• Journal of Digital Convergence
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• v.15 no.8
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• pp.213-224
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• 2017

This study was to examine the structural model of nursing student 's Professional self-concept, Critical thinking, Clinical Practice Satisfaction, Clinical competency and Clinical Practice Stress. The subjects consisted of 227 nursing students and data was collected through Structured questionnaires. Results, Critical thinking, Clinical Practice Satisfaction, Clinical competency and Clinical Practice Stress showed a direct effect on Professional self-concept for nursing students. Clinical competency and Clinical Practice Stress showed an indirect effect on nursing Professional self-concept. Clinical competency and Clinical Practice Stress showed a direct effect on Critical thinking and Clinical Practice Satisfaction. In this paper, we propose a new approach to nursing students 'self-concept in nursing. In this paper, we propose a new approach to nursing students' self-concept. And to develop and apply an intervention program that can reduce the stress of clinical practice.

• Proceedings of the KSRS Conference
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• 2007.03a
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• pp.25-28
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• 2007

본 논문은 KOMPSAT-2호 및 3호의 화상활용 일환으로 임반 단위의 임상정보 추출에 관한 시범연구이다. QuickBird 화상을 통해 획득한 결과를 요약하면, 첫째로 회색단계공발생 행렬(GLCM)에 기초한 질감(texture)매개변수 화상은 소나무림과 잣나무림의 임상판별을 가능하게 만든다. 단, 동령림 조건과 사면 방위에 무관한 상태의 추가연구가 요구된다. 둘째로 Matlab의 분수계(watershed)산법에 기초한 분할화상에서 소나물김과 잣나무림의 수관투명 면적 대소를 파악할 수 있다. 역시 동령림 조건하의 보충 연구가 필요하다. 셋째로 형태배율과 진원도(roundness)에 기초한 소나무림과 잣나무림의 구별에서 진원도에서는 차이의 유의성이 없고, 형태배율에서는 수관둘레의 불규칙에 의해 유의성있게 구분된다. 본 연구의 임상정보 추출기법은 정밀임업의 정량정보 제공에 기여할 것이다.

• Korean Journal of Clinical Pharmacy
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• v.20 no.3
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• pp.229-234
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• 2010

섬유근통 증후군은 만성 전신 통증을 나타내며 피곤, 두통, 우울증, 수면장애 등을 동반하는 질환이다. 주로 30-50대의 여성에게서 많이 나타나며 미국에서 2-4%, 한국에서 2%의 발병률을 보이고 있다. 정확한 원인과 기전이 밝혀져 있지 않아서 진단과 치료에 많은 논란과 어려움이 있다. 현재는 증상치료에 목표를 두고 삼환계항우울약을 많이 사용하고 있으나 심각한 부작용의 문제가 있다. 이러한 문제 때문에 최근에는 selective serotonin reuptake inhibitor (SSRI) 또는 serotonin-norepinephrine reuptake inhibitor (SNRI)를 빈번히 사용하고 있다. 본 연구는 SNRI의 하나인 milnacipran의 섬유근통 증후군 치료에 대한 효능 및 안정성을 알아보기 위해, MEDLINE에 등재된 논문을 기한없이 milnacipran과 fibromyalgia로 검색하여 무작위 배정 및 이중맹검 임상연구자료들을 선별하였다. 선별된 6개의 임상연구 결과, milnacipran를 사용했을 때 일관된 효능성과 안정성이 관찰되었고 섬유근통증후군 치료와 그에 수반되는 여러증상에 효과적인 것으로 나타났다.

• Korean Journal of Clinical Pharmacy
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• v.10 no.3
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• pp.140-144
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• 2000

Reofecoxib는 용량 의존적으로 cyclo-oxygenase-2를 선택적으로 억제한다. 골관절염 환자를 대상으로 하여 이중맹검, 무작위, Western Ontario and McMasters Universi-ties Osteoarthritis Index를 이용하여 평가한 결과, rofecoxib 12.5, 25 mg는 신체적 기능을 크게 향상시키는 것으로 보여졌다. 또한 diclofenac (50 mg, 1일 3회), ibuprofen (800 mg, 1일 3회), nabumetone(1500 mg, 1일 1회)와 유사한 임상효과를 나타내었다. Rofecoxib는 원발성 월경곤란증과 수술 후 치통에 효과적으로 억제하였으며 naproxen sodium과 ibuprofen과 같은 진통 효과를 보였다. Rofecoxib는 안전성 면에서 우수하며 가장 흔한 부작용은 설사, 두통, 오심과 상기도 감염증이다. Rofecoxib 12.5, 25, 50 mg/day를 투여한 골관절염 환자에게서 위장관계 부작용(천공, 궤양, 출혈)은 ibuprofen, diclofenac, nabumetone을 투여한 환자보다 훨씬 낮은 발생빈도를 나타내었다.

• Proceedings of the Korean Society of Veterinary Clinics Conference
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• 2009.04a
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• pp.151-156
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• 2009

발작은 대뇌겉질의 기능장애 (Cerebral cortical dysfunction)의 결과 나타나며, 다양한 임상증상을 야기하여, 임상가로 하여금 나타나는 증상이 발작인지 혼동 스럽게 한다. 그러므로, "나타나는 증상"이 진성 발작인지를 알아보기 위한 초기의 노력이 필요하다. 이는 대개 동물 보호자에게 다양하고 신중한 질문과 병력청취를 통해서 얻어진다. 일단 "발작"에 대한 진단이 이루어 지면, 동물의 품고에 기초한 감별진단 목록이 형성되어야 한다. 어린 개체 (1년이하)의 경우 감염성 병력에 의한 발작이 많고, 반면 노령성 개체 (5년 이상)의 경우 대사성 기능장애나 두개내의 종양에 의해 발작이 일어난다. 중년령의 개체(1년에서 5년사이)에서는 특발성 발작이 호발한다.

• Korean Journal of Clinical Pharmacy
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• v.20 no.1
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• pp.66-71
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• 2010

주의력결핍 과잉행동장애는 미국에서 약 200만 명의 어린이에게 나타나는 심각한 만성 신경행동학적 장애이다. 주의력결핍 과잉행동장애 치료의 중심은 약물요법이다. 그러나 현재 환자의 약 30%는 주의력결핍 과잉행동장애를 적응증으로 갖도록 허가된 의약품들을 사용해도 적절한 치료효과를 얻지 못하고 있는 상황이다. Modafinil은 methylphenidate나 amphetamines와 같은 각성제와는 다른 약리학적 기전으로 중추신경계를 항진시킨다. 본 연구는 modafinil의 주의력결핍 과잉행동장애 치료효과에 대한 최신 지견을 얻고자, 1990년부터 2010년 3월까지 MEDLINE에 등재된 논문을 ADHD와 Modafinil이라는 MeSH terms로 검색하여 추출한 자료 중에서 대조군이 사용된 무작위 배정 및 이중맹검 임상연구 사례만을 선별하여 임상적 유용성을 평가하였다. 현재 modafinil은 주의력결핍 과잉행동 장애 치료제로 허가된 의약품은 아니지만 최근 여러 국가에서 시행된 연구들은 modafinil이 안전하고 효과적인 주의력결핍 과잉행동장애 치료제일 수 있다는 결과를 보여주고 있다.

• Journal of Korean Ophthalmic Optics Society
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• v.15 no.4
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• pp.319-328
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• 2010

Purpose: To understand the status and actual condition of clinical practice in ophthalmic optics and offer a effective operation plan and improvement of quality of clinical practice. Methods: The school survey were investigated from 30 ophthalmic optics school and student survey were investigated from 161 students among these 4 schools. Results: 'No specific program for clinical practice' were 60.7%. Most schools apply clinical practice to credit (96.4%) but naming of subject and credit were varied in each school. 'Communication skill' was most difficult task and 'cleaning and arrangement of frame and stuff' were major task to students during clinical practice. Best benefits through clinical practice was 'knowing real status of optical business'. Comparison in carrier preference, optical shop and spectacles/contact lens company were decreased and eye hospital and norelation work were increased after clinical practice. Conclusions: Wide study on effective operation plan for clinical practice in ophthalmic optics and on the improvement of students' satisfaction and close cooperation and interest were needed between schools and clinical practice places.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.1
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• pp.316-324
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• 2017

The purpose of this descriptive study was to identify the relationship among incivility, burnout, coping, and satisfaction to clinical practice experienced by nursing college students in clinical practice. A set of self-reported questionnaires, which included demographic characteristics, incivility, burnout, coping, and satisfaction to clinical practice, was completed by 160 nursing college students. Data was analyzed using t-test, ANOVA, correlation analysis, and multiple regression analysis by SPSS ver. 18.0. The mean age was 21.5 years. The mean scores, in Likert scales, were 1.18. 3.41, 2.48 and 3.30 out of 5 for items of incivility, burnout, coping, and satisfaction, respectively. According to our analysis, significant positive correlations were observed among incivility, burnout, and coping; significant negative correlations were observed between incivility and satisfaction, as well as between burnout and satisfaction. The predictors on satisfaction to clinical practice were coping, incivility, and burnout. Our model explained 26.6% (F=9.868, p<.001) of the variance. Based on the findings of this study related to main impediment, it is necessary to build prepared practice environments, such as interpersonal relations capacity empowerment and supporting system. Therefore, various nursing curricular programs are needed to promote satisfaction through multilateral collaboration with clinical practice among nursing college students.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.4
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• pp.276-284
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• 2020

The purpose of this study was to provide basic data on hand washing of physical therapists by examining their awareness and practice of hand washing according to proper clinical practice. A total of 536 questionnaires were collected from physical therapy students in Gwangju metropolitan city. The general characteristics of the subjects were calculated by frequency analysis, and the awareness and practice of hand washing with and without clinical practice were analyzed by independent t-tests. As a result of analyzing hand washing awareness according to the clinical practice, there was a significant difference in hand washing up to the wrist (p<0.05), and a significant difference in 6 stages of proper hand washing (p<0.01). As a result of analyzing hand washing practice according to clinical practice, there was a significant difference in hand washing before eating and starting clinical practice (p<0.05), a significant difference in washing hands after contacting clinical practice equipment and washing your fingers from your thumb down (p<0.01). As a result of analyzing the correlation between awareness and practice, most showed positive correlation. This means it is important to raise the awareness of proper washing hands. Therefore, it is believed that the training school should repeatedly conduct its own hand washing training within the school and in clinical practice to increase awareness and improve handwashing in clinical practice.

• Journal of the Korean Society of Radiology
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• v.81 no.3
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• pp.665-675
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• 2020

Purpose This study aimed to identify independent predictors of favorable outcomes associated with emergent carotid artery stenting (CAS) in patients with acute anterior circulation stroke. Materials and Methods This study included 93 patients with acute stroke who underwent emergent CAS to treat stenoocclusive lesions in the cervical internal carotid artery (ICA) within 6 hours of the onset of the associated symptoms. Data were compared between patients with and without favorable outcomes. The independent predictors of a favorable outcome were determined via logistic regression analysis (modified Rankin Scale 0-2 at 90 days). Results Intracranial tandem occlusion was noted in 81.7% of patients (76/93) among which (76/93), 55 of whom underwent intracranial recanalization therapy. Intracranial reperfusion was successful in 74.2% (69/93) and favorable outcomes were noted in 51.6% of patients (48/93). The mortality rate was 6.5% (6/93). In logistic regression analysis, diffusion-weighted imaging-Alberta Stroke Program Early CT Score [odds ratio (OR), 1.487; 95% confidence interval (CI), 1.018-2.173, p = 0.04], successful reperfusion (OR, 5.199; 95% CI, 1.566-17.265, p = 0.007), and parenchymal hemorrhage (OR, 0.042; 95% CI, 0.003-0.522, p = 0.014) were independently associated with a favorable outcome. Conclusion Baseline infarct size, reperfusion status, and parenchymal hemorrhage were independent predictors of favorable outcomes after emergent CAS to treat stenoocclusive lesions in the cervical ICA in patients with acute anterior circulation stroke.