• 제목/요약/키워드: Systemic analysis

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치과위생사의 노인환자 치과치료 질 관리를 위한 케어, 감염 관리 및 교육에 관한 연구 (A study on care, infection management and education for quality management of dental care of elderly patients by dental hygienists)

  • 이혜미;김설희
    • 대한치과의료관리학회지
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    • 제10권1호
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    • pp.22-32
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    • 2022
  • This study investigated factors affecting care for elderly patients, management of systemic disease, infection management, improvement of medical care quality, and educational requirements, and provide basic data for quality care for elderly patients with systemic diseases. An online survey was conducted among dental hygienists working at dental institutions and data of 172 individuals were analyzed using the SPSS 21.0 program. Descriptive statistics was performed for general characteristics. For factor analysis by general characteristics, t-test and ANOVA were performed. For differences between groups Scheffe verification was performed. A correlation analysis between factors was performed using Pearson's correlation analysis, and a factor analysis affecting the improvement of healthcare quality was performed using multiple linear regression analysis. Care for elderly patients was 52.33/75, management of systemic disease was 12.65/17, and infection management was 96.92/130. Improvement of medical quality (institutional effort) was 22.87/35, and improvement of medical quality (personal effort) was 22.72/35. The most common educational needs were "necessary". Analysis revealed a positive correlation between factors.. Factors affecting improvement of medical quality (personal effort) were age, final academic background, place of work, and the presence or absence of annual medical examinations. The findings of this study indicate that there is a significant correlation between factors. For the qualitative care of elderly patients, education programs related to elderly characteristics, systemic diseases, and infection management should be actively conducted by dental hygienists, and interest and research on geriatric dental hygiene is needed, centering on associations and educational institutions.

근거중심 소아치과학 연구의 체계적 고찰과 메타분석 (SYSTEMIC REVIEWS AND META-ANANLYSIS IN RESEARCH OF THE EVIDENCE-BASED PEDIATRIC DENTISTRY)

  • 이광희
    • 대한소아치과학회지
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    • 제33권4호
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    • pp.728-737
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    • 2006
  • 연구 목적은 근거중심 소아치과학 연구의 기본이 되는 체계적 고찰의 방법과, 체계적 고찰의 통계적 방법이 되는 메타분석에 대하여 소개하는 것이었다. 연구 자료로서 Cochrane Handbook for Systematic Reviews of Interventions 등을 참고하였다. 체계적 고찰의 첫 단계이자 가장 중요한 것은 잘 규정된, 초점이 또렷한 질문을 만드는 것이고, 다음에 자료의 검색을 하고 선정된 자료에 대한 타당도 평가를 한 후, 변수의 종류에 따라 자료를 분석하고 결과를 해석하여 결론을 도출한다. 자료 분석의 통계학적 방법인 메타분석의 필요성과 원리 및 변수의 종류에 따른 자료별 메타분석 방법에 대하여 요약 기술하였다.

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한의학 치료 증진을 위한 사티어변형체계적치료 모델의 적용 - 국내 질적 연구 분석 (Application of Satir Transformation Systemic Therapy (STST) Model to Promote of Korean Medicine Treatment - Analysis Domestic Qualitative Research Papers)

  • 김명희;곽희용;김종우
    • 동의신경정신과학회지
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    • 제30권4호
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    • pp.305-317
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    • 2019
  • Objectives: The purpose of this study was to analyze domestic qualitative research papers of the Satir Transformational Systemic Therapy and suggest the possibility of applying it to Korean medicine counseling. Methods: Domestic research papers were gathered by keywords 'Satire Counseling' or 'Satir Transformational Systemic Therapy' and 'Qualitative Research' in RISS (http://www.riss.kr/), KISS (http://kiss.kstudy.com/), OASIS (http://oasis.kiom.re.kr/). The results were seven papers. Seven papers were selected based on grounded theory and case studies. Researchers analyzed the phenomena during the course of counseling to discuss the mechanism of the Satir Transformational Systemic Therapy and consider its applicability to Korean medicine psychotherapy. Results: The Satir Transformational Systemic Therapy has three points: 'Self', 'Communication', and 'Family'. Positive changes such as 'Self-recovery', 'Consistent communication', and 'Recovery of relationships' are derived from these three points. And techniques such as iceberg exploration, family maps, three-members in a born family, and the family sculpture are also effective means. Conclusions: The Satir Transformational Systemic Therapy is valuable in the clinical fields of Korean medicine counseling, especially relative to problems stemming from relationships.

루푸스 환자의 스트레스와 치료지시이행의 관계에 미치는 극복력의 매개효과 (Mediating Effects of Resilience on the Relationship between Stress and Therapeutic Compliance in Patients with Systemic Lupus Erythematosus)

  • 이미혜;민혜숙
    • 근관절건강학회지
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    • 제24권3호
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    • pp.196-204
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    • 2017
  • Purpose: This study was conducted to explore the mediating effect of resilience in the relationship between stress and therapeutic compliance in patients with systemic lupus erythematosus. Methods: The subject (N=145) was a systemic lupus erythematosus patient who visited the D Hospital in B city. Data collection was conducted from January 2016 to August 2016. Twenty-five resilience measurement tools, 20 stress measurement tools, 39 therapeutic compliance measurement tools used to measure resilience, stress and therapeutic compliance levels. The collected data were analyzed using descriptive analysis, Pearson correlation, 3-step regression analysis of Baron and Kenny, and Sobel test in SPSS/WIN 21.0. Results: There was a significant negative correlation between stress and therapeutic compliance, a significant negative correlation between stress and resilience, and significant positive correlation between resilience and therapeutic compliance. Resilience showed a direct effect on therapeutic compliance through stress as a mediating variable. Conclusion: It is necessary to develop appropriate resilience enhancement program to improve therapeutic compliance with systemic lupus erythematosus.

Assessing the Contributions of Non-bank Financial Institutions (NBFI) and ELS Issuance to Systemic Risk in Korea

  • JONG SOO HONG
    • KDI Journal of Economic Policy
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    • 제46권1호
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    • pp.21-51
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    • 2024
  • Since the Global Financial Crisis of 2008-2009, the importance of nonbank financial institutions in macroprudential management has increased significantly. Consequently, major countries and international financial institutions have been actively discussing and implementing macroprudential supervision and regulation for non-bank financial institutions (NBFI). In this context, this paper analyzes the systemic risk of both banks and non-bank sectors (securities firms and insurance companies) in South Korea over different time periods. Using the widely recognized ΔCoVaR methodology for measuring systemic risk, the analysis reveals that systemic risk increased substantially across all three sectors (banks, securities firms, and insurance companies) during the Global Financial Crisis, the European Sovereign Debt Crisis, and the COVID-19 pandemic. Although the banking sector exhibited relatively high systemic risk compared to the securities and insurance sectors, the relative differences in systemic risk varied across the different crisis periods. Notably, during the margin call crisis in March of 2020, the gap in systemic risk between the banking and securities sectors decreased significantly compared to that during both the Global Financial Crisis and the European Sovereign Debt Crisis, indicating that securities firms had a more substantial impact on risk in the overall financial system during this period. Furthermore, I analyze the impact of the issuance of equity-linked securities (ELS) by financial institutions on systemic risk, as measured by ΔCoVaR, finding that an increase in the outstanding balance of ELS issuance by financial institutions had an impact on increasing ΔCoVaR during the three crisis periods. These findings underscore the growing importance of non-bank financial institutions in relation to South Korea's macroprudential management and supervision. To address this evolving landscape, enhanced monitoring and regulatory measures focusing on non-bank systemic risk are essential components of maintaining financial stability in the country.

Post-translational Modifications and Their Biological Functions: Proteomic Analysis and Systematic Approaches

  • Seo, Ja-Won;Lee, Kong-Joo
    • BMB Reports
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    • 제37권1호
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    • pp.35-44
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    • 2004
  • Recently produced information on post-translational modifications makes it possible to interpret their biological regulation with new insights. Various protein modifications finely tune the cellular functions of each protein. Understanding the relationship between post-translational modifications and functional changes ("post-translatomics") is another enormous project, not unlike the human genome project. Proteomics, combined with separation technology and mass spectrometry, makes it possible to dissect and characterize the individual parts of post-translational modifications and provide a systemic analysis. Systemic analysis of post-translational modifications in various signaling pathways has been applied to illustrate the kinetics of modifications. Availability will advance new technologies that improve sensitivity and peptide coverage. The progress of "post-translatomics", novel analytical technologies that are rapidly emerging, offer a great potential for determining the details of the modification sites.

Analysis on Early Detection of Lung Cancer by PET/CT Scan

  • Wang, Huo-Qiang;Zhao, Long;Zhao, Juan;Wang, Qiang
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권6호
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    • pp.2215-2217
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    • 2015
  • Background: This systemic analysis was conducted to to evaluate the application value of positron emission tomography/computed tomography (PET/CT) in early diagnosis of lung cancer. Methods: Clinical studies evaluating the application value of PET/CT for patients underwent PET/CT imaging. The histological diagnosis served as the standard of truth. Results: Four clinical studies which including 1330 patients with pulmonary spaceoccupying lesions were considered eligible for inclusion. Systemic analysis suggested that, in all 1330 patients, pooled sensitivity was 98.7% (1313.2/1330) and specificity was 58.2%(276.85/476). Conclusion: This systemic analysis suggests that integrated PET/CT imaging provides high sensitivity, and reasonably high specificity, and could be applied for early diagnosis of lung cancer.

Interaction Proteome Analysis of Major Intracellular Serine Protease 1 in Bacillus subtilis

  • Park Sun-Young;Park Byoung-Chul;Lee Ah-Young;Kho Chang-Won;Cho Say-Eon;Lee Do-Hee;Lee Baek-Rak;Myung Pyung-Keun;Park Sung-Goo
    • Journal of Microbiology and Biotechnology
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    • 제16권5호
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    • pp.804-807
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    • 2006
  • Bacterial serine proteases, especially those from Bacillus, have been extensively studied. Intracellular serine protease 1 (Isp1) is responsible for most of the proteolytic activity in B. subtilis. To identify Isp1 substrates and study its physiological functions, a mutant of Isp1, which has lost the enzymatic activity, was constructed. Through a GST affinity chromatographic method, several Bacillus proteins that specifically interacted with S246A mutant Isp1 protein were isolated and then identified by MALDI-TOF analysis. ClpC and elongation factor Tu (EF-Tu) were among those proteins specifically bound to mutant Isp1. In addition, several proteins involved in stationary phase adaptive response (such as RNA polymerase sigma factor, spoIIIE) were also identified. These findings led us to suggest that the major function of this serine protease, whose expression is greatly increased during the stationary phase, is to mediate transition of the cell into the stationary phase in a proper and timely manner.

일부 가철성 의치장착 노인의 의치만족도 영향 요인 (Influencing factors of removable denture satisfaction in the elderly)

  • 윤혜정;임선아;정은주
    • 한국치위생학회지
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    • 제15권3호
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    • pp.435-442
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    • 2015
  • Objectives: The purpose of this study was to investigate the influencing factors of removable dentures satisfaction in the elderly. Methods: A self-reported questionnaire was filled out by 256 elderly in Jeollanam-do from September 1, 2013 to June 30, 2014. The questionnaire consisted of general characteristics of the subjects, denture related characteristics systemic health characteristics and dental health behavior. Removable dentures satisfaction was adapted from Ban. The questionnaire for Removable dentures satisfaction included general treatment satisfaction, masticatory function satisfaction, denture retention satisfaction, aesthetic satisfaction measured by Likert 5 scale. Cronbach's alpha was 0.850 in the study. Data were analyzed for a t-test, one-way ANOVA and multiple regression analysis by using SPSS(SPSS 18.0, USA) program. Results: According to subjective and systemic health condition and oral health condition, there was a statistically significant increase in general satisfaction of treatment, masticatory satisfaction of function, denture satisfaction of retention, aesthetic satisfaction. The overall satisfaction for removable denture showed a significant improvement. In the multiple regression analysis, variation of removable denture satisfaction was positively associated with oral health status{good(b=0.736, p=0.000)}, denture treatment services{dental hospital clinic(b=0.327, p=0.023)}, and systemic health status{good(b=0.241, p=0.047)}. Conclusions: Satisfaction of removable dentures may have a positive impact on oral health condition, hospital type, and associated systemic disease. It is necessary to develop incremental care programs for oral health and systemic health and to make public opinion to encourage the program.

Monocyte Count and Systemic Immune-Inflammation Index Score as Predictors of Delayed Cerebral Ischemia after Aneurysmal Subarachnoid Hemorrhage

  • Yeonhu Lee;Yong Cheol Lim
    • Journal of Korean Neurosurgical Society
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    • 제67권2호
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    • pp.177-185
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    • 2024
  • Objective : Delayed cerebral ischemia (DCI) is a major cause of disability in patients who survive aneurysmal subarachnoid hemorrhage (aSAH). Systemic inflammatory markers, such as peripheral leukocyte count and systemic immune-inflammatory index (SII) score, have been considered predictors of DCI in previous studies. This study aims to investigate which systemic biomarkers are significant predictors of DCI. Methods : We conducted a retrospective, observational, single-center study of 170 patients with SAH admitted between May 2018 and March 2022. We analyzed the patients' clinical and laboratory parameters within 1 hour and 3-4 and 5-7 days after admission. The DCI and non-DCI groups were compared. Variables showing statistical significance in the univariate logistic analysis (p<0.05) were entered into a multivariate regression model. Results : Hunt-Hess grade "4-5" at admission, modified Fisher scale grade "3-4" at admission, hydrocephalus, intraventricular hemorrhage, and infection showed statistical significance (p<0.05) on a univariate logistic regression. Lymphocyte and monocyte count at admission, SII scores and C-reactive protein levels on days 3-4, and leukocyte and neutrophil counts on days 5-7 exhibited statistical significance on the univariate logistic regression. Multivariate logistic regression analysis revealed that monocyte count at admission (odds ratio [OR], 1.64; 95% confidence interval [CI], 1.04-2.65; p=0.036) and SII score at days 3-4 (OR, 1.55; 95% CI, 1.02-2.47; p=0.049) were independent predictors of DCI. Conclusion : Monocyte count at admission and SII score 3-4 days after rupture are independent predictors of clinical deterioration caused by DCI after aSAH. Peripheral monocytosis may be the primer for the innate immune reaction, and the SII score at days 3-4 can promptly represent the propagated systemic immune reaction toward DCI.