• 제목/요약/키워드: Clinical test

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지역임상시험센터 임상연구간호사의 역할 구명 (The Role of Clinical Research Nurses at Regional Clinical Trials Centers)

  • 도선주
    • 간호행정학회지
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    • 제16권3호
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    • pp.348-359
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    • 2010
  • Purpose: This study aimed to evaluate the performance of Clinical Research Nurses (CRNs) and the importance of their roles at the Regional Clinical Trial Centers (RCTCs). Method: A questionnaire focused on the role of CRNs was crafted by a researcher and the content validity was verified by a panel of experts on clinical research. The subjects of this study were 91 CRNs and Clinical Research Coordinators (CRCs), who were Korean registered nurses working at nine RCTCs. 77 subjects yielded valid data were analyzed using descriptive analysis, the Mann-Whitney U test, Spearman's rank order correlation coefficient, and Kruskal-Wallis test. Results: The performance of CRNs and the recognition in the importance of their roles were statistically significant different in age, education, CRN careers, positions, employment status and the phase of clinical trial. The role of direct caregiver was performed most often by CRNs. The role of coordinator of care and research (pre-study) was considered the most important role but performed the least frequent. Conclusions: The role of CRNs can easily be differentiated from CRCs who are not registered nurses. The domains of CRNs should be clearly identified and established. Moreover, research should be carried out on CRN training programs to cultivate competence in CRNs.

간호대학생의 임상실습 중 경험한 언어폭력, 임상실습 스트레스 및 스트레스 대처가 전공 만족도에 미치는 영향 (The effect of verbal violence, clinical practice stress, and coping with stress on nursing students' major satisfaction during clinical practice)

  • 허희정;송영숙
    • 한국간호교육학회지
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    • 제29권2호
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    • pp.190-198
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    • 2023
  • Purpose: This study was conducted to identify the effect of verbal violence, clinical practice stress, and coping with stress on the major satisfaction in nursing students during clinical practice. Methods: A cross-sectional study was used. A survey was conducted from May 3 to May 10, 2022, on 200 nursing students who were in their junior and seneior years at two universities in Gyeongsangbuk-do. Descriptive statistics, frequency analysis, independent t-test, one-way ANOVA, Scheffé's test, Pearson correlation coefficient, and hierarchical regression analysis were employed to analyze the data. Results: Major satisfaction was found to be significantly negatively correlated with verbal violence (r=-.30, p<.001) and clinical practice stress (r=-.15, p=.032) and to be positively correlated with coping with stress (r=.24, p<.001). Their satisfaction with clinical practice (β=.29, p=.037), verbal violence (β=-.23, p<.001), coping with stress (β=.16, p=.015), religion (β=.14, p=.041), and clinical practice stress (β =-.13, p=.048) explained 19.3% of the variance in nursing students' major satisfaction during clinical practice. Conclusion: A verbal violence and coping with stress program for nursing students should be developed to increase nursing students' major satisfaction during clinical practice.

반사광을 이용한 다채널 임상화학분석기개발 (Development of a multi-channel clinical chemistry analyzer)

  • 유동주;송은영
    • 대한의용생체공학회:의공학회지
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    • 제16권2호
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    • pp.139-148
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    • 1995
  • In this paper we report the device of a multi-channel clinical instrument developed for determi¬nation of the levels of the urinary urobilinogen, glucose, ketone, bilirubin, protein, ascorbic acid, nitrite, pH, occult-blood, specific gravity, and leukocytes semiquantitatively. The test parameters are expressed on the dry test strips as a range of color intensities by chemical reactions. The instrument measures the value of each substance by reading the reflectance light emanated from the test strips. We also designed the reagent strip cassette and loader in order to intercept the outside interference. The loader can be operated semi-automatically. The light source is consisted on light emitting diodes at three specific wavelengths (560 nm, 610 nm, 650 nm). Precision of the system was evaluated by testing a series of commercial control urine samples. Furthermore, the performance of the instrument was compared with two other test methods on the urine samples from 100 persons. Our results showed a good repeatability between tests and a satisfactory agreement between the readings by our instrument and visual evaluation.

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Sample size determination for conducting a pilot study to assess reliability of a questionnaire

  • Mohamad Adam Bujang;Evi Diana Omar;Diana Hui Ping Foo ;Yoon Khee Hon
    • Restorative Dentistry and Endodontics
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    • 제49권1호
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    • pp.3.1-3.8
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    • 2024
  • This article is a narrative review that discusses the recommended sample size requirements to design a pilot study to assess the reliability of a questionnaire. A list of various sample size tables that are based on the kappa agreement test, intra-class correlation test and Cronbach's alpha test has been compiled together. For all calculations, type I error (alpha) was set at a maximum value of 0.05, and power was set at a minimum value of 80.0%. For the kappa agreement test, intra-class correlation test, and Cronbach's alpha test, the recommended minimum sample size requirement based on the ideal effect sizes shall be at least 15, 22, and 24 subjects respectively. By making allowances for a non-response rate of 20.0%, a minimum sample size of 30 respondents will be sufficient to assess the reliability of the questionnaire. The clear guideline of minimum sample size requirement for the pilot study to assess the reliability of a questionnaire is discussed and this will ease researchers in preparation for the pilot study. This study provides justification for a minimum requirement of a sample size of 30 respondents specifically to test the reliability of a questionnaire.

Comparison of three types of analyzers for urine protein-to-creatinine ratios in dogs

  • Ji, Sumin;Yang, Yeseul;Jeong, Yeji;Hwang, Sung-Hyun;Kim, Myung-Chul;Kim, Yongbaek
    • Journal of Veterinary Science
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    • 제22권1호
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    • pp.14.1-14.11
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    • 2021
  • Background: Quantitation of urine protein is important in dogs with chronic kidney disease. Various analyzers are used to measure urine protein-to-creatinine ratios (UPCR). Objectives: This study aimed to compare the UPCR obtained by three types of analyzers (automated wet chemistry analyzer, in-house dry chemistry analyzer, and dipstick reading device) and investigate whether the differences could affect clinical decision process. Methods: Urine samples were collected from 115 dogs. UPCR values were obtained using three analyzers. Bland-Altman and Passing Bablok tests were used to analyze agreement between the UPCR values. Urine samples were classified as normal or proteinuria based on the UPCR values obtained by each analyzer and concordance in the classification evaluated with Cohen's kappa coefficient. Results: Passing and Bablok regression showed that there were proportional as well as constant difference between UPCR values obtained by a dipstick reading device and those obtained by the other analyzers. The concordance in the classification of proteinuria was very high (κ = 0.82) between the automated wet chemistry analyzer and in-house dry chemistry analyzer, while the dipstick reading device showed moderate concordance with the automated wet chemistry analyzer (κ = 0.52) and in-house dry chemistry analyzer (κ = 0.53). Conclusions: Although the urine dipstick test is simple and a widely used point-of-care test, our results indicate that UPCR values obtained by the dipstick test are not appropriate for clinical use. Inter-instrumental variability may affect clinical decision process based on UPCR values and should be emphasized in veterinary practice.

건강진단 후 추구 관리의 현황 및 의의 (Significance of Follow-up Blood Test after Health Examination)

  • 이명신;김민규;이동하;이주용;류재기;명미혜
    • 대한임상검사과학회지
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    • 제41권3호
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    • pp.123-127
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    • 2009
  • After a health examination, abnormal patients were classified into two groups. One needs clinical treatment immediately, while the other one needs check-up in 2~3 month after for blood tests and preventive medical study. To discover the status and importance of the follow-up study in a health program, blood test upon health examination was compared to the test from the follow-up. We examined patients of ages from 20's to 70's. Among these patients, most of them were between 40's and 50's, and in male patients the follow-up test were more freguent than female. We examined blood obtained from January 2007 to December 2008. We analyzed and compared initial and the follow up blood test. Lipid profile, liver test, thyroid function tests (TFTs), glucose fasting, and HbA1c were examined from the blood tests. We also surveyed their distribution and status. The value of the follow up blood tests was significantly decreased with the most striking differences in lipid profiles and liver test. Follow up study is able to improve life style of patients through doctor's advice in a health program. Therefore, we can conclude that the follow up blood test is also quite critical.

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우세손의 유형에 따른 손 기능 차이에 관한 연구 (The Difference of Hand Functions in Dominant Hand Types)

  • 이선명
    • 한국임상보건과학회지
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    • 제2권2호
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    • pp.119-125
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    • 2014
  • Purpose. This study was conducted to prove the difference of dominant hand and non dominant hand in hand functions. Methods. We study difference of dominant hand and non dominant hand in hand functions that 40 university students participated in the study and performed a correlation between Jebsen-Taylor Hand Function test, O'conner Finger Dexterity test and Purdue Pegboard test. Results. In left dominant hand are functional of small common object, simulated feeding and large light object in Jebsen-Taylor Hand Function Test. Also O'conner Finger dexterity test are functional in left dominant hand and same result in Purdue pegboard test. Conclusion. The results of this study was left dominant hand is more functional than right dominant hand. So, we suggests that both hand using are improving of hand function in right dominant hand.

호흡기 감염병 시뮬레이션 교육이 간호대학생의 호흡기 감염병 관련 임상수행능력, 셀프리더십 및 비판적 사고에 미치는 효과 (Effects of Respiratory Infectious Disease Simulation-based Education on Nursing Student's of Clinical Competency, Self-leadership and Critical Thinking)

  • 김중경;송민선
    • 한국산학기술학회논문지
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    • 제20권8호
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    • pp.93-101
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    • 2019
  • 본 연구는 호흡기 감염병 시뮬레이션 교육이 간호대학생의 호흡기 감염병 관련 임상수행능력, 셀프리더십 및 비판적 사고에 미치는 효과 확인을 위한 비동등성 대조군 전후 설계연구이다. 연구대상은 실험군 30명, 대조군 30명이었다. 호흡기 감염병 시뮬레이션 교육은 5주 동안 수행되었으며, 시뮬레이션 교육 전후 호흡기 감염병 관련 임상수행능력, 셀프리더십 및 비판적 사고에 대한 설문조사를 시행하였다. 자료분석은 SPSS WIN Ver 21.0을 이용하여 Fisher's exact test, Independent t-test, Paired t-test를 수행하였다. 연구결과 호흡기 감염병 시뮬레이션 교육을 시행한 실험군이 대조군에 비해 임상수행능력, 셀프리더십 및 비판적 사고에 유의한 차이를 보였다. 이상의 연구결과를 종합해 볼 때 본 연구의 호흡기 감염병 시뮬레이션 교육은 간호대학생들의 호흡기 감염병 관련 임상수행능력, 셀프리더십 및 비판적 사고를 향상시키는 효과가 있었다. 그러므로 국내에서 시뮬레이션을 이용한 호흡기 감염병 교육의 성과 검증과 연구의 타당성을 높이기 위한 반복연구와 시뮬레이션 교육에 영향을 미치는 변수를 확인하는 연구를 제언한다.

간호대학생을 위한 감성지능 향상 프로그램 개발 및 효과검증: 혼합연구 설계 적용 (Development and Effects of Emotional Intelligence Program for Undergraduate Nursing Students: Mixed Methods Research)

  • 이외선;구미옥
    • 대한간호학회지
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    • 제44권6호
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    • pp.682-696
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    • 2014
  • Purpose: This study was conducted to develop and test the effects of an emotional intelligence program for undergraduate nursing students. Methods: The study design was a mixed method research. Participants were 36 nursing students (intervention group: 17, control group: 19). The emotional intelligence program was provided for 4 weeks (8 sessions, 20 hours). Data were collected between August 6 and October 4, 2013. Quantitative data were analyzed using Chi-square, Fisher's exact test, t-test, repeated measure ANOVA, and paired t-test with SPSS/WIN 18.0. Qualitative data were analyzed using content analysis. Results: Quantitative results showed that emotional intelligence, communication skills, resilience, stress coping strategy, and clinical competence were significantly better in the experimental group compared to the control group. According to the qualitative results, the nursing students experienced improvement in emotional intelligence, interpersonal relationships, and empowerment, as well as a reduction in clinical practice stress after participation in the emotional intelligence program. Conclusion: Study findings indicate that the emotional intelligence program for undergraduate nursing students is effective and can be recommended as an intervention for improving the clinical competence of undergraduate students in a nursing curriculum.

Clinical Predictors of Permanent Neuropathy in Patients with Peripheral Painful Traumatic Trigeminal Neuropathy

  • Ryu, Ji-Won;Ahn, Jong-Mo;Yoon, Chang-Lyuk
    • Journal of Oral Medicine and Pain
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    • 제41권3호
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    • pp.118-125
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    • 2016
  • Purpose: The aims of this study were to evaluate the clinical characteristics of patients with altered sensation and/or pain, and to determine outcome predictors affecting persistent neuropathy. Methods: Patients who complained an altered sensation or pain following trigeminal nerve trauma were involved in this study. To determine outcome predictors affecting persistent neuropathy, the patients were divided into two groups; transient vs. persistent, and the clinical phenotypes are compared between groups. Data were analyzed with t-tests, chi-square, and multiple regression analyses with 95% confidence interval and p<0.05 significance level. Results: A total of 111 patients were included: 23 with transient and 88 persistent groups. The panoramic result and pin-prick test score were statistically different between the groups. Radiating symptoms after blunt and pinprick stimuli were also significantly different between groups. The results revealed that the presence of a neurologic lesion in the panoramic view result, reduced sensation in the pinprick test, and radiation in the pinprick test could affect the persistent group. Conclusions: The presence of a neurologic lesion in panoramic view result and reduced sensation and radiating symptoms in the pin prick test would be defining features of one of the main clinical features of persistent neuropathy. These features could serve as outcome predictors diagnosing the permanent nerve injury in trigeminal nerve.