• Title/Summary/Keyword: Clinical observation

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Nursing Students' Clinical Judgment and Performance in Simulation of Recognizing and Responding of the Deterioriating Patient ; a retrospective mixed-methods (악화환자 인지 및 대응을 위한 시뮬레이션교육에서 간호대학생의 임상판단력과 간호수행: 후향적 혼합연구)

  • Ha, Yi Kyung
    • Journal of Korean Critical Care Nursing
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    • v.16 no.2
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    • pp.42-53
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    • 2023
  • Purpose : This retrospective mixed-methods study aimed to explore key considerations for designing effective simulated education in nursing, focusing specifically on the recognition and response to deteriorating patients. Methods : Quantitative and qualitative data were analyzed to assess the clinical judgment and performance of the nursing students. Descriptive statistics were used to analyze quantitative data related to prior knowledge, simulation satisfaction, clinical judgment, and nursing performance during deteriorating patient simulations. Qualitative content analysis was conducted for the reflective journal entries of the participants. Results : Quantitative analysis showed that most participants demonstrated a "being skillful" level of clinical judgment (33.1%) in effective response. At the beginner level, clinical judgment varied across effective noticing(39.7-82.8%), effective interpretating(77.6-82.8%), effective responding(3.4-86.2%), and effective reflecting(90.0-95.4%). Nursing performance in assessing patient respiration or SpO2 after request from a physician ranged from 46.6-48.3%. Qualitative analysis indicated that 48.5% of the participants anticipated a deteriorating condition and initiated appropriate actions, while 70% noticed patient unresponsiveness for the first time. Conclusion : To design an effective simulation program for identifying and addressing deteriorating patient care, a framework for observation and interpretation is essential, along with regular simulated training. It is important to design and assess simulation programs and to conduct thorough interviews with nursing students to gain insight into their clinical decision-making.

STUDIES ON GANGRENOUS MASTITIS IN GOATS - CLINICAL OBSERVATION TWO CASES OF THE AFFECTED GOATS AND CHERACTERS OF ISOLATED MICROCOCCUS (산양의 괴저성 유방염에 관한 연구 - 자연발생 환산양 2예의 임상관찰및 분리균의 성상)

  • CHU BYUNG SU
    • Journal of the korean veterinary medical association
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    • v.7 no.5
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    • pp.9-15
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    • 1963
  • Two cases of gangrenous mastitis of goats occured naturally at Feb. 1962 in Taegu area were observed clinically In other hand the strains of micrococcus isolated the animals were examined bacteriologically. The results were summeriged as follows: 1. The c

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STUDIES ON AVIAN INFECTIOUS DIARRHEA CLINICAL, HEMATOLOGIC, AND HISTOPATHOLOGICAL OBSERVATION (닭의 전염성하리에 관한 연구 - 임상, 혈액상 및 조직소견)

  • Lee Ki Poong;Lee Joon Sup
    • Journal of the korean veterinary medical association
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    • v.7 no.6
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    • pp.3-13
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    • 1963
  • A large Proportion of an apparently healthy flock showed symptomes characterized by depression, loss of appetite, and watery diarrhea, and distention of the croup with sour-smelling contents, presenting severe cyanosis of comb. Laying flock revealed sever

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Clinical Observation of Perfusion Lung Scan with $^{131}IMAA$ and Ventilation tung Scan with $^{198}Au$ Colloid in various Lung Diseases (각종폐질환(各種肺疾患)에 있어서의 $^{131}I$표지대응집인혈청(標識大凝集賤集人血淸)알부민($^{131}I$-Macroaggregated Albumin)을 이용(利用)한 폐혈류(肺血流)스캐닝 및 교질상방사성금(膠質狀放射性金)-198($^{198}Au$ colloid)을 이용(利用)한 폐흡입(肺吸入)스캐닝에 관(關)한 고찰(考察))

  • Koh, C.S.;Rhee, C.H.;Hong, C.K.;Kim, D.J.
    • 대한핵의학회:학술대회논문집
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    • 1967.11a
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    • pp.104.2-104.2
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    • 1967
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Cerebral Dysfunction Following Open-Heart Surgery. (개심술후 뇌기능장애에 대한 임상적 고찰)

  • 최수승
    • Journal of Chest Surgery
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    • v.18 no.4
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    • pp.746-752
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    • 1985
  • A retrospective clinical observation was made of 40 patients with postoperative cerebral dysfunction among 2634 patients who underwent open-heart operations in Severance Hospital. Yonsei University between 1962, the year the first successful open heart operation was done, and June 1985. Suspected causes of brain damage were reviewed. Brain CT findings were evaluated in 24 patients. There were 15 cerebral infarcts, 4 intracerebral bleedings, 3 ischemic brain damages, 1 infarction with intracerebral hemorrhage and 1 diffuse cortical atrophy from unknown cause. The most frequent site of cerebral infarction was the middle cerebral artery area with no predilection on the right of left.

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Role of linked color imaging for upper gastrointestinal disease: present and future

  • Sang Pyo Lee
    • Clinical Endoscopy
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    • v.56 no.5
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    • pp.546-552
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    • 2023
  • Techniques for upper gastrointestinal endoscopy are advancing to facilitate lesion detection and improve prognosis. However, most early tumors in the upper gastrointestinal tract exhibit subtle color changes or morphological features that are difficult to detect using white light imaging. Linked color imaging (LCI) has been developed to overcome these shortcomings; it expands or reduces color information to clarify color differences, thereby facilitating the detection and observation of lesions. This article summarizes the characteristics of LCI and advances in LCI-related research in the upper gastrointestinal tract field.

A Case of Patulous Eustachian Tube Associated with Kennedy Disease (Kennedy병에 의한 개방성 이관 1예)

  • Kim, Nam-Hee;Cho, Chang-Gun
    • Annals of Clinical Neurophysiology
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    • v.12 no.2
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    • pp.70-72
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    • 2010
  • We report a 53-year-old male having Kennedy disease who complained of severe bilateral tinnitus and autophony. He was diagnosed as patulous Eustachian tube based on the observation of fluttering motion of the tympanic membrane associated with respiration, which is presumed to occur secondary to bulbar weakness. The patulous Eustachian tube affected the management of his respiratory problem by impairing his ability to tolerate BiPAP. We report this rare condition with a literature review.