• 제목/요약/키워드: EBP

검색결과 383건 처리시간 0.024초

근거기반실무를 활용한 응급간호 수업 운영의 효과 (Effect of Emergency Nursing Class using Evidence-Based Practice)

  • 김지영
    • 한국콘텐츠학회논문지
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    • 제21권10호
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    • pp.613-621
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    • 2021
  • 본 연구의 목적은 근거기반실무를 활용한 응급간호 수업 운영의 효과를 확인하기 위함이다. 본 연구는 단일군 전후설계연구이다. 본 연구는 일개 대학교의 3학년 간호대학생 54명을 대상으로 시행되었으며, 자료수집기간은 2019년 9월 2일부터 12월 2일이었다. 근거기반실무를 활용한 응급간호 수업은 근거기반실무의 5단계를 활용하여, 13차시로 진행되었다. 수업 운영은 강의, 팀기반학습, 사례기반학습으로 구성하였다. 자료분석은 SPSS/WIN 21.0 프로그램을 이용하였으며, 기술통계와 paired t-test를 이용하여 분석하였다. 근거기반실무를 활용한 응급간호 수업 후, 근거기반실무 신념(t=-2.76, p=.008), 근거기반실무 역량(t=-5.035, p<.001)은 통계적으로 유의하게 향상되었다. 반면 비판적사고성향은 통계적으로 유의한 차이가 없었다. 연구 결과는 근거기반실무를 활용한 응급간호 수업이 간호 학생의 근거기반실무 신념과 역량을 향상시키는 효과적인 교육전략임을 확인할 수 있었다.

ErbB3 binding protein 1 contributes to adult hippocampal neurogenesis by modulating Bmp4 and Ascl1 signaling

  • Youngkwan Kim;Hyo Rim Ko;Inwoo Hwang;Jee-Yin Ahn
    • BMB Reports
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    • 제57권4호
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    • pp.182-187
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    • 2024
  • Neural stem cells (NSCs) in the adult hippocampus divide infrequently; the endogenous molecules modulating adult hippocampal neurogenesis (AHN) remain largely unknown. Here, we show that ErbB3 binding protein 1 (Ebp1), which plays important roles in embryonic neurodevelopment, acts as an essential modulator of adult neurogenic factors. In vivo analysis of Ebp1 neuron depletion mice showed impaired AHN with a low number of hippocampal NSCs and neuroblasts. Ebp1 leads to transcriptional repression of Bmp4 and suppression of Ascl1 promoter methylation in the dentate gyrus of the adult hippocampus reflecting an unusually high level of Bmp4 and low Ascl1 level in neurons of Ebp1-deficient mice. Therefore, our findings suggests that Ebp1 could act as an endogenous modulator of the interplay between Bmp4 and Ascl1/Notch signaling, contributing to AHN.

Detergent Screening for NMR-Based Structural Study of the Integral Membrane Protein, Emopamil Binding Protein (Human Sterol Δ8-Δ7 Isomerase)

  • Won, Hyung-Sik
    • 한국자기공명학회논문지
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    • 제21권1호
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    • pp.13-19
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    • 2017
  • Human sterol ${\Delta}8-{\Delta}7$ isomerase, commonly known as emopamil binding protein (EBP), is an essential protein in the cholesterol-synthetic pathway, and mutations of this protein are critically associated with human diseases such as Conradi-Hunermann-Happle or male EBP disorder with neurological defects syndrome. Due to such a clinical importance, EBP has been intensively investigated and some important features have been reported. EBP is a tetra-spanning membrane protein, of which $2^{nd}$, $3^{rd}$, and $4^{th}$ membrane-spanning ${\alpha}$ helices play an important role in its enzymatic function. However, detailed structural feature at atomic resolution has not yet been elucidated, due to characteristic difficulties in dealing with membrane protein. Here, we over-expressed EBP using Escherichia coli and performed detergent screening to find suitable membrane mimetics for structural studies of the protein by NMR. As results, DPC and LMPG could be evaluated as the most favorable detergents to acquire promising NMR spectra for structural study of EBP.

보건진료전담공무원의 간호연구 활용의 장애요인 및 근거기반실무 활동과 역량 (Community Health Practitioners' Perception of Barriers to Research Utilization, Current Status and the Competence in Evidence based Practice)

  • 송연이;소애영;김진순
    • 한국농촌간호학회지
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    • 제12권2호
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    • pp.29-44
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    • 2017
  • Purpose: The purpose of this study was to identify community health practitioners' (CHP) perception of barriers to research utilization, current status and competence in evidence-based practice (EBP). Methods: From all over the country, 126 CHP completed an e-mail survey. Results: The items with the highest barrier scores were that it is difficult to understand articles written in English and physicians will not cooperate with implementation. There were statistically significant differences in the scores for attitude toward EBP and knowledge in EBP by education level and nursing academic society membership status. When faced with a problem, the nurses usually use related regulations or asked a colleague for advice. Conclusion: Results indicate an awareness of the necessity of applying EBP, need to improve readiness to use EBP voluntarily and actively, and need to search for various factors that are barriers to research utilization. There is a need to develop and apply EBP training/education programs to find new evidence that might actually support previous practice for which nurses lack confidence. Guidelines that consider CHP task characteristics and barrier factors to research utilization should be developed.

간호조직의 지식관리, 간호사의 근거기반실무 신념 및 역량이 근거기반 의사결정에 미치는 영향 (Knowledge Management, Beliefs, and Competence on Evidence-Based Practice, Evidence-Based Decision Making of Nurses in General Hospitals)

  • 장인숙;박명화
    • 성인간호학회지
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    • 제28권1호
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    • pp.83-94
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    • 2016
  • Purpose: The purpose of this study was to explore how knowledge management of hospital and nurses' beliefs and competences on evidence-based practice can affect evidence-based decision making. Methods: In this descriptive study, a total of 184 nurses who were working in the five general hospitals participated. The data were collected through a self-administered questionnaire in September, 2014. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson correlation coefficient, and step-wise multiple regression with SPSS/WIN Statistics 21.0 program. Results: Evidence-based decision making was correlated with EBP beliefs (r=.55, p<.001), EBP competence (r=.57, p<.001), and knowledge management (r=.50, p<.001). Hierarchical regression analysis showed that EBP beliefs (${\beta}=.18$, p=.005), EBP competence (${\beta}=.37$, p<.001), organizational knowledge management (${\beta}=.27$, p<.001) explained 48.6% of evidence based decision making (p<.001). Conclusion: The study results indicated that evidence-based practice competences, organizational knowledge management, and evidence-based practice beliefs were important factors on evidence-based decision making. In order to improve evidence-based practice among nurses through organizational knowledge management, EBP beliefs and competence at individual level need to be considered and incorporated into any systemic training of EBP.

대학도서관 사서의 근거기반실무 지식과 조직문화 인식이 혁신행동에 미치는 영향 (Effects of Knowledge of Evidence Based Practice and Organizational Culture on Innovation Behavior of University Librarians)

  • 김갑선
    • 한국도서관정보학회지
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    • 제52권1호
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    • pp.129-154
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    • 2021
  • 본 연구는 대학도서관 사서가 지각하는 근거기반실무 지식과 조직문화 인식유형이 혁신행동에 미치는 영향을 파악하기 위한 서술적 상관관계 연구이다. 연구결과는 다음과 같다: 근거기반실무 지식은 조직문화 인식, 혁신행동과 통계적으로 유의한 양적 상관관계가 있었다. 근거기반실무 지식이 높을수록 관계지향, 혁신지향, 업무지향의 조직문화 인식이 높은 것으로 나타났다. 근거기반실무 지식은 연령, 교육 정도, 고용 유형, 직위, 학술지의 정기적 읽기, 학술대회 참여 여부에서 유의한 차이가 있었다. 혁신행동에서 유의한 차이가 나타난 변인은 연령과 학술대회 참가 여부 이었다. 근거기반실무 지식에 영향을 미치는 변인은 교육정도, 학술지의 정기적 읽기로 나타났다. 혁신행위의 인식은 연령과 학회참석과 유의적 관계가 있었다. 대학도서관 사서의 혁신행동에 영향을 미치는 변인은 근거기반실무 지식, 혁신지향 조직문화, 위계지향 조직문화로 나타났다. 특히, 위계지향 조직문화 인식은 부정적 영향을 미치는 것으로 나타났다. 대학도서관 사서들의 혁신행동을 이끌어 내기 위해서는 소통과 협력의 혁신적 조직문화를 조성하며, 근거기반실무 적용을 위해 사서의 연구활용능력을 강화하고, 연구 관련 활동을 촉진하는 다양한 교육프로그램의 개발과 지원이 조직 및 도서관계 차원에서 필요하다.

Identification of a Novel SNP Associated with Meat Quality in C/EBP${\alpha}$ Gene of Korean Cattle

  • Shin, S.C.;Kang, M.J.;Chung, E.R.
    • Asian-Australasian Journal of Animal Sciences
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    • 제20권4호
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    • pp.466-470
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    • 2007
  • CCAAT/enhancer binding protein ${\alpha}$($C/EBP{\alpha}$) plays an important role in lipid deposition and adipocyte differentiation. In order to find genetic markers to improve the meat quality of Korean cattle, the bovine $C/EBP{\alpha}$ gene was chosen as a candidate gene to investigate its association with carcass and meat quality traits in Korean cattle. A single nucleotide polymorphism (SNP) was identified at position 271 (A/C substitution) of coding region in the $C/EBP{\alpha}$ gene. A PCR-RFLP procedure with restriction enzyme SmaI was developed for determining the marker genotypes. The frequencies of alleles C and A and were 0.374 and 0.626, respectively. The genotype frequencies for CC, AC and AA were 12.9, 49.0 and 38.1%, respectively, in Korean cattle population. The frequencies of genotype were in agreement with Hardy-Weinberg equilibrium. Association analysis indicated that the gene-specific SNP marker of $C/EBP{\alpha}$ showed a significant association with marbling score (p<0.05). The animals with AA genotype had higher marbling score than those with the AC or CC genotype. Although further studies are needed to validate our results, the $C/EBP{\alpha}$ gene could be useful as a genetic marker for carcass and meat quality traits in Korean cattle.

Ectopic EBP2 expression enhances cyclin E1 expression and induces chromosome instability in HEK293 stable clones

  • Lee, Ming-Cheng;Hsieh, Chang-Hsun;Wei, Shu-Chen;Shen, Shu-Chen;Chen, Chiung-Nien;Wu, Vin-Cent;Chuang, Li-Ying;Hsieh, Fon-Jou;Wu, C. H. Herbert;Tsai-Wu, Jyy-Jih
    • BMB Reports
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    • 제41권10호
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    • pp.716-721
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    • 2008
  • To explore the effects of deregulated expression of the EBNA1 binding protein 2 (EBP2) on cell growth, we generated human HEK293 stable clones constitutively expressing an EBP2-EGFP fusion protein. We found both RNA and protein levels of cyclin E1, a dominant oncoprotein, were elevated in the EBP2- EGFP stable clones. These findings were confirmed by flow cytometry bivariate analysis of cyclin expression versus DNA content. Moreover, the increase in p21 expression and the specific phosphorylation at Ser1981 of ATM and Ser15 of p53 were also observed in these stable clones, and these observations may explain the failure to observe an increase in Cdk2 kinase activity. In addition, after one year of passage culture, the EBP2-EGFP stable clones tended to lose 4 to 5 chromosomes per cell when compared to that of control cells. All of these findings provide a possible link between deregulated expression of EBP2 and tumor development.

상급 종합병원 간호사의 근거기반실무 준비도에 대한 영향요인 (Factors Influencing Evidence-Based Practice Readiness for Tertiary General Hospital Nurses)

  • 김정숙;구미옥;조순연
    • 한국산학기술학회논문지
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    • 제14권6호
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    • pp.2945-2957
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    • 2013
  • 본 연구는 상급종합병원간호사의 비판적사고, 간호조직문화 유형, 근거기반실무 준비도를 파악하고, 근거기반실무 준비도(지식/기술, 태도, 조직의 지원)에 영향을 미치는 요인을 규명하기 위한 서술적 조사연구이다. 자료는 2013년 3월 21일부터 3월 28일까지 2개 상급종합병원에서 근무하는 간호사 160명을 대상으로 조사하였다. 수집된 자료는 t-test, ANOVA, 상관분석, 회귀분석으로 검정하였으며, 모든 검정의 유의수준은 p<.05이었다. 근거기반실무지식/기술의 영향요인은 비판적사고이었으며 34.7% 예측 설명하였고, 근거기반실무 태도의 영향요인은 근거기반실무지식/기술, 외과병동이었으며 14.2% 예측 설명하였다. 근거기반실무를 위한 조직의 지원에 대한 영향요인은 혁신지향문화, 관계지향문화이었으며 24.6% 예측 설명하였다. 따라서 근거기반실무 도입과 활성화를 위해서 간호부 차원에서의 비판적 사고와 근거기반실무 지식/기술을 높이기 위한 교육프로그램 개발 및 적용과 더불어 간호조직의 문화를 혁신지향문화로 조성하기 위한 체계적 지원구축이 요구된다.

지방조직대사에 대한 testosterone의 영향 (Effects of Testosterone on Adipose Tissue Metabolism)

  • 정선효
    • 한국정보통신학회논문지
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    • 제17권12호
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    • pp.2995-3000
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    • 2013
  • 본 연구는 고지방식이를 섭취한 정소절제수술을 한 수컷 마우스에서 백색지방증가의 개선에 대한 testosterone의 영향과 그것에 대한 분자생물학적 조절기전을 규명하였다. Testosterone이 처리된 정소절제수술 마우스(CAST+T)는 정소절제수술 마우스 (CAST)에 비해 지방조직무게, 지방세포크기 및 $C/EBP{\alpha}$와 지방세포 표지유전자의 mRNA 발현이 감소되었다. 본 연구결과는 testosterone이 $C/EBP{\alpha}$$C/EBP{\alpha}$에 의해 조절되는 지방세포 표지 유전자들의 발현을 억제시킴으로써 지방세포 조절기전이 억제되고 지방조직의 무게가 감소된다는 것을 시사하고 있다. 따라서 본 연구는 성선기능저하증 남성의 비만조절에 대한 testosterone therapy의 유익한 분자생물학적 정보를 제공할 것이다.