• 제목/요약/키워드: general clinical view

검색결과 81건 처리시간 0.032초

수기 액상세포검사를 이용한 자궁목 세포진 검사의 임상적 효용성: 고식적 세포진 검사와의 비교 (Clinical Efficacy of Manual Liquid-Based Cervicovaginal Cytology Preparation: Comparative Study with Conventional Papanicolaou Test)

  • 박종명;이종기;서인수
    • 대한세포병리학회지
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    • 제16권1호
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    • pp.10-17
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    • 2005
  • This study was performed to compare manual liquid-based preparation with conventional Papanicolaou tests in view of the cytologic diagnoses and specimen adequacy. The specimens of 5,979 women from 33 local clinics and 1 general hospital were prepared by both manual liquid-based preparation and conventional Papanicolaou test. The cytologic diagnoses and specimen adequacy were evaluated in Department of Fathology in Kyoungpook National University School of Medicine. A conventional Papanicolaou test was always prepared first, after that residual material on the sampling device was rinsed into a liquid preservative, and then thin-layer slides were prepared using manual method of liquid-based cervicovaginal cytology. Conventional and liquid-based slides were read independently, and cytologic diagnoses and specimen adequacy were classified using the Bethesda System. Of the cases, 5,763 (96.3%,) had the same interpretation, and there was no significant diagnostic difference in 5,853 (97.8%) cases. When evaluating cases with more than one diagnostic class difference, the manual liquid-based preparation demonstrated a statistically significant overall improvement (2.1%) in the detection of squamous intraepithelial lesion and invasive cancer. Using manual method of liquid-based preparation, there was 14.1%, reduction in unsatisfactory slides through excellent cellular presentation. In conclusion, the manual liquid-based preparation produces standardized quality, superior sensitivity and improved adequacy as compared to the conventional method.

최소 침습적 정복술 및 금속강선 고정술을 이용한 전위된 관절내 종골 골절의 치료 (Minimally Invasive Reduction and Pin Fixation Treatment for Displaced Intraarticular Calcaneal Fracture)

  • 이진영;박인헌;김갑래;김태화;오범석
    • 대한족부족관절학회지
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    • 제14권1호
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    • pp.66-72
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    • 2010
  • Purpose: To evaluate the clinical efficacy of the minimally invasive posterior approach for the surgical treatment of intraarticular fracture of calcaneus. Materials and Methods: From March 2006 to October 2008, we studied retrospectively 45 patients, 56 cases who were treated with minimally invasive reduction and pin fixation treatment for displaced intraarticular calcaneal fracture and were followed up for more than 1 year. The clinical results were evaluated with Creighton-Nebraska score and AOFAS score, circle draw test after 1 year. We checked simple AP, lateral, axial and Broden's view preoperatively and 1 year after surgery, and compared Bohler angle and Gissane angle. Results: By Creighton-Nebraska score, Sanders type 1 was 81, type 2 was 75, type 3 was 69, type 4 was 61. By AOFAS score, Sanders type 1 was 88, type 2 was 82, type 3 was 78, type 4 was 63. And by circle draw test, type 1 was 8.8 cm, type 2 was 8.5 cm, type 3 was 8 cm, type 4 was 6.6 cm. Preoperative Bohler angle and Gissane angle were $7.2^{\circ}$, $98^{\circ}$, and it increased to $21.2^{\circ}$, $116^{\circ}$ after postoperative 1 year. Conclusion: Minimally invasive reduction and pin fixation treatment for displaced intraarticular calcaneal fracture was considered to be an effective treatment modality.

교통사고(交通事故)에 대(對)한 역학적(疫學的) 고찰(考察) (An Epidemiological Study on Traffic Accidents)

  • 박동철;유동준
    • Journal of Preventive Medicine and Public Health
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    • 제17권1호
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    • pp.75-83
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    • 1984
  • A retrospective study has been made of 170,026 cases of motor vehicle accidents which had been reported to the National Police Headquarters of Republic of Korea, 1983. Also a study has been made of 264 cases of road traffic casualties who were treated at the Eul-ji General Hospital from Jan. 1, 1983 to Dec. 31, 1983. This study was conducted to find out the nature and pattern of the traffic accidents from the clinical and epidemiological view points. In additions, the modes of injury from the road accidents were persued which might help to reduce the traffic accident rate. The results of the study were summarized as follows; 1. In this study, the highest incidence was in the age group between $21{\sim}30$ years (21.29%). And the age group of highest death rate was under 10 years (7.28%). 2. In the comparison of sexual differences, male was dominated in accidents number and death rate. (Casualty rate; 61.66%). 3. In the comparison of each hour differences, the accident was mostly occured during afternoon from 16:00 to 18:00(12.23%). 4. The most common day of week was Sunday (14.74%). 5. The most common season of year was Autumn (27.92%). 6. In the comparison of occupational differences, the high incidences were showed in labor men (31.06%) and business men (12.12%). 7. In the comparison of accidental vehicles, the most common vehicle were cars and the next were trucks and buses. 8. The most common mechanism of accidents was collision (57.41%). 9. In the comparison of clinical differences, orthopaedic and neurosurgical injuries were most common types of the hospitalized casualties. 10. In the comparison of anatomical fracture sites, the most common site was tibia (15.81%) and the next site was femur (12.56%).

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한국 물리치료사들의 근무 현황조사 (A Survey on Working Present Status of Physical Therapiests in Korea)

  • 라기용;오영택;문향미;배성수;전제균
    • The Journal of Korean Physical Therapy
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    • 제10권1호
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    • pp.229-239
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    • 1998
  • The purpose of this article is to identify real problems and to have a view of the future in Korean physical therapy of it through the survey. Moreover we make a statement for the justification acquiring the rights of practing Physical therapiests with this fundamental data. The survey was conduced on 368 employed physical therapiests males 164. tamale 190 in korea from April t to 30 in 1998 with self-administered questionnaire. The following results were obtained : 1. Of the 323 cases, $121(37.46\%)$ work in local clinics, $55(17.02\%)$ in hospitals, $103(31.89\%)$ in general hospital and $21(9.60\%)$ in rehabilitation centers or public welfare facilities. 2. In investigation of annual salary, the most common annual salary was more than 20million won in male$(22.61\%)$ and $12\~14$million won in female$(35.36\%)$ 3. The age group of $27\~29$ years accounted for $32.32\%$ in male and $24\~20$ years accounted for $46.77\%$ in female of the total physical therapiests are the highest. 4. In job satisfaction, $44.5\%$ of physical therapiests who work in general hospital are generally satisfied and $25\%$ are 5. The periods of clinical practice for which physical therapiests expect to devote are 164$(44,81\%)$ consider less than 10years, and $67(18.31\%)$ expect 20years. 6. The problems of physical therapy system in korea are deviated administration of a cantral executive committee$(39.94\%)$ and excessive production of resistered physical therapiests.

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임상치과위생사의 윤리적 딜레마와 전문직업성 (Clinical Dental Hygienist's Ethical Dilemma and Professionalism)

  • 김창희;이현옥;이선미
    • 치위생과학회지
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    • 제11권4호
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    • pp.345-352
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    • 2011
  • 본 연구는 임상에 근무하는 치과위생사를 대상으로 윤리적 딜레마와 치과위생사의 전문직업성 정도를 파악하고자 393명을 대상으로 설문조사 하였으며, SPSSWIN 18.0을 이용하여 분석한 결과 다음과 같은 결론을 얻었다. 1. 윤리적 딜레마 영역별로 치과위생사와 전문직 업무가 2.62점, 치과위생사와 대상자 2.41점, 치과위생사와 협동자 2.34점 순이었고, 전체적 딜레마 점수는 2.46점으로 나타났다. 2. 전문직업성 영역별로 공공봉사심이 3.55점, 자율성 3.42점, 전문조직에의 준거성 3.14점, 소명의식 3.01점 순으로 나타났으며, 전체 전문직업성은 3.28점으로 나타났다 3. 윤리적 딜레마의 세부영역 중 치과위생사의 전문직 업무 영역은 공공봉사심, 소명의식 및 전체적 전문직업성, 치과위생사와 협동자 영역은 공공봉사심과 소명의식, 치과위생사와 대상자 영역은 자율성과 소명의식, 전체적인 윤리적 딜레마에서는 공공봉사심과 소명의식에서 약하지만 유의한 부의 상관관계를 보였다. 4. 일반적 특성에 따른 전체적 딜레마는 연령에서 21-24세, 학력은 대학원 이상, 결혼 상태는 미혼, 근무지는 치과병원 및 대학병원인 경우, 근무경력이 1-3년 이하에서 점수가 높았으나 집단 간 차이는 크지 않았으며, 통계적으로도 유의한 차이가 없었다. 5. 일반적 특성에 따른 전문직업성은 연령이 많을수록, 교육정도가 높을수록, 기혼인 경우, 근무경력이 많을수록 전문직업성 정도가 높은 것으로 나타났고, 통계적으로도 유의한 차이를 보였다. 6. 전문직업성에 영향을 미치는 요인으로는 학력과 근무경력이 영향을 미치는 것으로 나타났다. 이상의 결과로 윤리적 가치관 확립을 위한 지속적인 전문직업성 교육프로그램 개발로 전문직업성 함양을 위한 방안이 모색되어야 한다고 사료된다.

이제마(李濟馬)의 유학적(儒學的) 인간관(人間觀)과 의학정신(醫學精神) (The confucian view of human being of Lee Je-ma and his spirits to apply Sasang Constitutional Medicine)

  • 송일병
    • 사상체질의학회지
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    • 제12권1호
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    • pp.1-9
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    • 2000
  • 1. 연구목적 동무(東武) 이제마(李濟馬)는 사상체질의학(四象體質醫學)을 통해 인간과 생명에 대한 새로운 시각을 제시하여 기존의 의학과는 다른 관점에서 인간의 질병을 해결하고자 하였다. 그러므로 사상체질의학(四象體質醫學)을 임상에 적용하기 위해서는 그의 의학관(醫學觀)을 정확히 이해하는 것이 선행되어야 한다. 그러므로 본 논고에서는 인간(人間), 생명(生命) 그리고 질병(疾病)에 대한 그의 의학관(醫學觀)을 살펴 사상체질의학(四象體質醫學)의 임상 적용에 도움을 얻고자 하였다. 2. 연구방법 동무(東武) 이제마(李濟馬)의 저서로 밝혀진 "격치고(格致藁)", "동의수세보원(東醫壽世保元)", "동의수세보원사상초본권(東醫壽世保元四象草本卷)", "동무유고(東武遺藁)" 등의 문헌을 통해 그의 생애(生涯)와 의학관(醫學觀)을 살펴보았다. 3. 결론 (1). "주역(周易)"의 사물(事物)에 대한 인식체계는 도교적(道敎的) 배경에서 나온 음양론적(陰陽論的) 요약정신(要約精神)의 인식체계로 음양적(陰陽的) 역간지묘(易簡之妙)를 구현한 것이고 동무(東武) 이제마(李濟馬)의 사물(事物)에 대한 인식체계는 유학적(儒學的) 배경에서 나온 사심신물적(事心身物的) 요약정신(要約精神)의 인식체계로, "주역(周易)"의 것을 발전시켜 '사상적(四象的) 역간지묘(易簡之妙)'로 발전시켰고 이를 의학적 차원에서 완성시켰다. (2) 동무(東武) 이제마(李濟馬)의 생애는 어려웠던 시대상황 속에서 유학철학(儒學哲學)의 새로운 경지를 정립하였고, 이를 바탕으로 새로운 의학(醫學)을 창안하였으며, 더 나아가 현실참여를 통해 광제정신(廣濟精神)을 구현하고자 했던 것이라 할 수 있다. (3) 동무(東武) 이제마(李濟馬)는 '음양적(陰陽的) 역간지묘(易簡之妙)'를 터득하여 기존의 다양한 유형의 인간관(人間觀)을 천인생명(天人生命)의 사심신물적(事心身物的) 요약정신(要約精神)으로 정리하고, 이를 생명론적(生命論的), 지행론적(知行論的), 체질론적(體質論的), 인간관(人間觀)으로 제시하였다. (4) 동무(東武) 이제마(李濟馬)는 새롭게 '명맥실수(命脈實數)', '장(臟)의 본상지기(本常之氣)' 및 '생식윤보지도(生息允補之道)'의 개념으로 설정함으로써 인간수명(人間壽命)에 대한 구체적인 생명관(生命觀)을 제시하였다. (5) 동무(東武) 이제마(李濟馬)는 사상인(四象人)의 지행적(知行的) 조절(調節), 생식윤보지도(生息允補之道)의 섭생 및 치심치병(治心治病)을 통한 넓은 의미의 '광제의학정신(廣濟醫學精神)'과 새로운 사상체질병증휴계(四象體質病症休係)의 확립을 통한 '질병야요정신(疾病冶療精神)'을 제시하여 의학(醫學)에서의 '역간지묘(易簡之妙)'를 구현하였다.

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지방유래줄기세포의 지방분화과정에서 활성산소가 미치는 영향 (Role of Reactive Oxygen Species in the Adipogenesis of Adipose-derived Stem Cells)

  • 장학;민경희;박영인;김요한;민경원
    • Archives of Plastic Surgery
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    • 제38권2호
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    • pp.131-134
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    • 2011
  • Purpose: Stem cells continue to receive research attention in the clinical fields, and adipose-derived stem cells (ADSCs) have been shown to be a good source raw material. Many plastic surgeons are researching the ADSC adipogenesis with a view of conducting clinical trials, and many attempts have been made to identify the factors that promote the adipogenesis of ADSCs, but comparatively few correlation studies have been undertaken to explore the relation between reactive oxygen species (ROS) and the ADSC adipogenesis. We undertook this study is to investigate the effects of ROS on ADSC adipogenesis. Methods: ADSCs were isolated and cultured from abdominal adipose tissue, and cultured in different media; 1) DMEM(control), 2) adipogenesis induction culture medium, 3) adipogenesis induction culture medium with ROS ($20{\mu}M/50{\mu}M\;H_2O_2$), 4) adipogenesis induction culture medium containing ROS ($20{\mu}M/50{\mu}M\;H_2O_2$) and antioxidant ($10{\mu}M/20{\mu}M$ Deferoxamine). We compared adipogenesis in these different media by taking absorbance measurements after Oil-Red O staining every 5 days. Results: After culturing for 20 days, significant differences were observed between these various culture groups. Absorbance results showed significantly more adipogenesis had occurred in media containing adipogenesis induction culture medium and $H_2O_2$ (in a $H_2O_2$ dose-dependently manner) than in media containing adipogenesis induction culture medium and no $H_2O_2$ (p<0.001). Furthermore, in media containing adipogenesis induction culture medium, $H_2O_2$, and antioxidant, absorbance results were significantly lower than in adipogenesis induction culture medium and $H_2O_2$ (p<0.001). Conclusion: These findings suggest that ROS promote the adipogenesis of ADSCs. We suggests that ROS could be used in the adipose tissue engineering to improve fat cell differentiation and implantable fat tissue organization.

응급구조학과 대학생들의 안락사에 대한 생명의료윤리 의식 연구 (A Study on the Biomedical Ethics Consciousness for Euthanasia of the Paramedic Students)

  • 최보람
    • 한국응급구조학회지
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    • 제14권2호
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    • pp.41-55
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    • 2010
  • Objective : This study is designed to present the direction and the necessity of education on the biomedical ethics the establish desirable ethical view of paramedic students by understanding on the consciousness of students of department of emergency medical technology on biomedical ethics on euthanasia. Method : Data were collected from on 335 students of department of emergency medical technology in 4-year-college located in districts of Chungcheong-do, from March 4 to April 22, 2010. The questionnaire consisted of total 29 items, i.e., 11 items of general characteristics, 11 items of characteristics related to biomedical ethics and 7 items of consciousness on euthanasia. Result : In general characteristics, the first grade showed the most dense distribution of 37.3%, the second grade was 20.0%, the third grade was 20.9% and the fourth grade was 21.8%. In the consciousness of biomedical ethics on euthanasia, the third and the fourth grades showed a higher ratio(${\chi}^2$ = 136.327, p= .000), in comparison with the first and the second grades, the higher year they were, the higher degree of consciousness they had. The consciousness on each item of euthanasia showed significant differences in grade (F = 8.203, p= .000), experience of clinical practice or none (t = 3.731, p= .000), experience of biomedical ethics education or none (t = 1.997, p = .047) and degree of consciousness on DNR (F = 8.240, p = .000) regarding 'CPR shall not be required in any cases if a patient wants DNR', in experience of biomedical ethics education or none (t = 2.452, p= .015) and degree of consciousness on DNR (F = 2.725, p = .044) regarding if a patient refuses all treatments, the patient's opinion shall be respected', and in degree of consciousness on DNR (F = 2.858, p = . 037) regarding 'after determination of DNR, if the family wants a positive treatment, it shall follow the family's request'. Conclusion : It seemed that the differences in consciousness according to grade and experience of clinical practice were influenced by experiences to treat patients in personally. Moreover, it showed that the higher grade they are, the more experience of education they have, the experiences of education had influences on the consciousness. Development of educational programs is required in order to supply accurate knowledge on biomedical ethics for euthanasia to lower-grade students the to let them establish ethical views properly, and in order to correct wrong knowledge and to establish ethical views while supplying knowledge on biomedical ethics for euthanasia to higher-grade students.

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3개의 유관 나사를 이용한 관절경적 족근 관절 고정술 (Arthroscopic Ankle Arthrodesis Using Three Cannulated Screws)

  • 김경태;이송;고동오;양승진;전태환;양종화
    • 대한관절경학회지
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    • 제13권3호
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    • pp.249-253
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    • 2009
  • 목적: 말기 족근 관절염 환자에서 시행한 3개의 유관 나사와 관절경을 이용한 족근 관절 고정술의 임상적, 방사선적 결과를 평가하여 유용성을 알아보고자 하였다. 대상 및 방법: 2006년 5월부터 2009년 2월까지, 관절경하에 3개의 유관 나사를 이용하여 족근 관절 고정술을 시행한 족근 관절 관절염 환자 15명, 17예를 대상으로 하였다. 남자가 8명, 여자가 7명 이었으며 평균 나이는 62.2세였다. 임상적으로 수술 전과 수술 후의 미국 정형외과 족부 족관절 학회(American Orthopaedic Foot and Ankle Society)의 족관절-후족부 기능 평가 기준(ankle-hindfoot functional scale), 시각 상사 척도 동통 점수(visual analogue scale pain score) 및 환자의 만족도를 평가하였고, 방사선적으로 방사선 전후, 측면과 mortise 사진을 측정하여 골유합을 확인하였다. 평균 추시 기간은 24.2개월이었다. 결과: 족관절-후족부 기능 평가 기준은 수술 전 평균 47.4점에서 수술 후 최종 추시에서 평균 82.5점으로 향상되었고, 시각 상사 척도 동통 점수는 수술 전 평균 8.6에서 최종 추시 시 평균 2.4로 감소되었다. 환자의 만족도는 7예(41.2%)에서 매우 만족, 8예(47.0%)에서 만족(good), 1예(5.9%)에서 보통, 1예(5.9%)에서 불만족 소견을 보였다. 모든 예에서 족근관절은 성공적으로 골유합이 되었으며 유합의 평균 시간은 9.1주였다. 결론: 관절경하에서 3개의 유관 나사를 이용한 족근 관절 고정술은 좋은 임상 결과와 높은 골유합을 얻을 수 있어 진행된 족근 관절염에서 시행 할 수 있는 유용한 술식으로 사료된다.

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치과위생사의 보수교육 실태 및 인식에 관한 연구 (A study on the state of inservice education for dental hygienists and their relevant awareness)

  • 정재연;김경미;조명숙;안금선;송경희;최혜정;최윤선;황윤숙
    • 한국치위생학회지
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    • 제7권1호
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    • pp.73-89
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    • 2007
  • The purpose of this study was to examine the reality of inservice education provided to members of Korean Dental Hygienists Association, the state of relevant academic conferences, and the perception of the members about inservice education and academic conference. It's basically meant to help boost their participation in inservice education and their satisfaction with it, and to show some of the right directions for that. The subjects in this study were dental hygienists who attended a symposium on July 1, 2006. After a survey was conducted, the answer sheets from 489 participants were analyzed, and the findings of the study were as follows: 1. General hospitals and university hospitals made up the largest group(91.4%) that gave a monthly leave of absence, and the second largest group was dental hospitals(75.4%), followed by dental clinics(58.3%) and public dental clinics(48.0%). The most common closing time in dental clinics and dental hospitals was 5 p.m., and that was 12 p.m. in general hospitals and university hospitals. The dental hygienists in public dental clinics didn't work on Saturdays. By type of workplace, treatment was the most common duty for the dental hygienists in dental clinics and dental hospitals to perform, and those who worked at general hospitals, university hospitals and public health clinics were in charge of extensive range of jobs. 2. The rates of the dental hygienists who took that education stood at 94.9% in public dental clinics, 78.7% in dental hospitals and 75.3% in dental clinics, general hospitals and university hospitals. Regarding how many marks they got on an yearly basis, those who got eight marks or more made up the largest group(55.6%), followed by four marks or more(11.8%), six marks or more(3.4%), and two marks or more(1.5%). As for the usefulness of inservice education for their job performance, the largest number of the dental hygienists(40.8%) found it to be helpful, and the second greatest group(37.5%) considered its effectiveness to be so-so. The third largest group(8.4%) found it to be of great use, and the fourth biggest group(4.2%) considered it to be of no service. The fifth biggest group(l.3%) thought it was absolutely useless. By type of workplace, the workers in dental clinics, dental hospitals, general hospitals and university hospitals wanted the most to learn how to take care of clinical work(acquisition of up-to-date technology), and those in public health clinics hoped the most to learn about public dental health. By type of workplace, the workers in dental clinics had their sight set on self-development the most, and the dental hygienists in dental hospitals, general hospitals, university hospitals and public health clinics were most in pursuit of acquiring new knowledge. By type of workplace, the specific given conditions at work were most singled out by the dental clinic workers as the reason, and the dental hospital employees pointed out time constraints the most. The dental hygienists in general hospitals and university hospitals cited time constraints and financial burden the most, and the public health clinic personnels mentioned inaccessibility of a place for inservice education as the reason. 3. The public health clinic workers participated in academic conferences the most(90.8%), followed by the general and university hospital personnels(68.8%), dental hospital employees(65.6%) and dental clinic workers(65.5%). By type of workplace, the public health clinic workers(73.5%) expressed the most satisfaction, followed by the general and university hospital employees(67.7%), dental clinic workers(62.3%) and dental hospital personnels(54.1%). By type of workplace, the employees of dental clinics, dental hospitals, general hospitals and university hospitals preferred Saturdays, and the public health clinic workers had a liking for weekdays. As for a favored place, hotels were most preferred, followed by university hospitals, general hospitals, college lecture rooms, district halls and local public institutions. Hotels were most favored regardless of the type of workplace. 4. Regarding outlook on inservice education, they had the highest opinion on the facilities and given conditions of lecture rooms($3.41{\pm}0.83$), followed by the professionalism of lecturers($3.34{\pm}0.83$), procedures of receipt and attendance confirmation($3.34{\pm}0.83$) and class size($3.13{\pm}0.89$). On the contrary, they took the most dismal view of the inaccessibility of a place of inservice education($2.08{\pm}0.92$), followed by limited opportunity and limited date for that education($2.51{\pm}0.99$), extra financial burden($2.53{\pm}1.18$) and high tuition fee($2.57{\pm}0.96$).

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