• Title/Summary/Keyword: Medical papers

Search Result 648, Processing Time 0.034 seconds

A Meta-analysis on the Association between Chronic Noise Exposure and Blood Pressure (만성적 소음노출과 혈압의 상관성에 관한 메타분석)

  • Kim, Chun-Bae;Kim, Jai-Young;Cha, Bong-Suk;Choi, Hong-Ryul;Lee, Jong-Tae;Nam, Chung-Mo;Lee, Sang-Yun;Wang, Seung-Jun;Park, Kee-Ho;Kim, Dae-Youl;Koh, Sang-Baek
    • Journal of Preventive Medicine and Public Health
    • /
    • v.33 no.3
    • /
    • pp.343-348
    • /
    • 2000
  • Objectives : This study was conducted to integrate the results of studies assessing the association between chronic noise exposure and blood pressure. Methods : Using a MEDLINE search with noise exposure, blood pressure and hypertension as key words, we retrieved articles from the literature that were published from 1980 to December 1999. The criteria for quality evaluation were as follows: 1) the study subjects must have been workers employed at a high noise level area 2) The paper should use average and cumulative noise exposure as method for exposure evaluation. 3) Blood pressure in each article should be reported in a continuous scale Among the 77 retrieved articles, six studies were selected for quantitative meta-analysis. Before the integration of the regression coefficients for the association between blood pressure and noise level, homogeneity tests were conducted. Results : All studies were a cross-sectional design and the study subjects were industrial workers. Five papers used a time-weighted average for noise exposure and only one paper calculated the cumulative noise exposure level. The measurement of blood pressure in the majority of studios were accomplished in a resting stale, and used an average of two or more readings. The homogeneity of studies was rejected in a fixed effect model, so we used the results in a random effect model. The results of the quantitative meta-analysis, the weighted regression coefficient of noise associated with systolic blood pressure and diastolic blood pressure were 0.05 (95% confidence interval [CI]: -0.03, 0.13) and 0.06 (95% CI: -0.01, 0.13), respectively. Conclusions : Our results suggested that chronic exposure to industrial noise does not cause elevated blood pressure.

  • PDF

Effects of Nursing Interventions on Anxiety and / or Stress : A Meta-Analysis (불안 및 스트레스에 대한 간호중재 효과의 메타 분석)

  • 이은옥;송혜향;김주현;이병숙;이은희;이은주;박재순;전경자;정면숙
    • Journal of Korean Academy of Nursing
    • /
    • v.22 no.4
    • /
    • pp.526-551
    • /
    • 1992
  • The purpose of this study was to identify the commonalities of various nursing interventions and effective intervention methods in each intervention through analysis and synthesis of many accumulated research papers. The study analyzed the effects of various nursing interventions on anxiety and /or stress. For this purpose, 64 experimental studies with randomized or nonequivalent control group pre-test-posttest design were selected from journals of medical and nursing schools, the Korean Nurse, the Korean Nurses' Academic Society Journal, the Cetnral Journal of Medicine, the New Medical Journal, the Nurse Monthly, and from theses and dissertations conducted from 1970 to 1991. The selected studies nor classified according to three characteristics : 1) the research samuel, 2) types and methods of nursing interventions, and 3) statistical tests. The following analysis was done : 1) Confirmation of the accuracy of data drawn from each study by paired review, 2) Estimation of the homogenity of pre-test scores of the dependent variable between control and experimental groups warranted the effect size of post-scores, 3) If the homogenity of pre-test scores did not warrant, the change scores from pre-test to post-test were used to estimate the effect size, 4) Use of the effect size of each study among homogenious studies was tested for each intervention method, such as relaxation, information, and touch and /or support. Finally, for the studies not showing homogenity, an ANOVA test was used to identify patterns for each intervention. Some findings are summarized as follow : The effect sizes for relaxation and information were greater than those for touch and /or supportive technique. Studies using random assignment had greater effect sizes than nonrandomized sample studies using the same intervention. For healthy people, group education was more effective than individual teaching. However, for patients, relaxation and touch and /or supportive techniques given on individual basis were more effective than when given in a group situation. Measuring anxiety and stress by biological indicators was less effective than by self-report. Budzynski's relaxation method was the most effective. The more frequently the techniques applied, the larger the effect size. On the bases of these findings, the following recommendations were made : 1. A combination of information, relaxtion, and touch-supportive techniques should be used for greater effect in reducing the level of anxiety and /or stress. 2. Information is the first choice of intervention to reduce the level of anxiety and /or stress of healthy People : other interventions may be added depending on the conditions of the subjects.

  • PDF

Study on The Effect of Lee Dong-Won's Eumhwalon on the Treatment of Internal Disease (이동원 음화론이 후대 내상병 치료에 미친 영향)

  • Shin, Jin-Bong;Lee, Jae-Won;Jeon, Ji-Young;Jeon, Yong-Cheol;Moon, Goo;Won, Jin-Hee
    • Journal of Physiology & Pathology in Korean Medicine
    • /
    • v.22 no.2
    • /
    • pp.267-276
    • /
    • 2008
  • According to a treatment of internal disease in oriental medicine, we recognize that Lee Dong-won's Eumhwalon has a critical meaning. However, there is no well organized study about that so far even though medical treatments and prescriptions affected by Lee Dong-won's Eumhwalon have been used in clinical medicine. Hence I have studied the effect on a treatment of internal disease of after age affected by Lee Dong-won's Eumhwalon focused on medical treatments and prescriptions. For the comprehensive study on the effect of Lee Dong-won’s(李東垣) Eumwhalon(陰火論) on a treatment of internal disease for after age, I have examined, collected, and summarized the related descriptions from various books and papers in this subject such as <Naek-yung(內經)> which is the bible of oriental medicine. Followings are obtained as a result: Lee dong-won said Eumhwa(陰火) might be happened if there are abnormalities of the spleen and the stomach which exercise going up and coming down(升降). Lee dong-won offered Gamonjeyol(甘溫除熱) and Sengyangsanwha(升陽散火) as treatments of Eumhwa(陰火) Gamonjeyol(甘溫除熱) affected the treatment and the pathological recognition of Daekilon(大氣論) by Jang suk-sun(張錫純). Consequently there are some prescriptions such as Sengham-tang(升陷湯), Wandae-tang(完帶湯), Kerwonjern(擧元煎), and so on affected by Gamonjeyol(甘溫除熱). Sengyangsanwha(升陽散火) affected Yuklumanju(逆流挽舟) by Yu chang(喩昌) a lot. It is a meaning of Sengyangsanwha(升陽散火) that he used Insampaedok-san(人蔘敗毒散) to dysentery. As a representative prescription, there are Insampaedok-san(人蔘敗毒散), Kamisoyo-san(加味逍遙散), Baekchuljakyak-san(白朮芍藥散), and so on.

Mainstream Productivity of SCI Korean Medical Papers by Medical Specialty: 1980-1990 (Science Citation Index (SCI)에 수록된 한국 의학논문들의 의학분야별 실적평가: 1980-1990)

  • Lee Choon Shill;Yoon Bong Ja
    • Journal of the Korean Society for Library and Information Science
    • /
    • v.28
    • /
    • pp.287-299
    • /
    • 1995
  • 지금까지 국내 연구자들이 SCI 학술지에 발표한 의학논문의 수가 아주 미미하기 때문에 전 세계 학자들이 발표한 SCI 전체논문 중 한국논문이 차지하는 비중은 지극히 낮은 것으로 보인다. 따라서, 본 연구에서는 1980년부터 1990년 사이에 국내에 있는 의학 관련기관의 연구자들이 SCI 학술지에 발표한 논문이 SCI 전체 논문 중 차지하는 비중(Percentage Contribution from Korea to SCI Database)을 47개 의학분야별로 조사하였다. 또한. 본 연구에서는 "국제적으로 영향력 있는 학술연구 활동실적(i.e., Mainstream Productivity)"이 타 분야보다 뛰어난 한국의 의학분야를 밝히기 위하여. SCI 학술지에 발표된 모든 한국 의학논문 중 한 분야의 논문이 자치하는 몫(Percentage Share)을 SCI 전체 논문 중 그 분야의 논문이 차지하는 몫으로 나누어 그 상대적 크기를 분석함으로써, 우리나라 학자들의 Mainstream Productivity Ratio(R)를 각 분야별로 측정하였다. (R=1은 SCI 의학 학술지에 발표된 모든 논문 중에서 어떤한 분야의 논문이 차지하는 비율만큼 한국에서도 그 분야의 논문이 SCI 학술지에 투고되었다는 의미이다.) 1980년에서 1990년 사이에 한국 학자들에 의하여 SCI에 발표된 의학논문이 SCI 전체 의학논문 중에서 차지하는 비율은 $0.051\%$였다. 각 의학 분야별로는, Biotechnology & applied microbiology의 기여도가 $0.8\%$를 차지하여 한국 최고를 기록하였다. 전 세계 문헌의 $1\%$ 이상을 생산한 의학 분야는 없었다. 전 세계 문헌의 $0.1\%$ 이상을 SCI 학술지에 게재한 의학분야는 47개 중 6개인데, 위에 언급한 Biotechnology & applied microbiology를 제외하면 $0.1\%$에서 $0.2\%$ 사이의 기여도를 보였다. 최다 편수의 논문을 낸 Pharmacology 8l Pharmacy$(0.075\%)$나 두 번째로 논문수가 많았던 Biochemisty & molecular biology$(0.054\%)$의 기여도는 $0.1\%$에 미치지 못하였다. 조사대상이 된 47개 의학분야 중 27개 분야에서 예상된 것보다 상대적으로 적은수(R<1)의 한국 논문이 SCI 학술지에 게재되었다. Mainstream Productivity Ratio가 3보다 큰 분야는 4개인데, 그 중 Biotechnology & applied microbiology는 R=15.63으로 아주 월등한 논문 발표실적을 올렸다. Dermatology & venereal diseases(3.02)와 Engineering, biomedical(3.75)도 국제적으로 영향력 있는 학술지에 논문 발표실적이 뛰어난 의학분야이다.

  • PDF

Development of flat panel digital x-ray detectorusing a-Se (비정질 셀레늄을 이용한 평판 Digital X선 검출기 개발)

  • Park, J.K.;Choi, J.Y.;Kang, S.S.;Cha, B.Y.;Jang, G.W.;Choi, J.Y.;Nam, S.H.
    • Korean Journal of Digital Imaging in Medicine
    • /
    • v.6 no.1
    • /
    • pp.24-30
    • /
    • 2003
  • Flat-panel detector(FPD) is the driving force for realizing the next gene ration of x-ray system. In this study, we developed amorphous selenium(a-Se) based flat-panel digital X-ray detector(DXD) for radiography. The prototype detector consists of an amorphous selenium layer and a thin-film transistor(TFT) array. Comparing to other papers1)-4), optimization of amorphous selenium and progress of evaporation were similar. The pixel pitch of fabricated detector was $139{\mu}m$, fill factor was 86%, and the size was 14"${\times}$8.5". Hand and test bar pattern images were acquired. A high modulation transfer function(MTF) factor was obtained: 58% at 3.0 lp/mm.

  • PDF

A Research on the Actual Smoking State and Awareness of some Dental Hygiene Students (일부 치위생(학)과 학생들의 흡연실태 및 인식도 조사)

  • Kim, Hee-Kyoung;Kim, Eun-Ju;Lee, Min-Sun;Um, Mi-Ran;Ma, Deuk-Sang;Choi, Yong-Keum
    • Journal of dental hygiene science
    • /
    • v.9 no.2
    • /
    • pp.241-247
    • /
    • 2009
  • The objective of this research can be found in its use as a basic material to induce students from the department of dental hygiene to quit smoking, by raising the awareness of tobacco cessation as well as the actual smoking state. The graduating undergraduates from 10 universities (including colleges) based on their 61 major departments across the country took pan in this questionnaire. The questionnaire basically consists of the understanding of smoking, a state of smoking or tobacco cessation(5 questions), and the advisory guidance on quit smoking(4 questions). The questionnaire on the awareness of smoking relating to those work for the health and medical services is based upon the papers published from WHO (World Health Organization), which is aimed to find out the smoking rate of those involved in the health and medical services around the world. In addition, an adequate education for smoking students from the department of dental and hygiene should be taken into account in an effort to raise the awareness of smoking and the necessity of tobacco cessation.

  • PDF

A Statistical Analysis of Outpatients in Ophthalmology and Otolaryngology of Korean Medicine at Kyung Hee University Korean Medicine Hospital in 2012-2016 (2012-2016년 경희대학교 한방병원 한방안이비인후과 외래환자에 대한 통계적 분석)

  • Kang, Se-Hyun;Moon, Young-Kyun;Park, Jung-Gun;Nam, Hae-Jung;Kim, Kyu-Seok;Kim, Bong-Hyun;Kim, Yoon-Bum
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
    • /
    • v.30 no.4
    • /
    • pp.1-24
    • /
    • 2017
  • Objectives : The purpose of this study is to research on the characteristics of outpatients and distributions of diseases in ophthalmology, otolaryngology of Korean medicine in 2012-2016 and compare the result with previous studies. Methods : This study is based on the analysis of medical records of total 2,319 outpatients in ophthalmology, otolaryngology of Korean medicine at Kyung Hee Korean medicine hospital from January 1, 2012 to December 31, 2016. We searched on the demographic characteristics of outpatients and the distributions of diseases in order of frequency by age and sex. Then, we compared these results to previous results of papers at same hospital in 2000 and 2007. Results : The common diseases in 2012-2016 were dry eye syndrome in ophthalmology(32.14%), tinnitus and hearing loss in otology(72.69%), rhinitis in rhinology(82.20%) and laryngopharyngitis in laryngology(67.77%). The most increasing diseases in the distribution between 2004-2006 and 2012-2016 were retinopathy in ophthalmology(+366.77%), etc including the eustachian tube disorder in otology(+151.55%), olfactory disorder in rhinology(+167.50%) and laryngopharyngitis in laryngology(+126.20%). Conclusions : If we accumulate these kinds of epidemiologic studies on ophthalmology, otolaryngology of Korean medicine, it will be great help to make Korean medical preparations for the increasing diseases on these fields.

Study on Companion Dog Practice and Management System on Animal Hospital in Seoul City (서울시내 동물병원의 애완견 진료와 관리시스템에 관한 연구)

  • Kang, Dong-Joon;Chung, Byung-Hyun;Heo, Jung;Kang, Chung-Boo
    • Journal of agriculture & life science
    • /
    • v.43 no.2
    • /
    • pp.39-46
    • /
    • 2009
  • Ten animal hospitals in Seoul were selected, and of which 41,305 practice in total for recent 1 year were analyzed based on international classification of disease(ICD) of WHO. Of the entire practice, prophylaxis cases accounted for 42.2%. Of the 9,376 cases of internal diseases, digestive system diseases accounted for 4,957 cases(52.9%), respiratory system diseases 1,776 cases(18.9%), circulatory system diseases 1,239 cases(13.2%), and neoplasms diseases 413 cases(4.4%), respectively. In the estate investment expenses, to be specific, rental guarantee deposit accounted for about 50% of the entire estate cost, foregift(48%), and monthly rent(2%). Dividing the income of animal hospitals into medical service, articles selling, and pet-dog beauty, medical service accounted for 71.6% of the entire sales, selling of articles 16.7%, and pet-dog beauty 11.6%. Publicity work for the animal hospital was done mostly through web sites on internet(47%), then through local advertising papers(23.5%), and through bulletins and telemarketing(11.8%). Manpower of the animal hospitals in this study was mostly composed of veterinarians(45.5%) up to about half of the entire staffs, while there was no veterinary technician who had specialized education in that area.

Methodological Quality Evaluation of a Meta-Analysis Study of Rehabilitation Treatment Interventions for Stroke Patients in Korea Applying AMSTAR-2: Focusing on Upper Extremity Function and Recovery of Daily Life (AMSTAR-2를 적용한 국내 뇌졸중 환자의 재활치료 중재 메타분석 연구의 방법론적 질 평가: 상지기능과 일상생활회복을 중심으로)

  • Hwang, Ho-Sung;Ham, Min-Joo
    • The Journal of the Korea Contents Association
    • /
    • v.22 no.8
    • /
    • pp.660-670
    • /
    • 2022
  • This study was analyzed by applying AMSTAR-2, a methodological quality evaluation tool, to evaluate the quality of domestic meta-analysis papers on rehabilitation interventions for stroke patients. The purpose of this study is to provide guidelines for qualitative improvement of evidence-based practice and meta-analysis research by analyzing the qualitative level of the analyzed research. The literature search was conducted using the Research Information Sharing Service, Korean Medical database, and Korean studies Information Service System. Two authors searched, extracted, and reviewed literature using the keywords 'stroke' and 'meta-analysis'. As a result of the AMSTAR-2 quality evaluation of the final 18 studies, 3 studies (16.67%) were 'Moderate', 8 studies (44.44%) were 'Low', and 7 studies (38.89%) were 'Critically Low'. In future research, scientific and objective data selection and extraction process should be performed. It is expected that interest and efforts to improve the quality of meta-analysis research will continue by referring to the contents analyzed in this study as a way to improve the quality of literature.

The Rate of Diagnostic Agreement and Concordance Ratings on Psychiatric Recommendation in Consulted Delirious Cases (자문의뢰된 섬망환자에 대한 진단 일치율과 정신과 의견의 반영도)

  • Oh, Eung-Seok;Nam, Jung-Hyun;Kim, Seok-Hyeon;Park, Yong-Chon;Kim, Sung-Mok
    • Korean Journal of Psychosomatic Medicine
    • /
    • v.9 no.2
    • /
    • pp.174-181
    • /
    • 2001
  • Objectives : The author investigated the rate of diagnostic agreement between consultants and consultees and concordance ratings on the consultees' recommendation to examine the interactive collaborativeness and find the factors that influence the reflectiveness on treatment. Methods : The subjects were 54 patients with delirium selected from 583 cases referred from other departments who were admitted to Hanyang University Kuri Hospital from July 1, 1995 to Dec. 31, 1997. The information on demographic data, diagnostic impression, symptoms, management before consultation, psychiatric recommendation, management after consultation, diagnoses at the referring departments and the psychiatric department on delirium was obtained by medical records and consultation papers retrospectively. The reflectiveness of the psychiatric recommendation was divided into complete concordance, partial concordance, and nonconcordance and among them the complete and partial concordance were considered for concordance. The reflectiveness was compared among all the departments and between medical unit and surgery unit. Results: The rate of diagnostic agreement on the cause of delirium was highest(85.7%) in organic brain syndrome and lowest in general medical condition(0%). There was no statistically significant differences between medical unit and surgery unit. Neither differences were there among all the departments. In comparing symptoms affecting the reflectiveness, it was 73.5% in impulsive and aggressive behavioral changes, whereas 40.0% in behavioral changes. Reflectiveness of psychiatric recommendation showed higher scores in the case of behavioral changes. The cases of sleep problem showed higher scores of reflectiveness. When these two symptoms of behavioral change and sleep problem were compared as one factor, the results suggested that there were significant differences. The cases with both two symptoms showed 80% in reflectiveness, and the cases with only one symptom or no symptoms showed 44.8% in reflectiveness. There were no statistical significances between concordance ratings and symptoms such as disturbance of consciousness, disorientation, and hallucination that cannot be easily evaluated at the referring departments. Conclusions : The rate of diagnostic agreement on the cause of delirium was highest in the case of organic brain syndrome in which lesions can be easily recognized. The factors that influence the reflectiveness of psychiatric recommendation were behavior changes and sleep disorders in the symptoms of evaluated cases.

  • PDF