• 제목/요약/키워드: CARE kV

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미용사(헤어, 피부)의 근무여건과 직무만족이 이직에 미치는 영향에 관한 연구 (The Study on the Influence of Working Condition and Job Satisfaction to the Change of Occupation of Cosmetologist (Hair & Skin Care))

  • 김미옥;안현경
    • 패션비즈니스
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    • 제17권5호
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    • pp.138-150
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    • 2013
  • This paper is purposed to study on the Influence of Working Condition and Job Satisfaction on the change of occupation of Cosmetologist(Hair & Skin Care) to reduce cosmetologist change of occupation. The research methods are surveying with 250 persons & doing statistics analysis such as frequency, factor, regression analysis, using SPSS V.14. The results are as belows; 1. working conditions are reduced by two factors (1) welfare working condition, (2) basic working condition, and job satisfactions are reduced by one factor job satisfaction. 2. There is a relationship demographic characteristics, such as years, income/month, number of colleague in working area, working time/day, day off/month, with change of occupation. 3. There is a relationship working condition with change of occupation. 4. There is a relationship job satisfaction with change of occupation.

Somatic JAK-2 V617F Mutational Analysis in Polycythemia Rubra Vera: a Tertiary Care Center Experience

  • Sultan, Sadia;Irfan, Syed Mohammed;Khan, Sadia Rashid
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권3호
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    • pp.1053-1055
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    • 2016
  • Background: Polycythemia rubra vera (PV), being a primary polycythemia, is caused by neoplastic proliferation of erythroid, megakaryocytic and granulocytic lineages which result in panmyelosis. PV patients have a somatic acquired mutation in the Janus kinase (JAK2) pathway, rendering cell proliferation independent of the normal regulatory mechanisms that regulate erythropoiesis. The rational of this study was to determine the prevalence of the JAK-2 V617F mutation in Pakistani patients with PV. Materials and Methods: In this cross sectional study, 26 patients with PV were enrolled from January 2010 to December 2014. Patients were diagnosed based on WHO criteria for PV. All were screened for G-T point mutation (V617F) in the JAK2 gene on chromosome 9 by an allele specific PCR. Results: The mean age was $53.4{\pm}9.31years$ (range 36-72) and the male to female ratio was 2:1. The frequency of JAK2 V617F positivity in our PV patients was found to be 92.3%. Overall 30.7% of patients were asymptomatic and remaining 69.3% presented with symptomatic disease. The mean hemoglobin was $18.1{\pm}1.9g/dl$ with the mean hematocrit of $55.6{\pm}8.3%$. The mean total leukocyte count was $12.8{\pm}7.1{\times}10^9/l$ and the platelet count was $511{\pm}341.9{\times}10^9/l$. A positive correlation of JAK2 V617F mutation was established with high TLC count (P=0.01). No correlation of JAK2 V617F could be established with age or gender (P>0.05). Conclusions: The JAK2 V617F mutation frequency in our PV patients was similar to those reported internationally. Screening for the mutation in all suspected PV cases could be beneficial in differentiating patients with reactive and clonal erythrocytosis.

An Overview of the Genetic Variations of the SARS-CoV-2 Genomes Isolated in Southeast Asian Countries

  • Yap, Polly Soo Xi;Tan, Tse Siang;Chan, Yoke Fun;Tee, Kok Keng;Kamarulzaman, Adeeba;Teh, Cindy Shuan Ju
    • Journal of Microbiology and Biotechnology
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    • 제30권7호
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    • pp.962-966
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    • 2020
  • Monitoring the mutation dynamics of human severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is critical in understanding its infectivity, virulence and pathogenicity for development of a vaccine. In an "age of mobility," the pandemic highlights the importance and vulnerability of regionalization and labor market interdependence in Southeast Asia. We intend to characterize the genetic variability of viral populations within the region to provide preliminary information for regional surveillance in the future. By analyzing 142 complete genomes from South East Asian (SEA) countries, we identified three central variants distinguished by nucleotide and amino acid changes.

맞춤형방문건강관리사업의 지역사회 네트워크 탐색 (Network Analysis to Describe Service Link for Customized Visiting Health Care Program)

  • 장숙랑;조성일
    • 보건교육건강증진학회지
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    • 제29권1호
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    • pp.1-11
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    • 2012
  • Objectives: The nurse visiting health service named Customized Visiting Health Care Program(CVHCP) requires the service innovations incorporating community support into a local service network. The purpose of this study was to assess the community network in CVHCP and inform improvement in this network. Methods: We used Social Network Analysis(SNA) in one CVHCP at H city. Network links were generated by self-administered questionnaires by the 14 community resource centers who quantified their links to all other 25 agents on the list. Links were analyzed by a dichotomous scale for any experience of collaboration and a scored scale of 0 to 3 for level of collaboration using UCINET v6. Results: A list of 14 agents was generated, and local network was dominated by the Public Health Center and a local welfare center named Unlimited Care Center(UCC). According to centrality score, UCC was the most prominent agent, and Public Health Center was the most influential agent, being a link in the pathway flow between other agents for 9.5% of contribution. CVHCP scored lower rank of prominent with 30.8% of other agents reported referring to it. Conclusions: Social network analysis provides a useful network description for informing and evaluation service network improvement in maximizing its service for the CVHCP.

신규간호사의 직무분석을 통한 간호학생의 실무수행 능력수준 결정 (Determination the nursing student's clinical competency based on new nurses' job analysis)

  • 강익화;이은자;이규정
    • 간호행정학회지
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    • 제7권3호
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    • pp.497-509
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    • 2001
  • The purpose of this study was to examine frequency of job performance, level of urgency, index of importance experienced by 138 new nurses who were working at 6 hospitals that had over 400 bed in Incheon and Bucheon. The data were analyzed using a SPSS program for descriptive statistics [numbers of job performance, level of urgency, index of importance(job performance+1/4 level of urgency)]. Some of the most frequent job performance were application of aseptic technique, application of principle of infection control, and medication (IV, PO, IM, supply fluid and electrolyte). Some of the most uncommon job performance were activity as a lecturer in nursing department, activity of arrangement of community resources, and participation in multidisciplinary conference. Some of the highest level of urgency were use of aseptic technique, CPR, application of principle of infection control, defibrillation for dysrhythmia, blood transfusion, observation of patient's status in procedure (operation), v/s check, intervention for improvement of respiratory function and medication of antihypertensives. Some of the lowest level of urgency were activity as a lecturer in nursing department, preceptor's activity, supervisor and delegation of job to nurse aids, attendance at nursing conference, activity of arrangement of community resources, participation in clinical teaching practice, participation in multidisciplinary conference, and delegation of patient care. Those were indirect patient care. The order was physiologic integration(60.99%), safety and effective nursing environment, psychosocial care, and health maintenance and improvement. The most importance item in maintenance of physiologic integration was medication. Some of the highest index of importance were aseptic technique and application of principle of infection control, v/s check, observation of patient's status in operation and medication. Some of the lowest index of importance were activity as a lecturer in nursing department, preceptor's activity, activity of arrangement of community resources, participation in multidisciplinary conference, nursing conference, participation in clinical teaching, and delegation of job to nurse aids.

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20세 이상 성인의 구강건강실천 결정요인에 관한 구조방정식 모형연구 (A Study on the Structural Equation Model for Determinants of Oral Health Practice in Adults Aged 20 Years or Older)

  • 허성은
    • 한국융합학회논문지
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    • 제8권9호
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    • pp.161-174
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    • 2017
  • 본 연구는 성인의 구강건강실천 결정요인에 관한 인과관계를 융합적으로 분석하여 성인의 구강건강증진을 위한 기초자료로 활용되고자 함이다. 연구방법은 부산 경남지역에 거주하는 성인을 대상으로 설문 조사한 자료 204부를 Smart PLS v2.0 M2 소프트웨어를 통해 연구모형을 검증하였다. 그 결과 구강건강신념 요인 중 구강병의 심각성 및 감수성과 구강관리행위의 유익성이 구강 건강 관련 자기효능감에 영향을 미치는 것으로 나타났고, 일상적 구강건강관리행위 자기효능감은 구강건강실천 전반에 유의한 영향을 미치는 것으로 나타났다. 구강건강신념 요인 중 구강병의 심각성 및 감수성과 구강병 예방행위의 유익성은 칫솔질 관련 자기효능감을 경유하여 칫솔질 습관과 구강검진 및 교육에 영향을 미치는 것으로 나타났다. 따라서 성인의 계속 구강 건강관리 프로그램 개발을 통한 구강건강신념에 대한 인식 개선과 함께 다양한 교육 매체를 개발하는 등의 전략적 노력이 이루어진다면 구강건강관련 자기효능감이 높아져 지속가능한 구강건강실천이 이루어질 것으로 기대된다.

우리 나라 개원의 고혈압 관리의 질 평가 (Quality Assessment of Hypertension Management of Office-based Physicians in Korea)

  • 조홍준;이상일
    • 한국의료질향상학회지
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    • 제4권1호
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    • pp.36-49
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    • 1997
  • Background : Hypertension is one of the most important risk factors of the cerebrovascular accident and coronary artery disease which are the major causes of mortality in Korea. In Korea, the quality of care provided by office-based physicians has not been evaluated formally. The purpose of this study is to assess the quality of hypertension management of office-based physicians. Method : Self-administered questionnaires were mailed to the office-based physicians with the speciality of internal medicine, general surgery, family medicine, and general practitioners. Among 2,045 physicians, 981 doctors(48.0%) replied the questionnaires. Contents of questionnaires were based on the recommendation from the JNC-V report(the Fifth Report of the Joint National Committee on Detection, Evaluation, and Treatment of High Blood Pressure), and included the criteria of diagnosis, treatment, follow-up interval, and other characteristics of physicians(age, sex, type of speciality, and location of practice). Results : Eighty four percent of the office-based physicians made diagnosis of hypertension with less than 3 times of blood pressure measurements. The performance rate of required examination for hypertensives was very low in most items. Rate of fundoscopic examination is the lowest one among them(5.9%). The performance rate of laboratory examination was also low in most items. Internists tended to order more frequent laboratory examinations than any other type of physicians. Only 11.4% of the physicians did appropriate treatments for the mild hypertension case. The antihypertensives selected by the physicians as a first line drug were in the order of beta blocker(26.4%), calcium channel blocker(23.4%), diuretics(23.1%), ACE inhibitors(14.3%). The visit interval for established hypertensives was very short. Proportion of physicians with follow-up interval longer than 4 weeks was only 4.3%. Conclusions : The overall quality of hypertension management of office-based physicians in Korea is very problematic in many aspects. So further investigations to find out the reasons of low quality arid quality of care should be initiated.

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중증도 분류 간호사에 의한 응급환자 중증도 분류 신뢰도 측정 연구: Emergency Severity Index Version 4를 중심으로 (Reliability of the Emergency Severity Index Version 4 Performed by Trained Triage Nurse)

  • 최희강;최민진;김주원;이지연;신선화;이현정
    • 중환자간호학회지
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    • 제5권2호
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    • pp.61-71
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    • 2012
  • Purpose: The aim of this study was to measure the inter-rater reliability of Emergency severity index (ESI) version 4 among triage nurse. Methods: This study was carried out from August 11, 2010 to September 7, 2010 in a regional emergency department. Data collection was done by ten triage nurses who trained ESI v.4. Two research nurses and ten triage nurses scored the ESI version 4 to the patients as references, independently. We calculated the weighted kappa between the triage nurses and research nurses to evaluate the consistency of the ESI v.4. Results: A total of 233 patients were enrolled in this study. Classification of ESI level was as follows - level 1 (0.4%), level 2 (21.0%), level 3 (67.8%), level 4 (9.4%), and level 5 (1.3%). Inter-rater reliability by weighted kappa was 0.79 (95% Confidence Interval= 0.74-0.83) and agreement rate was 87.1%. Under-triage rate by triage nurse was 6.0% and over-triage rate was 6.9%. Conclusion: For this study, inter-rater reliability was measured good level between triage nurses and research nurses in Korean single ED.

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Cleavage-Dependent Activation of ATP-Dependent Protease HslUV from Staphylococcus aureus

  • Jeong, Soyeon;Ahn, Jinsook;Kwon, Ae-Ran;Ha, Nam-Chul
    • Molecules and Cells
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    • 제43권8호
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    • pp.694-704
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    • 2020
  • HslUV is a bacterial heat shock protein complex consisting of the AAA+ ATPase component HslU and the protease component HslV. HslV is a threonine (Thr) protease employing the N-terminal Thr residue in the mature protein as the catalytic residue. To date, HslUV from Gram-negative bacteria has been extensively studied. However, the mechanisms of action and activation of HslUV from Gram-positive bacteria, which have an additional N-terminal sequence before the catalytic Thr residue, remain to be revealed. In this study, we determined the crystal structures of HslV from the Gram-positive bacterium Staphylococcus aureus with and without HslU in the crystallization conditions. The structural comparison suggested that a structural transition to the symmetric form of HslV was triggered by ATP-bound HslU. More importantly, the additional N-terminal sequence was cleaved in the presence of HslU and ATP, exposing the Thr9 residue at the N-terminus and activating the ATP-dependent protease activity. Further biochemical studies demonstrated that the exposed N-terminal Thr residue is critical for catalysis with binding to the symmetric HslU hexamer. Since eukaryotic proteasomes have a similar additional N-terminal sequence, our results will improve our understanding of the common molecular mechanisms for the activation of proteasomes.

경추성 현훈 환자의 복합 한의진료 경과 및 삶의 질 변화 : CARE 가이드라인에 따른 증례보고 (Herbal Medicine and Local Acupuncture Point Stimulation Administration and Their Clinical Effect on Quality of Life for Cervicogenic Dizziness (CGD) Patient: A CARE Guideline Compliant Case Report)

  • 김은미;조희근
    • 대한한방내과학회지
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    • 제41권3호
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    • pp.414-423
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    • 2020
  • Background: This study examines the clinical effect on quality of life of herbal medicine and local acupuncture point stimulation administration for a cervicogenic dizziness (CGD) patient. This case report was described in accordance with CARE guidelines. Case Report: A 25 year-old female patient suspected to be suffering from CGD was examined. The patient was treated with herbal medicine and local acupuncture point stimulation. We used the Headache Impact Test-6 (HIT-6), Dizziness Handicap Inventory (DHI), Pittsburgh Sleep Quality Index (PSQI), 36-Item Short Form Health Survey Version 2 (SF-36v2), and verbal numerical rating scale (VNRS) to assess the patient's symptoms. As new herbal medicine and local acupuncture point stimulation were applied, dizziness, headache, and neck pain symptoms improved. Quality of life affected by the symptoms significantly improved. Adverse effects were not observed. Conclusions: This study may suggest that herbal medicine and local acupuncture point stimulation may be effective therapy for the treatment of typical symptoms in patients with CGD.