• Title/Summary/Keyword: clinical questions

Search Result 581, Processing Time 0.026 seconds

Development of a Cardiovascular Index That Estimates Cardiovascular Health Degree by Survey and Noninvasive Examination (설문과 비침습적 검사를 통하여 심혈관계 건강 정도를 알려주는 심혈관지수의 개발)

  • Lee, Chong Sun;Chung, In Wook
    • Journal of the Korean Society for Precision Engineering
    • /
    • v.31 no.5
    • /
    • pp.459-466
    • /
    • 2014
  • An index was developed that estimates cardiovascular health degree with easily available physiological information such as survey and noninvasive measurement. The survey score was calculated by utilizing questions related to personal disease history, self-feeling, and management state. The measurement score was calculated using physiological parameters such as blood pressure, accelerated plethysmograph(APG), and heart rate variability(HRV), and augmentation index(AI). In order to evaluate effectiveness of the cardiovascular index and modify weighting factors used in each item, a clinical trial was done in a general hospital. The cardiovascular index showed a clear correlation of 0.685 with the doctor's score on the cardiovascular health degree. The correlation between the self-estimated score and doctor's score was as low as 0.217. The large gap between these two scores demonstrated necessity of more objective tools like the cardiovascular index. The cardiovascular score showed a significant difference between normal persons and patients suffering hypertension or diabetes. (p=0.000).

The impacts on school life of a occupational therapy student use of smartphone

  • Lee, Sun-Myung
    • Journal of Korean Clinical Health Science
    • /
    • v.7 no.2
    • /
    • pp.1289-1297
    • /
    • 2019
  • Purpose: The purpose of this study was to investigate occupational therapy at M college in Changwon and the impact of smart phone use on the school life of college students and to help them find ways to further develop in the future. Methods; Data collection was conducted using questionnaires, and the questionnaires consisted of 152 total questions with 15 interpersonal questions, 23 problem solving skills, 43 self-efficacy, 16 class participation scale, and 55 self-directed learning scale. It was conducted to first and second graders of M college and conducted a survey through the corresponding academic year from March 26, 2019 to March 29, 2019 to retrieve 120 questionnaires and use them for analysis. The collected data were analyzed using SPSS. Statistic 20.0. Results: Studies show that "school life satisfaction" is usually the highest at 53 percent. The "smartphone user motivation" was the highest with 50.8 percent, while the "most frequently used feature on smartphones" was the highest with 57.5 percent on SNS. Satisfaction after using a smartphone was the highest with 49.2 percent, while 41.7 percent said it would be easier to acquire and utilize information in the areas of satisfaction. Conclusion: Smartphone addiction, interpersonal relationships, problem-solving skills, self-efficacy, participation in classes, and self-control learning items are not only affected by one part, but also by the other.

A Study on clinical application of the QSCC II (Questionnaire for the Sasang Constitution Classification II) (사상체질분류검대지(四象體質分類檢査紙) (QSCC II)의 임상적(臨床的) 활용(活用)에 관(關)한 연구(硏究))

  • Ju, Jong-Chun;Kim, Joo-Hhan;Kim, Kyung-Yo;Park, Hye-Sun
    • Journal of Sasang Constitutional Medicine
    • /
    • v.14 no.2
    • /
    • pp.35-43
    • /
    • 2002
  • This study was performed to examine a clinical application of the QSCC II (Questionnaire for the Sasang Constitution Classification II) In this study, the subjects were 218 patients whose constitutions were differentiated at the Wonkwang Kwangju Oriental medical hospital. The results are as follows: 1. QSCC II were given to 218 patients after they were examined by the specialists in the Sasang constitutional medicine and received herbal formulas specific to their constitution. The constitutional analysis made by the specialists were then compared to the results of the questionnaire. The result showed only 51% agreement. 2. We made a frequency analysis of 121 questions and found that 85 questions had low statistical significance (P>0.2). 3. As a result, we have found that there is a limitation in differentiating the constitution by the questionnaire. Thus, in order to raise the statistical significance of the constitutional analysis, we hope that more suitable questionnaire will be developed for the future research.

  • PDF

Pattern of Pharmacist Consultation among the Health Counseling Services via Internet Portal Sites: A Pilot Study (국내 포털사이트에서의 지식검색서비스를 이용한 약사와의 상담 패턴에 대한 시험적 연구)

  • Kim, Heejin;Park, Jun Ha;Ji, Eunhee
    • Korean Journal of Clinical Pharmacy
    • /
    • v.26 no.4
    • /
    • pp.324-329
    • /
    • 2016
  • Background: With the development of information and communication technology, there is a growing number of people looking for health information on the internet. This pilot study was performed to analyze the pattern of pharmacist consultation on the internet portal site. Methods: Questions and answers posted on the portal site "Naver Jisik-iN" from March 1st to 31th in 2016 were collected. Medications asked were categorized into prescription drugs, nonprescription drugs, sanitary aids, emergency drugs, functional health foods, and others. Medications were subcategorized into 14 according to the anatomical therapeutic chemical classification system. Questions were divided into 10 categories based on Hepler's drug-related problems. Results: Of the 955 cases, females accounted for 59.5% and inquirers from 11 to 40 years old, 89.4%. The number of prescription drugs, nonprescription drugs, sanitary aids, emergency drugs, functional health foods, and others were 428 (44.8%), 328 (34.3%), 31 (3.3%), 2 (0.2%), 122 (12.8%), and 44 (4.6%), respectively. Questions for drugs acting on alimentary tract and metabolism took up 27.4% followed by those on nervous system, 13.6% and anti-infectives for systemic use, 12.2%. Pharmacist consultation regarding drug information, drug interaction, and adverse reaction occupied 47.9%, 15.2%, and 12.3%, respectively. Conclusion: Health counseling through online is predicted to increase steadily, so pharmacists should broaden their boundaries beyond off-line pharmacies to meet social needs.

The knowledge and attitude toward radiation safety management in dental clinic worker (치과의료기관종사자의 방사선안전관리에 대한 지식 및 태도 조사)

  • Han, Ok-Sung;Woo, Seung-Hee;Kim, Seo-Yeon
    • Journal of Korean society of Dental Hygiene
    • /
    • v.14 no.6
    • /
    • pp.849-857
    • /
    • 2014
  • Objectives: The aim of the study was to investigate the knowledge and attitude toward radiation safety management in dental clinic worker. Methods: A self-reported questionnaire was filled out by 294 dental clinic workers in dental hospitals and clinics in Gwangju and Jeonnam from February 17 to March 30, 2014. The questionnaire consisted of general characteristics of radiation safety(8 questions), knowledge of radiation safety(15 questions), and attitudes of radiation safety(16 questions). The survey was done by Likert 5 scale method. Results: In completion of the radiodontia courses, 84.0% of the learners were female workers. 88.0% of the learners took the theoretical and practical courses. Those who work in the university dental hospital accounted for 87.1% and those in dental clinics accounted for 83.2%. Majority of the workers took on Leaden protective clothing in order to protect the thyroid gland. Male workers had more knowledge toward the radiation safety management than the female workers. The attitude toward the radiation safety management revealed the significant differences between age, gender, academic careers, license, clinical careers and the mean number of patients per day(p<0.05). Conclusions: The radiation safety management is very important in dental clinical workers and it is necessary to enhance the attitude toward the radiation safety through continuous education.

A Study on the Perception of International Healthcare Development Cooperation of Korean Medicine Students for Competency-based Clinical Herbology Education (역량 중심 임상 본초학 교육을 위한 한의과대학생의 보건의료분야 국제개발협력 인식도 조사)

  • Kim, Hyun-Seok;Yang, Un-ho;Na, Chang-su
    • The Korea Journal of Herbology
    • /
    • v.33 no.5
    • /
    • pp.39-46
    • /
    • 2018
  • Objectives : This study was aimed to assess the current educational environment of herbology and the possibility of collaborative learning of herbology with another discipline. This study will present information that can be used to find the direction of further researches and can be applied to the education of herbology. Methods : An online questionnaire was developed with and sent through SurveyMonkey to 242 korean medicine college students in Korea. The questionnaire comprised questions pertaining to herbology education in Korean Medicine universities and international healthcare cooperation education. The validity and reliability of the questionnaire were evaluated, and Spearman's correlation coefficients for two types of questions were evaluated. Results : Among the questions about herbology education, those regarding the necessity of learning clinical cases using herbal medicines for preventing infectious diseases were scored the highest. Students were mostly interested in the effects and indications of herbal drugs. Even students answered they did not learn about official development assistance, 79.85% students answered that they were interested in careers related with the international cooperation or willing to participate in the international cooperation. Three types of correlations showed a statistically significant correlation. Conclusions : This study suggests that herbology education about its effects and indications needs further improvement for competency-based education. Furthermore, herbology can play a critical role in competency-based education for Korean medicine students if a well-designed career program is developed for them.

Debriefing in pediatrics

  • Cho, Su Jin
    • Clinical and Experimental Pediatrics
    • /
    • v.58 no.2
    • /
    • pp.47-51
    • /
    • 2015
  • Debriefing is a conversational session that revolves around the sharing and examining of information after a specific event has taken place. Debriefing may follow a simulated or actual experience and provides a forum for the learners to reflect on the experience and learn from their mistakes. Originating from the military and aviation industry, it is used on a daily basis to reflect and improve the performance in other high-risk industries. Expert debriefers may facilitate the reflection by asking open-ended questions to probe into the framework of the learners and apply lessons learned to future situations. Debriefing has been proven to improve clinical outcomes such as the return of spontaneous circulation after cardiac arrest and the teaching of teamwork and communication in pediatrics. Incorporating debriefing into clinical practice would facilitate the cultural change necessary to talk more openly about team performance and learn from near misses, errors, and successes that will improve not only clinical outcome but also patient safety.

근거 중심 치의학 - 2. 근거 수준과 비판적 평가

  • Hong, Soon-Min
    • The Journal of the Korean dental association
    • /
    • v.45 no.3 s.454
    • /
    • pp.169-181
    • /
    • 2007
  • In this second part of series report on evidence-based dentistry, the level of evidence and the methods for critical appraisal are discussed. The epidemiologic studies, namely clinical studies have some bias per se, and the degree of bias is somewhat predetermined by the study design. The level of evidence can be defined as the reliability of the clinical study and it is dependent on the degree of bias. Thus, it is important to determine the type of the study and to understand its structure before critically appraising them. Systematic reviews of primary studies, randomized controlled trials, nonrandomized clinical trials, cohort studies, case-control studies, and case reports / series constitute the clinical studies and the level of evidence follows the order of the studies listed above. Critical appraisal is the most important procedure in evidence-based dentistry. It is done to determine the credibility of research papers and their usefulness in the clinician s own practice. Critical appraisal is consisted of multiple questions that are helpful for evaluating validity and usefulness of the studies concerning therapy, diagnosis, prognosis, and causation.

  • PDF

Introduction to Evidence-based Medicine (EBM) (Evidence-Based Medicine에 대한 소개)

  • Choe, Jae-Gol
    • The Korean Journal of Nuclear Medicine
    • /
    • v.35 no.4
    • /
    • pp.224-230
    • /
    • 2001
  • EBM is "the conscientious, explicit and judicious use of current best evidence in mating decisions about the care of the individual patient. It means integrating individual clinical expertise with the best available external clinical evidence from systematic research." EBM is the integration of clinical expertise, patient values, and the best evidence into the decision making process for patient care. The practice of EBM is usually triggered by patient encounters which generate questions about the effects of therapy, the utility of diagnostic tests, the prognosis of diseases, or the etiology of disorders. The best evidence is usually found in clinically relevant research that has been conducted using sound methodology. Evidence-based medicine requires new skills of the clinician, including efficient literature-searching, and the application of formal rules of evidence in evaluating the clinical literature. Evidence-based medicine converts the abstract exercise of reading and appraising the literature into the pragmatic process of using the literature to benefit individual patients while simultaneously expanding the clinician's knowledge base. This review will briefly discuss about concepts of evidence medicine and method of critical appraisal of literatures.

  • PDF

Validity and Reliability of the Korean Version of a Tool to Measure Uncivil Behavior in Clinical Nursing Education (간호학생이 임상실습에서 경험하는 무례함 한국어판 측정도구의 타당도와 신뢰도)

  • Jo, Su Ok;Oh, Jina
    • The Journal of Korean Academic Society of Nursing Education
    • /
    • v.22 no.4
    • /
    • pp.537-548
    • /
    • 2016
  • Purpose: This study aims to develop a Korean version of a tool to measure uncivil behavior in clinical training to examine the experiences of nursing students. Methods: The "Uncivil Behavior in Clinical Nursing Education Scale" was developed by Anthony and Yastik in 2011. This study procedure was based on DeVellis' instrument development guidelines. Data were collected from 220 senior-year nursing students from four different universities in four different locations. Two hundreds surveys were analyzed using SPSS software and AMOS. Results: Out of 20 questions, 13 were selected after reviewing the content validity, face validity, construct validity, and reliability. The factors of the Korean version scale were specified as "exclusion", "contempt", and "refusal." The general characteristics of the subjects that showed significant differences in the occurrence of incivility were gender, age, transfer student status, level of satisfaction with clinical training, and level of satisfaction with the clinical training environment. Conclusion: The "Korean-Uncivil Behavior in Clinical Nursing Education Scale" was partially modified to account for differences in language and culture, but its validity and reliability were verified. We suggest that nurse educators and supervisors will be able to better understand the relationship between nurses and nursing students in clinical training.