• Title/Summary/Keyword: Clinical adaptation

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Effects of care promotion program based on nursing students self-understanding: Application of enneagram group education (간호대학생의 자기이해기반 돌봄증진 프로그램의 효과: 에니어그램 집단교육 적용)

  • Shin, Eun-Sun;Lee, Sook
    • The Journal of Korean Academic Society of Nursing Education
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    • v.26 no.2
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    • pp.132-145
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    • 2020
  • Purpose: The purpose of this study was to examine the effects of a care promotion program based on nursing students' self-understanding. Methods: A quasi-experimental approach using a randomized clinical trial pre- and posttest design was used. Participants were assigned to an experiment group (n=29) or control group (n=30). Data were collected from June 23 to September 8, 2017. The experiment group participated in a care promotion program based on self-understanding for 24 hours through eight sessions covering eight different topics. The data were analyzed using t-test and repeated-measures ANOVA using SPSS/WIN 21.0. Results: Compared to the control group, the experiment group reported significant positive changes for college life adjustment (F=28.74, p<.001), emotional intelligence (F=15.66, p<.001), and interpersonal caring behavior (F=9.37, p=.003). Conclusion: Findings from this study indicate that care promotion based on a self-understanding improvement program with the application of group enneagram education is a useful intervention strategy to promote the care promotion program based on nursing students' self-understanding. Care promotion based on self-understanding will be utilized as an intervention program to form positive values of care and interpersonal relationship through care awareness, self-change, understanding of others and care experience in the group.

Research Findings and Implications for Physical Therapy of Spasticity (강직의 최선 지견과 물리치료와의 관련성)

  • Kim, Jong-Man;Choi, Houng-Sik
    • Physical Therapy Korea
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    • v.2 no.2
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    • pp.73-84
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    • 1995
  • Spasticity has been defined as a motor disorder characterised by a velocity-dependent increase in tonic stretch reflexes with exaggerated tendon jerks resulting in hyperexcitability of the stretch reflexes as one component of the upper motor neuron syndrome. Weakness and loss of dexterity, however, are considered to be more disabling to the patient than changes in muscle tone. The discussion includes the important role that alterations in the physiology of motor units, notably changes in firing rates and muscle fiber atrophy, play in the manifestation of muscle weakness. This paper considers both the neural and mechanical components of spasticity and discusses, in terms of clinical intervention, the implications arising from recent research. Investigations suggest that the resistance to passive movement in individuals with spasticity is due not only to neural mechanisms but also to changes in mechanical properties of muscle. The emphasis is on training the individual to gain control over the muscles required for different tasks, and on preventing secondary and adaptive soft tissue changes and ineffective adaptive motor behaviours.

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Affecting Factors of New Nurse's Intention to Retention in Hospitals (신규간호사의 재직의도 영향요인)

  • Son, Haeng-Mi;Lee, Eun Hee;Cho, Kyung Sook
    • Journal of muscle and joint health
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    • v.24 no.3
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    • pp.205-216
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    • 2017
  • Purpose: The purpose of this study is to investigate relationship among intention to retention, role conflicts, psychosocial job conditions and job satisfaction of new nurses, and identify affecting factors for intention to retention. Methods: Data were collected from 136 new nurses who were graduated at 2016 and working now in general hospitals by self-reported questionnaire. The relationship among variables were analyzed with Pearson's coefficient correlation and affecting factors for intention to retention were identified by using multiple linear regression analysis. Results: The mean score of intention to retention was $2.63{\pm}0.28$. Intention to retention was significantly different by the working ward, hope period for work, and reason for retention. Intention to retention had positive relationships with work organization and job contents, and job satisfaction, but negative relationships with frequency of role conflict, demands at work. Job satisfaction and meaning of work identified as influencing factors inn intention to retention. Conclusion: It is needed a positive hospital environment to improve adaptation in clinical nursing practice and to emphasize professionalism including value of nursing and meaning of nurses' work for new nurses.

Development of a Stance and Swing Phase Control Transfemoral Prosthesis (입각기.유각기 동시제어식 대퇴의지의 개발)

  • Kim, Sin-Gi;Kim, Gyeong-Hun;Mun, Mu-Seong;Lee, Sun-Geol;Baek, Yeong-Nam
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.25 no.4
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    • pp.685-694
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    • 2001
  • In this study, a transfemoral prosthesis system of which both stance phase and swing phase are controllable has been developed for the recovery of the biomechanical function of the amputated leg. It consists of a 5 bar link mechanism, a hydraulic-rubber knee damper for stance phase control and a pneumatic cylinder controlled via a microprocessor for stance phase control. The mechanical characteristics of the knee damper which absorbs the impact energy generated at the heel contact were investigated. The characteristics of the pneumatic cylinder essential for the speed adaptation of the prosthesis during swing phase were also studied for its mechanical characteristics. The prosthesis was subject to the clinical tests, and the gait characteristics obtained were very close to those of normal subjects. The stance and swing controlled prosthesis that were developed in this study showed good stability during the stance phase and showed good controllability during the swing phase.

Association between Psychological Characteristics of Adult-Children of Alcoholics and Psychosocial Problems (알코올중독자 가정 청소년 자녀의 성인아이성향과 심리사회적 문제)

  • Park, Hyun-Sun;Lee, Sang-Gyun
    • Korean Journal of Social Welfare
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    • v.46
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    • pp.118-144
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    • 2001
  • To examine association between psychological characteristics of Adult-Children of Alcoholics and psychosocial Problems was a purpose of this study. The data were collected on a written questionaire completed 765 adolescents who were consisted of children of alcoholic and nonalcoholic parents. Parental alcoholism was established using CAST and psychosocial problems were assessed by Youth Self Report. Psychological characteristics of ACOA were identified by Adult Children of Alcoholics Screening Test. This study showed that children of alcoholics possess distinct psychological characteristics and they have experienced a variety of psychosocial problems. Hierarchical regression analysis was conducted in order to determine the extent to which characteristics of ACOA affected on psychosocial problems. As a results, psychological characteristics of ACOA were significantly associated with them after controlling for the correlates of family structure, level of family functioning, and parental alcoholism. In addition, two group of ACOA were created on the basis of scores of ACAST. High-risk group had significantly higher YSR scores than low-risk group and it revealed that clinical intervention was needed for many adolescents in high-risk group. The results underscored the importance of ACOA syndrome in adaptation of children with alcoholic parents and suggested the need of future research focusing on development process of subtypes of ACOA.

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Fracture resistance and marginal fit of the zirconia crowns with varied occlusal thickness

  • Tekin, Yadel Hazir;Hayran, Yeliz
    • The Journal of Advanced Prosthodontics
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    • v.12 no.5
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    • pp.283-290
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    • 2020
  • PURPOSE. The present study aimed to evaluate the clinical applicability of monolithic zirconia (MZ) crowns of different thickness via determination of fracture resistance and marginal fit. MATERIALS AND METHODS. MZ crowns with 0.5, 0.8, 1.0, and 1.5 mm thickness and porcelain fused to metal (PFM) crowns were prepared, ten crowns in each group. Marginal gaps of the crowns were measured. All crowns were aged with thermal cycling (5 - 55℃/10000 cycle) and chewing simulator (50 N/1 Hz/lateral movement: 2 mm, mouth opening: 2 mm/240000 cycles). After aging, fracture resistance of crowns was determined. Statistical analysis was performed with one-way ANOVA and Tukey's HDS post hoc test. RESULTS. Fracture loads were higher in the PFM and 1 mm MZ crowns compared to 0.5 mm and 0.8 mm crowns. 1.5 mm MZ crowns were not broken even with the highest force applied (10 kN). All marginal gap values were below 86 ㎛ even in the PFM crowns, and PFM crowns had a higher marginal gap than the MZ crowns. CONCLUSION. The monolithic zirconia exhibited high fracture resistance and good marginal fit even with the 0.5 mm thickness, which might be used with reduced occlusal thickness and be beneficial in challengingly narrow interocclusal space.

A Conceptual Analysis of Cancer Survivorship (암 생존력에 대한 개념분석)

  • Byun, Hye-Sun;Park, Hyun-Joo;Kim, Ji-Youn
    • Asian Oncology Nursing
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    • v.12 no.3
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    • pp.237-245
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    • 2012
  • Purpose: The purpose of this study was to identify attributes of the concept of cancer survivorship. Methods: Walker & Avant's concept analysis framework (2005) was used to review the medical & nursing text books, medical and nursing research articles related to cancer survivorship and published from 1985 to 2011. Results: There were nine aspects of the concept of cancer survivorship: A process, liminality, uncertainty, life-changing experience, complexity, unique experience, duality of positive and negative aspects, partnership, and need for support. Antecedents of cancer survivorship were cancer diagnosis and perception as a cancer survivor. Empirical referents of cancer survivorship were survival rate, quality of life, adaptation to the survivorship experience, and health-related hardiness, social support, spirituality, and health behavior. The consequences of cancer survivorship were effects on the physical, psychosocial, spiritual and socio-economic well-being of the patients. Conclusion: This concept analysis of cancer survivorship is expected to contribute to promotion of survivorship care in the clinical field by removing conceptual ambiguity and confirming the true meaning of survivorship care.

A Clinical Study on 2 Cases of Depression Patients with Autogenes Training (슐츠의 자율훈련법을 이용한 우울증 환자 치험 2례)

  • Shin, Hyun-Kwon;Kim, Joo-Won;Kong, Hyun-Woo;Kock, Kyung-Nae;Kim, Hyo-Ju;Park, Se-Jin;Kim, Hyun-Ho;Kim, Tae-Hwan
    • Journal of Oriental Neuropsychiatry
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    • v.17 no.3
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    • pp.165-174
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    • 2006
  • This study was designed to asses the effect of Schultz's Autogenes Training on the pateints diagnosed as depression. We measured the patients' BDI by stage treated by Schultz's Autogenes Training on their adaptation to each stage. In result, BDI of both cases were decreased : the case 1 from 28 to 9 ; the case 2 from 19 to 16. We also recognized that patients' will for recovery is very important to be treated more effectively by Schultz's Autogenes Training: the patients' will of the case 1 was more larger than that of the case 2. After our treatments, Depression and some other symptoms were improved.

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Development of a Stance & Swing Phase Control Transfemoral Prosthesis (입각기와 유각기 제어 대퇴의지의 개발)

  • Kim, Shin-Ki;Kim, Jong-Gwon;Hong, Jeong-Hwa;Kim, Gyeong-Hun;Mun, Mu-Seong;Lee, Sun-Geol;Baek, Yeong-Nam
    • Proceedings of the KSME Conference
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    • 2000.11a
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    • pp.504-509
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    • 2000
  • In this study, a transfemoral prosthesis system of which stance phase and swing phase are controlled during walking has been developed for the recovery of the biomechanical function of the amputated leg. It consists of a 5 bar link mechanism, a hydraulic-rubber knee damper for stance phase control and a pneumatic cylinder controlled via a microprocessor for stance phase control. The mechanical characteristics and behaviour of the knee damper which absorbs the impact energy generated at the heel contact was investigated. The characteristics of the pneumatic cylinder essential for the speed adaptation of the prosthesis during swing phase was also studied for its mechanical characteristics. The prosthesis was subject to the clinical test ant the gait characteristics obtained were very close to those of normal. The stance and swing controlled prosthesis that were developed in this study showed good stability during the stance phase and showed good controllability during the swing phase.

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Clinical gap changes after porcelain firing cycles of zirconia fixed dentures

  • Bugurman, Bugurman Burcu;Turker, Sebnem Begum
    • The Journal of Advanced Prosthodontics
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    • v.6 no.3
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    • pp.177-184
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    • 2014
  • PURPOSE. The aim of this study was to measure the changes on the marginal and internal adaptation of zirconia based anterior fixed partial dentures after the porcelain firing process. MATERIALS AND METHODS. A total of 34 anterior fixed partial dentures using LAVA CAD/CAM system (3M ESPE, Germany) were applied. Two silicone replicas were obtained: one is obtained before porcelain firing process (initial) and the other is obtained after porcelain firing process (final), followed by the examination under a binocular stereomicroscope. Kruskal Wallis and Wilcoxon Signed Ranks tests were used for the statistical analysis (P<.05). RESULTS. No statistically significant difference was found between initial and final marginal gap values (P>.05). At the internal gap measurements, final marginal area values ($59.54{\mu}m$) were significantly lower than the initial marginal area values ($68.68{\mu}m$)(P<.05). The highest and the lowest internal gap values were observed at the incisal/occlusal area and at the marginal area, respectively. In addition, lower internal gap values were obtained for canines than for central incisors, lateral incisors and premolars at the incisal area (P<.05). CONCLUSION. The firing cycles did not affect the marginal gap of Lava CAD/CAM system, but it is controversial for the internal gap.