• Title/Summary/Keyword: Clinical contents

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A Survey of medical contents in Korean Medical Textbooks and Intervention Usage (한의 임상 지식 및 중재법 활용현황 조사)

  • Son, Mi Ju;Jerng, Ui Min;Han, Chang-Hyun;Kwon, Ohmin
    • Journal of Haehwa Medicine
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    • v.23 no.1
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    • pp.79-92
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    • 2014
  • Objectives : This study aimed to investigate the medical contents of Korean medical textbooks and intervention usage in clinical practice. Method : We conducted an email survey of Doctors of Korean Medicine(DKMs) registered with the Association of Korean Medicine and analyzed the 259 responses that we received. Results : 1, The study showed that most DKMs used western medical knowledge concerning "history taking and diagnosis"(96.5%), "management and prevention"(95.8%), "causes and overview"(91.9%), and "prognosis"(90.3%). DKMs did not usually use western medical knowledge with regard to "diagnosis and treatment evaluation tools"(40.9%) or "western medical treatments"(25.1%) in their clinical practice. 2. Of the DKMs surveyed, 39.0% usually used traditional and western medical terms at similar levels of frequency in explaining their patients' conditions, while 35.9% used western medical terms more often and 20.8% used Korean traditional medical terms more often. 3. Most DKMs usually used acupuncture, herbal medicine, cupping therapy, Moxibustion in their practice and used herbal prescriptions presented in Dongeuibogam(57.1%), Bangyakhappyeon(52.9%), and Sa-Sang Constitutional Medicine(36.7%), although 27.8% used their own herbal prescriptions in creating for patients. In practice, DKMs usually used meridian acupuncture(64.1%), needling myofascial trigger points(54.8%), sa-am acupuncture(42.1%), dong-shi acupuncture therapy(24.7%), and constitutional acupuncture therapy(8.5%). Conclusions : We found that most DKMs use western medical contents as well as Korean medical contents in clinical practice. New Korean medical contents should be establish based on these results.

Development of Website-based Patient Safety Culture Promotion Program (Website를 이용한 환자안전문화 증진 프로그램의 개발)

  • Kim, Kyoung Ja
    • Journal of Korean Clinical Nursing Research
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    • v.19 no.1
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    • pp.152-167
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    • 2013
  • Purpose: The purpose of this study was to develop a website-based patient safety culture promotion program that could be implemented by nurses in real work scenarios. Methods: This study was a methodological study. A patient safety culture promotion program, called 'Safe Culture, Save Patients' was developed, based on structuration theory and performance engineering approaches. Results: This program was delivered in the form of a website containing contents about changes in the work environment, information about accidents and the improvement process details, as well as a program for motivation. The program was tested about the validity on contents and usability - a panel of 14 experts confirmed its validity using the contents validity index (CVI), with a resulting S-CVI of .980. Usability was evaluated by 11 nurses, which allowed finalize the program. Conclusion: The 'Safe Culture, Save Patients' program was a valid program that could be applied in clinical practice immediately. The results of this study warrant further studies to evaluate the effects of this patient safety culture promotion program.

A Study on 『Bihuayijing·Vol 1』 -Focusing on Diagnosis and Pattern Differentiation- (『필화의경(筆花醫鏡)·권일(卷一)』에 대한 연구(硏究) - 진단 및 변증을 중심으로 -)

  • Kim, Yeon-Tae;Kim, Yong-Jin
    • Journal of Korean Medical classics
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    • v.33 no.1
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    • pp.17-28
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    • 2020
  • Objectives : Classical texts such as 『Donguibogam』 and 『Yixuerumen』 have previously been used as primers to students of Korean Medicine. However, their massiveness in volume and comprehensiveness in contents make it unfit for students whose school curriculum lacked classical chinese. This paper suggests another introductory text that would be more practical in the current situation. Methods :Based on the translation of the main text and annotations, the clinical meanings of the contents were studied. Afterwards its practical application as a primer was considered. Results : The text focuses on the medically important issues in simple and accessible form, making it an important text for beginners to establish the foundation in medicine. Conclusions : Beginners will be able to establish a standard for basic medical knowledge through this text and also apply its contents to diseases that are relatively easy to treat.

A Survey Study on Clinical Practice of Clinical Laboratory Science Students (임상병리과 학생들의 임상실습에 관한 의식조사 연구)

  • Shim, Moon-Jung
    • Korean Journal of Clinical Laboratory Science
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    • v.36 no.2
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    • pp.233-238
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    • 2004
  • This study was conducted to investigate an attitude related to clinical laboratory science students' clinical practice. Data for this analysis was gathered from March to May, 2004 by the questionnaires of 348 students who are in their third year in 5 colleges and have experienced clinical practice. The students were satisfied with the term of clinical practice (70.4%) and the first factor influencing them in clinical practice was sincerity (45.1%), and the second was basic knowledge (19.8%). In the contents of clinical practice, 53.2% were satisfied but 43.3% of them showed negative responses because their practice was limited and they were simply assistants. 74.1% were satisfied after experiencing clinical practice and the first factor was improvement of understanding and interest in their major (65.9%) and the second was the gain of confidence (20.1%). Among anxieties in the clinical practice, a shortage of self-confidence (47.7%) was the highest. 81.3% of them wanted to maintain medical technologist's life continuously. It appeared that the more satisfied with their major, the more satisfied with the clinical practice (p<0.05). As a result, the students were satisfied with the clinical practice and fresh experience generally. But they were relatively unsatisfied with the practicality, and connection with the lecture. As a part of efforts to formulate an effective system for clinical practice, it is necessary to establish concrete goals and detail check lists to guide these students among professors, trainers and students.

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Spirituality and Stress of Clinical Practice among Nursing Students (간호학생의 영성과 임상실습 스트레스)

  • Hong, Sung-Sil;Hong, Jung-Ah;Jun, Won-Hee
    • The Journal of the Korea Contents Association
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    • v.13 no.6
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    • pp.361-369
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    • 2013
  • The purpose of this study was to investigate the level of spirituality and stress of clinical practice and to identify the relationship of variables among nursing students. Data were collected from 203 nursing students using self-report questionnaire composed of demographic characteristics and two scales including spirituality and stress of clinical practice. Data were analyzed by frequencies, t-test, ANOVA, Pearson's correlation coefficients using the SPSS program. The mean score for spirituality and stress of clinical practice were above medium level, with the value of 3.18 and 3.42 out of 5 respectively. There were significant mean differences in spirituality according to religion and satisfaction on major while those in stress of clinical practice according to sex and satisfaction on major. Significant negative correlation between spirituality and stress of clinical practice was found. In conclusion, to reduce clinical stress in nursing students, it is necessary to develop and apply educational program for spiritual improvement.

The Trend in Clinical Study on Atopic Dermatitis Over the Last 3 Years (아토피 피부염 임상 연구의 최근 3년간 동향)

  • Choi, In-Hwa
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.20 no.3
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    • pp.138-146
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    • 2007
  • Objective : To observe the trend in clinical study on atopic dermatitis(AD) over the last 3 years in order to develop a study methodology of AD in Oriental Medicine. Methods : Using the Pub med on line site; search terms: atopic dermatitis, field as title/abstract, limitation as published in the last 3 years, only items with links to full text, Humans, Clinical Trial, English. I observed the study contents of all this research and focused on the classification of treatments. I also observed of AD clinical trials registered on a clinical trial site(www.clinicaltrial.gov) on 23rd of June, 2007: study contents, localization and study designs. Results : Through the Pub Med site, I found 169 articles. Classified according to study subject, the studies related to treatment were 114(67.5%); physiology, pathology and prevention 12(7.1%); Diagnosis and Evaluation(7.1%); psychological aspects including quality of life 10(5.9%); diet and management 10(5.9%); epidemiology 7(4.1%); and others 7(4.1%). However, the treatment study of herb-medicine as intervention showed only 1 article. Futhermore, it wasn't based on Oriental Medicine philosophy. In the clinical trial site, there were 31 studies in which patients were recruited or planned for the future. The study on efficacy and safety of the medicine produced 14 trials, 5 comparative trials, 2 phototherapy, 2 diagnosis, 6 physiology and pathology, and 2 epidemiology. The trial institutions were concentrated in U.S.A. Conclusion : I suggest we'd better try to make a good clinical guideline and standardization of diagnosis and herb-medicine in order to develop a clinical study methodology of AD as soon as possible in the future. Even though it 's very hard to find the study methodology, we should aim to achieve positive results and show the evidence of the efficacy and safety of herb-medicine treatment for AD using Oriental Medicine.

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Relationship of Locus of Control, Difficulties in Emotion Regulation, and Clinical Practice Stress (간호대학생들의 내·외통제소재, 정서조절곤란 및 임상실습스트레스의 관계)

  • Choi, Yeon-Sook;Lee, Eunju;Lee, Dohyeon
    • The Journal of the Korea Contents Association
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    • v.18 no.1
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    • pp.540-550
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    • 2018
  • The purpose of this study was to investigate the relationship of internal-external control, difficulties in emotion regulation, and clinical practice stress among college nursing students. The study was conducted, based on a sample of 220 students at one college and the data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient and stepwise regression analysis. As a result of correlation analysis, there were significant positive correlation in difficulty of emotion regulation score and clinical practice stress score according to external control score. Factors affecting on clinical practice stress were locus of control, difficulties in emotion regulation, college satisfaction, grade, and religion having explanation rate of 17%. Therefore, to decrease clinical stress among nursing students, Nursing students should be considered the emotion regulation with external control disposition. The results can contribute as a basic data in developing education strategies and clinical adjustment programs for regulating clinical stress with emotion management and adaptation on clinical environment.

Explanation and Elaboration of the Clinical Trial Guidelines for Psoriasis Using Herbal Medicine (건선 치료용 한약제제에 대한 임상시험 가이드라인 설명 및 제언)

  • Kim, Bong-Hyun;Kim, Kwan-Il;Kang, Se-Hyun;Park, Jung-Gun;Kang, Dong-Won;Nam, Hae-Jeong;Kim, Yoon-Bum;Lee, Jun-Hee;Kim, Kyu-Seok
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.31 no.2
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    • pp.40-59
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    • 2018
  • Objectives : We report on the contents and reviews of the guidelines for clinical trials of herbal medicine for psoriasis. Methods : After reviewing the existing reports, the guidelines were drafted by the writing committee on guidelines for Korean medicine clinical trial center in Kyung Hee university Korean medicine hospital. Since then, the guidelines have been consulted by the experts in diseases, clinical trials and pharmaceuticals. In addition, the guidelines have been certified by the Korean medicine clinical trial center association and Korean Medicine Ophthalmology & Otolaryngology & Dermatology Society. Results : The guidelines for clinical trials are divided into 8 categories: (1) general contents, (2) evaluation standards of effectiveness, (3) outcome valuables, (4) selection of study participants, (5) designs of clinical trials, (6) safety evaluations, (7) combination therapies in psoriasis treatment and (8) Korean medical considerations. Conclusions : There are 3 major contents for discussion: (1) obscurity of Korean medical considerations to differentiate from existing guidelines, (2) the absence of Korean version of PASI and DLQI, which are validity parameters and (3) realistic institutional problem using the herbal medicine.

Study on the teaching efficiency and satisfaction levels of clinical practice instructors during clinical practice training for some dental hygienists and students (일부 치위생과 학생들의 임상실습교육 시 임상실습지도자의 교수효율성 및 임상실습만족도에 관한 연구)

  • Oh, Hey-Seung
    • Journal of Korean society of Dental Hygiene
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    • v.13 no.5
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    • pp.777-786
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    • 2013
  • Objectives : The purpose of the is to investigate the teaching effectiveness of clinical practice instructors and the satisfaction level of dental hygiene majoring students in clinical practice training. Methods : Subjects were second and third grade 480 dental hygiene majoring students in Seoul and Gangwondo. Except 48 incomplete answers, 438 data were analyzed. Questionnaire consisted of general characteristics, teaching of clinical practice instructors, educational content, organization al skills, leadership, learning environment, evaluation skills and clinical practice satisfaction level. Results : 1. A strong positive correlation (r = 0.832) was found between teaching effectiveness and clinical practice satisfaction. A positive correlation more than 0.50 was found between the clinical practice satisfaction, encouragement and support for teaching effectiveness, educational contents, and leadership. 2. There were significant correlations between the encouragement and support (B = 0.209), educational content (B = 0.199), leadership ability (B = 0.257) and ability to create an environment (B = 0.084), evaluation ability (B = 0.083). Conclusions : Teaching effectiveness of the clinical practice instructors had influences on the clinical practice satisfaction. It is necessary to connect clinical practice instructions with satisfaction towards clinical practice to the students.

An Investigation of Current Status of the Korean Clinical Practice Guidelines(CPGs) development (한국 임상진료지침의 개발 현황에 대한 연구)

  • Jeong, Mi-ae;An, So-youn
    • Proceedings of the Korea Contents Association Conference
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    • 2016.05a
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    • pp.371-372
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    • 2016
  • 본 연구의 목적은 한국 임상진료지침이 개발된 진료분야의 현황, 임상진료지침의 개발자 혹은 기관의 현황, 임상진료지침 정보의 공개와 보급 정도를 파악하기 위하여 진행되었다.

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