• Journal of Korean Academy of Nursing
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• v.46 no.4
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• pp.490-500
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• 2016

Purpose: This study was conducted to develop assertiveness training applying Dongsasub training for junior nursing students, and to verify effectiveness of the training on assertiveness behavior, self-esteem, clinical practice stress, and clinical competence. Methods: The study design was a non-equivalent control group non-synchronized design. Participants were 63 nursing students in clinical training (31 students in the experimental group and 32 students in the control group). The assertiveness training applying Dongsasub training consisted of four sessions. Outcome variables included assertiveness behavior, self-esteem, clinical practice stress, and clinical competence. Data were analyzed using Chi-square, Fisher's exact test and independent samples t-test with SPSS/WIN 21.0. Results: Scores of assertiveness behavior (t=-2.49, p=.015), self-esteem (t=-4.80, p <.001) and clinical competence (t=-2.33, p=.023) were significantly higher and clinical practice stress (t=4.22, p <.001) was significantly lower in the experimental group compared to the control group. Conclusion: Results indicate that the assertiveness training applying Dongsasub training can be used as a nursing intervention to lower clinical practice stress and improve the clinical competence of nursing students.

• Journal of Periodontal and Implant Science
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• v.46 no.1
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• pp.46-56
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• 2016

Purpose: We evaluated the efficacy of a mouthwash containing potassium nitrate ($KNO_3$) as its main component, along with sodium fluoride (NaF) and cetylpyridinium chloride (CPC). The primary endpoint was the relief of dentin hypersensitivity (DH) against the cold stimuli. The effects on other DH tests and periodontal inflammation were also evaluated. Methods: We used a single-center, double-blind, placebo-controlled, randomized design. A total of 82 patients with DH (40 in the test group, 42 placebo controls) were analyzed using visual analog scales (VASs) for a cold test, a tactile test, a compressive air test, and self-reported pain during daily activities, as well as clinical parameters including plaque index, gingival index, modified sulcular bleeding index (mSBI), gingival recession, and probing depth, which were collected at baseline and after four and six weeks of mouthwash use. Results: VAS scores for cold sensations, tactile sensations, the compressive air test, and self-reported pain significantly decreased from baseline during the six weeks in both groups (P<0.01), and no significant differences between the groups were found. In male patients (10 in the test group and 7 in the control group), both groups showed significant reductions in VAS scores for the cold test over the six weeks, and greater reductions were found in the test group than in the control group between four and six weeks (P=0.01) and between baseline and six weeks (P<0.01). In addition, the mSBI in the test group significantly decreased from baseline during the six weeks (P<0.01), and the changes at four and six weeks from baseline were significantly greater in the test group compared to the control group (P=0.03 and P=0.02, respectively). Conclusions: A mouthwash containing a mixture of $KNO_3$, NaF, and CPC reduced DH and gingival inflammation, however, the efficacy was comparable to the control group.

• The Journal of the Korea Contents Association
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• v.14 no.10
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• pp.885-896
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• 2014

The purpose of this descriptive study was to investigate satisfaction with clinical practice and clinical performance ability for 118 of third and fourth year nursing students. The collected data were analyzed by using the SPSS/PC+ver. 21 program which determined frequency, percentage, mean, standard deviation, t-test, one-way ANOVA, Scheffe test, and Pearson's correlation coefficients. The results of this study were as follows : The satisfaction with clinical practice was 3.36 point out of 5 and the clinical performance ability was 3.42 point out of 5. In satisfaction with clinical practice, satisfaction of the curriculum was the highest and in clinical ability performance, education partnerships was the highest. Clinical practice satisfaction according to the general characteristic of the subjects was significant difference in health status(F=3.896, p=.023), satisfaction with college life(F=8.164, p<.001), nursing department(F=4.652, p=.011), conditions in clinical practice(F=11.889, p<.001), and practice workload(F=13.504, p<.001). Clinical performance ability according to the general characteristic of the subjects was significant difference in religion(t=6.682 p=.011) and satisfaction with college life(F=3.440, p=.035). The relationship between clinical practice satisfaction and clinical performance ability was positive correlation(r=.297, p=.001).

• Asian Pacific Journal of Cancer Prevention
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• v.13 no.2
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• pp.689-692
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• 2012

Objective: To investigate correlations between adenosine triphosphate chemotherapy response assay (ATP-CRA) and clinical outcomes after ATP-CRA-based chemotherapy for drug selection in patients receiving intravesical chemotherapy to prevent recurrence of superficial bladder cancer after surgery. Methods: The chemosensitivities of 12 anticancer drugs were evaluated, including 5-Fu ADM, and EPI, using ATP-CRA and primary tumor cell culture in 54 patients. In addition, a further 58 patients were treated according to clinical experience. Differences in post-chemotherapeutical effects between drug sensitivity assay and experience groups were compared. Results: The evaluable rate of the test was 96.3%, the clinical effective rate was 80.8%, the sensitivity rate was 97.6% (41/42), the specificity was 20%, the total predicting accuracy was 74.3%, the positive predictive value was 83.7% (41/49), the negative predictive value was 66.7% (2/3); in the drug sensitivity test group, the clinical effective rate was 80.8%, the experience group response rate was 63.8%, with a significant difference in clinical effects between the ATP-based sensitivity and experience groups (${\chi}^2$=7.0153, P<0.01). Conclusion: ATP-CRA is a stable, accurate and potentially practical chemosensitivity test providing a predictor of chemotherapeutic response in patients with superficial bladder cancer.

• The Journal of Korean Academic Society of Nursing Education
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• v.23 no.1
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• pp.76-85
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• 2017

Purpose: The aim of this study was to explore the effects of imagery training on outcomes of clinical competence, voluntary practice time and basic nursing skills performance during a core basic nursing skills course. Methods: The design was a pre-post test design with two groups consisting of 88 nursing 3rd-year students. Clinical competence was assessed with a pre-post test, and basic nursing skills' performance and voluntary practice time were assessed at the post-test point. Data were collected from March, 2016 to June, 2016. Results: The pre-post differences of all subcategories of clinical competence were significantly improved in the experimental group (p<.05). but the control group did not show significant differences in the teaching/coordinating and professional development areas (p>.05). The experimental group practiced 1.33 hours more than the control group in voluntary practice. The two groups showed no significant difference in basic nursing skills' performance (p>.05). Conclusion: Imagery training during a core basic nursing skills course showed positive effects on nursing students' clinical competence improvement and increase of voluntary practice time.

• Journal of Korean Public Health Nursing
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• v.35 no.3
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• pp.356-367
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• 2021

Purpose: This study aimed to identify the confidence and educational needs of clinical nurses in care for the family of dying patients. Methods: The subjects of this study were 218 clinical nurses working at two tertiary general hospitals located in D city, Korea, and the data were collected through online questionnaires. The collected data were analyzed using descriptive statistics, t-test, analysis of variance (ANOVA), Scheffe test and 𝝌² test using the SPSS WIN 20.0 program. Results: 97.6% of clinical nurses recognized the need for family care for dying patients, but 76.7% had never received any education on family care for dying patients. The average score of dying patients' confidence in family care was 3.09. About 90% of clinical nurses were willing to participate in family nursing education for dying patients. The group with more than 5 years of clinical experience was significantly higher than the group with less than 5 years of clinical experience. Conclusion: This study recognized the necessity of family nursing for dying patients highly. It is necessary to develop and apply an educational program based on the education topic that recognizes the need highly.

• Human Ecology Research
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• v.53 no.5
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• pp.475-488
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• 2015

Economic activity and social participation by women has recently increased; however, working mothers raising young children are under new stress due to the simultaneous combination of job and parenting responsibilities. This stress has resulted in social problems of career break and low fertility. This study investigates the effect of clinical art therapy on occupational stress and parenting stress of working mothers. We analyzed 34 working mothers in full-time employment (over 8 hours a day) who have preschool children (0-6 years old). They were divided into 17 subjects in the experimental group and 17 subjects in the control group. For the experimental group, 10 hours and a half sessions of group art therapy were participated in once a week from April to August in 2014. We perform Dan Occupational Stress Index by Ivancevich and Matteson, Parenting Stress Index/Short Form and salivary cortisol test before and after the group art therapy. For qualitative analysis, Kinetic House-Tree-Person (KHTP) drawing test was used. Using SPSS ver. 19.0, paired t -test or Wilcoxon signed rank test compared the pre and post analysis results. The results of this study are as follows. First, scores of 'occupational stress factor' subpart showed significant improvement in the Occupational Stress Index after the clinical art therapy. Second, scores of 'parental distress,' 'parent-child dysfunctional interaction,' and 'difficult child' subpart in Parenting Stress Index also showed a significant improvement. Third, a positive change was observed after the clinical art therapy in the KHTP drawing test. In conclusion, this study suggests that the clinical art therapy can be effective for occupational stress factors and the parenting stress of working mothers.

• Journal of Periodontal and Implant Science
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• v.51 no.2
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• pp.77-87
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• 2021

Purpose: The aim of this study was to compare the efficacy of the tunnel technique for root coverage using a new xenogeneic acellular dermal matrix vs. connective tissue grafting (CTG) for the treatment of multiple maxillary adjacent recessions (recession type 1) at 12 months postoperatively. Methods: This study enrolled 12 patients with at least 3 contiguous, bilateral, symmetrical maxillary gingival recessions (i.e., at least 6 recessions per patient). In total, 74 recessions were treated using the modified coronally advanced tunnel (MCAT) technique combined with a novel porcine-derived acellular dermal matrix (PADM) at 37 test sites or CTG at 37 control sites. The following clinical parameters were measured: recession height, clinical attachment level, width of keratinized tissue, probing depth, recession width, gingival thickness, mean root coverage (MRC), and complete root coverage (CRC). Comparisons between test and control groups were made for pain visual analog scale scores at 14 days. Results: At 12 months, the MCAT with PADM (test) yielded a statistically significant improvement in all clinical parameters studied. MRC was significantly higher on the control sides (80.6%±23.7%) than on the test sides (68.8%±23.4%). Similarly, CRC was 48.7%±6.8% on the control sides (CTG), in contrast to 24.3%±8.2% on the test sides (PADM). Statistically significant differences were observed in favor of the control sides for all clinical parameters studied. Nevertheless, the MCAT in adjunction with PADM was clearly superior at reducing mean and maximum patient-reported postoperative pain intensity and pain duration in the first week after surgery. Conclusions: The use of PADM to treat multiple recessions improved clinical parameters at 12 months, but these outcomes were nevertheless poorer than those observed for CTG. However, PADM reduced morbidity, particularly the pain experienced by patients.

• Korean Journal of Radiology
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• v.24 no.1
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• pp.51-61
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• 2023

Objective: To develop and test a machine learning model for classifying human papillomavirus (HPV) status of patients with oropharyngeal squamous cell carcinoma (OPSCC) using ¹⁸F-fluorodeoxyglucose (¹⁸F-FDG) PET-derived parameters in derived parameters and an appropriate combination of machine learning methods in patients with OPSCC. Materials and Methods: This retrospective study enrolled 126 patients (118 male; mean age, 60 years) with newly diagnosed, pathologically confirmed OPSCC, that underwent ¹⁸F-FDG PET-computed tomography (CT) between January 2012 and February 2020. Patients were randomly assigned to training and internal validation sets in a 7:3 ratio. An external test set of 19 patients (16 male; mean age, 65.3 years) was recruited sequentially from two other tertiary hospitals. Model 1 used only PET parameters, Model 2 used only clinical features, and Model 3 used both PET and clinical parameters. Multiple feature transforms, feature selection, oversampling, and training models are all investigated. The external test set was used to test the three models that performed best in the internal validation set. The values for area under the receiver operating characteristic curve (AUC) were compared between models. Results: In the external test set, ExtraTrees-based Model 3, which uses two PET-derived parameters and three clinical features, with a combination of MinMaxScaler, mutual information selection, and adaptive synthetic sampling approach, showed the best performance (AUC = 0.78; 95% confidence interval, 0.46-1). Model 3 outperformed Model 1 using PET parameters alone (AUC = 0.48, p = 0.047) and Model 2 using clinical parameters alone (AUC = 0.52, p = 0.142) in predicting HPV status. Conclusion: Using oversampling and mutual information selection, an ExtraTree-based HPV status classifier was developed by combining metabolic parameters derived from ¹⁸F-FDG PET/CT and clinical parameters in OPSCC, which exhibited higher performance than the models using either PET or clinical parameters alone.

• The Korean Journal of Applied Statistics
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• v.11 no.1
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• pp.129-139
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• 1998

This article examines the use and some difficulties of Normal Test Variables(NTV) plot for clinical research. Monte Carlo Simulation results are presented based on Normal, Bimodal, Uniform, Exponential and skewed-right distributed Beta Distributions. Further, some solutions are presented and illustrated.