• Title/Summary/Keyword: Consent

Search Result 1,059, Processing Time 0.028 seconds

갱년기 여성의 안면홍조에 대한 이선탕가미방(二仙湯加味方)의 증상 완화 효과 및 안전성 평가를 위한 임상연구 (Clinical Trial to Evaluate the Hot Flush Relief Efficacy and Safety of Yiseontang-gami in Climacteric Women with Hot Flushes)

  • 정수경;김동일
    • 대한한방체열의학회지
    • /
    • 제7권1호
    • /
    • pp.1-13
    • /
    • 2009
  • Purpose: To evaluate the hot flush relief efficacy of Yiseontang-gami in climacteric women with hot flushes, a vasomotor symptom. Methods: The 20 subjects who signing on the clinical trial written consent by self-will is registered this clinical trial after decided suitable by selection and exception standard, after take a medical experiment and checkup according to clinical trial plan. Registered subject should valuated by settled schedule after take the testing medicine(Yiseontang-gami)during thirty-day. The evaluating indexes of this trial are hot flush VAS, hot flush frequency, hot flush consistence time, sweating VAS, palpitation VAS, sleep disturbance VAS, MRS, MENQOL, PGA. Results: The results were as follows 1. 4 subjects dropped out of the clinical trial and 16 subjects completed it. 2. After Yiseontang-gami treatment, hot flush VAS, hot flush frequent, sweating VAS, Palpitation VAS, sleep disturbance VAS improved significantly. 3. After Yiseontang-gami treatment, hot flush consistence time was not improved significantly. 4. After Yiseontang-gami treatment, blood test value were not different significantly. Conclusion: In this clinical trial we consider that Yiseontang-gami is suitable treatment for the hot flushes and related symptoms.

  • PDF

당뇨여성의 성기능 장애 조사연구 (A Study on the Sexual Dysfunction for Diabetic Women)

  • 진동순;박지원
    • 재활간호학회지
    • /
    • 제10권1호
    • /
    • pp.37-44
    • /
    • 2007
  • Purpose: The purpose of this study was to investigate the sexual dysfunction of diabetic women in order to provide basic data contributed in nursing intervention. Method: A convenience sample consisted of 67 subjects with diabetes who attended outpatient department of 2 university hospitals. After verbal consent was obtained, subjects were asked to complete a questionnaire including BISF-W developed by Taylor et al. Data were collected from April 27 to May 22, 2006, and were analyzed by descriptive statistics, t-test, oneway ANOVA using SPSS 12.0 program. Results: This study discovered that the degree of sexual dysfunction of women with diabetes was high, and in particular that most of the women with diabetes did not have satisfactory sex life because of lack of vaginal lubrication, lower sexual desire, lower orgasm, and sexual pain. The test of differences in sexual dysfunction according to demographic and disease-related characteristics revealed that significant differences existed only with regard to menopause and age. Conclusion: As the sexual function of women varies widely among individuals, we would like to emphasize the importance of sexual counseling and education programs to improve the quality of life of diabetic women to prevent or relieve their sexual dysfunction.

  • PDF

Valsalva Maneuver에 따른 정상 성인의 지속적 혈류역동 변화 (Continuous Hemodynamic Profiles of Healthy Adults during Valsalva Maneuver)

  • 곽혜원;김나현
    • Journal of Korean Biological Nursing Science
    • /
    • 제11권1호
    • /
    • pp.68-76
    • /
    • 2009
  • Purpose: The purpose of this study was to evaluate the hemodynamic changes in degree and duration that occur during Valsalva maneuver (VM). Furthermore, we wanted to investigate the patterns and mechanisms of physiological hemodynamic control. Method: Thirty six healthy college students were recruited from Y university. Each participant was provided with written informed consent. Blood pressure (BP), heart rate (HR), cardiac output (CO) were continuously recorded using the Finometer. Result: During the phase I of VM, means of systolic and diastolic pressures were increased by 32.15% and 38.28%, respectively, compared with basal values. HR and CO were decreased by 9.91% and 13.01%, respectively. Immediately after the maneuver (phase III), systolic and diastolic pressures were decreased by 5.05% and 6.24%, respectively, compared with those obtained in the phase II. HR and CO were elevated by 13.33% and 11.93%, respectively, compared to the levels of earlier phases. BPs were represented with overshoot in the phase IV, and recovered by baseline values about 20 sec after VM. Conclusion: These results demonstrated that hemodynamic changes are variable in the event of VM even in healthy humans. It will be valuable to accumulate more quantitative hemodynamic information in special populations such as the elderly and the patients with cardiovascular problems.

  • PDF

치과진정법과 전신마취를 이용한 장애환자의 보철치료 (Prosthodontic Treatment of Persons with Disabilities Under Dental Sedation and General Anesthesia)

  • 김윤희;이진한
    • 대한치과마취과학회지
    • /
    • 제12권3호
    • /
    • pp.183-191
    • /
    • 2012
  • In most persons with disabilities had poor oral hygiene because of less attention and ability to perform a dental care. So the increased prevalence and severity of dental disease were common oral state. Although most persons with disabilities need a adequate dental treatment, it is often very difficult to treat because of noncooperativity and involuntary muscle movements. Dental treatments under sedation and general anesthesia were make to provide a high-quality dental service because of decreased anxiety and fear associated dental treatment in persons with disabilities. The dental professionals must be able to select and apply the proper sedation methods in agreement with the characteristics of the disabilities, general conditions, sedation experience and capacity of dentist, type and time of dental treatment, equipments of dental clinic, consent of patient's protector. The proshodontic treatment procedures, such as abutment preparation, dental impression taking process, try-in process of prosthesis and adjustment of occlusion, are difficult even for patients without disabilities. Those procedures are more difficult to patients with disability because it's too hard to control breathing and muscle. In this report, we performed prosthetic dentistry procedures to three patients with disabilities under dental sedation and general anesthesia.

일부 치위생(학)과 학생의 임파워먼트에 영향을 미치는 요인 (Influencing factors for the empowerment of the dental hygiene students)

  • 임선아;윤혜정
    • 한국치위생학회지
    • /
    • 제13권4호
    • /
    • pp.669-676
    • /
    • 2013
  • Objectives : The purpose of this study is to examine correlation between clinical practice and self-esteem in empowerment of dental hygiene students. Methods : Subjects were 399 dental hygiene students in Gwangju and Jeollanamdo. They completed self-reported questionnaire from November 5 to 20, 2012, after infromed consent was accepted. Results : Higher scores in empowerment was found in students who were satisfied with curricula (p<0.05) and major(p<0.001), having higher average grades (p<0.001), and who felt the better atmosphere of the clinical practice (p<0.05) and got more marks in empowerment. The empowerment of the students had a significant positive correlation to their satisfaction with clinical practice(p<0.001) and self-esteem(p<0.001). Satisfaction with clinical practice had a significant positive correlation to self-esteem(p<0.01). Conclusions : Satisfaction with major and higher self-esteem led to empowerment, sustained research efforts should be directed into the development and application of programs that could bolster these factors.

의료과오소송에 있어 입증책임 완화에 따른 의료과실의 의미와 판단기준 (The Meaning and Criterion of Medical Malpractice(negligence) from Moderating the Burden of Proof in a Medical Malpractice Suit)

  • 김용빈
    • 의료법학
    • /
    • 제9권1호
    • /
    • pp.57-127
    • /
    • 2008
  • In medical malpractice lawsuits, negligence is generally defined as conduct that is culpable because it falls short of what a reasonable person would do to protect another individual from a foreseeable risks of harm. Thus, the essence of negligence is a breach of obligations to be attentive, and the breach of obligations to be is negligence. However, whether negligence is or not depends on time, place, litigation forms and the judge since the meaning of negligence is wavering on the basis of abstract and normative judgment. In this thesis, what is medical negligence, a breach of obligations of attention for a doctor in medical malpractice lawsuits, would be it further enacted that doctors have the responsibility to protect the patients as a subordinate duty due to a principle of faith and sincerity besides the main duty for medical contract-performance since the suit is a litigation form to be based on responsibilities of experts, especially doctors, though having factors that are non-contractual as a trait for medical treatment. Further on the concept, when the plaintiff asserts and proves a specific fact from the recent moderation of the burden of proof about medical malpractices, whether the court should find a true bill in medical malpractice actually or not has been discussed.

  • PDF

개의 척수연화증 진단 2례 (Myelomalacia in 2 Dogs)

  • 성윤상;엄기동;이해운;이정민;장동우;이근우;장광호;오태호
    • 한국임상수의학회지
    • /
    • 제21권2호
    • /
    • pp.177-180
    • /
    • 2004
  • Lower motor neuron signs of hind limbs, anus and bladder were identified by history taking and physical examination in the 6.8 year-old mongrel dog and 2.6 year-old Cocker spaniel. The Cocker spaniel, also showed gradual cranial migration of neurologic deficit including respiratory paralysis. On plain radiography and myelography, intervertebral disc extrusion between L2 and L3, the infiltration of contrast medium into the spinal cord and cord swelling were found in the mongrel dog, and infiltration of contrast medium like hollowness of cord parenchyma was observed in the Cocker spaniel. On the basis of clinical signs and radiographic findings, they were diagnosed tentatively as acute myelomalacia. The Cocker spaniel died of respiratory paralysis on the following day. Decompressive surgery was performed on the mongrel dog and the extensive necrosis and hemorrhage were found at surgery. It was euthanized with the owner's consent because of the perceived poor prognosis. Histopathologic examination after autopsy confirmed acute diffuse hemorrhagic myelomalacia with the swelling and the inflammation of axon, showing hemorrhagic changes in the white matter and the grey matter.

노인의 여가활동, 여가생활만족도, 지각된 건강상태 및 우울에 관한 연구 (A Study on Leisure Activities, Leisure Life Satisfaction, Perceived Health Status and Depression in the Elderly)

  • 박혜경
    • 재활간호학회지
    • /
    • 제12권2호
    • /
    • pp.112-119
    • /
    • 2009
  • Purpose: The purpose of this study was to investigate leisure activities, leisure life satisfaction, perceived health status and depression in the elderly and to examine the relationships among those variables. Method: The subjects were 204 elderly visiting a senior welfare service center in G city. Data were collected from September 14 to 18 in 2009. All subjects agreed to participate and filled out the survey questionnaire after signing the consent form. Results: 1) The mean score of leisure activities was 2.81; the mean score of leisure life satisfaction was 4.14; the mean score of perceived health status was 8.92; the mean score of depression was 5.13 and 42.2% of the subjects belonged to the depression group. 2) The level of leisure activities was significantly different according to education level, religion, spouse and pocket money. The level of leisure life satisfaction was significantly different according to religion and pocket money. The level of perceived health status was significantly different according to sex, education level and pocket money. The level of depression was significantly different according to spouse and pocket money. 3) Leisure activities showed positive correlation with leisure life satisfaction and perceived health status, but showed negative correlation with depression. Conclusion: These findings showed the need for the health promotion program that increases leisure activities and leisure life satisfaction without economic burden.

  • PDF

자가치아를 이용한 골이식재의 임상적 유용성: 일차 보고 (Clinical Effectiveness of Bone Grafting Material Using Autogenous Tooth: Preliminary Report)

  • 이정훈;김수관;문성용;오지수;김영균
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • 제33권2호
    • /
    • pp.144-148
    • /
    • 2011
  • Purpose: The purpose of this study was to evaluate the effectiveness of a novel bone grafting material using an autogeneous tooth (AutoBT) and provide the basis for its clinical application. The AutoBT contains organic and inorganic mineral components and is prepared from autogenous grafting material, thus eliminating the risk of immune reactions that may lead to its rejection. AutoBT can be used as bone material as is has both osteoinduction and osteoconduction activities at guided bone regeneration for implant placement and maxillary sinus graft. Methods: In a total of 63 patients, guided bone regeneration surgery was performed at the time of implant placement, and tissue samples were harvested at the time of the second surgery with the patient's consent. Results: There were no complications in guided bone regeneration using autogeneous tooth. Conclusion: We concluded that AutoBT underwent gradual resorption and was replaced by new bone of excellent quality via osteoinduction and osteoconduction.

장루보유자의 불편함 (Distress of the Patients with Ostomy)

  • 오은희;홍성정;모문희;우미영;김선주;정복례
    • 종양간호연구
    • /
    • 제11권1호
    • /
    • pp.9-19
    • /
    • 2011
  • Purpose: The purpose of this study was to explore and describe the distress of the patients with ostomy. Methods: A descriptive research design was adopted for data collection and analysis. Six patients with ostomy participated in the study. The consent from the participants was obtained for ethical protection. Data were collected from July 31, 2009 to January 10, 2010 using in-depth interview technique. Krippendorff's content analysis method was utilized for data analysis. Results: Eight categories and 26 themes were extracted from the data which illustrated the lived distress of the patients with ostomy. The categories were "do not have any freedom to eat whatever I wish to eat", "uncontrolled defecation"tomy", "can not live with comfort", "easily take a pessimistic view", and "see how the wind blows in daily family life". Conclusion: Ostomates were affected by the distress of having an ostomy in their physical, psychological, social and spiritual life. Individualized and continued nursing education program has to be developed in hospital and community settings in order to improve the quality of life of the ostomates.