• Title/Summary/Keyword: Clinical finding

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Impact of Academic Self-efficacy and Clinical Practice Satisfaction on Professional Identity among Nursing Students (간호대학생의 학업적 자기효능감 및 임상실습 만족도가 전문직 정체성에 미치는 영향)

  • Ryu, Eun Jin;Choi, So Eun
    • Journal of Home Health Care Nursing
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    • v.29 no.1
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    • pp.50-59
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    • 2022
  • Purpose: Establishing a professional identity is important for nurses in providing quality nursing care and adapting to changing roles in various clinical settings. The aim of this study was to investigate the effects of nursing students' academic self-efficacy and clinical practice satisfaction on their professional identity. Methods: A total of 180 nursing students were recruited using convenience sampling from a university in G city in July, 2021. Results: The professional identity scores were higher than the average, and differed significantly according to nurses' academic grade, department satisfaction, interpersonal relations, and subjective health status. Professional identity showed a significant positive correlation with academic self-efficacy (r=.69, p<.001), major satisfaction (r=.72, p<.001), and clinical practice satisfaction (r=.71, p<.001). The factors affecting professional identity were clinical practice satisfaction (ß=.42, p<.001) and academic self-efficacy (ß=.38, p<.001). Conclusion: Our finding suggest that nursing students should be encouraged to develop their professional identity by improving clinical practice satisfaction and academic self-efficacy. Therefore, it is necessary to provide nursing education programs that increase their pride as nurses and establish their professionalism in nursing.

Clinical Characteristic and Roentgenographic Finding of the Cervical Spine in Chronic Tension -type Headache (만성 긴장성 두통 환자의 경추 방사선 소견과 일반적 특성과의 상관관계 연구)

  • Kim, Min-Jung;Lee, Ki-Su;Kwak, Byung-Min;Lee, Eun-Kyoung;Choi, Eun-Hee;Park, Yang-Chun;Kang, Wee-Chang;Lee, Jin-Woo;Lee, Sang-Bong;Hong, Kwon-Eui
    • Journal of Acupuncture Research
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    • v.26 no.2
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    • pp.59-70
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    • 2009
  • Objectives : Although CTTH is one of the most common symptom in primary headache, the mechanism and treatment is not definite. The purpose of this study is to research about clinical characteristic and roentgenographic finding of the cervical spine in CTTH to determine relationship between the cervical spine and headache. Methods : This study was carried out on 93 patients with CTTH. By roentgenographic finding, they were classified into four groups - HNP, Spondylosis, Sprain, Normal. Then the HNP group was divided again into two groups - singer type and multiple type. Results: 1. Among 93 patients with CTTH, 69(74.19%) patients had abnormal cervical spine by roentgenographic finding. 2. There were HNP, spondylosis, sprain in abnormal roentgenographic finding. And a great majority of the patients were diagnosed as cervical sprain. 3. There were no significant difference between four groups on sex, weight, height, blood pressure, pulse, respiratory rate. But on ages, the HNP group showed the highest average while the sprain group showed the lowest. 4. The patients in HNP group had more frequent, severe pain, longer onset and higher onset-age than those of the other three group. 5. The patients in Multiple-type HNP group had severe pain, longer pain-duration, longer onset, more pre-symptoms and younger onset-age than those of the Single-type HNP group. Conclusions : A great majority of the patients with CTTH had abnormal cervical spines. Also, we found out that the worse the grade of HNP, heavier the level of headache.

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TWO CASES OF LARGE ODONTOGENIC KERATOCYST(OKC) IN THE MANDIBLE (하악골에 광범위하게 발생한 치성각화낭종 2례)

  • Shim, Kwang-Sup
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.18 no.2
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    • pp.279-285
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    • 1996
  • The odontogenic keratocyst(OKC) was used of term and described some of clinical, radiological and microscopic features by Philipsen 1956. The microscopic finding of OKC is characterized by the production of keratin, Which sometimes fills the lumen and thinning of epithelium of cyst. The most clinical importance of OKC is its extraordinary recurrence rate owing to the incomplete removal of the cyst wall. The final diagnosis of OKC should be evaluated by histologic findings and follow-up of any case of OKC with annual roentgenograms and clinical evaluations is essential for at least five years after surgery. This article is report of 2 cases of large OKC involved both molar portion and symphysis of mandible with facial asymmetry, severe bone destruction and paresthesia of lower lip on clinically, roentgenographically. By the postoperative findings the patients showed normal regeneration of bone defect area without recurrence signs by panorama films after surgery.

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Influence of Professionalism, Role Conflict and Work Environment in Clinical Nurses with Expanded Role on Job Enbeddedness (종합병원 진료협력간호사의 전문직업성, 역할갈등, 근무환경이 직무배태성에 미치는 영향)

  • Kang, Kyeong Hwa;Lim, Yeon Jae
    • Journal of Korean Academy of Nursing Administration
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    • v.22 no.5
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    • pp.424-436
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    • 2016
  • Purpose: The aim of this study was to identify the influence of professionalism, role conflict and work environment in clinical nurses with expanded role (CNE) on job embeddedness. Methods: The participants in this study were 136 CNE working in general hospitals in Seoul, the wider metropolitan area and Gangwon Province. Results: Job embeddedness, work environment and professional performance of the participants showed positive correlation with each other. Significant predictors of embeddeness were belief in public service and sense of calling in the professional subcategory and participation in hospital affairs and nurse-doctor relationship in the work environment subcategory. Conclusion: Finding from this study indicate the need to evaluate and improve the significant predictors of job embeddedness for CNE.

A Study on Clinical Diagnosis of Temporomandibular Joint Disorders Using Bone Scan (골스캔을 이용한 측두하악관절장애의 임상진단에 관한 연구)

  • Bong-Jik Seo;Myung-Yun Ko
    • Journal of Oral Medicine and Pain
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    • v.21 no.1
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    • pp.103-113
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    • 1996
  • The author examined the clinical signs and symptoms , routine radiographs, laboratory test and bone scan in 73 subjects with TMJ disorders and studied the responses of clinical test on patients, the distribution of signs and symptoms of joints, the simple uptake rate(SUR) of affected joints , the SUR of subclassified groups of TMJ disorders, active joints of subclassified groups of TMJ disorders and the SUR of joints with noises. The obtained results were as follows : 1. The percentage of joint pain on palpation, joint noises joint pain on function, mandibular dysfunction and active finding of bone scan in aptients with TMJ disorders were higher 2. The SUR was higher in joints affected by joint pain on function, joint pain on palpation, mandibular dysfunction and creptius. 3. The SUR of osteoarthrosis was the lowest. 4. The percentage of active joints were the highest in joints with discdisplacement without reduction, and followed by osteoarthritis, and disc displacement with reduction. 5. The SUR of TMJ showing joint noises only was lower.

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A case of Cryptococcal Meningitis (크립토코크스 뇌막염 1례 보고)

  • O, Khyoung-Yhun;Byun, Young-Ju;Park, Choong-Suh;Jeon, Chang-Ho;Kim, Chung-Sook
    • Journal of Yeungnam Medical Science
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    • v.4 no.1
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    • pp.139-143
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    • 1987
  • The clinical picture and CSF findings in cryptococcus meningitis may be identical with those of tuberculous meningitis. The differential diagnosis can be made by finding the budding yeast organism in the counting chamber or in stained smear, the detection of cryptococcal antigen in CSF by the latex agglutination test, and by culture of the fungus on Sabouraud agar. We experienced a case of cryptococcal meningitis in the 48 years old woman, which was confirmed by Indian ink preparation and culture.

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White lesions of the oral mucosa (임상가를 위한 특집 3 - 구강점막의 백색 병소)

  • Yoon, Hye-Jung
    • The Journal of the Korean dental association
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    • v.50 no.12
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    • pp.732-742
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    • 2012
  • White lesions of the oral mucosa are a common clinical finding that often present first to general dentist. Some white lesion may have possibility of malignancy. Leukoplakia is the most common "potentially malignant disorder" of the oral mucosa. Leukoplakia is at present defined as "A white plaque of questionable risk having excluded (other) known disease or disorders that carry no increased risk for cancer.". Therefore, it is important for general dentist to be familiar to clinical differential diagnosis of leukoplakia from the known white lesions such as candidiasis, lichen planus, leukoedema, frictional keratosis, and so on. It is also important to decide whether such lesions require further investigation through the biopsy. As a result of biopsy, the presence of epithelial dysplasia in the leukoplakia is still the strongest predictor of future malignant transformation. In this article, oral white lesions that must be differentiated from potentially malignant disorders or early invasive squamous cell carcinoma will be reviewed together with presenting clinical cases.

The Clinical Report about the Stagnation Syndrome of Qi (기울증) Treated with Gyogam-dan plus Ganggi-tang (기울증을 교감단합항기탕으로 치료한 임상 1예)

  • 이진헌;조성은;우영민;김용호
    • The Journal of Korean Medicine
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    • v.22 no.4
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    • pp.171-176
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    • 2001
  • The Stagnation Syndrome of Qi is the depressed and suppressed mental state caused by anxiety, unaccomplished desire, maintained thought, and emotional problems, resulting in a concomitant physiological somatic dysfunction. Although blood test, urine test, EKG, and gastric endoscopy showed normal finding. a patient complained of a group of symptoms, so we considered it as an unidentified clinical syndrome. This syndrome could be interpreted as the disconnection of Fire (Heart) and Water (Kidney) in Oriental medicine, and treated with the therapeutic method of 'Ascending Water-Descending Fire'. After the application of Gyogam-dan and Ganggi-tang for 18 days, symptoms and signs improved.

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Central Neurocytoma

  • Shin, Seung-Ho;Koh, Eun-Jeong;Choi, Ha-Young
    • Journal of Korean Neurosurgical Society
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    • v.39 no.2
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    • pp.152-155
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    • 2006
  • Central neurocytoma is a rare, well-differentiated neuronal tumor and is usually located in the lateral or third ventricle of young adults. The occurrence of an intraventricular tumor with a characterisitic magnetic resonance image findings including isointense signal in T1-weighted images, the presence of a cystic component, small signal-void areas due to calcification, heterogenous and hyperintense "bubbly" appearance in T2-weighted images in a young patient should suggest preoperatively the diagnosis of central neurocytoma. The typical immunohistochemical finding, positivity for synaptophysin, is the main pathological feature. We experienced two cases of central neurocytomas with typical radiological and histopathological findings. We expect growth arrest of these cases by subtotal removal to avoid postoperative neurologic deficit followed by radiation therapy.

Clinical study of Type C in Impedance Audiometry (Type C의 연구)

  • 김동환;소진명
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1977.06a
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    • pp.5.1-5
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    • 1977
  • Since Metz first introduced the conceps of Impedance Audiometry in 1946. Many pioneers studied for the development of the acoustic Impedance bridge. It is now widely used in clinical audiology and it plays an important role in otology. Recently there was the literature stated on normal value of various test c Impedance. This paper is dealing with the clinical evaluation of type c in comparison with following subjects as; 1. Comparison with the otoscopic finding. 2. Correlation with the pure tone audiometry. 3. Correlation with the stapedial reflex. 4. Correlation between pathologic negative pressure range and middle ear fluid.

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