• Title/Summary/Keyword: Important score

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The Relation of HRV, PSQI and IQ with Symptoms of Insomnia Patients (수면장애와 동반된 임상증상에 따른 심박변이도와 수면 관련 설문간의 상관성 연구)

  • Yang, Dong-Ho;Oh, Kyong-Min;Kim, Bo-Kyung
    • Journal of Oriental Neuropsychiatry
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    • v.19 no.3
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    • pp.143-169
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    • 2008
  • Objective: This study was to investigate the relation of what insomnia patients' symptoms with Heart Rate Variability(HRV), Pittsburgh Sleep Quality Index (PSQI) and Insomnia Questionaire(IQ). Methods: For this study, we carried out HRV, PSQI and IQ of 43 patients with insomnia who have come to Donguei oriental hospital of Donguei university from September 2007 to May 2008. We studied the relationship HRV with PSQI and IQ. For every symptom, this study classified the patients as none-symptom, symptom groups and analyzed each group's HRV, PSQI and IQ. Result : 1. The rate of xerostomia in female group is significantly higher than male group. 2. P1 (hypnagogic time), P3(awakening time), LF has negative correlation with age. The score of PI (hypnagogic time), P3(awakening time), P4(time of recoverable sleep) in the group whose age is more than 50 are higher than the group whose age is lesser than 50. 3. The frequency of using hypnotics(P6) in the group whose duration of onset are over 1 year was significantly higher than the score in the group whose duration of onset were below 1 year. 4. The accompanied symptoms in the group who started sleep disorder after stressor are higher than the number in the group whose duration of onset were poor-defined. 5. The drinking group have lower rate of anorexia, higher score of P1 (hypnagogic time) and TP than non-drinking group. 6. The score of P-total(general quality of sleep) have negative correlation with NNSO, HF, TP and positive correlation with LF/HF. 7. The score of P1(hypnagogic time) have negative correlation with LF. 8. The score of P5a(frequency of delayed hypnagogue) have positive correlation with LF/HF. 9. The score of P5e(frequency of cough or snoring) have negative correlation with RMSSD. 10. The score of I1a(degree of onset insomnia), I1b(degree of maintenance insomnia) have negative correlation with NN50, pNN50, HF. 11. The score of I1c(degree of termination insomnia) have negative correlation with RMSSD, NN50, pNN50, HF, TP and positive correlation with MHR, LF/HF. 12.. The score of P5i(frequency of night pain), LF/HF in the group with headache are higher than the group without headache. 13. The score of P5a(frequency of delayed hypnagogue), P5c(frequency of awakening for urine of stool) in the group with xerostomia are higher than the group without xerostomia. 14. The score of P9(degree of unrecoverable sleep) and I5a(degree of onset insomnia) in the group with chest discomfort are lower than the group without chest discomfort. 15. The score of P7(frequency of drowsiness for daytime) in the group with palpitation are lower than the group without palpitation. 16. The score of P5c(frequency of awakening for urine of stool), P5f(frequency of burning sensation), P5h(frequency of nightmare), I1c(degree of termination insomnia) in the group with burning sensation of upper trunk are higher than the group without burning sensation. 17. The score of NN50, pNN50, LF, TP in the group with anorexia are lower than the group without anorexia. 18. The score of P-total(general quality of sleep), P2(duration for sleep start) in the group with constipation are higher than the group without constipation. 19. The score of P4(recoverable sleep time) in the group with depression are higher than the group without depression. 20. In the group with anxiety, the score of P1(time of hypnagogue), P5a(frequency of onset insomnia) are lower and the score of I1b(degree of maintenance insomnia), I4(objective degree of impairment by insomnia) are higher than the group without anxiety. 21. The score of NN50, pNN50, HF, TP in the group with inertia are lower than the group without inertia. 22. The accompanied symptoms haver posirive correlation with P5f(frequency of burning sensation), P5h(frequency of nightmare), P5i(frequency of night pain) and LF/HF. Conclusion: This study provides insights into the complicated relations of the pattern of sleep disorder with many symptoms such as headache, chest discomfort, depression and any others. And this study showed that autonomic nervous system have important function in the regulation of sleep.

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Patient Perceptions of Clinical Nutrition Service (임상영양서비스에 대한 환자의 인식 조사)

  • Choi, Ki-Bo;Lee, Song-Mi;Lyu, Eun-Soon
    • Journal of the Korean Dietetic Association
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    • v.18 no.1
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    • pp.59-71
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    • 2012
  • The purpose of this study was to evaluate the patient perception of clinical nutrition service. The research was performed by using questionnaires and conducted from February 14 to March 15 at 42 hospitals (over 400 beds). 41.7% of patients experienced nutritional education and counseling. The mean score of the patients' perception on clinical nutritional service was 4.62/5.00 for "nutrition care is important for treatment of the disease", 4.49/5.00 for "diet therapy is necessary for treatment of the disease", 4.16/5.00 for "nutritional counseling call-centers are necessary", 4.13/5.00 for "nutritional consultation fee is required to apply insurance benefits", 4.12/5.00 for "one-to-one nutrition system is necessary", and 3.56/5.00 for "nutrition services I am willing to pay". The patients who had no past experience in nutritional education and counseling showed significantly higher scores for "nutrition care is important for treatment of the disease", "one-to-one nutritional care system is necessary", and "nutritional counseling call-centers are necessary" (P<0.05). The mean scores for the importance (4.26/5.00) and performance (3.88/5.00) of nutrition counseling service were significantly different (P<0.01). "Nutritional counseling is available whenever I want" had the highest gap score between performance and importance among nutrition counseling service items. The importance and performance grid showed that highly important items had high performance (doing great area) and less important items have low performance (low priority).

A Study of the Relationship Between Perceived Social Support and Quality of Life of Cancer Patients receiving Gene therapy (유전자 치료를 받는 암 환자가 지각하는 사회적 지지와 삶의 질과의 관계 연구)

  • Chang, Mi-Kyung;Kim, Kyung-Hee;Chung, Yeon-Kang
    • Research in Community and Public Health Nursing
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    • v.8 no.1
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    • pp.74-88
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    • 1997
  • The purpose of this study was to identify the relationship between perceived social support and the quality of life of cancer patients receiving gene therapy. The subjects for this study were 50 cancer patients receiving gene therapy at two general hospital in Seoul. The data were collected during the period from October 14, 1996 to November 11, 1996. The perceived social support was measured by the family support scale made by Hyun Sook Kang, by the medical support of life scale developed by Ok Soo Kim. The quality of life scale developed by Bang-Whal-Ran was used, among the questionnaire, physical factors was developed by U.S.A National Conference on Cancer Nursing. The data was analysed by the SAS statistical program. Percentile, means and standard deviations, t -test, ANOVA, Scheffe test, Pearson correlation were utilized for analysis. The results of this study were as follows. 1. The mean score of the perceived social support of the subjects was 83.66, the item score was 3.8. 1) The mean score of the perceived family support of the subjects was 44.96, the item mean score was 4.5. 2) The mean score of the perceived professional medical support of the subjects was 38.70, the item mean score was 3.2. 2. The mean score of quality of life of the subjects was 120.38, the item mean score was 3.17. For each factor in quality of life scale, the mean score was follows: for attitude toward life, 3.95, for familial relationship and financial status, 3.53, for social activity 3.24, for emotional status, 3.08, for healthy perceptive, 2.90, for physical symptom, 2.80. 3. The result of the analysis of the relationship between perceived social support and quality of life showed a positive correlation(r=.4853, p=.0004). Therefore, the higher the perceived social support of the patients, the higher the quality of life. 1) The result of the analysis of the relationship between perceived family support and quality of life showed significant correlation(r=. 3566, p=.0110). Therefore the higher the perceived family support of the patients, the higher the quality of life. 2) The result of the analysis of the relationship between perceived professional medical support and quality of life showed significant correlation (r=.4477, p=.0011). Therefore, the higher the perceived professional medical support of the patients the higher the quality of life. 4. There was a significant difference in perceived social support according to sex(F=2.1437, p= .0371), others coping non-family (F=2.4863, p=.0164) and duration of treatment (F=4.16, p=.0218). 5. There was a significant differance in quality of life according to sex(F=2.6932, p=.0097), degree of education(F=2.3610, p=.0223), others coping non-family(F=2.0502, p=.0458). In conclusion, this study revealed that social support is an important factor that associated with the quality of life in cancer patients receiving gene therapy.

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A Study on the Importance of Hospital Nursing Activities (간호업무 중요도에 관한 조사연구)

  • 신경자
    • Journal of Korean Academy of Nursing
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    • v.4 no.1
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    • pp.135-150
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    • 1974
  • A study on the importance of fifty selected nursing activities that classified into four categories of patient care (physical care. psychological aspects of care, observing, reporting and implementing medical care, care for admission and discharge) was carried out from september 25 to October 10, 1973 toward 300 hospitalized patients and 300 professional nurses in four university hospitals in Seoul. The results were obtained as follows The importance score in order on four categories of nursing activities were seen as follows : 1. in physical care activities patients noted; moderately important 35.0% extremely important 20.5% very important 19.3% slightly important 18.6% not at all important 6.6% nurses noted: moderately important 41.5% very important 29.4% extremely important 23.5% slightly important 6.2% not at all important 3.4% 2. in activities involving psychological aspects of care patients noted: moderately important 33.4% very important 25.2% extremely important 23.2% slightly important 14.3% not at all important 3.9% nurses noted: moderately important 42.3% very important 34.8% extremely important 16.0% slightly important 6.2% not at all important 0.7% 3. in activities involving observing, reporting, and implementing medical care patients noted ; extremely important 35.9% moderately important 28.0% very important 26.0% slightly important 8.4% not at all important 1.7% nurses noted : extremely important 38.1% very important 31.8% moderately important 26.1% slightly important 3.6% not at all important 0.4% 4. in activities preparing for admission and discharge patients noted: moderately important 35.8% extremely important 24.5% very important 23.5% extremely important 12.5% not at all important 3.7% nurses noted: moderately important 47.6% very important 33.1% extremely important 12.5% slightly important 6.0% not at all important 0.8%

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Diagnosis of Managerial Ability of Farmers Practicing Environmental Friendly Agriculture (친환경농업 실천농가의 경영능력 진단)

  • Lee, Ki-Woong;Yu, Chan-Ju;Park, Hyung-Dal
    • Korean Journal of Organic Agriculture
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    • v.14 no.3
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    • pp.267-285
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    • 2006
  • This study diagnosed the managerial ability of farmers in the Gokseong area and the Gwangyang area, and analysis was conducted especially placing focus on the difference in managerial ability on whether environmental friendly agriculture has been implemented or not. According to the analysis results, the average score of all the farmers was 63.9 out of the full score of 100 which can be seen to be a medium to high standard. Also, in the diagnosis results according to whether environmental friendly agriculture has been implemented or not, the ability scores of farmers practicing environmental friendly agriculture were higher than those who were not, but large differences between the item scores for information ability and cooperative ability were shown. This is connoting a very important meaning in terms of the point that correspondence is being made to the conditions required to possess market response capabilities to the high information systemization society to unfold in the future. As a result, the important issue can be seen to be personnel cultivation in order to possess self response capabilities through the development of education programs that can improve this kind of managerial ability and revision of support systems.

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A Prediction Model for Functional Recovery After Stroke (뇌졸중 환자의 기능회복에 대한 예측모델)

  • Won, Jong-Im;Lee, Mi-Young
    • Physical Therapy Korea
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    • v.17 no.3
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    • pp.59-67
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    • 2010
  • Mortality rates from stroke have been declining. Because of this, more people are living with residual disability. Rehabilitation plays an important role in functional recovery of stroke survivors. In stroke rehabilitation, early prediction of the obtainable level of functional recovery is desirable to deliver efficient care, set realistic goals, and provide appropriate discharge planning. The purpose of this study was to identify predictors of functional outcome after stroke using inpatient rehabilitation as measured by Functional Independence Measure (FIM) total scores. Correlation and stepwise multiple regression analyses were performed on data collected retrospectively from two-hundred thirty-five patients. More than moderate correlation was found between FIM total scores at the time of hospital admission and FIM total scores at the time of discharge from the hospital. Significant predictors of FIM at the time of discharge were FIM total scores at the time of hospital admission, age, and onset-admission interval. The equation was as follows: expected discharge FIM total score = $76.12+.62{\times}$(admission FIM total score)-$.38{\times}(age)-.15{\times}$(onset-admission interval). These findings suggest that FIM total scores at the time of hospital admission, age, and onset-admission interval are important determinants of functional outcome.

A Correlation Study of Perceived Importance of Nursing Interventions with Performance Frequency in Psychiatric Nursing Units Using the 3th NIC (정신과 병동 간호사의 간호중재에 대한 중요도 인지 및 수행빈도와의 관계 - 3차개정 Nursing Interventions Classification(NIC)을 적용하여 -)

  • 최자윤;김혜숙;박미선
    • Journal of Korean Academy of Nursing
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    • v.33 no.1
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    • pp.95-103
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    • 2003
  • Purpose: The purpose of this study was to identify the perceived importance of nursing intserventions of psychiatric nurses according to domains, classes and interventions using the 3th NIC. Method: In this study, a 435 of 486 nursing interventions were selected from 75% consent reached by experts. Data were collected from 9 hospitals and 141 nurses(return rates: 94,0%) in Seoul, Kyonggi, Chungnam, Gwang-ju and Chonnam region from January, 2002 to February, 2002 using 4 point Likert scale. Result: Total perceived importance score was $2.905{\pm}0.463$ and total correlation score with performance frequency was r=0.295. The most important perceived domain and class was found to be ‘safety’ ($3.217{\pm}0.465$) and ‘community health promotion’ ($3.285{\pm}0.866$). The most correlated domain and class with performance frequency appeared to be ‘behavioral’ (r=0.431, p=0.000) and ‘communication enhancement’ (r=0.439, p=0.000). The most important perceived nursing intervention was found to be ‘active listening’ ($3.652{\pm}0.549$). Conclusion: In conclusion, nurses in clinical settings were found to perform less than perceive its importance. Therefore, further researches are needed to identify factors related to impede and develop strategies to improve the performance of nursing interventions.

Effects of the smoking prevention intervention in primary school students - centering on the change of knowledge and attitude- (국민학생들의 흡연예방교육 개입효과에 관한 연구 -흡연에 대한 지식 및 태도 변화를 중심으로-)

  • Kang, Yun Ju;Sub, Sung Jae
    • Journal of the Korean Society of School Health
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    • v.8 no.1
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    • pp.133-142
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    • 1995
  • The purpose of this study was to examine the effect of smoking prevention program on changing the knowledge and attitude about smoking behavior of elementary school students, In September 1993, as a pretest, a total of 1492 students from 4 elementary schools in Seoul were assessed with self-completing questionnaire pertaining to knowledge and attitude about smoking. Among them, 704 students from 2 schools were assigned to intervention group and 788 students from other 2 schools were assigned to control group. Smoking prevention program was implemented in intervention group for about six months. In September 1994, as a posttest, all students were reassessed with the same questionnaire. The overall experimental smoking rate of students in the study was 8.0%; 13.4% in males and 2.9% in females. The baseline smoking knowledge score of intervention group and control group was 12.3 and 12.0, respectively. There was no significant difference between the two groups. But each score collected after one year interval was 15.3 and 13.0, respectively, which were significantly different(p<0.01). The main items of attitude, such as 'future intention to smoke', were not significantly changed by the intervention. Important predictors of 'future intention to smoke' in males were past history of experimental smoking, paternal smoking and knowledge about smoking. In females, past history of experimental smoking and knowledge about smoking were important predictors.

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Disaster preparedness and response competency of emergency medical technician-paramedics in the disaster medical assistant team (재난의료지원팀 내 1급 응급구조사의 재난대비·대응역량에 관한 연구)

  • Park, Jong-Chan;Lee, Kyoung-Youl
    • The Korean Journal of Emergency Medical Services
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    • v.23 no.2
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    • pp.19-31
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    • 2019
  • Purpose: This study aimed to investigate disaster preparedness competence and disaster response competence of paramedics working in emergency medical centers operating a disaster medical assistance teams. Methods: Data of 174 emergency medical technician(EMT)-paramedics were collected from July 15 to August 14, 2018 at regional and local emergency medical centers that operate disaster medical assistant team. Analysis of the data was carried out with IBM SPSS statistics 24.0 software (IBM, Armonk, NY, USA). Results: The mean disaster preparedness competence score was $3.57{\pm}0.63$ (out of five). Participants' disaster preparedness competence significantly differed according to type of emergency medical center (p<.000), disaster education experience (p<.000), and education frequency (p=.001). The mean disaster response competence score was $4.09{\pm}0.57$ (out of five). Participants' disaster response competence significantly differed according to disaster education experience (p<.000) and medical assistance experience (p=.045). Conclusion: Emergency medical technician-paramedics without disaster training should first be provided with this training. Further, it is important for EMT-paramedics to know their disaster preparedness and response capacities and strengthen their shortcomings. It is also important to develop education and training programs that properly equip EMT-paramedics with practical competencies.

Multimodal MRI analysis model based on deep neural network for glioma grading classification (신경교종 등급 분류를 위한 심층신경망 기반 멀티모달 MRI 영상 분석 모델)

  • Kim, Jonghun;Park, Hyunjin
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2022.05a
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    • pp.425-427
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    • 2022
  • The grade of glioma is important information related to survival and thus is important to classify the grade of glioma before treatment to evaluate tumor progression and treatment planning. Glioma grading is mostly divided into high-grade glioma (HGG) and low-grade glioma (LGG). In this study, image preprocessing techniques are applied to analyze magnetic resonance imaging (MRI) using the deep neural network model. Classification performance of the deep neural network model is evaluated. The highest-performance EfficientNet-B6 model shows results of accuracy 0.9046, sensitivity 0.9570, specificity 0.7976, AUC 0.8702, and F1-Score 0.8152 in 5-fold cross-validation.

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