• Title/Summary/Keyword: Clinical Evaluation Tool

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Performance Evaluation and Development of Virtual Reality Bike Simulator (가상현실 바이크 시뮬레이터의 개발과 성능평가)

  • Kim, Jong-Yun;Song, Chul-Gyu;Kim, Nam-Gyun
    • The Transactions of the Korean Institute of Electrical Engineers D
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    • v.51 no.3
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    • pp.112-121
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    • 2002
  • This paper describes a new bike system for the postural balance rehabilitation training. Virtual environment and three dimensional graphic model is designed with CAD tools such as 3D Studio Max and World Up. For the real time bike simulation, the optimized WorldToolKit graphic library is embedded with the dynamic geometry generation method, multi-thread method, and portal generation method. In this experiment, 20 normal adults were tested to investigate the influencing factors of balancing posture. We evaluated the system by measuring the parameters such as path deviation, driving velocity, COP(center for pressure), and average weight shift. Also, we investigated the usefulness of visual feedback information by weight shift. The results showed that continuous visual feedback by weight shift was more effective than no visual feedback in the postural balance control It is concluded this system might be applied to clinical use as a new postural balance training system.

Clinical Application of $^{18}F-FDG$ PET in Parkinson's Disease (파킨슨병에서 $^{18}F-FDG$ PET의 임상이용)

  • Lee, Won-Hyoung;Chung, Yong-An
    • Nuclear Medicine and Molecular Imaging
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    • v.42 no.sup1
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    • pp.177-180
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    • 2008
  • Parkinson's disease is the second most common neurodegenerative disorder. It is slowly progressive disease that affects a small area of cells in the mid brain known as the substantia nigra. Gradual degeneration of these cells causes a reduction in a vital chemical known as dopamine. In the diagnosis of Parkinson's disease, it has difficulty in biopsy and limits in radiologic modalities. $^{18}F-FDG$ PET shows various findings from normal to diffuse decrement of FDG uptake. $^{18}F-FDG$ PET is expected to be a evaluation tool in the treatment of Parkinson's disease.

Evaluation of Balance Capability in Facilities Maintenance Workers using Screening Tools (스크리닝 도구를 이용한 건물관리업 종사자의 균형감각능력 평가)

  • Choi, Hyung Jin;Kim, Jung Soo
    • Journal of the Korea Safety Management & Science
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    • v.16 no.3
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    • pp.81-88
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    • 2014
  • A number of screening tools have been developed to evaluate the human balance capability. Many of them were designed to identify the elderly with falling risk. Three different screening tools, which have been well used many clinical fields, were used in this study. The purpose of this study was to evaluate balance capability in facilities maintenance workers in korea. There were no statistical significance between male and female when evaluated with three different screening tools. However, significant differences were found among the age groups irrespective of gender when evaluated with three different screening tools. The results of three different screening tools in korea showed poor values compared with previous results. These results revealed that facilities maintenance workers faced more critical falling risk in korea.

Reviewing Research on Korean medical treatment of Psoriasis (건선의 한의학적 치료에 관한 논문 경향 분석 - 국내 논문을 중심으로)

  • Hong, Seok-Hoon
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.26 no.4
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    • pp.26-42
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    • 2013
  • Background : The purpose of this study is to analyze research trends on the korean medical treatment and develop the way of psoriasis cure. Object & Method : This study is based on analysis of recent paper about korean medical treatment of psoriasis using WKUCL(Wonkwang University Central Library) and NDSL(National Discovery for Science Leader). I searched papers using the keyword "Psoriasis". Inclusion criteria was last 13 years. Result : A total 19 studies were found. They turned out to be effective treatment methods of acupuncture, moxibustion, internal medicines, external applications, and evaluation tool of PASI(psoriasis area and severity index). Conclusion : According to the results, korean medical treatments have good effects on psoriasis. If we accumulate the more clinical reports, it will be helpful to map out a systematic treatment of korean medicine on psoriasis.

Postoperative Ultrasound Findings of the Rotator Cuff Tendon after Arthroscopic Repair of a Rotator Cuff Tear (회전근개 파열의 수술적 치료 후 회전근개 초음파 소견)

  • Kwon, Dong Rak
    • Clinical Pain
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    • v.19 no.2
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    • pp.64-69
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    • 2020
  • Ultrasound (US) imaging is an efficient, easy to use, rapid, dynamic, noninvasive, with rare side-effects and inexpensive tool allowing for facilitated diagnosis and management of the painful shoulder. It also has advantages over other imaging modalities in the evaluation of the postoperative shoulder for rotator cuff integrity and correct anchor and suture placement, as well as rotator cuff analysis following repair surgery. Early postoperative tendons frequently had a hypo- echoic echo texture and the absence of a fibrillar pattern, which might be misinterpreted as recurrent tears. however, these features often normalized into tendons with an increased echo texture and the reappearance of a fibrillar pattern at 6 months. Based on these sequential findings, the US findings within 3 months after surgery should be interpreted with caution to accurately understand and monitor the repaired tendon status.

Selections of Diseases Related with Dongbeong- Hachi(冬病夏治) and Developing its Assesement Tools to Evaluate Sambokgu-Therapy(三伏灸法) (동병하치 개념의 삼복구법을 평가하기 위한 질환 발굴과 평가도구 활용방안)

  • Hong, Kwon-Eui;Song, Ho-Sueb
    • Journal of Acupuncture Research
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    • v.27 no.4
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    • pp.203-222
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    • 2010
  • Objectives : There was propose of development of tool for evaluation of Sambokgu-Therapy(三伏灸法) and concept of DongbeongHachi(冬病夏治) for preventing winter disease in the summer. Methods : Details on programs preventing winter disease in the summer such as clear concept, theoretical basis, current status, intervention or available prescriptions and indication/contraindication/caution were prepared through the related journal review, upon which an observational study was devised and done for simulation to find out even a trivial problem and to guarantee the safety beforehand. This study was to understand DongbeongHachi(冬病夏治), to find out the diseases related to DongbeongHachi(冬病夏治) and to develop evaluation tools of each diseases. In addition we meaned to understand Sambokgu-Therapy(三伏灸法) sorts and necessity and to discover side effects or validity related factors. Results : We selected air-conditioningitis, asthma, chronic bronchitis, common cold and allergic rhinitis as DongbeongHachi(冬病夏治) related diseases. And some questionnaires are developed, which they could show the general characteristics and each diseases specifics Discussions : I expects to enhance status of the oriental medicines as preventive medicine, if we continue to supplement effectiveness and safeties about Sambokgu-Therapy(三伏灸法) through clinical reserches based on this study.

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

  • Chi, Sung-Ai
    • Journal of Korean Academy of Nursing Administration
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    • v.3 no.1
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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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Role of Endoscopic Ultrasound-Guided Fine-Needle Aspiration in the Evaluation of Abdominal Lymphadenopathy of Unknown Etiology

  • Nonthalee Pausawasdi;Kotchakon Maipang;Tassanee Sriprayoon;Phunchai Charatcharoenwitthaya
    • Clinical Endoscopy
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    • v.55 no.2
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    • pp.279-286
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    • 2022
  • Background/Aims: Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) is a standard procedure for obtaining tissue from lesions near the gastrointestinal lumen. However, there is a scarcity of information on the diagnostic performance of EUS-FNA for abdominal lymphadenopathy of unknown causes. To assess the accuracy of EUS-FNA in diagnosing abdominal lymphadenopathy of unknown etiology. Methods: The EUS records of patients with undiagnosed abdominal lymphadenopathy between 2010 and 2015 were reviewed. Results: A total of 42 patients were included in this study. Adequate specimens were obtained from 40 patients (95%). The final diagnoses were metastatic cancer (n=16), lymphoma (n=9), tuberculosis (n=8), inflammatory changes (n=6), and amyloidosis (n=1). For diagnosing malignancy, EUS-FNA had a sensitivity of 84.6%, specificity of 95.7%, positive predictive value of 91.7%, negative predictive value of 91.7%, and area under the receiver operating characteristic curve (AUROC) of 0.901. For the diagnosis of lymphoma, EUS-FNA was 100% accurate when combined with cytologic evaluation and immunohistochemical staining. The diagnostic sensitivity decreased to 75%, whereas the specificity remained 100%, for tuberculosis. The overall AUROC was 0.850. No procedure-related complications occurred. Conclusions: EUS-FNA showed high diagnostic performance for abdominal lymphadenopathy of unknown causes, especially malignancy, lymphoma, and tuberculosis. Therefore, it is a crucial diagnostic tool for this patient population.

Preliminary Study to Develop the Instrument of Oriental Medical Evaluation for Lung Cancer (폐암 한의 평가도구 개발 기초 연구)

  • Park, So Jung;Kim, Seon Young;Cho, Chong Kwan;Jung, In Chul;Yoo, Hwa Seong
    • The Journal of Korean Medicine
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    • v.36 no.3
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    • pp.53-64
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    • 2015
  • Objectives: The aim of study was to develop a standard instrument of oriental medical evaluation lung cancer. Methods: For this study, the committee advisor was organized by 10 Korean Medicine professors of the Korean Association of Traditional Oncology. The items and structure of the instrument were quoted from the instrument of pattern identification for lung cancer. We had a consultation with the committee twice and took additional advice from it via E-mail. Results: According to the research, we determined the Korean oriental medical assessment tool for lung cancer comprised of the 6 types of patterns of syndrome differentiation. The advisor committee gave the answers about discrimination between bian-zheng and su-zheng, mean weight of each symptom and sign. The final weight was calculated from the combination of the ratio of bian-zheng and mean weight. Conclusions: The instrument of oriental medical evaluation for lung cancer was developed through experts' discussion. If the validity and the reliability of this instrument are validated through additional clinical trial, the instrument of oriental medical evaluation for lung cancer is expected to be applied to the later research.

Critical Evaluation of Fine Needle Aspiration Cytology as a Diagnostic Technique in Bone Tumors and Tumor-like Lesions

  • Chakrabarti, Sudipta;Datta, Alok Sobhan;Hira, Michael
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.7
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    • pp.3031-3035
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    • 2012
  • Background: Though open surgical biopsy is the procedure of choice for the diagnosis of bone tumors, many disadvantages are associated with this approach. The present study was undertaken to evaluate the role of fine needle aspiration cytology (FNAC) as a diagnostic tool in cases of bony tumors and tumor-like lesions which may be conducted in centers where facilities for surgical biopsies are inadequate. Methods: The study population consisted of 51 cases presenting with a skeletal mass. After clinical evaluation, radiological correlation was done to assess the nature and extent of each lesion. Fine needle aspiration was performed aseptically and smears were prepared. Patients subsequently underwent open surgical biopsy and tissue samples were obtained for histopathological examination. Standard statistical methods were applied for analysis of data. Results: Adequate material was not obtained even after repeated aspiration in seven cases, six of which were benign. Among the remaining 44 cases, diagnosis of malignancy was correctly provided in 28 (93.3%) out of 30 cases and categorical diagnosis in 20 (66.67%). Interpretation of cytology was more difficult in cases of benign and tumor-like lesions, with a categorical opinion only possible in seven (50%) cases. Statistical analysis showed FNAC with malignant tumors to have high sensitivity (93.3%), specificity (92.9%) and positive predictive value of 96.6%, whereas the negative predictive value was 86.7%. Conclusion: FNAC should be included in the diagnostic workup of a skeletal tumor because of its simplicity and reliability. However, a definitive pathologic diagnosis heavily depends on compatible clinical and radiologic features which can only be accomplished by teamwork. The cytological technique applied in this study could detect many bone tumors and tumor-like conditions and appears particularly suitable as a diagnostic technique for rural regions of India as other developing countries.