• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.7
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• pp.414-422
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• 2019

The purpose of this study was to explore the predictors of turnover intention among nurses working in general hospitals. The subjects were 181 nurses who worked in two general hospitals in Gyeonggi-do, Korea. Data were collected from June to November 2018, and analyzed by descriptive statistics, Independent t-test, One-way ANOVA, Pearson's correlation coefficients, and Stepwise multiple regression analysis, using SPSS/WIN 21.0. The main findings of this were as follows. The mean scores for the nursing work environment, professional self-concept, job satisfaction and turnover intention were $2.43{\pm}0.38$, $2.60{\pm}0.25$, $2.59{\pm}0.29$ and $3.43{\pm}0.72$ points. Turnover intention is negatively correlated with the nursing work environment (r=-.43, p<.001) and job satisfaction (r=-.46, p<.001). Factors influencing turnover intention were job satisfaction(${\beta}=-.47$, p<.001), nursing work environment(${\beta}=.32$, p<.001), professional self-concept(${\beta}=.20$, p<.001), and total length of a clinical career(${\beta}=-.15$, p<.05) showing an explanatory power of 38%. Since various variables influence the turnover intention of nurses, it is necessary to improve the nursing environment in the medical field rather than the strategy to increase the number of simple nurses. In the university, education for establishing through introductory nursing specialty is needed.

• Journal of Digital Convergence
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• v.17 no.4
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• pp.1-11
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• 2019

The purpose of this study is to investigate the effects of stress, social support, and resilience on the university life as predictors of college life adjustment. For this purpose, the questionnaires were administered to 145 college students in Busan, and correlation analysis, multiple regression analysis, and mediation analysis were conducted using SPSS 18.0. The main results are as follows. First, the significant factors influencing college life adjustment were stress (B = -.351, p <.01), social support(B = -.210, p <.05) resilience (B = .355, p < .01), 30.6% explanatory power, and resilience was the most influential factor. Among the sub-factors of stress, interpersonal stress and academic stress has a negative effect. In addition, friendship support had a statistically significant effect on social support, and resilience subscale was life satisfaction and cause analysis ability. In addition, stress was found to be partly mediated in the relationship between social support and college life adjustment. Based on this study, the strategies for lowering the stress, improving the resilience of the university students in order to improve the college life adaptation were provided.

• Tuberculosis and Respiratory Diseases
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• v.82 no.2
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• pp.118-125
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• 2019

Background: Lung cancer is a leading cause of morbidity and mortality worldwide, and the incidence continues to rise. Although many prognostic factors have been identified, the clinical characteristics and outcomes in Korean lung cancer patients are not well defined. Methods: Of the 23,254 new lung cancer cases registered at the Korea Central Cancer Registry in 2013, total 489 patients from 19 hospitals were abstracted by the Korean Central Cancer Registry. The clinical data retrospectively analyzed, patients were followed up until December 2015. Results: The median age was 69 years (interquartile range, 60-74 years); 65.4% were male and 62.1% were ever-smokers. Cough was the most common initial symptom (33.5%); 13.1% of patients were asymptomatic. While squamous cell carcinoma was the most common subtype in male patients (37.2%), adenocarcinoma was the most frequent histological type in all patients (48.7%) and females (76.3%). The majority of patients received treatment (76.5%), which included surgery, radiation therapy, and chemotherapy. Older age (hazard ratio [HR], 1.037), lower body mass index (HR, 0.904), ever-smoker (HR, 2.003), small cell lung cancer (HR, 1.627), and distant metastasis (HR, 3.990) were independent predictors of mortality. Patients without symptoms (HR, 0.387) and without treatment (HR, 0.364) were associated with a favorable outcome in multivariate Cox analysis. Conclusion: Lung cancer in Korea occurs predominantly in elderly patients, with adenocarcinoma being the most frequent subtype. The prognosis was poorer in ever-smokers and older, malnourished, and untreated patients with advanced lung cancer.

• Journal of Convergence for Information Technology
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• v.9 no.5
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• pp.55-64
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• 2019

The purpose of this study was to investigate levels of self-efficacy, nurse image, vocational identity, and clinical practice satisfaction, to examine relationships among them, and finally to investigate predictors affecting of clinical practice satisfaction in nursing students. The participants were 227 nursing students in D city who were surveyed in September 2018 using self-report questionnaires. Self-efficacy, nurse image, vocational identity, and clinical practice satisfaction were related positively among variables. In the multiple regression analysis, self-efficacy, nurse image, vocational identity, health condition, relationship with practical colleague and 'satisfaction of nursing students in patient's recognition of nursing students' were influential factors significantly associated with the clinical practice satisfaction. Those factors explained 17.9% of the clinical practice satisfaction of nursing students. The most important factors were 'satisfaction of nursing students in patient's recognition of nursing students' and nurse image. In order to improve clinical practice satisfaction of nursing students, whole nurses should consider helping nursing students and patients to build up positive nurse image.

• Journal of The Korean Society of Emergency Medicine
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• v.29 no.5
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• pp.500-508
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• 2018

Objective: The aim of this study was to evaluate the clinical characteristics of heat stroke in a bath facility and investigate predictive factors of multiple major complications in heat stroke patients. Methods: This was a retrospective study on heat stroke patients who visited an urban emergency center from January 2010 to March 2018. We compared clinical characteristics, complication, and outcomes of heat stroke patients in bath and non-bath facilities. Multivariate logistic regression analysis were performed to identify independent predictors of multiple major complications in heat stroke patients. Results: A total of 67 heat stroke patients with heat stroke were enrolled, of which 42 (62.6%) were in a bath facility and 25 (37.3%) were in a non-bath facility. Patients with heat stroke in the bath facility were characterized by old age, past medical history of hypertension and diabetes mellitus, and high incidence of hypotension compared with those in the non-bath facility but also low incidence of acute renal failure, seizure, and multiple major complications. In the multivariate analysis, predictive factors of multiple major complications in heat stroke patients were non-bath facility (odds ratio [OR], 5.4; 95% confidence interval [CI], 1.2-29.9), Glasgow Coma Scale (GCS)${\leq}8$ (OR, 8.2; 95% CI, 1.3-49.4), and mean arterial pressure (MAP), body temperature above $40.5^{\circ}C$ (OR, 8.1; 95% CI, 1.1-58.8) <60 mmHg (OR, 14.8; 95% CI, 1.8-122.9). Conclusion: Heat stroke in the bath facility resulted in less major complications, and high body temperature, GCS ${\leq}8$, and MAP <60 mmHg were independent predictive factors of multiple major complications in heat stroke patients.

• Journal of the Korean Society of Radiology
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• v.79 no.5
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• pp.264-270
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• 2018

Purpose: To evaluate the effect of portal hypertension on the tumor recurrence in patients with hepatocellular carcinoma (HCC) and without hepatic decompression following radiofrequency ablation (RFA). Materials and Methods: Treatment-naïve HCC patients within the Milan criteria and with Child-Pugh class A were included in this study, who had performed RFA in our hospital between January 2010 and March 2017. Univariate and multivariate analyses using the Cox proportional hazard model were performed to find the predictors of local or distant tumor recurrence. Results: Overall, 178 patients were included in this study. Median follow-up period was 40.2 months. The difference in the local tumor progression rates depending on the absence or presence of portal hypertension was not statistically significant (p = 0.195). The 1-, 3-, and 5-year distant intrahepatic tumor spread rates were 6.6%, 29.5%, and 537% in patients without portal hypertension, and 23.4%, 51.9%, and 63.6% in patients with portal hypertension, respectively. The difference was statistically significant (p = 0.011). Univariate and multivariate analysis showed that portal hypertension was an independent predictor for distant intrahepatic tumor spread (p = 0.008). Conclusion: For HCC patients with Child-Pugh class A, portal hypertension adversely affected distant intrahepatic tumor progression.

• The Journal of the Korea Contents Association
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• v.21 no.2
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• pp.262-270
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• 2021

The purpose of this study was to identify factors influencing the transfer of learning for nursing students in clinical practice. This study is a descriptive survey research conducted with 113 nursing students. Self-directed learning, motivation to transfer, and transfer of learning were measured. Data were analyzed by descriptive analysis, independent t-test, and ANOVA. The transfer of learning were significantly different according to the interpersonal relationship (t=10.43, p=.002), the satisfaction of nursing major (t=3.81, p=.006), satisfaction of nursing skills laboratory (t=4.61, p=.004). Transfer of learning had a correlation with self-directed learning, motivation (r=.46, p=<.001), and motivation to transfer (r=.60, p=<.001). In addition, motivation to transfer, the satisfaction of nursing skills laboratory, and learning evaluation were significant predictors of transfer of learning. Finally, in order to increase the transfer of learning for nursing students, nursing instructors need to encourage motivation to transfer, and to apply educational strategies that increase self-directed learning, as well as the satisfaction of the nursing skills laboratory.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.22 no.1
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• pp.743-750
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• 2021

Purpose: The purpose of this study was to analyze factors affecting the meaning of life in patients on hemodialysis. Methods: The sample consisted of 176 adults diagnosed with chronic kidney disease at hospitals in Seoul and Gyeonggi-do who had been receiving hemodialysis for more than three months. The patients volunteered to participate in the study. Data collection instruments used were the Meaning in Life (ML) scale, Resilience scale, Beck Depression Inventory-II (BDI-II) and Fatigue scale questionnaire. The SAS9.2 version was used for descriptive analysis, independent t-test, one-way ANOVA, Pearson's correlation coefficients and stepwise multiple regression. Results: The mean total item score on the meaning of life scale was 133.68 (total score:180), which was low. There was a significant relationship between the ML scale and resilience, depression, and fatigue. Stepwise multiple regression analysis showed that resilience, religion, depression, and fatigue were predictors of the meaning of life. Conclusion: These results indicate a need to develop nursing interventions to increase resilience and reduce depression and fatigue to promote the meaning of life in patients on hemodialysis.

• Journal of Dental Rehabilitation and Applied Science
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• v.37 no.2
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• pp.61-72
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• 2021

A beautiful smile is made when it is symmetrical and gums are displayed less than 2 - 3 mm. Excessive gingival display also known as "gummy smile" is often recognized to be unaesthetic. Causes of gummy smile can be caused by delayed eruption, vertical maxillary excess, hypermobile upper lip, or a short upper lip. Meanwhile botulinum toxin which is an exotoxin produced from Clostridium botulinum, works by blocking the release of acetylcholine from the cholinergic nerve end plates leading to inactivity of the muscles. The application site and weakens the muscle tone is drawing attention as a gummy smile treatment caused by hypermobile upper lip. There have been many studies about the method of injecting botulinum toxin into muscles around the lips, but there is still no standardized research method and treatment method, so there is controversy over the therapeutic effect. The aim of this study is to review the previous studies about the predictors of indication and effects of gummy smile treatment using botulinum toxin injection. Especially we tried to propose a protocol for optimal dose and efficient injection point through the anatomical considerations for gummy smile treatment using botulinum toxin.

• Journal of Korean Neurosurgical Society
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• v.64 no.5
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• pp.791-798
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• 2021

Objective : The period of mechanical ventilator (MV)-dependent respiratory failure after cervical spinal cord injury (CSCI) varies from patient to patient. This study aimed to identify predictors of MV at hospital discharge (MVDC) due to prolonged respiratory failure among patients with MV after CSCI. Methods : Two hundred forty-three patients with CSCI were admitted to our institution between May 2006 and April 2018. Their medical records and radiographic data were retrospectively reviewed. Level and completeness of injury were defined according to the American Spinal Injury Association (ASIA) standards. Respiratory failure was defined as the requirement for definitive airway and assistance of MV. We also evaluated magnetic resonance imaging characteristics of the cervical spine. These characteristics included : maximum canal compromise (MCC); intramedullary hematoma or cord transection; and integrity of the disco-ligamentous complex for assessment of the Subaxial Cervical Spine Injury Classification (SLIC) scoring. The inclusion criteria were patients with CSCI who underwent decompression surgery within 48 hours after trauma with respiratory failure during hospital stay. Patients with Glasgow coma scale 12 or lower, major fatal trauma of vital organs, or stroke caused by vertebral artery injury were excluded from the study. Results : Out of 243 patients with CSCI, 30 required MV during their hospital stay, and 27 met the inclusion criteria. Among them, 48.1% (13/27) of patients had MVDC with greater than 30 days MV or death caused by aspiration pneumonia. In total, 51.9% (14/27) of patients could be weaned from MV during 30 days or less of hospital stay (MV days : MVDC 38.23±20.79 vs. MV weaning, 13.57±8.40; p<0.001). Vital signs at hospital arrival, smoking, the American Society of Anesthesiologists classification, Associated injury with Injury Severity Score, SLIC score, and length of cord edema did not differ between the MVDC and MV weaning groups. The ASIA impairment scale, level of injury within C3 to C6, and MCC significantly affected MVDC. The MCC significantly correlated with MVDC, and the optimal cutoff value was 51.40%, with 76.9% sensitivity and 78.6% specificity. In multivariate logistic regression analysis, MCC >51.4% was a significant risk factor for MVDC (odds ratio, 7.574; p=0.039). Conclusion : As a method of predicting which patients would be able to undergo weaning from MV early, the MCC is a valid factor. If the MCC exceeds 51.4%, prognosis of respiratory function becomes poor and the probability of MVDC is increased.