• Title/Summary/Keyword: 의과대학

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2018 심방세동 카테터 절제술 대한민국 진료지침: PART I

  • Park, Hyeong-Seop;Jeong, Dong-Seop;Yu, Hui-Tae;Park, Hui-Nam;Sim, Jae-Min;Kim, Ju-Yeon;Kim, Jun;Lee, Jeong-Myeong;Kim, Gi-Hun;No, Seung-Yeong;Jo, Yeong-Jin;Kim, Yeong-Hun;Yoon, Namsik
    • International Journal of Arrhythmia
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    • v.19 no.3
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    • pp.186-234
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    • 2018
  • Catheter and surgical ablation of atrial fibrillation (AF) have evolved from investigational procedures to their current role as effective treatment options for patients with AF. Surgical ablation of AF is available in most major hospitals throughout the world. Catheter ablation of AF is even more widely available, and is now the most commonly performed catheter ablation procedure. Management of patients with AF has traditionally consisted of three main components: (1) anticoagulation for stroke prevention; (2) rate control; and (3) rhythm control. With the emergence of large amounts of data, which have both defined and called attention to the interaction between modifiable risk factors and the development of AF and outcomes of AF management, we believe it is time to include risk factor modification as the fourth pillar of AF management. Catheter and surgical ablation of AF are highly complex procedures, therefore a decision to perform catheter or surgical AF ablation should only be made after a patient carefully considers the risks, benefits, and alternatives to the procedure.

2018 심방세동 카테터 절제술 대한민국 진료지침: PART III

  • Lee, Jeong-Myeong;Jeong, Dong-Seop;Yu, Hui-Tae;Park, Hyeong-Seop;Sim, Jae-Min;Kim, Ju-Yeon;Kim, Jun;Yun, Nam-Sik;O, Se-Il;No, Seung-Yeong;Jo, Yeong-Jin;Kim, Ki-Hun
    • International Journal of Arrhythmia
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    • v.19 no.3
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    • pp.285-339
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    • 2018
  • Catheter ablation of atrial fibrillation (AF) is one of the most complex interventional electrophysiological procedures. The success of AF ablation is based in large part on freedom from AF recurrence based on electrocardiography (ECG) monitoring. Arrhythmia monitoring can be performed with the use of noncontinuous or continuous ECG monitoring tools. AF ablation is an invasive procedure that entails risks, most of which are present during the acute procedural period. However, complications can also occur in the weeks or months following ablation. Recognizing common symptoms after AF ablation and distinguishing those that require urgent evaluation and referral to an electrophysiologist is an important part of follow-up after AF ablation. This section reviews the complications associated with catheter ablation procedures performed to treat AF. The types and incidence of complications are presented, their mechanisms are explored, and the optimal approach to prevention and treatment is discussed. Finally, surgical and hybrid AF ablation technology and the indications for concomitant open or closed surgical ablation of AF, stand-alone and hybrid surgical ablation of AF are covered in this section.

2018 심방세동 카테터 절제술 대한민국 진료지침: Part II

  • Yu, Hui-Tae;Jeong, Dong-Seop;Park, Hui-Nam;Park, Hyeong-Seop;Kim, Ju-Yeon;Kim, Jun;Lee, Jeong-Myeong;Kim, Gi-Hun;Yun, Nam-Sik;No, Seung-Yeong;O, Yong-Seok;Jo, Yeong-Jin;Shim, Jaemin
    • International Journal of Arrhythmia
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    • v.19 no.3
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    • pp.235-284
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    • 2018
  • In this part the writing group will cover strategies, techniques, and endpoints of atrial fibrillation (AF) ablation. Prior to all, electrical isolation of the pulmonary veins is recommended during all AF ablation procedures. In addition, techniques to be used for ablation of persistent and long-standing persistent AF, adjunctive ablation strategies, nonablative strategies to improve outcomes of AF ablation, and endpoints for ablation of paroxysmal, persistent, and long-standing persistent AF will be reviewed. Currently many technologies and tools are employed for AF ablation procedures. Radiofrequency energy, cryoablation, and other energy sources and tools are in various stages of development and/or clinical investigation. Finally, anticoagulation strategies pre-, during, and postcatheter ablation of AF and technical aspects of ablation to maximize safety are discussed in this section.

Student Engagement in Student Support System Reform: A Case Study (학생지원체계 개선을 위한 학생주도 교육평가 사례)

  • Yena Jang;Seo Yoon Kim;Ji Yoon Kang;Donghwa Kang;Na Hyeon Kweon;Ga Yeon Kim;Narae Kim;Sang Hun Kim;Seongwoo Kim;Juhee Kim;Chae Yeon Kim;Shinyoung Park;Ju Yeon Park;Ji Su Park;Geon Ho Lee;Bora Im;Bo Young Yoon
    • Korean Medical Education Review
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    • v.25 no.2
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    • pp.174-183
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    • 2023
  • Educational evaluation involves data collection and the analysis of various education-related factors to make decisions that improve educational quality. Systematic educational evaluation is essential for enhancing the quality of education. This study reports a case of student-conducted process evaluation of a medical school's student support system and the procedure for devising improvement plans. Sixteen Inje University College of Medicine students participated in the Education Evaluation Committee (IUCM-EEC) to understand the educational improvement process as learners and actively achieve improvement. The Quality Improvement Committee of the Inje University College of Medicine (IUCM-QIC) decided to reform its student support system based on a previous educational evaluation in 2019. The evaluation of the student support system was conducted for 10 months in 2021 by the student subcommittee, under the guidance of the IUCM-EEC. The CIPP (context-input-process-product) evaluation model was used for a systematic evaluation. Accordingly, the subcommittee developed evaluation criteria and indicators, and analyzed relevant data collected from surveys and the previous literature. For further recommendations and revision ideas, the student subcommittee members interviewed faculty members from six other medical schools and also conducted a focus group interview with the dean and vice deans of IUCM. Finally, the student subcommittee submitted a report to the IUCM-QIC. Communication with various stakeholders is essential for a successful evaluation process. In this case, students, as key stakeholders in education, evaluated the student support system. Their active participation helped improve their understanding of the evaluation process.