• The Journal of Churna Manual Medicine for Spine and Nerves
• /
• v.8 no.1
• /
• pp.49-61
• /
• 2013

Objectives: The aim of this study was to analyse the domestic trends of Chuna treatments techniques in Korean literature. Methods: We searched the clinical trials on Chuna treatments through both electronic search(used keyword 'chuna') and hand search in 3 Korean web databases(OASIS, NDSL, RISS) and 4 related journals(The Journal of Korea CHUNA Manual Medicine for Spine & Nerves, Journal of Oriental Rehabilitation Medicine, The Journal of Korean Acupuncture & Moxibustion Society, Journal of Korean Medicine Society). All relevant clinical trials were selected and extracted to be analyzed according to their published year, journals, types of study, used techniques. Results: The number of the clinical studies tends to increase every year. The studies on Chuna treatments were mainly published in The Journal of Korea Chuna Manual Medicine for Spine & Nerves. In case of types of study, case reports and case series were predominant. The most frequently adopted techniques of Chuna in studies were flexion distraction technique for lumbar spine and JS supine position cervical spine distraction. Conclusions: Through the results of this study, we hope that the more qualitative education could be conducted by strengthening the techniques which often used. Also analysis of the reason of rarely used techniques should be conducted and the modification or developing techinques should be followed as a counter measures. As applying more rigorous methodology, more qualitative evidence based Chuna studies should be conducted in future clinical research.

• Clinics in Shoulder and Elbow
• /
• v.14 no.1
• /
• pp.134-139
• /
• 2011

Purpose: We wanted to review the arthroscopic Remplissage technique and introduce our experiences with it for treating recurrent shoulder instability with a large Hill-Sachs lesion. Materials and Methods: The arthroscopic Remplissage technique with Bankart repair is performed in patients with no osteoarthritis, no fracture around the shoulder, a history of recurrence more than 10 times, a large Hill-Sachs lesion more than 30 to 40% of the humeral articular surface and glenoid bone loss less than 20%. Results and Conclusion: For recurrent shoulder instability with a large Hill-Sachs lesion, the Remplissage technique resulted in a good outcome for the shoulder stability, and good clinical and functional results.

• Clinics in Shoulder and Elbow
• /
• v.14 no.1
• /
• pp.99-104
• /
• 2011

Purpose: Total elbow arthroplasty (TEA) is still in its infancy as compared with other forms of arthroplasty. TEA designs have evolved with experience, but comparatively little long-term outcome data is available. This article provides an overview of the current states of linked, unlinked, and convertible total elbow arthroplasty. Material and Method: The designs of total elbow prostheses can be subdivided into three categories: unlinked, linked, and convertible. This article provides an overview of the current states of linked, unlinked, and convertible total elbow arthroplasty. Results and Conclusion: By proper patient selection and by utilizing implant design advances, improvements in cementation techniques, a meticulous surgical technique, and appropriate postoperative rehabilitation, total elbow arthroplasty can provide a high level of patient satisfaction and pain relief.

• Journal of Chest Surgery
• /
• v.35 no.2
• /
• pp.166-169
• /
• 2002

Poststernotomy mediastinitis is a rare but potentially life-threatening complication of cardiac surgery. Up to present, poststernotomy wound infection has been treated by closure of wound directly or by use of myocutaneous flaps after irrigation and debridement of wound. We describe a new treatment of poststemotomy wound infection by using the vacuum-assisted closure technique. This technique was successfully applied in 3 patients with poststernotomy wound infection and mediastinitis, and a healed sternotomy wound could be achieved using this new technique.

• Korean Journal of Acupuncture
• /
• v.35 no.3
• /
• pp.149-158
• /
• 2018

Objectives : In this study, we quantitatively evaluated the needle forces using needle insertion-measurement system and compared the needle sensation of each acupuncture practical model. Methods : After inserting acupuncture with a sensor to six models, a lifting-thrusting motion was implemented using the needle insertion-measurement system. The needle force was measured repeatedly, and the measurement was analyzed based on the modified Karnopp friction model for a comparison of friction coefficients. After the insertion, practitioners did lifting-thrusting manipulations. They quantified the similarity of needle sensation with VAS (Visual Analogue Scale). Results : When friction force and coefficients of friction in five different models were compared with a porcine shank model, all five models were significantly different from a porcine shank model, cotton and apple showing the closest frictional values to that of a porcine shank model. In the Cp and Cn values of cotton and in the Cp values of IM injection pad, there was no statistically significant difference. The similarity of the needle sensation between the porcine shank and five models was the highest in the apple, and overlapping papers was the lowest. Conclusions : This study quantitatively compared the physical forces in the practical model when implementing lifting-thrusting manipulations, using a needle insertion-measurement system. We suggest that a reproducible exercise model that reflects the characteristics of various human tissues, such as viscoelasticity or strength, needs to be further developed. This will contribute to establishing standardized acupuncture practice training.

• Journal of Korean Orthopaedic Sports Medicine
• /
• v.3 no.1
• /
• pp.56-59
• /
• 2004

The hamstring tendons are popular for autografts in a variety of reconstructive procedures. The hamstring autografts are used widely for its potential advantages over the patella bone-tendon-bone(BTB) autograft, including lower graft site morbidity and easier harvesting technique. However, the use of hamstrings has potential disadvantages such as the damage of infrapatellar branches of the saphenous nerve, premature tendon amputation, and tendon split following inadequate hamstring identifications. In our studies, we used modified technique for harvesting the hamstring to decrease potential disadvantages. Reflected hamstring flap method seems to be easy and safe in avoiding nerve damage and tendon splitting. We recommend the reflected hamstring flap method for harvesting hamstring tendons.

• Journal of Korean Orthopaedic Sports Medicine
• /
• v.10 no.1
• /
• pp.41-45
• /
• 2011

As awareness of root tear of meniscus have been increased, it became necessary to have an intensive repair. Posterior horn tear, especially for a lot of repair methods and the results have been reported recently. The report of the anterior root tear has yet to be found. We recently encountered a patient with an iatrogenic meniscal subluxation caused by past experienced partial menisectomy for discoid meniscus. Thus, we repots the technique and clinical results of arthroscopic repair of subluxated lateral meniscus anterior root tear using suture anchor.

• The Journal of Korean Academic Society of Nursing Education
• /
• v.23 no.4
• /
• pp.409-418
• /
• 2017

Purpose: Ineffective communication between healthcare professionals leads to medical errors and puts patients at risk of harm. The aim of this study was to examine the effects of interdisciplinary communication training in simulated settings on self-confidence in communication, observed communication behavior, and technical skill performances of nursing students. Methods: A repeated measures design with one group was conducted. Data was collected from 92 nursing students through a self-administered questionnaire and an observed behavior checklist. Data analysis was performed using descriptive statistics, a paired t-test, the Wilcoxon signed rank test, the Friedmann test, a Repeated Measures ANOVA, and the Spearman correlation coefficient. Results: Self-confidence in communication, observed Identification-Situation-Background-Assessment-Recommendation-Read Back communication behavior, and technical skill performances of nursing students were significantly improved. In observed communication behavior, the performance of Assessment and Read Back communication significantly improved. However, communication of Background, Assessment, and Recommendation did not improve to a satisfactory level. Observed communication behavior was not correlated with the overall technical skill performance. Conclusion: These results indicate that interdisciplinary communication training in simulated settings was effective in improving nursing students' confidence and communication skills with physicians. Longitudinal studies with larger samples are recommended in order to verify the effects of interdisciplinary communication training on clinical outcomes as well as communication competence.

• Journal of the Korea Convergence Society
• /
• v.8 no.9
• /
• pp.93-104
• /
• 2017

This is a qualitative study to explore the experiences of convergence external appraisal of competency in core basic nursing skills in final year nursing students. Eight nursing students who experienced the evaluation were intentionally sampled. Data were analyzed using constant comparative and categorical content analysis after collecting data through focus group interview. The results of this study showed that nursing students sublimated mental stress such as burden and pressure of the evaluation into a positive experience that they skillfully improved their nursing skills through mind control and cooperation with peers. Therefore, this study enabled us to understand the experience of students receiving external appraisal. In addition, intervention studies to alleviate mental stress on convergence external appraisal are needed.

• Journal of the Korean Data and Information Science Society
• /
• v.25 no.6
• /
• pp.1353-1360
• /
• 2014

This study aimed to evaluate the effects of the nursing skills program, which offers online access to evidence-based skills and procedures. The nursing skills tested in this study was tracheostomy suctioning in the Mosby's Nursing Skills. The design of the study was a control group non-synchronized pre-posttest quasi-experimental research. The experimental group who utilized the Mosby's Nursing Skills had significantly higher level of knowledge and skills of trachosotmy suctioning, but not of self-efficacy. Online accessible nursing skills program was shown to be effective in improving nursing skills of students, and it is suggested to utilize the program in nursing practicum.