• Title/Summary/Keyword: 임상 결과

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The Effect of Suffering Experience, Empathy Ability, Caring Behaviors on Terminal Care Performance of Clinical Nurses (임상간호사의 고통경험, 공감역량 및 돌봄행위가 임종간호수행에 미치는 영향)

  • Jo, Kae Hwa;Park, Ae Ran;Lee, Jin Ju;Choi, Su Jung
    • Journal of Hospice and Palliative Care
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    • v.18 no.4
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    • pp.276-284
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    • 2015
  • Purpose: This study was performed to identify factors affecting terminal care performance of clinical nurses. Methods: The participants in this study were 175 nurses working in hospitals in Daegu and North Gyeongsang Province. Data were collected using a self-reported questionnaire and were analyzed with the IBM SPSS WIN 19.0 program. Results: Nurses' terminal care performance was significantly related with suffering experience, empathy ability and caring behaviors. Significant predictors for terminal care performance were their department, empathy ability and caring behaviors. These factors explained 43.52% of the variance in terminal care performance of clinical nurses. Conclusion: Our study results suggest that terminal care performance of clinical nurses can be strengthened by improving empathy ability and caring behaviors.

A Literature Review of Clinical Trials on Alternative Medicine (대체의학 임상실험 현황에 대한 문헌고찰)

  • Cho, Hyun;Yoo, Jin-Yeong;Park, Soo-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.11
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    • pp.4395-4403
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    • 2010
  • The aim of this study is to know about condition of alternative medicine. Methods which An literature search in Pubmed January 2000 to March, 2010 was performed. RCT(Randomized Controlled Trial), CCT(Controled Clinical Trials), and OD(efficacy studies with either a controlled or an Other than controlled Design) were included. PubMed databases were searched using key terms relating to alternative medicine. 19 clinical trials were included among 682 studies searched. RCT was 44%, CCT was 16% and OD was 40% in the review. In the all of included studies, the acupuncture and the massage was the biggest part. The using rate was 20% of pain control about Disease of the Musculoskeletal system and Connective tissue, 15% of Certain infectious and parasitic diseases, and 15% of Neoplasms. There was lack of evidence that alternative medicine was effective for progress. Future well-designed clinical trials is needed.

Sensory Integration Clinical Adaptation of Novice Occupational Therapists Working at a Child Private Clinic Center (아동 발달센터에서 근무하는 신입 작업치료사의 감각통합 임상 적응과정)

  • Hong, Hyeon-Taek;Lee, Hye-Rim
    • The Journal of Korean Academy of Sensory Integration
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    • v.20 no.1
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    • pp.39-54
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    • 2022
  • Objective : The purpose of this study was to identify the experiences of novice occupational therapists working at a child private clinic center in the clinical experience process of sensory integration therapy and to understand the adaptation process in child private clinic center. Methods : The participants were four occupational therapists with less than 1 year of clinical experience. Data collection was conducted through in-depth interviews, and the recorded interview responses were transcribed and analyzed. The analysis of the data was made by phenomenological analytic method suggested by Giorgi. Results : As a result of analyzing the adaptation process of novice occupational therapists working at the child private clinic center, 3 categories, 6 themes, and 16 main meanings were derived. Novice occupational therapists experienced difficulties arising from clinical, obstacles from the working environment, positive factors inside the center, support from outside the center, self-effort, and changes through adaptation experience. Conclusion : Along with changes to the social system and pediatric rehabilitation institution, one's own effort are also required so that novice child occupational therapists working at child private clinic centers can adapt and perform at their roles.

An App-based Evolving Medical Nomogram Service System (앱기반 진화 의료 노모그램 서비스 시스템)

  • Lee, Keon-Myung;Hwang, Kyoung-Soon;Kim, Wun-Jae
    • Journal of Korea Entertainment Industry Association
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    • v.4 no.4
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    • pp.72-76
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    • 2010
  • Clinical nomogram is a graphical representation of numeric formula, constructed from clinical cases database of followed patients' treatment, which is used for medical predication. For a clinical nomogram to contribute patient care, it is required to accumulate as many as clinical cases and to extract medical prediction knowledge. It needs to be equipped with an effective method to build medical nomogram with high predication accuracy. It is desirable for medical nomogram to be accessible at patient care point. This paper proposes a medical nomogram service system architecture which takes into account the above-mentioned issues. The proposed system architecture includes a web-based database subsystem to maintain and keep track of clinical cases. On the periodic basis, a new clinical nomogram is reconstructed for the updated clinical database. For the convenient use of patient care practice environment, an app-based program is provided which makes prediction based on the most recent clinical nomogram constructed in the service system. The proposed method has been applied to a clinical nomogram service system development for recurrence and survival prediction in bladder cancer patients.

Veterinary Clinicostatistical Observation on the Productive Performance in A Breeding Sow Herd in Japan (일본국내의 종빈돈장에 대한 수의임상통계학적 관찰)

  • Sakai Takeo;Luenyosluechaul Supol;Lee Won-Chang
    • Journal of Veterinary Clinics
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    • v.10 no.2
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    • pp.157-162
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    • 1993
  • Veterinary clinicostatistical observation on the productive performance in a breeding sow herd in Japan during the period from January to December in 1990, in a modernized breeding sow herd in kanagawa prefecture, consist monthly, varied from 347 to 363 sows on production(average 355) and boar on service of between 26~29(average 28) shows computerized analysing figures of moderate high production results per year of 20.8 weaning pigs per sow or 18.8 fatteners at market weight per sow when continue their rearing within farm. Sows perform average 2.25 litters per sow that year. On other hand, morbidity rate of piglets with clinical signs and symptoms was 0.2%(morbidity rate : 200 per 100,000 population In piglets) on average in year and that of mortality rate in suckling from birth was 17.8%, respectively Finally, these information may be used or reference in further study of the field of veterinary clinicostatistics and medicine.

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Pathological Findings of Necrotizing Skeletal Myopathy in Layer Breeder Chickens (산란 종계 골격근의 괴사성 근증에 대한 병리학적 소견)

  • 권용국
    • Korean Journal of Poultry Science
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    • v.30 no.1
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    • pp.55-59
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    • 2003
  • A necrotizing skeletal myopathy was diagnosed in three flocks of 30,000 thirty-eight-week-old layer breeder chickens. The mortality attributed to the myopathy was 17.7%, 12.3% and 21.1% in flock A, B and C, respectively. Clinically, chickens were showed depression, anorexia, posterior paresis, inability to rise, incoordination, reluctance to move, and leg trembling and weakness. The most striking findings at necropsy was pale streaking in the muscles of the thighs and legs. Microscopic lesions included myofiber degeneration and necrosis with massive cellular proliferation interpreted as sarcolemmal nuclei proliferation. Plasma creatine kinase, asparte aminotransferase and akaline phosphatase were markedly elevated. In conclusion, author suggested that submitted chickens were affected by ionophores poisoning.

Evaluation of Image Quality for Radiographic Positioning using IEC Radiation Quality in the Digital Radiography System (디지털방사선시스템에서 IEC표준을 이용한 방사선 영상 품질의 평가)

  • An, Hyeon;Kim, Changsoo;Kim, Jung-Hoon
    • The Journal of the Korea Contents Association
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    • v.15 no.7
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    • pp.289-299
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    • 2015
  • The purpose of this study is to evaluate and compare the quality of digital X-ray imaging system. The image quality evaluation was conducted By using Modulation transfer function indicating the quantitative resolution of the image and the noise power spectrum showing the noise characteristics. Using a IEC61267 radiation quality was applied to the geometry to be used in clinical and geometry presented in IEC62220-1 and Additional filter, grid, the clinical dose and the MTF value of edge phantom was measured. Result of the MTF corresponding to each item(Grid, Filter, SID, kVp, mAs), the clinical condition 100cm, 180cm, measurements of the spatial frequency of the MTF IEC62220-1Geometry 150cm became similarly apparent, rather spatial frequency was also the case high in clinical conditions 100cm. NPS results, as the dose(mAs) is increased, NPS showed that reduced. The image quality evaluation using IEC61267 the Radiation quality, Image quality of the video using the clinical conditions Geometry than image quality evaluation using IEC62220-1Geometry was better. It shows that MTF and NPC in IEC and clinical condition were not significantly different. In order to apply the evaluation method of image quality applied with clinical conditions rather than the future method, to be presented evaluation of IEC standard, based on the results of the image characterization studies in this paper, the methods that shows good quality of spatial resolution and decrease NPS value as the least dose, used suitable parameters for whether or not using added filter, grid, change SID and clinical quality(kVp), dose(mAs) etc should be found. then It is believed to be able to properly maintain the actual quality of the image of the digital radiographic imaging system in clinical.

Effects of Work Environment, Job Satisfaction, and Organizational Commitment on Turnover Intention of Clinical Research Coordinator Nurses (임상시험코디네이터 간호사의 근무환경, 직무만족, 조직몰입이 이직의도에 미치는 영향)

  • Kim, Seul Ki;Lim, Ji Young
    • The Journal of the Korea Contents Association
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    • v.18 no.5
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    • pp.175-190
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    • 2018
  • This was a descriptive study aiming to verify the effects of work environment, job satisfaction, and organizational commitment on the turnover intention of Clinical Research Coordinator(CRC) nurses. In the results of this study, the organizational commitment had significant effects on the turnover intention of CRC nurses. On the other hand, the work environment and job satisfaction had no statistically significant effects on the turnover intention of CRC nurses. Based on the results of this study, the main discussions were drawn as follows. In order to increase the organizational commitment, it would be necessary to have the institutional improvement like the increase of opportunity to participate in the hospital operation, administration, and the establishment of affiliated institution for improving a sense of belonging. It would be also necessary for each hospital to establish the standard of welfare, wage system for the improvement of work environment. If the organizational commitment of CRC nurses who are the actual performers, supporters of researches is ignored, it is unavoidable that the performance and quality of clinical tests would be declined. Therefore, there should be some changes, so that CRC nurses could play a pivotal role in the whole process of clinical test, by changing the employment status from contract position to more stable employment status, to increase their commitment to organization and work continuity.

Comparative Analysis of Clinical and Histopathological Appearance Between Oral Leukoplakia and Lichen Planus (구강 백반증과 편평태선의 임상·병리조직학적 소견 비교 분석)

  • Ryu, Mi-Heon
    • Journal of dental hygiene science
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    • v.5 no.4
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    • pp.199-204
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    • 2005
  • Background : Oral leukoplakia(OL) and lichen planus(LP) are common soft tissue lesions characterized by white plaque or striae with erosion. The clinical characteristics of these diseases are similar but the cause and clinical course of them are very different. I compared OL with LP by analysizing clinical and histopathological characteristics and follow up study. Patients and methods : The clinical analysis of 200 patients with OL and LP was performed by review of dental and medical charts. And H/E slides were examined under the light microscope. we examined H/E slides by the light microscope. The follow up study of patients was performed. Statistical analysis was done using the SPSS/PC WINDOWS (version 13.0). Results : The age distribution of OL was in the range of 13-75 years old being most prevalent in the 5th decade and there was a tendency of male prevalent. The age distribution of LP was in the range of 20-79 years old being most prevalent in the 4th decade and there was a tendency of female prevalent. The most common site of involvement was the buccal mucosa in both diseases. The most common clinical features of OL and LP were white plaque type and white lesion with striae, respectively. In case of LP, the most common clinical sign was tenderness to palpation. Fifteen cases of OL and eight cases of LP showed epithelial dysplasia. Twelve cases of OL recurred after surgery of oral squamous cell carcinoma and 2 cases of LP were transformed into oral squamous carcinoma. Conclusion : There was statistically significant difference in age, sex, clinical signs of patients, frequency of epithelial dysplasia between OL and LP. The Pearson coefficient correlation efficient was 0.51(p < 0.05). The knowledge of the difference between OL and LP can help understand these diseases.

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Topiramate for the Treatment of Binge Eating Disorder or Bulimia Nervosa : A Systemic Review of Human Clinical Studies and Case Reports (Topiramate의 신경성 폭식증 치료효과: 국내외 보고된 임상연구결과 및 치험사례 중심으로)

  • Lee, Yu-Jeung;Bang, Joon-Seok
    • Korean Journal of Clinical Pharmacy
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    • v.17 no.1
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    • pp.6-12
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    • 2007
  • The clinical investigations above suggest that topiramate may be an effective agent in the treatment of BED or BN by reducing binging/purging episodes, improving the HRQOL, and decreasing weight. The case report and case series also support these findings. However, there are several limitations in the above studies and cases. All these had relatively small sample size, and two of them were only 10-week-period studies. Optimal duration of treatment with topiramate in patients with BED or BN is unknown. As most clinicians treat the patient with BED or BN for 6 to 12 months and then reassess, at least 6 months period is needed to show its efficacy. One of studies included only women in the patient group. In the case series, all patients had severe comorbid mood disorders such as major depression and bipolar disorder besides BN. Therefore, notwithstanding its clinical usefulness, additional researches are needed to define the role and the benefits of topiramate in the treatment of BED or BN more thoroughly.

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