• Title/Summary/Keyword: miR-33

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간호대학생의 도덕적 민감성과 비판적 사고성향이 윤리적 의사결정 자신감에 미치는 영향 (Effects of Moral Sensitivity and Critical Thinking Disposition on Perceived Ethical Confidence in Nursing Students)

  • 임미혜
    • 한국산학기술학회논문지
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    • 제17권9호
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    • pp.610-618
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    • 2016
  • 본 연구는 간호대학생의 도덕적 민감성, 비판적 사고성향, 윤리적 의사결정 자신감 정도를 알아보고, 간호대학생의 윤리적 의사결정 자신감에 영향을 미치는 요인을 분석하기 위한 서술적 조사연구이다. 연구대상은 D시 소재 간호대학생 170명으로, 자료는 2016년 5월 16일부터 5월 20일까지 자가보고식 설문지를 통해 수집하였다. 수집된 자료는 SPSS 21 프로그램을 이용하여 빈도, 백분율, t-test, ANOVA, Pearson's 상관계수, 다중회귀분석을 실시하였다. 본 연구결과, 간호대학생들의 윤리적 의사결정 자신감 정도는 5점 만점에 $3.54({\pm}0.51)$점이었으며 종교에서 유의한 차이를 보였다(t=2.309, p=0.122). 도덕적 민감도는 7만점에 4.92점(${\pm}0.59$)이었으며, 비판적 사고성향은 5점 만점에 $3.45({\pm}0.39)$점이었다. 간호대학생의 윤리적 의사결정 자신감은 도덕적 민감성(r=.410, p<0.001)과 비판적 사고성향(r=.523, p<0.001)과 유의한 순 상관관계에 있었다. 간호대학생의 윤리적 의사결정 자신감에 영향을 주는 요인은 도덕적 민감성과 비판적 사고성향 임을 확인하였고, 윤리적 의사결정 자신감에 대한 이들 변인의 설명력은 33.2%이었다. 간호대학생의 윤리적 의사결정 자신감 향상을 위해서는 도덕적 민감성과 비판적 사고성향을 향상시킬 수 있도록 다양한 교수법, 교육프로그램 개발 및 적용이 필요하다.

성인 중환자실에 입실한 환자의 중환자실 체류기간에 영향을 미치는 요인 탐색 (Factors Influencing Intensive Care Unit Length of Stay of Patients with Critical Illness)

  • 손연정;송효숙;원미화;양선희
    • 예술인문사회 융합 멀티미디어 논문지
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    • 제7권11호
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    • pp.525-536
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    • 2017
  • 연구목적: 본 연구는 성인 통합 중환자실에 입실 환자를 대상으로 중환자실 체류기간에 영향을 미치는 요인을 인구사회학적, 질병관련 특성을 중심으로 파악하여 효율적인 중환자 간호 중재 개발의 기초적 자료를 제공하기 위하여 실시하였다. 연구방법: 서울특별시에 소재한 일 종합병원의 성인 통합 중환자실에 입실한 환자 최종 270명을 분석한 후향적 조사연구이다. 연구결과: 분석대상 270명 환자 중 중환자실 체류기간이 5일 이상 그룹이 116명(43%)이었으며, 중환자실 체류기간은 FCI score (r=0.33, p<.001), APACHE II(r=0.19, p=.001)와 통계적으로 유의한 상관관계가 있는 것으로 나타났다.로지스틱 회귀분석 결과 중환자실 체류기간의 영향요인은 일반적 특성을 통제한 상태에서 대상자의 중환자실 입실경로(p=0.013), FCI score(p<0.001), APACHE II(p=0.012)로 나타났다. 결론: 중환자실 입실시 응급실 경유나 중증도가 높은 환자의 경우, 입실 초기 보다 집중적인 환자간호를 통해 환자의 체류기간을 줄이도록 하는 다양한 중재개발이 모색되어야 하겠다.

Dehydrothermal Treatment로 제작한 흡수성 콜라겐 골유도재생술 차단막 (Absorbable Guided Bone Regeneration Membrane Fabricated from Dehydrothermal Treated Porcine Collagen)

  • 방강미;정한울;김성포;양은경;김기호;김성민;김명진;장정원;이종호
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제33권2호
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    • pp.112-119
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    • 2011
  • Purpose: Collagen membranes are used extensively as bioabsorbable barriers in guided bone regeneration. However, collagen has different effects on tissue restoration depending on the type, structure, degree of cross-linking and chemical treatment. The purpose of this study was to evaluate the inflammatory reaction, bone formation, and degradation of dehydrothermal treated porcine type I atelocollagen (CollaGuide$^{(R)}$) compared to of the non-crosslinked porcine type I, III collagen (BioGide$^{(R)}$) and the glutaldehyde cross-linked bovine type I collagen (BioMend$^{(R)}$) in surgically created bone defects in rat mandible. Methods: Bone defect model was based upon 3 mm sized full-thickness transcortical bone defects in the mandibular ramus of Sprague-Dawley rats. The defects were covered bucolingually with CollaGuide$^{(R)}$, BioMend$^{(R)}$, or BioGide$^{(R)}$ (n=12). For control, the defects were not covered by any membrane. Lymphocyte, multinucleated giant cell infiltration, bone formation over the defect area and membrane absorption were evaluated at 4 weeks postimplantation. For comparison of the membrane effect over the bone augmentation, rats received a bone graft plus different covering of membrane. A $3{\times}4$ mm sized block graft was harvested from the mandibular angle and was laid and stabilized with a microscrew on the naturally existing curvature of mandibular inferior border. After 10 weeks postimplantation, same histologic analysis were done. Results: In the defect model at 4 weeks post-implantation, the amount of new bone formed in defects was similar for all types of membrane. Bio-Gide$^{(R)}$ membranes induced significantly greater inflammatory response and membrane resorption than other two membranes; characterized by lymphocytes and multinucleated giant cells. At 10 weeks postoperatively, all membranes were completely resorbed. Conclusion: Dehydrotheramal treated cross-linked collagen was safe and effective in guiding bone regeneration in alveolar ridge defects and bone augmentation in rats, similar to BioGide$^{(R)}$ and BioMend$^{(R)}$, thus, could be clinically useful.

서울시 보건소 물리치료실 이용자의 만족도 조사 연구 - 노인복지 정책측면에서 - (A study on patients' satisfaction of physical therapy services in public health center in the point of view of the elderly welfare policy)

  • 윤범철;이용진;배정미;김난수
    • 대한물리치료과학회지
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    • 제5권1호
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    • pp.557-571
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    • 1998
  • The purpose of the study is (i) to investigate the operating situation of physical therapy department in public health centers, (ii) to analyze the difference of elderly satisfaction from non-elderly satisfaction of physical therapy services among the public health center visitors, and finally (iii) to suggest facilitating improvement on programs that can supply the elderly health service through public health centers. A questionnaire survey was carried out 212 patients of 25 public health center in Seoul, Korea from 15 July to 10 August 1996. Major results of the study are as follows : 1. Among the respondents. the largest group was the elderly who are over 65 years old (72.6%). 2. The averge of general patients' satisfaction for physical therapy services was 3.98, especially fee of treatment(4.76), attitude of physical therapist(4.33), and reliance of physical therapist(4.20) were higher by 5-score Likert scale. 3. The correlation factors with general patients' satisfaction were process of treatment (r =.6301). results of treatment(r=. 6186), and guide facilities(r=.5999). 4. The results of multiple-regression analysis between general patients' satisfaction and affecting factors identify following variables as the statically significant determinants : general stisfaction comparing with other physical therapy services, physical therapy services using forwardly, fee of treatment. 5. There was no significant defference between elderly and non-elderly patients' satisfaction of physical therapy service, except attitude of physical therapist(t=-2.07), explanation of treatment for disease(t=-2.19), fee of treatment(t=6.29).

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위계적 질환군 위험조정모델 기반 의료비용 예측 (Prediction of Health Care Cost Using the Hierarchical Condition Category Risk Adjustment Model)

  • 한기명;유미경;전기홍
    • 보건행정학회지
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    • 제27권2호
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    • pp.149-156
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    • 2017
  • Background: This study was conducted to evaluate the performance of the Hierarchical Condition Category (HCC) model, identify potentially high-cost patients, and examine the effects of adding prior utilization to the risk model using Korean claims data. Methods: We incorporated 2 years of data from the National Health Insurance Services-National Sample Cohort. Five risk models were used to predict health expenditures: model 1 (age/sex groups), model 2 (the Center for Medicare and Medicaid Services-HCC with age/sex groups), model 3 (selected 54 HCCs with age/sex groups), model 4 (bed-days of care plus model 3), and model 5 (medication-days plus model 3). We evaluated model performance using $R^2$ at individual level, predictive positive value (PPV) of the top 5% of high-cost patients, and predictive ratio (PR) within subgroups. Results: The suitability of the model, including prior use, bed-days, and medication-days, was better than other models. $R^2$ values were 8%, 39%, 37%, 43%, and 57% with model 1, 2, 3, 4, and 5, respectively. After being removed the extreme values, the corresponding $R^2$ values were slightly improved in all models. PPVs were 16.4%, 25.2%, 25.1%, 33.8%, and 53.8%. Total expenditure was underpredicted for the highest expenditure group and overpredicted for the four other groups. PR had a tendency to decrease from younger group to older group in both female and male. Conclusion: The risk adjustment models are important in plan payment, reimbursement, profiling, and research. Combined prior use and diagnostic data are more powerful to predict health costs and to identify high-cost patients.

북한강에서 출현한 Anabaena circinalis의 형태학적 특성 및 지오스민(geosmin) 발생 양상 (Geosmin and Morphological Characteristics of Anabaena circinalis, Obtained from the Bukhan River)

  • 윤석제;김용진;김헌년;김진용;유미나;이은정;유순주
    • 한국환경과학회지
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    • 제27권1호
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    • pp.27-38
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    • 2018
  • This study was carried out in the Bukhan River in the summer of 2014 and 2015, to identify the relationship between geosmin and the morphological changes in Anabaena. Identification of Anabaena was conducted using morphological and molecular analyses. Anabaena in this study was similar to Anabaena circinalis, A. crass, and A. spiroides with regard to regular coils, vegetative cell, akinete shape, and size, hoever, it was distinguishabl from A. crass and A. spiroides because of its larger trichome coil size. Additionally, the sequences of phycocyanin (PC) gene from Anabaena showed a 99% genetic similarity with A. circinalis NIES-1647 strain. The coil diameter of trichome ranged from 106 to $899{\mu}m$, and the diameter and abundance showed an insignificant positive correlation (r=0.544, p<0.05). The result of relationship between the coil diameter and the cell number per 360-degree rotation was kept at $33.8{\pm}5.2$ cells per $100{\mu}m$ diameter despite variable diameter. The average geosmin concentrations in 2014 and 2015 were investigated to be 99 ng/L and 35 ng/L, respectively. A. circinalis cell density contributed considerably to the change in geosmin and was positively correlated with geosmin concentration (2014; r=0.599, p<0.01, 2015; r=0.559, p<0.01). Our results suggest that geosmin and coil diameter could be estimated with the help of cell density.

뷰티전공과 예체능전공 대학생의 COVID-19에 대한 지식, 태도, 예방실천행위 (Knowledge, attitude, and preventive action on COVID-19 infectious disease of cosmetology major and arts and physical education college students)

  • 안미정;박선주
    • 한국의상디자인학회지
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    • 제23권4호
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    • pp.73-80
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    • 2021
  • This study is a descriptive cross-sectional study to confirm the knowledge, attitudes, and preventive practice behaviors of university students concerning COVID-19 and to identify the factors that influence preventive practice behaviors. The number of study subjects was calculated using G*power program 3.19. The data collected from the study were analyzed using SPSS/WIN version 25. The subject's characteristics, knowledge, attitude, and preventive practices against COVID-19 were analyzed with descriptive statistics, and the difference in knowledge, attitude, and prevention practices against COVID-19 according to the subject's characteristics was evaluated using an independent t-test, ANOVA, and post-hoc test was conducted using a Scheffé test. Correlations of knowledge, attitude, and prevention practices against COVID-19 were analyzed using Pearson Correlation coefficients, and factors affecting COVID-19 prevention practices were analyzed using stepwise multiple regression. The number of subjects analyzed in the study was 232. The general characteristics of the study subjects were 78 males (33.7 %) and 154 females (66.3 %). The subject's knowledge score about COVID-19 was 85.13±6.22 out of 100 points, and the attitude score toward COVID-19 was 12.47±1.31 out of 14 points. The prevention practice score for COVID-19 was 29.36±3.42 out of 32 points. As a result of the study, knowledge about COVID-19 was found to have a significant positive correlation with attitude (r=.34, p<.001); COVID-19 prevention practice behavior was found to have a significant positive correlation with knowledge (r=.54, p<.001), and attitude (r=.62, p<.001). The main factors influencing the COVID-19 prevention practice behavior were knowledge, attitude, and major (Cosmetology major).

중환자실 간호사의 의도적 반추, 자기 노출, 사회적 지지가 외상 후 성장에 미치는 영향 (Post-traumatic Growth and it's associations with Deliberate Rumination, Self-disclosure, and Social Support among Intensive Care Unit Nurses)

  • 민새미;김희준;김춘자;안정아
    • 중환자간호학회지
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    • 제15권2호
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    • pp.50-63
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    • 2022
  • Purpose : This study aimed to identify intensive care units (ICU) nurses' experience of traumatic events, deliberate rumination, self-disclosure, social support, and post-traumatic growth (PTG), and to explore relationships among the variables. Methods : Participants were 157 nurses who have provided direct patient care for six months or more in ICUs at a university hospital. Collected data were analyzed using descriptive statistics, independent t-tests, one-way ANOVAs, Pearson correlations, and multiple linear regressions using the SPSS/WIN version 23.0. Results : The PTG was found to be significantly associated with deliberate rumination (r=0.36, p<.001), self-disclosure (r=0.39, p<.001), and social support (r=0.54, p<.001). Factors that affect PTG significantly were found in the order of social support (𝛽=0.40, p<.001), self-disclosure (𝛽=0.25, p<.001), and deliberate rumination (𝛽=0.24, p<.001). The final regression model explained 40.1% of the variance of PTG (F=26.33, p<.001). Conclusion : The influencing factors identified in this study on PTG, including social support, self-disclosure, and deliberate rumination should be included in programs to promote PTG for ICU nurses who may experience traumatic events repeatedly.

간호학과 신입생의 성격유형, 학습스타일과 학업성취도의 관계 (The Relationship between Personality Types, Learning Style, and Academic Achievement in First Year Nursing Students)

  • 윤희장;곽은미;권선영
    • 문화기술의 융합
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    • 제5권2호
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    • pp.247-255
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    • 2019
  • 본 연구는 간호학과 신입생들의 성격유형과 학습스타일, 학업성취도 간의 상관성을 탐구하기 위해 시행되었다. 간호학과 신입생 144명을 대상으로 2018년 3월 6일부터 5월 18일 까지 자료를 수집하였다. 결과 분석은 빈도와 백분율, 평균 및 표준편차, t-test와 ANOVA, Chi-square test 그리고 Pearson correlation coefficient로 확인하였다. 연구 대상자의 성격유형은 외향적 성향(58.3%)이 내향적 성향 보다 많았으며 감각적 성향(66.7%)과 감정형(77.8%)이 직관적 성향과 사고형 보다 많았고 판단형(50.7%)이 인지형 보다 많았다. 학업성취도는 여학생이 남학생 보다 높았고(t=3.277, p<.001), 내향적 성향이 외향적 성향 보다 높았다(t=3.541, p<.001). 성격유형별 학습스타일의 차이는 판단형이 다른 성격 유형간에 통계적으로 유의미한 차이를 보였다(${\chi}^2=18.409$, p<.001). 성별과 TF지표(r=.209, p<.05), 성별과 학업성취도(r=.265, p<.01), JP지표와 학습스타일(r=.262, p<.01), EI지표와 학업성취도(r=.285, p<.01) 사이에 유의한 양의 상관관계가 나타났다. 본 연구를 통해 확인된 간호학과 신입생의 성격유형, 학습스타일, 학업성취도 결과를 바탕으로 개인에게 적합한 교수-학습법의 개발 및 활용이 필요할 것이다.

무안 염습지에 자생하는 염생식물(halophyte)의 뿌리로부터 분리된 내생진균(endophytic fungi)의 유전학적 다양성 (Genetic Diversity of Culturable Endophytic Fungi Isolated from Halophytes Naturally Growing in Muan Salt Marsh)

  • 유영현;윤혁준;서영교;김미애;강명석;김창무;하상철;조가연;김종국
    • 생명과학회지
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    • 제22권7호
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    • pp.970-980
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    • 2012
  • 90종의 내생진균(endophytic fungi)은 염습지에 자생하고 있는 염생식물(halophyte)의 뿌리에서 분리하였다. 자생식물 샘플은 해홍나물, 갯질경, 칠면초, 갯잔디, 갈대가 염습지로부터 분리하였다. 그리고 분리된 내생진균들은 ITS1, 5.8S와 ITS2를 포함하는 ITS-rDNA 영역에 의해 분석하였다. 다양한 내생진균은 Capnodiales (4.44%), Cystofilobasidiales (1.11%), Dothideales (3.33%), Eurotiales (53.33%), Glomerellales (3.33%), Hypocreales (8.89%), Mucorales (1.11%), Pleosporales (15.56%), Sordariales (1.11%), Trichosphaeriales (1.11%), unidentified (6.67%) 등 10종류 목에 속하는 것이 확인되었다. 90종의 내생진균은 속(genus)단계에서 Acremonium 속, Alternaria 속, Aspergillus 속, Aureobasidium 속, Cephalosporium 속, Chaetomium 속, Cladosporium 속, Colletotrichum 속, Cryptococcus 속, Didymella 속, Dothideomycete 속, Emericellopsis 속, Epicoccum 속, Eupenicillium 속, Fusarium 속, Gibberella 속, Gongronella 속, Macrophoma 속, Microsphaeropsis 속, Nigrospora 속, Paecilomyce 속, Paraconiothyrium 속, Penicillium 속, Phaeomyces 속, Phoma 속, Pleosporales 속, Purpureocillium 속, 그리고 Talaromyces 속으로 모두 28속이 확인되었다. 그리고 동정된 모든 내생진균은 Eurotiales목의 Aspergillus속과 Penicillium속이 가장 많이 분포하고 있는 것이 확인되었다.