• Korean Journal of Adult Nursing
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• v.24 no.5
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• pp.546-555
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• 2012

Purpose: The objective of this study was to examine the relationships between nurses' knowledge and performance for the prevention of intravascular catheter-related infections (ICRI) according to the strength of recommendations in evidence based guidelines (EBG). Methods: The total participants were 144 nurses working for medical surgical unit and intensive care unit. Data were collected from July 12 to July 30, 2010 and analyzed by one way ANOVA and Pearson's correlation analysis. Results: The knowledge and performance mean scores were $0.80{\pm}0.17$ and $3.04{\pm}0.31$ for peripheral venous catheter (PVC) management, and $0.83{\pm}0.17$ and $3.00{\pm}0.30$ for central venous catheter (CVC) management respectively. The items of category IA had the highest knowledge score (F=44.70, p<.001) and the items of category II had the highest performance score (F=47.09, p<.001) in PVC management, while the items of category IA had the highest knowledge (F=20.04, p<.001) and performance scores (F=18.20, p<.001) in CVC management. Knowledge and performance scores were significantly correlated in CVC management (r=.24, p=.004), but not in PVC management (r=.03, p=.753). Conclusion: EBG for the prevention of ICRI was not fully implemented in clinical settings. These findings emphasize that clinical professions need to develope strategies to enhance nursing practices with evidence based guideline.

• Proceedings of the Korean Operations and Management Science Society Conference
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• 2006.05a
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• pp.1227-1234
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• 2006

최근 의료 서비스의 질적 향상을 위해 지식 기반의 의사결정지원 시스템 (Decision Support System)의 도입이 지속적으로 이루어지고 있으며, 이의 대표적 예로 임상실행지침(CPG : Clinical Practice Guideline) 중심의 진료 시스템이 있다. 임상실행지침은 환자가 병원에서 거치는 프로세스를 표현한 것으로, 질환에 대한 환자의 표준화된 진료 프로세스 지식이다. 본 연구에서는 임상실행지침, 의료 지식, 환자의 실시간 데이터를 연결시켜 환자가 병원에서 받아야할 진료 과정을 동적으로 생성하는 의사결정지원 시스템을 제시한다. 본 시스템은 임상실행지침과 의료지식을 바탕으로 추상화된 진료 프로세스 템플릿을 생성하고, 이 템플릿의 인스턴스에 해당하는 환자의 실시간 데이터를 반영하여 이후의 진료 프로세스를 동적으로 생성한다.

• The Transactions of the Korean Institute of Electrical Engineers P
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• v.61 no.1
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• pp.9-12
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• 2012

This paper analyzes a web-based clinical management system and conducts research on the pulse. Pulse analysis and the clinical study management system proposed by the web-based research holds significance in that it improves the objectivity and accuracy of pulse diagnosis. In particular, exact data must be analyzed through the clinical interpretation of these studies. Eventually oriental pulse standardization work will be continuously sustained. The findings of this study will help achieve remote diagnosis and consultation and updating of database. Research must be expanded to the development of telemedicine technology to create u-Health that will lead this present era.

• Korean Medical Education Review
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• v.20 no.2
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• pp.91-102
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• 2018

This study explored medical students' major research topics and research methods by analyzing 184 academic articles pertaining to the characteristics of medical students from 2007 to 2017. Results showed many papers dealing with medical students' emotional and cognitive aspects, student counseling, clinical practice education, and curriculum management. According to the medical education accreditation board, research trends were found mostly in the student and curriculum areas of learner characteristics, medical humanities, student counseling, clinical practice education, and curriculum management. Common research topics have been steadily increasing since the introduction of the evaluation accreditation standard in 2012. Medical students predominantly used quantitative research methods for the studies. In the future, it is necessary to ensure that research topics such as CQI, digital- and performance-based clinical practice, and convergent curriculum within the Fourth Industrial Revolution are being studied. In addition, it is crucial to investigate learners' unique, dynamic, and qualitative characteristics through qualitative and mixed methods.

• Korean Journal of Digital Imaging in Medicine
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• v.10 no.2
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• pp.33-37
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• 2008

To keep the online medical records available to anyone without constraint of time and space, introducing EMR (Electronic medical record), which is a clinical support management system. The purpose of this study is to develop interface standard of clinical test device. Integration and sharing of medical information is faced with enormous obstacles because medical organizations and associated companies are separately developing the interface. I hope that multi-function management system with workstation concept is operated to efficiently transmit clinical device result data based on this study. Transfer of precise medical result data available for decision making will improve quality of health care service.

• Journal of Veterinary Clinics
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• v.27 no.4
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• pp.386-391
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• 2010

This retrospective study was performed in 40 cases of canine crystalluria and urinary tract symptoms. Breed, age, sex, diet history and common clinical signs were investigated for patient information. CBC, serum chemistry, urinalysis, urine culture, urine sediment and urinary stone analysis were undertaken for clinicopathological diagnosis. Crystalluria and urinary tract symptoms occurred from 6 months till 14 years in this clinical investigation and the average age was 4.68 years. It had taken an average 7.4 weeks to correct crystalluria and urinary tract symptoms treated by supportive therapy and dietary management. In conclusion, regular clinical pathologic examination, treatment and diet management should be needed to prevent the formation of urolithiasis and urinary tract diseases in dogs with crystalluria and urinary tract symptoms.

• Sleep Medicine and Psychophysiology
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• v.27 no.1
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• pp.8-15
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• 2020

Sleep disorder in chronic obstructive pulmonary disease (COPD) is common and typically is associated with oxygen desaturation. The mechanisms of desaturation include hypoventilation and ventilation to perfusion mismatch. Despite the importance of sleep in patients with COPD, this topic is under-assessed in clinical practice. Impaired sleep quality is associated with more severe COPD and may contribute to worse clinical outcomes. Recent data have indicated that specific respiratory management of patients with COPD and sleep disordered breathing improves clinical outcomes. Clinicians managing patients with COPD should pay attention to and actively manage symptoms of comorbid sleep disorders. Management of sleep-related problems in COPD should particularly focus on minimizing sleep disturbance.

• Journal of Korean Academy of Dental Administration
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• v.8 no.1
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• pp.24-29
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• 2020

With the advancement of information technology, the application of augmented reality (AR) in dentistry is an emerging research field of image-guided surgery and dental education. In addition, the digital approach to incorporating AR in dental practice management is considered to be feasible. A prototype is developed to apply AR to dental daily clinical practice in order to help dentists to access electronic dental records. This prototype delivers patients' information and related clinical data to dental clinicians directly without the need to search for the appropriate patients. Wearable AR devices are considered to be a convenient tool for practicing dentists because dental practitioners are not always able to use a computer during active clinical sessions, such as implant placement, root canal treatment, and patient-doctor communication. The use of AR to visualize passive transferred patient data would be valuable for practicing dentists.

• Korean Journal of Clinical Laboratory Science
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• v.54 no.2
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• pp.163-166
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• 2022

Acquired hemophilia A (AHA) is an uncommon autoimmune bleeding disorder in which autoantibodies that affect the functions of factor VIII (FVIII) are present in the blood. The initial diagnosis of AHA is difficult as the presentations of AHA differ from those of congenital hemophilia A. Moreover, the treatment of AHA is more complex due to the presence of autoantibodies against FVIII. Here, we present a case report of postpartum AHA, to increase the perception and knowledge regarding the recognition and management of such cases. We present a young female with the chief complaint of vaginal bleeding and upper arm ecchymosis. Laboratory results exhibited isolated prolonged activated partial thromboplastin time (APTT) and FVIII inhibitors. The patient was treated with corticosteroids, FVIII concentrates, and a bypassing agent. In conclusion, unexplained postpartum bleeding, unmanageable with basic hemostatic measures, should lead to clinical suspicion of an acquired bleeding disease.

• Tuberculosis and Respiratory Diseases
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• v.86 no.3
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• pp.183-195
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• 2023

Bronchiectasis, which is characterized by irreversibly damaged and dilated bronchi, causes significant symptoms, poor quality of life, and increased economic burden and mortality rates. Despite its increasing prevalence and clinical significance, bronchiectasis was previously regarded as an orphan disease, and ideal treatment of this disease has been poorly understood. The European Respiratory Society and British Thoracic Society have recently published guidelines to assist physicians in the clinical field. Guidelines and reports suggest comprehensive management that includes both non-pharmacological and pharmacological treatment. Physiotherapy and pulmonary rehabilitation are two of the most important non-pharmacologic therapies in bronchiectasis patients; long-term inhaled antibiotics and macrolide therapy have gained significant evidence in reducing exacerbation risk in frequent exacerbators. In this review, we summarize recent updates on bronchiectasis treatment to prevent exacerbation and manage clinical deterioration.