• Title/Summary/Keyword: Clinical factors

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Distribution Dynamics and Proposed Determinants: Exploring Morphological, Clinical Laboratory, and Lifestyle Factors in the Coexistence of Age-Related Skeletal Muscle Mass Loss and Obesity among Young Men: A Nationwide Cross-Sectional Study

  • Jongseok Hwang
    • Journal of the Korean Society of Physical Medicine
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    • v.19 no.1
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    • pp.31-41
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    • 2024
  • PURPOSE: This study examined the distribution dynamics and proposed determinants, including morphological measurements, clinical laboratory tests, and lifestyle factors among young Korean men aged 20 to 29 years with the coexistence of age-related loss of skeletal muscle mass and obesity (CALSMO). METHODS: Six hundred and sixty-six participants were divided into two groups based on their skeletal muscle mass index, with 12 individuals categorized in the CALSMO group and the remaining 654 in the normal group. The proposed determinants variables consisted of three main components: morphological measurements, clinical laboratory tests, and lifestyle factors. The morphological measurement variables were height, weight, body mass index, waist circumference, and skeletal muscle mass index. The clinical laboratory tests were fasting glucose, triglyceride, total cholesterol levels, and systolic and diastolic blood pressure. The lifestyle factors considered were alcohol consumption and tobacco use. Complex sampling analysis was performed for the evaluation. RESULTS: The distribution dynamics were determined to be 1.81(1.02-3.18) %. Morphological factors, such as height, weight, body mass index, waist circumference, and skeletal muscle mass index, showed significant differences (p < .05). The clinical laboratory test variables, specifically the fasting glucose, triglyceride, and total cholesterol levels, also exhibited significant differences (p < .05). The lifestyle factor, alcohol consumption, also showed a significance (p < .05). CONCLUSION: This study provides insights into the distribution dynamics. The proposed determinants in young Korean individuals with CALSMO are height, weight, body mass index, waist circumference, skeletal muscle mass index, fasting glucose, triglyceride, total cholesterol levels, and alcohol consumption.

Effects of Nursing Professionalism and Self-Leadership on Clinical Competence of Nursing Students (간호대학생의 간호전문직관과 셀프리더십이 임상수행능력에 미치는 영향)

  • Ji, Eun-Mi;Kim, Eun-Jae
    • Journal of Korean Clinical Health Science
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    • v.9 no.2
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    • pp.1526-1534
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    • 2021
  • Purpose. This study is a descriptive research study to confirm the nursing professionalism, self-leadership, and clinical competence of nursing students and to identify factors affecting clinical competence. Methods. This study conducted a structured-questionnaire survey with 179 nursing students to look into their nursing professionalism, self-leadership, and clinical competence. Results. According to the study result, nursing professionalism scored 3.79 on average out of 5points, self-leadership 3.79 on average, and clinical competence 3.75 on average. It was found that clinical competence had significantly positive correlations with nursing professionalism (r=.62, p<.001) and self-leadership (r=.57, p<.001). According to regression analysis, the factors affecting clinical competence were nursing professionalism(β=.437, p<.001), self-leadership(β=.350, p<.001) and explanatory power was 46.4%. Conclusions. Given the above results, in order to improve clinical competence of nursing students, nursing educational institutes need to find an educational plan which can contribute to increasing nursing professionalism and self-leadership.

A Study of the Affecting Factors on the Health Promoting Behaviors of the Clinical Nurses (임상간호사의 건강증진 행위에 영향을 미치는 요인에 관한 연구)

  • Kim, Joo-hyun;Lee, Eun-hee;Hyun, Hae-Jin;Gil, Jung-Hee;Kim, Jin-Soon;Park, Yang-Sook;Park, Jin-Sook;Lee, Ho-Youn
    • Journal of Korean Biological Nursing Science
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    • v.11 no.2
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    • pp.143-148
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    • 2009
  • Purpose: The purpose of this study was to identify the affecting factors on the health promoting behaviors of the clinical nurses. Methods: This study was a trans-sectional survey research. The subjects of this study were 206 clinical nurses. The data were collected by questionnaires and medical records. Results: There were significant positive relationships between health promoting behavior and perceived health status, job satisfaction, familial support. There were significant negative relationships between health promoting behavior and depression. The significant affecting factors on the health promoting behaviors of the clinical nurses were depression, familial support and job satisfaction. These 3 factors explain 18.6% of the health promoting behaviors of the clinical nurses. Conclusion: This study provides the empirical evidence that health promoting behaviors of the clinical nurses are closely related to depression, familial support, and job satisfaction. This results can be used to develop health promoting program for clinical staff nurses.

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A Concept Mapping Study on Factors Inducing Dental Hygiene Student's Activeness During Clinical Practice (치위생학과 학생의 임상실습 적극성 유발요인에 대한 개념도 연구)

  • Kim, Hyeong-Mi;Jeong, Mi-Ae
    • The Journal of the Korea Contents Association
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    • v.20 no.5
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    • pp.359-366
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    • 2020
  • The purpose of this study is to explore factors inducing dental hygiene student's activeness during clinical practice. A conceptual study was conducted for dental hygiene students who participated in the clinical practice for the first semester of 2019. The focus question was, 'What factors induced activeness during clinical practice?', a total of 33 statements were drawn by analyzing the responses. Results of multidimensional scale analysis and cluster analysis, there are six factors that induce activeness 'provide information on clinical practice', 'possibility to participate in clinical practice', 'possibility of adaptation', 'attitude of educator', 'patience of educator', and 'attitude toward trainees'. Among them, the most factor inducing activeness was the 'possibility to participate in practice'. The four items inducing activeness were 'provide a training manual', 'can be observed closely,' 'practice for a sufficient period', and 'the educator's attitude is kind'. The results of this study could be used as basic data to enhance the clinical practice effect of dental hygiene students.

The Effects of Personality Types of Dental Hygienist Students on Clinical Practice (치위생(학)과 학생들의 성격유형이 임상실습에 미치는 영향)

  • Kim, Chang-suk
    • Journal of Convergence for Information Technology
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    • v.10 no.7
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    • pp.176-184
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    • 2020
  • This study identified personality types of 433 college students of Busan, Ulsan and some regions of Gyeongsangnam-do and inquired into influences of personality types on their satisfaction with clinical practice. According to the results, students with extroverted and low-neurotic tendencies showed significant results in the subordinate factors of satisfaction with clinical practice. As for factors influencing the extraversion factors personality type, it turned out to have a significant level in satisfied with teach (p<0.001), satisfied with facility and satisfied with clinical practice (p<0.05). On the other hand, as for factors influencing the personality type of neurotic tendencies, it turned out to have a significant level in satisfied with practice content (p<0.05), satisfied with teach (p<0.001), satisfied with interpersonal (p<0.05) and satisfied with clinical practice (p<0.05). Therefore, it will be indispensable to conduct a personality type test during the period of university days, to increase satisfaction with clinical practice of students majoring in Dental hygienics. Moreover, based on the test results, it will be required to develop a variety of programs to strengthen a customized counseling program and improve interpersonal skills.

Factors Affecting Career Preparation Behaviors of Nursing Students (간호대학생의 진로준비행동에 영향을 미치는 요인)

  • Kim, Kyoung-Nam;Im, Soo-Min;Jang, Yeo-Yeong;Jeon, Da-Hye;Jeong, Min-Ju;Jeong, Ji-Hee;Cho, Min-Hee
    • Journal of Korean Clinical Health Science
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    • v.8 no.2
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    • pp.1450-1461
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    • 2020
  • Purpose: The purpose of this study was to understand the degree of nursing professional intuition, major satisfaction, clinical practice satisfaction, self-leadership, and career preparation behavior of nursing college students, and to identify factors that influence career preparation behavior. Method: This study was a descriptive research study to analyze the factors affecting career preparation behavior. The data collection period was from August 03 to 30, 2020 for 4 weeks. The survey conducted an online survey of 220 students in grades 3-4 who were enrolled in 6 nursing departments located in P metropolitan city and G province, and have clinical practice experience. The collected data were analyzed using SPSS Win 20.0 program. Results: Career preparation behavior had a significant positive correlation with nursing professional intuition(r=.455, p<.001) and self-leadership(r=.539, p<.001), and major satisfaction(r=-.337, p<.001) and clinical practice satisfaction(r=-.380, p<.001) had a significant negative correlation. Self-leadership(β=.424, p<.001) was the most significant factor influencing the study subjects' career preparation behavior, nursing professional intuition(β=.170, p=.010), clinical practice Satisfaction(β=.127, p=.047), employment information(β=.122, p=.023), major satisfaction(β=.137, p=.042) in the order, these variables were found in the order of The explanatory power of the factors affecting the subject's career preparation behavior was 40.2%. Conclusion: Therefore, in order to help nursing students' career preparation behavior, a strategy to provide a variety of employment information and a strategy for nursing intervention that can improve self-leadership, clinical practice satisfaction, and major satisfaction is required.

The feasibility of percutaneous transhepatic gallbladder aspiration for acute cholecystitis after self-expandable metallic stent placement for malignant biliary obstruction: a 10-year retrospective analysis in a single center

  • Akihisa Ohno;Nao Fujimori;Toyoma Kaku;Masayuki Hijioka;Ken Kawabe;Naohiko Harada;Makoto Nakamuta;Takamasa Oono;Yoshihiro Ogawa
    • Clinical Endoscopy
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    • v.55 no.6
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    • pp.784-792
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    • 2022
  • Background/Aims: Patients with acute cholecystitis (AC) after metallic stent (MS) placement for malignant biliary obstruction (MBO) have a high surgical risk. We performed percutaneous transhepatic gallbladder aspiration (PTGBA) as the first treatment for AC. We aimed to identify the risk factors for AC after MS placement and the poor response factors of PTGBA. Methods: We enrolled 401 patients who underwent MS placement for MBO between April 2011 and March 2020. The incidence of AC was 10.7%. Of these 43 patients, 37 underwent PTGBA as the first treatment. The patients' responses to PTGBA were divided into good and poor response groups. Results: There were 20 patients in good response group and 17 patients in poor response group. Risk factors for cholecystitis after MS placement included cystic duct obstruction (p<0.001) and covered MS (p<0.001). Cystic duct obstruction (p=0.003) and uncovered MS (p=0.011) demonstrated significantly poor responses to PTGBA. Cystic duct obstruction is a risk factor for cholecystitis and poor response factor for PTGBA, whereas covered MS is a risk factor for cholecystitis and an uncovered MS is a poor response factor of PTGBA for cholecystitis. Conclusions: The onset and poor response factors of AC after MS placement were different between covered and uncovered MS. PTGBA can be a viable option for AC after MS placement, especially in patients with covered MS.

The Mental Health of Ethnic Minority Youths in South Korea and Its Related Environmental Factors: A Literature Review

  • Lee, Yeeun;Lee, Minji;Park, Subin
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.30 no.3
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    • pp.88-99
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    • 2019
  • Objectives: With increasing concerns for the rapidly growing minority population in South Korea, this literature review addressed a range of mental health risks among multiethnic youths (MY) in South Korea by 1) comparing mental health outcomes with those of native-born youths and 2) identifying multiple layers of relevant environmental factors, from family and school relationships to culture. Methods: We reviewed 54 studies that fulfilled specific inclusion criteria. Results: Multiple common risk/protective factors, including family separation, family relationship quality, parental socioeconomic and mental health status, social relationships at school, and cultural acceptance, were noted. Conclusion: In general, empirical evidence indicates that minority youths have relatively heightened risks for emotional and behavioral problems. Future studies must elucidate the complex interplay between multiple risk and protective factors and the long-term adaptation and mental health service utilization of MY.

Risk factors for repeat breeder dairy cows and their impacts on reproductive performance

  • Jeong, Jae-Kwan;Kim, Ill-Hwa
    • Korean Journal of Veterinary Research
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    • v.62 no.2
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    • pp.15.1-15.8
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    • 2022
  • The objective of this study was to identify risk factors for repeat breeder dairy cows and their impact on reproductive performance. The characteristics of 1,504 cows, including their peripartum health, nutrition, production, and reproduction, were collected. Cows with metabolic disorder were significantly more likely (odds ratio [OR], 2.47; p < 0.001) and cows with clinical endometritis tended to be more likely (OR, 1.35; p < 0.1) to become repeat breeders than cows without metabolic disorder and clinical endometritis, respectively. Cows initially inseminated > 80 days after calving were less likely (OR, 0.78; p < 0.05) to become repeat breeders than cows initially inseminated ≤ 80 days after calving. As a result, repeat breeding in dairy cows resulted in a 90 day longer (p < 0.0001) mean interval from calving to pregnancy. In conclusion, postpartum metabolic disorder, clinical endometritis, and a short interval from calving to initial insemination were risk factors for repeat breeder dairy cows, resulting in a severely impaired reproductive performance.

Early recognition of high risk factors of acute abdominal pain in children (소아 급성 복통에서 고위험 인자의 조기 발견)

  • Hwang, Jin-Bok
    • Clinical and Experimental Pediatrics
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    • v.49 no.2
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    • pp.117-128
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    • 2006
  • Non-traumatic acute abdominal pain in children presents a diagnostic dilemma. Numerous disorders can cause abdominal pain. Although many etiologies are benign, some require a rapid diagnosis and treatment in order to minimize morbidity. This review concentrates on the clinical office evaluation of acute abdominal pain in infants and children and details the clinical guideline for the diagnostic approach to imaging and the salient clinical features of some of the conditions. The clinical outcomes of children presenting with acute abdominal pain and the risk factors of the high risk underlying diseases would be provided for the diagnostic algorithm.