• 제목/요약/키워드: Systematic diagnosis

검색결과 471건 처리시간 0.03초

아토피피부염의 한의학 진료 지침 개발을 위한 사전 연구 (A study on the Development of Traditional Korean Medicine Clinical Practice Guideline for Atopic Dermatitis)

  • 윤영희;최인화
    • 한방안이비인후피부과학회지
    • /
    • 제25권2호
    • /
    • pp.38-48
    • /
    • 2012
  • Background : The atopic dermatitis patient and their families are looking for safer herb-medicine treatments that possess therapeutic effects, but without the recurrence of symptoms and long-term harmful consequences that can result from other treatment. However, for many reasons, including methodological difficulties and lack of high quality study like randomized clinical study and systematic review, there are no consistent clinical guide line for atopic dermatitis in Traditional Korean Medicine. Objectives : Evidence-based clinical practice guidelines support clinical decision-making by making recommendations to guide clinical practice. The purpose of this study was to develop Traditional Korean Medicine clinical practice guideline for atopic dermatitis Result : The future guide should be based on scientific evidence and include the followings: (1) diagnosis of atopic dermatitis (2) the pattern identification of atopic dermatitis (3) classification of Sasang Constitution (4) efficacy assessment (5) treatment guideline (6) education for patients and care givers Conclusion : The development of Traditional Korean Medicine clinical practice guideline for atopic dermatitis is needed.

방약합편과 한의학 임상표현 (Clinical presentation with 『PangYakHapPyon(方藥合編)』 in Korean medicine)

  • 주다현;김병수
    • 대한한의학회지
    • /
    • 제40권1호
    • /
    • pp.1-11
    • /
    • 2019
  • Objectives: The aim of this study is to introduce the Clinical presentation and announce the importance of developing Clinical presentation of Korean medicine and suggest about development direction of Clinical presentation of Korean medicine. Methods: To Investigate the Clinical presentation used in western medicine. I think that Clinical presentation of Korean medicine is a systematic list of Korean medicine symptoms and a standard syndrome differentiation and treatment(辨證論治). So I would like to offer "PangYakHapPyon(方藥合編)" as a basis for developing Clinical presentation of Korean medicine. Results: The clinical presentation term has become widespread in use at Calgary Medical college. Calgary Medical college created a list of 120 clinical presentations In 1991. In Korea, 101 clinical presentations were made in 2016. "PangYakHapPyon(方藥合編)" has been used effectively for over 130 years and widely used in the public. In addition, "PangYakHapPyon(方藥合編)" is summarized in the symptoms and prescriptions that occur frequently in Korea. Conclusions: For the globalization and standardization of Korean medicine, Clinical presentation of Korean medicine should be developed. The overall form of Clinical presentation of Korean medicine uses the form of Clinical presentation of Canada and a standard syndrome differentiation and treatment(辨證論治) for diagnosis and treatment is based "PangYakHapPyon(方藥合編)".

Education satisfaction and self-assessment of competency among new general dentists in Korea

  • Ji, Young-A;Kwon, Ho-Beom;Kim, Ryan JinYoung;Baek, Seungho
    • 대한치과의사협회지
    • /
    • 제57권9호
    • /
    • pp.504-513
    • /
    • 2019
  • Dental education is gradually transitioning to competency-based education system, which aims to help dentists achieve certain core competencies by means of various systems, such as curriculum accreditation. This study examined satisfaction with dental school education and the differences in the perceived importance and self-assessment of competencies among general dentists, in an attempt to propose a desirable direction for dental education. A questionnaire was administered to new general dentists who graduated from a dental school within the past 10 years. The results of the survey were analyzed using the Importance-Performance Analysis to understand differences in dentists' perceptions. Overall satisfaction with education was low in terms of the curriculum's relevance to actual practice and its capacity for cultivating required competencies. Furthermore, many of the respondents strongly perceived the need to improve dental education. Additional investigations into the satisfaction with education showed no difference. Among the seven key competency domains, dentists perceived Health Promotion to be important and also assessed themselves as having high competence. However, regarding the perceived importance of the remaining domains, self-assessment of competence was low for Professionalism, Communication & Interpersonal Skills, Knowledge Base, Information Handling & Critical Thinking, Clinical Information Gathering, Diagnosis & Treatment Planning, and Establishment & Maintenance of Oral Health. The results of this study suggest that a competency-based education model should be developed and incorporated into dental education to set performance standards and to promote systematic self-assessment in order to foster the development of competence in dental students.

  • PDF

호흡기감염 후 심근경색이 재발한 것으로 의심되는 환자의 기침에 대한 한양방 약물 병용투여 경과 : 증례보고 (Progression of Korean Herbal Medicine and Conventional Medicine Administration for Cough in Patients with Myocardial Infraction Relapse Suspected of Developing Acute Respiratory Infection: Case Report)

  • 김보민;조희근
    • 대한한방내과학회지
    • /
    • 제40권1호
    • /
    • pp.145-153
    • /
    • 2019
  • Objectives: This case is significant as a rare observational record at the Korean medical practice field. This case reports progression of co-administration of Korean herbal medicines and conventional medicines for cough in patients with myocardial infarction relapse suspected of developing acute respiratory infection. Methods: First, the chest radiography, CBC count and urinalysis were performed to estimate patient's systematic condition. After the estimated diagnosis, the patient was treated with modified Dingchuan decoction, antibiotics, and complex syrup for cough. We used the Cough-Specific Quality-of-Life Questionnaire (CQLQ) to assess patient's respiratory symptoms. Results: Co-administration of Korean herbal medicines and conventional medicines resulted improving of cough and sputum symptoms. Laboratory analysis items and total score of CQLQ also showed significantly improved results. Adverse effects were not observed. Conclusions: In this case, we concluded that co-administration of Korean herbal medicine and conventional medicine may be an effective therapy for the treatment of cough in patients with myocardial relapse of developing acute respiratory infection.

A Study on the Direction of Evaluation Indicators for Personalized Beauty Self-care

  • Lee, Yoo-jeong;Choi, Ji-woo;Shin, Sae-young
    • 패션비즈니스
    • /
    • 제24권6호
    • /
    • pp.120-134
    • /
    • 2020
  • Recently, the beauty industry has implemented personalized services based on skin big data. To increase competitiveness in the beauty industry, systematic data measurement and evaluation indicators are necessary to select data and obtain necessary knowledge. In response, this study sought to stably enhance the accuracy of skin diagnosis based on satisfaction and reliability. To this end, the research was conducted through focus group interviews (FGI), a case study of brands, and analysis of prior research results. In particular, as a result of analyzing keywords that classify skin types by brand, common survey items for skin types were oiliness and using moisturizer, cosmetic use and vascular of skin, external stimulus and blemish & freckles, facial wrinkle, outside activities, self-consciousness, and smoke. In additioin to the common questions of the preceding study and the brand survey items, the questions concerning complex skin types, seasonal change, facial color, wrinkles and elasticity were added, and the questions were presented in a total of 40 items. In particular, it suggested that skin measurement could be conducted by focusing on elasticity and pigmentation items by reflecting the results of prior research and the opinions of FGI, and based on this, a customized service with high satisfaction and high accuracy of beauty care based on this could be proposed. We hope that this study will facilitate active self-care by providing more satisfying skin stones and personalized cosmetics proposals, thus laying the foundation for the further development of the cosmetics industry.

A New Record of Prionospio depauperata (Annelida: Polychaeta: Spionidae) with DNA Barcoding Data of Four Prionospio Species in South Korea

  • Lee, Geon Hyeok;Yoon, Seong Myeong;Min, Gi-Sik
    • Animal Systematics, Evolution and Diversity
    • /
    • 제36권4호
    • /
    • pp.382-386
    • /
    • 2020
  • In this study, Prionospio depauperata Imajima, 1990 is newly reported in Korean fauna. Prionospio depauperata can be distinguished from other relatives by the four pairs of branchiae which are pinnate on chaetigers 2 and 5, and apinnate on chaetigers 3 and 4; caruncle extending to the end of chaetiger 2; and moderate dorsal crest present on chaetigers 7-13. The morphological diagnosis of P. depauperata are provided with the photographs of four Prionospio species. The mitochondrial cytochrome c oxidase subunit 1 (CO1), 16S ribosomal DNA (16S rDNA), and the nuclear 18S ribosomal DNA (18S rDNA) sequences of four Prionospio species from Korean waters, P. depauperata Imajima, 1990, P. japonica Okuda, 1935, P. krusadensis Fauvel, 1929, and P. membranacea Imajima, 1990, were determined for the first time. The inter-specific genetic distances among the congeners of four Prionospio species were 22.3-29.6% in CO1, 10.5-25.0% in 16S rDNA, and 0.3-3.6% in 18S rDNA.

Anomalies of the clivus of interest in dental practice: A systematic review

  • McCartney, Troy E.;Mupparapu, Mel
    • Imaging Science in Dentistry
    • /
    • 제51권4호
    • /
    • pp.351-361
    • /
    • 2021
  • Purpose: The clivus is a region in the anterior section of the occipital bone that is commonly imaged on large-volume cone-beam computed tomography (CBCT). There have been several reports of incidental clivus variations and certain pathological entities that have been attributed to the variations. This study aimed to evaluate the effects of these variations within the scope of dentistry. Materials and Methods: Medical databases (PubMed, Scopus, and Web of Science) were searched using a controlled vocabulary (clival anomalies, cone-beam CT, canalis basilaris medianus, fossa navicularis magna, clival variation). The search was limited to English language, humans, and studies published in the last 25 years. The articles were exported into RefWorks® and duplicates were removed. The remaining articles were screened and reviewed for supporting information on variations of the clivus on CBCT imaging. Results: Canalis basilaris medianus and fossa navicularis magna were the most common anomalies noted. Many of these variations were asymptomatic, with most patients unaware of the anomaly. In certain cases, associated pathologies ranged from developmental (Tornwaldt cyst), to acquired (recurrent meningitis). While no distinct pathognomonic aspects were noted, there were unique patterns of radiographic diagnosis and treatment modalities. Most patients had a normal course of follow-up. Conclusion: Interpretation of CBCT volumes is a skill every dentist must possess. When reviewing large-volume CBCT scans, the clinician should be able to distinguish pathology from normal anatomic variations within the skull base. The majority of clivus variations are asymptomatic and will remain undetected unless incidentally noted on radiographic examinations.

Six Newly Recorded Lepidopteran Insects (Lepidoptera) with Notes on Immature Stages in Korea

  • Shin, Bora;Kim, Sung-Soo;Choi, Sei-Woong
    • Animal Systematics, Evolution and Diversity
    • /
    • 제38권4호
    • /
    • pp.214-221
    • /
    • 2022
  • Six species in five families of Lepidoptera were newly recorded from Korea. The adult specimens of these six species were obtained during the rearing caterpillars collected across Korea. Agonopterix omelkoi Lvovsky (Depresariidae) can be distinguished by the ochreous forewing with a dark brown slanted line, a dark brown triangular spot, and a blackish discal dot, and the whitish hindwing. Dichomeris ferruginosa Meyrick (Gelechiidae) can be diagnosed by the light brown forewing with two relatively large blackish dots and suffusion of dark brown along the dorsum and subtermen, and the grayish hindwing. Pseudohedya satoi Kawabe (Tortricidae) can be diagnosed by the dark ochreous forewing with several medially curved dark ochreous medial lines, and the large light grayish tornal marking, and the dark grayish hindwing. Rhodoneura hyphaema (West) (Thyrididae) can be diagnosed by the reddish forewing with a relatively thick postmedial band, and the reddish hindwing with a narrow dark reddish straight medial band. Comibaena subprocumbaria (Oberthür) (Geometridae) can be diagnosed by the greenish forewing with a whitish apical marking that bordered with a brownish or dark reddish line that connected to the termen, and the distal abdominal segments with whitish and dark reddish dots. Perixera absconditaria (Walker) (Geometridae) can be diagnosed by the light brownish forewing with a relatively thick, slanted, dentate brownish postmedial line, and the light brownish hindwing with a small white discal spot. We provide the diagnosis and figures of adults and larvae, and DNA barcoding data.

철도시스템 이상진단 및 예지정비를 위한 FMEA 분석 방안 연구 (A Study on FMEA Analysis Method for Fault Diagnosis and Predictive Maintenance of the Railway Systems)

  • 오왕석;김경화;김재훈
    • 한국안전학회지
    • /
    • 제38권5호
    • /
    • pp.43-50
    • /
    • 2023
  • With the advent of industrialization, consumers and end-users demand more reliable products. Meeting these demands requires a comprehensive approach, involving tasks such as market information collection, planning, reliable raw material procurement, accurate reliability design, and prediction, including various reliability tests. Moreover, this encompasses aspects like reliability management during manufacturing, operational maintenance, and systematic failure information collection, interpretation, and feedback. Improving product reliability requires prioritizing it from the initial development stage. Failure mode and effect analysis (FMEA) is a widely used method to increase product reliability. In this study, we reanalyzed using the FMEA method and proposed an improved method. Domestic railways lack an accurate measurement method or system for maintenance, so maintenance decisions rely on the opinions of experienced personnel, based on their experience with past faults. However, the current selection method is flawed as it relies on human experience and memory capacity, which are limited and ineffective. Therefore, in this study, we further specify qualitative contents to systematically accumulate failure modes based on the Failure Modes Table and create a standardized form based on the Master FMEA form to newly systematize it.

Cone-beam computed tomography in endodontics: from the specific technical considerations of acquisition parameters and interpretation to advanced clinical applications

  • Nestor Rios-Osorio;Sara Quijano-Guauque;Sandra Brinez-Rodriguez;Gustavo Velasco-Flechas;Antonieta Munoz-Solis;Carlos Chavez;Rafael Fernandez-Grisales
    • Restorative Dentistry and Endodontics
    • /
    • 제49권1호
    • /
    • pp.1.1-1.18
    • /
    • 2024
  • The implementation of imaging methods that enable sensitive and specific observation of anatomical structures has been a constant in the evolution of endodontic therapy. Cone-beam computed tomography (CBCT) enables 3-dimensional (3D) spatial anatomical navigation in the 3 volumetric planes (sagittal, coronal and axial) which translates into great accuracy for the identification of endodontic pathologies/conditions. CBCT interpretation consists of 2 main components: (i) the generation of specific tasks of the image and (ii) the subsequent interpretation report. A systematic and reproducible method to review CBCT scans can improve the accuracy of the interpretation process, translating into greater precision in terms of diagnosis and planning of endodontic clinical procedures. MEDLINE (PubMed), Web of Science, Google Scholar, Embase and Scopus were searched from inception to March 2023. This narrative review addresses the theoretical concepts, elements of interpretation and applications of the CBCT scan in endodontics. In addition, the contents and rationale for reporting 3D endodontic imaging are discussed.