• Title/Summary/Keyword: Clinical adaptation

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Differential Embryo Development among Tibetan Chicken, DRW and Shouguang Chicken Exposed to Chronic Hypoxia

  • Li, Mei;Zhao, Chun-Jiang;Wu, Chang-Xin
    • Asian-Australasian Journal of Animal Sciences
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    • v.22 no.3
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    • pp.336-342
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    • 2009
  • Avian embryos at high altitude are independent of maternal protection against hypoxia, which is contrary to mammals. It is well known that chronic hypoxic exposure at key points can significantly impact on avian development. Tibetan Chicken, a Chinese indigenous breed, living in Tibetan areas with an altitude of 2.2 to 4.1 thousand meters, has an adaptive mechanism to hypoxia. In the present study, fertilized eggs of Tibetan Chicken were incubated under 13% and 21% oxygen concentration. Two lowland chicken breeds, Shouguang Chicken, an indigenous chicken breed in Shandong Province of China, and Dwarf Recessive White Chicken, an imported breed in Beijing, were used as control groups. The embryo mass and some organs such as brain, heart, liver, stomach and eye weight in the three species were measured at Hamburger-Hamilton stage 39, 41, 43 and 45 under hypoxic and normal conditions. The results showed that in hypoxia Tibetan Chicken significantly differed from the two lowland chicken breeds in embryo mass at Hamburger-Hamilton stage 41, 43 and 45 (p<0.01). In particular, Dwarf Recessive White Chicken and Shouguang Chicken showed retarded growth in hypoxic incubation (p<0.01), whereas Tibetan Chicken showed no significant difference between hypoxic and normal conditions (p>0.05). In addition, heart and the other organs showed different susceptibility to hypoxia at the studied stages. In conclusion, chronic hypoxia induced a change in the embryo development of the three different species and Tibetan Chicken showed adaptation to hypoxia. Of note, the embryo developmental physiology of Tibetan Chicken in response to hypoxia will shed light on the process of physiological acclimation or evolutionary adaptation as well as the study of clinical disease.

The Value of Traditional Medicine in East Asia which is based on the Instinct and Nature - Focused on the Value of Nature Medicine and Modern Disease - (본능(本能)과 본성(本性)에 기초(基礎)한 동아시아 전통의학의 의의(意義)에 대한 소고(小考) - 자연의학으로서의 가치와 현대병을 중심으로 -)

  • Eom, Seok-Ki;Choi, Won-Cheol
    • Journal of Korean Medical classics
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    • v.23 no.2
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    • pp.63-87
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    • 2010
  • Natural Medicine is a medical system that tries to find the cause and cure of the disease in the nature emphasizing on natural healing power of human body. The most important value of traditional medicine in east Asia lies on the fact that this medicine is a medical culture and natural medicine that was selected by instinct and human nature reflecting the best possible remedy by the wisdom of evolution, and views the living phenomenon based on relation and circulation. This medicine is a natural medicine that tries to recover and promote the natural healing power by vitality and is a system that cumulates various empirical information about unique and complicated life phenomenon as a legacy of evolution in the body and the disease. The understanding of variation and adaptation of human species should be based on thorough knowledge of origin, instinct and nature of human as well as knowledge of survival and adaptation of human and environment based on evolution. And through this insight, the prevention and treatment of modern diseases should be developed. In this regards, traditional medicine in east Asia should be highlighted again as a study on adaptation and harmony of penetrating the cultural history of mind which has led the history of biological body and change of society and culture, and the repository of practical wisdom and knowledge.

Development of Indwelling Urinary Catheterization Guideline by Adaptation Process (수용개작방법을 활용한 유치도뇨 간호실무지침 개발)

  • Jeong, Ihn Sook;Jeong, Jae Sim;Seo, Hyun Ju;Lim, Eun Young;Hong, Eun-Young;Park, Kyung Hee;Jung, Young Sun;Choi, Eun Kyoung;Park, Hee Youn;Park, Sun-A
    • Journal of Korean Clinical Nursing Research
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    • v.21 no.1
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    • pp.31-42
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    • 2015
  • Purpose: This study was done to develop evidence-based nursing practice guidelines to prevent complications related to indwelling urinary catheterization (IUC) in patients in Korea. Methods: A guideline adaptation process was conducted according to the guideline adaptation manual which consists of three main phases, and 9 modules with a total of 24 steps. Results: The newly developed IUC guideline consisted of an introduction, urinary catheterization, summary of recommendations, recommendations, references, and appendices. There were 110 recommendations in 8 sections including assessment, equipment, catheter insertion, catheter maintenance, catheter change, catheter removal, management of complications, and education/consultation. For the grade of recommendations, there were 6.4% for A, 22.7% for B, 67.3% for C. Conclusion: The IUC guideline was developed based on evidence and therefore it is recommended that this guideline be disseminated and utilized by nurses nationwide to improve the quality of care for patients with IUC and decrease complications related to IUC and that it be revised regularly.

Recognition of Nursing Students and Graduates on Nursing and Future Career (일개 간호대학생과 졸업생의 전공 및 진로에 대한 인식)

  • Bang, Kyung-Sook;Cho, Jin-Kyong
    • The Journal of Korean Academic Society of Nursing Education
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    • v.14 no.1
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    • pp.88-97
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    • 2008
  • Purpose: This study was done to develop strategies for better education and career adaptation of nursing students by investigating the recognition and intentions of nursing students and graduates on the nursing and a future career. Method: Data was collected from a survey conducted between the 1st of October and 5th of December, 2007. Participants were 113 students and 37 graduates of one nursing college. Result: The majority of participants thought that atmosphere and relationships were important criteria to choose a job. Most of them selected nursing major not because their aptitude but because of its professionalism and job stability. Most wanted to go to graduate school and were interested in a nurse specialist program, especially for critical and emergency care. The preferred nursing role changed from recovery care to health promotion as they advanced in their studies. They thought work overload and fatigue from three shift as barriers for a longer stay as a clinical nurse. Conclusion: This study is meaningful in a way that it suggests some strategies for promoting nursing professionalism and adaptation to working field. In order to generalize the results of this study, replicate studies need to be conducted with nation-wide samples.

Evaluation of the marginal and internal fit of lithium disilicate crowns fabricated by different scanning methods (다른 스캐닝 방법으로 제작된 리튬 디실리케이트 단관의 변연 및 내면 적합도 평가)

  • Kim, Jae-Hong;Kim, Woong-Chul;Kim, Ji-Hwan
    • Journal of Technologic Dentistry
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    • v.36 no.2
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    • pp.75-81
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    • 2014
  • Purpose: This study was to compare adaptations of lithium disilicate CAD/CAM crowns fabricated with different scanning systems. Methods: This study selected the mandibular right first molar as an abutment for experiments and produced 10 working models. Lithium disilicate crowns appropriate for each abutment were produced by using a CEREC$^{(R)}$ CAD/CAM system. The independent t-test was then used to compare and analyze the data obtained from the two groups(${\alpha}$=0.05). Results: Mean(SD) adaptation were $86.93(22.82){\mu}m$ for the InS group, $88.42(26.77){\mu}m$ for the ExS group. They were no statistically significant differences between groups for adaptation(p>0.05). Conclusion: Within the limitations of this study, the results suggest that the accuracy of all investigated optical scanner were satisfactory for clinical use. Further assessment and improvement of the lithium disilicate ceramic for the fabrication of FPDs is evidently still required.

Effects of Eight-week Pilates Training on Elderly People's Dynamic and Static Balance Abilities

  • Choi, Jung-Hyun
    • Journal of the Korean Society of Physical Medicine
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    • v.9 no.3
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    • pp.325-331
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    • 2014
  • PURPOSE: Improving elderly people's balance ability through pilates which may be easily applied in ordinary life is considered an important intervention method for elderly people. Therefore, this study examines the effects of pilates training on elderly people's static and dynamic balance abilities and provides clinical data to improve this ability. METHODS: The pilates program was applied to 19 elderly subjects three times per week for 8 weeks. Their training level took into consideration their age and was set so that the rating scales of perceived exertion became 13 to 14. Prior to the initiation of the experiment, the subjects had an adaptation period in order to practice the order and motions of pilates. After the adaptation period, the subjects received training. The program was conducted three times per week, for eight weeks. Their dynamic balance ability was observed through the timed up and go (TUG) test and tandem walk test (TWT), and their static balance ability was evaluated by the center of pressure (COP) area, medial-lateral displacement, and anterior-posterior displacement. RESULTS: The results of the TUG test and TWT and evaluations of the COP area and medial-lateral displacement were significantly different after the pilates exercise program compared to those before the program began. CONCLUSION: The results show that an 8-week pilates exercise program is an effective method to increase elderly people's static and dynamic balance abilities. In addition, the application result of the pilates exercise program will provide useful information for future research on elderly people's balance ability.

A Concept Mapping Study on Factors Inducing Dental Hygiene Student's Activeness During Clinical Practice (치위생학과 학생의 임상실습 적극성 유발요인에 대한 개념도 연구)

  • Kim, Hyeong-Mi;Jeong, Mi-Ae
    • The Journal of the Korea Contents Association
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    • v.20 no.5
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    • pp.359-366
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    • 2020
  • The purpose of this study is to explore factors inducing dental hygiene student's activeness during clinical practice. A conceptual study was conducted for dental hygiene students who participated in the clinical practice for the first semester of 2019. The focus question was, 'What factors induced activeness during clinical practice?', a total of 33 statements were drawn by analyzing the responses. Results of multidimensional scale analysis and cluster analysis, there are six factors that induce activeness 'provide information on clinical practice', 'possibility to participate in clinical practice', 'possibility of adaptation', 'attitude of educator', 'patience of educator', and 'attitude toward trainees'. Among them, the most factor inducing activeness was the 'possibility to participate in practice'. The four items inducing activeness were 'provide a training manual', 'can be observed closely,' 'practice for a sufficient period', and 'the educator's attitude is kind'. The results of this study could be used as basic data to enhance the clinical practice effect of dental hygiene students.

Clinical Practice Guideline for Assessment and Prevention of Falls in Adult People (낙상위험요인 평가 및 낙상예방활동 임상진료지침)

  • Chun, Ja-Hae;Kim, Hyun-Ah;Kwak, Mi-Jeong;Kim, Hyuo-Sun;Park, Sun-Kyung;Kim, Moon-Sook;Choi, Ae-Lee;Hwang, Jee-In;Kim, Yoon-Sook
    • Quality Improvement in Health Care
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    • v.24 no.2
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    • pp.41-61
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    • 2018
  • Purpose: Falls are one of the most frequent health events in medical institutions, however, they can be predicted and prevented. The Quality Improvement Nurse Society clinical practice guideline Steering Committee developed the Clinical Practice Guideline for the assessment and prevention of falls in adult people. The purpose of this study was to assess the risk factors for falls in adults aged 19 years and older, to present an evidence for preventing falls, formulate a recommendations, and indicators for applying the recommendations. Methods: This clinical practice guideline was developed using a 23-step adaptation method according to the Handbook for clinical practice guideline developer (version 1.0) by National Evidence-based Healthcare Collaborating Agency. Evidence levels and recommendation ratings were established in accordance to SIGN 2011 (The Scottish Intercollegiate Guidelines Network). Results: The final 15 recommendations from four domains were derived from experts' advice; 1) assessment of risk factor for falls in adult 2) preventing falls and reducing the risks of falls or falls-related injury 3) management and reassessment after a person falls 4) leadership and culture. Conclusion: This clinical practice guideline can be used as a basis for evaluation and prevention of fall risk factors for adults, to formulate recommendations for fall risk assessment and fall prevention, and to present monitoring indicators for applying the recommendations.

Factors Influencing Turnover Intention in Clinical Nurses: Compassion Fatigue, Coping, Social Support, and Job Satisfaction

  • Yang, Young Hee;Kim, Jong Kyung
    • Journal of Korean Academy of Nursing Administration
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    • v.22 no.5
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    • pp.562-569
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    • 2016
  • Purpose: This study was done to construct and verify a model of turnover intention in clinical nurses, considering the effects of compassion fatigue, coping, social support, and job satisfaction. Methods: For this study a cross-sectional correlational design was used. Participants were 283 clinical nurses in four general hospitals. Data were collected using a questionnaire and were analyzed with descriptive statistics, Pearson correlation coefficient and path analysis. Results: The modified model of turnover intention had a good fit in this study. Turnover intention was influenced by job satisfaction, and job satisfaction was affected by workload, problem-focused coping, peer support, family-friend support and compassion fatigue. Compassion fatigue was associated with occupational trauma events, problem-focused coping and emotional-focused coping. Job satisfaction was the most important factors controlling nurse's turnover intention. Conclusion: Findings show that job satisfaction, compassion fatigue, and traumatic events are important factors influencing turnover intention. Nurse managers try to manage job satisfaction, compassion fatigue, support, and coping for nurses, it could be expected making proper nursing circumstance.

Study on The Drug Processing of Aconiti Root(天雄) (천웅(天雄)의 포제에 관하여)

  • Choi Jung-Hyun;Jung Byung-Ha;Seong Man-Jun;Kwon Dong-Yeul
    • Herbal Formula Science
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    • v.12 no.1
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    • pp.123-130
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    • 2004
  • Aconiti Root(AR), has been used for about 2000 years, since recorded for low grade in 'Shinnongbonchokyung(Divine Husbandman's Herbal Foundation canon)'. It also recorded for Poisonous Drug in 'Myunguibyullok', 'Yaksungron', etc, and they advised when the AR is using for clinical desease it has to be processed. There are more than 13 processing methods, in records that related 39 parts which is recorded in ancient documents. In China, there are no standard of herb that using for clinical, cause of the traditional processing methods was cut since 1960s. In these days, they are using AR that recorded in Aconiti Tuber part of the processing records, in Guangdong and Shantung. In addition, the modification of Processed Aconiti Root(PAR) is also used for goods in Hongkong, Macao, and Southeast Asia. We studied the PAR for enhancing the importance of it, and multiply using. In this study, we search for the history of processing of AR, traditional theories of processing and clinical adaptation.

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