• 제목/요약/키워드: clinical determinants

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임상치과위생사들의 일가치감 및 그 결정요인에 관한 연구 (A study on perceived value of work among the clinical dental hygienists and its determinants)

  • 윤희숙;김영선
    • 한국치위생학회지
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    • 제7권4호
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    • pp.495-508
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    • 2007
  • This study, to investigate the state of PVW among the clinical dental hygienists and its determinants, has polled 322 clinical dental hygienists working in Daegu, Kyung buk province, and Ulsan. Data were collected by self-administrated questionnaire. A SPSS 12.0 for Windows was used for statistical analysis. The obtained results were as follows: 1. The average of PVW among the respondents was 3.43. 2. The area average of PVW determinants was as follows; job significance, 3.31, process efficiency, 3.42, product usefulness, 3.32, vision realizability, 3.53, social recognition, 3.23 and the total average, 3.36. 3. The married have higher PVW than the unmarried in all areas(p=.012, p=.008, p=.036, p=.007). 4. As for working experience, in the case of perceived self value, those having 1~2 years experience have the highest PVW(p=.000), apart from perceived self value, those having over 6 years experience have the highest PVW in all areas(p=.015, p=.001, p=.002). Relating to the task, those working in the patient consulting and managing part have the highest PVW, relating to the annual salary, those having over 25 million won have the highest PVW(p=.000, p=.000, p=.001, p=.000). 5. The relationship between PVW and PVW determinants, in all respects, is meaningful, so it was found that the higher determinants are, the higher PVW is. 6. The whole explanation variate of PVW determinants was meaningful in PVW, perceived self value, value fulfillment emotion, respectively representing 38.8%, 55.6%, 61.5%(pE.001). PVW of clinical dental hygienists should be considered as a significant criterion of indivisual and organizational effectiveness. To improve effectually PVW of the clinical dental hygienists, there is need to establish culture in a system of hospital that redound to their social recognition.

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Distribution Dynamics and Proposed Determinants: Exploring Morphological, Clinical Laboratory, and Lifestyle Factors in the Coexistence of Age-Related Skeletal Muscle Mass Loss and Obesity among Young Men: A Nationwide Cross-Sectional Study

  • Jongseok Hwang
    • 대한물리의학회지
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    • 제19권1호
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    • pp.31-41
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    • 2024
  • PURPOSE: This study examined the distribution dynamics and proposed determinants, including morphological measurements, clinical laboratory tests, and lifestyle factors among young Korean men aged 20 to 29 years with the coexistence of age-related loss of skeletal muscle mass and obesity (CALSMO). METHODS: Six hundred and sixty-six participants were divided into two groups based on their skeletal muscle mass index, with 12 individuals categorized in the CALSMO group and the remaining 654 in the normal group. The proposed determinants variables consisted of three main components: morphological measurements, clinical laboratory tests, and lifestyle factors. The morphological measurement variables were height, weight, body mass index, waist circumference, and skeletal muscle mass index. The clinical laboratory tests were fasting glucose, triglyceride, total cholesterol levels, and systolic and diastolic blood pressure. The lifestyle factors considered were alcohol consumption and tobacco use. Complex sampling analysis was performed for the evaluation. RESULTS: The distribution dynamics were determined to be 1.81(1.02-3.18) %. Morphological factors, such as height, weight, body mass index, waist circumference, and skeletal muscle mass index, showed significant differences (p < .05). The clinical laboratory test variables, specifically the fasting glucose, triglyceride, and total cholesterol levels, also exhibited significant differences (p < .05). The lifestyle factor, alcohol consumption, also showed a significance (p < .05). CONCLUSION: This study provides insights into the distribution dynamics. The proposed determinants in young Korean individuals with CALSMO are height, weight, body mass index, waist circumference, skeletal muscle mass index, fasting glucose, triglyceride, total cholesterol levels, and alcohol consumption.

The Most Important Social Determinants of Slum Dwellers' Health: A Scoping Review

  • Nejad, Farhad Nosrati;Ghamari, Mohammad Reza;Kamal, Seyed Hossein Mohaqeqi;Tabatabaee, Seyed Saeed;Ganjali, Raheleh
    • Journal of Preventive Medicine and Public Health
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    • 제54권4호
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    • pp.265-274
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    • 2021
  • Objectives: Given the importance of social determinants of health in promoting the health of slum residents, this study was conducted with the aim of identifying the main dimensions and components of these determinants. Methods: This scoping review study was conducted according to the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews). A comprehensive search was performed of PubMed, ProQuest, Scopus, and Web of Science for articles conducted from 2010 to the end of 2019. Studies were selected based on inclusion criteria, with a special focus on studies dealing with the social determinants of physical and mental health or illness. Results: Thirty-three articles were selected to extract information on the social determinants of health. After reviewing the articles, 7 main dimensions (housing, socioeconomic status of the family, nutrition, neighborhood characteristics, social support and social capital, occupational factors, and health behaviors) and 87 components were extracted as social determinants of health among slum dwellers. Conclusions: This framework could be used by planners, managers, and policy-makers when making decisions affecting the health of these settlements' residents due to the common characteristics of slums around the world, especially in developing countries.

한방의료 이용현황 및 이용결정요인에 관한 연구 - 고령화 패널을 이용하여 - (Determinants of the Utilization of Oriental Medical Services by the Elderly)

  • 박지은;권순만
    • 대한한의학회지
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    • 제32권1호
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    • pp.97-108
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    • 2011
  • Objective: This study aimed to analyze the utilization of Oriental medical services and its determinants among the elderly. Method: Data from a Korean longitudinal study of aging was used. Regression analysis was used to find the determinants of the utilization of medical care. Results: People with low education and low income were more likely to use Oriental medical services. Determinants of using Oriental health service were sex, marriage, income, subjective health condition, activity restriction due to pain, and chronic disease. Among them, only subjective health condition and activity restriction due to pain were significant determinants of frequency of and expenditure on Oriental medical services. Especially, activity restriction due to pain was a significant factor in the use of Oriental medical services, but not in the use of Western medical services. Conclusion: Treatment related to pain was closely associated with Oriental medical services. These treatments need to be developed with scientific and clinical evidence.

Attitude, Beliefs, and Intentions to Care for SARS Patients among Korean Clinical Nurses: An Application of Theory of Planned Behavior

  • Kim Cho-Ja;Yoo Hye-Ra;Yoo Myung-Sook;Kwon Bo-Eun;Hwang Kyung-Ja
    • 대한간호학회지
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    • 제36권4호
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    • pp.596-603
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    • 2006
  • Purpose. This study examined Korean clinical nurses' intentions to care for SARS patients and identify determinants of the intentions. Theory of planned behavior was the framework to explain the intentions of Korean nurses for SARS patients care. Methods. A convenient sample of six hundreds and seventy nine clinical nurses from four university-affiliated hospitals located in Seoul and in Kyung-gi province was used. Self-administered (83-items) questionnaire was used to collect data. Intentions, attitude, subjective norm, perceive behavioral control, behavioral beliefs, normative beliefs, and control beliefs were the study variables. All items were measured using 7point Likert scale (-3 to +3). Data were analyzed using descriptive statistics, Pearson correlation method, and stepwise multiple regression methods. Results. Intentions and attitudes toward SARS patient care among Korean clinical nurses were moderate, but their subjective norm and perceive behavioral control of SARS patients care were negative. Stepwise multiple regression analysis indicated that attitude toward SARS patient care, perceived behavioral control, subjective norm were the determinants of the intentions for SARS patients care as theory proposed. Among the behavioral beliefs, 'SARS-patient caring would be a new experience', 'during SARS-patient caring, I should be apart from my family', 'after completing SARS-patient caring, I would be proud of myself being able to cope with a stressful event' and 'with my SARS-patient caring, patients could recover from SARS' were the significant determinants. Among the normative beliefs, colleague approval, spouse approval, and physician approval were significant determinants of the intentions. Among the control beliefs, 'SARS-patient caring would be a challenge' 'SARS-patient caring is a professional responsibility', 'tension during the care of SARS patients' and 'support from team members' were the significant determinants of the intentions. Conclusions. Korean clinical nurses in this study were not willing to care for SARS patients and showed negative attitude toward the care. They believed their friends and family were not approved their care for SARS patients. Nurses were in conflicts between professional responsibilities to care for SARS patients and personal safety. This study was the first to understand stress and burden of Korean clinical nurses who are in front line to care for newly developed communicable disease such as SARS. Under the circumstance where several fatal communicable diseases are predictable, conflicts between professional responsibility and their personal risks should be taken into considerations by nurses themselves and by nursing administrators in order to improve quality of care.

Erythrocyte Sedimentation Rate: Its Determinants and Relationship with Risk Factors Involved in Ischemic Stroke

  • Kaur, Kirandeep;Kaur, Amandeep;Kaur, Anupam
    • 대한임상검사과학회지
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    • 제54권1호
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    • pp.1-8
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    • 2022
  • Erythrocyte sedimentation rate (ESR) evaluation is a useful tool for monitoring disease activity in various inflammatory and non-inflammatory conditions. ESR is known to be influenced by a multitude of confounding factors. The present study aimed to assess the possible determinants of the ESR and its relationship with various risk factors involved in ischemic stroke. ESR and other hematological and biochemical parameters were investigated in 163 ischemic stroke patients (107 males and 56 females) selected based on imaging techniques including magnetic resonance imaging (MRI) or computed tomography (CT) scans. Statistical analysis was performed using the SPSS 16.0 software. Linear regression analysis showed a significant inverse relationship of hemoglobin (Hb) and hematocrit or packed cell volume (PCV) (P<0.001 for females; P<0.01 for males) with the ESR. It was observed that the red blood cell (RBC) count was not strongly correlated with the ESR (P<0.05 for both males and females). It was also observed that sex significantly affected the variables determining the ESR levels, whereas age had no effect. Gender differences were also observed with respect to Hb, RBC, PCV, mean corpuscular hemoglobin (MCH), mean corpuscular hemoglobin concentration (MCHC), and ESR. The possible determinants of higher ESR levels in ischemic stroke may be sex, Hb, hematocrit, and RBC count, but the role of other clinical and laboratory parameters cannot be underestimated.

대전지역에서 분리된 생물막 형성 Acinetobacter baumannii 임상분리주의 분자유전학적 특성과 항균제 감수성양상 (Molecular Characterization and Antimicrobial Susceptibility of Biofilm-forming Acinetobacter baumannii Clinical Isolates from Daejeon, Korea)

  • 성지연
    • 대한임상검사과학회지
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    • 제50권2호
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    • pp.100-109
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    • 2018
  • 다제내성(multidrug-resistant, MDR) Acinetobacter baumannii 균주의 출현 및 확산이 전 세계적으로 보고되어 왔는데, 이들 대부분은 생물막 형성능력을 가지고 있다. 생물막 형성은 소독 및 건조에 대해 세균이 저항할 수 있도록 해주는 중요한 병독성 인자이다. 본 연구에서는 생물막을 형성하는 A. baumannii 임상 분리주를 대상으로 항균제 내성 기전에 대한 유전적 기초를 조사하였다. 크리스탈 바이올렛 분석법을 통해 생물막 형성능력을 확인한 결과 46균주가 생물막을 형성하는 것으로 나타났다. 이어서 REP-PCR을 수행하여 서로 다른 클론에 속하는 16 균주를 선택한 후 이 균주들을 대상으로 항균제 내성 인자를 검출하였다. 본 연구에서 분리된 9개 non-MDR (0.96) 균주와 7개의 MDR (1.05) 균주의 평균 생물량은 서로 달랐지만, 이 차이는 유의하지 않았다. 대부분의 생물막 형성 MDR 균주는 다양한 항균제 내성인자 ($bla_{OXA-23}$, armA 및 gyrA 및 parC의 돌연변이)를 가지고 있는 것으로 나타났다. 그러나 대부분의 non-MDR 균주는 항균제 내성인자를 포함하지 않는 것으로 나타났다. 우리의 결과는 A. baumannii 균주의 생물막 형성능력이 항균제 감수성과 상관관계가 적음을 시사한다. 또한 MDR A. baumannii 임상 분리주의 출현은 대개 항균제 내성과 관련된 유전자의 돌연변이나 또는 다양한 항균제 내성인자의 획득에 의한 것으로 사료된다.

Determinants of Participation in a Breast Cancer Screening Trial in Trivandrum District, India

  • Frie, Kirstin Grosse;Ramadas, Kunnambath;Anju, Gopan;Mathew, Beela Sara;Muwonge, Richard;Sauvaget, Catherine;Thara, Somanathan;Sankaranarayanan, Rengaswamy
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권12호
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    • pp.7301-7307
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    • 2013
  • Background: Conspicuous differences in participation rates for breast self-examination (BSE), clinical breast examination (CBE), and referral for further investigations have been observed indicating involvement of a number of different factors. This study analysed determinants for participation in different levels of the breast cancer screening process in Indian females. Materials and Methods: An intervention group of 52,011 women was interviewed in a breast cancer screening trial in Trivandrum district, India. In order to assess demographic, socio-economic, reproductive, and cancer-related determinants of participation in BSE, CBE, and referral, uni- and multi-variate logistic regression was employed. Results: Of the interviewed women, 23.2% reported practicing BSE, 96.8% had attended CBE, and 49.1% of 2,880 screen-positives attended referral. Results showed an influence of various determinants on participation; women who were currently not married or who had no family history of cancer were significantly less likely to attend the screening process at any level. Conclusions: Increasing awareness about breast cancer, early detection methods, and the advantages of early diagnoses among women, and their families, as well as health care workers offering social support, could help to increase participation over the entire screening process in India.

캄보디아 간호대학생들의 간호사 이미지, 이미지 결정요인, 자아존중감 사이의 관계 모형 구축 (Construction of a Structural Model Incorporating Nurse Image, Image Determinants, and Self-esteem for Evaluation of Cambodian Nursing Students)

  • 최성녀;박현주;채영란;하윤주;김진하
    • 한국간호교육학회지
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    • 제21권1호
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    • pp.5-15
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    • 2015
  • Purpose: This study, on the basis of a structural model that includes nurse image, image determinants, and self-esteem of Cambodian nursing students influenced by the Korean nursing education system, demonstrates distinctions between senior and junior according to experience in clinical practice. Methods: Data were collected via a questionnaire from 194 nursing students in Cambodia and subsequently analyzed using the STATA IC 12 program. Results: First, image determinants and their sub-factors-subjective, institutional, and media-effect both the nurse image and self-esteem of nursing students. Second, the study confirms that nurse image has no significant effect on self-esteem. Also, the individual factor, a sub-factor of nurse image, possesses a weak relationship with nurse image. Third, the structural model mediating between senior and junior reveals differences resulting from experiences derived from clinical practice. Conclusion: The study has significance in that Cambodian nursing students, who are rarely studied in terms of nurse image, have been systemically analyzed via a structural model incorporating image determinants and self-esteem.