• Title/Summary/Keyword: clinical questions

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Analysis on the Status and Needs of Training in Assistive Technology of Pediatric Physical Therapist and Pediatric Occupational Therapist (소아물리치료사와 소아작업치료사의 보조공학 교육훈련 실태 및 요구 분석)

  • Kim, Kyoung-A;Jeong, Dong-Hoon
    • Journal of the Korean Society of Physical Medicine
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    • v.8 no.1
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    • pp.99-109
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    • 2013
  • PURPOSE: This study was designed to evaluate the current state of training in assistive technology(AT) for pediatric physical therapists(PPTs) and pediatric occupational therapists(POTs), in addition, investigate therapists' preferred training methods and contents. The eventual purpose was to suggest the essential fundamental factors to adapt the assistive technology in clinics. METHODS: The subject of this study were 167 therapists(98 PPTs and 69 POTs) who work at general hospitals, welfare center, facilities for the disabled, and special education school in Seoul and Gyeonggi province. Frequency analysis and Chi-squared test were used. RESULTS: Significant numbers of PPTs(66 therapists, 67.3%) and POTs(50 therapists, 72.5%) answered that they had received training in AT. More than 48% answered no training experience or low adequacy in each classification scheme for questions. The most difficulty in the training was indicated by lack of education opportunity(90 therapists, 53.9%). The most required device training was seating and position device training(43 therapists, 21.9%) for PPTs and orthosis and prosthesis device training(29 therapists, 21.0%) for POTs. In assistive technology service, PPTs needed evaluation to AT device training(69 therapists, 35.2%) and POTs needed evaluation to disabilities for AT training(41 therapists, 29.7%). Both therapists answered that the most effective training is continuous education(52 therapists, 31.1%) and college education(48 therapists, 28.7%). CONCLUSION: Our findings indicate that PPTs and POTs need more opportunities for training in AT. For effective clinical app lication of AT, there should be continuous education such as on-the-job training, mentoring program, technical manual, and college education.

Breast and Cervical Cancer Screening in Women Referred to Urban Healthcare Centers in Kerman, Iran, 2015

  • Ahmadipour, Habibeh;Sheikhizade, Sahar
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.sup3
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    • pp.143-147
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    • 2016
  • Breast and cervical cancers are among leading causes of morbidity and mortality in women worldwide. Regular screening is very important for early detection of these cancers, but studies indicate low rates of screening participation. In this survey we studied the rate of screening participation among women 18-64 years old referred to urban health centers in Kerman, Iran in 2015. A cross-sectional study was carried out on 240 women who were selected using a multistage sampling method. Data collected using a questionnaire covered demographics and questions about common cancer screening status in women. Analysis was by SPSS 19. The mean age of participants was $31.7{\pm}7$. Most (97.1%) were married, housewives (83.3%), had high school diploma (43.8%) and a monthly income more than ten million Rls. The frequency of the Pap test performance was higher in women who were employed and with a university degree (p<0.05). The frequency of mammography performance in women over 40 years was also higher in women with university degree (p<0.05). There was no statistically significant difference in the frequency of pelvic examination, and self and clinical breast examinations based on education, household income and employment (p>0.05). Our study found that the rate of screening participation among women is low. Investigation of the barriers, increasing the awareness of women about the importance and advantages of screening and also more incentives for health personnel especially family physicians to pay more attention to preventive programs could be effective.

Survey of Difficulty, Safety, and Frequency of techniques by Education Training Members of Korean Society of Chuna Manual Medicine for Spine & Nerves (척추신경추나의학회 교육위원 대상 시술별 난이도, 안전성, 사용빈도 설문조사 연구)

  • Park, Sun-Young;Lee, Sang-Hyun;Heo, In;Hwang, Man-Suk;Hwang, Eui-Hyoung;Shin, Byung-Cheul
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.14 no.2
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    • pp.147-156
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    • 2019
  • Objectives : This study aimed to report the evidence of difficulty, safety, and frequency of the use of Chuna Manual Therapy. Methods : The survey questions were developed using the consensus from a professor who majored in Rehabilitation Medicine of Korean Medicine (RMKM). November 26th to December 31st 2018, the questionnaire was given to education training members of the Korean Society of Chuna Manual Medicine for Spine & Nerves by paper. Twenty-nine(23%) of the questionnaires were retrieved. Difficulty, safety, and frequency of the use of Chuna Manual Therapy were reported based on the questionnaire. Results : In this study, the more difficult techniques were observed to be less safe. In particular, the adjustment techniques applied to the cervical and lumbar spine was answered with high difficulty. Although these techniques are high difficulty and low safety, the reason for its versatility also suggests that the technique has a high therapeutic effect and necessity. Conclusions : This is the first consensus on experts'opinions on Chuna Manual Therapy for education. We hope that this report is helpful for Korean medicine doctors who operate technique and expected to make clinical evidence of Chuna Manual Therapy.

The Study of Speech Rate in Normal-Speaking Adults and Children (정상 성인 및 아동의 구어속도에 관한 연구)

  • Ahn, Jong-Bok;Shin, Myung-Sun;Kwon, Do-Ha
    • Speech Sciences
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    • v.9 no.4
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    • pp.93-103
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    • 2002
  • The purpose of this study was to establish preliminary data on the speech rates in groups of normal speaking adults and children. The results of the present study are intended to serve as clinical measurement guidelines for diagnosis, assessment, treatment planning, and therapy progresses of stuttering. Thirty-one adults (16 females, 15 males), aged 18-30 years and thirty normally developing children (15 females, 15 males), aged 8-10, participated in the study. The subjects' reading of the Stroll (Jeong, 1994) passage and l-minute portion of talking about the daily routine were sampled. The adult speakers had rates of $308.29\pm22.57$ syllables per minute (SPM) or $108.06\pm6.17$ words per minute (WPM) during reading, and $252.87\pm40.86$ SPM and $92.26\pm17.12$ WPM during talking. The children had rates of $176.67\pm33.65$ SPM or $64.07\pm12.62$ WPM during reading, and $149.30\pm33.14$ SPM and $56.60\pm11.36$ WPM during talking. The results of t-tests for reading and talking tasks in adults showed that SPM in reading (t=2.211, p< .05) and WPM in talking (t=-2.284, p< .05) differed significantly by the gender. To answer the questions whether the rate is different across children' s gender and age, a two-way ANOVA was performed. Both SPM and WPM in reading tasks were significantly different between groups of children aged 8 and 10 (p< 01), In speaking tasks, both SPM and WPM were significantly different between groups of children aged 8 and 10, and between 9 and 10.

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Sleep patterns and school performance of Korean adolescents assessed using a Korean version of the pediatric daytime sleepiness scale

  • Rhie, Seon-Kyeong;Lee, Si-Hyoung;Chae, Kyu-Young
    • Clinical and Experimental Pediatrics
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    • v.54 no.1
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    • pp.29-35
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    • 2011
  • Purpose: Korean adolescents have severe nighttime sleep deprivation and daytime sleepiness because of their competitive educational environment. However, daytime sleep patterns and sleepiness have never been studied using age-specific methods, such as the pediatric daytime sleepiness scale (PDSS). We surveyed the daytime sleepiness of Korean adolescents using a Korean translation of the PDSS. Methods: We distributed the 27-item questionnaire, including the PDSS and questions related to sleep pattern, sleep satisfaction, and emotional state, to 3,370 students in grades 5-12. Results: The amount of nighttime sleep decreased significantly with increasing age. During weekday nights, $5-6^{th}$ graders slept for $7.95{\pm}1.05h$, $7-9^{th}$ graders for $7.57{\pm}1.05h$, and $10-12^{th}$ graders for $5.78{\pm}1.13h$. However, the total amounts of combined daytime and nighttime sleep during weekdays were somewhat greater, $8.15{\pm}1.12h$ for $5-6^{th}$ graders, $8.17{\pm}1.20h$ for $7-9^{th}$ graders, and $6.87{\pm}1.40h$ for $10-12^{th}$ graders. PDSS scores increased with age, $11.89{\pm}5.56$ for $5-6^{th}$ graders, $16.57{\pm}5.57$ for $7-9^{th}$ graders, and $17.71{\pm}5.24$ for $10-12^{th}$ graders. Higher PDSS scores were positively correlated with poor school performance and emotional instability. Conclusion: Korean teenagers sleep to an unusual extent during the day because of nighttime sleep deprivation. This negatively affects school performance and emotional stability. A Korean translation of the PDSS was effective in evaluating the severity of daytime sleepiness and assessing the emotional state and school performance of Korean teenagers.

Biosafety of Microbiological Laboratories in Korea (우리나라 미생물 실험실의 생물안전현황)

  • Eun, Sang-Jun;Park, Ki-Dong;Kim, Jong-Kyun;Im, Jeong-Soo;Hwang, Yoo-Sung;Kim, Yong-Ik;Lee, Jin-Yong
    • Journal of Preventive Medicine and Public Health
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    • v.38 no.4
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    • pp.449-456
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    • 2005
  • Objectives : The biosafety level (BSL) practiced in microbiology laboratories in Korea according to the laboratory biosafety manual published by the World Health Organization (WHO) was evaluated using the data obtained by a survey. Methods : Under the advise of Clinical Laboratory Physicians, 144 types of microorganisms were screened based on the guidelines of biosafety in microbiological and biomedical laboratories published by the US Center for Disease Control and Prevention and classified into 1-4 risk groups. A questionnaire containing 21 questions in 5 areas was developed using the biosafety manual by published WHO. Of the 1,876 different organizations sent the survey, 563 responded to the survey (response rate: 30.0%). The species of microoganisms handled by as well as the biosafety level in microbiology laboratories were analyzed. Results : There were 123 species of microorganisms handled in microbiology labs in Korea. The BSL required in 512 microbiology labs was answered by the survey responders as the first grade in 33 labs (6.4%), 2nd in 437 (85.4%), 3rd in 42 (8.2%), and 4th in none. The average number of items satisfied was 12.2, showing only a 57.9% satisfactory rate and normal distribution. Conclusions : The state of overall observance of BSL in most microbiology labs of Korea was evaluated as lagging compared with the standard set up by WHO. Therefore, the Korean government need to produce and distribute a biosafety manual in microbiology laboratories and make efforts to prevent this threat through measures such as training in biosafety in microbiology labs.

Study about Validity of Measuring Instrument for Symptoms Improvement on the Alcoholic Hepatitis Patients (알코올성 간질환자를 대상으로 한 증상개선 측정도구의 타당성 연구)

  • Kim, Jung-Eun;Park, Sang-Eun;Lee, Seung-Yeon;Son, Ho-Young;Hong, Sang-Hoon;Kang, Chang-Wan;Kim, Bo-Kyung;Chi, Gyoo-Yong
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.24 no.2
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    • pp.345-351
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    • 2010
  • Alcoholic hepatitis is an acute and severe liver disease associated with high mortality rate. This study was conducted to develop the instrument of criterion for symptoms improvement after temperance. We made the symptoms improvement questionnaire for alcoholic hepatitis patients through reviewing traditional oriental medical literatures and got advices from the advisor committee with delphi technique. The advisor committee on this study was organized by 10 professors of internal medicine of oriental medical colleges nationwide. The questionnaire was composed of questions about 10 symptoms - fatigue, pain, anorexia, abdominal bloat, heaviness of the body, itch, nausea, sleep, dryness in the mouth and stools. We named it Alcoholic Hepatitis Symptoms Improvement Questionnaire(AHSIQ). We surveyed 65 male alcoholic hepatitis patients and checked liver function profile and AHSIQ before and after temperance four times for six weeks. As a result of factor analysis the scales of AHSIQ had content validity and construct validity. And internal consistency reliability was good(Cronbach's alpha=0.768-0.871). The total scale scores were statistically significant in gamma-GTP related validity. We suggest that AHSIQ would be effective for measuring symptoms improvement degree in alcoholic hepatitis patients through further investigations with larger clinical trials.

The Perception of Character Education in Medical School (의과대학 교수-학생의 인성교육 인식에 대한 기술적 연구)

  • Kang, Ye Ji;Sung, Jidong;Rho, Jae Hee;Jang, Hye Won
    • Korean Medical Education Review
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    • v.22 no.1
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    • pp.46-54
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    • 2020
  • The purpose of this study was to examine professors' and students' perceptions of curriculum that fosters character in medical school. 'Character' can be defined as a desirable personality and the ability to be a good person. A total of 264 subjects (professors=131, students=133) participated in the study. Survey questions were divided into the three parts (education needs, factors of character, and curriculum management strategy). Data were analyzed by using t-test and one-way analysis of variance. Both professors and students recognized the need for character education. Professors were more aware of the need for education than students (t=4.35, p<0.01), and clinical professors were more aware of the need for education than basic medical science professors (t=3.48, p<0.01). Premedical students were more aware of the need for character-centered education than medical students in the later stages of their education (t=3.41, p<0.01). Professors and students commonly referred to 'consideration and communication' as the most important factor in building character. Professors considered 'self-regulation' more important than the students recognized, while students perceived 'wisdom' as more important than the professors did. There was a difference in preference for curriculum development (creating new subjects vs. revising existing subjects) between the two groups. However, both groups agreed on the teaching and evaluation methods. In conclusion, both groups acknowledged the need for character education. However, there were differences in perception on the major factors of character and preference for curriculum development. The results of this study may assist in designing character education in medical education.

A basic study for establishment of specialized dental hygienist system around the duties of dental hygienist (전문치과위생사제도 확립을 위한 기초 조사 연구)

  • Bae, Sung-Suk
    • Journal of Korean society of Dental Hygiene
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    • v.7 no.3
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    • pp.301-316
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    • 2007
  • With these changes in the environment of dental service, dental hygienists are suggested to change their roles to cope with the changes. Hygienists are putting forth many efforts to promote smooth and efficient dental treatments, and as a practical measure. As a part to cope with such changes. Korea Dental Hygienists Association(KDHA) has prepared the system of Specialized Dental Hygienist and put the system into enforcement through an affiliated organization, Korean Academy of Dental Hygiene. The purpose of this study is to investigate the specialized nurse system in our country's medical environment and the specialized dental hygienist systems in other countries as similar cases comparable to the specialized dental hygienist system in our country and present basic data for the establishment of specialized dental hygienist system. For this study, a survey of dental specialists, such as dentists, dental hygienists and nurses, and patients, has been conducted qualitatively through person-to-person depth interview. The interview questions were related to the need for a specialized dental hygienist system, educational programs, functions and roles, and issues that must be solved for establishment of the system. Based on the interview results, the following conclusions were derived. The specialized dental hygienist system must encourage dental hygienists to possess advanced abilities in clinical practices, present systematic and developmental directions in educational programs, and stimulate specialized dental hygienists to actively work as manager and supervisor, medical health service providers, educators, and researchers. Lastly, for issues that must be solved for the establishment of the system, the duties and jobs of specialized dental hygienists must be defined more concretely, which must be acknowledged by people working in related occupations, citizens and the government. Furthermore, we need to examine the scope of duties of dental hygienists and enact laws and systems to protect the scope. These roles will lead dental hygienists to lay the foundation that allow them to make enthusiastic activities as an oral hygienist and clinician as well as show the way how to act as an educator, a researcher, a manager and an administrator.

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Comparative Analysis of the Ethical Values of Physical Therapy: Focused on Physical Therapists and Physical Therapy Students (물리치료 윤리적 가치관에 대한 비교 분석: 물리치료학과 학생과 물리치료사를 대상으로)

  • Ahn, Chungjoa;Kim, Myungchul;Lee, Minsoo;Kim, Seungkyun
    • Journal of The Korean Society of Integrative Medicine
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    • v.4 no.2
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    • pp.37-51
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    • 2016
  • Purpose: This research was to discover the value of ethics of physical therapy students and physical therapists. This study was launched to provide the bedrock for this field of study by means of getting the data about the current address of value of ethics. Methods: This investigation was conducted with 900 students from seven different universities in Republic of Korea (3, 4-year colleges) and with 350 clinical physical therapists who are currently working in the national capital region. The tool for the research was to revamp and supplement ethics codes in Korean Physical Therapy Association and a set of questions of Jeom Hui Youk (1992), Young Ran Choi (2001), etcetera and each question was provided with different points by the set of measurement we created. The collected data were analyzed by using SPSS 21.0 statistical program. Results: Comparing the average ethics score both on the general information of both groups and the value of ethics of both groups, we were sure to say that the average ethics score of ethics value was significantly more meaningful than that of general information. Conclusion: Physical therapy students establish a correct ethics values and physical therapists should have training in ethic values education are combined accordingly to correct the wrong ethically values and clearly established.