• Korean Journal of Radiology
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• v.21 no.10
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• pp.1126-1137
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• 2020

Imaging plays a key role in the management of brain tumors, including the diagnosis, prognosis, and treatment response assessment. Radiomics and deep learning approaches, along with various advanced physiologic imaging parameters, hold great potential for aiding radiological assessments in neuro-oncology. The ongoing development of new technology needs to be validated in clinical trials and incorporated into the clinical workflow. However, none of the potential neuro-oncological applications for radiomics and deep learning has yet been realized in clinical practice. In this review, we summarize the current applications of radiomics and deep learning in neuro-oncology and discuss challenges in relation to evidence-based medicine and reporting guidelines, as well as potential applications in clinical workflows and routine clinical practice.

• The Journal of Korean Academic Society of Nursing Education
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• v.14 no.2
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• pp.232-243
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• 2008

Purpose: The study was aimed to suggest a model re-entry program into the job market for inactive registered nurses, based on the development and management of a program and the evaluation of its efficiency. Method: The participants in the program were 82 inactive nurses and the development and evaluation of the program followed ADDIE. To develop the program, general characteristics and demand on re-entry into the job market were investigated. Satisfaction level of the program and confidence in nursing practice were measured to evaluate it. Result: Participants were 45 years old, had 6 years' clinical experience, and had 14 inactive career years on average. The program included basic and core education courses, and a clinical course. The participants were satisfied with its management, and 80.3 percent of them agreed with the need for the program. Also, clinical sites and instructors in the clinical course were satisfactory. Participants gained high confidence in nursing practice skills. Conclusion: The study showed the goal of the program was accomplished by motivating inactive nurses for re-entry to the work force and enhancing capability in duty. The program needs standardizing, and field adaptability should be strengthened through clinical practice. An evaluation tool for the program has to be developed.

• Korean Journal of Clinical Pharmacy
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• v.27 no.4
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• pp.276-283
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• 2017

Objective: Dyslipidemia is recognized as a prominent risk factor for cardiovascular and cerebrovascular diseases but it is manageable through therapeutic and lifestyle intervention. Interpreting the latest guidelines is essential for an application of recommendation from guidelines into clinical practice. Therefore, this study aimed to compare the most recent guidelines on dyslipidemia treatment recommendations in Korea and USA. Methods: This study analyzed and compared 2015 Korean guidelines for the management of dyslipidemia, 2013 American College of Cardiology/American Heart Association (ACC/AHA) guideline and 2016 supportive guidelines from ACC. Results: A comparison was made focused on the following: target patients based on cardiovascular risk assessment, target goal, and treatment strategies including statin and non-statin therapies. Four target patient groups by risk were suggested in 2015 Korean guideline and cardiovascular risk factors were also considered for initiation of lipid lowering therapy. Titrated statin regimen was recommended by Korean guideline to reach LDL cholesterol and non-HDL cholesterol target level. In 2013 ACC/AHA guideline, four statin benefit group was introduced considering ASCVD risk and high intensity statin or intermediate intensity statin use were recommended without dose titration. 2016 update was to support non-statin therapy based on updated evidence and new consideration of ezetimibe, PCSK9-inhibitor and bile acid sequestrant was brought up. Conclusion: Guidelines are continuously updating as new and important clinical data are constantly released along with the advent of newly approved drugs for lipid disorder. This article provides resources that facilitates uptake of these recommendations into clinical practice.

• Health Policy and Management
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• v.16 no.4
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• pp.68-85
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• 2006

With the competitive environment accelerating in healthcare industry, the hospital network system is considered as one of the strategies for clinical and managerial efficiency. This study was intended to offer a theoretical view on the hospital network system and to analyze the current network status of hospitals in Korea. Specifically, network types were classified based on the criteria modified from previous studies, and were used to describe and compare the scope and intensity of associated activities. The questionnaire survey was conducted with 237 hospitals during the period of December 27 2005 to January 25 2006. Above 90% of tertiary and secondary care hospitals were under the network system, while only 20% of primary care clinics were affiliated. In general, the scope and intensity of network activities was limited. Vertical and/or clinical integration was more common than horizontal and/or managerial integration. Three most frequent types of hospital network systems were clinical-vertical integration (Type A), clinical/managerial-vertical integration(Type B), and clinical/managerial-horizontal /vertical integration (Type C). Such network types differentiated significantly different features of affiliated hospitals and network systems. The affiliation duration to the network system was the only significant factor influencing on the network type. The strategic approach to the network system was emphasized for hospitals to increase the potential advantage of hospital network systems.

• Journal of Korean society of Dental Hygiene
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• v.22 no.2
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• pp.93-105
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• 2022

Objectives: The purpose of this study was to develop operation management evaluation standards for efficient operation of practical courses conducted on campus and to verify validity and reliability. Methods: The draft evaluation criteria of this study were derived based on the CIPP program evaluation model, in order to verify the validity of the content, the Delphi survey was conducted targeting 30 dental hygiene professors and clinical field dental hygienists who had been in charge of practical education for more than 5 years. Main survey was conducted with 252 professors and clinical field dental hygienists in charge of practical education. Results: Through exploratory factor analysis, a total of 36 questions were confirmed with 7 factors. As a result of verifying the internal consistency of the final evaluation criteria, the degree of internal fit of the items in the entire domain was 0.914. Conclusions: According to the above results, the validity and reliability of the evaluation criteria for evaluating the operation and management of in-school clinical practice were verified to be appropriate, and it is thought that it can be used in follow-up studies related to the operation and management of the practice course in the future.

• Korean Journal of Clinical Laboratory Science
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• v.56 no.2
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• pp.105-114
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• 2024

Clinical laboratories endeavor to secure quality by establishing effective quality management systems. However, laboratory environments are complex, and single quality control procedures may inadequately detect many errors. Patient-based real-time quality control (PBRTQC) is a laboratory tool that monitors the testing process using algorithms such as Bull's algorithm and several variables, such as average of normal, moving median, moving average, and exponentially weighted moving average. PBRTQC has many advantages over conventional quality control, including low cost, commutability, continuous real-time performance monitoring, and sensitivity to pre-analytical errors. However, PBRTQC is not easily implemented as it requires statistical algorithm selection, the design of appropriate rules and protocols, and performance verification. This review describes the basic concepts, methods, and procedures of PBRTQC and presents guidelines for implementing a patient-based quality management system. Furthermore, we propose the combined use of PBRTQC when the performance of internal quality control is limited. However, clinical evaluations were not conducted during this review, and thus, future evaluation is required.

• Journal of Korean society of Dental Hygiene
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• v.18 no.3
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• pp.399-410
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• 2018

Objectives: The purpose of this study was to examine the current status of the relationship between clinical practice stress, satisfaction and self-concept of dental hygiene department students in order to effectively implement the clinical practice, which is a necessary course for professional dental hygienists. Methods: The subjects in this study were 299 dental hygiene department students who participated in clinical practice. The survey was conducted from November 1, 2017 to December 31, using self-filling questionnaire (INJE 2017-08-004-002). Statistical analysis was conducted to identify the clinical practice characteristics, clinical practice stress, satisfaction and self-concept and the results according to clinical practice characteristics were compared through t-test and ANOVA. The regression analysis was conducted to identify the effects on self concept. Results: Clinical practice stress, satisfaction and self concept were identified to be significant(p<0.01). Multiple regression analysis results of the factors affecting self concept of study subjects showed that self concept was statistically significant in grade, education programs and satisfaction. Conclusions: Self-concept, clinical practice stress and satisfaction were significantly correlated. In order to raise the quality of clinical practice and to become a professional dental hygienist, it is necessary to continue research on the measures to improve the stress management and satisfaction in clinical practice for establishing self-concept.

• The Journal of Korean Academic Society of Nursing Education
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• v.22 no.4
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• pp.452-461
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• 2016

Purpose: This study was conducted to investigate the relationships among communication competence, professional self-concept, and stress in clinical practice of nursing students. Methods: The study participants were 308 senior year nursing students in D city and K province. Collected data were analyzed using t-tests, analysis of variance, Pearson's correlation coefficient, and stepwise multiple regression with the SPSS Version 20.0. Results: There were significant differences in participants' stress of clinical practice based on their level of satisfaction on clinical practice, self-confidence of nursing and difficulty with relationships in clinical practice. A negative correlation was detected between stress in clinical practice and the professional self-concept of nursing students. Significant predictors of the perceived stress of clinical practice were satisfaction in clinical practice and pride in nursing. These accounted for 18% of the perceived stress of clinical practice in a regression model. Conclusion: The results may serve as basic data in support of the need to the develop effective systematic stress management programs and clinical training courses in order to attenuate the stress experienced during clinical practice of nursing students.

• Journal of Korean Neurosurgical Society
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• v.29 no.6
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• pp.786-793
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• 2000

Objectives : A clinical analysis was performed to provide management strategy and to improve management outcome of elderly patients with intracranial aneurysm. Patients and Methods : We reviewed medical records of 746 consecutive patients with intracranial aneurysm who were admitted from July 1991 to December 1996. They were divided into two age groups : elderly(120 patients aged 65 years or older) and non-elderly(626 patients aged 64 years or younger). We investigated the differences between the two groups in clinical characteristics, management outcome and surgical results. Results : Female(80.0%), internal carotid artery aneurysm(48.9%), poor clinical grade(Hunt and Hess Grade IV, V : 39.8%), postoperative subdural fluid collection(38.2%), and postoperative hydrocephalus(39.7%) were more frequent in the elderly patients. There were no significant differences in the incidence of hypertension, multiple aneurysm, unruptured aneurysm, rebleeding, delayed ischemic neurological deficits, postoperative hemorrhage, and low density on the postoperative brain CT scan. In some cases, surgical clipping of ruptured aneurysm could not be performed due to moribund state or refusal of surgery by the elderly patient's family. Both management outcome and surgical results in elderly aneurysm patients at 3 months after rupture were worse than those of the non-elderly group. The most common reason of unfavorable outcome was poor clinical grade in both groups, while serious medical illness causing unfavorable outcome was more common in the elderly group. Conclusion : Surgical treatment of a ruptured aneurysm should not be avoided in elderly patient solely on the basis of advanced age. If the patients are in good clinical grade, early aneurysm surgery followed by early ambulation should be recommended. Further improvements in outcome may be achieved by thorough knowledge of poor resilience of brain, CSF flow dynamics, and diminished cardiopulmonary reserve in elderly patients with intracranial aneurysm.

• Asian-Australasian Journal of Animal Sciences
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• v.18 no.7
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• pp.949-956
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• 2005

The weekly ultrasound scanner (US) observations of reproductive organs in a commercial dairy herd with the popular stanchion style management were conducted for over 26 months. Based on reproductive records, the following were evaluated: 1) the effect of postpartum period commencement of US monitoring on herd reproductive efficacy, and 2) the effectiveness of a US monitoring-based diagnosis and subsequent treatments of reproductive disorders on postpartum reproductive efficiency. The reproductive parameters of cows, which were subjected to US monitoring between Days 30-40 (Day 0 = day of parturition), Days 41-50, Days 51-60, and above Day 61, were compared. The reproductive parameters of cows diagnosed as having reproductive disorders (RD) with US monitoring before or after the first artificial insemination (AI) were also compared. It was found that the day of commencement of US monitoring in cows diagnosed with and without RD significantly affected the period towards the first AI and the open period. In particular, cystic follicles and anoestrus detected either before or after the first AI significantly affected herd reproductive efficiency. The implementation of US monitoring improved reproductive efficiency by reducing the open period and increasing the number of milking cows in the herd. The results of this field trial indicate that the postpartum reproductive management of dairy cows with the use of the US monitoring system is one strategy to improve reproductive efficiency, especially in a high-yielding dairy herd reared stanchion management style.