• Title/Summary/Keyword: Clinical type

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A Q-Methodological Study on the Radiologist's Image of Radiology College Students Experienced Clinical Practice (임상실습을 경험한 방사선과 학생의 방사선사 이미지에 대한 주관성 연구)

  • Kim, Young-Ran
    • Journal of the Korea Convergence Society
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    • v.11 no.7
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    • pp.51-57
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    • 2020
  • This study was conducted to examine the type of subjective perceptions and characteristics of the type toward the image of students enrolled in the Department of Radiology who experienced clinical training by applying Q Methodology which is aiming at the research of human subjectivity, and provide basic data for educational programs for the Department of Radiology to establish the image of a radiological technologist based on the result. This study conducted convenience sampling with 30 students of the Department of Radiology who experienced their first clinical training for 8 weeks as a P sample, forcing 33 Q samples to be distributed on the nine-point scale Q distribution chart. After that, this study processed collected data with principal factor analysis by QUANL program. Study results show that Eigen value was more than 1.0, which was divided into 2 types. Type 1 was "Patient-oriented" and type 2 was "Organization-oriented". These results can be helpful as a basic resources to understand Radiology Students who will choose a job by using different sense of value of their job.

Treatment of Displaced Intra-articular Calcaneal Fracture using Ollier Approach (전위된 관절 내 종골 골절의 Ollier 접근법을 이용한 치료)

  • Kim, Keun-Woo;Cho, Sang-Gi;Lee, Dong-Yeon
    • Journal of Korean Foot and Ankle Society
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    • v.12 no.2
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    • pp.174-179
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    • 2008
  • Purpose: We evaluated the clinical results of the intraarticular calcaneal fractures treated using Ollier approach by inexperienced orthopaedic surgeon. Materials and Methods: Between August 2003 and May 2007, Of the total 46 cases, 12 cases (9 patients) of displaced intraarticular calcaneal fracture who underwent open reduction and internal fixation using Ollier approach were evaluated. The means of age was 50.5 years. According to the Sanders classification, there was no type I case and 8 cases of type II, 1 case of type III, and 3 cases of type IV. We evaluated the treatment result by assessing radiologic parameters ($B{\ddot{o}}hler$ angle, Gissane angle, and calcaneal height/width) and clinical outcomes (VAS and AOFAS score). Results: The means of follow-up period was 25.3 months. The means of B.hler angle was improved from $2.4^{\circ}$ to $26.1^{\circ}$. Radiologic and clinical union was achieved in all cases without additional procedures. Excellent result were noted in 2 cases, good in 5 cases, fair in 4 cases, and poor in 1 case. We experienced 2 cases of minor complications; 1 case of mild wound infection and 1 case of hypoesthesia on foot dorsum. Radiologic findings of subtalar arthritis were present in 2 cases. Conclusion: Ollier approach seems to be helpful to inexperienced orthopaedic surgeons for the treatment of intraarticular calcaneal fractures in that it enables them to achieve considerable clinical outcomes without serious complications.

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Clinical Characteristics of Pediatric Bipolar Disorder by Subtype in a Korean Inpatient Sample

  • Park, Subin;Cho, Soo-Churl;Kwon, Ohyang;Bae, Jeong-Hoon;Kim, Jae-Won;Shin, Min-Sup;Yoo, Hee-Jeong;Kim, Bung-Nyun
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.26 no.4
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    • pp.251-257
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    • 2015
  • Objectives : We compared the clinical presentations of manic and depressive episodes and the treatment response among children and adolescents with bipolar disorder (BD) types I and II and BD not otherwise specified (NOS). Methods : The sample consisted of 66 patients, aged between 6 and 18 years, who were admitted for BD to a 20-bed child and adolescent psychiatric ward in a university hospital located in Seoul, Korea. Results : Patients with BD type I were more likely to have lower intelligence quotients and exhibit violent behaviors during manic episodes than patients with BD type II or BD NOS and to show better treatment responses during manic episodes than patients with BD NOS. Patients with BD NOS were more likely to have an irritable mood rather than a euphoric mood during the manic phase than patients with BD type I or II and to exhibit violent behaviors during the depressive phase and chronic course than patients with BD type II. Conclusion : Pediatric BD patients are heterogeneous with respect to their clinical characteristics. Implications for the usefulness of the current diagnostic subtype categories should be investigated in future studies.

A Study on Sinusitis in Pediatric Patients : the Analysis of Age and the Classification of Korean Medical Clinical Type (한방병원에 내원한 부비동염 환아의 연령 분석 및 임상 유형 분류)

  • Lee, Sun Jung;Kang, Kyung Ha;Park, Eun Jeong
    • The Journal of Pediatrics of Korean Medicine
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    • v.30 no.1
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    • pp.9-21
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    • 2016
  • Objectives The purpose of this study is to analyze sinusitis patients who visited the department of pediatrics, OO Korean medicine hospital by using their age and to classify the clinical type by Korean medical theory. Methods The study was conducted based on 178 cases that consisted of sinusitis patients (from 1 to 15 years old) who visited OO Korean medicine hospital from March 2014 to March 2015. We analyzed the age of patients and classified them by the clinical type by reviewing patient's charts. After that, we compared the results with the results of previous studies. Results and Conclusions 178 Patients were studied. 2-years-age group was 19.7% of the study group which was higher than that of previous studies. The Lung-Kidney Yin Deficiency (肺腎陰虛) group was 33.1%, Wind-Heat (風熱) group was 29.8% and the Wind-Cold (風寒) group 18.5%, Spleen-Lung Qi Deficiency (脾肺氣虛) group was 15.7% and the Heart-Spleen Qi Deficiency (心脾氣虛) group was 2.8% of the study group. Children are full of Yang but lack of Yin (陽常有餘陰常不足) so they easily transform into heat and fire (化熱化火). The patients who had sinusitis were most likely to suffer from the common cold for more than a week, once a month. 45.1% of the people from the study group was suffered from common cold more than a week, and 43.8% of the people got common cold once a months. About 21.6 % and 18.3% of the people got common cold twice a month and once every 2 months, respectively. The remaining 15.7% got cold during the season changes.

A comparison of the implant stability among various implant systems: clinical study

  • Kim, Jae-Min;Kim, Sun-Jong;Han, In-Ho;Shin, Sang-Wan;Ryu, Jae-Jun
    • The Journal of Advanced Prosthodontics
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    • v.1 no.1
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    • pp.31-36
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    • 2009
  • PURPOSE. To determine the change in stability of single-stage, three different design of implant systems in humans utilizing resonance frequency analysis for early healing period(24 weeks), without loading. MATERIAL AND METHODS. Twenty-five patients were included into this study. A total of 45 implants, three different design of implant systems(group A,C,R) were placed in the posterior maxilla or mandible. The specific transducer for each implant system was used. ISQ(implant stability quotient) reading were obtained for each implant at the time of surgery, 3, 6, 8, 10, 12, 24 weeks postoperatively. Data were analyzed for different implant type, bone type, healing time, anatomical locations. RESULTS. For each implant system, a two-factor mixed-model ANOVA demonstrated that a significant effect on ISQ values(group A=0.0022, C=0.017, R=0.0018). For each implant system, in a two-factor mixed model ANOVA, and two-sample t-test, the main effect of jaw position(P > .005) on ISQ values were not significant. CONCLUSIONS. All the implant groups A, C and R, the change patterns of ISQ over time differed by bone type. Implant stability increased greatly between week 0 and week six and showed slow increase between week six and six months(plateau effect).

Comparison of F Calcaneal Plate and Locking Calcaneal Plate Fixation Using an Lateral Extensile Approach to Intra-articular Calcaneal Fractures (종골의 관절 내 골절에서 외측 광범위 도달법을 이용한 F형 금속판 고정술과 잠김 금속판 고정술의 비교)

  • Lee, Yun-Tae;Oh, Hyun-Cheol;Yoon, Han-Kook;Jang, Jae-Won;Jang, Ki-Jun
    • Journal of Korean Foot and Ankle Society
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    • v.16 no.3
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    • pp.175-180
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    • 2012
  • Purpose: To evaluate the radiological and clinical results after open reduction and internal fixation with calcaneal F plate and locking calcaneal plate using lateral extensile approach in the treatment of intra-articular calcaneal fracture Materials and Methods: This study included 34 cases of 33 patients followed up for at least 6 months postoperatively. F plate was applied in 18 cases (Group 1), locking plate was used in 16 cases (Group 2) and compared radiological and clinical results between two groups. Results: Radiollogically, the mean Bohler angle was improved from $5.5^{\circ}$ preoperatively to $20.1^{\circ}$ postoperatively and $18.8^{\circ}$ at the last follow up in group 1 and $8.6^{\circ}$ preoperatively, $21.4^{\circ}$ postoperatively and $20.3^{\circ}$ at last follow up in group 2. Bone union was observed in all cases and 4 cases of screw loosening were noted in Group 1 with extended fracture to anterior process. At the last follow up, both groups showed clinical results in American orthopedic foot and ankle society ankle hindfoot score, 76(77 in Sanders type II and 75 in type III) in group 1 and 72(73 in type II and 70 in type III) in group 2. Conclusion: F plate and locking plate showed firm fixation and satisfactory clinical results in the treatment of intra-articular calcaneal fracture. We suggest applying locking plate in cases with extended fracture to anterior process, considering screw loosenings in those who were treated with F plate fixation.

Molecular Genetic Characteristics of Methicillin-Resistant Staphylococcus aureus Isolated from University Campus Environment and Students

  • Park, Heechul;Park, Sung-Bae;Kim, Junseong;Jeon, Hyeonjeong;Choi, Sein;Lee, Seungyeon;Oh, Eunchong;Hwang, Soenghwi;Kim, Hyunjung;Kim, Jungho;Kim, Sunghyun
    • Biomedical Science Letters
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    • v.26 no.3
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    • pp.230-237
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    • 2020
  • Staphylococcus aureus (S. aureus) is known as a bacterium that can cause skin infections, respiratory system infections, and sinusitis; however, it can exist as a normal flora rather than a pathogen. Recently, methicillin-resistant S. aureus (MRSA) infections have emerged in the community as a new variant of community-associated (CA)-MRSA. In the present study, S. aureus and MRSA were isolated and cultured by collecting samples from facilities and environments where students and educational personnel have multiple contacts on university campuses; specifically, the nostrils and hands of college students were tested from July to September of 2019. The molecular properties of the isolated MRSA were analyzed, and the one MRSA strain was isolated from the university campuses. One MRSA that was isolated and cultured on campus was the mec complex group A and staphylococcal cassette chromosome (SCC) mec type II, which is a characteristic of healthcare-associated (HA)-MRSA, and SCCmec type V, which is a characteristic of CA-MRSA. This result was similar to other studies wherein the SCCmec type II was detected in SCCmec typing analysis in CA-MRSA. To confirm whether there is a new variant of CA-MRSA in the Republic of Korea, additional follow-up studies on the analysis of virulence factors of MRSA are needed by additionally separating CA-MRSA from the body parts of university students and educational personnel.

Association between the MUC1 rs4072037 Polymorphism and Risk of Gastric Cancer and Clinical Outcomes

  • Kim, Beom Su;Lee, Inchul;Yook, Jeong Hwan;Song, Kyuyoung;Kim, Byung-Sik
    • Journal of Gastric Cancer
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    • v.20 no.2
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    • pp.127-138
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    • 2020
  • Purpose: Mucin 1 (MUC1) was identified as a gastric cancer (GC) susceptibility gene by genome-wide association studies in Asians and candidate gene studies in Europeans. This study aimed to investigate the association between the MUC1 rs4072037 polymorphism and GC in terms of the Lauren classification and long-term clinical outcomes. Materials and Methods: A total of 803 patients with GC and 816 unrelated healthy controls were enrolled in the study. The association between the MUC1 rs4072037 variant and GC histological types and clinical outcomes, including tumor recurrence and prognosis was investigated. Results: The major A allele of rs4072037 was associated with increased GC risk (P<0.05). In subtype analysis, the association was most significant for diffuse-type GC (P<0.05) and in a dominant model (P<0.05), whereas there was no association with intestinal-type GC (P>0.05). Cox proportional hazards analysis revealed the heterozygote AG rs4072037 allele as an independent risk factor influencing tumor recurrence and disease-related death in diffusetype GC (P<0.05). but not in intestinal-type GC (P>0.05). Conclusions: The exonic single nucleotide polymorphism rs4072037 in MUC1 was associated with diffuse-type GC and was an independent risk factor influencing tumor recurrence and disease-related death in diffuse-type GC.

Treatment of Type Ⅲ Acute Acromioclavicular Dislocation (제 3형 급성 견봉 쇄골 관절 탈구의 치료)

  • Jeong Hwa Jae;Koo Bon Seop
    • Clinics in Shoulder and Elbow
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    • v.2 no.1
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    • pp.1-7
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    • 1999
  • Purpose : There has been considerable controversy as to the method of the treatment of acute acromioclavicular joint dislocation classified to type III injury. The purpose of this study is to compare the conservative and operative treatment of the type III acute acromioclavicular joint dislocation in terms of clinical and radiological results. Materials and Methods: We treated 31 cases of acute, type III acromioclavicular joint dislocation, 17 cases were treated by operative methods and 14 patients by conservative treatment, and 1 year minimum follow-up was done from January 1990 to January 1996. We used UCLA Shoulder Rating Scale for clinical results. And for the radiological results coracoclaviclar distance were measured. We used Fisher's exact test for statistical analysis of results between the two treatment methods. Results: Fifteen(88.2%) of seventeen patients in operative treatment and eleven(78.6%) of fourteen patients in nonoperative treatment were rated excellent or good on the UCLA rating scale. In radiographic evaluation, the average coracoclavicular distances of preoperative state, immediate postoperation(or postreduction) and last follow-up were as follows. In operative cases, it was 1.75±0.21mm, 1.14±0.24mm and 1.33± 0.22mm respectively. In nonoperative cases, it was 1.65±0.14mm, 1.26±0.26mm, and 1.42±0.27mm respectively. Conclusion : This study demonstrated that there was no significant difference in clinical and radiological results between the operative and nonoperative treatment groups. So, nonoperative treatment is recommended for acute type III acromioclavicular dislocation as general rule.

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Analysis of Peripheral Nerve Function and Echogenicity of Skeletal Muscle in Type II Diabetic Patient's (제2형 당뇨환자의 말초신경기능 및 골격근의 Echogenicity 분석)

  • Yoon, Se-Won;Hwang, Tae-Yeun;Kim, Young-Nam;Yoon, Hee-Jong;Jeong, Jin-Gyu;Kim, Tae-Youl
    • Journal of the Korean Academy of Clinical Electrophysiology
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    • v.4 no.1
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    • pp.13-25
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    • 2006
  • This study aims to suggest clinical basis of physical therapy of neuromuscular system complication in type diabetic patients through a variety II of analysis methods including echogenicity using ultrasound image and measurement of peripheral nerve function to their neuromuscular system and provide basic materials for preparing evaluation of physical therapy and intervention program. Subjects of this study were 75 type II diabetic patients between 40 and 80 years old and it obtained the following results through echogenisity and function of peripheral nerve. Incidence of neuropathy in type II diabetes was 55.8% in men and 53.1% in women, and total incidence of neuropathy was 54.7%. Echogenicity of patients with neuropathy was significantly increased compared to that of patients with neuropahty. It was also found that there were correlations between function of peripheral nerve and echogenicity of tibialis anterior and gastrocnemius muscle. In addition, it will be important for physical therapists to divide type II diabetic patients into neuropathy and myopathy and interpret and approach changes of neuro-muscular system from comprehensive side.

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