• 제목/요약/키워드: Clinical value

검색결과 3,111건 처리시간 0.029초

의사결정나무법을 이용한 설문지의 응답특성에 대한 임상적 검토 (The Characteristics of Questionnaire Response Using decision tree method)

  • 최재영;박성식
    • 사상체질의학회지
    • /
    • 제15권3호
    • /
    • pp.177-186
    • /
    • 2003
  • Objectives: This paper was for studying the constitutional differences between questionnaire and clinical diagnosis, and to be helpful to make a diagnosis Sasang constitution. Using the result of this study, it will be helpful to diagnose a Sasang constitution. Methods: There were 331 patients(135 men and 196 women) who answered questionnaire and were diagnosed by the Sasang constitution specialist at constitutional clinic of Dongguk Bundang Oriental Hospital. Using the response of questionnaire and several statistical techniques, we tried to find the characteristics of questionnaire response among each constitution and consistency between questionnaire and clinical diagnosis. Results: As a result of the analysis of the consistency between clinical diagnosis and questionnaire, the consistency was low degree(kappa value = 0.320) and Taeumin and Soeumin had more consistency than Soyangin.

  • PDF

간장진환 환자의 임상에 미치는 알로에의 효과 (Effects of Aloe Vera Linne Treatment on Clinical Chemistry in Patients with Liver Disease)

  • 박웅양;오유진;윤여표
    • 한국식품위생안전성학회지
    • /
    • 제10권4호
    • /
    • pp.249-254
    • /
    • 1995
  • In order to study the effects of Aloe vera Linne treatment on the clinical chemistry in patients with liver disease, seven patients were administered orally with 800~1, 600 mg of Aloe vera Linne four times day for six months. The high levels of serum AST, ALT, ALP, ${\gamma}$-GTP and total bilirubin in patients were significantly reduced by adminstration of Aloe vera L. The reduced serum albumin/globulin value was increased by Aloe vera L. treatment. But other blood parameters of clinical chemistry values were not affected by Aloe vera L. treatment. These data suggest that Aloe vera L. can be effective in treatment of the patients with liver disease.

  • PDF

개의 아토피성 피부염에 대한 cyclosporine의 경구 요법 (Application of oral cyclosporine in a dog with atopic dermatitis)

  • 박성준
    • 대한수의학회지
    • /
    • 제45권3호
    • /
    • pp.439-444
    • /
    • 2005
  • A 7.1 kg, seven-year old, castrated male, Shih-Tzu with severe pruritus, chronic otitis externa and Malassezia infection was referred to Veterinary Medical Teaching Hospital of Chungnam National University. In local animal hospital, steroid therapy was used to treat uncontrollable pruritus, but the clinical signs were recurrent when steroid therapy was discontinued. On physical examination, generalized alopecia, erythema, papules, severe crust and diffuse lichenification were presented. Tape strip test of skin lesions revealed cocci and Malassezia infections. Based on the result of history, clinical signs and examination described above, canine atopic dermatitis with secondary superficial pyoderma and Malassezia dermatitis was diagnosed. Oral challenge with cyclosporine and antibiotics had good results in clinical signs. Clinical sign scores were evaluated by investigator with CADESI at 2weeks, 4weeks, 6weeks, 8weeks and 10weeks after cyclosporine administration. And in the result of comparing of allergen-specific IgE value, the level of allergen-specific IgE to general causative allergen after 10 weeks of cyclosporine therapy was higher than that before cyclosporine therapy.

Canine Multicentric Large B Cell Lymphoma with Increased Mott Cells Diagnosed by Flow Cytometry

  • Yang, Yeseul;Jung, Jae-Ha;Hwang, Sung-Hyun;Kim, Yongbaek
    • 한국임상수의학회지
    • /
    • 제38권1호
    • /
    • pp.36-40
    • /
    • 2021
  • A 12-year-old dog was referred due to multiple superficial lymphadenopathy. On cytology, each lymph node showed different cell populations where some of them consisted of intermediate to large lymphocytes with frequent Mott cells. Presence of Mott cells along with immature lymphocytes made the cytological diagnosis challenging, and therefore, supplementary diagnostic tests including PCR for Antigen Receptor Rearrangement (PARR) assay and flow cytometry were performed. This case report illustrates the value of flow cytometry in the diagnosis of lymphadenopathy with ambiguous cytologic findings.

디지털방사선시스템에서 IEC표준을 이용한 방사선 영상 품질의 평가 (Evaluation of Image Quality for Radiographic Positioning using IEC Radiation Quality in the Digital Radiography System)

  • 안현;김창수;김정훈
    • 한국콘텐츠학회논문지
    • /
    • 제15권7호
    • /
    • pp.289-299
    • /
    • 2015
  • 본 연구의 목적은 디지털방사선시스템의 영상 품질을 비교하고 평가함에 있다. 영상의 정량적인 분해능을 나타내는 변조전달함수, 노이즈 특성을 나타내는 잡음력 스펙트럼을 이용하여 영상 품질평가를 하였다. IEC61267 선질을 사용하여 IEC62220-1에서 제시하는 기하학적인 조건과 실제 임상에서 사용되어지는 기하학적인 조건을 사용하여 부가필터 및 그리드, 임상선량을 이용하여 edge 팬텀을 사용하여 MTF값을 측정하였다. Grid, Filter, SID, kVp, mAs에 따른 MTF 결과는 임상조건 100, 180cm 와 IEC62220-1 기하학적인 조건 150cm에서 MTF 공간주파수 측정값은 비슷하게 나타났으며, 오히려 임상조건 100, 180cm에서 공간주파수가 높은 경우도 있었다. NPS 결과는 선량이 증가함에 따라 감소함을 나타내었다. IEC61267 선질을 이용한 영상품질평가에서는 IEC62220-1기하학적인 조건을 이용한 품질평가보다 임상조건 기하학적인 조건을 사용한 영상의 품질이 좋았다. IEC 와 임상조건에서의 MTF와 NPS는 크게 차이가 나지 않았음을 알 수 있었다. 그러므로 향후 IEC 표준에서 제시하는 영상품질 평가보다는 임상 조건을 적용한 영상품질 평가방법을 적용하기 위해서 부가필터사용 유 무, 그리드사용 유 무, SID변화, 선질, 선량 등의 파라메터를 적절히 이용하여 가장 적은 선량으로 공간분해능이 좋고, NPS가 감소하는 방법들을 찾는다면 향후 실제 임상에서 사용되고 있는 디지털방사선시스템을 최적의 품질로 유지할 수 있는 참고 자료로 활용될 수 있을 것으로 사료된다.

정신과 간호실습 과정과 자기실현에 관한 연구 (Self. Actualization of College of Nursing Students Resulting from Psychiatric Nursing Practice)

  • 이광자
    • 대한간호학회지
    • /
    • 제6권1호
    • /
    • pp.29-40
    • /
    • 1976
  • This study attempted to measure personality changes in collegiate nursing students as a result of their psychiatric nursing practice. The study population consisted of 310 students in 8 colleges of nursing in Korea, 96 with psychiatric practice, 103 with other clinical practice and III without clinical practice experience. The objectives of the study were to identify: 1. The self-actualization scores of nursing students resulting from psychiatric nursing practice. 2. The self-actualization scores of nursing students resulting from other clinical nursing practice. 3. The difference between scores for students with clinical practice experience and those without experience. 4. The relevance between self-actualization and sibling order. 5. The relevance between self- actualization and religion. 6. The coefficiently scores for students before and after clinical practice. The instrument used was the Personal Orientation Inventory (POI), developed by Shostrom. It provides a measure of values and behavior which are thought to be of importance in the development of self- actualization. The main findings of the study were as follows: 1. There was a significant difference in the Time Competence, Self Regard, and Nature of Man scales resulting from psychiatric nursing practice. 2. There was a significant difference in the Inner Directed, Existentialist, Feeling Reactivity, Spontaneity, Nature of Man and Capacity for Intimate Contact scales resulting from other clinical nursing practice. 3. There was a significant difference in the Inner Directed, Feeling Reactivity, Spontaneity, Self- Regard and Capacity for Intimate Contact scales between students with clinical practice and those without practice. 4. There was a significant difference in the Self-Acceptance scale for both the eldest and the youngest siblings. 5. There was a significant difference in the Time Competence, Inner Directed, Existentialist, Self-Acceptance and Capacity for Intimate Contact scales for middle and youngest siblings, 6. There was a significant difference in the Existentialist scale between students with a religion and those without one. 7. There was a significant difference for students without a religion in the Time Competence, Inner Directed, Self-Regard, Nature of Man, and Capacity for Intimate Contact scales after clinical practice. 8. There was a significant difference for students, with a religion in the Inner Directed, Existentialist, Spontaneity, and Nature of Man scales after clinical practice. 9. There was a significant difference for students in the Self- Actualizing value, Spontaneity, Nature of Man and Synergy scales according to whether their parents had a religion or not. 10. Before and after practice, significantly different correlations were found between the Time Competence and Capacity for Intimate Contact scales : the Inner Directed and Existentialist scales ; the Self- Actualizing Value and the Feeling Reactivity, Spontaneity, Self-Regard and Nature of Man scales : the Feeling Reactivity and Acceptance of Aggression scales: the Spontaneity and the Self-Regard and Nature of Man scales; and between the Self-Regard and Nature of Man scales.

  • PDF

지역사회 이동성을 측정하는 한국어판 생활공간 평가(Korean Version of the Life-Space Assessment; K-LSA)의 임상적 유용성 및 사용성 검증 연구 (Validation Study of Clinical Utility and Usability on Korean Version of the Life-Space Assessment to Assess Community Mobility)

  • 김정희;장문영
    • 대한지역사회작업치료학회지
    • /
    • 제8권1호
    • /
    • pp.1-10
    • /
    • 2018
  • 목적 : 본 연구의 목적은 노인의 지역사회 이동성을 측정하는 평가도구인 한국어판 생활공간 평가(Korean Version of the Life Space Assessment; K-LSA)의 임상적 유용성 및 사용성을 검증하는 것이다. 연구방법 : 작업치료사와 물리치료사 60명을 대상으로 K-LSA의 임상적 유용성 및 사용성 검증에 관한 설문조사를 실시하였다. 설문지는 임상적 유용성에 관한 객관식 문항 및 사용성에 관한 객관식과 주관식 문항을 포함하였다. 객관식 자료 분석은 빈도 분석 및 기술 통계로 처리하였고, 사용성에 대한 주관식 문항은 항목별로 공통적인 요소를 모아 분류하여 분석하였다. 결과 : K-LSA의 임상적 유용성에 긍정적 표현인 '보통(3점)'과 '그렇다(4점)'와 '매우 그렇다'로 응답한 비율이 95~100%이었고, 문항 별 점수 분포가 3.6~4.0점으로 나타났다. 또한 K-LSA의 사용성에 대한 질문에 긍정적 표현인 '보통'과 '쉽다'와 '매우 쉽다'로만 응답한 비율은 88.3~100%이었고, 문항 별 점수 분포가 3.6~4.0점으로 나타났다. 추가적으로 사용성에 대한 개방형 질문에서 생활공간 범위 3과 4에서 기준의 모호함이 언급되었다. 결론 : K-LSA는 국내 보건의료 분야에서 지역사회 이동성을 측정하는 평가도구로 임상적으로 유용하며, 사용이 용이한 도구이다. 따라서 치료사들이 노인의 사회 참여를 증진시키고, 지역사회 이동을 위한 중재 목표를 세우고, 교육하는데 기초자료로 LSA를 활용할 수 있을 것이다.

Cone-beam computed tomographic analysis of the alveolar ridge profile and virtual implant placement for the anterior maxilla

  • Lim, Hyun-Chang;Kang, Do-Uk;Baek, Hyehyeon;Hong, Ji-Youn;Shin, Seung-Yun;Chung, Jong-Hyuk;Herr, Yeek;Shin, Seung-Il
    • Journal of Periodontal and Implant Science
    • /
    • 제49권5호
    • /
    • pp.299-309
    • /
    • 2019
  • Purpose: To analyze the ridge profile of the anterior maxilla using cone-beam computed tomography and to assess the clinical significance of the ridge profile by performing virtual implant placement. Methods: Thirty-two cone-beam computed tomography scans of anterior maxillae were included. For each tooth, a vertical line was made along the longitudinal axis, and 3 horizontal lines at 1-, 3-, and 5-mm levels below the labial bone crest were drawn perpendicularly to the vertical reference. At these levels, the thickness of the alveolar ridge (RT), and the labial (LT) and palatal bone plate (PT) were measured. Then, virtual implant placement using standard and tapered implants was performed. A generalized linear mixed model was used for statistical analysis. Results: The teeth were located labially based on the proportion of LT and PT with respect to RT. At the 1-mm level, the value of LT was between $1.0{\pm}0.4mm$ for central incisors and $1.3{\pm}0.6mm$ for canines. A large number of teeth had area(s) with less than 1-mm-thick labial bone between the 1- and 5-mm levels below the crest. The mean PT was generally thicker than the LT in all tooth types. The greatest mean value of labial concavity was observed for canines, compared to other tooth types. Men had a greater RT than did women, but had a comparable LT. Less apical fenestration was observed when tapered implants were used. Conclusions: Most teeth in the anterior maxilla had a thin labial bone plate, with no significant difference between sexes. Tapered implants may be advantageous for the anterior maxilla.

Changes in Awareness of Major Employment Following Clinical Practice in Students of Physical Therapy

  • Kim, Myung-Hoon;Kim, Ga-Eun;Kim, Jun-Han;Park, Sung-Ho;Jo, Yong-Jun;Choi, Ji-Hye;Kim, Su-Hyun;Kim, Hyun-Jin
    • The Journal of Korean Physical Therapy
    • /
    • 제26권6호
    • /
    • pp.403-410
    • /
    • 2014
  • Purpose: This study attempted to provide the basic data for the institutional improvement of the clinical practice of physical therapy department students. Methods: Research for this study included 390 participants used for the analysis of the present study. The statistical analysis was of the characteristics and satisfaction of the clinical practices of subjects, the reasons for major employment preferences before and after clinical practices, and the preferred institution and field of major employment before and after clinical practice. Results: The general characteristics of students of the physical therapy department include females in their third year of college at age 20~24 years-old. As well, no religion, usual satisfaction with major, and motivation of choosing a physical therapy employment rate were the most common. A residency type in the form where one would cook one's own food and a clinical practice with a general hospital grade were seen most often. Regarding preference of major employment before and after clinical practice, the preference of major employment was 88%, which increased by 5.2% after clinical practice from 82.8% before clinical practice. The preference for no major employment due to lack of interest and no aptitude increased 43.5% from 23.9% after clinical practice. Conclusion: The number of apprentices will increase despite practice institutions being limited; for practice of environment, content, etc., relatively changes are slow, and progress rapidly medical technology. It is a society in which expertise is required; in the present study, there is a value in providing the clinical data missing in physical therapy.

간호대학 임상실습 교육자의 역할 경험 (Lived Experience of Clinical Nursing Instructors' Role in Clinical Practicum)

  • 임사라;홍수민;김상희;김수경;김예린
    • 한국간호교육학회지
    • /
    • 제25권4호
    • /
    • pp.484-495
    • /
    • 2019
  • Purpose: The purpose of this study was to explore the role of clinical nursing instructors' lived experience in clinical practicum. Methods: Data were collected from 11 clinical nursing instructors by in-depth interviews. The data were analyzed using content analysis of Downe-Wamboldt (1992). Results: Four themes and twelve subthemes were extracted. 1) Recognizing and conducting the roles of clinical nursing instructor: 'Helping and providing support for successful clinical practicum', 'Coordinating clinical activities in daily practice', 'Providing mentoring as an elder in life'; 2) Participating in improving integrative nursing competency: 'Helping to improve cognitive competency', 'Helping to improve functional competency', 'Contributing to form desirable professionalism', 'Helping to deliberate the nature of nursing'; 3) Experiencing difficulties in performing the role of clinical nursing instructor: 'Facing with difficulty from institutional limits', 'Recognizing difficulty from lack of personal knowledge and experience'; 4) Experiencing value of clinical nursing instructor and accomplishing personal growth: 'Making efforts to widen personal knowledge and experience', 'Developing one's own educational competency', 'Making a chance to reflect oneself'. Conclusion: Despite the distinctive features of clinical nursing instructors, little is known of the characteristics. The results of this study could be used as a reference to improve the quality of clinical nursing education.