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Difference in Results according to Scorer and Test Date in Clinical Practice Test (진료수행 시험에서 채점자 및 시험 일자에 따른 결과 차이)

  • Kwon, So-Hee;Kim, Young-Jon
    • The Journal of the Korea Contents Association
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    • v.18 no.8
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    • pp.345-352
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    • 2018
  • The purpose of this study is to clarify the difference between the scoring results by scorer(doctors and standardization patients) and examination dates. A total of 101 students in the fourth grade of medical school participated in four clinical practice test. Students were randomly assigned to either day-1 or day-2, which was consisted of a standardized patient scoring set or a physician scoring set. Station checklists consisted of history taking, physical examination, patient education, physician-patient relationship and clinical courtesy. The achievement scores of each case and each domain were converted to the standard score, and the differences between groups were compared. Female students' achievement scores were significantly higher than male students' achievement scores in all domains. There was no significant difference between means by the standardized patients' group and doctors group. Day-2 group was significantly higher than day-1 group in both of history taking and physical examination domains. If the principles of checklist are clearly defined, the scorer status (either physician or standardized patients) does not determine the difference of students' practice test scores.

Design of Oxygen Chamber System for Diagnosis and Treatment of Cold Hypersensitivity (냉증을 진단하고 치료하는 산소챔버 시스템의 설계)

  • Cho, Myeon-Gyun;Choi, Hyo Sun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.12
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    • pp.6013-6021
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    • 2012
  • Although there are many patients who suffer from cold hypersensitivity and have a difficult time in living daily lives due to feeling cold at room temperature, it is about true that an accurate diagnostic method and an effective remedy for a cold hypersensitivity have not been developed yet. Therefore, in order to develop traditional medicine equipment for cold hypersensitivity, we have designed new oxygen chamber system which can diagnose cold hypersensitivity with multiple bionic sensors and supply a patient optimum amount of oxygen adaptively to the extent of their illness. In particular, diverging from conventional diagnosis based on the experience of doctor and subjective statements of patient, we introduced accurate method for diagnosis in comparing between output of multiple sensors and threshold derived from clinical trials. After all, the proposed oxygen chamber system will contribute to achieving scientific evidence and manufacturing of korean traditional medicine.

A Study of the Effectiveness of Bioremediation Agents to degrade the spilled oils on waters (미생물제제의 해상유출유 분해 효과에 대한 연구)

  • Lim Jae-Dong;Yun Jong-Hwui;Kim In-Soo
    • Proceedings of KOSOMES biannual meeting
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    • 2004.05b
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    • pp.73-79
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    • 2004
  • When large-scale oil spill happens, it will put the fatal impact on the ecosystem, ultimately harm human being seriously. Accordingly every coastal country invests to improve response technologies, of which oil removal by use of bioremediation agent is taken to be secondary or alternative cleanup method in a specific spilled area In this regards, the author attempts to find out the efficiency and effectiveness of bioremediation agent to oil slick by laboratory experiment as well as the possibility of bioremediation application to future spill accident and gets the some results. In this study, the effectiveness and efficiency of bioremediation agent to oil slick is examined by short-term laboratory test and it is found that bioremediation agent am degrade oils effectively. however, considering the environment c! spill site is quite different from that of lab, the author will carry on the on-scene test of bioremediation for longer period to look into the possibility of biorediation agent as one of oil spill response methods.

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A Remote Medical Treatment System for Stroke Recovery using ZigBee-Based Wireless Brain Stimulator (ZigBee 기반의 무선 뇌자극기를 이용한 원격 뇌졸중 치료 시스템)

  • Yun, H.J.;Yang, Y.S.;Ryu, M.H.;Kim, J.J.;Kim, N.G.
    • Journal of Biomedical Engineering Research
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    • v.28 no.5
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    • pp.657-664
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    • 2007
  • Stroke patients need regular medical treatments and rehabilitation training from their doctors. However, severe aftereffects caused by stroke allow them minimum activities, which make it difficult for them to visit doctor. Recently, electric brain stimulation treatment has been found to be better way compared to conventional ones and many are interested in using this method for the treatment of stroke. In this study, we have developed a remote medical treatment system using wireless electric brain stimulator that can help the stroke patients to get a treatment without visiting their doctors. The developed remote medical treatment system connects the doctors to the brain stimulator implanted in the patients via the internet and ZigBee communication built in the brain stimulator. Also, the system receives personal information of the connected patients and cumulates the total records of electric stimulation therapy in a database. Doctors can easily access the information for better treatment planning with the help of graphical visualization tools and management software. The developed remote medical treatment system can be applied to the electric stimulation treatments for other brain diseases with a minor change.

A Study on the Differentiation of Tip(標) and Root(本) in Zangfubiaobenxushihanreyongyaoshi(臟腑標本虛實寒熱用藥式) (『장부표본허실한열용약식(臟腑標本虛實寒熱用藥式)』의 표본병(標本病) 구분에 대한 고찰(考察))

  • Kim, Jong-Hyun;Baik, You-Sang;Jeong, Chang-Hyun;Jang, Woo-Chang
    • Journal of Korean Medical classics
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    • v.26 no.4
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    • pp.385-396
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    • 2013
  • Zhang Yuan-Su(張元素) was a doctor of the Jin(金) period, who was followed by Li Dong-Yuan(李東垣) and Wang Hao-Gu(王好古), creating the Yishui School(易水學派). The most notable aspect of his theory is the internal organs(臟腑)-based diagnostic system. He organized previous methods based on the internal organs and applied the same methodology in treatment as well. The Zangfu-biaoben-xushi-hanre-yongyaoshi(臟腑標本虛實寒熱用藥式) is one of his major publications in which diagnostic and treatment methods are organized in a simple manner. In this book, the diseases of the organs are divided into the tip and root(標本). This paper investigates the standards of categorizing tip and root diseases through analysis of all symptoms of both tip and root diseases of the five internal organs. Then the results of the analysis were used in grasping the similarities and tendencies of the root disease and tip disease. Conclusively, root diseases indicate disorder in the internal organs themselves. Tip diseases indicate disorder in the channels and collaterals, diseases caused by exterior pathogens or symptoms that manifest in the exteriors of the body. Such categorization is thought to have been established to eliminate diagnostic error that could occur from using the same expressive means in describing symptoms with different causes, in the process of forming an uncomplicated diagnostic system.

Influencing Factors of the Incidence of Delirium in Elderly Patients with Arthroplasty (인공관절치환수술 노인의 섬망 발생 영향요인)

  • Lee, Young-Whee;Im, Hye-Bin;Jeong, Eun-Jeong;Ma, Hee-Sun
    • Korean Journal of Adult Nursing
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    • v.24 no.4
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    • pp.348-357
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    • 2012
  • Purpose: This retrospective chart review study was carried out in order to examine the frequency of delirium, and to identify the risk factors associated with the development of delirium in elderly patients with arthroplasty. Methods: Data were collected from medical records of patients who received arthroplasty during one and half year in a hospital. Three hundred sixty five patients were selected for the study. The onset of delirium was reviewed based on the result of psychological doctor's consultation or nurse's assessment with Confusion Assessment Method and delirium onset risk factors were examined. Data were analyzed with descriptive statistics, t-test, $x_2$-test, Fisher's exact test and logistic regression analysis. Results: Delirium occurred with 31 patients (8.5%) out of 365 patients who underwent arthroplasty. There were statistically significant differences between incidence of delirium and gender ($x_2$=6.11, p=.025), age ($x_2$=32.81, p<.001), hearing difficulty ($x_2$=8.08, p=.012), albumin level of preoperational day (t=-3.43, p<.001), albumin (t=-2.20, p=.028) and hemoglobin level (t=-2.83, p=.005) of operational day. Age and gender were the most significant predictive factors with regard to the incidence of delirium. Conclusion: Through understanding of these results, nurses will be able to identify those patients who may be at risk for developing delirium in early stages.

The relationship between smoking and depressive symptoms among Korean adults (한국인에서 흡연과 우울증상의 연관성)

  • Sung, Han Na;Kim, Jong Sung
    • Korean Journal of Health Education and Promotion
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    • v.33 no.2
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    • pp.57-66
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    • 2016
  • Objectives: This study investigated the relationship between smoking status and depressive symptoms among Korean adults. Methods: We used the data of 17,871 adults aged 19 years or older from the fifth Korea National Health and Nutrition Examination Survey(2010-2012). The subjects were classified as nonsmokers, former smokers, and current smokers by gender. Logistic regression analysis was used to calculate the odds ratios(ORs) and the 95% confidence intervals(CIs) for the effects of smoking status on depressive symptoms, and depression diagnosed by a doctor. Results: Compared to nonsmokers, the ORs of depressive symptoms for current smokers were 1.11(95% CI, 1.11-1.12) among males, and 1.64(95% CI, 1.63-1.64) among females. Compared to former smokers, the ORs of depressive symptoms for current smokers were 1.05(95% CI, 1.05-1.05) among males, and 1.89(95% CI 1.88-1.90) among females. Compared to nonsmokers, the ORs of depression for current smokers were 0.94(95% CI, 0.94-0.95) among males, and 1.40(95% CI, 1.39-1.41) among females. Compared to former smokers, the ORs of depression for current smokers were 1.09(95% CI, 1.09-1.10) among males, and 0.99(95% CI, 0.99-1.00) among females. Conclusions: Smoking is associated with depressive symptoms among Korean adults. Therefore, it is necessary to consider depressive symptoms with the management of tobacco control policies.

Research Trends on Child Tea Ceremony Education (유아다례교육 연구의 동향분석)

  • Park, Young-Ja;Choi, Bae-Young
    • Journal of Family Resource Management and Policy Review
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    • v.14 no.3
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    • pp.143-163
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    • 2010
  • The purpose of this study is to analyze the trend of research system and contents of thesis which was published with a theme of child tea ceremony education. Under this purpose we have searched the thesis related to the child tea ceremony education which was in the data base of the National Assembly Library, the National Library of Korea, Korea Education & Research Information Service and we have collected total of 22 analyzing subject data. The major results of this study are as followings: First, after analyzing the research system, the release year of child tea ceremony education study which was published from year 2000 to 2009 are shown as followings, 1 unit in year 2000, 2 units in year 2001, 2002 & 2003, 4 units in year 2004, 5 units in year 2005, 2 units in year 2006, 1 unit in year 2007, 2 units in year 2008, 1 unit in year 2009. The publishing type were 14 units of master's degree thesis, 6 units of academic journal, 2 units of doctor's degree thesis. The academic area of researchers are 8 units of propriety and tea culture, 5 units of early childhood education, 5 units of child welfare, 2 units of family culture and consumer, 1 each unit of counseling psychology and korean culture. As per the research method there were 15 units of experimental study, 6 units of reference research, and 1 unit of thesis which adopts both interview and case study. Second, as a result of analyzing the research contents, the goal of child tea ceremony education was shown to be a holistic child growth and development, a formation of basic living habit, a development of pride on traditional culture and an establishment of national identity. The contents of child tea ceremony education has been classified into 57 items. The activity of child tea ceremony education has been classified into 34 items. The vitalizations of child tea ceremony education is shown to be a education for parents and teachers, a development of systematic educational program, durability of child tea ceremony education, and a verification of effectiveness of child tea ceremony education.

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Development of Ship′s Digital ECG and Stethoscope Based on PC (PC를 기반으로 한 선박용 디지털 심전도 및 청진기 개발)

  • Lee, Geun-Sil;Moon, Serng-Bae
    • Journal of Navigation and Port Research
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    • v.28 no.3
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    • pp.239-245
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    • 2004
  • Electrocardiogram and phonocardiogram acquired from ECG and stethoscope by a non-invasive method are bio-signals which laue been a great role in patients diagnosis and used extensively by doctors. And these are mainly used at the examination room or first-and room of hospital. When the patients are located at some places far away from hospital like a car, an airplane and a vessel under way, there are some difficulties in confirming their cardiac sound Especially the patient of ocean going vessel might not have a medical treatment from the professional doctor at times. In this paper, we developed the digital ECG and stethoscope system based on personal computer which can easily measure the patient's cardiac sound and ECG signal, and this might shorten the appearance of the remote maritime telemedicine.

A Study on Jin Jeung Ga Jeung Byun of the Byun Jeung Ok Ham(辨證玉函) (변증옥함(辨證玉函) 권사(卷四) 진증가증변(眞症假症辨)에 대(對)한 연구(硏究))

  • Seo, Jong-Chul;Park, Dong-Seok;Keum, Kyung-Soo
    • Journal of the Korean Institute of Oriental Medical Informatics
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    • v.16 no.2
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    • pp.9-49
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    • 2010
  • Byun Jeung Ok Ham, written by Jin Sa Tak is composed of four books. This book is estimated of being written after A.D 1688 and composed of internal medicine, obstetrics and gynecology, ophthalmology, dental surgery and so on, total 36 parts of clinical medicine. This is the last book of that four studying about definition on true and false of 15 diseases. 15 subjects follow, tumo, heat, faint, hematemesis and nosebleeding, insanity, great vomiting, great diarrhea, great thirst, scrotal hernea, uterus attacked by heat, dysentery, congestion, great swelling, malaria, attack by cold. This treatise is the last book of four which deals with jin ga translating into korean and studying about medical theories. In every parts, author's unique clinical theory appears affluently and in that periods his study developed a lot in those days' medical methods. The first book deals with eum yang. second book is weakness and strongness, third upper and low, fourth truth and untruth. First book, Jin Sa Tak says studying on eum yang is oriental medical basic theory and on incurable diseases or chronic symptoms, doctor must go back to that eumyang demonstration after can cure patients. Second parts are on weakness and strongness demonstration, that weakness is weakness of patients' energy and strongness is prosperous condition of diseases' attack. Third parts are on upper and low, that upper is upper parts of human body of painful parts and low is human low parts of pain, that is parts of under waist. And this treaties fourth parts are truth and untruth, true symptoms and untrue symptoms, that is the real reaction of human condition and the other way. Every prescriptions are author's creations. This book provides new viewpoints which surpasses original ancient medical theories. Author suggests new opinions about chronic and incurable diseases.

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