• Title/Summary/Keyword: Clinical adaptation

Search Result 322, Processing Time 0.03 seconds

Micro-computed tomography for assessing the internal and external voids of bulk-fill composite restorations: A technical report

  • Tosco, Vincenzo;Monterubbianesi, Riccardo;Furlani, Michele;Giuliani, Alessandra;Putignano, Angelo;Orsini, Giovanna
    • Imaging Science in Dentistry
    • /
    • v.52 no.3
    • /
    • pp.303-308
    • /
    • 2022
  • Purpose: This technical report aims to describe and detail the use of micro-computed tomography for a reliable evaluation of the bulk-fill composite/tooth interface. Materials and Methods: Bulk-fill composite restorations in tooth cavities were scanned using micro-computed tomography to obtain qualitatively and quantitatively valuable information. Two-dimensional information was processed using specific algorithms, and ultimately a 3-dimensional (3D) specimen reconstruction was generated. The 3D rendering allowed the visualization of voids inside bulk-fill composite materials and provided quantitative measurements. The 3D analysis software VG Studio MAX was used to perform image analysis and assess gap formation within the tooth-restoration interface. In particular, to evaluate internal adaptation, the Defect Analysis addon module of VG Studio Max was used. Results: The data, obtained with the processing software, highlighted the presence and the shape of gaps in different colours, representing the volume of porosity within a chromatic scale in which each colour quantitatively represents a well-defined volume. Conclusion: Micro-computed tomography makes it possible to obtain several quantitative parameters, providing fundamental information on defect shape and complexity. However, this technique has the limit of not discriminating materials without radiopacity and with low or no filler content, such as dental adhesives, and hence, they are difficult to visualise through software reconstruction.

A Study On The Relationship Characteristics Between Inborn(Myers-Brigg's Type Indicator: MBTI) and Acquired(Personality Adaptation Type: PAT) Factors of Personality (성격의 선천적 요인(MBTI)과 후천적 요인(PAT)의 관계특성 연구)

  • Oh, Soo-Hee
    • 한국사회복지학회:학술대회논문집
    • /
    • 2004.04a
    • /
    • pp.757-779
    • /
    • 2004
  • The purpose of study is to provide efficient initial approaches for counseling in social work practice settings. First, it attempts to identify the correlation between the Myers-Brigg's Type Indicator(MBTI), a personality index based on the theory of psychological typology, and Personality Adaptation Types(PAT) models. Second, it attempts to develop a counseling method which can be applied to the initial interview, using the paradigm of door to therapy such as "Open Door", "Target Door", and "Trap Door" based on the PAT theory. The result of the quantitative study showed the correlation between MBTI and PAT as follows: MBTI Extrovert and Feeling(E, F) type was statistically correlated to hysterical PAT. MBTI Extrovert, Intuition and Perceiving(E, N, P) type was statistically correlated to Obsessive-Compulsive PAT. In conclusion, this study finds that when a clinical social worker approaches a client with the client's MBTI personality type and an interventional personality adaptation theory approach such as "Open Door", "Target Door", or "Trap Door", the efficiency of communication is increased significantly.

  • PDF

Effects of Breastfeeding Empowerment Program on Breastfeeding Self-efficacy, Adaptation and Continuation in Primiparous Women (모유수유 임파워먼트 프로그램이 초산모의 모유수유 자기효능감, 적응 및 지속에 미치는 효과)

  • Song, Seon Mi;Park, Mi Kyung
    • Journal of Korean Academy of Nursing
    • /
    • v.46 no.3
    • /
    • pp.409-419
    • /
    • 2016
  • Purpose: The purpose of this study was to develop a breastfeeding empowerment program and to investigate the effects of the breastfeeding empowerment program on self-efficacy, adaptation and continuation of breastfeeding for primiparous women. Methods: The 5 session breastfeeding empowerment program was developed and a non-equivalent control group non-synchronized quasi-experiment design was used. Fifty-five participants were assigned to either the experimental group (n=27) or the control group (n=28). Effects were tested using repeated measures ANOVA and $x^2-test$. Results: Scores for self-efficacy, adaptation and continuation of breastfeeding of in the experimental group after program were significantly higher than 1week, 4weeks, 8weeks scores in control group. Conclusion: The effects of the breastfeeding empowerment program for elevating self-efficacy, adaptation and continuation of breastfeeding in primiparous women were validated. Therefore, this program can be recommended for vigorous use in clinical practice.

An analysis of marginal adaptation of metal cores fabricated by selective laser sintering (레이저선택용융기술에 의해 제작된 금속 코어의 변연 적합도 분석)

  • Kim, Won-Soo;Kim, Ki-Baek
    • Journal of Technologic Dentistry
    • /
    • v.38 no.4
    • /
    • pp.305-311
    • /
    • 2016
  • Purpose: The purpose of this study were to analysis of marginal adaptation of metal cores fabricated by selective laser sintering. Methods: Main model was prepared and ten stone models were fabricated. Ten single metal cores were fabricated by selective laser sintering(SLS group) and another ten single metal cores using lost wax technique and casting method were manufactured(CAST group). The marginal adaptation of metal cores were analysis using by the silicone replica technique. Silicone replicas were sectioned two times. The marginal adaptations were measured using by digital microscope. Statistical analyses was performed with independent t-test(${\bullet}{\cdot}=0.05$). Results: Means of marginal adaptations were 90.3 ${\ss}{\uparrow}$ for SLS group and 65.1 ${\ss}{\uparrow}$ for CAST group. Two groups were statistically significant differences (p < 0.05). Conclusion: Marginal adaptation of metal cores fabricated by selective laser sintering were ranged within the clinical recommendation.

Research trend analysis of Korean new graduate nurses using topic modeling (토픽모델링을 활용한 신규간호사 관련 국내 연구동향 분석)

  • Park, Seungmi;Lee, Jung Lim
    • The Journal of Korean Academic Society of Nursing Education
    • /
    • v.27 no.3
    • /
    • pp.240-250
    • /
    • 2021
  • Purpose: The aim of this study is to analyze the research trends of articles on just graduated Korean nurses during the past 10 years for exploring strategies for clinical adaptation. Methods: The topics of new graduate nurses were extracted from 110 articles that have been published in Korean journals between January 2010 and July 2020. Abstracts were retrieved from 4 databases (DBpia, RISS, KISS and Google scholar). Keywords were extracted from the abstracts and cleaned using semantic morphemes. Network analysis and topic modeling were performed using the NetMiner program. Results: The core keywords included 'education', 'training', 'program', 'skill', 'care', 'performance', and 'satisfaction'. In recent articles on new graduate nurses, three major topics were extracted by Latent Dirichlet Allocation (LDA) techniques: 'turnover', 'adaptation', 'education'. Conclusion: Previous articles focused on exploring the factors related to the adaptation and turnover intentions of new graduate nurses. It is necessary to conduct further research focused on various interventions at the individual, task, and organizational levels to improve the retention of new graduate nurses.

An Adaptation Experience of Male Nurses at General Nursing Unit (상급종합병원 남자간호사의 일반병동 적응 경험)

  • Kim, Ji Hye;Park, Kwang Ok;Kim, Jong Kyung;Yun, Ha Jeong;Lee, Jin hee;Cho, Eun Kyung;Kim, Soon Hee;Kim, Yeon Hee
    • Journal of Korean Academy of Nursing Administration
    • /
    • v.22 no.5
    • /
    • pp.496-506
    • /
    • 2016
  • Purpose: This study was conducted to examine the adaptation experience of male nurses working in general wards. Methods: Experiential data was collected from 16 general ward nurses through in-depth interviews. Participants were selected from male nurses working in the general wards with over one year of clinical experience at a tertiary university hospital. The main question was "Can you describe your adaptation experience in the general ward as a nurse?" All interviews were recorded and transcribed, then analyzed using Colaizzi's method. Results: Four categories were derived from the analysis: 'difficulties from task adaptation by characteristics', 'limited nursing situation and circumstance as a male nurse', 'efforts to adapt at general nursing unit', and 'self-worth, and worry about something as a male nurse'. Conclusion: Male nurses had a difficulty adapting to work in wards due to lack of multi-tasking skills, as well as some social prejudice or negative views on male nurses. Establishing reasonable guidelines for male nurses in practice, promoting their responsibilities to patients, developing mentoring programs, and reassessing the policy of assigning male nurses to general wards are recommended to help in better adaptation.

The Effects of Medical Students' Traits and College Life on Academic Failure Mediated by Mental Health (의과대학생의 개인적 특성과 대학생활 요인이 학업실패에 미치는 영향: 정신건강의 매개효과)

  • Garam Lee;Il-Seon Hwang;Sung-Won Jung;Soongu Kim
    • Korean Medical Education Review
    • /
    • v.26 no.2
    • /
    • pp.155-166
    • /
    • 2024
  • This study utilized cohort data, student lifestyle surveys, and mental health examination results from a medical school to investigate the impact of factors such as hometown, alcohol use, smoking, university life adaptation, and aptitude on academic failure, with mental health serving as a mediator. We analyzed data from 409 of the 549 incoming students at Keimyung University School of Medicine, excluding 140 individuals with missing data, from the academic years 2015 to 2021. Significant differences were found according to hometown in feelings of depression, suicidal tendencies, and internet addiction. There were also significant differences based on university life adaptation in feelings of depression, suicidal tendencies, and internet addiction, as well as significant differences according to academic aptitude in feelings of depression and internet addiction. Academic failure showed significant differences based on hometown, university life adaptation, and academic aptitude. Furthermore, students' hometown had a complete mediating effect on academic failure together with feelings of depression, suicidal tendencies, and internet addiction. University life adaptation exhibited a complete mediating effect with suicidal tendencies and a partial mediating effect with feelings of depression and internet addiction. Academic aptitude demonstrated partial mediating effects on feelings of depression, suicidal tendencies, and internet addiction. Based on these results, we suggest establishing counseling programs tailored to the characteristics of medical students, and various programs for university life adaptation are necessary. There is also a need for diverse programs not only for clinical training, but also for different career paths.

A Qualitative Study of Nursing Students' first Clinical Experience (전문대 간호학생들의 첫 임상실습 체험 연구)

  • Park, Mi-Young;Kim, Soon-Yi
    • The Journal of Korean Academic Society of Nursing Education
    • /
    • v.6 no.1
    • /
    • pp.23-35
    • /
    • 2000
  • This qualitative nursing research used a hermeneutic phenomenological approach to discovery of meaning of the nursing students' clinical experience in junior colleges. Data collecting was utilized by in- depth face-to-face interviews of 10 sophomores who were participating in their first clinical experience. The following themes of the experience emerged. 1) The first step of fear (fear, being embarrassed) 2) Rhythmical patterning of theory and practice(disappointment of nurses, recognition of the gap between the theory and practice, the conflict between medical doctors and nurses, trouble with the students from other colleges, confusion from nurses' educational and noneducational attitudes, burden of responsibility for nurses' jobs, and the tiresome nature of repeated practice) 3) Discovery of changing self, awareness of self-expansion (awareness of professional nurses' roles, formation of self-confidence, changing of one's state of mind) From this study essential theme of clinical experience of nursing student's was identified, and continuous efforts to establish better adaptation of nursing students to clinical practice are required.

  • PDF

Systematic Literature Review on Nursing Department Clinical Practice Research in Korea

  • Jungae Kim
    • International Journal of Advanced Culture Technology
    • /
    • v.11 no.3
    • /
    • pp.142-148
    • /
    • 2023
  • Nursing majors are a combination of theoretical and practical education, and since the advisor cannot participate in all practices in clinical practice, the efficiency and effectiveness of practical education are limited in judging the results according to students' reactions. Therefore, the purpose of this study was to analyze the domestic literature on the efficiency of clinical practice of nursing college students.The analysis target was selected through PRISMA flow, and the results were derived through categorization and questioning based on content analysis. Looking at the results, research related to the adaptation of trainees was mainstream, and specifically, research related to the characteristics, conflicts, clinical practice environment, and interpersonal anguish of trainees was conducted. In addition, it was confirmed that active and systematic intervention of practical guidance professors was required, such as possible safety accidents, emotional labor problems, and dilemmas during the practice period. Through this study, it is suggested that a systematic framework for nursing and clinical practice should be prepared.

A Study on Factors Influencing The State of Adaptation of The Hemiplegic Patients (편마비 환자의 퇴원후 적응상태와 관련요인에 대한 분석적 연구)

  • 서문자
    • Journal of Korean Academy of Nursing
    • /
    • v.20 no.1
    • /
    • pp.88-117
    • /
    • 1990
  • The purposes of this study are to delineate a profile of the state of a stroke patient's adaptation at 3 months after hospitalization and to explore the relationship between the level of adaptation and the variables which influence the adaptation of hemiplegic patients. To these ends, theoretical framework was derived basically from the stress adaptation model. The basic assumption underlying the level of adaptation is influenced by the presenting focal, contextual and residual stimuli. This group of stimuli is further operationalized and represented by a perception of stress. which is the perceived effect of the disability and by the mediating variables such as sociodemographic factors as an external conditioning variables and perceived social support and hardiness personality characteristics as an internal intervening variables. The dependent varibales in this study is the level of physical, psychological and social adaptation and is hypothesized to be a function of the interaction between 3 sets of variables namely, the perceived disability effect, external conditioning variables and internal intevening varibles. A total of fourty three subjects from 3 general hospitals in Seoul were observed and interviewed with the aid of 7 structured instruments. The data were collected twice on each subject : first at the pre-discharge period arid at 3 months post-discharge from hospital for the second time. The study was carried out for the period from February to August, 1988. The instruments used for the study include 4 existing scales and 3 scales developed by the researcher for this study. They are : 1) The ADL dependency scale and the scale of the clinical physical functions for the assessment of physical adaptation. 2) the SDS(self report of depression) to measure the level of psychological adaptation. 3) The scale for the amount of social activities for the measurement of the level of social adaptation. 4) The scale for the perceived effect of disability for the measurement of the focal stimuli. 5) The health related hardiness scale and the perceived interpersonal support self evaluation list(ISEL) for the measurement of the hardiness personality character and the perceived social support. The data obtained were analyzed using percentage, oneway ANOVA, Pearson coefficients correlation and stepwise multiple regression. The findings provide valuable information about the present level of physical adaptation at 3 months after discharge. The patient revealed a decreased ADL dependency and lowered limitation of physical function as compared with pre - discharge state. Psycholcgically, the average degree of depression at follow up was within normal range of depression. Socially, the amount of social activities was very low. The one way ANOVA and the correlational analysis revealed the relationship between the 3 sets of variables and the adaptation level as follows : 1) The perceived disability effect was related to the degree of the depression and the amount of social activities but was not related to the physical adaptation. 2) Among the sociodemographic variables, sex and education were related to the difference of ADL dependency and the change of physical function. These factors indicate that women more than men and educated more than the less educated were found more independent. The education was also related to the degree of depression suggesting that the higher the educational level, the more well adapted the patients were both physically and psychologically. Age, marital status and job state were not found to be related to the patient's adaptation level. 3) Among the internal intervening variables, the health related hardiness characteristic was related to the differences of ADL dependency, physical functions and the social activities, indicating that the higher the hardiness character the higher the level of physical and social adaptation. 4) The perceived social support, another internal intervening variable, was related to the degree of depression and the social activities. This data suggest that the higher the perception of social support, the better adapted the patients were psychogically and socially. In summarizing the results of the correlational analysis, the level of physical adaptation was influenced by sex, the years of education and the hardiness character. The level of psychological adaptation was influenced by the years of education, the perceived disability effect and the perceived social support. And the level of social adaptation was influenced by the perceived disability effect, the hardiness character and the perceived social support. The stepwise multiple regression analysis shows findings as follows : 1) The most important factor to explain the difference of ADL dependency was sex, indicating females were more independent than males. 2) The most important factor to explain the difference of physical function and the degree of depression was the patient's education level. 3) The strongest explaining factor for the amount of social activities was perceived self esteem(one of the subconcepts of perceived social support). Thus the most important factors influencing the level of adaptation were found to be sex, education, the hardiness character and self esteem. From the above findings, the significance of this study can be delineated as follows : 1) Corroboration of the assumed relationship between the various variables and the adaptation level as suggested in the conceptual model. 2) Support for the feasibility of the cognitive approach for nursing intervention such as hardness character training, counselling and teaching for self-care in the chronic patients.

  • PDF