• Title/Summary/Keyword: Clinical analysis

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A Study on Some 4-year Dental Technology Students Perceptions of Field Learning Environment(FLE) (일부 4년제 치기공학과 학생이 인지한 현장실습교육환경(FLE)에 관한 연구)

  • Hwang, Kyung-Sook
    • Journal of Technologic Dentistry
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    • v.41 no.2
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    • pp.137-146
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    • 2019
  • Purpose: This research was to examine some 4-year dental technology students perceptions of field learning environment(FLE). Methods: This study was conducted from October 15th to November 30th, 2017. 163 copies were used as the final analysis data. We surveyed questionnaire 163 of some 4-year dental technology students. The collected data were analyzed using SPSS (Statistical Package for Social Science) 22.0 for windows, and frequency analysis, chi-square test analysis, and correlation analysis were performed. Results: Satisfaction of practicing educator 3.88, satisfaction of clinical practice 3.49, major satisfaction 3.34, and university life satisfaction 3.25. Factors influencing satisfaction with clinical practice were clinical practice place, number of clinical practice sites, work done in clinical practice, and difficulties (p < .05). There was a significant positive correlation between satisfaction with clinical practice and satisfaction with major (P < .05). Conclusion: The results of this study, we were able to check the current field learning environment(FLE) and actual condition of students. Through the investigation of the desired clinical practice, it is anticipated that it will be possible to provide a field learning environment suitable for the course of the field desired by the user.

The effects of simulation-based education on the communication and clinical judgment of nursing students and nurses: A systematic review and meta-analysis (시뮬레이션 교육이 간호대학생과 간호사의 의사소통 및 임상판단능력에 미치는 효과: 체계적 문헌고찰 및 메타분석)

  • Park, Jung Min;Jun, Sangeun
    • The Journal of Korean Academic Society of Nursing Education
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    • v.29 no.3
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    • pp.203-224
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    • 2023
  • Purpose: This study aimed to evaluate the effectiveness of simulation-based education on communication and clinical judgment in nursing students and nurses. Methods: A systematic review and meta-analysis were conducted in accordance with the PRISMA guidelines. Seven databases were searched to obtain articles published in Korean or English. Of 12,864 articles reviewed, 36 were included in a systematic review and 23 in a meta-analysis. To estimate the size of the effects of simulation-based education, a meta-analysis was performed using the R package meta program. The risk of bias was assessed using RoB 2.0 and ROBINS-I. Results: The effect sizes (ES) of simulation-based education on communication and clinical judgment were ES=0.77, 95% confidence interval (95% CI)=0.43 to 1.12 on communication-related variables and ES=1.84, 95% CI=1.03 to 2.65 on clinical judgment. Conclusion: Simulation-based education for nursing students and nurses is useful for improving their communication and clinical judgment. Thus, it is necessary to develop and apply simulation-based education programs for nursing students and nurses to improve their abilities in communications and clinical judgment.

Effects of Clinical Learning Environment on Clinical Practice Stress and Anxiety in Nursing Students (임상실습교육환경이 간호학생의 임상실습 스트레스 및 불안에 미치는 영향)

  • Kim, Eun Young;Yang, Seung Hee
    • Journal of Korean Academy of Nursing Administration
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    • v.21 no.4
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    • pp.417-425
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    • 2015
  • Purpose: The purpose of this study was to identify factors in the clinical learning environment that affect clinical practice stress and anxiety in nursing students. Methods: Participants were 210 senior nursing students from two universities who had completed their clinical experience. Data were collected from self-report questionnaires and analyzed using t-test, ANOVA, and hierarchical multiple regression analysis with the SPSS/WIN 21.0 Program. Results: The mean scores for the clinical learning environment, the clinical practice stress, and anxiety were $3.16{\pm}0.68$, $2.98{\pm}0.66$, and $43.74{\pm}10.18$ points, respectively. The regression analysis showed that the clinical learning environment contributed to 13% of the stress and 20% of the anxiety in the nursing students with the conditions controlled for general characteristics, department satisfaction and social support. Conclusion: The results of this study suggest that the clinical learning environment should be carefully assessed to reduce nursing students' stress and anxiety from clinical practice. Therefore, collaboration between nursing universities and teaching hospitals is necessary to optimize clinical learning environment.

Effect on Preference of Clinical Practice Subjects

  • Jungae Kim
    • International Journal of Advanced Culture Technology
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    • v.11 no.1
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    • pp.27-35
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    • 2023
  • This study was a cross-sectional descriptive survey study that confirms the effect on subjects that prefer clinical practice in order to prepare basic data for efficient clinical practice guidance for nursing college students. The study participants were 201 students attending C University, and the data collection period was from October 1 to October 15, 2022. The collected data were analyzed using SPSS 18.0 as descriptive statistics, Pearson correlation, Chi square test, ANOVA test, and Multiple regression test. As a result of the analysis, it was found that clinical decision-making and critical thinking were correlated under the statistical significance level (r=.730, p<0.01). The most favorite clinical practice department was community nursing, and male students preferred community nursing the most (Male=45.6%, χ2=.000), female students were found to prefer similar levels of practical subjects with child nursing , adult nursing, and maternal nursing(χ2=000).Clinical decision-making was found to be higher in students who preferred community nursing at a statistical significance level than those who preferred child nursing (F=4.91, p<0.01). Critical thinking was higher among students who preferred adult nursing than those who preferred other subjects (F=4.65, p<0.01). Through the analysis results, it was found that general characteristics vary, but clinical decision-making ability and critical thinking affect the preference of clinical practice subjects. Therefore, based on the results of this study, the professor of clinical practice suggests the development of a program to foster clinical decision-making and critical thinking to make students interested in clinical practice subjects.

The main difficulties related factors of nurses' clinical work and clinical work plan activation analysis - focus on the nurses working in the field - (간호사들의 임상근무의 어려움 관련 주요 요인과 임상근무 활성화 방안 분석 - 현장에서 근무하는 간호사 대상 -)

  • Park, Soo Kyung;Cho, Kyoung Mi
    • Korea Journal of Hospital Management
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    • v.21 no.3
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    • pp.11-21
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    • 2016
  • The purpose of this study is to investigate the degree of difficulty and turnover of nurses working in the field and to derive clinical work activation and supply policy improvements. Data was collected from December, 2014 to January, 2015, from 23 hospitals, and participants were 3,887 nurses working in the field, Survey details : the difficulty of the clinical work of nurses working in hospitals, turnover intentions status and policy proposals for clinical research work enabled General characteristics, difficulties in clinical working, turnover intention and clinical work plan activation are frequency analysis. The difference between each of the variables in accordance with the general characteristics are one-way ANOVA analysis, Correlation analysis of the variables is also a Pearson correlation coefficients. 'difficulties in clinical working' was a statistically significant difference depending on the type of hospital, nursing class, number of beds, location, age, position, employment, gender, working form, working department, salary, career, and degree level. 'turnover intention' was a statistically significant difference depending on nursing rate, number of beds, region, age, position, sex, shifts, departments, annual income, and career. 'policy recommendation' was a statistically significant difference depending on type of hospital, nursing rate, age, position, employ, shifts, departments, annual income, degree level and career 'difficulties in clinical working' is 'turnover intention' (p<.001), 'policy recommendations' (p<.001) and had a significant positive correlation. and 'turnover intention' had a "policy recommendation" significant positive correlation with the relationship (p<.001) The most difficulties point of the nurses working in the field are the environment, such as shift, urgent and dangerous. Major policy proposals are improve treatment such as wages, and welfare.

Bicluster and Pathway Enrichment Analysis of HCV-induced Cirrhosis and Hepatocellular Carcinoma

  • Cheng, Peng;Cheng, You;Su, Mei X.;Li, Dong;Zhao, Guo Z.;Gao, Hui;Li, Yan;Zhu, Jie Y.;Li, Hua;Zhang, Tao
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.8
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    • pp.3741-3745
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    • 2012
  • Background: Hepatocellular carcinoma (HCC) is the sixth most common cancer worldwide and the most common form of liver cancer. However, while it is associated frequently with hepatitis C virus (HCV) there is only an elementary understanding of its molecular pathogenesis. Methods: To gain insight into the molecular mechanisms of HCV-induced hepatocarcinogenesis, we performed microarray analysis on 75 surgical liver samples from 48 HCV-infected patients. Results: There were 395 differentially expressed geness between cirrhotic samples and HCC samples. Of these, 125 genes were up-regulated and 270 genes were down-regulated. We performed pathway enrichment analysis and screened as described previously. Conclusions: The differentially expressed genes might be involved in hepatocarcinogenesis through upregulating the pathways of ECM-receptor interaction, focal adhesion, cell adhesion molecules and other cancer-related pathways, and downregulating the pathways of "complement and coagulation cascades". We hope our results could aid in seeking of therapeutic targets for HCV-induced hepatocellular carcinoma.

Increased Cytokine and Nitric Oxide Levels in Serum of Dogs Experimentally Infected with Rangelia vitalii

  • Paim, Francine C.;Da Silvaz, Aleksandro S.;Paim, Carlos Breno V.;Franca, Raqueli T.;Costa, Marcio M.;Duarte, Marta M.M.F.;Sangoi, Manuela B.;Moresco, Rafael N.;Monteiro, Silvia G.;Lopes, Sonia Terezinha A.
    • Parasites, Hosts and Diseases
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    • v.51 no.1
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    • pp.133-137
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    • 2013
  • This study aimed to measure the levels of interferon-gamma (IFN-${\gamma}$), tumor necrosis factor-alpha (TNF-${\alpha}$), interleukin 1 (IL-1), interleukin 6 (IL-6), and nitrite/nitrate ($NO_x$) in serum of dogs experimentally infected with Rangelia vitalii. Twelve female mongrel dogs were divided into 2 groups; group A (uninfected controls) composed by healthy dogs (n=5) and group B consisting of dogs inoculated with R. vitalii (n=7). Animals were monitored by blood smear examinations, which showed intraerythrocytic forms of the parasite on day 5 post-infection (PI). Blood samples were collected through the jugular vein on days 0, 10, and 20 PI to determine the serum levels of IFN-${\gamma}$, TNF-${\alpha}$, IL-1, IL-6, and $NO_x$. Cytokines were assessed by ELISA quantitative sandwich technique, and $NO_x$ was measured by the modified Griess method. Cytokine levels (IFN-${\gamma}$, TNF-${\alpha}$, IL-1, and IL-6) were increased (P<0.01) in serum of infected animals. Serum levels of $NO_x$ were also increased on days 10 PI (P<0.01) and 20 PI (P<0.05) in infected animals. Therefore, the infection with R. vitalii causes an increase in proinflammatory cytokines and nitric oxide content. These alterations may be associated with host immune protection against the parasite.