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Clinicopathologic Features and Prognostic Factors for Patients with Large Gastric Tumors (대형 위암의 임상병리학적 분석 및 예후)

  • Jang, You-Jin;Park, Jung-Min;Kim, Jong-Han;Park, Sung-Soo;Kim, Chong-Suk;Mok, Young-Jae
    • Journal of Gastric Cancer
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    • v.6 no.4
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    • pp.244-249
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    • 2006
  • Purpose: Tumor size has been reported to be one of the prognostic factors in the preoperative setting and 8 cm has been confirmed as a cut-off value for large gastric tumors with respect to postoperative complications. The aim of this study was to investigate the clinicopathologic features and the prognosis in patients with tumors larger than 8 cm in diameter. Materials and Methods: We retrospectively studied 2,260 patients with gastric cancer who underwent a gastrectomy from 1983 to 2001 at the Department of Surgery, Korea University College of Medicine. For a comparative analysis we divided the cases into the large and the small groups according to tumor size. The clinicopathological factors associated with large gastric tumors were analyzed by using univariate and multivariate analyses. To determine which variables were independent prognostic factors for overall survival, we applied the Cox proportional hazards model and we used P<0.05 as the cutoff value for statistical significance. Results: Univariate and multivariate analyses disclosed that tumor location (P<0.001), resection type (P<0.001), curability (P<0.001), depth of invasion (P<0.001), number of metastatic lymph nodes (P<0.001), differentiation (P<0.001) and combined resection (P<0.001) were significantly different between the two groups. The independent factors for survival identified by using the Cox proportional hazards model for large gastric tumors were nodal status (P<0.001), curative resection (P<0.001), depth of invasion (P=0.010), type of resection (P=0.018) and age (P=0.033). Conclusion: Large gastric tumors showed more aggressive local findings than their smaller counterparts. In patients with large gastric tumors, a curative resection was the most important factor for the prognosis. Therefore, we suggest that every effort should be made to do a curative gastrectomy and an accurate preoperative examination. (J Korean Gastric Cancer Assoc 2006;6:244-249)

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Job Satisfaction and Job Performance of Advanced Practice Nurses (전문간호사의 직무만족 및 직무수행)

  • Kim, Sang-Dol
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.12
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    • pp.6146-6154
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    • 2013
  • This study examined the status on job satisfaction and job performance of Advanced Practice Nurses (APNs) in Korea. The data was obtained from the 2009 APNs' job satisfaction survey of 452 nurses who received the certificate of APN between 2005 and 2008 conducted by the Korean Accreditation Board of Nursing Education. ANOVA and t-test analyses using SPSS version 14.0 were performed. The average job satisfaction level of the APNs was 2.94 out of 5.00. APNs who were performing jobs as a certified APN had a higher level of job satisfaction (t=.23, p<.001), higher wages (t=2.23, p<.05), promotion in rank (t=2.56, p<.05), more professional job performance (t=10.52, p<.001), greatest trust in their bosses and coworkers (t=5.31, p<.001), and higher confidence in their job performance (t=5.07, p<.001) than those who were not. The government and the nursing community need to provide the APNs' with the appropriate supply and demand polices, as well as a proper incentive system and job improvement.

Attitude to Reproductive health, Value of Marriage and Children of University students (대학생의 생식건강에 대한 태도, 결혼관 및 자녀관)

  • Kim, Hyun;Hong, YoungSun
    • The Journal of Korean Society for School & Community Health Education
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    • v.14 no.1
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    • pp.13-24
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    • 2013
  • Background & Objectives: The aim of the study was to investigate characteristics and relationship among University students' attitude to reproductive health, value of marriage and children Methods: With a descriptive survey design, a self-report study was conducted and collected 470 responses from university students in Chungcheongnam-Do. Descriptive statistics, t-test, ANOVA, and Pearson's correlation coefficients were used to analyze data. Results: It was found that there were significantly different in attitude to reproductive health according to the following variables: age(F=2.91, p<.05), college(F=2.49, p<.05), sexual experience(t=7.54, p<.001). value of marriage was significantly different according to gender(t=-7.05, p<.001), college(F=4.42, p<.05), plan to marriage(t=-5.58, p<.001) and plan to having children(t=-4.30, p<.001). Value of children was significantly different according to gender(t=4.52, p<.001), plan to marriage(t=-4.30, p<.001) and plan to having children(t=6.33, p<.001). Attitude to reproductive health was significantly correlated with value of marriage(t=6.33, p<.001), value of marriage was significantly correlated with value of child(r=.224, p<.01). Conclusion: These results suggest that education for improving attitude to reproductive health, value of marriage and child are necessary to overcome low fertility. In addition, it is needed to further research and at the national level policy.

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The Correlation Between Psychosocial factors and Therapeutic Flow in Stroke Patients (뇌졸중 환자의 심리사회적 요인과 치료적 몰입간의 상관성 연구)

  • Kim, Ji-Hoon;Kim, Hwan;Park, Joon-Woo
    • Journal of Digital Convergence
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    • v.15 no.5
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    • pp.253-262
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    • 2017
  • The purpose of this study was to analyze the correlation between psychosocial factors and therapeutic flow in stroke patients and identify the factors influencing therapeutic flow. Total 168 stroke patients from 15 hospitals were measure for depression, stress, self-efficacy, rehabilitation motivation and therapeutic flow. Factors that affect the therapeutic flow correlation as s result of negatively correlated with depression(r=-.349, p<.001), stress(r=-.290, p<.001), self-efficacy(r=.528, p<.001), rehabilitation motivation(r=.186, p<.05) was found in the positively correlated. Finally the effect on therapeutic flow in stroke patients variables affecting self-efficacy(${\beta}=.443$, p<.001) and depression(${\beta}=-.155$, p<.05) were the order of analysis. These result demonstrate that the therapeutic flow of storke patients was a significant correlation on psychosocial factors, future study will continue to be needed.

Impact Self-Reflection, Ego State, Transformational Leadership on Caring Ability in nursing students (간호대학생의 자아성찰, 자아상태, 변혁적 리더십이 돌봄 능력에 미치는 영향)

  • Pak, So-Young
    • Journal of Digital Convergence
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    • v.16 no.10
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    • pp.379-387
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    • 2018
  • Caring is essential ability for nursing provider. The purpose of this study was to identify impact of self-reflection, ego state and transformational leadership on caring ability in nursing students. A convenience sample of 199 nursing students was obtained from a university in Gyeonggi Province. Data was analyzed using Pearson correlation and multiple regression. The result of multiple regression indicate that self-reflection(${\beta}=0.10$, p<.05), transformational leadership(${\beta}=0.13$, p<.05), NP(${\beta}=0.27$, p<.001), FC(${\beta}=0.22$, p<.001), CP(${\beta}=-0.24$, p<.001) and AC (${\beta}=-0.35$, p<.001) were the most consistent predictors of caring ability and explained 54.0%. These results are expected to be used as a basic data for the development of a convergence education program that can enhance self - reflection, positive aspect of ego state and transformational leadership in order to improve caring ability of nursing college students.

An Analysis of Convergence Factors on Smoking Behavior in College Students: Based on a Health Belief Model (대학생의 흡연에 영향을 미치는 융합적 요인 분석 : 건강신념모델에 근거하여)

  • Yang, Sun-Yi;Kang, Hee-Kyung
    • Journal of Convergence for Information Technology
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    • v.7 no.4
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    • pp.205-213
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    • 2017
  • This study was conducted to identify convergence factors affecting smoking behavior among college students through the lens of a Health Belief Model. A descriptive study was carried out with 417 college students in Jeju, South Korea. Descriptive statistics and multiple regression analysis were performed using the SPSS 19.0 program. The results showed that sex(t=-7.44, p<.001), pocket money(t=-2.06, p=.040), smoking in the family(t=4.43, p<.001), smoking of close friends(t=9.59, p<.001), and perceived barriers(t=0.87, p=.014), cues to action(t=6.33, p<.001) were statistically significant variables influencing smoking. These findings indicate that among smoking-related and health belief-related variables needs to be considered for preventive and therapeutic approach to stop smoking in college students.

Convergence Influences of Nurses' Professional Autonomy and Empathy on Patient Safety Culture (간호사의 전문직 자율성과 공감능력이 환자안전문화에 미치는 융복합적 영향)

  • Lee, Seong-Su;Choi, Hye-Ran
    • Journal of Digital Convergence
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    • v.17 no.2
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    • pp.231-241
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    • 2019
  • This study was a descriptive survey to identify influences of nurses' professional autonomy and empathy on patient safety culture. The participants were 191 nurses working at a general hospital in Seoul. The data were collected using structured questionnaires and analyzed using the SPSS/WIN 24.0 program. Patient safety culture had a significant correlation with nurses' professional autonomy (r=.26, p<.001) and the subscales of empathy, which were perspective-taking (r=.30, p<.001) and empathic concern (r=.27, p<.001). Factors influencing patient safety culture were perspective-taking (${\beta}=.27$, p<.001), professional autonomy (${\beta}=.20$, p=.004), and a total clinical career of over ten years (${\beta}=.17$, p=.012). The results of this study could be the basic data for the development of programs that enhance the professional autonomy and empathy of nurses. In addition, it is necessary to study repeatedly in various groups in the future.

The Relationship between the Leadership and the Organizational Effectiveness of the Dental Hygienists (치과위생사의 코칭리더십과 조직 효과성과의 관련성)

  • Lee, Sook-Jeong;Jang, Kyeung-Ae
    • Journal of the Korea Convergence Society
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    • v.8 no.3
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    • pp.133-140
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    • 2017
  • The purpose of this study was to determine the effects of coaching leadership on organizational effectiveness of dental hygienists. A survey was conducted on dental hygienists in Busan and Kyungnam from December 7, 2016 to January 15, 2017. A total of 215 questionnaires were included in analysis. The influence factors of coaching leadership on the rapport-building between the leaders and the members included the leader's direction (p<0.001) and relationship (p<0.001). The influence factors of coaching leadership on organizational commitment included the leader's relationship (p<0.001), direction (p<0.05), development (p<0.05), and accountability (p<0.05). The influence factors of coaching leadership on job satisfaction included the leader's relationship (p<0.001) and development (p<0.01). The coaching leadership of dental hygienists has been found to make a positive influence on the organizational effectiveness. It is believed that systematic and comprehensive coaching leadership training for dental hygienists must be conducted to build up trust between the leaders and the members, facilitate communication, and enhance job commitment and performance. Furthermore.

The Effect of Application of a Non-Elastic Fixation Belt on the Balance Ability and Fall Prevention in Elderly Women (비탄력 고정식 벨트가 노인 여성의 균형능력과 낙상예방에 미치는 영향)

  • Lee, Jang-Tae;Chon, Seung-Chul
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.2
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    • pp.398-404
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    • 2017
  • The aim of this study was to determine the effect of a non-elastic fixation belt on the balance ability and fall prevention in elderly women. Elderly women experience reduced balance ability and an increased risk of falls due to a weakening of the surrounding sacroiliac joint and pelvic muscles during childbirth and menopause. On the other hand, specific studies are still needed. The subjects were allocated randomly to two groups: control (n=20) and experimental (n=20). The experimental group used a non-elastic fixation belt, whereas the control group had no fixation belt. The balance ability and the fall index were measured in all subjects using a balance measurement device, and the low abdominal muscle thickness was determined in the experimental group using ultrasound imaging for the exact application of the non-elastic fixation belt. The following statistical analysis was performed: an independent t-test for the general characteristics of the subjects, $2{\times}2$ analysis of variance with repeated measures for the balance and fall index score, and a paired t-test for the abdominal muscle thickness. The group ${\times}$ time interaction effect showed significant improvement in the General Stability Index (F1,38=47.24, p=0.001), Fourier Harmony Index (F1,38=88.83, p=0.001), Weight Distribution Index (F1,38=50.21, p=0.001), and Fall Index (F1,38=21.59, p=0.001). The thicknesses of the transverse abdominal (p=0.001) and internal oblique (p=0.001) muscles were increased significantly in the experimental group after using the non-elastic fixation belt. Overall, the application of a non-elastic fixation belt could be effective in improving the balance ability and fall prevention in elderly women.

A Study of Predictors of Children's Dual Gender Identity (아동의 양성형 성역할 정체감 예측요인)

  • Hong, Yean-Ran;Chei, Chung-Suk;Park, Jin-Ok
    • The Korean Journal of Emergency Medical Services
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    • v.9 no.1
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    • pp.5-13
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    • 2005
  • Purpose : The purpose of this study was to investigate dual gender identity, masculine gender identity, feminine gender identity, undifferentiated gender identity with related to Sex, home environments, parental child-rearing attitude of warmth, parental child-rearing attitude of control, role division of parents and determine predictors for dual gender identity. Method : Study subjects were $6^{th}$ grade of primary students with 2,118. Data was collected from Oct to Nov 2003 by using structured questionnaire. Results : ${\cdot}$ Among the children, 345 had masculine gender identity, 529 had feminine gender identity, 526 had undifferentiated gender identity, and 718 had dual gender identity. ${\cdot}$ There were significant differences in the children's sex, mother's age, father's age, mother's educational level, father's educational level, existence of mother's job, father's job, social economic status, sex of siblings, mother's job satisfaction, family structure, family atmosphere, child-rearing attitude(warmth and control), role division of parents($p{\leq}0.001$) among 4 groups. ${\cdot}$ The significant predictors for dual gender identity were children's sex (OR = 0,196, P =0.001), father's age(OR = 31.053, p = 0.020), mother's educational level(OR = 43,980, p = 0.001), father's job(OR=27.465, p = 0.001), social economic status(OR=O.941, p=0.001), sex of siblings(OR = 0.329, p = 0.005), mother's job satisfaction(OR = 0.673, p =0.001), family structure(OR = 0.887, p = 0.001), family atmosphere(OR = 23.786, p = 0.001), parental Child-rearing attitude of warmth(OR = 8.043, p = 0.001) and child-rearing attitude of control(OR = 0.666, p = 0.005), role division of parents(OR = 3.009, p = 0.001). Conclusions : These findings suggest the necessity of broad understandings about factors which influence dual gender role, and construction of combinative model. Also they suggest parent education for establishment of children's dual gender identity.

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