• Title/Summary/Keyword: 임상 결과 예측

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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.

Predictive Factors Influencing Clinical Competence in Nursing Students (간호학생의 임상수행능력에 영향을 미치는 예측변인)

  • Kang, Hye-Seung;Kim, Yoon-Young;Lee, Hong-Sun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.3
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    • pp.389-398
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    • 2018
  • This study examined the influence of problem solving ability, communication skill and self-efficacy on clinical competence of nursing students. The research subjects were 184 grade 4 nursing students in D and G city. Data were collected from September 1 to September 10, 2016 and analyzed by independent t-test, one-way ANOVA, Pearson's correlation, and stepwise multiple regression using the IBM SPSS/WIN 20.0 program. The results showed that the problem solving ability was 3.60, communication skill was 3.79, and self-efficacy was 3.45. The clinical competence was positively correlated with problem solving ability, communication skill and self-efficacy. Problem solving ability (${\beta}=0.283$, p<0.001), self-efficacy (${\beta}=0.249$, p<0.001), motivation for nursing (${\beta}=0.182$, p=0.002), communication skills (${\beta}=0.176$, p=0.016), and interpersonal relationships (${\beta}=0.101$, p=0.082) explained 42.8% of the total variance in clinical competence of nursing students. The most significant predictors of clinical competence were problem solving ability, followed by self-efficacy and communication skills. Therefore, it is necessary to develop an empowerment program to improve problem solving ability, self-efficacy and communication skills of nursing students.

Implementation of the Linear Regression Equation for Gestational Age Prediction in the 3D Ultrasonography (3차원초음파에서 임신주수 예측을 위한 선형회귀방정식의 구현)

  • Yang, SungHee;Lee, Jin-Soo;Kim, Jung-Hoon;Kim, Changsoo
    • The Journal of the Korea Contents Association
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    • v.15 no.6
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    • pp.276-282
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    • 2015
  • Fetal cerebellum is grow depending on the gestational age, measurement of transverse cerebellar diameter(TCD) is being used import indicator of fetal growth prediction in clinical. In this study, the subjects were normal pregnant women 20~37 week of gestation, and the volume scan was conducted on the 340 subjects. The research reports was indicated by regression curve the growth of fetal TCD in accordance with the gestational age. It got to the value of the results from a linear regression equation. Measurement fetal TCD using 3D US was statistically significant(p<0.001) and useful in the prediction of gestational age. TCD increases with gestational age can also distinguish between the normal fetal and prediction of accurate gestational age of fetal growth retardation. If the basic data of the present study, ongoing research is performed, the TCD using by 3D US are expected to be usefully applied in the correct prediction gestational age.

Affecting Factors of Self-efficacy and Clinical Practice Satisfaction on Career Attitude Maturity in Nursing Students (간호대학생의 자기효능감과 임상실습만족도가 진로태도성숙도에 주는 영향)

  • Shin, Seung-Ok
    • Journal of Convergence for Information Technology
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    • v.8 no.6
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    • pp.85-91
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    • 2018
  • The purpose of this study to investigate the effects of self-efficacy and clinical practice satisfaction among nursing students and to provide counseling and guidance for nursing. There are 121 nursing students 4th grade students who accomplished all clinical practices cited one specific location. Collected data were analyzed using Pearson's correlation and Multiple regression. The results shown by the study were shown to be positively correlated. The results of the study were clinical practice satisfaction 13.3%(${\beta}=.248$) and self-efficacy 38.6%(${\beta}=.570$), respectively. A total of 44% were the factors affecting the career attitude maturity. Therefore, it is necessary to develop a curriculum to enhance the self-efficacy of nursing students and to improve the satisfaction of clinical practice.

Flash Point Determination of Binary Liquid Solution Containing Nonflammable Component (비가연성 성분을 포함한 이성분계 액상 용액의 인화점 결정)

  • Ha, Dong-Myeong;Lee, Sungjin
    • Journal of the Korean Institute of Gas
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    • v.23 no.3
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    • pp.40-45
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    • 2019
  • Flash point is the important flammability indicator characterizing the risk of fire and explosion of flammable liquid mixture. In this study, flash points of water+formic acid and water+acrylic acid were measured by Seta flash apparatus. The flash points estimated by the methods based on empirical equation and Raoult's law were compared with experimental flash points. Absolute average errors of the results estimated by Raoult's law are $10.7^{\circ}C$ and $4.8^{\circ}C$ for water+formic acid and water+acrylic acid, respectively. Absolute average errors of the results estimated by empirical equation are $1.0^{\circ}C$ and $0.5^{\circ}C$ for water+formic acid and water+acrylic acid, respectively. In conclusion, the estimated values by empirical equation simulated the measured values better than those calculated by Raoult's law.

Mild Cognitive Impairment Prediction Model of Elderly in Korea Using Restricted Boltzmann Machine (제한된 볼츠만 기계학습 알고리즘을 이용한 우리나라 지역사회 노인의 경도인지장애 예측모형)

  • Byeon, Haewon
    • Journal of Convergence for Information Technology
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    • v.9 no.8
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    • pp.248-253
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    • 2019
  • Early diagnosis of mild cognitive impairment (MCI) can reduce the incidence of dementia. This study developed the MCI prediction model for the elderly in Korea. The subjects of this study were 3,240 elderly (1,502 men, 1,738 women) aged 65 and over who participated in the Korean Longitudinal Survey of Aging (KLoSA) in 2012. Outcome variables were defined as MCI prevalence. Explanatory variables were age, marital status, education level, income level, smoking, drinking, regular exercise more than once a week, average participation time of social activities, subjective health, hypertension, diabetes Respectively. The prediction model was developed using Restricted Boltzmann Machine (RBM) neural network. As a result, age, sex, final education, subjective health, marital status, income level, smoking, drinking, regular exercise were significant predictors of MCI prediction model of rural elderly people in Korea using RBM neural network. Based on these results, it is required to develop a customized dementia prevention program considering the characteristics of high risk group of MCI.

RELIABILITY OF IMPEDANCE AUDIOMETRY IN OTITIS MEDIA WITH EFFUSION (고막천자를 시행한 소아 삼출성 중이염환자에 대한 Impedance 청각검사의 신뢰도)

  • 김희남;박기현;박인용;임상빈;이승철;홍지헌
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1987.05a
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    • pp.11.3-12
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    • 1987
  • 삼출성 중이염은 소아연령군의 이비인후과질환중 유병율이 가장 높은 질환의 하나로 1867년 Politzer가 최초로 기술하고 치료법을 소개한 이후 그 병인 및 치료법이 다양하게 연구 개발되어 왔으며 1950년대 및 1960년대 electroacoustic impedance unit의 발전에 따라 진단법에 많은 변혁이 이루어졌다. 연자들은 1981년 1월1일 부터 1986년 12월31일까지 삼출성 중이염으로 중이내 통기관유치술 및 고막천자를 시행한 15세 이하의 290명의 환자를 대상으로 tympanogram의 양상 및 술전 기골도차를 조사하여 중이내 삼출액의 유무 및 점성도의 예측도에 대하여 살펴 보았다. Tympanometric peak pressure (T. P. P.) 가 -50mm$H_2$O 미만이며 compliance가 0.4 c.c.미만인 영역을 B영역으로. T.P.P.가 -50mm$H_2$O 미만이며 compliance가 0.4 c.c. 이상인 영역을 C영역으로 정하였을 때 중이내 삼출액 유무의 예측도는 B영역이 87.5%. C영역은 81.48%였으며 삼출액이 장액성일 경우의 예측도는 B영역이 24.51%, C영역이 22.72%이었고, 삼출액이 점액성일 경우의 예측도는 B영역이 70.39%, C영역이 54.54%이었다. 연령을 15세 - 7세군과 6세이하의 군으로 세분하였을 경우에도 비슷한 결과를 얻었다.

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Symptom Experience in Terminal Cancer Patients during the Last 48 Hours of Life (말기 암환자의 임종 전 48시간 동안의 임상증상)

  • Sim, Yun-Su;Kim, Do-Yeun;Nam, Eun-Mi;Lee, Soon-Nam
    • Journal of Hospice and Palliative Care
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    • v.10 no.4
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    • pp.190-194
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    • 2007
  • Purpose: Individual cancer patients often experience many symptoms that impair their quality of life at the end of life. Identifying symptoms at the terminal stage of cancer patients and possible imminent death prediction by using that assessment can assist physicians and patients in preparing the 'peaceful death'. This study examines symptom experience during the last 48 hours of life of terminal cancer patients, and determines whether symptom experience change with proximal to death. Methods: The medical records of 89 patients who died with terminal cancer at a hospital between July 1, 2003 and March 31, 2006 were reviewed. Symptom prevalence at the last 48 hours was analyzed along with the change of symptom experience at the admission, $48{\sim}24$ hours, and $24{\sim}0$ hours before death. Results: Median age of all patients was 62 years old (range $16{\sim}97$). During the last 48 hours, symptom prevalence was described as follows; unclear consciousness (57%), pain (30%), fever (22%), and dyspnea (19%). According to the primary site, unclear consciousness was notified the most frequent symptom, but fever was relatively high prevalence in patients of biliary origin cancer rather than other site cancer (P=0.012). As death was Impending, the prevalence of poor appetite and general weakness were decreased, while that of unclear consciousness was increased, which were all statistically significant (P < 0.05). Conclusion: The presence of unclear consciousness could be regarded as the symptom indicator as imminent death of terminal canter patients.

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Predictors of Serious Bacterial and Viral Infections among Neonates with Fever (신생아 발열 환자에서 중증 감염의 예측 인자)

  • Choi, Ui-Yoon;Lee, Jung-Soo;Lee, Jung-Hyun
    • Neonatal Medicine
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    • v.15 no.1
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    • pp.61-66
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    • 2008
  • Purpose : The purpose of this study was to describe the epidemiologic features of febrile illnesses in newborns and to predict the risk of serious infections in this population. Methods : A retrospective study was conducted on 123 full-term infants <30 days of age with an axillary temperature >38$^{\circ}C$ who were hospitalized between 2000 and 2006. Neonates with prenatal risk factors, congenital anomalies, antibiotic administration prior to admission to the hospital, or suspected hospital-acquired infections were excluded. We evaluated the symptoms, physical examination findings, laboratory data, and clinical course between the high- and low-risk groups for serious infections. Results : The high-risk group included 30 infants with the following diagnoses in order of frequency: aseptic meningitis, urinary tract infection, bacterial meningitis, infectious enteritis, sepsis concomitant with disseminated intravascular coagulopathy, bacteremia, pneumonia, cellulitis, and omphalitis. Leukocytosis and thrombocytopenia were statistically different between the two groups. Factors, such as moaning signs, seizures, body temperature, and pulse rate were statistically significant. Conclusion : Unlike previous studies, we included newborns with clinical bacterial infections and aseptic meningitis as the high-risk group. Leukocytosis, thrombocytopenia, moaning signs, seizures, and changes in vital signs were considered useful predictors for identifying febrile neonates at high-risk for serious infections in spite of a difference in the definition of serious infection.

Predicting the Potential Distribution of Pinus densiflora and Analyzing the Relationship with Environmental Variable Using MaxEnt Model (MaxEnt 모형을 이용한 소나무 잠재분포 예측 및 환경변수와 관계 분석)

  • Cho, NangHyun;Kim, Eun-Sook;Lee, Bora;Lim, Jong-Hwan;Kang, Sinkyu
    • Korean Journal of Agricultural and Forest Meteorology
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    • v.22 no.2
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    • pp.47-56
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    • 2020
  • Decline of pine forests happens in Korea due to various disturbances such as insect pests, forest fires and extreme climate, which may further continue with ongoing climate change. For conserving and reestablishing pine forests, understanding climate-induced future shifts of pine tree distribution is a critical concern. This study predicts future geographical distribution of Pinus densiflora, using Maximum Entropy Model (MaxEnt). Input data of the model are locations of pine tree stands and their environmental variables such as climate were prepared for the model inputs. Alternative future projections for P. densiflora distribution were conducted with RCP 4.5 and RCP 8.5 climate change scenarios. As results, the future distribution of P. densiflora steadily decreased under both scenarios. In the case of RCP 8.5, the areal reductions amounted to 11.1% and 18.7% in 2050s and 2070s, respectively. In 2070s, P. densiflora mainly remained in Kangwon and Gyeongsang Provinces. Changes in temperature seasonality and warming winter temperature contributed primarily for the decline of P. densiflora., in which altitude also exerted a critical role in determining its future distribution geographic vulnerability. The results of this study highlighted the temporal and spatial contexts of P. densiflora decline in Korea that provides useful ecological information for developing sound management practices of pine forests.