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검색결과 43,457건 처리시간 0.054초

질적 간호의 결과적 지표 (Outcome Indicators of Quality Nursing Care)

  • 지성애
    • 간호행정학회지
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    • 제3권1호
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    • pp.107-118
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    • 1997
  • This study was designed to obtain basic data for development of evaluation tool which would be needed to measure the outcome of general quality nursing care of individual patient. The purpose of this study was to analyze and classify the outcome indicators of quality nursing care. The 29 articles of quality nursing care and outcome measures were selected coveniently, and analyzed to classify the outcome indicators of quality nursing care using open coding method. The results of this study were as follows: 1. Quality nursing care was defined as level of excellence of nursing care to achieve good patient outcome. 2. The 6 domains of which were health status, satisfaction, self care, patient progress and prognosis, and compliance were identified in outcome indicators of quality nursing care 3. Seven indicators of health status domain which were perceived health status, quality of life, well-being, daily activities, physical-physiological status, psychoemotional status, and social role functioning were identified. 4. Two indicators of satifaction domain which were patient satisfaction and family satisfaction were identified. 5. Three indicators of self care domain which were skill, knowledge, and home management were identified. 6. Seven indicators of patient progress and prognosis domain which were change of clinical status, resolution of nursing diagnosis and problem, days of stay, dicahrge state, recovery state, survival were identified. 7. compliance with therapeutic direction compliance was identified as an indicator of compliance domain. 8. It was sugested that studies for development of evaluation tools for outcomes of quality nursing the results of this study could be executed

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Comparison of the Genetic Alterations between Primary Colorectal Cancers and Their Corresponding Patient-Derived Xenograft Tissues

  • Yu, Sang Mi;Jung, Seung-Hyun;Chung, Yeun-Jun
    • Genomics & Informatics
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    • 제16권2호
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    • pp.30-35
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    • 2018
  • Patient-derived xenograft (PDX) models are useful tools for tumor biology research and testing the efficacy of candidate anticancer drugs targeting the druggable mutations identified in tumor tissue. However, it is still unknown how much of the genetic alterations identified in primary tumors are consistently detected in tumor tissues in the PDX model. In this study, we analyzed the genetic alterations of three primary colorectal cancers (CRCs) and matched xenograft tissues in PDX models using a next-generation sequencing cancer panel. Of the 17 somatic mutations identified from the three CRCs, 14 (82.4%) were consistently identified in both primary and xenograft tumors. The other three mutations identified in the primary tumor were not detected in the xenograft tumor tissue. There was no newly identified mutation in the xenograft tumor tissues. In addition to the somatic mutations, the copy number alteration profiles were also largely consistent between the primary tumor and xenograft tissue. All of these data suggest that the PDX tumor model preserves the majority of the key mutations detected in the primary tumor site. This study provides evidence that the PDX model is useful for testing targeted therapies in the clinical field and research on precision medicine.

무중력 상태에 대한 예상의 확인 결과가 예비 초등 교사의 인지갈등과 개념변화에 미치는 영향 (The Effects of the Result of Ascertaining Predictions on Pre-service Elementary Teachers' Cognitive Conflict and Conceptual Change in the Concept of Weightlessness)

  • 최혁준;김준태;권재술
    • 한국초등과학교육학회지:초등과학교육
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    • 제24권1호
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    • pp.43-50
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    • 2005
  • This study examined the effects of the result of ascertaining predictions on cognitive conflict and conceptual change when students teamed the concept of weightlessness. Participants were 200 pre-service elementary teachers. They answered the pretest composed of two items. Through the demonstration on either of two items of the pretest, they identified whether their predictions were correct or not. In addition, students' cognitive conflicts were measured. After brief instructional treatment, the posttest was conducted. The results of this study are as follows: The more students who identified their own predictions on the experiment were incorrect there were, the more effective it was on cognitive conflict and conceptual change. And cognitive conflicts and conceptual changes of students who identified that their predictions were incorrect were generated meaningfully more than those of students who identified that their predictions were correct. From these results, it is concluded that students who identified that their predictions were correct experience cognitive conflicts, but their cognitive conflicts and conceptual changes were smaller than those of students who identified that their predictions were incorrect.

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임상검체에서 분리된 Aspergillus Species의 연구 (Study of Aspergillus Species from Clinical Specimen Isolate)

  • 이장호;구본경
    • 대한임상검사과학회지
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    • 제48권1호
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    • pp.15-21
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    • 2016
  • Aspergillus는 가장 흔하게 감염을 일으키는 기회 감염균이다. 검사실에서 Aspergillus의 동정은 대부분 형태학적으로 이루어진다. 최근에는 형태학적으로 동정이 안 되거나, 속 수준까지만 동정이 되는 까다로운 균들 동정하기 위하여 분자유전학적인 방법들이 제안되고 있다. 임상검체에서 분리한 475건의 Aspergillus는 Aspergillus fumigatus 257주(54.1%), A. niger 101주(21.3%), A. flavus 43주(9.1%), A. terreus 29주(6.1%), Aspergillus nidulans 2주(0.4%), 그리고 Aspergillus clavatus 1주(0.2%), 그리고 Aspergillus species는 42주(8.8%)이었다. 미동정 균주와 종 구분을 위한 11건의 염기서열분석에서는 Aspergillus fumigatus 5주, Aspergillus falvus 1주, Aspergillus terreus 1주, Aspergillus lentulus 1주 동정되었다. Aspergillus versicolor 2주, 그리고 1주는 Emericella parvathecia로 동정되었다. Aspergillus의 92.2%는 형태학적으로 동정이 가능하였고, 8.8%는 종 수준의 동정이 불가능하였다. 종 수준의 동정을 하기 위해서는 ITS와 D1D2를 이용한 염기서열분석이 유용한 것으로 사료된다.

Functional Prediction of Imprinted Genes in Chicken Based on a Mammalian Comparative Expression Network

  • Kim, Hyo-Young;Moon, Sun-Jin;Kim, Hee-Bal
    • Genomics & Informatics
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    • 제6권1호
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    • pp.32-35
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    • 2008
  • Little evidence supports the existence of imprinted genes in chicken. Imprinted genes are thought to be intimately connected with the acquisition of parental resources in mammals; thus, the predicted lack of this type of gene in chicken is not surprising, given that they leave their offspring to their own heritance after conception. In this study, we identified several imprinted genes and their orthologs in human, mouse, and zebrafish, including 30 previously identified human and mouse imprinted genes. Next, using the HomoloGene database, we identified six orthologous genes in human, mouse, and chicken; however, no orthologs were identified for SLC22A18, and mouse Ppp1r9a was not included in the HomoloGene database. Thus, from our analysis, four candidate chicken imprinted genes (IGF2, UBE3A, PHLDA2, and GRB10) were identified. To expand our analysis, zebrafish was included, but no probe ID for UBE3A exists in this species. Thus, ultimately, three candidate imprinted genes (IGF2, PHLDA2, and GRB10) in chicken were identified. GRB10 was not significant in chicken and zebrafish based on the Wilcoxon-Mann-Whitney test, whereas a weak correlation between PHLDA2 in chicken and human was identified from the Spearman's rank correlation coefficient. Significant associations between human, mouse, chicken, and zebrafish were found for IGF2 and GRB10 using the Friedman's test. Based on our results, IGF2, PHLDA2, and GRB10 are candidate imprinted genes in chicken. Importantly, the strongest candidate was PHLDA2.

Identification of Uncommon Candida Species Using Commercial Identification Systems

  • Kim, Tae-Hyoung;Kweon, Oh Joo;Kim, Hye Ryoun;Lee, Mi-Kyung
    • Journal of Microbiology and Biotechnology
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    • 제26권12호
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    • pp.2206-2213
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    • 2016
  • Recently, several studies have revealed that commercial microbial identification systems do not accurately identify the uncommon causative species of candidiasis, including Candida famata, Meyerozyma guilliermondii, and C. auris. We investigated the accuracy of species-level identification in a collection of clinical isolates previously identified as C. famata (N = 38), C. lusitaniae (N = 1 2), and M. guilliermondii (N = 5) by the Vitek 2 system. All 55 isolates were re-analyzed by the Phoenix system (Becton Dickinson Diagnostics), two matrix-assisted laser desorption ionization-time of flight mass spectrometry analyzers (a Vitek MS and a Bruker Biotyper), and by sequencing of internal transcribed spacer (ITS) regions or 26S rRNA gene D1/D2 domains. Among 38 isolates previously identified as C. famata by the Vitek 2 system, the majority (27/38 isolates, 71.1%) were identified as C. tropicalis (20 isolates) or C. albicans (7 isolates) by ITS sequencing, and none was identified as C. famata. Among 20 isolates that were identified as C. tropicalis, 17 (85%) were isolated from urine. The two isolates that were identified as C. auris by ITS sequencing originated from ear discharge. The Phoenix system did not accurately identify C. lusitaniae, C. krusei, or C. auris. The correct identification rate for 55 isolates was 92.7% (51/55 isolates) for the Vitek MS and 94.6% (52/55 isolates) for the Bruker Biotyper, as compared with results from ITS sequencing. These results suggest that C. famata is very rare in Korea, and that the possibility of misidentification should be noted when an uncommon Candida species is identified.

한국산(韓國産) 대두(大豆)의 단백질(蛋白質)에 관(關)한 연구(硏究) (제2보(第2報)); 여지전기영동법(濾紙電氣泳動法)에 의(依)한 대두단백질(大豆蛋白質)의 분석(分析) (Studies on the Protein of Korean Soybeans Part 2; Paper Electrophoresis of the Proteins of Korean Soybeans)

  • 변시명;김재욱;이춘영
    • Applied Biological Chemistry
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    • 제7권
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    • pp.85-91
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    • 1966
  • 한국(韓國) 재배(栽培) 대두(大豆) 25품종(品種)을 선택하여 각(各) 품종(品種)의 단백질(蛋白質) 패턴을 여지전기영동법(濾紙電氣泳動法)으로 시행하여 품종간(品種間)의 차이(差異)를 비교(比較)해 보았다. 이 방법(方法)으로 5종(種)의 단백질(蛋白質)을 분리(分離)할 수 있었으며 각(各) 품종간(品種間)의 정량적(定量的)인 함율차(含率差)를 찾아 볼 수 있었다. 각(各) 단백질(蛋白質) 성분간(成分間)의 평균(平均) 함량비(含量比)는 다음과 같다. I 14.47% II 7.22% III 4.43% IV 71.70% V 2.18% 상기(上記) 각획분(各劃分)을 동정(同定)하여 본 결과(結果)는 다음과 같다.

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A study on the method of measuring the usefulness of De-Identified Information using Personal Information

  • Kim, Dong-Hyun
    • 한국컴퓨터정보학회논문지
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    • 제27권6호
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    • pp.11-21
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    • 2022
  • 국내외에서 개인정보의 안전한 활용을 위한 비식별 조치에 대한 관심이 높아지고 있으나 불충분한 비식별 조치 및 추론 등을 통해 비식별 정보가 재식별되는 사례가 발생하고 있다. 이러한 문제점을 보완하고 비식별 조치 신기술을 발굴하기 위해 비식별 정보의 안전성과 유용성을 경진하는 대회를 국내와 일본에서 개최하고 있다. 본 논문은 이러한 경진대회에서 사용되고 있는 안전성과 유용성 지표를 분석하고 보다 효율적으로 유용성을 측정할 수 있는 새로운 지표를 제안하고 검증하고자 한다. 비식별 처리 분야에 수학 및 통계 분야의 전문가가 현저히 부족하여 많은 모집단을 통한 검증은 할 수는 없었지만 신규 지표에 대한 필요성과 타당성에 대해 매우 긍정적인 결과를 도출할 수 있었다. 우리나라의 방대한 공공데이터를 비식별 정보로 안전하게 활용하기 위해서는 이러한 유용성 측정 지표에 대한 연구가 꾸준히 진행되어야 하며, 본 논문을 시작으로 보다 활발한 연구가 진행되길 기대한다.

Analysis of Myosin Heavy Chain Isoforms from Longissimus Thoracis Muscle of Hanwoo Steer by Electrophoresis and LC-MS/MS

  • Kim, Gap-Don
    • 한국축산식품학회지
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    • 제34권5호
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    • pp.656-664
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    • 2014
  • The purpose of this study was to analyze myosin heavy chain (MHC) isoforms in bovine longissimus thoracis (LT) muscle by liquid chromatography (LC) and mass spectrometry (MS). LT muscles taken from Hanwoo (Korean native cattle) steer (n=3) used to separate myosin bands by sodium dodecyl sulfate-polyacrylamide gel electrophoresis. The peptide queries were obtained from the myosin bands by LC-MS/MS analysis following in-gel digestion with trypsin. A total of 33 and 43 queries were identified as common and unique peptides, respectively, of MHC isoforms (individual ions scores >43 indicate identity or extensive homology, p<0.05). MHC-1 (IIx), -2 (IIa), -4 (IIb), and -7 (slow/I) were identified based on the Mowse score (5118, 3951, 2526, and 2541 for MHC-1, -2, -4, and -7, respectively). However, more analysis is needed to confirm the expression of MHC-4 in bovine LT muscle because any query identified as a unique peptide of MHC-4 was not found. The queries that were identified as unique peptides could be used as peptide markers to confirm MHC-1 (14 queries), -2 (8 queries), and -7 (21 queries) in bovine LT muscle; no query identified as a unique peptide of MHC-4 was found. LC-MS/MS analysis is a useful approach to study MHC isoforms at the protein level.

항암화학요법 환자에게 적용된 주요 간호진단, 간호결과 및 간호중재의 연계성 확인 (Identification of Major Nursing Diagnosis, Nursing Outcomes, and Nursing Interventions (NNN) Linkage for Cancer Patients Undergoing Chemotherapy)

  • 송수미;소향숙;안민정
    • 성인간호학회지
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    • 제26권4호
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    • pp.413-423
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    • 2014
  • Purpose: This study was aimed to identify NANDA-NOC-NIC linkage in cancer patients receiving chemotherapy. Methods: This study was a descriptive study conducted in three steps. First, nursing diagnoses were identified from the electronic nursing records. Second, content validity of nursing diagnoses and outcomes were evaluated. Third, major nursing interventions associated with expected nursing outcomes were collected from 97 nurses who worked in the oncology unit. Data were analyzed using descriptive statistics. Results: Four major nursing diagnoses were identified: acute pain, knowledge deficit, health seeking behaviors, and ineffective protection. Associated with each respective diagnosis, 3 major outcomes (pain level, pain control, and comfort state) for acute pain, 8 major nursing outcomes (diet, disease process, treatment regimen, illness, ostomy care, prescribed activity, health behavior, and infection management) for knowledge deficit, 4 major outcomes (health promoting behavior, health promotion, health belief, and knowledge: health resource) for health seeking behaviors, and 3 major outcomes (fatigue level, immune status, and nutritional status) for ineffective protection were identified. In addition, nursing interventions frequently used in clinical practice for each major nursing outcome were identified. Conclusion: The identified NANDA-NOC-NIC linkage can contribute to improving the applications of nursing process and care plans.