• Title/Summary/Keyword: 임상

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임상시험연구의 통계적 고찰

  • 박미라;이재원
    • Communications for Statistical Applications and Methods
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    • v.2 no.1
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    • pp.229-247
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    • 1995
  • 신뢰할만한 임상시험연구결과를 얻기 위해서는 통계학자가 임상시험연구의 준비단계에서부터 실험계획 및 연구의 운용, 분석은 물론 결과의 보고에 이르기까지 총체적으로 관여해야 한다. 의학전문가들과의 원활한 공동연구를 위해서는 통계학자들이 의학분야에서의 용어나 관례, 임상시험이 이루어지는 절차등에 대한 명확한 이해가 필요하게 된다. 이 논문에서는 임상시험에서 진행되는 제반문제에 대해 통계학자가 숙지해야 할 사항들에 대해 논의 하였다.

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Convergence Relationship between Clinical Practice Stress after Gerontological Nursing Practice, Clinical Practice Satisfaction and Nursing Image of Nursing College Students (간호대학생의 노인간호학 실습 후 임상실습 스트레스, 임상실습 만족도 및 간호이미지와의 융복합적 관련성)

  • Kim, Moon-Ok;Cha, Ju-Ae
    • Journal of Digital Convergence
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    • v.16 no.9
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    • pp.247-256
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    • 2018
  • The purpose of this study was to investigate the relationship between clinical practice stress, practice satisfaction, and nursing image of nursing students with experience of Gerontological nursing practice and to identify factors affecting nursing image. Data were collected from 150 nursing students from September 1 to 23, 2016 and analyzed using SPSS / Win 23.0. Results showed, practise stress was 3.13, satisfaction, 3.14 and nursing image, 3.32. Correlation analysis revealed that there was negative correlation between practice stress and practicec satisfaction, practice stress and nursing image, and a positive correlation between nursing image and practice satisfaction. Meanwhile, the factor affecting nursing image was practice satisfaction (${\beta}=.602$) and the explanatory power was 40%. Therefore, effective nursing education and practical strategies are needed to improve the nursing image and practice satisfaction of Gerontological nursing practice of nursing students.

Importance of integrating Bioinformation and Health Informatics for Healthcare

  • 곽연식
    • Proceedings of the Korean Society for Bioinformatics Conference
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    • 2002.06a
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    • pp.89-104
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    • 2002
  • 유전체연구사업단은 국내에서 발병 및 사망빈도가 가장 높은 위암과 간암의 퇴치를 목적으로 국가적 특목전략사업으로 연구를 추진하고 있다. 이와 별도로 보건복지부에서는 22개의 중요 질병별 유전체 연구센터를 전국적으로 추진하고 있다. 따라서, 연구가 성공적으로 진행되면 각 연구소에서 독자적으로 개발하여 제공하는 생명정보의 양은 거의 무한에 이를 것이다. 그러나 생명정보는 환자진료에 도움을 주기 위해서는 궁극적으로 임상정보와 함께 유기적으로 통합되어야 한다. 임상정보와의 통합을 위해서는 의료기관의 진료정보와 연구소의 생명정보가 연계되어 엄밀한 임상실험이 추가적으로 실시되어야 한다. 뿐만 아니라 생명정보학의 발전을 위해서는 연구대상의 임상정보가 공유되어야 한다. 유전체정보를 이용하는 생명정보학(Bioinformatics)은 각 국가마다 전략사업으로 간주하여 막대한 투자가 이루어지는 새로운 분야이다. 현재 선진국에서 개발 사용 중인 시스템의 연간 사용료가 고가이므로 국내 도입은 거의 불가능하거나 또는 매우 비효율적이다. 유전체 또는 생명정보의 임상활용 및 생명정보연구를 위한 임상정보 공유를 위해서는 우선 다음의 사항이 개발되어야 한다. 1) 다음과 같은 개별환자의 정보를 각 의료기관에서 제공 받아 저장 활용한다. - 진찰 및 임상소견, 수술기록, 경과기록, 검사결과 (임상병리, 해부병리, 방사선 등), - 영상정보 (X-ray, CT, MRI, 초음파, 전자현미경, 그래픽 등), - 환자개인기록(병력, 과거력, 가족력, 알러지 등), - 예방접종 기록 2) 각 연구소에서 첨단기술을 이용하여 개발되는 생명정보를 임상에 활용하기 위해서는 유전체연구센타와 병원간에 임상정보와 유전체 분석정보의 공유가 필수적으로 발생하게 됨으로, 유전체 정보와 임상정보의 통합은 미래 의료환경에 필수기능이 될 것이다. 3) 각 생명공학 연구소에서 사용하는 첨단 분석 장비와 생명공학 정보시스템의 자동 연계가 필요하다. 현재 국내에는 전국적인 초고속정보망이 가동되어 웹을 기반으로 하는 생명정보의 공유는 기술적으로 문제가 될 수 없으나 임상정보의 유전체연구에 그리고 유전체연구정보의 임상활용은 다양한 문제를 내포하고 있다. 이에 영상을 포함한 환자정보의 유전체연구센터와 병원정보시스템과의 효율적인 연계통합 운영을 위해 국내에서는 초기 도입단계에 있는 국제적인 보건의료정보의 표준인 Health Level 7 (textural information 공유), DICOM (image 및 wave 공유), 관련 ISO표준, WHO의 ICD9/10 (질병분류), LOINC (검사 및 관련용어), SNOMED International (의학용어) 등을 활용하여야 한다.

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Comparison of the Perceptions between Investigators and Clinical Research Associates in Role Performances of Clinical Research Coordinators (임상연구코디네이터의 역할수행에 대한 연구자와 임상시험모니터요원의 인식비교)

  • Ko, Il-Sun;Hwang, Youn-Sun;Kim, Ho-Kon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.8
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    • pp.5095-5108
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    • 2014
  • The aim of this study was to compare the perceptions of the role performance of a clinical research coordinator (CRC) between the investigators and clinical research associates (CRAs). Data was collected using a structured questionnaire from 39 investigators and 68 CRAs in 4 hospitals from March 7 to November 30, 2011 and analyzed using descriptive statistics and a t-test. The investigators and CRAs were aware of the importance of CRC's role and they all gave the highest values for patients care management. On the other hand, the score of the role performance items showed perceptional differences between investigators and CRAs. Therefore, the development of detailed job descriptions and manuals will be needed to reduce the perceptional differences in the role performance of the CRC.

The Study of critical thinking disposition, clinical competence, and satisfaction of clinical practice in nursing students (간호학생의 비판적 사고 성향과 임상수행능력 및 임상실습만족도에 관한 연구)

  • Yang, Jin Ju
    • The Journal of the Convergence on Culture Technology
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    • v.5 no.1
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    • pp.443-449
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    • 2019
  • Purpose: The purpose of this study was to identify critical thinking disposition, clinical performance, and satisfaction of clinical practice in a college nursing students. Methods: The data were collected from self reported questionnaires about clinical performance, and critical thinking disposition given to 55 nursing students at June, 2017. Results: The mean score of total clinical performance was 3.70 (${\pm}.54$). Total critical thinking disposition was 3.57 (${\pm}.44$) and clinical satisfaction was 3.93 (${\pm}.72$). Regarding clinical performance, psycho-social competence was highest followed by basic care competence, educational care competence, nursing process competence, observing and monitoring competence, and nursing intervention competence. Critical thinking disposition had a significant positive correlation with clinical competence. Conclusion: Results of this study suggest that developing various clinical education and teaching learning methods for clinical competence is necessary to promote critical thinking disposition of nursing students.

임상시험 Guideline(총론)

  • 노재경
    • Proceedings of the Korean Society of Applied Pharmacology
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    • 1994.11a
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    • pp.5-8
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    • 1994
  • 임상시험 guideline은 신약개발을 촉진하기 위하여 약사법 제 26조 제 6항 및 제 24조 제 8호의 규정에 의거하여 신약 임상시험의 안내서로 활용하게 하는데 있다. 임상시험은 특정약의 특정 질환에 대한 임상효과를 판정하기 위하여 시험약의 효과 및 부작용을 윤리적으로 타당한 과학적 시험을 통하여 시행하는 것이다. 특히 임상시험은 사람을 대상으로 하기 때문에 윤리적이고 과학적인 방법을 통하여 시행착오를 최소화하고, 피험자가 위험에 처할 가능성을 최소화하여야 한다.

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A Study on the Clinical Practice Satisfaction of Ophthalmic Optics Students and Optical Shop Owners (임상실습에 대한 안경광학과 학생들과 실습업체의 만족도에 관한 연구)

  • Lee, Ok-Jin;Jung, Se-Hoon;Shin, Jin-Ah
    • Journal of Korean Ophthalmic Optics Society
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    • v.16 no.4
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    • pp.363-373
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    • 2011
  • Purpose: To establish basic data for effective management and quality improvement on clinical practice by investigating the clinical practice satisfaction of ophthalmic optics students and optical shop owners. Methods: A survey was administered for 281 students with experience in clinical practices and 105 optical shop owners regarding satisfaction of ophthalmic optics students and optical shops. And a statistical analysis was performed on the survey results. Results: 92.% (97 shops) of optical shop owners responded that clinical practice was necessary and there was a significant difference (p=0.004) according to gender. 4 weeks was the preferred length of practice period (53.3%) and there was a significant difference according to the size of the optical shops (p=0.000). Clinical practice satisfaction of students was 3.50 ${\pm}$ 0.68 and satisfaction for clinical practice program, clinical practice time and clinical practice shop (3.74 ${\pm}$ 0.80) were the highest and there was a significant difference according to the age of the students (p<0.05). Clinical practice satisfaction for optical shops was 4.08 ${\pm}$ 0.64 which is higher than student satisfaction. Satisfaction for clinical practice program was (4.17 ${\pm}$ 0.54) was the highest. Conclusions: To maximize the effects of clinical practice, a clinical practice program reflecting the satisfaction of students and optical shops is required and further research and attention are required.

Study of Clinical Practice Standardization in Dental Hygiene (치위생(학)과 임상실습 표준화 방안)

  • Shin, Sun-Jung;Kim, Mi-Jeong;Yang, Jin-Young;Yu, Ji-Su;Jeoung, A-Yeon;Shin, Myong-Suk
    • Journal of dental hygiene science
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    • v.17 no.1
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    • pp.1-11
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    • 2017
  • There are 82 dental hygiene departments and clinical training institutes across the country with a very wide range of clinical practice content and evaluation methods, making standardization difficult. Therefore, there is a need to establish a standard protocol outlining clinical practice content and evaluation methods for systematic and efficient operation of clinical practice. Thus, this study attempted to propose such a protocol for standardization of dental hygiene clinical practice in dental clinics and hospitals to examine the contents of clinical practice by reviewing relevant literature, and relating it to professional practice within the dental hygienic curriculum to facilitate enhancement of expertise. Clinical practice content was extracted from 74 cases, and was consisted of classifying mandatory and optional clinical practice, training time, and activity methods for each component. To standardize effective clinical practice, it is necessary to organize the components acquired in the course of clinical dentistry training in line with their arrangement on each university's curriculum, in order to learn all components step by step. To do this, it is necessary to present a standardized clinical practice protocol and a organic cooperation between educational institutions and clinical training institutions.

The Effect of Face-to-Face and non-Face-to-Face Clinical Practice Stress and Stress Coping on Clinical Competence in Nursing Students (간호대학생의 대면 및 비대면 임상실습스트레스와 스트레스 대처가 임상수행능력에 미치는 영향)

  • Hey Kyoung Kim;Jiye Park;Eunji Kang;Sunghyun Lee;Sunghyun Min;Jiyoon Lee;Jihyun Jung;Hyunseo Jung;So Young Lee
    • Journal of the Korean Applied Science and Technology
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    • v.40 no.3
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    • pp.521-533
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    • 2023
  • The purpose of this study was to investigate the effect on the clinical competence by the face-to-face, non-face-to-face clinical practice stress and the stress coping. A survey was conducted among nursing students of university in Seoul and Chungcheong City from June 10 to July 10, 2021. 201 copies were included in the final data analysis, Pearson's correlation coefficient and hierarchical regressions was used. As a result, in the first stage, nursing students grades, major satisfaction, and face-to-face practice satisfaction explained 19.4% of their clinical performance ability, in the second step, stress coping was added to increase explanatory power by 19.6% allowing a total of 39.0% of randomness to be explained. Therefore, this study could be used as a basic data for the counseling, development, and education programs for stress coping to increase clinical competence.