• Title/Summary/Keyword: Clinical factor

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Two Bayesian methods for sample size determination in clinical trials

  • Kwak, Sang-Gyu;Kim, Dal-Ho;Shin, Im-Hee;Kim, Ho-Gak;Kim, Sang-Gyung
    • Journal of the Korean Data and Information Science Society
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    • v.21 no.6
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    • pp.1343-1351
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    • 2010
  • Sample size determination is very important part in clinical trials because it influences the time and the cost of the experimental studies. In this article, we consider the Bayesian methods for sample size determination based on hypothesis testing. Specifically we compare the usual Bayesian method using Bayes factor with the decision theoretic method using Bayesian reference criterion in mean difference problem for the normal case with known variances. We illustrate two procedures numerically as well as graphically.

Development of a Scale for Measuring Nurses' Stress (간호사의 스트레스 측정도구 개발)

  • Kang, Younhee;Lee, Kyungmi;Hur, Yujin
    • Journal of Korean Clinical Nursing Research
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    • v.30 no.1
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    • pp.11-23
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    • 2024
  • Purpose: This study developed a scale of nurses' stress and examined the validity and reliability of the scale. Methods: The scale was developed according to DeVellis' scale development procedure. Based on the Nursing Work Environment Stress model and the results of focus group interviews, 43 preliminary items were generated. A survey was conducted with 208 clinical nurses to test the psychometric properties of the scale. Both exploratory factor analysis and confirmatory factor analysis were employed to figure out and confirm the scale's theoretical structure statistically. In addition, content, convergent, and discriminative validity were evaluated and Cronbach's α was calculated to test internal reliability. Results: The final scale consisted of 19 items and verified four-factor structures. The structure of the scale was confirmed using confirmatory factor analysis, and it showed moderate correlations with the Copenhagen Burnout Inventory and Korean Nurses Occupational Stress Scale. Cronbach's α was .87. Conclusion: A scale of nurses' stress to nursing work was developed to embrace a wide range of nurses' psychological responses to nursing work based on the theoretical model.

Comparison of Clinical Pregnancy Rates and Affecting Factors Between Elderly and Young Infertile Females After Intra-Uterine Insemination: Benefited by 'National Medical-aid Program for ART (assisted reproductive technology) in 2016 (자궁내 인공수정 시술을 받은 고령 난임여성과 비고령 난임여성에서의 임신성공 확률 및 영향 요인의 비교: 2016년 보조생식술 국가지원사업기준)

  • Jang, Insun;Kim, Dongyoung;Kim, Jeong Sig
    • Journal of Korean Biological Nursing Science
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    • v.22 no.3
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    • pp.176-183
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    • 2020
  • Purpose: : The purpose of this study was to evaluate the intrauterine insemination (IUI) success rate and to define the variables for predicting success. Methods: The secondary data analysis was used with data collected from infertile females who underwent IUI in Fertility and IVF (In Vitro Fertilization) clinics, who benefited from the 'National Medical-aid Program for ART (assisted reproductive technology) in 2016', in which the data of 34,920 IUI cases were retrospectively reviewed. The primary outcome measure was the clinical pregnancy rate in elderly and young infertile females. Data were analyzed by descriptive statistics, χ2 test and logistic regression. Results: The pregnancy rate was 12.1% (2,095 cases) in elderly infertile females and 15.6% in young infertile females (2,758 cases) (χ2 = 87.90, p< .001). Using the logistic regression analysis, clinical pregnancy was positively associated with the ovulatory factor (OR= 1.48, p< .001) and male factor (OR= 1.19, p< .05) in elderly infertile females. It was positively associated with the ovulatory factor (OR= 1.30, p= .001) and the peritoneal cavity factor (OR= 0.58, p< .05) in young infertile females. Conclusion: Our results indicate that the pregnancy rate in young infertile females was higher than that in old infertile females, and the IUI is the effective option in pregnancies in all ages with infertility due to the ovulatory factor. Additionally, further studies are necessary to fully describe pregnancy experiences for all the infertile females.

Mast Cells and Vascular Endothelial Growth Factor Expression in Neoangiogenesis of Cervical Intraepithelial Neoplasia and Invasive Squamous Cell Carcinomas of the Uterine Cervix (자궁경부상피내종양과 침윤성 편평상피암종의 혈관신생에서 비만세포와 혈관내피성장인자의 발현)

  • Jekal, Seung-Joo;Lee, Jung-Ah;Rho, Jong-Sup
    • Korean Journal of Clinical Laboratory Science
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    • v.37 no.3
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    • pp.197-206
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    • 2005
  • To determine the correlation between mast cells(MCs) and neoangiogenesis in the growth and progression of cervical cancer, we investigated mast cell density(MCD), microvessel density(MVD) and the expression of vascular epithelial growth factor(VEGF) in cervical intraepithelial neoplasia and invasive suqamous cell carcinoma of the uterine cervix. Forty-five cervical intraepithelial neoplasia(CIN I, II and III), 15 microinvasive carcinomas, 15 invasive squamous cell carcinomas and 20 normal cervical epithelia were included in this study. MCs were stained with anti-c-Kit antibody and alcian blue, microvessels with anti-factor VIII antibody and VEGF with anti-VEGF antibody. The adjacent fields of both normal and neoplastic epithelium were used for counting MCs and microvessels. Computerized image analysis was used to evaluate MCD and MVD. MCD and MVD were the mean numbers per $1mm^2$ counted in 5-10 high and low power fields respectively. In both c-Kit and alcian blue stained sections, MCD progressively increased along the continuum from CIN I to invasive squamous cell carcinoma(p<0.001). MVD increased significantly with cervical neoplasia progression, from CIN to invasive squamous cell carcinoma (p<0.001). In double c-Kit and Factor VIII-stained sections, MCs were mainly present in the areas adjacent to newly formed blood vessels. However, there were no significant differences in MCD and MVD between normal epithelum and CIN I. A strong correlation was also observed between MCD and MVD. In double VEGF and alcian blue-stained sections, VEGF was expressed in only MCs. Strong VEGF-positive MCs were particularly abundant around the tumorous region. Our results suggest that MCs may upregulate neoangiogenesis by VGEF secretion in the development and progression of cervical neoplasia.

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Targeting the Transforming Growth Factor-β Signaling in Cancer Therapy

  • Sheen, Yhun Yhong;Kim, Min-Jin;Park, Sang-A;Park, So-Yeon;Nam, Jeong-Seok
    • Biomolecules & Therapeutics
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    • v.21 no.5
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    • pp.323-331
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    • 2013
  • TGF-${\beta}$ pathway is being extensively evaluated as a potential therapeutic target. The transforming growth factor-${\beta}$ (TGF-${\beta}$) signaling pathway has the dual role in both tumor suppression and tumor promotion. To design cancer therapeutics successfully, it is important to understand TGF-${\beta}$ related functional contexts. This review discusses the molecular mechanism of the TGF-${\beta}$ pathway and describes the different ways of tumor suppression and promotion by TGF-${\beta}$. In the last part of the review, the data on targeting TGF-${\beta}$ pathway for cancer treatment is assessed. The TGF-${\beta}$ inhibitors in pre-clinical studies, and Phase I and II clinical trials are updated.

Effect of Perception of Career Ladder System on Job Satisfaction, Intention to Leave among Perioperative Nurses (수술실 간호사의 경력개발제도에 대한 인식이 직무만족, 이직의도에 미치는 영향)

  • Chae, Se Na;Ko, Il Sun;Kim, In Sook;Yoon, Kye Sook
    • Journal of Korean Academy of Nursing Administration
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    • v.21 no.3
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    • pp.233-242
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    • 2015
  • Purpose: This was a correlational study to identify effects of perception of clinical ladder system on job satisfaction and intention to leave in perioperative nurses. Methods: Participants were 154 of perioperative nurses from larger general hospitals in Seoul. Data were collected from April, 16 to 22, 2013 using self-report questionnaires which included items on perception of clinical ladder system, job satisfaction, and intention to leave. Data were analyzed using frequency, t-test, ANOVA, $Scheff{{\acute{e}}$ test, Pearson correlation coefficients, and multiple stepwise regression. Results: The average mean score for perception of clinical ladder system was midline at 2.69 point out of 4 point. Perception of clinical ladder system correlated positively with job satisfaction (r=.38, p<.01) and negatively with intention to leave (r=-.88, p<.01). Perception of clinical ladder system was the factor which most influenced job satisfaction explaining 17.1% of the variance, also perception of clinical ladder system was the factor which most influenced intention to leave, explaining 12.7% of the variance. Conclusion: Results of this study suggest that there is a need to enhance the perception of the clinical ladder system and to find ways to fulfill the expected effects for improving perioperative nurses' job satisfaction and reducing the intention to leave.

Factors Influencing Nursing Professional Value of Nursing Students (간호대학생의 간호전문직관 영향요인)

  • Lim, Semi
    • Journal of Convergence for Information Technology
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    • v.10 no.5
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    • pp.51-59
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    • 2020
  • The purpose of this study was to find out a correlation of clinical nurse's character, clinical practice stress, stress coping and factor affecting nursing professional value on nursing students in Korea, and to use it as a basic data in developing nursing professional value promotion programs for nursing students. The study was composed of 145 students who were studying in fourth year student at colleges. Data were collected from May to June, 2019. Data analysis included an independent t-test, ANOVA, Pearson correlation coefficients and multiple regression using the SPSS program. As a result of this study, nursing professional value of those was significantly correlated with clinical nurse's character, clinical practice stress and stress coping. In a regression analysis, nursing professional value accounted for 38.2%(F=43.973, p=.000), of the variance of clinical nurse's character and stress coping. The most significant factor affection the success of nursing professional value was stress coping(β=.508, p=.000). The result of the study indicates the importance of developing clinical nurse's character and applying variety stress coping method for positive nursing professional value of nursing students.

Comparison of Factors affecting Clinical Competence between Associate and Bachelor Nursing Students Completed Nursing Courses (학제별 간호학생의 임상수행능력 영향요인 비교)

  • Lee, Eun-Ja;Yi, Yeo-Jin;Kim, Young-Sook;Jo, Hyun-Sook;Kim, Hye-Soon;Kim, Yun-Mi;Park, Kwang-Hi;Kim, Ji-Soo
    • The Journal of Korean Academic Society of Nursing Education
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    • v.17 no.2
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    • pp.218-225
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    • 2011
  • Purpose: This study was to compare the influencing factors of clinical competence between associate and bachelor nursing students completing nursing courses. Method: The subjects were 429 students completing the nursing courses (172 bachelor course students, and 257 associate course students). The study design was cross sectional. Results: Bachelor students showed a significant higher score in clinical competence than associate students. There were significant influencing factors on clinical competence including critical thinking disposition, professional conduct, communication skill, theoretical education satisfaction, and practice education satisfaction. The strongest factor influencing clinical competence was critical thinking disposition. All the factors mentioned above explained 49% of clinical competence in associate courses, and 40.0% in bachelor courses excluding the factor of practice education satisfaction. The level of theoretical and practice education satisfaction of bachelor courses was significantly lower than associate. Conclusion: It is recommended that associate course nursing students should be encouraged in critical thinking disposition, professional conduct, and communication skill. Bachelor course nursing students should be encouraged in practical education including practical environments, instruction methods, and content for improving clinical competence.

Influence of Satisfaction with Clinical Practice on Nursing Professionalism of Nursing Students (간호대학생의 임상실습만족도가 간호전문직관에 미치는 영향)

  • Seo, Young-sook;Jeong, Chu-young;Kang, Bok-Hee
    • Journal of Korean Clinical Health Science
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    • v.7 no.2
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    • pp.1257-1265
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    • 2019
  • Purpose: This study was conducted to examine the correlations among nursing professionalism, clinical practice satisfaction of nursing students. Method: The subjects were 184 nursing students recruited from one college located in D city. Data were collected using structured questionnaire, and analyzed with the PASW 21.0 program. Results: The results indicate that nursing students have levels of nursing professionalism, and clinical practice satisfaction that are higher than the median. Nursing professionalism showed differences according to plans for academic performance, major satisfaction, personality, and personal relations. Nursing professionalism was significantly correlated with clinical practice satisfaction, major satisfaction. Conclusion: Clinical practice satisfaction, and academic performance were the most influential factor predicting greater nursing professionalism. Thus, these factors should be considered when developing a program for enhancing nursing professionalism.

Revalidation of the Hospital Violence Attitude Scale-18 (HVAS-18) in Clinical Nurses (임상간호사의 병원폭력에 대한 태도 측정도구 신뢰도, 타당도 재검증)

  • Cho, Jin-Young;Ha, Eun-Ho
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.8
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    • pp.135-144
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    • 2017
  • The purpose of this study was to revalidate the 'Hospital Violence Attitude Scale-18 (HVAS-18) in clinical nurses'. 150 clinical nurses from three general hospitals in two cities participated in this study. Data were collected from March to April in 2017. The collected data were analyzed using factor analysis, Pearson correlation coefficients, and Cronbach's alpha. The final HVAS-14 consisted of fourteen items and four factors emerged, which explained 74.1% of the total variance. These four factors were labeled: Factor 1 (3 items) 'awareness' which explained 20.3%; Factor 2 (4 items) 'response' which explained 20.2%; Factor 3 (3 items) 'reaction' which explained 15.5%; and Factor 4 (4 items) 'result' which explained 15.4%. The internal consistency and intraclass correlation coefficient (ICC), as measured by Cronbach's alpha, were both .87, and the reliability of the subscales ranged from .78 to .86. The results of this study indicate that HVAS-14 is a useful, reliable and valid instrument to measure the hospital violence attitude of clinical nurses.