• 제목/요약/키워드: cooperative treatment

검색결과 348건 처리시간 0.029초

Vascular ring anomaly with a right patent ductus arteriosus and a left aortic arch in a juvenile cat

  • Aki Takeuchi ;Kazumi Shimada ;Lina Hamabe ;Tomohiko Yoshida;Yusuke Ozai ;Miki Hirose ;Aimi Yokoi ;Momoko Watanabe ;Ikki Mitsui ;Ryou Tanaka
    • Journal of Veterinary Science
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    • 제24권4호
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    • pp.50.1-50.6
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    • 2023
  • This paper reports the clinical findings and surgical treatment of feline right patent ductus arteriosus (RPDA) with a left aortic arch. A two-month-old female Maine Coon was referred for an investigation of regurgitation after weaning. RPDA with a left aortic arch was diagnosed based on the echocardiographic and computed tomography (CT) findings. A right-fourth intercostal thoracotomy was found to be an appropriate approach to the duct. Preoperative diagnosis is crucial and diagnostic imaging, including radiography, echocardiography, and cardiac CT examination, is essential for determining if the aortic arch is right or left.

협동적 CAI에서 소집단 구성 방법의 효과 (The Influences of Group Composition in Cooperative CAI)

  • 노태희;차정호;박혜영;김경은
    • 한국과학교육학회지
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    • 제22권3호
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    • pp.508-516
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    • 2002
  • 이 연구에서는 소집단 구성 방법에 따른 협동적 CAI의 효과를 개념 이해도, 개념 응용력, 과학 학습 동기, 수업 참여도에 대한 인식 측면에서 조사하였다. 서울시의 한 남녀공학 중학교에서 1학년 97명을 선정하고 '분자의 운동'에 대하여 5차시 동안 수업을 실시하였다. 두 처치 집단에서는 사전 과학 청취도를 기준으로 이질적 소집단과 동질적 소집단을 구성하여 협동적 CAI를 실시하였고, 비교 집단에는 전통적인 수업을 실시하였다. 이원 공변량 분석 결과, 처치 집단들의 개념 검사 점수가 비교 집단에 비하여 유의미하게 높았다. 그러나 집단 구성 방법에 따른 차이는 유의미하지 않았다. 개념 응용력 검사와 과학 학습 동기 검사 점수에서는 세 집단 간에 유의미한 차이가 없었다. 그러나 협동적 CAI 집단의 수업 참여도에 대한 인식이 비교 집단에 비하여 더 긍정적이었다.

부인과 수술 후 한방 입원치료 환자에 대한 분석 (A Survey on Post Gynecology Surgery Patient in Oriental-Western Cooperative Medicine)

  • 이승환;이인선;조혜숙;배경미;김철;박성환
    • 대한한방부인과학회지
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    • 제22권4호
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    • pp.157-172
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    • 2009
  • Purpose: The purpose of this study is to analyze the status of cooperative treatment of western-oriental medicine in post gynecological surgery. Methods: This study is conducted by investigating the hospitalized patient's medical chart and OCS dated from March 2008 to May 2009 in obstetrics and gynecology of oriental medicine department in Dong-Eui medical center. The total patient number was 58. Results: Out of 58 women, 74.1% complained abdominal pain and discomfort, 24.1% complained headache and dizziness, 22.4% complained lumbago, 22.4% complained lethargy and fatigue. There were 63.8% women in the age group between 41 to 50 and 20.7% women in the age group between 31 to 40. 53.4% women hospitalized for less than 7 days, 43.1% women hospitalized for 8 to 14 days. 53.4% had uterine myoma, 20.7% had more than two types of complex diseases and 19.0% had adenomyosis uterine. 60.3% had total hysterectomy and 27.6% had simple hysterectomy. 64.9% had abdominal surgery, 17.5% had laparoscope surgery and 15.8% had hysteroscope surgery. 62.8% of 43 women complained abdominal pain and discomfort, 78.6% of 14 women complained headache and dizziness, 46.2% of 13 women complained lumbago, 84.6% of 13 women complained lethargy and fatigue improved to VAS 0-3. Conclusion: The results has shown that it is necessary to have cooperative treatment of both western-oriental medicine for the effective treatment in managing post gynecological surgery. The further study in data collection and manual development is needed.

협진 의뢰 산모의 한방산후조리 현황 분석 및 만족도 조사 (A Clinical Study of Postpartum Care in Oriental-Western Cooperative Medicine and Survey of Patients' Satisfaction)

  • 박장경;맹유숙;이승복;김동일
    • 대한한방부인과학회지
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    • 제23권1호
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    • pp.108-123
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    • 2010
  • Purpose: We analyzed the characteristics of women who gave birth at an obstetrician and those who received oriental medicine postpartum care, and investigated the level of their satisfaction to obtain fundamental data for Oriental-Western cooperative medicine treatment for postpartum care. Methods: The review was based on a 5-months' data, from August 1 through December 31, 2009. Information on age, labor record, level of education, and occupation of the patients who had received postpartum oriental-western cooperative medicine treatment was based on Electric Medical Record(EMR) of O O Oriental Medicine Hospital. The questionnaires were completed by the patients at the time of their discharge from the hospital. Results: The patients who were admitted to oriental medicine hospitals tended to be primiparae, and they were more likely to be younger women with higher education levels. The level of satisfaction on postpartum care program of oriental medicine hospitals was high. Conclusion: It is necessary to specialize the facilities, dietary formula, and staff training of oriental medicine hospitals through a survey of postpartum patients' demand and satisfaction level. In oriental-western cooperative medicine hospitals, it is needed to specialize the postpartum program for creating demand of premature delivery mothers.

과제 지향 보상을 활용한 협동학습에서 소집단 활동 점검 과정이 중학교 과학 수업에 미치는 효과 (The Effect of Group Processing on Science Instruction of Middle School in Cooperative Learning using Task-oriented Reward)

  • 노태희;김경순;윤선애;한재영
    • 한국과학교육학회지
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    • 제24권5호
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    • pp.843-850
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    • 2004
  • 이 연구에서는 과제 지향 보상 협동학습에서 소집단 활동 점검 과정이 학업 성취도, 학습 동기, 과학 수업에 대한 태도에 미치는 영향에 대하여 조사하였다. 서울에 있는 중학교 2학년 58명을 처치 집단과 비교 집단으로 무선 할당한 후, "혼합물의 분리" 단원에 대하여 8차시 동안 수업하였다. 처치 집단에는 소집단 활동 점검 과정이 있는 과제 지향 보상 협동학습(GCL)을 실시하였고, 비교 집단에는 소집단 활동 점검 과정이 없는 과제 지향 보상 협동 학습(CL)을 실시하였다. 연구 결과 학업 성취도와 과학 수업에 대한 태도에서 수업 처치와 사전 성취 수준 사이에 상호작용 효과가 있었다. 상위 수준 학생들은 GCL 집단에서 학업 성취도와 태도에서 더 높은 점수를 받았으며, 하위 수준 학생들은 CL 집단에서 성취도와 태도에서 더 높은 점수를 나타냈다.

협동학습이 학습자의 자기조절학습능력, 학업성취도, 자아존중감 및 협동심에 미치는 영향 (The Effects of Cooperative Learning Applying Jigsaw II on Learner's Self-Regulated Learning, Achievement, Self-Esteem & Cooperation)

  • 윤현상;김삼곤
    • 수산해양교육연구
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    • 제13권2호
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    • pp.194-211
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    • 2001
  • This study was conducted to investigate the effects of cooperative learning applying Jigsaw II on learner's self-regulated learning ability, achievements, self-esteem & cooperation. 12 graders were assigned to experimental group(applying Jigsaw II treatment) & control group(applying traditional instructional treatment). Experimental group was trained to ask comprehension & thought-provoking questions on the material when in tutor role & to explain material to group members when acting as tutee. Tutorial sessions followed over 8-week treatment. As a results, Experimental group outperformed control group on ability to construct learner's self-regulated learning ability, achievements, self-esteem & cooperation both during their tutorial interaction & on written measures.

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장애인 환자의 치과치료를 위한 전신마취 시 협조도와 마취 유도 방법에 대한 통계적 고찰 (Clinico-statistical Analysis of Cooperation and Anesthetic Induction Method of Dental Patients with Special Needs)

  • 서광석;신터전;김현정;한희정;한진희;김혜정;장주혜
    • 대한치과마취과학회지
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    • 제9권1호
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    • pp.9-16
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    • 2009
  • Background: This study aimed to evaluate the cooperative levels of dental patients requiring general anesthesia during dental treatments. Anesthetic induction methods for patients were also recorded and analyzed using descriptive statistics. Methods: Total 566 patients who visited Seoul National University Dental Hospital Clinic for Persons with Disabilities were reviewed on pre-anesthetic review and anesthesia records. The cooperative levels of patients were graded by 4 levels and induction methods used for the patients during general anesthesia application were analyzed. Results: More than half of patients(55.8%) were willing to receive the anesthetic induction(cooperative level 1), 18.6% were minimally cooperative(level 2), 20.8% needed physical restraint prior to induction(level 3), and 4.8% was poorly cooperative and induction procedure was performed under an unconscious condition after ketamine intramuscular injection(level 4). There was no gender difference in cooperative levels(P=0.11). Patients over 30 years revealed better cooperation levels compared to other age groups(P<0.05). For patients of level 1, 53.5% were anesthetized in a way of intravenous induction, while 77.1% out of patients of level 3 were anesthetically induced through inhalation method. Conclusion: Many dental patients with special needs were not cooperative to receive anesthetic induction. Additional behavioral support may be applied to poorly cooperative patients for the safe and successful clinical outcome.

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협동학습 전략의 교수 효과: 중학교 물상 수업에 LT 모델의 적용 (The Instructional Influences of Cooperative Learning Strategies : Applying the LT Model to Middle School Physical Science Course)

  • 노태희;임희준;차정호;노석구;권은주
    • 한국과학교육학회지
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    • 제17권2호
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    • pp.139-148
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    • 1997
  • This study investigated the influences of the cooperative learning strategies upon students' achievement and their perceptions of learning environments in a middle school physical science course. Prior to instruction, the Group Assessment of Logical Thinking was administered, and its score was used as a blocking variable. Mid-term examination score was used as a covariate. For the treatment group with heterogeneous grouping, cooperative learning instruction (the Learning Together model) was used, which emphasized group reward, individual accountability, and role division. For the control group, traditional instruction was used. After instruction, an achievement test consisting of three subtests (knowledge, understanding, and application), and the perception questionnaire of classroom and laboratory environments, were administered. ANCOVA results revealed that there was a significant interaction between instruction and the level of logical reasoning ability although there were no significant differences in all three subtest scores of the achievement test. For the concrete operational reasoners, the treatment group performed better in the subtests of understanding and application than the control group. For students at the formal and transition levels, however, the treatment group scored lower than the control group. Significant interactions were also found in the perceptions of classroom environment and laboratory environment. For the concrete operational reasoners, the treatment group showed more positive perception than the control group. For the students at the formal and transition levels, the control group had positive perception than the treatment group. Educational implications are discussed.

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일개 한의의료기관 내 경도인지장애의 의한협진 매뉴얼 제안 (Proposal of East-West Integrative Medicine Manual for Mild Cognitive Impairment in a Korean Medicine Hospital)

  • 김보민;조희근;강형원;최성열;송민영;설재욱;임정태;이가원;손성은
    • 동의신경정신과학회지
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    • 제29권4호
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    • pp.239-253
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    • 2018
  • Objectives: This is one of the manuals of East-West integrative medicine, which was created by the Committee on integrative medicine of Chung-Yeon Korean Medicine Hospital. To support clinical decision making and communication in the East-West cooperative treatment of mild cognitive impairment. Methods: Drafting was based on literature review from the MEDLINE, EMBASE, OASIS, and CNKI databases using search terms such as 'mild cognitive impairment', 'mild neurocognitive disorder', 'acupuncture', 'herbal medicine' and 'traditional Chinese medicine'. An amendment reflecting the goal of consultation and detailed treatment contents was made by reviewing the draft and holding discussion with the rehabilitation specialist of western medicine. The committee then agreed to adopt the manual through the process of review and feedback in addition to face-to-face discussions. Results: This manual contains the diagnosis of mild cognitive impairment, the goal of consultation, and the cooperative treatment contents of the East-West medicine for mild cognitive impairment. Conclusions: This manual provides significant information about the decision making process and contents of treatment in one medical institution for East-West cooperative treatment of mild cognitive impairment.

한.양방 협진체계 개발에 관한 연구 (A Study on Cooperative Medical Treatment System between Oriental and Western Medical Practitioners)

  • 이동희;류규수
    • 한국병원경영학회지
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    • 제3권1호
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    • pp.34-61
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    • 1998
  • A study on cooperative medical treatment system between oriental and western medical practitioners was conducted from March through August 1997 in order to determine a productive model of cooperation of two medical parts for treatment of patients. Questionnaires were distributed to 195 medical doctors(M.D.) and 195 doctors of oriental medicine(O.M.D.) working in clinics and hospitals in six major cities. Statistical analysis tools used for this study were frequency, t-test and multiple regression by using SPSS/P.C package. The results are summarized as follows: 1. The respondents were composed of male docotors(78%) and female doctors(22%) and 68.2% of M.D. and 97% of O.M.D. were interested in the other medical part. The doctors of both disciplines had some limitation on treatment of patients but they were reluctant to refer their patients to other doctors in different discipline. 2. M.D assumed that oriental medicine was more effective for chronic diseases, and O.M.D. thought that western medicine was more effective for acute diseases. 92.3% of O.M.D.s responded that even though they do not utilize western medical technology for diagnosis, they believed the results of diagnoses by western medical technology. 3. 60.5% of O.M. and 93.3% of O.M.D. said that cooperative medical treatment system could be necessary for patients and it would be effective for control of diseases and 69% of western medical doctors and 99% of oriental medical doctors agreed that oriental medical practice would be more effective for cerebellar vascular accidents than other diseases. 77.4% of western medical doctors and 92.3% of oriental medical doctors responded that the students of two different disciplines have to be taught on the other disciplines. 82.6% of western medical doctors and 83.3% oriental medical doctors agreed that it would be necessary to have collaborative research between scientists in two disciplines. 81.5% of M.D.s and 93.3% of O.M.D.s believed that they had prejudice and distrust on other discipline 4.90% of the doctors were not satisfied with the government medical policies on health insurance, legal matters, and health delivery system. 5. 75.4% of M.D.s and 50.2% of O.M.D.s said that two medical disciplines should be integrated, but they were skeptical on that. 75.3% of M.D.s thought that western hospitals should employ O.M.D.s Finally this study recommended that western medical students study oriental medicine and the vice versa, and M.D.s and O.M.D.s should have seminars and workshops to exchange knowledge, and experiences. It is also recommended that medical laws be revised to allow medical doctors refer the patients whom they can not handle to oriental medical doctors and the vice versa.

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