• 제목/요약/키워드: Clinical observation

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대상포진 치험 증례 임상보고 (The clinical study on the cased of Herpes Zoster Treated with Korean Oriental Medicine)

  • 김성욱
    • 대한약침학회지
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    • 제4권2호
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    • pp.73-86
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    • 2001
  • Objective : These case study were made to evaluate and observe the treatment for the Herpes-Zoster through the korean oriental medicine. Method : Clinical observation and analysis about 4 cases of Herpes-zoster including the Ramsay's-hunt syndrome had been done the patients of the Sang-Ji Oriental Medicine Hospital. These cases were mainly treated with oriental medicine using the Herb medication, Korean Bee-Venom therapy, Acupuncture and Electro-acupuncture therapy. Acupuncture technic was mainly used Sa-Am acupuncture(Four needle technique). Result : After treatment, all of cases were completely cured without any complication. Conclusion : Based on the clinical results, Korean Oriental Medicine is believed to be effective for treating Herpes-zoster, and further studies should be conducted to provide more valuable information.

고유수용성신경근 촉진법 훈련과 동작관찰 훈련이 뇌졸중 환자의 상지 운동기능에 미치는 효과: 단일사례 연구 (Effect of Proprioceptive Neuromuscular Facilitation and Action Observation Training on Upper Extremity Motor Function in Stroke Patient: A Single-Subject Study)

  • 박혜령;이문규;윤태원
    • 한국전문물리치료학회지
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    • 제22권1호
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    • pp.69-78
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    • 2015
  • This study evaluated and compared the effectiveness on upper motor extremity function between proprioceptive neuromuscular facilitation which has been frequently used in clinical practice, and action observation training in terms of improving upper motor extremity function. A study with a single-subject design (A-B-C-A') was conducted with a patient who was diagnosed with left hemiplegia. A repeated-measure analysis was conducted to assess results of the Wolf Motor Function Test (WMFT), Box and Block Test (BBT), and grip and pinch strength test performed daily in the study for 4 weeks. The results of the analysis indicated that the WMFT score, BBT score, grip strength, and pinch strength were improved from 29.60 to 39 (24.10%), from 1.67 to 4.93 each (EA) (66.22%), from 2.06 to 2.66 libras (lbs) (22.61%), and from 1.57 to 1.93 lbs (18.94%), respectively, from the baseline period to treatment period B. The values were improved from 29.60 to 42.20 (29.86%), from 1.67 to 7 EA (76.21%), from 2.06 to 3.47 lbs (40.57%), and from 1.57 to 1.67 lbs (6.12%), respectively, from the baseline period to treatment period C. From treatment period B to treatment period C, the WMFT score, BBT score, and grip strength were improved from 39 to 42.20 (7.58%), from 4.93 to 7 EA (29.56%), and from 2.66 to 3.47 lbs (23.20%), respectively, but pinch strength was decreased from 1.93 to 1.67 lbs (15.83%). In conclusion, proprioceptive neuromuscular facilitation and action observation training both have positive effects on upper extremity motor function. However, we suggest that the posttreatment effect of action observation training was better than that of proprioceptive neuromuscular facilitation.

동작관찰을 이용한 깊은 목 굽힘근 운동이 통증과 기능에 미치는 효과: 만성 목 통증 환자 (The Effect of Action Observation with Deep Neck Flexors Muscle Strengthening Exercise on Pain and Function: Patients with Chronic Neck Pain)

  • 박근홍;김은비;송현승
    • 대한정형도수물리치료학회지
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    • 제23권1호
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    • pp.53-58
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    • 2017
  • Background: The purpose of this study was to effect of action observation with deep neck flexors strengthening exercise on pain and function in patients with chronic neck pain. Methods: Thirty patients with chronic neck pain were randomly action observation with deep neck flexors strengthening exercise group (AOT group; n=15) and deep neck flexors strengthening exercise group (FSE group; n=15). The intervention was applied for 50 minutes a day, 5 times a week for a total of 4 weeks. The intervention effect were evaluated before and after the intervention. visual analogue scale (VAS), pressure pain threshold (PPT), and Korea neck disability index (KNDI). Results: As a result of comparing within group, AOT group showed pre and post test, VAS (p<.01), PPT (p<.01), KNDI (p<.01) and FSE group VAS (p<.01), PPT (p<.05), KNDI (p<.01) significantly. In the comparison between the two groups, AOT group than FSE group in VAS, PPT and KNDI significantly (p<.05). Conclusion: Action observation with deep neck flexors strengthening exercise were founded to effective in reducing pain and improving function in patients with chronic neck pain. It is suggested as basic data of clinical intervention.

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뇌졸중 환자의 동작관찰훈련이 보행에 미치는 효과에 대한 메타분석; 국내연구를 중심으로 (Meta-Analysis on the Effects of Action Observation Training on Stroke Patients' Walking; Focused on Domestic Research)

  • 이정우;고운;두영택
    • 대한통합의학회지
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    • 제7권4호
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    • pp.119-130
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    • 2019
  • Purpose : The purpose of this study was to investigate the meta-analysis on the effects of action observation training on stroke patients' walking. Methods : Domestic databases (DBpia, KISS, NDSL, and RISS) were searched for studies that conducted randomized controlled trials (RCTs) associated with action observation training in adults after stroke. The search outcomes were items associated with the walking function. The 18 studies that were included in the study were analyzed using R meta-analysis. A random-effect model was used for the analysis of the effect size because of the significant heterogeneity among the studies. Sub-group and meta-regression analysis were also used. Egger's regression test was conducted to analyze the publishing bias. Cumulative meta-analysis and sensitivity analysis were also done to analyze a data error. Results : The mean effect size was 2.77. The sub-group analysis showed a statistical difference in the number of training sessions per week. No statistically significant difference was found in the meta-regression analysis. Publishing bias was found in the data, but the results of the trim-and-fill method showed that such bias did not affect the obtained data. Also, the cumulative meta-analysis and sensitivity analysis showed no data errors. Conclusion : The meta-analysis of the studies that conducted randomized clinical trials revealed that action observation training effectively improved walking of the chronic stroke patients.

3, 4년제 졸업예정 간호학생의 간호 역활에 대한 관찰 및 수행정도 비교연구 (Comparison of Student Nurses Graduating from a Junior College or a University on Observation and Performance of Nursing Roles)

  • 손영희;강현숙;박영숙;한혜자;권성복;임난영;김동옥;김주현;손행미;이은희;이여진;조경숙
    • 기본간호학회지
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    • 제13권2호
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    • pp.172-181
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    • 2006
  • Purpose: This study was done to identify observation and performance of nursing role activities by student nurses graduating from 3 year junior colleges or 4 year universities. Method: A descriptive design was used and the participants were 295 student nurses who were graduating. Data were collected using a structured questionnaire. Results: The average score for observation of nursing role activity was $2.16{\pm}0.29$, and for performance $1.61{\pm}0.29$. Among the college students, the mean item score for observation was highest for medication administrator and lowest for provider of spiritual & bereavement care, while for the university students the highest was for provider of care during surgery and lowest for provider of spiritual & bereavement care. The college students had higher scores for observation, and the university students for performance. Conclusion: It is concluded that standardized practice learning programs need to be designed in schools and in clinical practice areas, in order to further develop adaptability to nursing roles.

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치위생과 학생의 임상실습 경험정도와 수행자신감에 관한 연구 (A Study on the Experience of Clinical Practice and the Performance Confidence)

  • 이영애;김영선
    • 치위생과학회지
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    • 제8권4호
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    • pp.353-359
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    • 2008
  • 치위생과 학생의 임상실습 경험정도와 수행자신감을 알아보기 위해 2008년 9월에 임상실습을 완료한 D보건대학치위생과 2 3학년 학생을 대상으로 설문지를 이용하여 조사 분석한 결과는 1. 치위생과 학생들의 임상실습시 수행경험률은 영역별로는 기본진료영역에서 가장 높았으며, 치위생활동별로는 치료전 후 정리정돈, 구강 내 잔류물 흡입, 기본기구 준비, 국소마취 준비, 발치 준비, 레진충전 준비, 임시충전 준비, 치과용시멘트 혼합, 와이어 결찰 및 제거 준비 등에서 70% 이상의 비교적 높은 수행경험률을 보였다. 2. 치위생활동에 대한 수행자신감은 기본진료영역을 제외한 모든 진료영역에서 수행경험이 있는 경우가 관찰경험 또는 경험못한 경우에 비해 높았다(p < 0.001). 3. 치위생과 학생들은 임상실습 과정에서 진료협조분야를 제외한 치위생활동은 거의 수행경험을 하지 못하는 것으로 나타났다. 향후 치위생활동에 대한 수행경험률을 높이기 위해 치위생과 학생들의 임상실습에 대한 구체적이고 객관적인 준거 마련을 위한 후속 연구가 필요하다.

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족저근막염으로 진단된 족저부 통증 환자에 대한 매선침법 증례 보고 (Effects of Catgut-embedding Acupuncture Therapy on Plantar Fasciitis: Case Report)

  • 노승희;김유리;김건형;양기영;김재규;이병렬
    • Journal of Acupuncture Research
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    • 제30권5호
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    • pp.227-233
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    • 2013
  • Objectives : The purpose of this study was to report the clinical effects of catgut-embedding acupuncture therapy on plantar fasciitis. Methods : Two patients were treated mainly with catgut-embedding acupuncture therapy and partly with other Korean medicine modalities. Catgut-embedding acupuncture therapy was applied once a week for three weeks, and follow-up observation was conducted by telephone survey two months after the first treatment. Results : In these two cases, the pain numerical rating scale(NRS) gradually decreased from 8 to 1, and the pain relief as well as the improvement in ambulatory function was maintained at two-month follow-up. Conclusions : Catgut-embedding acupuncture therapy could be effective for pain-reduction and functional improvement in plantar fasciitis.

UAE로 취업한 한인 의료직 종사자의 임상 경험 (Korean Migrant Health Professionals with Clinical Experience in UAE Hospitals)

  • 염진영;김정수
    • 대한방사선기술학회지:방사선기술과학
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    • 제41권4호
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    • pp.361-367
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    • 2018
  • This study was intented as an investigation of the meaning of clinical experience for gapproach was used to investigate clinical experience for Korean health professionals, A total of 10 health professional immigrants working in UAE hospitals were selected who has experience in Korea over 2 years and UAE for 1 year. Data were collected through in-depth interviews, participant observation and questionnaire. The findings were created with four essential themes; struggling to adapt at workplace at the beginning, feeling frustrated to communicate with different languages, professional reputations as a specialist, a variety of opportunities for self-development supported from hospitals and caring system of staff's health. The results indicate that the Korean health professionals were able to develop capabilities and competency with clinical experience in UAE hospitals. The results of this study suggest that lived experimental evidence for Korean migrants of health professionals. A further direction of this study, will be expected to provide more experimental information for health professional immigrants to middle east.

Clinical statistics: five key statistical concepts for clinicians

  • Choi, Yong-Geun
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제39권5호
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    • pp.203-206
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    • 2013
  • Statistics is the science of data. As the foundation of scientific knowledge, data refers to evidentiary facts from the nature of reality by human action, observation, or experiment. Clinicians should be aware of the conditions of good data to support the validity of clinical modalities in reading scientific articles, one of the resources to revise or update their clinical knowledge and skills. The cause-effect link between clinical modality and outcome is ascertained as pattern statistic. The uniformity of nature guarantees the recurrence of data as the basic scientific evidence. Variation statistics are examined for patterns of recurrence. This provides information on the probability of recurrence of the cause-effect phenomenon. Multiple causal factors of natural phenomenon need a counterproof of absence in terms of the control group. A pattern of relation between a causal factor and an effect becomes recognizable, and thus, should be estimated as relation statistic. The type and meaning of each relation statistic should be well-understood. A study regarding a sample from the population of wide variations require clinicians to be aware of error statistics due to random chance. Incomplete human sense, coarse measurement instrument, and preconceived idea as a hypothesis that tends to bias the research, which gives rise to the necessity of keen critical independent mind with regard to the reported data.

아급성(亞急性) 갑상선염(甲狀腺炎)의 임상적(臨床的) 고찰(考察) (Clinical Observation on Subacute Thyroiditis)

  • 김삼용;정준기;석창호;홍기석;이홍규;고창순;박성회;김용일
    • 대한핵의학회지
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    • 제12권2호
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    • pp.41-46
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    • 1978
  • 8 cases of subacute thyroiditis was diagnosed among 108 needle biopsy of the thyroid during the period from April 1976 to August 1978. Correlation of the histologic findings with the clinical staging proposed by Czernick was relatively well matched; cases with long clinical course or low thyroid hormone levels showed greater fibrosis and reduction of follicular elements in thyroid. Thyroid $^{131}I$ uptake or the uptake as seen on the thyroid scanning correlated inversely with the thyroid hormone levels. The clinical course of the patients seen in their initial stage of disease followed the classical pattern; hyperthyroid-like, hypothyroid-like and recovery. 3 among the 4, who were seen in their later clinical course showed hypothyroidism, which seemed the final outcome of their diseases.

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