• Title/Summary/Keyword: 비임상

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Double-chambered Right Ventricle with Intact Ventricular Septum in a Maltese Dog (말티즈 견에서 발생한 우심실양분증)

  • Kang, Jong-Il;Lee, Seung-Gon
    • Journal of Veterinary Clinics
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    • v.31 no.5
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    • pp.403-406
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    • 2014
  • A 6-year-old female Maltese (body weight, 3.1 kg) without clinical signs was referred for further evaluation of the cause of cardiac murmur. Thoracic radiography revealed right-sided cardiomegaly. Echocardiography showed marked hypertrophic remodeling of the right ventricular free wall and an anomalous muscular bundle and fibrous nodule near the subinfundibular portion of the right ventricular outflow tract (RVOT), indicating a double-chambered right ventricle (DCRV). The turbulent flow from the anomalous muscular bundle to the main pulmonary artery was 4.6 m/sec, in addition to the tricuspid valvular regurgitation of 4.4 m/sec and main pulmonary artery flow of 1.1 m/sec. The dog is receiving atenolol (0.5 mg/kg) to minimize the deleterious cardiac effects of the high afterload, even though she remains asymptomatic. This report describes a case of DCRV, a rare congenital heart disease in dogs in South Korea.

A STUDY ON THE DEFENSE MECHANISMS IN ADOLESCENT VICTIMS OF SCHOOL VIOLENCE (학교폭력 피해청소년의 방어기제에 관한 연구)

  • Park, Young-Sook;Shin, Jee-Yong;Jhin, Hea-Kyung
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.10 no.2
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    • pp.158-168
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    • 1999
  • This study was carried out to know the main defense mechanisms used by adolescent victims of school violence. Subjects of this study are composed of 41 adolescent victims(clinical group) and 40 normal adolescents(control group). Clinical group is divided into four subgroups of inpatient, outpatient, day hospital, and school groups. Used scales are Ewha Defense Mechanisms Test(EDMT) and Staittrait anger scale. Several important results are found. Adoescent victims use neurotic defense mechanisms of neurotic and mature level less frequently than normal adolescents. In clinical group day hospital adolescents use more mature defense mechanisms than outpatient adolescents. Displacement and acting out are correlated with trait and sate anger. Somatization is correlated with trait anger, and regression is correlated with state anger significantly.

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Effect of Strength Coaching Program for First Clinical Experience of Nursing Students (강점코칭 프로그램이 간호대학생의 첫 임상실습에 미치는 효과)

  • Hong, Ju-Young;Lee, So-Young
    • The Journal of the Convergence on Culture Technology
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    • v.6 no.2
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    • pp.139-143
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    • 2020
  • Purpose: This study was conducted to examine the effects of a strength coaching program on nursing students' clinical competence, self esteem, and practice satisfaction. The study was designed using a nonequivalent control group pretest-post test design, and data were collected between January 7 and February 1, 2019. The participants consisted of 41, 3-year nursing students in G City who were assigned to an experimental group (n=21) or a control group (n=20). The data were analyzed using descriptive analysis, a t-test, χ2 test, and paired t-test with the SPSS/WIN 21.0 program. After receiving the strength coaching program, a difference was observed in self esteem(t=5.53, p<0.038), and practice satisfaction (t=7.66, p<0.019) of the experimental group. The results of this study indicate that the strength coaching program was effective at increasing self esteem and practice satisfaction in nursing students.

Nursing Students' Clinical Competence and Decision-Making: Impact of a Multiple-components Practice-based Learning (간호학생의 임상수행능력과 임상의사결정: 다중요소 실습기반교육의 효과)

  • Xianqi Gao;Yoonjeong Lee;Moonkyoung Park
    • Journal of Industrial Convergence
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    • v.22 no.3
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    • pp.79-89
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    • 2024
  • This study is a one-group pre-post experimental design that investigates the effects of a practice-based learning program with multiple components on the clinical competence of nursing students, and clinical decision-making. From May 4 to 29, 2020, a total of 60 third-year nursing students with no clinical practice experience were divided into two teams and participated in multi-component practice-based education for two weeks each, and the data of the final 51 students were included in the analysis. Following the practicum, there was a significant increase in clinical competence (t=-4.74, p<.001) and self-confidence in clinical decision-making (t=-8.41, p<.001), and a decrease in anxiety related to clinical decision-making (t=2.54, p=.014). The findings suggest that a multi-component, practice-based learning approach for nursing students can enhance their clinical competence, reduce preclincal anxiety and increase confidence in clinical decision-making in patient care.

음운 환경이 비음치에 미치는 영향

  • 김민정;심현섭
    • Proceedings of the KSLP Conference
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    • 1999.11a
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    • pp.182-182
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    • 1999
  • Nasometer를 통해 얻은 비음치(nasalance score)는 객관적일 뿐만 아니라 훈련된 언어임상가가 청지각적으로 판단한 비음도와 상관관계가 높기 때문에, 공명장애 진단의 보조자료로 유용하다. 그러나 비음치는 자극어에 따라 다양한 수치를 보이므로 공명장애의 진단을 위해서는 타당하고 신비로운 자극어의 개발이 요구되고 있다 따라서 본 연구는 비음치에 영향을 미치는 주요한 음운 환경이 무엇인지 살펴보고, 무의미 1음절어와 유의미 문장 자극어 중 어떤 것이 더 신뢰로운지 알아보아, 비음치 측적을 위한 자극어 개발에 기초를 마련하고자 하였다. (중략)

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Comparison of Clinical Characteristics of Pneumocystis Carinii Pneumonia Between HIV Infected and Non-infected Persons (인간 면역결핍 바이러스 감염자와 비감염자에서 발생한 주폐포자충 폐렴의 임상 양상 비교)

  • Choi, Jun Yong;Lee, Kkot Sil;Park, Yoon Soo;Cho, Cheong Ho;Han, Sang Hoon;Choi, Suk Hoon;Chin, Bum Sik;Park, Yoon Seon;Chang, Kyung Hee;Song, Young Goo;Kim, June Myung
    • Tuberculosis and Respiratory Diseases
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    • v.55 no.4
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    • pp.370-377
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    • 2003
  • Background : Pneumocystis carinii pneumonia (PCP) is one of the most common cause of infection in patients with HIV infection. Recently, the incidence of PCP have been increasing in immunocompromised hosts without HIV infection. We compared the clinical characteristics of PCP between HIV infected and non-infected persons. Patients and Methods : We retrospectively reviewed the charts of 25 patients diagnosed as PCP from 1996 to 2002. Age, sex, underlying conditions, use of immunosuppressants, clinical courses, laboratory findings, treatment and prognosis were compared between HIV infected and non-infected persons. Results : Twenty-five patients with PCP were identified. 16 were HIV infected, and 9 were HIV non-infected. The mean age of overall patients was $43.4{\pm}13.2$ years. Underlying conditions in HIV non-infected persons were hematologic malignancy (7 cases), solid organ transplant (1 case), and autoimmune disease (1 case). Seven cases (77.8%) of HIV non-infected persons had a history of steroid use. Mean duration of symptoms was longer in HIV infected persons than in HIV non-infected persons, but it was not statistically significant. PaO2 was lower in HIV infected persons ($61.2{\pm}16.9$ mmHg vs. $65.4{\pm}15.4$), but it was not statistically significant. Chest X ray showed typical ground glass opacity in 12 cases (75%) of HIV infected persons and in 4 cases (44.4%) of HIV non-infected persons. Twelve cases (75%) of HIV infected persons were treated with steroid, as were 6 cases (66.7%) of HIV non-infected persons. Ventilator care was needed in 6 cases (37.5%) of HIV infected persons and in 2 cases (22.2%) of HIV non-infected persons. Mortality of HIV infected persons was 50%, and that of HIV non-infected persons was 11.1%. Conclusions : PCP showed some different clinical characteristics between HIV infected and non-infected persons. Prospective studies regarding the risk factors of PCP, prophylaxis, treatment and prognosis in HIV infected and non-infected persons are warranted.

The Interaction of High Sensitivity C-Reactive Protein and Uric Acid on Obesity in Koreans: Based on the Seventh Korea National Health and Nutrition Examination Survey (KNHANES VII, 2016~2018) (대한민국에서 비만에 대한 고감도 C-반응성 단백과 요산의 상호작용: 제7기 국민건강영양조사를 이용해서(KNHANES VII, 2016~2018))

  • Pyo, Sang Shin
    • Korean Journal of Clinical Laboratory Science
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    • v.53 no.4
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    • pp.342-352
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    • 2021
  • We used data from the 7th Korea National Health and Nutrition Examination Survey (KNHANES) (2016~2018) to investigate an association between high sensitivity C-reactive protein (hsCRP) and uric acid in the obese. Obesity was defined as a body mass index (BMI) of 25 kg/m2 or more, severe obesity as a BMI of 30 kg/m2 or more, and morbid obesity as a BMI of 35 kg/m2 or more. In the complex samples multiple logistic regression, despite adjustment by adding major risk factors, the odds ratio (OR) for obesity was higher in the group with high levels of both, hsCRP and uric acid than the reference group at all stages (obesity, OR 1.89, P<0.001 vs. severe obesity, OR 5.04, P<0.001 vs. morbid obesity, OR 8.20, P<0.001). The association between hsCRP and uric acid in obese patients increased from 1.89 to 8.20 as the obesity level increased, suggesting that participants with increased BMI were significantly affected by hsCRP and uric acid. Moreover, the interaction between hsCRP and uric acid was statistically significant even in the model corrected for major confounding factors (P for interaction=0.009).