• 대한한방소아과학회지
• /
• 제28권3호
• /
• pp.74-84
• /
• 2014

Objectives The purpose of this study is to report the measurement results of Duchenne Muscular Dystrophy (DMD) in Patient Using Sensitiv $Imago^{TM}$ (SI) and Ryodoraku. Methods We conducted SI test and Ryodoraku test to a 7-year-old DMD patient who visited to Oriental pediatrics, Kyung Hee Medical Center. Results We obtained SI and Ryodoraku test results from a DMD patient. Conclusions Further study with more samples is necessary to establish accuracy of SI in clinical use.

• Clinical and Experimental Pediatrics
• /
• 제50권5호
• /
• pp.422-429
• /
• 2007

Measurement of lung function is an integral component of respiratory physiology and of clinical assessment of lung diseases in school age children and adults. Pulmonary function test of infants and children under the age of 2 years have now been standardised and are being used both in research and as an adjunct to clinical management. By contrast, until recegntly, children of preschool age, i.e. between 2-6 years represented a major challenge for pulmonary function test assessment, this particular period commonly being referred to as the 'dark ages' of Pediatric Pulmonology. Measurement of lung function in preschool-aged children is now feasible. However, much work remains to be done in standardizing how these tests are performed, and in understanding the most appropriate role for the various tests in the study of growth and development of the respiratory system and in the clinical management of children in this age group. As the field develops and the knowledge of respiratory physiology in this age group expands, investigation of different and more appropriate algorithm use in preschool children, together with development of more appropriate reference data, may result in improved disease discrimination.

• 대한한의학회지
• /
• 제22권4호
• /
• pp.107-113
• /
• 2001

Objectives : The aim of this study was to investigate effects of Chungganhaeju-tang on alcoholic fatty liver. Methods : Thirty patients with alcoholic fatty liver were included in this study. Chungganhaeju-tang was administered to subjects for 1 month. The changes of clinical symptoms and chemical liver function tests were evaluated before and after treatment. Results : Chungganhaeju-tang has effects on the improvement of clinical symptoms such as fatigue, anorexia, dyspepsia, nausea, and RUQ (Right Upper Quadrant) pain. On the chemical liver function test, serum AST, ALT, GGT, and TG level significantly decreased (P<0.05, by paired t-test). Conclusions : These results suggest that Chungganhaeju-tang has significant effects on the improvement of clinical symptoms and chemical liver function test with alcoholic fatty liver.

• 문화기술의 융합
• /
• 제9권6호
• /
• pp.605-614
• /
• 2023

본 연구는 임상실습과 임상실습대체 교내실습 간의 간호대학생의 간호과정수행능력, 비판적사고성향, SBAR 기술지식의 차이를 비교하기 위해 시도되었다. 임상실습에 참여한 간호학과 3학년 학생 20명, 임상실습대체 교내실습에 참여한 학생 18명을 대상으로 자료를 수집하였다. 수집된 자료는 빈도와 백분율, 평균과 표준편차를 구하였고, t-test, ANOVA, 비모수 검정인 Mann-Whitney U-test, Kruskal Wallis test로 분석하였다. 연구결과 임상실습과 임상실습대체 교내실습 교육에 따른 간호대학생의 간호과정수행능력, 비판적사고성향, SBAR 기술지식 간에는 유의한 차이가 없었다. 임상실습에서 대학생활만족도가 높은 경우에 간호과정 수행능력과 SBAR 기술지식이 유의하게 높았고, 임상실습대체 교내실습에서는 간호학 만족도가 높은 경우에 비판적사고성향과 SBAR 기술지식이 높았고, 학점이 높을 때 비판적사고성향이 높았다. 향후 팬데믹 상황에 대비하여 간호과정 수행능력과 비판적사고성향 및 SBAR 기술지식 능력을 향상시킬 수 있는 체계화된 임상실습대체 실습교육 방안이 마련되어져야 할 것이다.

• The Journal of Korean Physical Therapy
• /
• 제22권4호
• /
• pp.1-6
• /
• 2010

Purpose: This study was designed to evaluate the clinical utility of the Four square step test (FSST) for predicting falls in stroke patients, to compare the ability of the FSST test to discriminate between subgroups of fallers, and to determine if the test has any predictive value in identifying stroke patients who will fall. Methods: Stroke patients (N=37) who could walk at least 50 m with minimal assistance were recruited consecutively when attending a physical therapy session during their rehabilitation. Dynamic standing balance was measured using the FSST. The main outcome measures were FSST time and fall number. Numbers of falls were compared with FSST scores. Differences between the groups in FSST scores were examined using a t-test and 1-way analysis of variance. Post hoc analysis using the Tukey B procedure was used to identify specific group differences. Alpha was set at 0.05. Results: A total of 15 participants (40.5%) reported falls 6 had recurrent falls (2 falls) and 9 fell once. The mean FSST time differed significantly between groups with zero and multiple falls. A cutoff score of greater than 17 seconds on the FSST was associated with a sensitivity of 83% and a specificity of 84% for the identification of subjects with multiple risk factors for falls. Conclusion: The FSST is a feasible and valid clinical test of dynamic standing balance and can predict falls in post-stroke patients.

• 한국전문물리치료학회지
• /
• 제26권3호
• /
• pp.76-83
• /
• 2019

Background: The hyoid bone is the only non-jointed structure among the skeletal tissues of the head and neck region, and its movement and posture depend on the attached muscle, ligament, and fascia. The location of the hyoid bone is important for airway maintenance, vocalization, chewing, swallowing, breathing, and head and scapular position. In general, the location of the hyoid bone is measured using radiographs and 3D computed tomography, and no studies have reported on clinical measurement methods. Objects: This study was performed to suggest clinical measurement methods for lateral deviation of the hyoid bone and to evaluate their reliability. Methods: In this study, 24 healthy volunteers (12 males, 12 females) in Cheongju-si participated. Two examiners performed the center point test and lateral motion test twice each to measure the lateral displacement of the hyoid bone. The reliability of the center point test was analyzed using intra-class correlation coefficients (ICC), and the reliability of the lateral motion test was analyzed using Cohen's kappa coefficient. Results: The intra-rater reliability of the center point test was good, and the inter-rater reliability was moderate. The intra- and inter-rater reliability of the lateral motion test showed substantial reliability. Conclusion: Based on these results, the center point test and the lateral motion test can be used as an alternative methods of the measurement of lateral deviation of the hyoid bone for people who have musculoskeletal disorders of the head, neck, and scapula.

• 한국콘텐츠학회논문지
• /
• 제17권11호
• /
• pp.577-587
• /
• 2017

본 연구의 목적은 시뮬레이션 실습교육이 간호대학생의 임상판단력, 자신감, 임상수행능력에 영향을 미치는 효과를 파악하고자 실시되었으며 단일군 사전-사후 실험연구이다. 연구 대상자는 S지역에 소재한 간호학과 2학년 시뮬레이션 실습교과목을 수강한 45명의 학생으로 자료는 설문지를 이용하여 시뮬레이션 실습교육 전 후에 수집되었다. 연구결과 임상판단력, 자신감, 임상수행능력 모두가 통계적으로 유의미하게 향상되었다. 그러므로 시뮬레이션 실습교육이 간호대학생의 임상판단력과 자신감, 임상수행능력에 미치는 긍정적인 효과를 확인하였다. 추후 임상판단력, 자신감, 임상수행능력을 향상시킬 수 있는 시뮬레이션 실습교육의 모듈 개발 및 효과를 검증할 수 있는 연구가 필요하다고 사료된다.

• Journal of Genetic Medicine
• /
• 제12권2호
• /
• pp.85-91
• /
• 2015

Purpose: Noninvasive prenatal test (NIPT) by massively parallel sequencing (MPS) of cell-free fetal DNA in maternal plasma marks a significant advancement in prenatal screening, minimizing the need for invasive testing of fetal chromosomal aneuploidies. Here, we report the initial clinical performance of NIPT in Korean pregnant women. Materials and Methods: MPS-based NIPT was performed on 910 cases; 5 mL blood samples were collected and sequenced in the Shenzhen BGI Genomic Laboratory to identify aneuploidies. The risk of fetal aneuploidy was determined by L-score and t-score, and classified as high or low. The NIPT results were validated by karyotyping for the high-risk cases and neonatal follow-up for low-risk cases. Results: NIPT was mainly requested for two clinical indications: abnormal biochemical serum-screening result (54.3%) and advanced maternal age (31.4%). Among 494 cases with abnormal biochemical serum-screening results, NIPT detected only 9 (1.8%) high-risk cases. Sixteen cases (1.8%) of 910 had a high risk for aneuploidy: 8 for trisomy 21, 2 for trisomy 18, 1 for trisomy 13, and 5 for sex chromosome abnormalities. Amniocentesis was performed for 7 of these cases (43.8%). In the karyotyping and neonatal data, no false positive or negative results were observed in our study. Conclusion: MPS-based NIPT detects fetal chromosomal aneuploidies with high accuracy. Introduction of NIPT as into clinical settings could prevent about 98% of unnecessary invasive diagnostic procedures.

• 대한한의학회지
• /
• 제45권1호
• /
• pp.1-16
• /
• 2024

Introduction: The importance of clinical skills training in traditional Korean medicine education is increasingly emphasized. Since the clinical skills tests are high-stakes tests that determine success in national licensing exams, it is essential to develop reliable multifaceted analysis methods for clinical skills tests in actual education settings. In this study, we applied the multifaceted validity evaluation methods to the evaluation results of the cardiopulmonary resuscitation module to confirm the applicability and effectiveness of the methods. Methods: In this study, we used internal consistency, factor analysis, generalizability theory G-study and D-study, ANOVA, Kendall's tau, descriptive statistics, and other statistical methods to analyze the multidimensional validity of a cardiopulmonary resuscitation test in clinical education settings over the past three years. Results: The factor analysis and internal consistency analysis showed that the evaluation rubric had an unstable structure and low concordance. The G-study showed that the error of the clinical skills assessment was large due to the evaluator and unexpected errors. The D-study showed that the variance error of the evaluator should be significantly reduced to validate the evaluation. The ANOVA and Kendall's tau confirmed that evaluator heterogeneity was a problem. Discussion and Conclusion: Clinical skills tests should be continuously evaluated and managed for validity in two steps of pre-production and actual implementation. This study has presented specific methods for analyzing the validity of clinical skills training and testing in actual education settings. This study would contribute to the foundation for competency-based evidence-based education in practical clinical training.

• 한국산학기술학회논문지
• /
• 제18권1호
• /
• pp.669-678
• /
• 2017

본 연구는 간호대학생의 임상실습스트레스와 임상수행능력에 대한 극복력의 매개효과를 파악하고자 시도되었다. 연구대상은 C 지역의 3개 대학 간호학과에 재학 중인 4학년 137명이다. 연구기간은 2016년 10월 15일부터 11월 15일까지이고, 구조화된 설문지를 이용하여 자료를 수집하였다. 수집된 자료는 SPSS 22.0 통계프로그램을 이용하여 기술통계, t-test, ANOVA, Pearson's correlation, Multiple regression으로 분석하였다. 대상자들의 임상실습스트레스와 임상수행능력은 총 5점 중 각각 평균 $3.09{\pm}0.43$점, $3.54{\pm}0.45$점이었고, 극복력은 총 7점 중 평균 $4.93{\pm}0.66$점이었다. 임상실습스트레스와 극복력 간(r=-.24, p=.005), 임상실습스트레스와 임상수행능력 간(r=-.21, p=.012)에 음의 상관관계를 보였고, 극복력과 임상수행능력 간(r=.59, p<.001)에 양의 상관관계를 보였다. 임상실습스트레스와 임상수행능력과의 관계에서 극복력의 매개효과를 검정한 결과, 극복력은 두 변수 간 관계를 완전 매개하는 것으로 나타났고, Sobel test을 통해 확인한 결과 매개효과는 통계적으로 유의하였다(Z=-3.02, p=.003). 즉, 임상실습스트레스는 임상수행능력에 미치는 부정적 효과는 극복력이 투입된 후 더 이상 유의한 영향이 없는 것으로 나타났다. 임상실습교육은 간호학과 교과 과정에서 매우 중요한 요소이며 반드시 수료해야 하는 교과과정이다. 따라서 불가피하게 직면하는 스트레스 상황에서 간호대학생이 갖추어야 할 임상수행능력을 향상시킬 수 있도록 다양한 교과 내 외 과정에 극복력 강화 프로그램을 개발하고 그 효과를 검증할 것을 제언한다.