• Title/Summary/Keyword: Patient evaluation

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A Study on Developing a Patient Gown for Spinal Surgery Patients - Focusing on Female Patients - (척추 수술 환자를 위한 환자복 개발에 관한 연구 - 여성 환자들을 중심으로 -)

  • Park, Jeong-Eun;Nam, Young-Ran;Choi, Hei-Sun
    • Journal of the Korean Society of Costume
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    • v.62 no.7
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    • pp.205-219
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    • 2012
  • The purpose of this study is to develop comfortable patient gown for spinal surgery patients. The results of the survey confirmed inconveniences and problems with the current gown, and a new gown style was recommended. The recommended changes addressed design, pattern, and materials. The final experimental design for the top of the new patient gown is a wrap style that moves the center opening of the gown to the side and enables patients to control the length of the sleeves by attaching two snaps. The cutting line is aligned with the back brace location, and the issue of repeated bunching of the gown material by the brace was solved by substituting 100% knitted structure fiber. The sleeve length can be adjusted with snaps on the sleeve cap and hem. When lifting up the gown for treatment on specific areas of the body, doctors open the edge of the right side of the gown in order to lift up the top. The bottom of the new patient gown was made from 100% cotton knitted structure fiber, and it enables patients to control the length of pants by attaching two snaps on the side. The results of an on-site dressing suitability evaluation and a flexibility evaluation with respect to dressing/undressing indicated that the new patient gown was much better received than the existing gowns (A and B). Our hypothesis regarding new patient gowns was supported in both the fit and design categories.

Legal Management of Medical Quality (의료 질의 법적 관리)

  • Cho, Hyong-Won
    • The Korean Society of Law and Medicine
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    • v.8 no.2
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    • pp.167-193
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    • 2007
  • Medical demand has been increased explosively since health insurance was introduced in 1977. Person has taken a growing interest in increase of medical service supply while that period. We must understand the legal aspects of medical quality management. There have been many legislative efforts for securing the right of patient. Patient's legal right is secured through the declaration of patient's right and all hospital person deal with patients according to the standard and criterion of the declaration of patient's right. The patient's right is set up on a basis of the right to live and the expectation right of patient. It is important to prevent medical accidents because the right of patient's health is violated by medical accident. We must manage well the medical quality to prevent the medical accident. The effort to escalate the medical quality is the best method to decrease the medical dispute. Nowadays a person take a growing interest medical quality. Our government make an effort to secure the medical quality through the legal system to be contained health organization evaluation system.

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Ventilation Impairment During Anesthesia in Patients with Anterior Mediastinal Mass (전 종격동 종양 환자의 마취시 발생한 환기장애)

  • Park, Ki-Bum;Park, Sang-Jin;Jee, Dae-Lim;Lee, Bo-Hyun
    • Journal of Yeungnam Medical Science
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    • v.22 no.1
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    • pp.104-112
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    • 2005
  • Because of location, a mediastinal mass may cause complications such as a major airway obstruction, a superior vena caval obstruction, and cardiac compression during general anesthesia. The patient's condition need to be assessed by several methods to predict the risks associated with general anesthesia. The authors took computed tomographs for a preoperative evaluation of two patients with an anterior mediastinal mass, and the risk of perioperative complications was predicted by measuring the tracheal area. The patients were managed according to the preoperative evaluation but severe ventilation impairments were encountered during anesthesia. In one patient, stable ventilation could not be maintained until spontaneous breathing appeared. The operation was cancelled and the patient was brought into the ICU. In the other patient, a tracheal tube was inserted deeper in an attempt to pass the narrowed tracheal portion due to mediastinal tumor compression resulting in improved ventilation.

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Comparison of Standardized Patient and Faculty Agreement in Evaluating Nursing Students' Assessment and Communication Skills (시뮬레이션기반 실습 시 간호학생의 간호사정 및 의사소통 기술에 대한 표준화 환자와 교수자 간의 평가 일치도)

  • Kim, Young Ju
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.24 no.3
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    • pp.189-199
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    • 2017
  • Purpose: This study was conducted to examine the level of agreement between a standardized patient (SP) and a faculty member in the evaluation of nursing students' assessment and communication skills. Methods: Participants were 51 third year nursing students in a simulation practice of 'nursing care for a patient admitted with chest pain'. Using a 30-item checklist and a 16-item communication tool, a SP and faculty member evaluated the students' assessment and communication skills during the simulation. Results: The average values for percent agreement and kappa statistic for nursing assessment between the two evaluators were 85.3% and .48 respectively. Twenty of thirty items evaluating assessment skill had above moderate agreement (${\geq}.41$) by kappa between the evaluators. Seven of sixteen items evaluating communication and interpersonal skills showed above fair agreement (${\geq}.40$) between the two evaluators, which was measured by intraclass correlation coefficient. Conclusion: The findings show that the evaluation of the SP was consistent with those of the faculty member to a moderate degree. Clear guidelines for evaluating criteria and optimal time and effort for SP training are necessary to increase the reliability of standardized patients as evaluators in simulation-based nursing education.

The Effect of Patient-customized Insole on Both Feet Velocity in Pes Planus (편평족의 환자 맞춤형 인솔 보조기가 양발속도에 미치는 영향)

  • Min, K.K.;Park, K.Y.;Park, S.H.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.2 no.1
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    • pp.19-25
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    • 2009
  • Pes planus is a condition where the arch of the foot collapses and comes in contact with the ground. The purpose of study was to confirm the effect of a patient-customized insole on both feet velocity of pes planus with and without the insole, in order to establish both feet velocity as a rehabilitation evaluation factor of pes planus in future. As a result, the average velocity shifts of both feet showed that left foot is 2.96%, right foot is 1.09% via gait experiment with 13 pes planus patients with and without insole. Therefore this study verified that the patient-customized insole effects on both feet velocity of pes planus. However further study needs to demonstrate both feet velocity as a rehabilitation evaluation factor in pes planus.

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An Electronic Colon Cleansing Method using a Patient Colon CT Profile (환자 대장 CT 프로파일을 이용한 전자적 장세척 방법)

  • Kim, Han-Byul;Kim, Dong-Sung
    • Journal of KIISE:Software and Applications
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    • v.35 no.8
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    • pp.493-500
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    • 2008
  • This paper proposes an electronic colon cleansing method using a patient CT profile for a virtual colonoscopy. The proposed method extracts the colon using cubic seeded region growing, and removes tagged materials adjacent to the colon. Residuals produced by a partial volume effect at the boundary of air-tagged material are deleted, and the removed soft tissue pixels due to a partial volume effect at the boundary of tagged material-soft tissue are recovered using a patient CT profile. The proposed method was applied to 16 virtual colonoscopy patient data sets, and produced promising results by a subjective evaluation of a radiologist and by a quantitative evaluation of a computer-aided diagnosis system.

Comparison of Patient's Subjective Rating Scales for Voice Evaluation in Professional Voice Users with Vocal Fold Lesions (전문직 음성사용자의 주관적 음성평가도구간의 비교)

  • Kim, Jae-Ock;Choi, Sung-Hee;Lim, Sung-Eun;Choi, Jae-Nam;Choi, Hong-Shik
    • Proceedings of the KSPS conference
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    • 2007.05a
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    • pp.292-294
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    • 2007
  • This study was designed to compare the translated patient's subjective rating scales for voice evaluation (Voice Handicap Index; VHI, Voice-Related Quality of Life; V-RQOL, Voice Rating Score; VRS) into Korean, taken from 24 professional voice users diagnosed with organic voice disorders. First, the correlation amongh those scales were observed. Second, the correlation between the patient's subjective rating scales and acoustic measures (Jitter%, Shimmer%, NHR) were examined. Third, those scales were compared by clinician's objective scale (G in GRBAS scale). Results indicated that significant correlations among the patients' subjective rating scales and significant correlations of clinician's rating scale with jitter% and Shimmer%, but not with NHR were observed. In addition, there were significant correlations of G with VHI and VHI-P (one of subscale of VHI). However, none of acoustic measures were correlated with the patient's subjective rating scales.

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Orthodontic treatment of a transposed maxillary canine and first premolar in a young patient with Class III malocclusion

  • Gracco, Antonio;Siviero, Laura;Perri, Alessandro;Favero, Lorenzo;Stellini, Edoardo
    • The korean journal of orthodontics
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    • v.45 no.6
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    • pp.322-332
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    • 2015
  • A 12-year-old girl was referred to our clinic for evaluation of an unaesthetic dental appearance. All permanent teeth were erupted, while the deciduous maxillary right canine was retained. Cone-beam computed tomography revealed a complete transposition of the maxillary left canine and first premolar involving both the crowns and the roots. Initial cephalometric analysis showed a skeletal Class III pattern, with a slight maxillary retrusion and a compensated proclination of the upper incisors. The patient's teeth were considered to be in the correct position; therefore, we decided to attempt treatment by correcting the transposition and using only orthodontic compensation of the skeletal Class III malocclusion. After 25 months of active orthodontic treatment, the patient had a Class I molar and canine relationship on both sides, with ideal overbite and overjet values. Her profile was improved, her lips were competent, and cephalometric evaluation showed acceptable maxillary and mandibular incisor inclinations. The final panoramic radiograph showed that good root parallelism was achieved. Two-year follow-up intraoral photography showed stable results.

Quantitative Evaluation of Appointment System for Outpatients in Dental Clinic (치과의원 외래환자 예약관리체계의 계량적 평가)

  • Lee, Hyung-Ju;Chang, Hye-Jung
    • Korea Journal of Hospital Management
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    • v.8 no.2
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    • pp.49-69
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    • 2003
  • This study purported to evaluate the performance of the appointment system for outpatients in primary care dental clinic. The data of patients' time flow for 1,245 patients in Y Dental Clinic were collected for one month in 2002 and then analyzed. Specifically, the time periods of treatment and patients' waiting as well as rates of appointment and it's failure are estimated. The accuracy of expected treatment time period was also evaluated. The results showed that 72% of patients visited the clinic with appointments, and only 56% kept their appointments. The patient's waiting time period turned out to be 11 minutes in Y clinic. The expected treatment time period is turned out to be very important because they influence significantly on patient's waiting time period. Practically, the expected treatment time period should be overestimated about 9 minutes in general, and the characteristics of dentist, each patient's diagnosis and age need to be especially considered. Hospitals and clinics also need to make the systematic and detailed critical pathways for a variety of patient cases by analyzing the patients' treatment pattern. With the improved appointment systems, healthcare institutions will approach the goal of effective and efficient management of the institution and also satisfy their customers.

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A Case Report of Traditional Korean Medicine Treatment for Broca's Aphasia Associated with Cerebral Hemorrhage after Middle Cerebral Artery Infarction (중대뇌동맥 뇌경색 이후 발생된 뇌출혈에 동반된 브로카실어증(Broca aphasia) 환자에 대한 한의치료 증례보고 1례)

  • Je, Yu-ran;Kim, Yoon-jung;Hwang, Won-deok
    • The Journal of Internal Korean Medicine
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    • v.40 no.5
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    • pp.832-840
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    • 2019
  • Objective: The aim of this case report was to present the effects of traditional Korean medicine on a patient with Broca's aphasia associated with cerebral hemorrhage after middle cerebral artery infarction. Methods: The Korean version of the Western Aphasia Battery (K-WAB) and the Evaluation of Articulator Performance were used to evaluate the language functions of the patient. Herbal medication and acupuncture were administered to improve the patient's symptoms. Results: The inpatient and outpatient treatments improved the patient's symptoms. The aphasia quotient (AQ) score of the K-WAB test before treatment was 6.4, but it increased to 21.4 after treatment. The Evaluation of Articulator Performance score improved by 0.0 points before treatment, by 1.0 points after 9 days of treatment, and by 1.5 points after 42 days of treatment. Conclusions: This case report suggest that Korean medical therapy can be effective in improving the language functions of patients with Broca's aphasia.