• Title/Summary/Keyword: Allied health science

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A Bibliometric Analysis of Diets and Breast Cancer Research

  • Kotepui, Manas;Wannaiampikul, Sivaporn;Chupeerach, Chaowanee;Duangmano, Suwit
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.18
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    • pp.7625-7628
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    • 2014
  • Breast cancer is the most common cancer among women worldwide. The primary aim of this work was to provide an in-depth evaluation of research publications in the field of diets and breast cancer. The impact of economic outcome on national academic productivity was also investigated. Data were retrieved using Pubmed for English-language publications. The search included all research for which articles included words relating to "diets and breast cancer". Population and national income data were obtained from publicly available databases. Impact factors for journals were obtained from Journal Citation Reports$^{(R)}$ (Thomson Scientific). There were 2,396 publications from 60 countries in 384 journals with an impact factor. Among them, 1,652 (68.94%) publications were Original articles. The United States had the highest quantity (51% of total) and highest of mean impact factor (8.852) for publication. Sweden had the highest productivity of publication when adjusted for number of population (6 publications per million population). Publications from the Asian nation increased from 5.3% in 2006 to 14.6% in 2012. The Original article type was also associated with geography (p<0.001; OR=2.183; 95%CI=1.526-3.123), Asian countries produced more proportion of Original articles (82%) than those of rest of the world (67.6%). Diets and breast cancer-associated research output continues to increase annually worldwide including publications from Asian countries. Although the United States produced the most publications, European nations per capita were higher in publication output.

Evaluation of Asymetric Film-Screen System (비대칭(非對稱) 필름-스크린 시스템에 관한 검토(檢討))

  • Huh, Joon;Kim, Jung-Min;Lee, Sun-Sook;Lee, In-Ja;Choi, Jong-Hak;Kim, Sung-Soo
    • Journal of radiological science and technology
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    • v.16 no.1
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    • pp.57-65
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    • 1993
  • Asymetric system have been introduced in these years by KODAK company nam of Insight system for the purpose of improve the chest image. We have had a problem of chest radiology that it is very difficult to visualize the lung field and modiastinal region at one shot. That's why we are the RT using the technique of high voltage hard quality radiography in chest radiography. Also it is known the c-type wide latitude film can lift up the density of mediastinal structures. Authors investigated the photographic characteristics and physical structure of Insight system. Method 1. Investigated the structure of Emulsion layer. Calculated the particle size of Insight system using SEM(Scanning Electron Microscope). 2. Photographic characteristics has been compared the Insight system with the ortho KM/MG combination in $60{\sim}120kV$ range. Results 1. The particle size of backside film were investigated about 2 times larger that of front side film. 2. The front and backscreen's thickness ratio was detected 1 : 3.87, that the backscreen's thickness was thicker than frontscreen. 3. At the view point of photographic characteristics the frontside of insight system make up the contrast, backside make up the density at low exposure lesion.

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Antioxidant Activity of Solvent Extract from Onion Skin (양파껍질에서 분리된 용매 추출물의 항산화효과)

  • Ra, Kyung-Soo;Suh, Hyung-Joo;Chung, Soo-Hyun;Son, Jong-Youn
    • Korean Journal of Food Science and Technology
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    • v.29 no.3
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    • pp.595-600
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    • 1997
  • The antioxidant activity of the solvent fractions extracted from onion skin was examined. The antioxidant activity of methanol extract at the cencentration of 0.02% and 0.03% was stronger than that of mixed tocopherol. The antioxidant activity of the fractions of methanol extract increased in the order of butanol> ethyl acetate> ethyl ether> water fraction. The antioxidant activity of each fractions was strongly related with total phenol content and HDA. Further separation of butanol fraction by TLC yielded 6 fluorescent bands with Rf values of 0.20, 0.33, 0.49, 0.60 and 0.94. The total phenol content and HDA of fluorescent band, Rf 0.96, were remarkable higher than those of the other band and exhibited a strong UV absorption at 255 nm and 317 nm, which would be specifically produced by flavonol. Spectral analyses indicated that the major antioxidant component was quercetin aglycone (3,3',4',5,7-pentahydroxyflavone).

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Factors Related to Emotional Leadership in Nurses Manager: Systematic Review and Meta-Analysis (간호관리자의 감성리더십 관련 변인: 체계적 문헌 고찰 및 메타분석)

  • Jang, Se Young;Park, Chan Mi;Yang, Eun Hee
    • Journal of Korean Academy of Nursing
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    • v.54 no.2
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    • pp.119-138
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    • 2024
  • Purpose: This study aimed to identify research trends related to emotional leadership among nurse managers by conducting a systematic literature review and meta-analysis. This study sought to derive insights that could contribute to improving emotional leadership in nursing practice. Methods: A systematic review and meta-analysis were conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) and Meta-Analysis Of Observational Studies in Epidemiology (MOOSE) guidelines. Databases including PubMed, Cumulative Index to Nursing and Allied Health Literature, Scopus, Web of Science, Research Information Sharing Service, Koreanstudies Information Service System, Korean Medical Database, KoreaMed, ScienceON, and DBpia were searched to obtain papers published in English and Korean. Literature searches and screenings were conducted for the period December 1, 2023 to December 17, 2023. The effect size correlation (ESr) was calculated for each variable and the meta-analysis was performed using the statistical software SPSS 29.0, R 4.3.1. Results: Twenty-five (four personal, six job, and fifteen organizational) relevant variables were identified through the systematic review. The results of the meta-analysis showed that the total overall effect size was ESr = .33. Job satisfaction (ESr = .40) and leader-member exchange (ESr = .75) had the largest effect size among the job and organizational-related factors. Conclusion: Emotional leadership helps promote positive changes within organizations, improves organizational effectiveness, and increases member engagement and satisfaction. Therefore, it is considered an important strategic factor in improving organizational performance.

Effects of Non-Pharmacological Interventions on Major Adverse Cardiac Events in Patients Underwent Percutaneous Coronary Intervention: Systematic Review and Meta-Analysis (경피적 관상동맥 중재술을 시행한 대상자에게 적용한 비약물적 중재가 주요 심혈관 사건에 미치는 효과: 체계적 문헌고찰과 메타분석)

  • Jo, Sojeong;Lee, Haejung;Park, Gaeun
    • Journal of Korean Academy of Nursing
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    • v.54 no.3
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    • pp.311-328
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    • 2024
  • Purpose: In this study a systematic review and meta-analysis investigated the impact of non-pharmacological interventions on major adverse cardiac events (MACE) in patients with coronary artery disease who underwent percutaneous coronary intervention (PCI). Methods: A literature search was performed using PubMed, Cochrane Library, EMBASE, and Cumulative Index to Nursing & Allied Health Literature databases up to November 2023. The risk of bias was assessed using the Cochrane Risk of Bias 2.0 tool. Effect sizes and 95% confidence intervals were calculated using R software (version 4.3.2). Results: Eighteen randomized studies, involving 2,898 participants, were included. Of these, 16 studies with 2,697 participants provided quantitative data. Non-pharmacological interventions (education, exercise, and comprehensive) significantly reduced the risk of angina, heart failure, myocardial infarction, restenosis, cardiovascular-related readmission, and cardiovascular-related death. The subgroup meta-analysis showed that combined interventions were effective in reducing the occurrence of myocardial infarction (MI), and individual and group-based interventions had significant effects on reducing the occurrence of MACE. In interventions lasting seven months or longer, occurrence of decreased by 0.16 times, and mortality related to cardiovascular disease decreased by 0.44 times, showing that interventions lasting seven months or more were more effective in reducing MI and cardiovascular disease-related mortality. Conclusion: Further investigations are required to assess the cost-effectiveness of these interventions in patients undergoing PCI and validate their short- and long-term effects. This systematic review underscores the potential of non-pharmacological interventions in decreasing the incidence of MACE and highlights the importance of continued research in this area (PROSPERO registration number: CRD42023462690).

Survey on Radiographic Works in Hospitals and Clinics (병(病)-의원(醫院)의 X선촬영업무(線撮影業務)에 관한 실태조사(實態調査))

  • Choi, Song-Hak;Jeon, Man-Jin;Park, Sung-Ock;Lim, Han-Young;Kim, Keon-Chung;Huh, Joon;Choi, Jong-Woon
    • Journal of radiological science and technology
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    • v.7 no.1
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    • pp.3-11
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    • 1984
  • The major findings of this investigation on radiographic works in 125 medical institutions around Seoul and Kyung-Ki area, from March 1983 to February 1984, are summarized as follows. 1. The number of references provided on radiographic techniques were 3 to 5 in general hospitals (52.1%), in hospitals (58.5%), and clinics (44.5%), and only the 10.4% of general hospitals had 11 or more. 2. The relatively high percentages of 75.0% of general hospitals and 68.3% of hospitals have established the standardized radiographic methods for regions examined, but most clinics (61.1%) have not. 3. As a log system for the radiographic request, the method of "routine study, or all the x-ray examinations are marked as 0 on a printed form" was most commonly used by general hospitals (62.5%) and hospitals (51.2%), and "the doctors employ their own methods" in most clinics (44.6%). 4. In the 85.4% of general hospitals, the 68.3% of hospitals and the 38.9% of clinics, the data such as diagnosis, clinic history, purpose of x-ray examination were recorded on a radiographic request at all times, or at least in part. 5. On a scale of hardness and easiness of order of doctors, the greatest response was "fairly easy to understand", and the 37.5% of general hospitals responded as "sometimes hard". 6. In determining the standards for radiographic factors, the general hospitals (62.5%) and hospitals (65.9%) adapted mostly "a departmental check list", and the clinics (61.1%) used mainly "a personal decision". 7. In using the immobilizing devices, angligner, and radiographic accessories, the Percentages were high in general hospitals and hospitals on the one hand, and were low in clinics on the other. 8. A consideration with regard to the devices for an improvement of examination of the same patients was totally ignored by the 50.0% of clinics, the 26.8% of hospitals and the 20.8% of general hospitals. 9. The causes of re-examination were due largely to patients (33.6%), and followed proportionately by incorrect exposure (22.8%), errors in positioning (22.0%), film processing faults (9.2%), conditions of x-ray equipments (8.8%), and quality of x-ray films (3.6%). 10. The conference on radiography was conducted regularly or irregularly by the 87.5% of general hospitals, the 56.1% of hospitals, and the 27.7% of clinics, and the meeting was proceeded only by radiologic technologists.

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Development of a Critical Pathway for the Chemotherapy of Non-small Cell Lung Cancer Patients and Its Effects (비소세포성 폐암 환자의 항암화학요법을 위한 Critical Pathway개발과 적용효과)

  • Choe, Ja-Yun;Jang, Geum-Seong;Choe, Eun-Yeong
    • Journal of Korean Academy of Nursing Administration
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    • v.8 no.1
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    • pp.85-95
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    • 2002
  • The purpose of this study was to develope a critical pathway for the chemotherapy of non-small cell lung cancer patients and to identify its effects after implementation. Critical pathway was developed through 5 steps including content and clinical validity tests with collaborative efforts of nurses, clinicians, and other allied healthcare professionals with the aim of improving the quality of patient care, while minimizing cost to the patients. This paper was described an evaluation of the impact of a developed critical pathway on complication rate, length of stay, costs, the interval of treatment and patient satisfaction by nonequivalent control group posttest-only non-synchronized research design.Results were compared between the two groups of patients. There were no significant differences in demographic variables and the occurrence of bone marrow suppression between experimental group and control group(t=-0.01, p=0.992). There were statistically significant decreases in the average length of stay(t=-10.45, p=0.000), in the average cost(t=-2.988, p=0.004), and in the interval of treatment(t=-6.75, p=0.000) after implementation of the critical pathway compared to control group. Also, there was a statistically significant improvement of the patient satisfaction after implementation of the critical pathway compared to control group(t=4.57, p=0.000). This paper concludes that critical pathway in chemotherapy for lung cancer, implemented in the context of an general hospital, is the useful tool to shorten the hospital stay, reduce treatment costs, and improve the quality of life in cancer patients. Further study needs to be conducted to identify other clinical outcomes including job satisfaction, collaboration among health professionals and potential for use in education. Also, it is recommended that nurses should revise continuously the developed critical pathway through clinical implementation and maintain their role of patient advocacy through monitoring pathway compliance.

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Synthesis and Purification of Allithiamine from Garlic (마늘로부터 Allithiamine의 합성 및 정제)

  • Kim, In-Hwan;Lee, Young-Chul;Kim, Hyun-Ku;Park, Moo-Hyun
    • Korean Journal of Food Science and Technology
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    • v.30 no.2
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    • pp.293-298
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    • 1998
  • Allithiamine was synthesized when thiamine was mixed with fresh garlic extract made with ethanol at a alkali medium. Allithiamine was isolated and purified using solvents such as ethyl acetate, diethyl ether and benzene. Purified allithiamine was identified by determination of melting point, elemental analyzer and LC/Thermospray/Mass-spectrometer. On the other hand, synthetic conditions of allithiamine from fresh garlic, pH, temperature and ratio of garlic to ethanol were investigated. Synthetic rates of allithiamine under alkali conditions were rapidly increased while those under acidic conditions very slowly increased. The synthetic rates of allithiamine increased as temperature increased, but decreased above $70^{\circ}C$ as reaction time increased. There was no significant difference in synthetic rate of allithiamine when garlic was mixed above 4 times of ethanol. Therefore, optimum condition of pH, temperature and ratio of garlic to ethanol for synthesis of allithiamine were 8, $60^{\circ}C$ and 1 : 4, respectively.

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Visual Evaluation of Rib Shadow and Lung Marking during High-voltage Chest Radiography (흉부 고관전압 촬영에 있어서의 늑골음영과 폐문리의 시각적 평가)

  • Choi, Kwon-Kyu;Lee, Chang-Yup;Shin, Dong-Sik;Kim, Chang-Nam;Choi, Ki-Young;Huh, Joon
    • Journal of radiological science and technology
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    • v.15 no.1
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    • pp.99-105
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    • 1992
  • Visual evaluation of rib shadow and lung marking during high voltage chest radiography. The Purpose of this study is to improvement of visual discrimination of pulmonary structures on the conventional chest radiogram. The author prepared an artificial lung using an acryl plate, 8 cm in thickness, which is nearly equivalent to human lung, and 0.6 cm thickness of an aluminum plate for an artificial rib, and 0.5 cm of an acryl plate as a pulmonary vessel as well. And they were used as objects for experimental radiograms. This study performed with gradual increasing densities of film bases in the sequences of densities of 0.6, 0.9, 1.1 and 1.3. We made two combinations of images after multiple and regular cuts, with width of 1 cm, of 4 radiograms at the above mentioned densities of film bases. One image consisted of alternative combination of radiograms taken at densities of 0.6 and 1.3, and the other did at 0.9 and 1.1. The latter image provided better visual perception of pulmonary structures than the former. Experimental radiograms were also taken with 60 kV and 120 kV respectively. After careful evaluation and comparison to images taken on varieties of different densities with combinations and kV, the author had a conclusion that it is advisable to use a high kV X-ray which makes rib shadow subtle, for better visual delineation of pulmonary structures behind ribcage, eventhough contrast of pulmonary structures are decreased at high kV radiogram.

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Diagnostic accuracy of clinical tests to rule out elbow fracture: a systematic review

  • Giorgio Breda;Gianluca De Marco;Pierfranco Cesaraccio;Paolo Pillastrini
    • Clinics in Shoulder and Elbow
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    • v.26 no.2
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    • pp.182-190
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    • 2023
  • Elbow traumas represent a relatively common condition in clinical practice. However, there is a lack of evidence regarding the most accurate tests for screening these potentially serious conditions and excluding elbow fractures. The purpose of this investigation was to analyze the literature concerning the diagnostic accuracy of clinical tests for the detection or exclusion of suspected elbow fractures. A systematic review was performed using the Preferred Reporting Items for a Systematic Review and Meta-analysis of Diagnostic Test Accuracy Studies (PRISMA-DTA) guidelines. Literature databases including PubMed, Cumulative Index to Nursing and Allied Health Literature, Diagnostic Test Accuracy, Cochrane Library, the Web of Science, and ScienceDirect were searched for diagnostic accuracy studies of subjects with suspected traumatic elbow fracture investigating clinical tests compared to imaging reference tests. The risk of bias in each study was assessed independently by two reviewers using the Quality Assessment of Diagnostic Accuracy Studies 2 checklist. Twelve studies (4,485 patients) were included. Three different types of index tests were extracted. In adults, these tests were very sensitive, with values up to 98.6% (95% confidence interval [CI], 95.0%-99.8%). The specificity was very variable, ranging from 24.0% (95% CI, 19.0%-30.0%) to 69.4% (95% CI, 57.3%-79.5%). The applicability of these tests was very high, while overall studies showed a medium risk of bias. Elbow full range of motion test, elbow extension test, and elbow extension and point tenderness test appear to be useful in the presence of a negative test to exclude fracture in a majority of cases. The specificity of all tests, however, does not allow us to draw useful conclusions because there was a great variability of results obtained.