• Title/Summary/Keyword: Clinical result

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Effects of Web-based Multimedia Contents for Mechanical Ventilator Practice on Knowledge and Clinical Competence of Nursing Students (웹기반 인공호흡기 실무 멀티미디어 컨텐츠 학습이 간호학생의 지식과 임상수행능력에 미치는 효과)

  • Yang, Jin Ju
    • Korean Journal of Adult Nursing
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    • v.18 no.2
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    • pp.231-239
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    • 2006
  • Purpose: The purpose of this study was to identify the effect of web-based learning for ventilator practice on the knowledge and clinical competence of nursing students. Method: The research design was a non-equivalent control group pre-post non-synchronized design. Twenty five nursing students were collected for the experimental group from August 23 to November 26, 2004 and nineteen nursing students for the control group from August 22 to November 25, 2005. All subjects experienced clinical practices in an intensive care unit of a hospital in G city for 2 weeks. The web-based learning for ventilator practice was conducted in the experimental group only. The data were analyzed with t-test and ANCOVA using SPSS 10.1 program. Result: The 2 week web-based clinical practice learning significantly improved the knowledge scores for the experimental group, however, there was no significant differences in the score for the clinical competence between experimental and control group. Conclusion: These findings suggest that a self-directed web-based learning for ventilator practice of nursing students can facilitate the knowledge of care for a ventilated patient. Therefore, faculties should develop a variety of web-based multimedia content programs for clinical instruction based on clinical situation.

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The Communication Styles and Nursing Service Satisfaction of Clinical Research Nurses Perceived by Clinical Subjects (임상시험 대상자가 지각한 임상연구 간호사의 의사소통 유형과 간호서비스 만족도)

  • Seo, Mi Seon;Park, Young Im
    • The Journal of Korean Academic Society of Nursing Education
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    • v.22 no.4
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    • pp.559-566
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    • 2016
  • Purpose: This study aimed to examine the communication styles and nursing service satisfaction of clinical research nurses perceived by clinical subjects. Methods: The data were collected with self-administrated questionnaires after receiving consents from 200 clinical trial subjects. The data were analysed with descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients and stepwise multiple regression analysis using SPSS 21.0 statistic program. Result: Clinical subjects perceived that clinical research nurses used the informative, affective, and non-authoritative communication styles. The study identified factors influencing the nursing service satisfaction, and they were the informative communication styles (${\beta}$=.34, p<.001) and affective communication styles (${\beta}$=.35, p<.001, $R^2$=37%) by multiple linear regression. Conclusion: If educational programs on communication are developed to help clinical research nurses use the informative and affective communication styles according to the characteristics of subjects and applied to the field of practice, they will be able to increase the nursing service satisfaction and contribute to the higher quality of clinical trials.

Changes in Student Nurses' Perception between Initial and Final Clinical Practice (임상실습 초기와 종료 후의 임상실습에 대안 간호학생의 인식 변화)

  • Kim Myung-Ae;Nam Seung-Hee;Kim Hyo-Eun
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.11 no.1
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    • pp.21-30
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    • 2004
  • Purpose: The purpose of this study was to explore perception of clinical experience between the initial and final practice and to explore changes in the perception of clinical experience. Method: The study used a Q-method to measure perception of clinical practice. Thirty-six statements made up the finalized Q-sample. The P sample used thirty three nursing college students from K university. The initial collection was done in the first semester of their junior year and second collection was done in the last semester of their senior year. The Q-sorts by each student were coded and analysed with the Quanl PC program. Result: Many students classified as having the perception type 'alienation of ideal and reality' or 'perception of limitation of ability' in the initial clinical practice changed to the type, 'active participation' by the final clinical practice. Further, in the initial clinical practice, part of 'active participation' and 'perception of limitation of ability' changed to 'alienation of ideal and reality'. Conclusion: This study shows that perception of their clinical practice by student nurses changed in a positive direction through clinical experience and that this fact was related to the level of satisfaction with nursing. The knowledge and understanding obtained in this research provide insights for nursing faculty and students involved in nursing education.

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A study on correlation of teaching efficiency and satisfaction of clinical training in Daegu (임상실습교육의 교수효율성과 임상실습만족도에 관한 상관성 연구 (대구지역을 중심으로))

  • Kim, Jeong-Sook;Jung, Young-Hae
    • Journal of Technologic Dentistry
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    • v.28 no.1
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    • pp.121-142
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    • 2006
  • Collecting materials for study on teaching efficiency and satisfaction of clinical training, it changes. Dental technology's educational procedure to many ways of a prospect. In a circumstance that needed higher level of education, this study is aimed on realizing an importance of clinical training through the various materials that previously carried out and offering basic knowledge to take better clinical training for the students. Study results below 1. This Investigation conducted on 123 of sophomores(70.3%) and 52 of juniors(29.7%) who have been taken clinical training, and men's proportion(51.45%)is a bit higher than girls(48.6%). The 64% of respondents taken largest proportion were 20 to 24 years old. As 67.9% of respondents attended daytime school and 30.3% of them attended nighttime one, their school time shows a little difference. In a question about relation ship, one answered "Harmonious" took largest proportion by 72.6% during training, and about the degree of satisfaction of campus life who answered "normal" were the most with 59.4%. 2. About the reason choosing dental technology as a major, 41.1% taken the most answered "due to the specialized job", "Getting job easily" was second with 26.9%, and third was "recommended from around" with 18.3%. 50.3% of the respondents answered "normal" about the Satisfaction of their major, student marked in grade "B" most with 51.4% 3. In a investigation result about clinical training statues and preference, most(72.6%) choose place less than 10 for clinical training, and 60.6% of them resided own home. About their commuting time from home to training place, 44% was under 30min, 40% took time 30-60min. It shows students prefer shotter distance in terms of choosing training place. 4. Each part manager took large proportion as a clinical trainer with 33.7%, Training curriculum reform and developing method were most answer as a improvement measure after completing training with 30%. 5. The average of total score about clinical training was 3.15 of 5. In the detailed question, 'satisfaction of clinical training' got 3.38 as a highest score, the lowest score was 2.86 that is about satisfaction of clinical training period. The average score about efficiency of study was 2.86 and in detailed question, 'a Role model' got 3.26 as a highest score and participation of student got 3.05 as a lowest score. 6. The result of T-test to see the difference of the satisfaction according to the general character and clinic training condition between teaching efficiency is that the degree of satisfaction of clinical training showed statistical significance only in the degree of satisfaction of campus life(p<0.05), and teaching efficiency has a statistical significance with their age, grade, and satisfaction of campus life (p<0.05). 7. The relation between of teaching efficiency of clinical training and satisfaction of clinical training of dental technologic student has a statistical meaning in significance leveler 0.01. Now, therefore we suggest following based on these result. 1. To elevate satisfaction of clinical training, it agentry needs development of consistent clinical training curriculum. 2. To grasp the satisfaction and requirement, in needs to measure anxiousness and satisfactory degree after completing training 3. To train efficiently and evaluate efficiency over the teaching activities, it needs to develop measuring tools for teaching efficiency in terms of teacher's important rules in a clinical training. 4. Strengthen the relations with the study developing and managing curriculum gathering theoretical knowledge and practice. And make an effort to apply to their students. 5. Let the trainee take a class setting a belief, sense of value, function and obtain behavior by making the students comfort over clinical training as increasing teaching efficiency.

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The Symptomatic Os Subfibulare (증세가 있는 비골하 부 골)

  • Lee, Woo-Chun;Ko, Han-Suk;Kwon, Kang-Jin;Kim, Sung-Woo
    • Journal of Korean Foot and Ankle Society
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    • v.5 no.2
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    • pp.136-141
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    • 2001
  • Purpose: To investigate clinical features and treatment of os subfibulare Materials and Methods: This is a retrospective study on twenty-eight patients who have symtoms associated with os subfibulare. We reviewed charts and radiographs. Thirteen patients were treated surgically and fifteen patients were treated conservatively. We analysed clinical results in 25 patients who were followed for more than one year. Results: Duration from the onset of symtoms to treatment was more than six months in twelve of thirteen surgically treated cases, and in only two of fifteen conservative treated cases. Surgical procedures were internal fixation of the os subfibulare in two patients, and resection of os subfibulare and ligament reconstructions in eleven patients. Clinical results were excellent in six, good in three and poor in two of operatively treated patients. In conservatively treated patients, five excellent, five good, one fair and one poor clinical results were obtained. Conclusion: Os subfibulare is not necessarily a cause of instability and pain, but in cases with chronic pain and/or instability, surgical treatment would result in satisfactory result.

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A Study of Exploration for the Educational-Industrial Joint Research Projects on Oriental Medicine (산학공동연구를 위한 기초조사 연구)

  • Kang, Hyo-Shin;Kwon, Young-Kyu;Park, Jae-Hyun;Seo, Bu-Il;Lee, Jeong-Ho
    • The Journal of Korean Medicine
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    • v.17 no.2 s.32
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    • pp.58-72
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    • 1996
  • I. PURPOSE AND SIGNIFICANCE OF RESEARCH The presentation of research direction for compositive study and application of oriental medicine is urgently demanded. Since there is few investigation for the interest in basic and clinical field of oriental medicine, and we hope that compositive study and concentrative research between instruction in college and local clinics is established by this research. II. RESEARCH CONTENT ${\cdot}$ Analysis of survey in basic field of oriental medicine as instruction curriculum. ${\cdot}$ Analysis of survey in clinical field of oriental medicine as the classification of disease. III. RESULT The result of investigation shows that the most interested field is acupuncture and moxibustion in clinical field and diagnostics in basic field of oriental medicine. And oriental medicinal clinic doctors are concerned about prescription and a newly-developed techniques such as new acupuncture therapy, new machines. They hope that a study of oriental medicine in clinical field be accomplished with the special clinics as leader. According to the previous results, we can work out the foundation of compositive study and concentrative research between instruction in college and local clinics, and on this ground it is considered that we can grope for the presentation of research direction of local clinics.

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Usefulness of Automated PCR Test for Detection of Mycobacterium tuberculosis in Clinical Samples (임상검체별 결핵균 검출을 위한 자동화 중합효소연쇄반응 검사의 유용성)

  • Choi, Woo-Soon;Shin, So-Young
    • Korean Journal of Clinical Laboratory Science
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    • v.38 no.3
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    • pp.152-157
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    • 2006
  • The purpose of this study was to evaluate the usefulness of the automated TB-PCR assay for the detection of Mycobacterium tuberculosis. The 807 cases were analyzed with their TB-PCR, AFB smear and culture in bronchial washing fluids, sputum and body fluids samples. The TB-PCR positive of the bronchial washing fluid, sputum and body fluids were 11.3%, 7.3% and 3.6%, respectively, in cases of AFB smear-negative and culture-negative. The sensitivity values of the bronchial washing fluid, sputum and body fluids were 93.3%, 100% and 50%, respectively, according to the culture result. The sensitivity of body fluids was lower than that of the bronchial washing fluid and sputum. The specificity values of the bronchial washing fluid, sputum and body fluids were 83.3%, 89.0% and 95.7%, respectively, according to the culture result. In conclusion, the automated TB-PCR assay proved to be a useful method for the detection of Mycobacterium tuberculosis in the bronchial washing fluid and sputum. But we think that there is still a need for us to study body fluids further.

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Analysis of Indicated Points and Main Factors Affecting the Quality of Clinical Research for the Development of Internal Audit Tools (자체점검 도구 개발을 위한 지적사항 및 임상연구의 품질에 작용하는 요인 분석)

  • Hye Yun Jang;Jung-Hee Jang;Yoon Jin Lee
    • The Journal of KAIRB
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    • v.5 no.1
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    • pp.14-20
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    • 2023
  • Purpose: To obtain fundamental data on selection tools for an internal audit and develop a new guideline. We scored the indicated points from the internal audit, identified the research progress and problems that occurred, and confirmed the validity of the risk factors involved. Methods: Of the 63 internal audits conducted by Keimyung University Dongsan Hospital from 2014 to 2021, we analyzed 55 clinical trials with an inspection checklist. We excluded 8 that failed to transfer data and refused to comply with the internal audit. The statistical summary of the collected data was verified and interpreted by using frequency analysis and a chi-square test. Result: Of total 55 cases included in the internal audit, sponsor-initiated trial (SIT) was 63.6% (vs. investigator-initiated trial [IIT]), clinical trial for investigational drug was 71.0% (vs. nonclinical or clinical trial for investigational device), domestic multicenter trial was 60.0% (vs. single center or multinational multicenter trial), and trial requisition for MFDS approval was 69.1% (vs. exception for MFDS approval). The 10 areas of the clinical trial inspection checklist (reports, protection of subjects, compliance with protocols, records, management of investigational drug and/or device, delegation of duties, qualification of investigators, management of specimen, contract-agreement and approval of protocols, and preservation of recorded documents) were weighted between 2 to 5 points. The average of the total points was 16.09±13.2 and 20 clinical trials were above the average. As a result of comparing the average of the total points weighted by year, the highest score was in 2020. The 4 factors that play significant roles in determining the internal quality were (1) principal subjects that initiated the clinical trials (p=0.049), (2) type (p=0.003), (3) phase of clinical trials (p=0.024), and (4) number of registered subjects reported at the time of continuing deliberation (p=0.019). Of the 10 areas of the clinical trial inspection checklist, 'record' was the most inappropriate and insufficient. We found more indicated points; the quality of performance declined in IIT, nonclinical trials, and other clinical trials that were not in phase I1-IV4, and the study of more than 30 registered subjects at the time of continuing review. Conclusion: If an institution has an internal audit selection tool that reflects the aforementioned risk factors, it will be possible to effectively manage high-risk studies; thereby, contributing to an efficient internal audit and improving the quality of clinical trials.

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The clinical review of ptosis

  • Hong, Kwon-Eui
    • Journal of Pharmacopuncture
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    • v.9 no.1
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    • pp.53-58
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    • 2006
  • Objectives : This paper aims to report the clinical effectiveness of acupuncture & herbal treatment on ptosis, which has no way to be treated but the operative method like a tarsectomy. Methods : This study was carried out, from February 2003 to December 2003, to the twenty patients who were diagnosed as an acquired ptosis and treated by acupuncture and herbal treatment in the department of Acupuncture & Moxibustion, Daejon University Oriental Hospital. The selected acupoints were hasamhwang(下三黃) in normal side, BL 2, BL 60(崑崙), BL 66(通谷), ST 41(解谿), ST 44(內處), LI 4(合谷), LI 5(陽谿), guhu(球後), emi(魚尾) in abnormal side. The method of acupuncture insertion for each point was neutral(平補平瀉). The treatment frequency was once a day. And all patients were administered the Bojungikkitanggamibang(補中益氣揚加味方), which is known to be able to rise up the Gi of spleen(脾氣). Result & Suggestion : The treatment result showed that excellent was 95%(19) and poor was 5%(1). Through this result, we can know that oriental medical treatment for ptosis is effective. But continuous study about oriental medical treatment for ptosis is needed hereafter.

A Clinical Case Report of Vocal cord paralysis with Ramsay Hunt Syndrome (Ramsay Hunt Syndrome을 동반한 성대마비환자 1례 증례보고)

  • Hur, Inn-Hee;Hong, Sung-Min;Byun, Hak-Sung;Sim, Sung-Yong;Kim, Kyung-Jun;Eom, Yu-Sik
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.19 no.2
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    • pp.281-287
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    • 2006
  • Objective : This study was designed to evaluate the effects of oriental medicine therapy on Vocal cord paralysis with Ramsay Hunt syn. Methods & Result : The clinical data was analyzed on a patient with Vocal cord paralysis with Ramsay Hunt syn. whose main symptoms were right facial palsy, auricle pain, dysphagia and hoarseness. The patient was treated by the acupucture and Herb-medicine.. As the result, symptoms are improved. Conclusion : This result suggest that the acupucture and Herb-medicine. was effective treatment of Vocal cord paralysis. So futher research is needed continuously.

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