• Title/Summary/Keyword: 임상적 요인

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Factors Influencing Clinical Competence in General Hospital Nurses (종합병원 간호사의 임상수행능력 영향요인)

  • Kim, Mi-Jung;Kim, Moon-Ok
    • The Journal of the Korea Contents Association
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    • v.21 no.10
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    • pp.668-678
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    • 2021
  • This study aimed to identify the factors influencing the clinical competence of nurses, using a descriptive correlational study design. Data were collected through questionnaires administered to 170 nurses working in a general hospital in Gwangju city and Jeollanam-do province from March 24 to May 27, 2021. There were significant differences in clinical competence according to age, marital status, and educational level. Clinical competence was significantly correlated with nursing professionalism (r=.600, p<.001), critical-thinking disposition (r=.568, p<.001), communication skills (r=.658, p<.001), and nursing practice environment (r=.353, p<.001). Factors influencing clinical competence were communication skills, nursing professionalism, critical-thinking disposition, and age, which explained 54.0% of the total variance. It is necessary to develop educational programs to improve the communication skills, nursing professionalism, and critical-thinking disposition of nurses. Additionally, Institutional and national measures are needed so that nurses can continue to work in hospitals.

Hemorrhagic Bowel Syndrome (젖소의 장출혈증후군)

  • Lee, Chang-U
    • Proceedings of the Korean Society of Veterinary Clinics Conference
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    • 2006.05a
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    • pp.3-6
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    • 2006
  • 장출혈증후군은 성숙한 젖소의 치명적인 질환으로서 급성으로 진행하는 복부팽창, 쇼크, 장폐쇄, 흑변, 대변 속에 소화된 혈액응괴 또는 응괴쪼가리 등을 나타내는 것이 특정이다. 가능성이 있는 소인으로서 비유로 인한 신체적 스트레스, 곰팡이 핀 사료 및/또는 Clostridium perfringens 의 증식을 촉진하는 관리, 식이 및 환경 요인 등이 있다. 장출혈증후군의 발병기전에 대해 더 많이 밝혀질 때까지 예방대책은 위에 설명한 추정적인 요인들에 초점을 맞춰야 하며, 개개의 목장에 필요에 맞게 계획되어야 한다. 또한 이러한 의사결정 과정에 예산에 대한 세심한 분석도 해야 한다.

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The Change in Range of Motion after Removal of Instrumentation in Lumbar Arthrodesis Stiffness of Fusion Mass: Finite Element Analysis (척추 유합술 후, 척추경 나사못 제거에 따른 인접 분절의 운동범위에 대한 유한요소해석)

  • Kang, Kyoung-Tak;Lee, Hwa-Yong;Son, Ju-Hyun;Chun, Heoung-Jae;Kim
    • Proceedings of the Computational Structural Engineering Institute Conference
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    • 2009.04a
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    • pp.283-286
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    • 2009
  • 척추경 나사못을 이용한 요추 유합술은 가장 보편적으로 사용되어지는 수술적 치료 방법이다. 과거 여러 연구들에서 이러한 척추 유합술의 임상적 우수성은 이미 입증 되었으며, 척추경 나사못은 시술 부위의 운동을 완전히 제한함으로써 높은 유합율을 얻을 수 있으나, 상대적으로 인접 분절의 조기 퇴행성 변화의 요인 중 하나로 보고되고 있다. 따라서 본 연구에서는 유한요소해석 방법을 이용하여 척추경 나사못 시술에 따른 척추체의 운동범위 및 인접 분절 추간판의 스트레스 증가량을 계산하였고, 척추경 나사못 모델과 유합 후 나사못 제거에 따른 모델 또 시술하기 전 정상모델과 비교하여 생체 역학적 측면에서 분석하여 척추경 나사못을 이용한 요추 유합술 후, 척추경 나사못의 제거의 임상적 효과와 그 이론적 근거를 제시하고자 한다.

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Risk Factors for Malassezia pachydermatis-associated Dermatitis in dogs: a Case-control Study (개에서 Malassezia pachydermatis에 의한 피부염의 위험요인에 관한 Case-control 연구)

  • Son-il Pak;Hwa-young Youn
    • Journal of Veterinary Clinics
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    • v.16 no.1
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    • pp.80-85
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    • 1999
  • Malassezia(Pityrosoprum) pachydermatis에 의한 피부염의 위험요인을 파악하고자 1997년 1월에서 1998년 12월까지 서울대학교 수의과대학 부속동물병원에 내원하여 본 질환으로 진단된 29두와 동일한 기간 동안 피부과 검사에서 임상적으로 건강한 개로 확인된 97 두의 대조군을 대상으로 분석하였다. 각 설명변수에 대한 교차비(odds ratio, OR)와 신뢰구간(confidence interval, CI)은 변수보정법을 사용하여 계산하였다. 다른 공변수를 보정한 상태에서 다중 로지스틱 회귀분석(multiple logistic regression analysis)을 시행한 결과 피부병기왕력(p=0.0059; OR, 4.44; CI, 1.5∼12.8)과 비만(p=0.0013; OR, 5.38; CI, 1.9∼14.9)은 유의한 위험요인으로 나타났다. 단변량 분석(univariate analysis)에서 주 사료로 고기를 섭취하는 경우 피부염의 위험이 높은 변수로 작용하였지만(p=0.0398; OR, 6.38; CI, 1.1∼37.3) 다른 공변수를 보정한 분석에서는 유의하지 않은 것으로 나타났다. 성별, 품종, 및 예방접종은 위험요인으로 작용하지 않았다.

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How Patients in Clinical Trials Understand Informed Consent (만성신장질환자의 임상시험 설명문 및 동의서 이해도와 관련 요인)

  • YEO, Won-Kyeong;YANG, Sook-Ja
    • Korean Journal of Medical Ethics
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    • v.21 no.4
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    • pp.344-359
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    • 2018
  • The purpose of this study was to identify how patients with chronic kidney disease understand informed consent and related factors for clinical trials. Data from a paper-based survey was collected from July 1, 2017 to April 30, 2018. The subjects for this study were 85 adult patients with chronic kidney disease who were participating in clinical trials. Surveys were conducted by a tool modified from QuIC as designated by Joffe in 2001. The QuIC consists of two parts: objective and subjective cognition. These tools were modified for this study. The average score for the objective understanding (OU) of informed consent for clinical trials was 69.56; the average score for the subjective understanding (SU) of informed consent for clinical trials was 3.28. It was found that health literacy predicted OU (F=27.709, p<.001) while SU was predicted by additional information (F=-3.095, p<.003), question (F=13.603, p<.001), and informed consent (F=-4.833, p<.001). In conclusion, the results of this study indicate that the understanding of informed consent for clinical trials among patients with chronic kidney disease is relatively low. Accordingly, alternative methods that consider each patient's health literacy levels and related factors need to be considered in order to improve their understanding of informed consents during the clinical trial process.

Factors Related between Clinical Health Management and Laparoscopy-Aided Gastrectomy Patients (복강경 위절제환자와 임상적 건강관리와의 관련된 요인)

  • Lee, Seong-Ran
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.12
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    • pp.5926-5930
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    • 2012
  • This study was conducted to identify the factors related between clinical health management and laparoscopy-aided gastrectomy patients. Data were surveyed using interview and questionnaires by 201 patients who visited the surgical department of a general hospital which was located in Metropolitan area from January 16 to February 16, 2012. As a result of study, first, the degree of performativity was significantly positively correlated with efficiency(r=0.24, p<.01). Secondly, the explanatory power of the model in clinical health management was to 42.7% by selected variables. Thirdly, multiple regression analysis results showed that efficiency was investigated the most influential and significant factor to affect the degree of health management practices with 0.25(p=.02). In conclusion, in order to improve the health management level of laparoscopy-aided gastrectomy patients, it needs to develop and apply a comprehensive education program including the personal characteristics of performativity, self-achievement, and perceived barriers.

Converged Influencing Factors on Compassion Competence in Clinical Nurses (임상간호사의 공감역량에 미치는 융합적 영향요인)

  • Lee, Hyea-Kyung
    • Journal of the Korea Convergence Society
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    • v.6 no.5
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    • pp.15-22
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    • 2015
  • The purpose of this research is to analyze converged factors affecting compassion competence in clinical nurses. This is a descriptive correlation research to examine converged factors affecting compassion competence of clinical nurses. Research objects are 233 nurses working in three general hospitals located in Chungnam province, and who understand the purposes of this research and agree to participate in this research. To analyze the data, descriptive statistics, t-test, ANOVA, Pearson's Correlation Coefficient, and stepwise multiple regression analysis were used. The variable which has the greatest effect on compassion competence was compassion satisfaction, followed by clinical experience, compassion fatigue, with those 3 variables explaining 34.4% of compassion competence. Therefore it is necessary to develop specific education programs to improve compassion competence of nurses. Since the explaining power of three variables to compassion competence is 34.4%, it is necessary to add more meaningful variables to explain compassion competence of clinical nurses.

A Systematic Review on the stress of Clinical Dental Practice for Dental Hygiene Students (치위생(학)과 학생들의 임상실습 스트레스에 관한 체계적 문헌고찰)

  • Lim, Soon-Ryun;Yang, Jeong-A
    • Journal of Convergence for Information Technology
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    • v.11 no.9
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    • pp.191-200
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    • 2021
  • This study systematically collected and analyzed the results of previous studies on the stress of clinical dental prctice for dental hygiene students. The data were collected according to the systematic review guidelines of PRISMA(Preferred Reporting Items for Systematic Reviews and Meta-analysis) and 25 ariticles were used in the final analysis. In order to measure clinical dental practice, 4 measuring tools were used. As a result of literature analysis, the lower the satisfaction, the higer the stress of clinical dental practice. Personal relationship, role and activity, ideal and value were very important factors. The purpose of this study is to analyze the relationship between clinical dental practice and various variables and to investigate the improvement of clinical dental practice based on the results of this study.

Clinical Factors and Effects of Individual Art Therapy on Industrial Injured Workers (산재근로자에 대한 임상요인과 개인 미술치료의 효과)

  • Yang, Jung-Hye;An, Jung-Ah
    • Journal of the Korea Convergence Society
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    • v.12 no.4
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    • pp.293-302
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    • 2021
  • This study is designed to find out clinical factors and the effects of individual art therapy for workers involved in industrial accident. From January 2017 to July 2019, 10 industrially injured workers were individually subjected to 11 art therapy sessions, and a multidimensional psychological test S type was used to examine changes in clinical factors before and after individual art therapy. The results showed that the average of the five clinical factors ranges from 2.80 to 4.20, indicating that the psychological pain of workers injured was significant. As a result of bivariate correlation analysis, it was confirmed that meaningful correlation existed within the statistical scope of all factors. As for the difference in the results of multidimensional psychological tests before and after art therapy, out of the five clinical factors, the Z values of depressed, anger and anxiety were -2.405(p=.016), -2.148 (p=.032) and -2.102 (p=.036), to confirm that the depressed, anger and anxiety of the participants have eased somewhat after performing individual art therapy.

Analyzing the Impacts of Climate Change on Forest Composition in Korea (산림의 임상구조 결정요인 분석과 기후변화에 따른 임상구조 변화 예측)

  • Lee, Honglim;Kwon, Oh Sang
    • Environmental and Resource Economics Review
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    • v.26 no.2
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    • pp.229-255
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    • 2017
  • This study empirically estimates the impacts of climate change on forest composition in Korea using a fractional data regression model, and forecasts the change in forest composition in the 2040s and 2090s based on the IPCC climate change scenarios. Unlike the forest science studies that incorporate mostly only ecological variables as the determinants of forest composition, we take into account regional level socio-economic and forest management variables as well. Our estimation results found that not only environmental factors but also socio-economic and forest management related factors strongly affect the composition of Korean forest. Based on the estimation results and IPCC scenarios on climate change, we predict that the share of currently dominant coniferous forest will decline in the future under all scenarios. About 10% of total forest area is likely to be converted from coniferous forest into broadleaved forest until 2090s under the scenario RCP 8.5. It is also predicted that there will be a substantial regional variation in the effects of climate change on forest composition, and the coniferous forests in the inland regions will decline more dramatically.