• Title/Summary/Keyword: The informed consent

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The Relationship between Communication Self-confidence, Critical Thinking Disposition and Nursing Professionalism in Nursing Students (간호대학생의 의사소통 자신감, 비판적사고 성향, 간호 전문직관의 관계)

  • Woo, Ju-Hyun;Song, Jung-Hee
    • Journal of Industrial Convergence
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    • v.18 no.4
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    • pp.101-110
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    • 2020
  • The purpose of this study was to find the qualities of nursing students who need to improve their communication self-confidence by identifying their communication self-confidence, critical thinking disposition, and nursing professionalism. The study's data was collected from August 2019 to September 2019. Informed consent was received from 122 students who were in their senior of nursing college. The collected data was analyzed using SPSS WIN 20.0 program. As a result of the study, the score for communication self-confidence was 32.31, the score for a critical thinking disposition was 101.34, and the score for nursing professionalism was 3.78. Communication confidence was found to have a significant positive correlation with critical thinking tendency(r=.568, p<.001) and nursing professional intuition(r=.282, p<.001). The critical thinking tendency was found to have a positive correlation with communication confidence(r=.568, p<.001) and nursing professional intuition(r=.361, p<.001). Nursing professional intuition was also found to have a positive correlation with communication confidence(r=.282, p<.05) and critical thinking propensity(r=.361, p<.001).

Effect of administration by school dental clinic program (학교구강보건실 운영사업의 영향분석)

  • Kang, Hyun-Joo
    • Journal of Korean society of Dental Hygiene
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    • v.13 no.4
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    • pp.631-637
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    • 2013
  • Objectives : The aim of the study is to propose the fundamental data for further developments of the school dental clinic program through evaluating comprehensive improvements of the indices and the oral health status. Methods : This studied was carried out from December 2010 to September 2012. Subjects were 239 elementary school 4th, 5th, 6th grade students having no school dental clinic and 195 elementary school 4th, 5th, 6th grade students having school dental clinic in Busan. They completed self-reported questionnaires after accepting informed consent. The questionnaire included knowledges, attitudes and practices for oral health recognition and supports of the school dental clinic program. Results : Permanent tooth caries prevention rate revealed 59.0%, 53.3%, and 62.0%. in 4th, 5th, and 6th respectively. Rate of Care Group with fissure sealant permanent teeth showed 80.3%, 88.0%, and 88.9% respectively. Index of Care Group with fissure sealant permanent teeth revealed 2.68, 2.90, and 3.97, respectively. DMFT index of Care Group was 1.11, 1.35, and 1.51, respectively. Active D rate of Care Group resulted in 16.7%, 24.1%, and 16.7%, respectively. Dental health education group showed high awareness level of fluoride and sealant effect for caries prevention. Tooth brushing of three times per day was more effective when using rolling tooth brushing. On the other hand, oral health recognition and oral status in the control group was low. Conclusions : Oral health recognition was closely related to good oral care. Expansion of oral health care business is important to prevent dental caries. Systematic approach for oral health education programs and human resources development is very important to improve oral health care.

The Convergence Effect of Ego-Resilience and Compassion Satisfaction on Professor Trust of Nursing Students (간호대학생의 공감만족, 자아탄력성이 교수신뢰에 미치는 융합적 영향)

  • Park, Ju-Young;Park, Ji-Hyun
    • Journal of the Korea Convergence Society
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    • v.11 no.10
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    • pp.393-400
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    • 2020
  • The objective of this study was to investigate the impact of ego-resilience and compassion satisfaction on professor trust in nursing students. This was a descriptive survey that one hundred and sixty-one first- to fourth-year students of a university in D city who signed an informed consent form to participate in this study were enrolled. The collected data were analyzed using regression analysis. The regression was performed using peer relations, ego-resilience, and compassion satisfaction as the predicting variables. The results showed that peer relations (β=0.142, p=.020), ego-resilience (β=0.322, p<.001), and compassion satisfaction (β=.370, p<.001) predicted professor trust, and they explained 31.1% of the variance. Therefore, it is suggested to develop interventions to improve professor trust through school-year-specific counseling that enhances nursing students' ego-resilience and compassion satisfaction.

Internet-Mediated Research in the Age of Social Distancing: Methodological Reflections and Recommendations from Two Online Research Projects (사회적 거리두기 시대의 인터넷 기반 연구: 두 온라인 연구 프로젝트로부터의 방법론적 고찰과 제안점)

  • Lee, Jisue;Hollister, Jonathan M.
    • Journal of Korean Library and Information Science Society
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    • v.51 no.2
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    • pp.319-353
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    • 2020
  • Due to the COVID-19 pandemic, scholars at institutions of higher education around the world are transitioning their teaching, service, and research into online settings; for many this may be a new and challenging experience. While many of the best practices associated with research in traditional or face-to-face settings also apply to research in or via online settings, there are some additional challenges and nuances that researchers must adequately address and plan for due to the affordances and limitations of online settings. This paper discusses the key issues of privacy, informed consent, trust and trustworthiness, and retention through the literature and provides practical recommendations based on evidence and experience from two different online research projects. The reflections on and examples from these two research projects contextualize the above issues and act as evidence to inform research as a practice. The authors hope this evidence and practical guidance may help researchers better prepare for research in a socially distanced world.

Prognostic Relevance of Human Telomerase Reverse Transcriptase (hTERT) Expression in Patients with Gall Bladder Disease and Carcinoma

  • Deblakshmi, Raj Kumari;Deka, Manab;Saikia, Anjan Kumar;Sharma, Bir Kumar;Singh, Nidhi;Das, NN;Bose, Sujoy
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.7
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    • pp.2923-2928
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    • 2015
  • Background: Gallbladder carcinoma (GBC) has been stated as an Indian disease, with the highest number of cases being reported from certain districts of northeast India, which has an ethnically distinct population. Unfortunately there are no scientific reports on the underlying molecular mechanisms associated with the pathogenesis of the disease from this region. Aim: The present study evaluated the role of differential expression of human telomerase reverse transcriptase (hTERT) in the development of gall bladder anomalies. Materials and Methods: Blood and tissue samples were collected from patients undergoing routine surgical resection for clinically proven cases of gallbladder disease {cholelithiasis (CL, n=50), cholecystitis (CS, n=40) and GBC (n=30) along with adjacent histopathologically proved non-neoplastic controls (n=15)} with informed consent. Whole blood was also collected from age and sex matched healthy controls (n=25) for comparative analysis. Differential hTERT mRNA expression was evaluated by semi-quantitative rt-PCR and real-time PCR based analysis using ${\beta}$-actin as an internal control. Evaluation of differential hTERT protein expression was studied by Western blot analysis and immunoflourescence. Statistical analysis for differential expression and co-relation was performed by SPSSv13.0 software. Results: Gallbladder anomalies were mostly prevalent in females. The hTERT mRNA and protein expression increased gradiently from normal

The Effects of Maternal Heart Sound on the Weight, Physiologic Responses and Behavioral States of Premature Infants (산모의 심장소리가 미숙아의 체중, 생리적 반응 및 행동상태에 미치는 효과)

  • Yeum, Mi-Kyung;Ahn, Young-Mee;Seo, Hwa-Sook;Jun, Yong-Hoon
    • Child Health Nursing Research
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    • v.16 no.3
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    • pp.211-219
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    • 2010
  • Purpose: The study was done to measure the effects of maternal heart sound on body weight, physiologic reactions (heart rate [HR] and cortisol) and behavioral states of preterm infants. Methods: Thirty-five preterm infants were recruited from a neonatal intensive care unit at a university hospital. Institutional Review Board approval and informed consent were obtained. The infants were assigned to an experimental group (n=18) with an auditory stimulation for 7 days of life, a continuous delivery of maternal heart sound using MP3 attached inside the incubator, or to a control (n=17) without any auditory stimulation. The outcome variables, daily variations in weight, HR and behavioral states, and differences in cortisol were analyzed. Results: There were differences in variations of daily weights (F=3.431, p=.011) and in cortisol (t=3.184, p=.006) between groups, but no difference in variations of daily HR (F=0.331, p=.933) and behavioral states (F=1.842, p=.323). Conclusion: The findings support the safety of continuous maternal heart sound as no changes in HR and behavioral states occurred, and the efficacy as weight increased and cortisol decreased. This auditory simulation may lead to more efficient utilization of energy in preterm infants by consistently providing familiar sounds from intrauterine life and blocking noxious sounds from NICU environments.

Comparative efficacy of photo-activated disinfection and calcium hydroxide for disinfection of remaining carious dentin in deep cavities: a clinical study

  • Sharma, Sidhartha;Logani, Ajay;Shah, Naseem
    • Restorative Dentistry and Endodontics
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    • v.39 no.3
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    • pp.195-200
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    • 2014
  • Objectives: To comparatively evaluate the efficacy of photo-activated disinfection (PAD), calcium hydroxide (CH) and their combination on the treatment outcome of indirect pulp treatment (IPT). Materials and Methods: Institutional ethical clearance and informed consent of the patients were taken. The study was also registered with clinical registry of India. Sixty permanent molars exhibiting deep occlusal carious lesion in patients with the age range of 18 - 22 yr were included. Clinical and radiographic evaluation and set inclusion and exclusion criteria's were followed. Gross caries excavation was accomplished. In group I (n = 20) PAD was applied for sixty seconds. In group II (n = 20), CH was applied to the remaining carious dentin, while in group III (n = 20), PAD application was followed by CH placement. The teeth were permanently restored. They were clinically and radiographically followed-up at 45 day, 6 mon and 12 mon. Relative density of the remaining affected dentin was measured by 'Radiovisiography (RVG) densitometric' analysis. Results: Successful outcome with an increase in radiographic grey values were observed in all three groups. However, on inter-group comparison, this change was not significant (p > 0.05). Conclusions: PAD and CH both have equal disinfection efficacy in the treatment of deep carious dentin. PAD alone is as effective for treatment of deep carious lesion as calcium hydroxide and hence can be used as an alternative to CH. They can be used independently in IPT, since combining both does not offer any additional therapeutic benefits.

Evaluation of Obstructive Pulmonary Function Impairment Risks in Pulmonary Emphysema Detected by Low-Dose CT: Compared with Simple Digital Radiography (단순 디지털 촬영과 저선량 CT의 폐기종 소견으로부터 폐쇄성 폐기능 장애 위험 비교)

  • Lee, Won-Jeong;Lee, Jeong-Oh;Choi, Byung-Soon
    • Tuberculosis and Respiratory Diseases
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    • v.71 no.1
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    • pp.37-45
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    • 2011
  • Background: Pulmonary emphysema (PE) is major cause of obstructive pulmonary function impairment (OPFI), which is diagnosed by spirometry. PE by high resolution CT is known to be correlated with OPFI. Recently, low dose CT (LDCT) has been increasingly used for screening interstitial lung diseases including PE. The aim of this study was to evaluate OPFI risks of subjects with PE detected by LDCT compared with those detected by simple digital radiography (SDR). Methods: LDCT and spirometry were administered to 266 inorganic dust exposed retired workers, from May 30, 2007 to August 31, 2008. This study was approved by our institutional review board and informed consent was obtained. OPFI risk was defined as less than 0.7 of forced expiratory volume in one second (FEV1)/forced vital capacity (FVC), and relative risk (RR) of OPFI of PE was calculated by multiple logistic regression analysis. Results: Of the 266 subjects, PE was found in 28 subjects (10.5%) by LDCT and in 11 subjects (4.1%) by SDR; agreement was relatively low (kappa value=0.32, p<0.001). FEV1 and FEV1/FVC were significantly different between PE and no PE groups determined by either SDR or LDCT. The differences between groups were larger when the groups were divided by the findings of SDR. When PE was present in either LDCT or SDR assays, the RRs of OPFI were 2.34 and 8.65, respectively. Conclusion: LDCT showed significantly higher sensitivity than SDR for detecting PE, especially low grade PE, in which pulmonary function is not affected. As a result, the OPFI risks in the PE group by LDCT was lower than that in the PE group by SDR.

Development of Regulation System for Off-Label Drug Use (의약품 허가외사용 관리 체계 발전 방안)

  • Lee, Iyn-Hyang;Seo, Mikyeong;Lee, Young Sook;Kye, Seunghee;Kim, Hyunah;Lee, Sukhyang
    • YAKHAK HOEJI
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    • v.58 no.2
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    • pp.112-124
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    • 2014
  • This study aimed to develop a regulation system for off-label drug use to secure the safe use of marketed drugs. We searched governmental documents for national and global regulating systems of off-label drug uses and a body of academic literature to explore current regulating trends. We included European Union, United Kingdom, United States of America, Australia and Japan, and critically reviewed the regulation of off-label drug use in four issues, which were a regulatory structure, safety control before and after off-label use, and information management. The findings of the present investigation called for several measures in off-label drug uses: enhancing prescribers' self-regulation, providing up-to-date information to prescribers for evidence-based practice and to patients for their informed consent, making evidence with scientific rigor, building an official registering process for off-label use in good quality and extending the role of pharmaceutical industry in pharmacovigilance. At last, we proposed a new system so as to regulate and evaluate off-label drug uses both at national and institutional level. In the new system, we suggested a clear-cut definition for clinical evidence that applicants would submit. We newly introduced an official 'Off-Label Drug Use Report' to evaluate the safety and clinical efficacy of a given off-label drug use. In addition, we developed an algorism of the regulation of off-label drug use within an institution to help set up the culture of evidence-based practices in off-label drug uses.

Experiences of Ethical Issues and Needs for Ethics Education in Clinical Nurses (임상간호사의 윤리적 이슈 경험과 윤리교육 요구)

  • Shin, Ja Hyun;Jeong, Seok Hee;Lee, Myung Ha;Yang, Youngran
    • Journal of Korean Academy of Nursing Administration
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    • v.21 no.3
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    • pp.327-339
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    • 2015
  • Purpose: This study was done to identify the experiences of ethical issues and needs for ethics education in clinical nurses. Methods: A cross-sectional survey was used and data were collected in 2013. Participants were 428 clinical nurses working in the general units of seven medical hospitals. The Ethical Issues in Clinical Practice Tool was used. Data analysis was performed using SPSS/WIN 19.0. Results: 'Providing care with a possible risk to your health' was the most frequent and disturbing ethical problems for nurses. The highest helpful ethical topic was 'the patients' right, autonomy and informed consent'. The ethical issue experience was significantly different according to education level, work units, and type of employment. The necessity of ethics education was statistically different according to age, religion, level of education, duration of working as RN, position, shift type, and continuing education about nursing ethics. Conclusion: The results of this study show that nursing educators need to provide practical ethics education based on frequent ethical issues and helpful education topics. These findings can be used in developing effective education strategies for clinical nurses and nursing organizations to improve nurses' ethical decision-making abilities.