• Title/Summary/Keyword: Clinical adaptation

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Electrical Stimulation System Design for Pharyngeal Dysfunction of Stroke Patients (뇌졸중 환자의 인두기능 회복을 위한 전기자극기 설계)

  • Yoo Ji Hye;Bae Ha Suk;Choi Byoung Cheol;Kim Sung Min
    • Journal of the Korean Society for Precision Engineering
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    • v.22 no.7 s.172
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    • pp.185-190
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    • 2005
  • The purpose of this study is to design electrical stimulation system fur stroke patients with pharyngeal dysfunction(dysphagia). Dysphagia is that the food has trouble in passing to the mouth from the stomach. Although we have many treatment methods for dysphagia, electrical stimulation system will be useful for stroke patients having dysphagia. Electrical stimulation system can be divided into body and electrodes. The body stimulation is composed to frequency counter, time control and current measurement part. These parts are to control the frequency, stimulating time and current intensity And they can be variable according to the patient's clinical assessment. The electrode plays a role to deliver the current from the system to the muscle. Also the position of the electrode can be variable according to the treatment method. We performed the clinical experiment with stroke patients who had swallowing disorder. The videofluoroscopy was used fur the observation. From the result of clinical experiment based on electrical stimulation, we expected that the dysfunction(in pharynx) level of the patient could be improved. However we could not have enough effectiveness of the treatment because of the number of patients, patient's adaptation and treatment period. We will design the optimized electrical stimulation system based on enough clinical experiment in the future.

Validity and Reliability of the Transition Shock Scale for Undergraduate Nursing Students (간호대학생의 전환충격 척도 신뢰도 및 타당도 검증 연구)

  • Kim, Soo Yeon;Shin, Yong Soon
    • The Journal of Korean Academic Society of Nursing Education
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    • v.25 no.1
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    • pp.17-26
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    • 2019
  • Purpose: This study was conducted to verify the validity and reliability of the modified Transition Shock Scale for use among nursing students. Methods: From March 8-April 3, 2018, 207 nursing students participated in this study and were asked to complete self-reported questionnaires, including transition shock, clinical stress, and adapting to clinical practicums. The IBM SPSS Win 18.0 and AMOS 18.0 programs were used for data analysis. Results: A confirmatory factor analysis supported good convergent and discriminant validities ($x^2/df=1.58$, TLI=.92, CFI=.95, RMSEA=.053, AVE=.51-.68, CR=.75-.68). Correlations among transition shock, clinical stress (r=.34, p<.001), and adapting to clinical practicums (r=-.54, p<.001) were significant. Cronbach's alpha for the overall scale was .85, and for the six subfactors it ranged from .65 to .75. Conclusion: The findings suggest that the 17-item transition shock questionnaire is an appropriate instrument for measuring nursing students' transition shock with good validity and reliability.

Utilization and Effects of Peer-Assisted Learning in Basic Medical Education (기본의학교육에서 동료지원학습의 활용과 효과)

  • Roh, HyeRin
    • Korean Medical Education Review
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    • v.23 no.1
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    • pp.11-22
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    • 2021
  • This review of the literature explored the experiences and effects of peer-assisted learning in basic medical education. Peer-assisted learning is most commonly utilized to teach clinical skills (including technical skills) and medical knowledge (76.4%). It has also been used, albeit less frequently, to facilitate small-group discussions including problem-based learning, to promote students' personal and professional development, to provide mentoring for career development and adaptation to school, to give tutoring to at-risk students, and to implement work-based learning in clinical settings. Near-peer learning is a common type. The use of active learning techniques and digital technology has been increasingly reported. Students' leadership had frequently been described. Student tutor training, programs for teaching skills, institutional support, and assessments have been conducted for effective peer-assisted learning. There is considerable positive evidence that peer-assisted learning is effective in teaching simple clinical skills and medical knowledge for tutees. However, its effects on complex skills and knowledge, small-group discussions, personal and professional development, peer mentoring, and work-based learning have rarely been studied. Additionally, little evidence exists regarding whether peer-assisted learning is effective for student tutors. Further research is needed to develop peer-assisted learning programs and to investigate their learning effects on student tutors, small-group discussion facilitation, personal and professional development, peer mentoring, and peer-led work-based learning in the clinical setting in South Korea. Formal programs and system advancement for a student-led learning culture is needed for effective peer-assisted learning.

A 3-year retrospective study of clinical durability of bulk-filled resin composite restorations

  • Muhittin Ugurlu;Fatmanur Sari
    • Restorative Dentistry and Endodontics
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    • v.47 no.1
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    • pp.5.1-5.11
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    • 2022
  • Objectives: This study aimed to assess the clinical longevity of a bulk-fill resin composite in Class II restorations for 3-year. Materials and Methods: Patient record files acquired from the 40 patients who were treated due to needed 2 similar sizes Class II composite restorations were used for this retrospective study. In the experimental cavity, the flowable resin composite SDR was inserted in the dentinal part as a 4 mm intermediate layer. A 2 mm coverage layer with a nano-hybrid resin composite (CeramX) was placed on SDR. The control restoration was performed by an incremental technique of 2 mm using the nano-hybrid resin composite. The restorations were blindly assessed by 2 calibrated examiners using modified United States Public Health Service criteria at baseline and 1, 2, and 3 years. The data were analyzed using non-parametric tests (p = 0.05). Results: Eighty Class II restorations were evaluated. After 3-years, 4 restorations (5%) failed, 1 SDR + CeramX, and 3 CeramX restorations. The annual failure rate (AFR) of the restorations was 1.7%. The SDR + CeramX group revealed an AFR of 0.8%, and the CeramX group an AFR of 2.5% (p > 0.05). Regarding anatomical form and marginal adaptation, significant alterations were observed in the CeramX group after 3-years (p < 0.05). The changes in the color match were observed in each group over time (p < 0.05). Conclusions: The use of SDR demonstrated good clinical durability in deep Class II resin composite restorations.

Convergence Factors Influencing Clinical Practice Satisfaction of Nursing Students (간호학생의 임상실습만족도에 미치는 융복합적 영향요인)

  • Jung, Young-Mi
    • Journal of the Korea Convergence Society
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    • v.7 no.6
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    • pp.55-65
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    • 2016
  • The aim of this study was to identify the convergence factors contributing to clinical practice satisfaction in Korean nursing students. Data were collected using self-administered questionnaires from April 1 to May 15, 2015. The participants were 83 nursing students, and a mid-sized private university school of nursing in the Korea was selected. The data were analyzed by descriptive statistics, T-test, ANOVA, Pearson's correlation coefficient, and stepwise multiple regression with SPSS 22.0 program. Satisfaction in major significantly differed by age. Clinical practice satisfaction was positively correlated with satisfaction in major and clinical competence. The factors that significantly influenced clinical practice satisfaction were clinical competence and satisfaction in major, which together explained 26% of the total variance. To improve satisfaction in major and clinical competence among Korean nursing students, it will be necessary to provide nursing students with clinical adaptation programs and preceptor education.

Relationship of Locus of Control, Difficulties in Emotion Regulation, and Clinical Practice Stress (간호대학생들의 내·외통제소재, 정서조절곤란 및 임상실습스트레스의 관계)

  • Choi, Yeon-Sook;Lee, Eunju;Lee, Dohyeon
    • The Journal of the Korea Contents Association
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    • v.18 no.1
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    • pp.540-550
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    • 2018
  • The purpose of this study was to investigate the relationship of internal-external control, difficulties in emotion regulation, and clinical practice stress among college nursing students. The study was conducted, based on a sample of 220 students at one college and the data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient and stepwise regression analysis. As a result of correlation analysis, there were significant positive correlation in difficulty of emotion regulation score and clinical practice stress score according to external control score. Factors affecting on clinical practice stress were locus of control, difficulties in emotion regulation, college satisfaction, grade, and religion having explanation rate of 17%. Therefore, to decrease clinical stress among nursing students, Nursing students should be considered the emotion regulation with external control disposition. The results can contribute as a basic data in developing education strategies and clinical adjustment programs for regulating clinical stress with emotion management and adaptation on clinical environment.

Adrenal and thyroid function in the fetus and preterm infant

  • Chung, Hye Rim
    • Clinical and Experimental Pediatrics
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    • v.57 no.10
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    • pp.425-433
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    • 2014
  • Adrenal and thyroid hormones are essential for the regulation of intrauterine homeostasis, and for the timely differentiation and maturation of fetal organs. These hormones play complex roles during fetal life, and are believed to underlie the cellular communication that coordinates maternal-fetal interactions. They serve to modulate the functional adaptation for extrauterine life during the perinatal period. The pathophysiology of systemic vasopressor-resistant hypotension is associated with low levels of circulating cortisol, a result of immaturity of hypothalamic-pituitary-adrenal axis in preterm infants under stress. Over the past few decades, studies in preterm infants have shown abnormal clinical findings that suggest adrenal or thyroid dysfunction, yet the criteria used to diagnose adrenal insufficiency in preterm infants continue to be arbitrary. In addition, although hypothyroidism is frequently observed in extremely low gestational age infants, the benefits of thyroid hormone replacement therapy remain controversial. Screening methods for congenital hypothyroidism or congenital adrenal hyperplasia in the preterm neonate are inconclusive. Thus, further understanding of fetal and perinatal adrenal and thyroid function will provide an insight into the management of adrenal and thyroid function in the preterm infant.

Female Peer Nurse's Experiences Working with the Male Nurses (남자간호사와 근무하는 여자 동료간호사의 간호현장 경험)

  • Suh, Yeonok;Lee, Kyungwoo
    • Journal of East-West Nursing Research
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    • v.23 no.1
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    • pp.33-44
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    • 2017
  • Purpose: The purpose of this study was to explore the experiences of female nurses who are working with the male nurse as a colleague in the clinical settings. Methods: Eleven female nurses who were working with a male nurse over six months were interviewed, and the data were analyzed by using the Giorgi's phenomenological method. Results: Six main meanings and nineteen themes emerged through this study. The six main meanings were as follows; prejudice against male nurses' roles, difficulties in establishing collaboration and trust as a peer, deficit of intimacy due to inappropriate attitude, weakening stereotypes ideas about male nurses, permissive mind of gender difference and individuality, expectations to the male nurses' contributions to nursing profession. Conclusion: These results could be utilized in the development of effective strategies to improve the male nurses' adaptation to the nursing clinical settings.

Effects of mentoring program of college life adapting in freshman students (멘토링이 대학 신입생의 학교생활 적응에 미치는 효과)

  • Lee, Sun-Myung
    • Journal of Korean Clinical Health Science
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    • v.5 no.4
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    • pp.998-1008
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    • 2017
  • Purpose. The effect of mentoring program on the adaptability of college students to occupational therapy freshmen. Method. Pre-post-test design was performed, and 20 experimental group were selected. Six students in the senior grade of occupational therapy, who can serve as a mentor to experimental groups, were selected from March 28, 2017 to April 26, 2017 conducted a mentoring program. They used BDI, SACQ, Interpersonal relation test. Result. The results of this study are as follows. The mentoring program was effective in improving the adaptation of college students to school life. It was found that the mentoring program was effective in major adjustment, social adjustment, personal-emotional adjustment and academic adjustment. Conclusion. The mentoring program had a significant effects on major adjustment, social adjustment, personal-emotional adjustment and academic adjustment in occupational therapy college freshman.

Study of Literature on RADIX STEMONAE(Investigation of efficacy and pharmacological action on RADIX STEMONAE) (백부근(百部根)에 관(關)한 문헌적(文獻的) 고찰(考察) (효능(效能) 및 약리작용(藥理作用)을 중심(中心)으로))

  • Choi Hae-Yun;Kim Jong-Dae
    • Herbal Formula Science
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    • v.7 no.1
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    • pp.65-76
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    • 1999
  • According to the study of literature on RADIX STEMONAE about its efficacy, pharmacological action, and clinical adaptive disease, the results are as follows; 1. About the efficacy of RADIX STEMONAE, it is known as moistening the lungs to arrest cough, and intestinal parasites from ancient to now, and dispelling phlegm is also known. 2. The clinical adaptation of RADIX STEMONAE is chronic bronchitis, pertussis, pulmonary tuberculosis in respiratory disease, and ascaricide for Ascaris, Enterobius vermicularis or eczema, pruritus, destroy louse for endermic liniment. 3. The pharmacological action of RADIX STEMONAE are antitussive, tuberculostatic, anthelmintic, antibacterial, antivirus, antifungal. 4. The antitussive mechanism of RADIX STEMONAE is central inhibitor for cough center of medulla oblongata, and the mechanisms of bronchial smooth muscle relax, and expectorant is also known.

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