• Title/Summary/Keyword: Medical statistics

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Effects of Acupotomy on Pain and Functional Improvement in Acute Low Back Pain Patients: A Retrospective Study (도침치료가 급성 요추 염좌 환자의 통증 및 기능개선에 미치는 영향: 후향적 연구)

  • Kim, Yeon-Hee;Oh, Min-Seok
    • Journal of Korean Medicine Rehabilitation
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    • v.28 no.2
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    • pp.91-104
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    • 2018
  • Objectives The aim of this study is to investigate the effect of Acupotomy on the pain reduction and functional improvement of patients with Acute low back pain. Methods We studied 60 patients with Acute low back pain with Numeric Rating Scale (NRS) 5 or higher in admission and had admitted to Department of Korean Medicine Rehabilitation of Daejeon University from March 1, 2017 to October 31, 2017. 30 patients had received Acupotomy combined Korean Medicine treatment(such as acupuncture, moxabustion, herbal medicine, etc) and the other 30 had received Korean Medicine treatment only. The analysis was conducted as a retrospective study which analyzes the patient's medical records. Statistical analysis was performed using the IBM SPSS Statistics 24 program. We used NRS to evaluate pain reduction, used Range of Motion (ROM) and Roland Morris Disability Questionnaire (RMDQ) to evaluate function improvement, and used EuroQol-5 Dimension (EQ-5D) and EuroQoL-Visual Analogue Scale (EQ-VAS) to assess quality of life. Finally, a five-point Likert scale was used to assess treatment satisfaction. Results The analysis revealed that patients who were treated with Acupotomy showed statistically significant NRS reduction, improvement of ROM and RMDQ, improvement of EQ-5D and EQ-VAS and satisfaction compared to those who just recevied Korean Medicine treatment. Conclusions In conclusion, we found that the Acupotomy showed a positive effect on pain resolving, functional rehabilitation and quality of life in patients with Acute low back pain.

Post Occupancy Evaluation of the Central Hospital in Quang Nam Province of Vietnam Funded by Korean ODA (ODA 지원 베트남 중부 꽝남성 종합병원의 거주후 평가)

  • Kwon, Soon Jung;Yu, Yeo Kyoung;Kim, Jihyun;Bang, Seol Ah
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.22 no.1
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    • pp.39-49
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    • 2016
  • Purpose: This is the ex-post evaluation on "the Central General Hospital in Quang Nam Province in Vietnam" funded by Korean ODA. Through this evaluation, this study tries to explore useful ways to improve the effectiveness of Korean ODA projects related to hospital establishment. Methods: Field survey and analysis of questionaire to the staffs and patients of Quang Nam Province General Hospital were conducted twice in 2012 and 2014 after the completion of the Hospital. Two sets of surveys and questionaire outcomes have been comparatively analysed by statistics in order to seek the trend of satisfaction level of hospital users and find out the improvement way in hospital design and construction. Results: The satisfaction level on the hospital was relatively high and that of 2014 is higher than that of 2012. The satisfaction level of the users was recorded in Likert 5 scales. Continuous facility complement and maintenance is considered as the main contributor in increasing the satisfaction level of users. As far as the satisfaction level of outpatient is concerned, that of 2012 was recorded as 3.65 and that of 2014 was 4.05. In case of inpatient, the satisfaction level on the hospital in 2012 was 3.76, and 4.06 in 2014. Implications: In overseas hospital projects, proper hospital project management system including medical service plan, strategic plan, brief, design & construction and maintenance have to be put together effectively and efficiently for the success of the hospital project. At the same time local climate, culture, building material and local code have to be considered in order to build sustainable hospital.

Web Accessibility Evaluation of Domestic Broadcasting System (국내 언론사 사이트의 웹 접근성 평가)

  • You, Kangsoo
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.18 no.2
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    • pp.252-259
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    • 2014
  • The obligation of web accessibility in public center, education center, medical center and rehabilitation center started from 2009 has plan to adapt it to a corporation and culture and art until 2015 by stages. This study analysed in the aspect of statistics how well the domestic broadcasting system follows web accessibility which was evaluated by six automatic checking guidelines provided in KWA-H 4.3 automatic evaluation device. With Kruskal-Wallis' test result of nonparametric analysis, an item of basic language statement seemed to be highly followed(p=0.041) with broadcasting system> internet newspaper> the daily press> sports newspaper in order. An item of label offering was followed(p=0.015) with sports newspaper> broadcasting system> the daily press> internet newspaper in order.

Analysis of Hand Hygiene Practices of Health Care Personnels (의료기관 종사자의 손 위생 수행 분석)

  • Oh, Hyang Soon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.9
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    • pp.6160-6168
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    • 2015
  • Hand hygiene(HH)of the health care personnels(HCPs) was the most effective method to prevent the transmission of healthcare associated infections. This study was conducted to measure and analysis the status of the HH compliance of HCPs. Data were collected by the direct observation methods of the World Health Organizations(WHO) using WHO's HH monitoring tool kits from 25th October to 31th December, 2010. Data were analyzed by descriptive statistics, cross analysis, multiple logistic analysis using the SPSS/PC 21 program. A total of 8,644 opportunities for HH were observed, and the overall HH compliance rate was 94.1%. HH rates of physicians was lowest(83.4%; OR: 0.209, 95%CI:0.174-0.252). HH rates were statistically different by the job titles(p<0.001), WHO's 5 moments(p<0.001). HH rates in registered nurses(p=0.003), and medical technicians(p<0.001) were statistically different by the WHO 5Moments. Jobs specific HH strategies and WHO 5Moments should be developed to increase the HH compliances of the HCPs.

Analysis of Violent Crime Count Data Based on Bivariate Conditional Auto-Regressive Model (이변량 조건부자기회귀모형을이용한강력범죄자료분석)

  • Choi, Jung-Soon;Park, Man-Sik;Won, Yu-Bok;Kim, Hag-Yeol;Heo, Tae-Young
    • Communications for Statistical Applications and Methods
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    • v.17 no.3
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    • pp.413-421
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    • 2010
  • In this study, we considered bivariate conditional auto-regressive model taking into account spatial association as well as correlation between the two dependent variables, which are the counts of murder and burglary. We conducted likelihood ratio test for checking over-dispersion issues prior to applying spatial poisson models. For the real application, we used the annual counts of violent crimes at 25 districts of Seoul in 2007. The statistical results are visually illustrated by geographical information system.

A Study on Correlation of Transvaginal Sonography Findings, CA-125 and Blood Stasis Pattern for 15 Adenomyosis Patients (자궁선근증 환자 15명의 초음파 검사 소견, CA-125와 어혈증(瘀血證) 설문지 점수와의 상관성 규명)

  • Cho, Jun-Young;Lee, Chang-Hoon;Cho, Jung-Hoon;Jang, Jun-Bock;Lee, Kyung-Sub;Lee, Jin-Moo
    • The Journal of Korean Obstetrics and Gynecology
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    • v.24 no.1
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    • pp.132-143
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    • 2011
  • Objectives: The purpose of this study is to know the correlation of transvaginal sonography findings, CA-125 and blood stasis pattern for 15 adenomyosis patients. Methods: We got questionnaires from 15 patients among 243 patients who had hysterectomy related with adenomyosis in the department of obstetrics and gynecology, OO medical center from April 11th 2010 to November 15th 2010, and analyzed them. We conducted correlation analysis between age, pain(VAS), duration of pain and blood stasis score, and between difference and sum of uterine walls, CA-125 and blood stasis score. For statistics, we used Spearman correlation coefficient and SPSS version 17.0 for windows. Results: The correlation between sum of uterine walls and CA-125 showed statistical significance. The correlation between CA-125 and blood stasis score showed statistical significance. There is no statistically correlation between age, VAS, duration of the pain and blood stasis score. There is no statistically correlation between difference of uterine walls and CA-125, and between difference and sum of uterine walls and blood stasis score. Conclusion: The result showed that sum of uterine walls is related with CA-125. We need a further study to develop blood stasis indicators with a validated questionnaire, and more subjects involved at multiple institutions.

The Removal of Plates after Craniomaxillofacial Surgery: A Retrospective Study (두개 악안면 수술 후 플레이트 제거에 관한 후향적 연구)

  • Park, Dae-Kyun;Yoo, Sang-Chul;Park, Seung-Ha;Koo, Sang-Hwan
    • Archives of Plastic Surgery
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    • v.34 no.2
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    • pp.186-190
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    • 2007
  • Purpose: Plate systems have been used for osteosynthesis of cranial and oromaxillofacial fracture. However, there is no consensus on the need for routine removal of plate and the question about indications of removal. Therefore, we present the retrospective study to clarify the indications and consensus of removal. Methods: The medical records of patients who were treated with rigid internal fixation using plates after craniofacial trauma were reviewed. Study variables included age, gender, type of fracture, type of plate, seniority of the operator, causes of removal, and time between insertion and removal. All results amendable to statistics were analyzed using SPSS 10.0 to determine which set of variables might affect the fate of the plates. Results: For a period of 10 years (March 1, 1994 through July 31, 2004), total of 41 plates(6.7%) were removed among 609 plates inserted into 419 patients; 27 plates were removed from 15 patients for infection, which is the most common cause of removal accounting for 65.8%. Mean time between insertion and removal is 35.2 months and mean age is 41.4 years. Most plates were removed from combined fracture(14.92%) and facial fracture(8.47%) and these were statistically significant. The age, gender, seniority of the operator and other variables were not statistically associated with plate removal. Conclusion: This retrospective study shows that routine removal does not appear to be clinically indicated due to respectively low removal rate and that the commonest indications for removal were infection.

Clinical Experiences with Foreign Body Granuloma of the Nose: 7-Year Experience with 18 Patients (비부 이물 육아종의 임상적 경험)

  • Park, Tae-Hwan;Seo, Sang-Won;Kim, June-Kyu;Chang, Choong-Hyun
    • Archives of Plastic Surgery
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    • v.38 no.4
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    • pp.391-397
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    • 2011
  • Purpose: The injection of various materials, including medical fillers and unregulated products, is widespread, potentially causing the development of foreign body granulomas. Should this occur on the nose, the contour deformity and inflammatory signs that result from these granulomas are aesthetically undesirable to patients. The purpose of our study is to share our experiences using different surgical approaches, depending on the affected portion of the nose, to optimize management of this challenging problem and to evaluate patient's satisfaction using our in-house questionnaire along with degree of improvement by two independent plastic surgeons. Methods: We treated 18 patients who underwent surgical excision of nasal foreign body granulomas via a perilesional approach to the lesion (n=12) or by transcolumellar incision (n=6) at our hospital over a period of seven years from March 2003 to October 2010. Nonparametric statistics were used and are presented as medians (25th-75th). Patient satisfaction was evaluated on a scale of 1 to 5 using an in-house questionnaire. All pre-and post-operative photographs were analyzed by two independent plastic surgeons. Post-operative outcomes were evaluated based on the surgeons' consensus ratings. Results: All patients receiving the transcolumellar approach reported a high level of satisfaction with the results. All but two patients who received the perilesional approach were satisfied with the outcome. No outcomes were rated as no change or worse by the consensus ratings. Conclusion: For the upper two-thirds of the nose, perilesional surgical excision can lead to substantial patient satisfaction with modified contour deformity and infection control. The transcolumellar approach resulted in better outcomes and patient satisfaction for the lower one-third of the nose.

Retrospective Study of Bite Wounds of Dogs in Daejeon and Chungnam Area (69 cases) (대전 및 충남지역의 개에서 발생한 교상에 대한 추적조사 (69예))

  • Kim, Young-Hoon;Lee, Jae-Yeon;Jee, Hyun-Chul;Park, Ji-Young;Lee, Young-Won;Choi, Ho-Jung;Park, Seong-Jun;Kim, Myung-Cheol;Jeong, Seong-Mok
    • Journal of Veterinary Clinics
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    • v.24 no.2
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    • pp.137-141
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    • 2007
  • The medical records of 69 dogs with history of bite wounds, between 1998 and 2006, were reviewed. Information obtained from these files included the general statistics of the patients (sex, age, breed, weight), season on occurrence of injuries, body areas wounded, therapeutic regime used and mortality rates. Intact male dogs were more frequently bitten. The weight distribution of the bitten population was varied 41% for small, 16% for medium and 17% for large dogs. The highest incidence was in young animals. The distribution of bite wound injuries over the year was recorded with peaks in April (13%), March (12%), August (12%) and September (10%). The common regions of injury were the head (22), fore-limbs (17), hind-limbs (15), abdomen (15), thorax (15) and neck (14). Mortality tends to be increased in cases of thoracic or abdominal injury. The results about the prevalence of bite wounds in Daejeon and Chungnam area are intended to use as a reference data in veterinary practice.

A Study on Emotional Characteristics with the CoreSeven-Emotions Inventory (CSEI), Based on the Seven Emotions (七情) in Bell's Palsy Patients (말초성 안면신경마비 환자의 핵심칠정척도를 활용한 정서적 특성 연구)

  • Son, Sung-Eun;Kang, Hyung-Won;Lyu, Yeoung-Su
    • Journal of Oriental Neuropsychiatry
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    • v.28 no.2
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    • pp.83-94
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    • 2017
  • Objectives: The purpose of this study was to conduct a characteristic study on Bell's palsy patients using the Core Seven Emotion Inventory (CSEI) followed by correlation analysis with BAI and BDI. Methods: This study was conducted by analyzing medical records of 30 patients that had visited ${\bigcirc}{\bigcirc}$ University Oriental hospital and completed the Core Seven Emotions Inventory (CSEI), BAI and BDI. A total of 30 patients diagnosed with Bell's palsy were analyzed using SPSS (Statistical Package for the Social Science, IBM, United States of America, Version 22.0). Descriptive statistics, Independent t-test, One-way repeated measure, ANOVA and Pearson Correlation analysis were used for data analysis. Results: 1. Kyeong (驚), Bi (悲) and Gong (恐) emotions were relatively higher than U (憂), Hui (喜). 2. According to sex, female patients exhibited higher Kyeong (驚) and Gong (恐) emotions than male patients. 3. According to age, patients older than 60 exhibited higher Hui (喜) emotion than patients younger than 59. 4. According to the correlation between prognosis and age in patients older than 60 revealed negative correlation in Kyeong (驚) and Gong (恐) emotions. Conclusions: Using the Core Assessment Instrument based on Chiljeong for Bell's palsy patients is effective relative to diagnostic and clinical aspects of Bell's palsy.