• Title/Summary/Keyword: 임상분석

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Effects of critical thinking and nursing practice environment on clinical decision making among nurses (비판적 사고와 간호근무환경이 간호사의 임상적 의사결정에 미치는 영향)

  • Jang, Insil;Lee, Kyoung-Sook
    • Journal of Digital Convergence
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    • v.17 no.2
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    • pp.255-264
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    • 2019
  • This study was a cross-sectional study done to determine the relevance and impact factors of critical thinking and nursing practice environment on clinical decision making among nurses. A survey was conducted for April 2017 with self-report questionnaire. Participants were 261 registered nurses working in one tertiary hospital. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation coefficients, and hierarchical regression analysis with SPSS/WIN(21.0). Factors affecting clinical decision making included age, educational background, position, work shift, clinical career. Clinical decision making had a positive correlation with critical thinking and nursing practice environment. And position, critical thinking and nursing practice environment accounted for 35.8% of the variance in clinical decision making. Therefore, quality management for developing nursing professionalism and administrative support for effective staffing and resource adequacy in addition improving critical thinking increase nurses'clinical decision making.

A Study on the Job Satisfaction of Nurses Experiencing Clinical and Clinical Trials (임상과 임상시험을 경험한 간호사의 직무만족에 관한 연구)

  • Kang, Cheon-Kook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.1
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    • pp.604-611
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    • 2020
  • This study was undertaken is to improve the working conditions by improving the job satisfaction of clinical research nurses and clinical nurses involved in and conducting clinical trials. The survey was conducted from November 6 to December 6, 2017 for 100 nurses working in Seoul and Gyeonggi-do. The accumulated data were analyzed by frequency analysis, reliability verification, and t-test using the SPSS program. Our results reveal that job satisfaction was higher for clinical nurses (2.94 ± 0.609 points) as compared to clinical research nurses (2.89 ± 0.620 points). Also, the satisfaction level of salary received was higher amongst the clinical nurses than the clinical research nurses. Furthermore, although career decision was relatively lower for the clinical nurse than the clinical research nurse, the importance of job performance and job stability ranked high. Considering importance of the role of clinical research nurses in clinical trials, it is necessary to enhance their job satisfaction by improving the clinical trial environment such as appropriate treatment and professional role, and the working environment including remuneration, professional status, and administrative work to establish their jobs.

Clinical Nursing Instructors' Teaching Efficacy and Nursing Students' Clinical Practice Satisfaction (임상실습지도자의 교수효능감과 간호대학생의 임상실습 만족도)

  • Park, Inhee;Seo, Eunju
    • Journal of Industrial Convergence
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    • v.19 no.1
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    • pp.99-108
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    • 2021
  • To determine clinical nursing instructors' teaching efficacy, students' clinical practice satisfaction, and confirm between correlation, and develop a plan for operating nursing education efficiently for clinical practice. Clinical practice could create an optimal learning situation. We applied CNITEs and CPS to measure clinical nursing instructor teaching efficacy and clinical practice satisfaction. The differences in teaching efficacy by the general characteristics were measured and analyzed; the higher the level of the participants' education, position, clinical career, and clinical teaching career, the higher their teaching efficacy. The higher the age at clinical practice, the higher the clinical efficacy of clinical practitioners with clinical career and higher education level students were more satisfied with the practice subject and nursing instruction than other categories. Therefore, in order to increase the satisfaction of nursing students' practice in the clinical field, we hope to improve various things that can be used not only teaching efficacy but also in clinical practice satisfaction.

Lung Adenocarcinoma Mutation Hotspot in Koreans: Oncogenic Mutation Potential of the TP53 P72R Single Nucleotide Polymorphism (한국인의 폐선암 돌연변이 핫스팟: TP53 P72R Single Nucleotide Polymorphism의 발암성 돌연변이 가능성)

  • Jae Ha BAEK;Kyu Bong CHO
    • Korean Journal of Clinical Laboratory Science
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    • v.55 no.2
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    • pp.93-104
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    • 2023
  • This study aimed to identify new markers that cause lung adenocarcinoma by analyzing mutation hotspots for the top five genes with high mutation frequency in lung adenocarcinoma in Koreans by next generation sequencing (NGS) analysis. The association between TP53 mutation types and patterns with smoking, a major cause of lung cancer, was examined. The clinicopathological characteristics of lung adenocarcinoma patients with TP53 P72R SNPs were analyzed. In Korean lung adenocarcinoma cases, regardless of the smoking status, the TP53 P72R SNP was the most frequently occurring mutational hotspot, in which the nucleotide base was transversed from C to G, and the amino acid was substituted from proline to arginine at codon 72 of TP53. An analysis of the clinicopathological characteristics of lung adenocarcinoma cases with TP53 P72R SNP revealed no significant correlation with the patient's age, gender, smoking status, and tumor differentiation, but a significant correlation with low stage (P-value =0.026). This study confirmed an increase in TP53 rather than EGFR, which was reported as the most frequent mutations in lung adenocarcinoma in Koreans through NGS. Among them, TP53 P72R SNP is the most frequent regardless of smoking status.

Development of a Clinical Decision Support System using Formal Concept Analysis (형식개념분석 기법을 이용한 임상의사결정지원시스템의 구축)

  • Kang Yu-Kyung;Hwang Suk-Hyung;Kim Hong-Gee;Baek Seung-Hak;Kim Dong-Soon;Kim Eung-Hee;Yang Kyoung-Mo;Yang Sung-Kwon
    • Proceedings of the Korea Information Processing Society Conference
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    • 2006.05a
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    • pp.407-410
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    • 2006
  • 방대한 양의 다양한 데이터들이 발생되는 의료분야에서는 임상데이터를 기반으로 보다 정확하고 효율적으로 현상을 분석/판단하여 의사가 환자진료 시 정확한 진단과 치료를 수행할 수 있도록 보조해주는 적절한 의사결정지원시스템이 요구되고 있다. 따라서, 이와 같은 요구를 충족시키기 위해서는 다종 다양한 데이터로부터 간결하면서도 효과적으로 개념들을 추출하고 구조화하여 개념계층구조로 표현할 수 있어야 하며, 실세계의 데이터에 대한 구조화와 요약을 제공하고 필요한 정보를 수월하게 접근할 수 있어야 한다. 본 연구에서는, 도메인 내의 다양한 데이터들로부터 개념들을 추출하고, 개념들 사이의 상하위 관계를 파악하여 개념계층구조를 구축하기위한 정형화된 데이터분석기법으로서 형식개념분석기법(Formal Concept Analysis)을 소개하고, 이를 치과 교정학 분야의 환자 임상데이터 분석기법(Cephalometric Analysis)에 융합한 형태의 임상의사결정지원시스템 개발 및 향후 연구과제 등에 관해 설명한다.

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Models of Genetic Counseling Services and Quality Assurance: A Theoretical Inquiry (유전상담 서비스 모델 분석 : 이론적 탐색)

  • Jun, Myung-Hee;Anderson, Gwen
    • The Journal of Korean Academic Society of Nursing Education
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    • v.17 no.3
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    • pp.524-535
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    • 2011
  • 유전 위험 사정과 상담서비스가 임상실무에 널리 적용되어 감에 따라, 다양한 비용효율 면에서 다양한 상담서비스 모델을 사정하고, 대상자의 임상 요구와 건강문제를 해결하는데 어떤 모델이 유용한 지 확인할 필요가 있다. 본 연구의 목적은 114건의 현장 관찰과 문헌고찰을 통하여 3가지 유전상담 모형을 분석하였다. 유전의학 전문가 모델, 유전상담사 모델, 임상연구전문가 모델을 중심으로 각 모델의 구조, 전문가의 역할 및 기능, 목표, 물리적 세팅, 교육도구 등을 분석하였다. 각 모형 안에서 환자에게 기대되는 결과 면에서 질적 서비스가 보장되는지 확인하기 위하여 이론적 분석을 실시하였다. 본 연구를 통하여 각 모형의 상담 전, 중, 후 환자 만족, 지식 변화, 상담 효과 및 커뮤니케이션 효과 등을 분석하였지만, 결론적으로 상담서비스가 이루어지고 있는 기관의 구조를 충분히 고려하지 않은 상태에서 최상의 서비스 모델을 제시하기 어려울 것임을 논의하였다.

Analysis of Texture Information of forest stand on High Resolution Satellite Imagery (임분 특성에 따른 고해상도 위성영상의 Texture 정보 분석)

  • 김태근;이규성
    • Proceedings of the Korean Association of Geographic Inforamtion Studies Conference
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    • 2003.04a
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    • pp.145-150
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    • 2003
  • 고해상도 위성영상을 이용한 산림의 분석은 기존의 중ㆍ저해상도 영상의 분석과 다른 접근이 필요하다. 본 연구는 임분 특성을 해석하는데 중요한 판독기준인 texture를 이용하여 영상 안에서 임상, 임목직경급, 수관울폐도 등에 따른 Texture 정보를 비교 분석하고자 한다. 울산 일부 산림지역을 대상으로 3개의 가시광선 밴드와 1개의 근적외선 밴드의 1m IKONOS 영상을 이용하여 Texture 정보를 추출하는데 일반적으로 사용되는 통계적인 방법 중에 하나인 GLCM(Gray-Level Co-occurrence matrix)을 통해 Texture 분석을 하였다. 또한 1996년도에 제작된 4차 임상도를 통해 추출된 산림 특성별 Texture 정보를 비교 검토하여 고해상도 위성영상을 활용하여 산림 특성을 해석하는데 최적의 Texture 정보를 제시하고자 하였다. 고해상도 영상에서 나타나는 임분의 특성별 질감정보는 임상, 직경, 임목밀도에 따라 다양하게 나타났다.

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