• Title/Summary/Keyword: clinical measurement

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Analysis of Clinical Measurement Methods of Lower Extremity Alignment (하지정렬의 임상적 측정방법에 대한 분석)

  • Kong Hee-Kyung;Bae Sung-Soo
    • The Journal of Korean Physical Therapy
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    • v.16 no.2
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    • pp.17-21
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    • 2004
  • We need to study about lower extremity alignment because the structure dictates the function of lower extremity. Through lower extremity alignment assessment in static posture, we recognize abnormal structural conditions which could affect dynamic motion such as gait. To evaluate of lower extremity alignment provide so many useful information, but method of measurement is so limited. Therefore, this review will assist understanding for measurement of lower extremity alignment in static posture. From now on study about the objective measurement method must be achieved much more in physical therapy.

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Statistical Analysis of Agreement by Q-Q plot (Q-Q 플롯에 의한 Agreement의 통계적 분석)

  • Lee, Jae-Young;Rhee, Seong-Won;Lee, Jae-Woo
    • Journal of the Korean Data and Information Science Society
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    • v.9 no.1
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    • pp.11-18
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    • 1998
  • In clinical measurement comparison of a new measurement technique with an established one is often needed to see whether they agree sufficiently for the new to replace the old. Such investigations are often analysed inappropriately, notably by using the correlation coefficient(r). So, the measurement for agreement was determined by Bland & Altman's method recently. In this article, we will analyse the measurement for agreement by using Q-Q plot and by applying Bland and Altman's method through graph. And we will show characteristics for these techniques.

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Factors associated with willingness to participate in clinical trials for cancer patients: an exploratory narrative review (암 환자의 임상시험 참여 의향과 연관된 요인: 탐색형 서술적 문헌고찰)

  • Kim, Kun Hyung;Hwang, Bo Yown;Son, Gyung Mo
    • Journal of Acupuncture Research
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    • v.33 no.3
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    • pp.145-152
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    • 2016
  • Objectives : This study aimed to investigate both cancer patients' willingness to participate (WTP) in clinical trials and its associated factors. Methods : We searched MEDLINE (PubMed) for studies that had investigated cancer patients' WTP in clinical trials. Search terms included 'willingness to participate', 'cancer' and 'trial'. Studies published within the last five years up to July 26, 2016 were potentially eligible. Results : Of 44 initial hits, 14 studies (12 quantitative and 2 qualitative) were included. Two out of the 14 studies investigated WTP in an acupuncture trial. Study designs, such as WTP measurement methods, investigation settings, and type of cancer, varied. The proportion of participants with a WTP was widely distributed between the studies (median 48.6 %, range 11.1 % to 88.3 %). Factors associated with WTP included various socio-demographic factors, clinical factors, participants' knowledge/attitudes toward clinical trials, travel distance, information from physicians, and trust toward physicians. Conclusion : WTP and its associated factors were variable across the reviewed studies, which might be due to different research methods and contexts. Whether or not common factors associated with cancer patients' WTP in clinical trials exist remains unclear and thus warrants further research.

The Technological Concept of Fibroscan and its Clinical Usefulness in the Traditional Korean Medical Field (비침습적 간섬유화 측정기(Fibroscan)의 기술적 개요와 한의임상적 유용성 고찰)

  • Son, Chang-gue
    • The Journal of Internal Korean Medicine
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    • v.36 no.2
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    • pp.85-92
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    • 2015
  • Objectives: The liver fibroscan has been developed as a noninvasive and convenient method to assess hepatic fibrosis. This study aimed to review this device in terms of its technological concept and clinical application in traditional Korean medicine (TKM). Methods: The technological background, diagnostic evaluation, and clinical usefulness of fibroscan were reviewed using various literature and clinical studies. One clinical example-a patient with hepatofibrosis who had been treated with TKM-is presented. Results: The liver fibroscan was approved as a medical device for noninvasive measurement of the hepatic fibrosis level by the Korean Food and Drug Administration (KFDA). Numerous clinical studies have confirmed that its sensitivity and specificity allow it to serve as a substitute for liver biopsy, the present gold standard diagnostic method. The accuracy and reproducibility and lack of technical risks are strong points of the fibroscan; however, it has some limitations for application, especially in patients with obesity or severe hepatitis. One clinical example showed the applicability of the liver fibroscan in herbal medicine-based treatments. Conclusions: The requirement for diagnostic medical devices is an important issue in TKM; therefore, this study provides valuable information for practitioners of TKM.

Cardiocirculatory, biochemical and hemostatic evaluation of dogs with hyperadrenocorticism at diagnosis and after treatment

  • Soares, Frederico Aecio Carvalho;Matheus, Juliana Pereira;Carvalho, Guilherme Luiz;Neuwald, Elisa Barp;Poppl, Alan Gomes;Valle, Stella Faria;Gonzalez, Felix Hilario Diaz
    • Korean Journal of Veterinary Research
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    • v.56 no.3
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    • pp.161-166
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    • 2016
  • Hyperadrenocorticism (HAC) is a common endocrinopathy among dogs that causes multisystemic signs. This study was conducted to evaluate cardiocirculatory, biochemical, and hemostatic parameters in dogs with HAC at diagnosis, in addition to verifying whether abnormal parameters could be controlled by initial treatment with trilostane. Fifteen dogs with HAC were assessed by systolic blood pressure measurement, electrocardiography, Doppler echocardiography, serum concentration of troponin I, and biochemical and hemostatic profile at diagnosis and after trilostane therapy. Unlike biochemical parameters, hemostatic and cardiocirculatory parameters were not significantly influenced by the onset of treatment. The authors believe that clinical treatment with trilostane for 3 to 4 months might not be sufficient for the stabilization of cardiocirculatory abnormalities such as hypertension. Therefore, dogs with HAC must receive cardiocirculatory monitoring at diagnosis and during drug treatment.

Review on ICF-related Research Trends in Korean Clinical Field

  • Song, Ju-Min
    • Journal of the Korean Society of Physical Medicine
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    • v.16 no.4
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    • pp.33-44
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    • 2021
  • PURPOSE: This study analyzed the research trends related to the International Classification of Functioning, Disability, and Health (ICF) to suggest an ICF utilization plan in the Korean clinical field. METHODS: In the RISS, KISS, NSDL, and PubMed databases, papers published between 2016 and July 2021 were collected by applying the search terms, 'ICF', 'international classification of functioning, disability and health', 'clinic', 'patient', and 'diagno'. The 44 papers selected were classified according to the analysis criteria, and the frequency and percentage were calculated. RESULTS: In domestic clinical trials, the frequency of ICF-related studies was in the order of physical therapy (n = 19) and occupational therapy (n = 14). The frequency of each study subject was observed in the order of studies related to a specific disease (n = 34) and prior studies (n = 7). The research topics were in the order of studies using ICF as a measurement tool (n = 21) and case studies with patients with specific diseases (n = 11). There were 18 studies using ICF codes and 14 papers applying the ICF domains. CONCLUSION: Over the last five years, ICF-related research in the domestic clinical field targeted patients with more diverse diseases in more expertise fields. Research for the unification of terms should be conducted for communication among various experts in clinical practice. To promote the use of ICF in the clinical field, it will be necessary to conduct research, such as the unification of terms, standardized education, development of ICF casebook, and development of ICF coding programs and guidelines.

Case Reports on 70 Tic Disorder Cases Managed with Functional Cerebrospinal Therapy (FCST) (FCST로 치료한 틱장애환자 70명에 대한 임상례 보고)

  • Lee, Jong-Jin
    • Journal of TMJ Balancing Medicine
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    • v.6 no.1
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    • pp.19-23
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    • 2016
  • Therapeutic effect of Yinyang Balancing Appliance of functional cerebrospinal therapy (FCST) for meridian and neurologic yinyang balance was observed in tic disorder patients. Seventy tic disorder cases were managed with the Yinyang Balancing Appliance on temporomandibular joint (TMJ), combined with acupuncture. Clinical outcome measurement was based on subjective measures and overall clinical impressions. Patients showed a trend toward improvement by clinical observations. In some cases, such changes were visible even after the initial treatment, and this effect was observed to be maintained over the follow-up period. Further clinical and biological research on tic disorder is expected with respect to the FCST.

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The Suggestion of the clinical application of Sasang Constitutional Diagnosis (사상체질 진단의 객관화를 위한 제언)

  • Park, Hye-Sun;Kim, Hyung-Soon;Kim, Kyung-Yo;Lee, Si-Woo
    • Journal of Sasang Constitutional Medicine
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    • v.13 no.2
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    • pp.138-143
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    • 2001
  • 1. Background Among the clinical application of Sasang Constitutional diagnostic methods, a morphologic study of face is recognized by the Ministry of Health and Welfare as a legitimate Hanbang diagnostic method. But there are some indirect different view about this method. We should criticize this method for the better. 2. Method We criticize the current morphologic study of face by its literature basis, its measurement and its result, compared with ${\ulcorner}$Dongyisoosebowon${\lrcorner}$ and other related literatures. 3. Conclusions We suggest thar the current morphologic study of face is not proper for the clinical application of Sasang Constitutional diagnostic method in the point of the lack of literature basis and the intervention of the examiner's subjectivities.

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CT Assessment of Myocardial Perfusion and Fractional Flow Reserve in Coronary Artery Disease: A Review of Current Clinical Evidence and Recent Developments

  • Chun-Ho Yun;Chung-Lieh Hung;Ming-Shien Wen;Yung-Liang Wan;Aaron So
    • Korean Journal of Radiology
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    • v.22 no.11
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    • pp.1749-1763
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    • 2021
  • Coronary computed tomography angiography (CCTA) is routinely used for anatomical assessment of coronary artery disease (CAD). However, invasive measurement of fractional flow reserve (FFR) is the current gold standard for the diagnosis of hemodynamically significant CAD. CT-derived FFRCT and CT perfusion are two emerging techniques that can provide a functional assessment of CAD for risk stratification and clinical decision making. Several clinical studies have shown that the diagnostic performance of concomitant CCTA and functional CT assessment for detecting hemodynamically significant CAD is at least non-inferior to that of other routinely used imaging modalities. This article aims to review the current clinical evidence and recent developments in functional CT techniques.

Coronary Physiology-Based Approaches for Plaque Vulnerability: Implications for Risk Prediction and Treatment Strategies

  • Seokhun Yang;Bon-Kwon Koo
    • Korean Circulation Journal
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    • v.53 no.9
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    • pp.581-593
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    • 2023
  • In the catheterization laboratory, the measurement of physiological indexes can help identify functionally significant lesions and has become one of the standard methods to guide treatment decision-making. Plaque vulnerability refers to a coronary plaque susceptible to rupture, enabling risk prediction before coronary events, and it can be detected by defining a certain type of plaque morphology on coronary imaging modalities. Although coronary physiology and plaque vulnerability have been considered different attributes of coronary artery disease, the underlying pathophysiological basis and clinical data indicate a strong correlation between coronary hemodynamic properties and vulnerable plaque. In prediction of coronary events, emerging data have suggested independent and additional implications of a physiology-based approach to a plaque-based approach. This review covers the fundamental interplay between coronary physiology and plaque morphology during disease progression with clinical data supporting this relationship and examines the clinical relevance of physiological indexes in prediction of clinical outcomes and therapeutic decision-making along with plaque vulnerability.