• Title/Summary/Keyword: Clinical factor

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Study on critical thinking, clinical practice satisfaction, and clinical performance of dental hygiene students (치위생(학)과 학생의 비판적 사고성향, 임상실습만족도, 임상수행능력에 관한 연구)

  • Kim, Soo-Kyung
    • Journal of Korean society of Dental Hygiene
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    • v.19 no.6
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    • pp.1037-1046
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    • 2019
  • Objectives: This study was conducted to test the critical thinking tendency, clinical practice satisfaction, and clinical performance, and analyze the factors impacting clinical practice satisfaction and clinical performance of dental hygiene students. Methods: The study conducted a written survey during the period between 30 July ~20 August 2019, among 3rd and 4th year dental hygiene students from Seoul, Gyung-gi region, who had taken clinical practice courses. Using SPSS 22.0 program (IBM SPSS statistics, New York, USA), the study analyzed the final 174 cases. Results: Dental hygiene students scored 3.33±0.43, 3.48±0.83, and 3.30±0.58 for critical thinking, clinical practice satisfaction, and clinical performance, respectively. The clinical thinking score was higher when their study performance was good (p<0.001), clinical practice satisfaction was higher when their major satisfaction was satisfactory (p<0.001), higher when their relationship with their clinical practice partner was good, and the clinical performance was better when the students' major satisfaction was good (p<0.001). The study performance yielded better results when their study achievement was better (p<0.05). Clinical practice satisfaction (r=0.156) and clinical performance (r=0.393) showed a positive correlation with critical thinking, and clinical performance had a positive correlation with clinical practice satisfaction. The impact factor for clinical practice satisfaction appeared to be clinical performance (p<0.05) and major satisfaction (p<0.001), and the factors impacting the clinical performance were among the sub-causes of critical thinking (p<0.05), intellectual fairness (p<0.05), watchfulness (p<0.05), clinical practice satisfaction (p<0.05), and major satisfaction (p<0.01). Conclusions: Results of the study showed that for dental hygiene students, critical thinking, clinical practice satisfaction, clinical performance, and major satisfaction were the impact factors affecting the students' clinical performance. Therefore, the study recommends that development of educational programs and operation of a field-based curriculum is necessary to improve critical thinking, clinical practice satisfaction, and major satisfaction.

Xanthium strumarium suppresses degranulation and pro-inflammatory cytokines secretion on the mast cells (비만세포에서의 창이자의 탈과립 및 pro-inflammatory cytokines 분비량에 미치는 영향)

  • Lyu, Ji-Hyo;Yoon, Hwa-Jung;Hong, Sang-Hoon;Ko, Woo-Shin
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.21 no.3
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    • pp.82-93
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    • 2008
  • Objective: Previously, the methanol extracts of the semen of Xanthium strumsrium could involved anti-inflammatory effects in lipopolysaccharide (LPS)-stimulated Raw 264,7 cells, We evaluated the anti-allergic effects of X. strumarium on rat basophilic leukemia (RBL-2H3) cells, Methodes : To investigate the effect of X. strumarium on the phorbol 12-myristate 13-acetate (PMA) and calcium ionophore A23187-induced RBL-2H3 cells. The effects of X. strumarium on the degranulation and the pro-inflammatory cytokines secretion and expression from RBL-2H3 cells were evaluated with $\beta$-hexosaminidase assay, ELISA, and RT-PCR analysis, In addition, we examined the effects of X. strumarium on nuclear factor (NF)-${\kappa}B$ activation and $I{\kappa}B-\alpha$ degradation using Western blot analysis. Results : X. strumarium inhibited degranulation and secretions and expressions of pro-inflammatory cytokines, such as tumor necrosis factor-alpha ($TNF-\alpha$), interleukin (IL)-4 and cyclooxygenase (COX)-2, on stimulated RBL-2H3 cells, however, X. strumarium not affect cell viability. In stimulated RBL-2H3 cells, the protein expression level of nuclear factor-kappa B (NF-${\kappa}B$) was decreased in the nucleus by X. strumarium. In addition, X. strumarium suppressed the degradation of inhibitory protein $I{\kappa}B-{\alpha}$ protein in RBL-2H3 cells. Conclusion : These results suggest that X. strumarium inhibits the degranulation and secretion of pro-inflammatory cytokines through blockade of NF-${\kappa}B$ activation and I $I{\kappa}B-{\alpha}$ degradation.

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Development of a Role Conflict Scale for Clinical Nurses (간호사의 역할갈등 측정을 위한 도구 개발 연구)

  • 김문실;박상연
    • Journal of Korean Academy of Nursing
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    • v.25 no.4
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    • pp.741-750
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    • 1995
  • The purpose of this study was to develop a role conflict scale for nurses in hospitals. The process of study was as follows. The first step was the study of selected literature on role conflict in general and to translate into Korean language the role conflict and ambiguity scale developed by House. From this process, a scale for role conflict inventory-general was made by consulting with two professors majored in educational evaluation and one professor who is an authory on educational administration. In the second step, 24 clinical nurses were asked to describe the situations having job-related role conflict. In the third step, the role conflict inventory-specific was derived from the role conflict inventory -general, and data selected from the step two. The confidence and clarity of this role conflict inventory-specific was strengthed by consulting one clinical psychologist, two professors of nursing college and ten doctoral students of nursing. With this tool being tested, the results are summarized as follows. 1. Reliability Internal consistency reliability was tested by cronbach alpha, corrected item total correlation and correlation matrix. The cronbach alpha level was .94 and one item among 37 items was below .35 and the rest items were .42 above in the corrected item total correlation. There was no negative correlation in the correlation matrix. 2. Construct validity In the construct validity test, four factors have an eigen value 1.0 over, Factor 1 represented role ambiguity, composed of 15 items with .90 reliability level. Factor 2 represented deficiency of ability and skill, composed of 11 items with .90 of reliability level. Factor 3 represented working environment, composed of 6 items with .85 of reliability level. Final factor represented deficiency of job-related collaboration, composed of 5 items with .69 reliability level. These results contribute to measuring the level of role conflict for nurses, and to the managment of the nurses' role conflict.

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Klotho plays a critical role in clear cell renal cell carcinoma progression and clinical outcome

  • Kim, Ji-Hee;Hwang, Kyu-Hee;Lkhagvadorj, Sayamaa;Jung, Jae Hung;Chung, Hyun Chul;Park, Kyu-Sang;Kong, In Deok;Eom, Minseob;Cha, Seung-Kuy
    • The Korean Journal of Physiology and Pharmacology
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    • v.20 no.3
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    • pp.297-304
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    • 2016
  • Klotho functions as a tumor suppressor predominantly expressed in renal tubular cells, the origin of clear cell renal cell carcinoma (ccRCC). Altered expression and/or activity of growth factor receptor have been implicated in ccRCC development. Although Klotho suppresses a tumor progression through growth factor receptor signaling including insulin-like growth factor-1 receptor (IGF-1R), the role of Klotho acting on IGF-1R in ccRCC and its clinical relevance remains obscure. Here, we show that Klotho is favorable prognostic factor for ccRCC and exerts tumor suppressive role for ccRCC through inhibiting IGF-1R signaling. Our data shows the following key findings. First, in tumor tissues, the level of Klotho and IGF-1R expression are low or high, respectively, compared to that of adjacent non-neoplastic parenchyma. Second, the Klotho expression is clearly low in higher grade of ccRCC and is closely associated with clinical outcomes in tumor progression. Third, Klotho suppresses IGF-1-stimulated cell proliferation and migration by inhibiting PI3K/Akt pathway. These results provide compelling evidence supporting that Klotho acting on IGF-1R signaling functions as tumor suppressor in ccRCC and suggest that Klotho is a potential carcinostatis substance for ccRCC.

Korean red ginseng extract alleviates advanced glycation end product-mediated renal injury

  • Quan, Hai Yan;Kim, Do Yeon;Chung, Sung Hyun
    • Journal of Ginseng Research
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    • v.37 no.2
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    • pp.187-193
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    • 2013
  • The effect of Korean red ginseng (KRG) on diabetic renal damage was investigated using streptozotocin (STZ)-induced diabetic rats. The diabetic rats showed loss of body weight gain, and increases in kidney weight and urine volume, whereas the oral administration of KRG at a dose of 100 or 250 mg/kg of body weight per day for 28 d prevented these diabetes-induced physiological abnormalities. Among the kidney function parameters, elevated plasma levels of urea nitrogen and creatinine in diabetic control rats tended to be lowered in KRG-treated rats. In addition, administration of KRG at a dose of 100 mg/kg body weight in the diabetic rats showed significant decreases in serum glucose and tumor necrosis factor-${\alpha}$ (TNF-${\alpha}$), implying that KRG might prevent the pathogenesis of diabetic complications caused by impaired glucose metabolism and oxidative stress. KRG also significantly reduced advanced glycation end product (AGE) formation and secretion from kidney of diabetic rats. Furthermore, KRG decreased the levels of N-(carboxymethyl) lysine and expression of AGE receptor. KRG also reduced the overexpression of cyclooxygenase-2 and inducible nitric oxide synthase in the kidney via deactivation of nuclear factor-kappa B. We also found that KRG prevented STZ-induced destruction of glomerular structure and significantly suppressed high glucose-induced fibronectin production. Taken together, KRG ameliorates abnormalities associated with diabetic nephropathy through suppression of inflammatory pathways activated by TNF-${\alpha}$ and AGEs. These findings indicate that KRG has a beneficial effect on pathological conditions associated with diabetic nephropathy.

Analysis of Factors Related to the Students' Satisfaction on 6-year Pharmacy Program and Strategic Planning (6년제 약대 학제시스템 만족도에 영향을 미치는 요인 분석 및 향후 전략)

  • Lee, Heejung;Shim, MiKyong;Ha, Jungeun;Kim, Hyunah;Moon, Hongseop;Kwak, Hyesun;Choi, Kyungeob
    • Korean Journal of Clinical Pharmacy
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    • v.24 no.4
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    • pp.288-295
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    • 2014
  • Background: The pharmacy education system in South Korea has changed from four-year degree program to two-year pre-pharmacy program plus four-year professional degree program (a total of six years) since 2009. Objectives: The purpose of this study is to assess final year student's satisfaction on this new pharmacy education system and to explore factors related to student satisfaction. Methods: A paper-and-pencil survey instrument was administered to all final year pharmacy students at four universities located in South Korea during September of 2014. The self-administered questionnaire contained 39 items. In part 1, the quality of education with regards to school utilities, education system, human resources, and communication domains were measured. In part 2, overall satisfactions with the new education system were asked to students. Responses were recorded on a seven point Likert scale. Results: A total of 207 students were participated in this study. Students showed low satisfaction on school utilities and standardization of education while they displayed high level of satisfaction on the quality of the faculty members and preceptors at clerkship sites. Factor analysis showed that education service was the most significant factor that affects students' satisfaction followed by facilities, standardized education, communication, administration, pharmacy practice (p<0.05). Conclusion: The qualification of faculty and preceptors ranked number one in students' satisfaction and it was the most significant factor. School facilities were found to be the second most significant factor in students' satisfaction while students displayed poor satisfaction. The study results might need to be reflected in future education planning to improve students' satisfaction.