• Title/Summary/Keyword: Clinical adaptation

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Factors Influencing Posttraumatic Growth in Patients with Lung Cancer (폐암 환자의 외상 후 성장에 영향을 미치는 요인)

  • Kim, Young Suk;Moon, Jin Ha;Lee, Young Suk;Kim, Yeon Woo;Heo, Gyu Rim;Oh, Soon Keum
    • Journal of Korean Clinical Nursing Research
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    • v.27 no.1
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    • pp.98-108
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    • 2021
  • Purpose: This study was conducted to identify the factors influencing the posttraumatic growth (PTG) in patients with lung cancer and to provide basic data for nursing intervention development to improve PTG and adaptation. Methods: The study included 126 non-small cell lung cancer patients initially diagnosed at the Lung Cancer Center, C University Hospital in S city, Gyeonggi-do. Patients were asked to complete a questionnaire consisting of demographic characteristics, disease characteristics, posttraumatic growth, cancer coping, social support, and resilience. Data were analyzed using t-tests, ANOVA, and Pearson's correlation and multiple regression analysis. Results: The mean score for PTG in lung cancer patients was 56.39, cancer coping was 61.31, social support was 61.09, and resilience was 92.77. Significant positive correlations were found for PTG and cancer coping (r=.75, p<.001), social support (r=.52, p<.001) and resilience (r=.63, p<.001). Factors contributing to PTG of lung cancer patients were cancer coping (β=.53 p<.001), perceived health status(β=.20, p=.002), resilience (β=.21, p=.010) and importance of religion (β=.15, p=.013). This model explained about 64.0% of variances of PTG (F=29.58, p<.001). Conclusion: It is necessary to develop new nursing intervention programs to improve PTG for patients with lung cancer based on strategies to enhance coping and resilience to recovery. Longitudinal studies examining temporal changes in PTG among patients with lung cancer are suggested for future studies in this regard.

Personalities and interpersonal relationships of dental hygiene students (치위생과 학생의 인성과 대인관계)

  • Shin, Myong Suk;Hwang, Ji Min
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.2
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    • pp.91-97
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    • 2022
  • This study was conducted to understand the degree of personality and interpersonal relationships among dental hygiene students. The survey was conducted from April 1, 2021 to June 30, 2021. As a result of the study, personality was 3.42 points and interpersonal relationships were 3.46 points. In general, there was a statistically significant difference in both personality and interpersonal subdomains in interpersonal satisfaction and college life satisfaction (p<.05, p<.001). The more experience they had in clinical practice, the lower their scores for friendship and professorship among interpersonal relationships. Among the sub-domains of personality, morality and sociality were analyzed as having the highest positive correlation (r=.674), and in interpersonal relationships, the relationship between friends and professors was analyzed as high (r=.606). Therefore, for the holistic growth of dental hygiene students as preliminary dental hygienists and their adaptation to the dental care field, a long-term strategy and continuous educational approach are needed at the university for cultivating character and interpersonal relationships, which are the basics. In addition, various programs related to the duties of dental hygienists should be developed and methods to be applied should be sought.

Designing a novel mRNA vaccine against Vibrio harveyi infection in fish: an immunoinformatics approach

  • Islam, Sk Injamamul;Mou, Moslema Jahan;Sanjida, Saloa;Tariq, Muhammad;Nasir, Saad;Mahfuj, Sarower
    • Genomics & Informatics
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    • v.20 no.1
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    • pp.11.1-11.20
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    • 2022
  • Vibrio harveyi belongs to the Vibrio genus that causes vibriosis in marine and aquatic fish species through double-stranded DNA virus replication. In humans, around 12 Vibrio species can cause gastroenteritis (gastrointestinal illness). A large amount of virus particles can be found in the cytoplasm of infected cells, which may cause death. Despite these devastating complications, there is still no cure or vaccine for the virus. As a result, we used an immunoinformatics approach to develop a multi-epitope vaccine against most pathogenic hemolysin gene of V. harveyi. The immunodominant T- and B-cell epitopes were identified using the hemolysin protein. We developed a vaccine employing three possible epitopes: cytotoxic T-lymphocytes, helper T-lymphocytes, and linear B-lymphocyte epitopes, after thorough testing. The vaccine was developed to be antigenic, immunogenic, and non-allergenic, as well as having a better solubility. Molecular dynamics simulation revealed significant structural stiffness and binding stability. In addition, the immunological simulation generated by computer revealed that the vaccination might elicit immune reactions in the actual life after injection. Finally, using Escherichia coli K12 as a model, codon optimization yielded ideal GC content and a higher codon adaptation index value, which was then included in the cloning vector pET2+ (a). Altogether, our experiment implies that the proposed peptide vaccine might be a good option for vibriosis prophylaxis.

Estimation of Temporal Acute Exposure Guideline Levels for Emergency Response - A Brief Case using Formaldehyde - (화학사고 대응을 위한 시간별 급성노출기준 참고치 산정 - 폼알데하이드 사례 -)

  • Kim, Eunchae;Cho, Yong-Sung;Lee, Chung-Soo;Yang, Wonho;Hwang, Seung-Ryul;Park, Jihoon
    • Journal of Environmental Health Sciences
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    • v.47 no.2
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    • pp.166-174
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    • 2021
  • Objectives: This study aimed to provide temporal Acute Exposure Guideline Levels (AEGL) for a hazardous substance as a pilot study. Methods: As one of the substances designated by the Korea Ministry of Environment as requiring preparations for potential accidents, formaldehyde was selected to estimate the AEGLs. The calculation was based on Haber's formula (Cn×t=k) using valid toxicity data (for humans/animals). A total of 96 points of AEGL levels were provided using an interval of five minutes over eight hours. Results: The AEGL-1 and 2 values were constant for the entire exposure duration at 0.9 ppm and 14 ppm, respectively. The values were obtained from clinical/animal tests, and the adaptation effect after a given exposure duration was also considered. AEGL-3 was based on animal toxicity data, and it was estimated from 127 ppm for the initial five minutes to 35 ppm for eight hours. Conclusions: More specific AEGL levels for formaldehyde could be obtained in this study using toxicity data with Haber's formula. Based on this methodology, it would be also possible to estimate AEGL levels that can be used at the scene of a chemical accident for other substances requiring preparation for potential accidents.

A Plant Metabolomic Approach to Identify the Difference of the Seeds and Flowers Extracts of Carthamus tinctorius L.

  • Ozan Kaplan;Nagehan Saltan;Arzu Kose;Yavuz Bulent Kose;Mustafa Celebier
    • Mass Spectrometry Letters
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    • v.14 no.2
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    • pp.42-47
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    • 2023
  • Carthamus tinctorius L. (known as safflower) is a valuable oil plant whose importance is increasing rapidly in the world due to its high adaptation to arid regions. The seeds of this unique plant are especially used in edible oil, soap, paint, varnish and lacquer production. Its flowers are used in vegetable dye production and medicinal purposes beside its features as a coloring and flavoring in food. After the oil is removed, the remaining pulp and plant parts are used as animal feed, and dry straw residues are used as fuel. Beside all these features, its usage as a herbal medicinal plants for various diseases has gained importance on recent years. In this study, it was designed a plant metabolomic approach which transfers all the recent data processing strategies of untargeted metabolomics in clinical applications to the present study. Q-TOF LC/MS-based analysis of the extracts (70% ethanol, hexane, and chloroform) for both seed and flowers was performed using a C18 column (Agilent Zorbax 1.8 µM, 100 × 2.1 mm). Differences were observed in seed and fruit extracts and these differences were visualized using principal component analysis (PCA) plots. The total number and intersections of the peaks in the extracts were visualized using peak count comparison graph. Based on the experimental results, the number of the detected peaks for seeds was higher than the ones for the flowers for all solvent systems to extract the samples.

Interpretation and Generalization by Neuroscience and Material Mechanics on Deviation in Temporomandibular Joint Balancing Medicine (턱관절균형의학에서 편차발생현상의 신경과학 및 재료역학적 해석과 일반화)

  • Gyoo-yong Chi
    • Journal of TMJ Balancing Medicine
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    • v.12 no.1
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    • pp.1-6
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    • 2022
  • Objectives: For the deviation phenomenon occurring during the treatment process in temporo-mandibular balancing medicine (TBM), hypotheses were established regarding the cause and mechanism of formation from the perspective of neuro-science and material mechanics, and a verification method was proposed. Methods: The deviation phenomenon was theoretically analyzed based on the structure theories of material mechanics of the joint and the neurological pain mechanism. Results: Deviation occurs due to temporary yield by the accumulation of heterogeneous stress in the temporo-mandibular joint and the affected joint. Because the joint structures are corresponding with material mechanics showing compressive and tensile properties. The size of the deviation is expressed in terms of strain. The occlusal surface of the teeth is level with the axial joint. Since the magnitude of the deviation has a proportional relationship with the degree of abnormality of the temporo-mandibular joint, the magnitude of the deviation calculated by the balance measurement can be replaced by the strain. The major variables involved in the occurrence of deviations are the strength of joint structures and neurological conditions. Therefore plastic deformation and adaptation occur as a long-term depression of neural circuits is strengthened in different ways at different locations each time in various clinical situations. This is the reason why the sequence of the restoration process while correcting deviations is following reverse order of the accumulation in many layers in the muscular nervous system. Conclusions: From the above results, it can be inferred that the occurrence and correction of the deviations are corresponding with the plastic deformation and neuro-plasticity.

Differences in Psychopathology and Effectiveness of Individual Counselling According to Learning Environment of Agricultural Specialized College Students (농업계 특수전문대학 학생들의 학습 환경에 따른 정신병리 차이와 개인상담의 효과검증)

  • Lee, D.K.;Nho, W.G.;Jeong, D.S.;An, J.S.
    • Journal of Practical Agriculture & Fisheries Research
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    • v.19 no.1
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    • pp.153-163
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    • 2017
  • This study is aimed at researching on psychopathological characteristics of agriculture-specialized college students, in a specific educational environment, consulting some students who show maladjusted characteristics, verifying its effects and providing basic data for college life instructions. The complete survey MMPI was conducted for 676 freshmen and juniors attending K agriculture-specialized college located in Jeollabuk-do. To analyze the results, basic statistics, bivariate correlation analysis, and multiple regression analysis were implemented. The results of this study are as follows; First, the level of overall clinical scale was lower than 50 points, standard point, and freshmen showed higher depression (D), hysteria (Hy) and psychasthenia (Pt) in general. Such results are different from the other study results. It is considered an anxiety in early stage, resulted from a living in a dormitory. For the juniors who came back from one-year practice, anxiety about employment seems little because they are already employed. Second, The effects of personal consultation for maladjusted students were proved (p<.01). The students who got consultation showed improvement effect from 'very bad condition' to 'considerable depression', which is low score. This study has a meaning in preventing from any accident, by screening maladjusted students who are supposed to learn in a specific situation, by relieving their symptoms through consultation and letting them concentrate on learning.

Effect of dentin roughening and type of composite material on the restoration of non-carious cervical lesions: an in vivo study with 18 months of follow-up

  • Sanjana Verma;Rakesh Singla;Gurdeep Singh Gill;Namita Jain
    • Restorative Dentistry and Endodontics
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    • v.48 no.4
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    • pp.35.1-35.14
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    • 2023
  • Objectives: The purpose of this study was to evaluate the impact of dentin roughening and the type of composite resin used (either bulk-fill flowable or nanohybrid) on the restoration of non-carious cervical lesions (NCCLs) with an 18-month follow-up period. Materials and Methods: This prospective split-mouth study included 36 patients, each with a minimum of 4 NCCLs. For each patient, 4 types of restorations were performed: unroughened dentin with nanohybrid composite, unroughened dentin with bulk-fill flowable composite, roughened dentin with nanohybrid composite, and roughened dentin with bulk-fill flowable composite. A universal bonding agent (Tetric N Bond Universal) was applied in self-etch mode for all groups. The restorations were subsequently evaluated at 6, 12, and 18 months in accordance with the criteria set by the FDI World Dental Federation. Inferential statistics were computed using the Friedman test, with the level of statistical significance established at 0.05. Results: The 4 groups exhibited no significant differences in relation to fracture and retention, marginal staining, marginal adaptation, postoperative hypersensitivity, or the recurrence of caries at any follow-up point. Conclusions: Within the limitations of the present study, over an 18-month follow-up period, no significant difference was present in the clinical performance of bulk-fill flowable and nanohybrid composite restorations of non-carious cervical lesions. This held true regardless of whether dentin roughening was performed.

A Study on the Effect of Nursing Students' Major Satisfaction and Nursing Professionalism on Career Preparation Behavior in a Non-face-to-face Educational Environment Caused by COVID-19 (COVID-19로 인한 비대면 교육환경에서 간호대학생의 전공만족도와 간호전문직관이 진로준비행동에 미치는 영향 연구)

  • Ju Hyun Park
    • Journal of Environmental Health Sciences
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    • v.50 no.1
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    • pp.73-79
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    • 2024
  • Background: Career preparation behavior is a challenge among nursing students during the COVID-19 pandemic. Nursing students' adaptation to a non-face-to-face educational environment, lack of interaction with others, and fear of infectious disease may affect career preparation behavior. Objectives: The purpose of this study was to identify factors that influence the career preparation behavior in the non-face-to-face educational environment caused by the COVID-19 pandemic. Methods: Data were collected in October 2022 from 130 nursing students from a college in City A. A total of 119 questionnaires were analyzed using descriptive statistics, t-tests, a one-way ANOVA, Pearson correlation, and stepwise multiple regression. Results: The findings show that major satisfaction had a significant positive correlation with career preparation behavior (r=0.56, p<0.001). Nursing professionalism showed a significant positive correlation with career preparation behavior (r=0.57, p<0.001). The factors influencing career preparation behavior included major satisfaction, nursing professionalism, and satisfaction with clinical practice. Nursing professionalism was the most influential factor (β=0.35), followed by major satisfaction (β=0.33). Together they had an explanatory power of 37%. Conclusions: The results of this study indicate that nursing college students who experienced the COVID-19 pandemic should search for ways to increase their major satisfaction and nursing professionalism programs should be increased to improve career preparation behavior.

2020 Imaging Guidelines for Thyroid Nodules and Differentiated Thyroid Cancer: Korean Society of Thyroid Radiology

  • Ji Ye Lee;Jung Hwan Baek;Eun Ju Ha;Jin Yong Sung;Jung Hee Shin;Ji-hoon Kim;Min Kyoung Lee;So Lyung Jung;Young Hen Lee;Hye Shin Ahn;Jung Hyun Yoon;Yoon Jung Choi;Jeong Seon Park;Yoo Jin Lee;Miyoung Choi;Dong Gyu Na;Korean Society of Thyroid Radiology (KSThR) and Korean Society of Radiology
    • Korean Journal of Radiology
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    • v.22 no.5
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    • pp.840-860
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    • 2021
  • Imaging plays a key role in the diagnosis and characterization of thyroid diseases, and the information provided by imaging studies is essential for management planning. A referral guideline for imaging studies may help physicians make reasonable decisions and minimize the number of unnecessary examinations. The Korean Society of Thyroid Radiology (KSThR) developed imaging guidelines for thyroid nodules and differentiated thyroid cancer using an adaptation process through a collaboration between the National Evidence-based Healthcare Collaborating Agency and the working group of KSThR, which is composed of radiologists specializing in thyroid imaging. When evidence is either insufficient or equivocal, expert opinion may supplement the available evidence for recommending imaging. Therefore, we suggest rating the appropriateness of imaging for specific clinical situations in this guideline.