• Title/Summary/Keyword: Clinical Test

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The Reliability of a Pediatric Balance Scale Based on the Raters' Clinical Work Experience and Test Experience

  • Kim, Gi-Won;Ko, Joo-Yeon;Baek, Soon-Gi
    • The Journal of Korean Physical Therapy
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    • v.22 no.6
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    • pp.35-42
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    • 2010
  • Purpose: To investigate the rater reliability of a Pediatric Balance Scale (PBS) for children with cerebral palsy, and to investigate possible differences among raters according to their clinical work experience and testing experience. Methods: Study participants included 18 children with spastic cerebral palsy who could walk. They were instructed by pediatric physical therapists, two of whom had ten years of clinical work experience and two who had less than one year of experience. The children's ability to achieve physical balance was videotaped for PBS items. The raters watched the tapes and evaluated each child twice. Rater reliability was analyzed using the intraclass correlation coefficient (ICC). Differences between experienced and novice raters were analyzed using a paired t-test. The statistical significance level was set to 0.05. Results: The total PBS scores averaged 45.78~48.00 and 45.72~47.67 for first and second tests. Intra-rater reliability was very high (ICC=0.89~0.99), and the repeated measurement coincidence was high (p>0.05). Inter-rater reliability was high (ICC=0.83~0.84), but there was a bit of a difference in the coincidence (p<0.05). The experienced raters' reliability and coincidence were higher than those of the novices, and there were differences in reliance and coincidence between experienced and novice raters (p<0.05). Conclusion: Inter-rater and intra-rater reliability is very high. However, rater reliability showed defferences depending on clinical work experience and testing experience. When testing pediatric patients with the PBS, the rater's clinical experience and test experience may affect the test results.

Risk Factors and Clinical Outcomes of Brain Reperfusion Injury after Mechanical Thrombectomy for Ischemic Stroke (기계적 혈전제거술을 시행한 허혈성 뇌졸중 환자의 뇌재관류 손상 위험요인과 임상결과)

  • Moon, Ji Hyun;Choi, Hye-Ran
    • Journal of Korean Biological Nursing Science
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    • v.23 no.3
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    • pp.217-226
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    • 2021
  • Purpose: The aim of this study was to investigate the risk factors for brain reperfusion injury in ischemic stroke patients and to analyze the clinical outcomes. Methods: A retrospective study was conducted in 168 patients who underwent mechanical thrombectomy. The data were analyzed using descriptive statistics, t-test, Mann-Whitney U test, Chi-Square test, Fisher's exact test, and logistic regression with IBM SPSS/WIN 24.0. Results: Brain reperfusion injury occurred in 67 patients (39.9%) with a low favored outcome (𝛘2=6.01, p=.014). On multivariable analysis, blood urea nitrogen (Odds ratio [OR]=1.14, 95% Confidence interval [CI]=1.06-1.23), aphasia (OR=6.16, CI=1.62-23.40), anosognosia (OR=4.84, CI=1.13-20.79), presence of both aphasia and anosognosia (OR=7.33, CI=1.20-44.60), and time required to achieve targeted blood pressure (OR=1.00, CI=1.00-1.00) were identified as risk factors for brain reperfusion injury. A statistically significant difference was detected in clinical outcomes, including hemorrhagic transformation (𝛘2=6.32, p=.012), intensive care unit length of stay (Z=-2.08, p=.038), National Institute of Health Stroke scale score at discharge (Z=-3.14, p=.002), and modified Rankin Scale score at discharge (Z=-2.93, p=.003). Conclusion: This study identified the risk factors and presented the clinical outcomes of brain reperfusion injury. It is necessary to consider these risk factors for evaluating the patients and to establish nursing interventions and strategies.

Test-Retest Reliability of Level-Specific CE-Chirp Auditory Brainstem Response in Normal-Hearing Adults

  • Jamal, Fatin Nabilah;Dzulkarnain, Ahmad Aidil Arafat;Shahrudin, Fatin Amira;Marzuki, Muhammad Nasrullah
    • Journal of Audiology & Otology
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    • v.25 no.1
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    • pp.14-21
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    • 2021
  • Background and Objectives: There is growing interest in the use of the Level-specific (LS) CE-Chirp® stimulus in auditory brainstem response (ABR) due to its ability to produce prominent ABR waves with robust amplitudes. There are no known studies that investigate the test-retest reliability of the ABR to the LS CE-Chirp® stimulus. The present study aims to investigate the test-retest reliability of the ABR to the LS CE-Chirp® stimulus and compare its reliability with the ABR to standard click stimulus at multiple intensity levels in normal-hearing adults. Subjects and Methods: Eleven normal-hearing adults participated. The ABR test was repeated twice in the same clinical session and conducted again in another session. The ABR was acquired using both the click and LS CE-Chirp® stimuli at 4 presentation levels (80, 60, 40, and 20 dBnHL). Only the right ear was tested using the ipsilateral electrode montage. The reliability of the ABR findings (amplitudes and latencies) to the click and LS CE-Chirp® stimuli within the same clinical session and between the two clinical sessions was calculated using an intra-class correlation coefficient analysis (ICC). Results: The results showed a significant correlation of the ABR findings (amplitude and latencies) to both stimuli within the same session and between the clinical sessions. The ICC values ranged from moderate to excellent. Conclusions: The ABR results from both the LS CE-Chirp® and click stimuli were consistent and reliable over the two clinical sessions suggesting that both stimuli can be used for neurological diagnoses with the same reliability.

Test-Retest Reliability of Level-Specific CE-Chirp Auditory Brainstem Response in Normal-Hearing Adults

  • Jamal, Fatin Nabilah;Dzulkarnain, Ahmad Aidil Arafat;Shahrudin, Fatin Amira;Marzuki, Muhammad Nasrullah
    • Korean Journal of Audiology
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    • v.25 no.1
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    • pp.14-21
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    • 2021
  • Background and Objectives: There is growing interest in the use of the Level-specific (LS) CE-Chirp® stimulus in auditory brainstem response (ABR) due to its ability to produce prominent ABR waves with robust amplitudes. There are no known studies that investigate the test-retest reliability of the ABR to the LS CE-Chirp® stimulus. The present study aims to investigate the test-retest reliability of the ABR to the LS CE-Chirp® stimulus and compare its reliability with the ABR to standard click stimulus at multiple intensity levels in normal-hearing adults. Subjects and Methods: Eleven normal-hearing adults participated. The ABR test was repeated twice in the same clinical session and conducted again in another session. The ABR was acquired using both the click and LS CE-Chirp® stimuli at 4 presentation levels (80, 60, 40, and 20 dBnHL). Only the right ear was tested using the ipsilateral electrode montage. The reliability of the ABR findings (amplitudes and latencies) to the click and LS CE-Chirp® stimuli within the same clinical session and between the two clinical sessions was calculated using an intra-class correlation coefficient analysis (ICC). Results: The results showed a significant correlation of the ABR findings (amplitude and latencies) to both stimuli within the same session and between the clinical sessions. The ICC values ranged from moderate to excellent. Conclusions: The ABR results from both the LS CE-Chirp® and click stimuli were consistent and reliable over the two clinical sessions suggesting that both stimuli can be used for neurological diagnoses with the same reliability.

Clinical evaluation of root coverage in Miller class III/RT2 labial gingival recession treated with interdisciplinary periodontal-orthodontic therapy: a randomized controlled clinical trial

  • Sakshi Malhotra;Shikha Tewari;Rekha Sharma;Rajinder Kumar Sharma;Nishi Tanwar;Ritika Arora
    • Journal of Periodontal and Implant Science
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    • v.54 no.4
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    • pp.265-279
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    • 2024
  • Purpose: The aim of current study was to evaluate percentage root coverage (RC%) in isolated Miller class III/RT2 labial gingival recession (GR) associated with malaligned mandibular anteriors, using interdisciplinary periodontal-orthodontic treatment as compared to mucogingival surgery alone. Methods: Thirty-six systemically healthy patients having isolated Miller class III/RT2 GR with respect to malaligned mandibular anteriors, were randomly divided into test group: mucogingival surgery using subepithelial connective tissue graft followed by orthodontic treatment and control group: mucogingival surgery alone. Primary clinical parameters included (RC%), recession depth, keratinized tissue width, mid-labial clinical attachment level, interdental clinical attachment level (iCAL), periodontal phenotype (PP), gingival thickness (GT), root coverage esthetics score (RES) and hypersensitivity. Total duration of follow up was 12 months. Results: Mean RC% was significantly more achieved in test group (66.67%±40.82%) in comparison to control group (39.93%±31.41%) at the end of study (P=0.049). Further, complete root coverage was attained in 5/8 cases of test group versus 1/2 cases of control group after 3/12 months respectively. RES and hypersensitivity, showed statistically significant improvement after complete follow up period in both the groups. An ideal RES score of 10 was achieved in 4/7 cases of test group while in 1/2 cases of control group after 3/12 months respectively. Correlation analysis revealed significant negative correlation between RC% and iCAL. Correlation of RC% with GT and PP was non-significant. Conclusions: Interdisciplinary periodontal-orthodontic approach may be more beneficial in terms of achieving improved RC%, esthetic and resolution of hypersensitivity in the management of Miller class III/RT2 GR in malaligned mandibular anteriors.

Level Satisfaction on Clinical Practice of Baccalaureate Nursing Students (간호학생의 임상실습 만족도에 관한 조사연구)

  • 이숙자
    • Journal of Korean Academy of Nursing
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    • v.10 no.2
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    • pp.41-52
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    • 1980
  • As it Provides nursing students the opportunity for correlating principles and practice, clinical practice h s been considered as on of the most important part of nursing education. This study was desinged to measure the level of satisfaction in according with the conten. guidance environment. hours and the evaluation of clinical pracice. and to investigate the extent of influence of the variables have on the level of satisfaction. Two hundred and fifty-two nursing students from 9 baccalaureat programs in Seoule were randomly sampled. Instrument consists of forty questionaires. developed by the researcher, was used to gather data data from September 7 through 22, 1978. The level of satisfaction was measured by 5 Point rating scale(Likert-type). and level of significance were(t-test. F-test & X$^2$-test). -Results are as follow; 1. Level of satisfation according to the four variables ( class health. academic achievement, motives) revealed no significant difference. (P>.05). Hypothesis 1,2,3,4, are rejected. 2. Level of satisfaction according to the two variables (clinical instructor interpersonal relationship) revealed significant difference. (p<.01, p<.05), Hypothesis 5,6 are accepted. 3. Level of satisfaction of contents (mean score=3.02) revealed to be high.. 4. Level of satisfaction on guidance (mean Score=2.37), environment (mean score=2.59), hours (mean score=2.72) and evaluation (mean score=2.50) revealed to be low. 5. Level of satisfaction revealed to be low. (total mean satisfaction score =2.64).

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Anaphylaxis Induced by Surgical Prophylactic Cefotetan and The Application of World Allergy Organization Guide: A Case Report (사례보고: 수술예방적 항생제 Cefotetan에 의한 아나필락시스 보고 및 World Allergy Organization 가이드라인활용)

  • Jung, Kyung Lae;Kyung, Eun Jung;Lee, Hee Young;Kim, Eun Young
    • Korean Journal of Clinical Pharmacy
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    • v.22 no.3
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    • pp.268-273
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    • 2012
  • The definition of anaphylaxis is 'a serious, life-threatening generalized or systemic hypersensitivity reaction' and is considered as the life threatening adverse drug reaction. We experienced a case of cefotetan induced anaphylaxis with negative pre-skin test, used for surgical prophylaxis. A 82-year-old female was scheduled for total knee replacement therapy. She had no previous history of allergy and her skin test results were also negative. On her right knee surgery, she underwent cefotetan therapy as a surgical prophylaxis for a week with no problems identified. Next left knee surgery, she also received the prophylaxis of intravenous cefotetan. However, a few minutes later, anaphylactic reaction developed with vomiting, severe hypotension, bronchospasm, and dyspnea. After immediate intensive care treatment, she recovered without significant complications. Though commonly used laboratory data in case reports, such as the specific IgE, tryptase, histamine, or allergic skin prick test were limited, we successfully confirmed anaphylaxis based on clinical criteria for diagnosing anaphylaxis based on WAO 2011 guideline with through concurrent patient°Øs medical history review and the process of identifying the causes.

Survey Research on Factors Inducing Nocturnal Crying (야제(夜啼) 발생에 영향을 주는 요인에 대한 설문 연구)

  • Han, Ju Hui;Kim, Deog Gon;Lee, Jin Yong
    • The Journal of Pediatrics of Korean Medicine
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    • v.27 no.1
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    • pp.26-35
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    • 2013
  • Objectives The purpose of this study is to analyze the factors that cause nocturnal crying. Methods This clinical study has been carried out with 133 infants and children, who visited to the department of Pediatrics, ${\bigcirc}{\bigcirc}$ Oriental Medical Hospital from September 2012 to October 2012. Patient's guardian filled out the questionnaire consisting of pregnancy-birth domain, child care domain, sleep domain, nocturnal crying domain and other domains. We used PASW Statistics 18.0 to analyze each factors by Chi-square test, Fisher's exact test and independent samples t test. Results The prevalence of nocturnal crying between "frequently changing sleep posture group" and "stable sleep posture group" were significantly different (p=0.002, OR=3.557). The prevalence of nocturnal crying between "sleep problem group" and "no sleep problem group" were significantly different (p=0.022, OR=4.052). The nocturnal crying prevalence of the rest of the groups had no significant difference. Conclusions The frequently changing sleep posture increases the risk of nocturnal crying, and the presence of sleep problem increases the risk of nocturnal crying.

The Development and Evaluation of a Clinical Practice Nursing Students' Microbiology Program Based on the Mastery Learning Model (완전학습모델기반 간호 미생물학 이론 및 실습프로그램의 개발과 효과평가)

  • Kim, Bo Hwan;Chang, Sun Ju;Choi, Jeong Sil
    • Journal of Korean Biological Nursing Science
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    • v.15 no.2
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    • pp.90-98
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    • 2013
  • Purpose: The purpose of this study was to develop a clinical practice nursing students' microbiology program based on the mastery learning model, and to evaluate the effects of the program on nursing students' knowledge, self-efficacy, performance, and satisfaction related to the nursing students' microbiology program. Methods: The program was developed by using the processes of the mastery learning model. The pre-experimental research design involved a one group pretest-posttest design. The setting was a university located in Incheon, Korea. A total of 130 nursing students participated in the program including a theoretical lecture, clinical practice, and formative and summative evaluation. Results: Using the program that was designed and developed, results for the total score of self-efficacy, knowledge, and performance in the post-test application were significantly higher than in the pre-test application (p<.05). The satisfaction of hand hygiene and disinfection/contaminated hand microbial culture and disinfection test received the highest ratings. Conclusion: The application of a clinical practice nursing students' microbiology program was effective, and can be expanded to other nursing students. Future research with other study designs was warranted in order to prove the effect of a microbiology program based on the mastery learning model.

The Influence of Nursing Professionalism and Teaching Efficiency on Clinical Competence of Nursing Students (간호전문직관과 교수효율성이 간호학생의 임상수행능력에 미치는 영향)

  • Kwon, Sang Min;Lee, Jeong Hwa;Kwon, Ryeo Won;Lee, Ji Hyun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.8
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    • pp.267-276
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    • 2020
  • The purpose of this study was to examine the effects of teaching efficiency and nursing professionalism on clinical practice competence in nursing students. Undergraduate nursing students (252) in D province completed this study questionnaire. This study was conducted from 3rd to 11th May in 2019. The collected data were analyzed using descriptive statistics, t-test, ANOVA, Scheffe test, Pearson's correlation coefficient, and stepwise multiple regression analysis with SPSS/WIN 21.0. The results reveal that nursing students had a medium level of clinical practice competence. There were significant correlations between sex, nursing professionalism, teaching efficiency, and clinical practice competence. Nursing professionalism was the most influential factor with an explanatory power of 19.6%. The findings of this study are that nursing professionalism and teaching efficiency were influenced the clinical competence of nursing students. Based on these results, nursing professionalism and teaching efficiency should be considered when developing clinical practice education programs to increase clinical competence in nursing students.