 1. 처치후 3개월에 치태지수, 치은지수, 치은퇴축, 치주낭깊이, 임상적부착수준, 탐침시 출혈 등의 임상지수들이 변했으며, 특히 이러한 변화는 치주낭깊이, 치은퇴축, 탐침시출혈에서 유의성이 있었다. ( p<0.05 ) 그러나 두군간 차이는 인정되지 않았다. ( p>0.05 ) 2. 처치후 6개월에도 치태지수, 치은지수, 치은퇴축, 치주낭깊이, 임상적부착수준, 탐침시출혈, 치아동요도 등의 임상지수들이 변했으며, 특히 이러한 변화는 치주낭깊이, 치은퇴축, 탐침시출혈, 치태지수, 치아동요도에서 유의성이 있었다. ( p<0.05 ) 그러나 두 군간 차이는 인정되지 않았다. ( p>0.05 ) 3. 켄달 상관분석시, 임상적 평가와 기존 방사선 촬영술에 의한 평가사이의 관련성을 낮았으며 거의 0에 가까운 수치를 보였으며 (r=0.110, p=0.639 ) 임상적 평가와 디지털 공제 방사선 촬영술에 의한 평가사이에서 약간 높은 관련성을 보였다. ( r=0.257, p=0.315 ) 즉 치주치료후의 골변화는 디지털 공제 방사선 촬영술에 의한 평가시 기존 방사선 사진보다 임상적 부착증가와 더욱 긴밀한 관련성을 보여준다. 이상의 결과로 볼 때, 스프린팅 처치는 치주 치료에 있어 치근활택술에 부가적 표과를 제공하지 못한다.

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Relation among Clinical Learning Environment, Clinical Practice Course Satisfaction and Major Satisfaction in Nursing Students (간호대학생의 임상실습 교육환경, 실습교과목 만족도 및 전공 만족도와의 융합적 관계)

  • Shin, Seung-Ok
    • Journal of Convergence for Information Technology
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    • v.7 no.6
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    • pp.19-24
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    • 2017
  • The purpose of this study is to investigate the relationship among the Clinical learning environment, clinical practice course satisfaction and the major satisfaction of nursing students. The subjects of this study were included 118 nursing students in one area. Data collection was conducted in September 20 17, and data analysis was descriptive statistics and Pearson's correlation. The results of the study showed that the average of the Clinical learning environment was $3.32{\pm}0.41$, the average clinical practice course satisfaction was $3.88{\pm}0.55$ and the average level of satisfaction was $3.99{\pm}2.30$. Clinical Practice Environment and Clinical Practice Course Satisfaction was (r=.586, p=.000), and the Clinical Practice Course Satisfaction with Major satisfaction was (r=.560, p=.000), Clinical Learning Environment and Major Satisfaction significant positive correlation (r=.530, p=.000). In order to increase resilience, it is necessary to improve the clinical practice environment and the major satisfaction through a detailed study.

A Systematic Review on the stress of Clinical Dental Practice for Dental Hygiene Students (치위생(학)과 학생들의 임상실습 스트레스에 관한 체계적 문헌고찰)

  • Lim, Soon-Ryun;Yang, Jeong-A
    • Journal of Convergence for Information Technology
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    • v.11 no.9
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    • pp.191-200
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    • 2021
  • This study systematically collected and analyzed the results of previous studies on the stress of clinical dental prctice for dental hygiene students. The data were collected according to the systematic review guidelines of PRISMA(Preferred Reporting Items for Systematic Reviews and Meta-analysis) and 25 ariticles were used in the final analysis. In order to measure clinical dental practice, 4 measuring tools were used. As a result of literature analysis, the lower the satisfaction, the higer the stress of clinical dental practice. Personal relationship, role and activity, ideal and value were very important factors. The purpose of this study is to analyze the relationship between clinical dental practice and various variables and to investigate the improvement of clinical dental practice based on the results of this study.

Experience of Clinical Nurse's Bioethics Dilemma during the COVID-19 (코로나-19 상황 속 임상간호사의 생명윤리의식 딜레마 경험)

  • Je, Nam-Joo;Lee, Do-Young;Kwon, Mi-Gyeung;Yoo, Ji-Eun;Jo, A-Young
    • Journal of the Korea Convergence Society
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    • v.13 no.3
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    • pp.379-390
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    • 2022
  • The purpose of this study is to provide the basic data for improving the coping ability of clinical nurses by deeply analyzing and understanding the bioethics dilemma the clinical nurses experience in the COVID-19 pandemic. To understand the essence of bioethics dilemma the clinical nurses would experience in the COVID-19 pandemic, this study interviewed with a clinical nurse and then analyzed it by using Colaizzi (1978)'s phenomenological method. In the results of this study, total three theme clusters were drawn such as 'Agony to face a situation that violates the principle of respect for man's life and dignity', 'Frustration and confusion caused by the situation in which the principle of good deed and prohibition of evil deed cannot be kept', and 'Doubt about fulfilling and not fulfilling the principle of justice'. To improve the ability to cope with bioethics dilemma the clinical nurses experience in the pandemic situation based on the results of this study, it would be necessary to establish the education and policy for clinical nurses, and also to make efforts to improve the treatment of nurses.

Effects of Basic Clinical Practice Program in Academic Motivation, Critical Thinking and Clinical Nursing Competence of Nursing Students (기초임상실습프로그램이 간호대학생의 학습동기, 비판적사고 및 임상수행능력 자신감에 미치는 효과)

  • Seo, In-Soon;Oh, Su-Min;Choi, Dongwon;Park, Hee-Ok;Ma, Rye-Won
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.4
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    • pp.2276-2284
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    • 2014
  • The purpose of this study was to identify the effects of basic clinical practice program(BCPP) on academic motivation, critical thinking and clinical nursing competence in nursing students. Thirty-hour BCPP was consisted of the essential of fundamental nursing skills and prior education in nursing lab before first clinical practice. The participants were 228 nursing students and data was collected with self-administered questionnaire during Feb. 18 to Feb. 28, 2013. Study design was one group pre-post test. BCPP was not related with critical thinking. But there were significant differences subcategories of learning motivation like academic stress, test anxiety, depression and self efficacy, and in clinical nursing competence. The results suggest that BCPP is effective to enhance clinical competence for novice of nursing clinical practice.

A Study of on the Forest Map Update Using Orthorecified High Resolution Satellite Imagery Data (고해상도 정사위성영상을 이용한 임상도 수정에 관한 연구)

  • 성천경;조정호
    • Spatial Information Research
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    • v.12 no.2
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    • pp.127-135
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    • 2004
  • The operational availability of multispectral high-resolution satellite imagery, opens up new possibilities for updating forest map. Compared with information acquired by traditional methods (Panchromatic Aerial Photo), these data of for a number of advantages. In this study used 1m spatial resolution and 4 multispectral band, which are capability to update forest map of kind of tree. From the result of this study, First, the visual analysis of the colour composites of the multispectral data made it possible to distinguish some species(conifer, broad-leaved, un-stocked, arable land). Second, forest map and orthorectiffd satellite imagery are not match in the boundary of forest, therefore work have some troubles in the modification of forest map. Third, the distinguish from age-class, girth-class and density are much need experience and skillful about sample such as aerial photo.

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Satisfaction of Clinical Practice in Physical Therapy Students (물리치료학과 학생들의 임상실습 만족도)

  • Kim, Kwang-nyeon;Kang, Seung-ri;Kim, Young-wook;Nam, Goong-min;Park, So-young;Yoo, Tae-gwan;Jang, Jung-gyu;Kang, Soon-hee
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2022.05a
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    • pp.402-405
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    • 2022
  • The purpose of this study was to investigate the satisfaction of clinical practice for university students in the physical therapy department. 163 students participated in the study. The subjects completed an online survey that consisted of 36 clinical practice satisfaction questions and 5 questions of general characteristics. The collected data was analyzed by using frequency analysis, independent t-test, one-way ANOVA and Scheffe post hoc analyses with a significant level of 0.05. The students' satisfaction of clinical practice was 3.84 in average on a scale of 5. The students' satisfaction was the highest for the item 'Satisfaction after clinical practice', and the lowest for the item 'Internal conflict in clinical practice' and 'Evaluation of clinical practice'. The students' satisfaction of clinical practice showed significant differences according to the satisfaction of the major (p<.001), however, no significant difference according to gender, grade, training period and practice institution.

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Medical bigdata-based Extended Artificial Intelligence Integration Platform (의료 빅데이터기반 확장 인공지능 통합플랫폼)

  • Lee, Chung-sub;Kim, Ji-Eon;Noh, Si-Hyeong;Kim, Tae-Hoon;Lee, Yun Oh;Yu, Yeong-Ju;Chun, JungBum;Jeong, Chang-Won
    • Proceedings of the Korea Information Processing Society Conference
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    • 2020.11a
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    • pp.45-46
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    • 2020
  • 최근 의료데이터의 표준화를 기반으로 다양한 임상연구가 국내외에서 활발하게 진행되고 있다. 그러나 대부분 개발기술이 임상현장에 적용되지 못하는 이유는 상이한 인프라로 인한 일관성있는 결가를 도출하지 못하는 문제점과 부족한 진단지표와 기준 그리고 충분하지 못한 기술적·임상적 검증이 문제가 되고 있다. 본 논문에서는 이러한 문제점을 해결하기위한 새로운 통합 플랫폼을 제안하고자 한다. 이를 위해서 임상데이터는 OHDSI의 OMOP-CDM으로 표준화되어야 하며, 이외에 의료영상 정보를 포함한다. 제안한 플랫폼은 표준화된 데이터를 통해 지속적인 자가 학습을 수행하며, 질환별 진단에 필요한 개발 도구와 분석 소프트웨어 도구를 통해 다양한 타겟 질환연구를 지원한다. 제안한 플랫폼은 질환에 대한 비침습적 진단을 위해 의료영상을 기반으로 데이터표준화을 기반으로하며, 이를통해 인공지능 기술을 개발하고 병원 정보시스템과 연계하여 임상현장에 실증을 통해 검증하고자 한다.

A Survey on the Current Status of Human Research Protection Program Settlement and Subject Protection Activities in Korea (국내 임상시험 및 대상자 보호프로그램 도입 현황과 안전관 리체계에 대한 설문조사 연구)

  • Park, Sinyoung;Cho, Su Jin;Seo, Kyung Jeong;Kim, Jin Seok
    • The Journal of KAIRB
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    • v.3 no.2
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    • pp.28-36
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    • 2021
  • Purpose: The purpose of this study is to assess the status of the Human research Protection Program (HRPP) within a hospital or a research institute in Korea. Methods: Survey was conducted during June 12th-21th 2019. Survey was distributed to the members of Korean Association of IRB (KAIRB) through each IRB office. Descriptive statistics were performed using SPSS ver. 26. Results: A total of 86 people responded, and 75 (87.0%) answered that they have perceived the HRPP. Seventy out of 86 respondents (81.4%) were conducting internal audit, several institutions were operated simultaneously the other form of audits such as IRB audit, system audit. Regarding the management of Suspected Unexpected Serious Adverse Reaction (SUSAR), 62.8% answered that they have regulation that can decide to suspend the study when there is a risk to subject safety. Among the respondents, 66.3% performed 'Help desk.' Conclusion: In this study, we assessed the current status of HRPP operation at each research institution based on Ministry of Food and Drug Safety (MFDS) HRPP guidelines. The HRPP accredited institution operated the subject protection activities according to this program, and even if the HRPP was not officially operated, the related activities were conducted focusing on the cases that could have a significant impact on the safety of research subjects. In order to ensure the quality of domestic clinical trials and to stably establish the HRPP, efforts at the individual institution level will be required.

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