• Title/Summary/Keyword: Clinical Integration

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The Performance of the Clinical Observations of Motor and Postural Skills(COMPS) in School-Aged Normal Children (학령기 정상아동의 운동 기술 및 자세 조절에 관한 임상관찰)

  • Kim, Mi-Hye;NamGung, Eun-Yeong;Bu, Keong-Hui;Sim, Hyun-Ah;Lee, Eun-Suk
    • The Journal of Korean Academy of Sensory Integration
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    • v.1 no.1
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    • pp.17-23
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    • 2003
  • Objective : The purpose of this study is to identify the developmental characteristics of sensory integration according to age and sex distinction using COMPS for school-aged children and to provide the preparatory data for standardization appropriate for our social and cultural environment. Methods : The COMPS was administered to 40 normal children in the first grade of elementary school by 4 occupational therapists. Results : By comparison between age groups, 6 and 7 year olds performed similarly and statistically in all items. Between males and females, there was no significant difference in performance of all items Conclusion : Findings from the study suggested that the performance of the COMPS by children followed developmental trends. The COMPS is easy to administer to groups and beneficial to discriminate children with motor problems, and it should be standardized.

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The Home-based Program for Child with Sensory Modulation Disorder: Case Study (감각조절장애 아동에 대한 가정 프로그램의 적용 - 사례연구)

  • Lee, Ji-Young;Kim, Sung-Eun
    • The Journal of Korean Academy of Sensory Integration
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    • v.5 no.1
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    • pp.41-49
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    • 2007
  • Objective: To evaluate the effectiveness of the home-based program composed of sensory diet for child with sensory modulation disorder. Method: The subject underwent the home-based program composed of sensory diet for 8 months. Evaluation tools we used are the Developmental Screening Test II(DDSTII) for developmental screening; the Short Sensory Profile(SSP), clinical observation and the clinical history record form for sensory integrative function; the Motor-Free Visual Perception Test(MVPT) and draw a person test for visual perception. Evaluation was executed before and after the program is provided. Results: The subject has showed remarkable improvement in developmental level, sensory integrative function and visual perceptual ability after went through the home-based program. Conclusion: The home-based program composed of sensory diet is effective for children with sensory modulation disorder when it is difficult to apply classical sensory integrative approach.

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Development of integrated basic dental hygiene curriculum (기초치위생 교과목 통합교육과정 개발)

  • Lee, Sun-Mi;Ahn, Se-Youn;Won, Young-Soon;Kim, Chang-Hee
    • Journal of Korean society of Dental Hygiene
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    • v.16 no.2
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    • pp.165-172
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    • 2016
  • The purpose of the study is to develop the integrated basic dental hygiene curriculum after reviewing and analyzing the traditional curriculum. First, the standardization of curriculum in three years and four years dental hygiene department curriculum is needed. Second, integration between subjects should include learning objectives of the curriculum. Third, the basic subjects of dental hygiene should provide and satisfy the learning goals of dental biochemistry, nutrition, dentistry and dental pharmacology, and the basic subjects should be integrated into clinical considerations. Fourth, the integration of the curriculum should make the students dental hygiene experts by nurturing and integration of basic sciences. The integration of curriculum is able to provide the unified subject that does not same and duplicated contents.

Expression Profile of Neuro-Endocrine-Immune Network in Rats with Vascular Endothelial Dysfunction

  • Li, Lujin;Jia, Zhenghua;Xu, Ling;Wu, Yiling;Zheng, Qingshan
    • The Korean Journal of Physiology and Pharmacology
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    • v.18 no.2
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    • pp.177-182
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    • 2014
  • This study was to determine the correlation between endothelial function and neuro-endocrine-immune (NEI) network through observing the changes of NEI network under the different endothelial dysfunction models. Three endothelial dysfunction models were established in male Wistar rats after exposure to homocysteine (Hcy), high fat diet (HFD) and Hcy+HFD. The results showed that there was endothelial dysfunction in all three models with varying degrees. However, the expression of NEI network was totally different. Interestingly, treatment with simvastatin was able to improve vascular endothelial function and restored the imbalance of the NEI network, observed in the Hcy+HFD group. The results indicated that NEI network may have a strong association with endothelial function, and this relationship can be used to distinguish different risk factors and evaluate drug effects.

Factors Influencing to Select Types of U.S. Hospital Network (미국 병원의 네트워크 유형 선택에 영향을 미치는 요인분석)

  • 김양균
    • Health Policy and Management
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    • v.14 no.2
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    • pp.1-16
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    • 2004
  • The study purpose was to find which factors affect selection of hospital network types. This study used the 1998 American Hospital Association Annual Survey Database from Health Forum. Among these U.S. hospitals, the researcher selected hospitals located in Metropolitan Statistical Areas. Therefore the final observation cases for analysis are 1,971 Metropolitan Statistical Area hospitals in the United States. To identify significant variables influencing hospital network types, the study used proportional odds logistics regression model on population size, Health Maintenance Organization penetration rate, and market competition rate of area including a hospital, types of hospital ownership, hospital bed size, proportion of Medicare patients and Medicaid patients in total hospital patients, and occupancy rate. Contrary to conventional wisdom, selection of hospital network types was influenced by population size of area which a hospital located, types of ownership, hospital bed size, and proportion of medicare patients rather than Health Maintenance Organization penetration. Population size 1,000,000-2,499,999 had the highest probability of selecting type IV (clinical-vertical integration) from an independent hospital, and a religious group owned hospitals and for-profit owned hospitals had the highest probability of selecting Type IV (clinical-vertical integration) from an independent hospital. A bed size had positive relation on selecting Type IV (clinical-vertical integration) from an independent hospital. Unlikely general belief that the selecting types of hospital network was determined by the change of health insurance policy such as Health Maintenance Organizations and Preferred Provider Organizations, the types of hospital network were influenced by community characteristics such as population size, and hospital characteristics.

Effects of Vestibule-Oriented Sensory Integration Treatment on the Nystagmus, Visual Perception and Balancing Ability of Children with Developmental Disability (전정 중심의 감각통합치료가 발달장애아동의 안구진탕, 시지각, 균형능력에 미치는 영향)

  • Kim, Hyun-Ho;HwangBo, Gak;Yoo, Byung-Kook;Kim, Meung-Kwon
    • The Journal of the Korea Contents Association
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    • v.11 no.4
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    • pp.290-302
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    • 2011
  • The purpose of this research was to investigate the effects of vestibule-oriented sensory integration treatment on the nystagmus, visual perception and balancing ability of children with developmental disability. Twenty three children with developmental disability were participated in this experiment. Subjects were received the vestibule-oriented sensory integration treatment based on Ayres' sensory integration theory for 12 weeks. The effects of the treatment were evaluated by Southern California Postrotary Nystagmus Test (SCPNT), Developmental Test of Visual Perception-2 (DTVP-2), Pediatric-Clinical Test of Sensory Integration Balance (P-CTSIB), South California Sensory Integration Test (SCSIT) and the selected item in Bruininks-Oeretsky Test of motor proficiency (BOT). The collected data were analyzed by using Wilcoxon test. The result of this study was as follows that the data of the Nystagmus shown statical significant. The data of the Visual Perception and Balancing ability shown statical significant. The proposed vestibule-oriented sensory integration treatment was effective to improvement of nystagmus, the visual perception and the balancing ability in children with Developmenantal Disability.

Clinical Implementation of Deep Learning in Thoracic Radiology: Potential Applications and Challenges

  • Eui Jin Hwang;Chang Min Park
    • Korean Journal of Radiology
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    • v.21 no.5
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    • pp.511-525
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    • 2020
  • Chest X-ray radiography and computed tomography, the two mainstay modalities in thoracic radiology, are under active investigation with deep learning technology, which has shown promising performance in various tasks, including detection, classification, segmentation, and image synthesis, outperforming conventional methods and suggesting its potential for clinical implementation. However, the implementation of deep learning in daily clinical practice is in its infancy and facing several challenges, such as its limited ability to explain the output results, uncertain benefits regarding patient outcomes, and incomplete integration in daily workflow. In this review article, we will introduce the potential clinical applications of deep learning technology in thoracic radiology and discuss several challenges for its implementation in daily clinical practice.

Sensory Integration Interventions for Children with Autism Spectrum Disorder in Korea: A Systematic Review (국내 자폐스펙트럼장애 아동을 대상으로 제공되는 감각통합 중재방법: 체계적 고찰)

  • Park, Young-Ju
    • The Journal of Korean Academy of Sensory Integration
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    • v.20 no.3
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    • pp.48-59
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    • 2022
  • Objective : This study was intended to systematically consider the sensory integration intervention methods offered in Korea for children with autism spectrum disorder and to provide an evidence base for the application of sensory integration interventions. Methods : The subjects of this study were published studies in a national journal for the last 10 years from January 2011 to December 2020. The databases used for the search were RISS and DBpia. The search terms were 'autism', 'autism spectrum', 'sensory integration', and 'intervention'. A total of 10 studies were used in the analysis, which were analyzed at the qualitative and methodological quality of the research evidence and the results were presented according to the PICO (Patient, Intervention, Comparison, Outcome). Results : In the research analysis, the quality level of the evidence was highest at level IV, followed by level II. The methodological quality of the evidence was the most common for 'Good' research, followed 'Fair'. The study subjects were children with autism spectrum disorder and their parents, and the experimental design had the highest frequency of single-subject studies. Interventions have the highest number of studies confirming adaptive behavior and sensory modulation, and the evaluation tools used to measure interventions have the highest frequency of sensory profiles and Canadian occupational performance measures (COPM). All 10 studies used in the analysis showed positive improvements and statistically significant effects on various outcome values from sensory integration interventions. Conclusion : In the recent clinical environment, sensory integration interventions have been continuously conducted in children with autism spectrum disorder. In future research, it is necessary to conduct research on various sensory integration intervention methods and the high quality of the evidence for the application of sensory integration interventions.

Assessment of Medical Students in Clinical Clerkships (의과대학 임상실습에서의 학생평가방법: 과거, 현재 및 제언)

  • Lee, Sang Yeoup;Im, Sun Ju;Yune, So Jung;Baek, Sunyong;Woo, Jae Seok
    • Korean Medical Education Review
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    • v.15 no.3
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    • pp.120-124
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    • 2013
  • The clinical clerkship focuses students on developing their ability to perform comprehensive diagnosis and management of patients with common undifferentiated problems by the integration of knowledge and clinical reasoning. Therefore, the clerkship evaluation system should assess their actual problem solving and professional behavior. However, concern remains that clerkship evaluations are imprecise and highly variable. This review is designed to provide faculty members with concepts, options, and a methodology to actively teach and evaluate the clinical clerkship, as well as offer encouragement and inspiration to medical students. We reviewed past and current clinical clerkship evaluations and discuss several tips to improve clinical excellence such as continuity, transparency of the evaluation process, a faculty development program, practical examination of clinical skills, implementation of a checklist for recording exposure and skills, providing prompt and constructive feedback to students, self-evaluation of professional performance, varying multi-faceted assessment combinations, being outpatient clinic-centered, and having dedicated faculty members who give students one-on-one contact with a preceptor.

Determination the nursing student's clinical competency based on new nurses' job analysis (신규간호사의 직무분석을 통한 간호학생의 실무수행 능력수준 결정)

  • Kang, Ik-Wha;Lee, Eun-Ja;Lee, Kyu-Jung
    • Journal of Korean Academy of Nursing Administration
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    • v.7 no.3
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    • pp.497-509
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    • 2001
  • The purpose of this study was to examine frequency of job performance, level of urgency, index of importance experienced by 138 new nurses who were working at 6 hospitals that had over 400 bed in Incheon and Bucheon. The data were analyzed using a SPSS program for descriptive statistics [numbers of job performance, level of urgency, index of importance(job performance+1/4 level of urgency)]. Some of the most frequent job performance were application of aseptic technique, application of principle of infection control, and medication (IV, PO, IM, supply fluid and electrolyte). Some of the most uncommon job performance were activity as a lecturer in nursing department, activity of arrangement of community resources, and participation in multidisciplinary conference. Some of the highest level of urgency were use of aseptic technique, CPR, application of principle of infection control, defibrillation for dysrhythmia, blood transfusion, observation of patient's status in procedure (operation), v/s check, intervention for improvement of respiratory function and medication of antihypertensives. Some of the lowest level of urgency were activity as a lecturer in nursing department, preceptor's activity, supervisor and delegation of job to nurse aids, attendance at nursing conference, activity of arrangement of community resources, participation in clinical teaching practice, participation in multidisciplinary conference, and delegation of patient care. Those were indirect patient care. The order was physiologic integration(60.99%), safety and effective nursing environment, psychosocial care, and health maintenance and improvement. The most importance item in maintenance of physiologic integration was medication. Some of the highest index of importance were aseptic technique and application of principle of infection control, v/s check, observation of patient's status in operation and medication. Some of the lowest index of importance were activity as a lecturer in nursing department, preceptor's activity, activity of arrangement of community resources, participation in multidisciplinary conference, nursing conference, participation in clinical teaching, and delegation of job to nurse aids.

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