• Title/Summary/Keyword: e-clinical data

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The Effect of Aromatherapy Hand Massage on Cognitive Function, Sleep Disturbance and Problematic Behaviors of Elderly with Dementia (향요법 손마사지가 치매노인의 인지기능, 수면장애 및 문제행동에 미치는 효과)

  • Lee, Sun Young
    • Journal of Korean Clinical Nursing Research
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    • v.14 no.2
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    • pp.115-126
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    • 2008
  • Purpose: This study was aimed to develop an aromatherapy hand massage program, and evaluate the effects of aromatherapy hand massage on cognitive function, sleep disturbance and problematic behaviors of elderly with dementia. Method: The research design was a nonequivalent control group non-synchronized quasiexperimental study. Aromatherapy hand massage was administrated to experimental groupI for 2 weeks, jojoba oil massage were administrated to experimental groupII for 2 weeks, and no treatment for control group for 2 weeks. Data were analyzed using the $x^2-test$, ANOVA, ANCOVA and $Scheff{\acute{e}}$ test in the SPSS 12.0 program. Results: Experimental group I showed significant changes in sleep disturbance and problematic behaviors compared to those in experimental groupII or control group. Conclusion: Aromatherapy hand massage program is found effective on sleep disturbance and problematic behaviors of elderly with dementia.

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The Role of Bronchodilators in Preventing Exacerbations of Chronic Obstructive Pulmonary Disease

  • Beeh, Kai M.
    • Tuberculosis and Respiratory Diseases
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    • v.79 no.4
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    • pp.241-247
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    • 2016
  • Bronchodilators are the cornerstone of symptomatic chronic obstructive pulmonary disease (COPD) treatment. They are routinely recommended for symptom reduction, with a preference of long-acting over short-acting drugs. Bronchodilators are classified into two classes based on distinct modes of action, i.e., long-acting antimuscarinics (LAMA, once-daily and twice-daily), and long-acting ${\beta}2$-agonists (LABA, once-daily and twice-daily). In contrast to asthma management, evidence supports the efficacy of both classes of long-acting bronchodilators as monotherapy in preventing COPD exacerbations, with greater efficacy of LAMA drugs versus LABAs. Several novel LAMA/LABA fixed dose combination inhalers are currently approved for COPD maintenance treatment. These agents show superior symptom control to monotherapies, and some of these combinations have also demonstrated superior efficacy in exacerbation prevention versus monotherapies, or combinations of inhaled corticosteroids plus LABA. This review summarizes the current data on clinical effectiveness of bronchodilators alone or in combination to prevent exacerbations of COPD.

The Effect of Electrical Stimulation on Bacterial Growth (전기자극이 세균성장에 미치는 영향)

  • Park Young-Han;Kim Jin-Sang;Park Rae-Joon
    • The Journal of Korean Physical Therapy
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    • v.6 no.1
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    • pp.109-119
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    • 1994
  • The study was carried out to investigate the change of bacterial growth in vitro according to polarity, current intensity and time, to prepare the basic data for electrotherapy and clinical research. The Gram positive Staphylococcus aureus and Gram negative Escherichia coli 1mm infect wound were cultured in Trypticase Soy Brath and Trypticase Soy Agar. The results were as followings. 1. The current stimulated group was changed in bacterial growth according to polarity, current intensity and time respectively. 2. The bacteriolytic effect revealed in the anode but the inhibitory effect of bacterial growth revealed in the cathode. 3. The lumber of E. coli reduced after 6-hours but the numbers of S. aureus reduced after 2 hours in Trypticase Soy Brath. 4. The anode showed acid reaction and cathode showed alkaline reaction in Trypticase Soy Agar.

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Causes of Failure in the Radiation Therapy of Head and Neck Cancer - Clinico-Radiobiogical Correlations- (두경부암의 방사선치료에서 치료실패의 요인에 관한 분석 - 임상 및 방사선 생물학적 측면에서의 고찰 -)

  • Kim Gwi-E.
    • Korean Journal of Head & Neck Oncology
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    • v.6 no.1
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    • pp.1-10
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    • 1990
  • This review will be discussed the various causes of radiation failure for head and neck cancers from radiobiologic perspective and also provided a few clinical data to illustrate the basic principle. A knowledge about multiplicity of factors that may underlie failure of radiation treatment is essential for rational application of new treatment strategies. Furthermore, it is important to distinguish causes of failure that can be reduced or minimized by application of conventional treatment from one are potentially remediable by new treatment strategies, and one that are not amenable to some modification of radiotherapeutic approach.

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CLINICAL ASSESSMENT OF THE VELOPHARYNGEAL INCOMPETENCY SPEAKERS WITH SPEECH AIDS (발음보조장치를 이용한 비인강폐쇄부전환자의 음성언어 평가)

  • Ko, Seung-O;Shin, Hyo-Keun
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.26 no.4
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    • pp.414-421
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    • 2000
  • The objective evaluation of velopharyngeal closure function is the key to diagnosis and therapy control of velopharyngeal incompetency. The aim of this study is to evaluate the aerodynamic and acoustic characteristics of the velopharyngeal closure function of patients who have developed velopharyngeal incompetency after management with speech aids. The test words were composed of sustained vowels /a/, /i/, /e/, /u/, /ja/, /je/, /wi/ and polysyllabic words /p'ap'i/, /siso/, /mami/ for measuring nasalance, The data was collected before the placement of the speech aids and one to three months after. The results were as follows: The nasalance score of the velopharyngeal incompetency speakers was higher than that of the normal control group, except for nasal sounds, and was decreased after placement of the speech aids, especially in high vowels /i/ (P<.01) and /wi/ (P<.05).

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An elaboration on sample size determination for correlations based on effect sizes and confidence interval width: a guide for researchers

  • Mohamad Adam Bujang
    • Restorative Dentistry and Endodontics
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    • v.49 no.2
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    • pp.21.1-21.8
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    • 2024
  • Objectives: This paper aims to serve as a useful guide for sample size determination for various correlation analyses that are based on effect sizes and confidence interval width. Materials and Methods: Sample size determinations are calculated for Pearson's correlation, Spearman's rank correlation, and Kendall's Tau-b correlation. Examples of sample size statements and their justification are also included. Results: Using the same effect sizes, there are differences between the sample size determination of the 3 statistical tests. Based on an empirical calculation, a minimum sample size of 149 is usually adequate for performing both parametric and non-parametric correlation analysis to determine at least a moderate to an excellent degree of correlation with acceptable confidence interval width. Conclusions: Determining data assumption(s) is one of the challenges to offering a valid technique to estimate the required sample size for correlation analyses. Sample size tables are provided and these will help researchers to estimate a minimum sample size requirement based on correlation analyses.

Geant 4 Monte Carlo simulation for I-125 brachytherapy

  • Jie Liu;M.E. Medhat;A.M.M. Elsayed
    • Nuclear Engineering and Technology
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    • v.56 no.7
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    • pp.2516-2523
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    • 2024
  • This study aims to validate the dosimetric characteristics of Low Dose Rate (LDR) I-125 source Geant4-based Monte Carlo code. According to the recommendation of the American Association of Physicists in Medicine (AAPM) task group report (TG-43), the dosimetric parameters of a new brachytherapy source should be verified either experimentally or theoretically before clinical procedures. The simulation studies are very important since this procedure delivers a high dose of radiation to the tumor with only a minimal dose affecting the surrounding tissues. GEANT4 Monte Carlo simulation toolkit associated brachytherapy example was modified, adapted and several updated techniques have been developed to facilitate and smooth radiotherapy techniques. The great concordance of the current study results with the consensus data and with the results of other MC based studies is promising. It implies that Geant4-based Monte Carlo simulation has the potential to be used as a reliable and standard simulation code in the field of brachytherapy for verification and treatment planning purposes.

A case report of toxic hepatitis caused by chloroform in automotive parts manufacturer coating process

  • Jong Hyun Hwang;Jung Il Kim
    • Annals of Occupational and Environmental Medicine
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    • v.34
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    • pp.22.1-22.7
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    • 2022
  • Background: Several cases of chloroform-induced hepatotoxicity have been reported worldwide, but only 2 cases have been reported in Korea. We encountered a case of toxic hepatitis due to chloroform exposure in February 2022 and report the diagnosis process and clinical findings. Case presentation: A 38-year-old employee in charge of the coating after washing (degreasing) at an automotive parts manufacturer complained of jaundice and was diagnosed with acute toxic hepatitis. After the initial diagnosis, he continued to work, his symptoms worsened, and he was hospitalized for 8 days. Liver ultrasonography (elastography) revealed acute hepatitis. The washing agent contained chloroform, which was not listed on the materials safety data sheet, and the concentrations of chloroform in the workplace were up to 4.7 times the time-weighted average. Conclusions: This patient showed typical toxic hepatitis with chloroform; further follow-up studies are required. Both employers and workers should be aware of information on toxic substances and take precautions to avoid exposure.

A case of Hyper-IgE syndrome with a mutation of the STAT3 gene (STAT3유전자 돌연변이 검사로 확진된 고면역글로불린E 증후군 1례)

  • Kang, Ji-Man;Suh, Jung-Min;Kim, Ji-Hyun;Kim, Hee-Jin;Kim, Yae-Jean;Lee, Hun-Seok;Shin, Young-Kee;Ahn, Kang-Mo;Lee, Sang-Il
    • Clinical and Experimental Pediatrics
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    • v.53 no.4
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    • pp.592-597
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    • 2010
  • Hyperimmunoglobulin E syndrome (HIES) is a rare immunodeficiency disease which is characterized by high serum IgE levels, eczema, and recurrent infections. Herein we present the case of a patient with HIES associated with STAT3 gene ($stat3$) mutation. A 16 year-old girl was admitted to our hospital due to hemoptysis caused by pneumonia with bronchiectasis. She had a history of recurrent skin and respiratory tract infections, such as pneumonia caused by MRSA (methicillin-resistant $Staphylococcus$ $aureus$) and $Pseudomonas$ $aeruginosa$. On physical examination, a broad round shaped nose, oral thrush, and chronic eczematous skin rash over her whole body were found. Laboratory data showed an elevated eosinophil count ($750/{\mu}L$) and total IgE level (5,001 U/mL). The patient's National Institutes of Health (NIH) score for HIES was 44. Direct sequencing of the STAT3 gene revealed that the patient was heterozygous for a missense mutation in the DNA binding domain of the STAT3 protein (c.1144C>T, p. Arg382Trp). HIES should be suspected in patients with recurrent infections and can be confirmed by clinical scoring and genetic analysis.

Statistical Analysis of Quality Control Data of Blood Components (혈액성분제제 품질관리 자료의 통계학적인 비교)

  • Kim, Chongahm;Seo, Dong Hee;Kwon, So Yong;Oh, Yuong Chul;Lim, Chae Seung;Jang, Choong Hoon;Kim, Soonduck
    • Korean Journal of Clinical Laboratory Science
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    • v.36 no.1
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    • pp.19-26
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    • 2004
  • According to increase of domestic blood components use, the quality control of blood components is necessary to support good products. The purpose of this study is used to provide the producing index of the good product as compared with the accuracy and validity for the distribution of the quality control data. The value of mean, standard deviation, 95% confidence interval and degree of normal distribution of data were calculated by univariate procedure, the value of monthly mean of each blood centers per items were compared by Analysis of Variance(ANOVA) test for the degree of distribution. When there was difference among the mean values, the Duncan's multiple range test was done to confirm the difference. Finally, methods for accessing accuracy and validity of the quality data was done by the Contingency table test. The quality data of five blood centers was showed to the normal distribution and it was in a acceptable range. For each blood centers, the monthly means of Hematocrit(Hct), Platelet(PLT) and pH were not significantly different except Hct of C center, PLT of B, D center and pH of A center. The quality data per items was graded according to quality to six level. As a result of the comparative analysis, the monthly means of Hct of C and E center was significantly different higher than that of D, B and A center. The monthly means of PLT of A center and pH of C center was significantly different higher than that of the others. In the accuracy and validity of the quality control data, C center for Hct, A center for PLT and C center for pH were better than the other. The C blood center was most satisfiable and stable in the quality control for blood component. If the quality control method used in C blood center is adopted in other blood centers, the prepared level of the blood component of the center will be improved partly.

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