• Title/Summary/Keyword: 임상적용

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아동의 행동조절을 위한 최면요법

  • Kim, Yeong-Jin
    • The Journal of the Korean dental association
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    • v.24 no.11 s.210
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    • pp.919-922
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    • 1986
  • hypnosis(최면<술>)는 문자기록의 역사만큼이나 오래되었다. 1773년 Franz A.Mesmer는 의학분야에서 ‘최면술(mesmerism)'이란 용어를 사용하였으며, James Braid는 'hypnosis'란 용어를 최초로 사용하였고, Sigmund Frend는 치료의 한 형태로서 최면상태(hypnotic trance)를 연구하였으며, Hennon은 최과임상에서 사용되어지는 Hypnosis를 Hypnodontics라고 기술하였고, 실제 임상에 Hypnosis를 적용시키기 위해서는 따로 최면요법에 대한 수련을 쌓아야 한다고 하였다. 현재 임상에서 최면요법을 이용하고 있는 임상가는 그리 흔하지 않는 것 같으나 만약 습득만 한다면 행동조절의 한 방법으로서 유요하게 이용될 수 있으리라고 생각한다.

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Overviews on the Clinical Use of Stem Cells in Orthopaedics (근골격계에서 줄기세포를 이용한 재생치료의 개관)

  • Im, Gun-Il
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.6
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    • pp.475-477
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    • 2019
  • Stem cell research arose from the need to explore new therapeutic possibilities for intractable and lethal diseases. Although musculoskeletal disorders are basically nonlethal, their high prevalence and the relative ease of performing clinical trials have facilitated the clinical application of stem cells in this field. On the other hand, despite the plethora of in vitro and preclinical studies in stem cell research for regenerative medicine in the musculoskeletal system, few reliable clinical studies have been published. Stem cell therapy can be applied locally for bone, cartilage, and tendon regeneration. The candidate disease modalities in bone regeneration include large bone defects, nonunion of fractures, and osteonecrosis. Focal osteochondral defect and osteoarthritis are the current targets for cartilage regeneration. For tendon regeneration, bone-tendon junction problems, such as rotator cuff tears are hot topics in clinical research. To date, the literature supporting stem cell-based therapies comprises mostly case reports or case series.

Development of Film Verification as the QA of IMRT for Advanced Hepatoma Patients (간암 환자의 세기조절 방사선치료에서 임상적응 가능한 QA 기법의 개발)

  • Kim Myung-Se
    • Progress in Medical Physics
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    • v.17 no.1
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    • pp.40-46
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    • 2006
  • Hepatoma is one of 3 most common malignancies in Korea, the survival rate is not improved since last decades because of delayed diagnosis and limited treatment conditions. Radiation was one of treatment options but the impact on the survival is not remarkable. High dose exposure to target area was suggested for improved effect but low tolerance dose of normal liver tissue is the main limited factor. IMRT is the advanced form of 3DCRT, for focusing high dose on target with minimal dose to surrounding normal tissues. Motion of the tumor by respiration, cardiac pulsation and peristalsis is the main treatment harrier of IMRT for treatment of hepatoma patients. Development of QA technique for acceptable geometrical uncertainties and dose error on target volume is essential for IMRT in clinical treatment but proper QA technique is not yet developed. This study compared the verification film dosimetry with measured dose in phantom and calculated dose in planning computer on exactly same conditions of patient treatments. Within 3% dose differences between 3 groups were confirmed. We suggest that our verification QA technique is easy, economic, iterative and acceptable in clinical application for advanced hepatoma patients.

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The Effects of the Home Health Nursing Practical Education Program Applying Simulation on Knowledge related Home Health Nursing, Problem-solving Ability, and Clinical Competency (시뮬레이션을 적용한 방문건강관리 실습교육 프로그램이 방문간호 지식, 문제해결 능력, 임상수행 능력에 미치는 효과)

  • Kim, Mi-Han;Ha, Young-Sun;Na, Yoon-Joo
    • Journal of Digital Convergence
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    • v.19 no.12
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    • pp.605-616
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    • 2021
  • This study examined the effect of using home health practical education program applying simulation for nursing college students. The study was carried out according a nonequivalent control group design. The study subjects were 60 nursing college students. The home health practical education program applying simulation program was carried out for 2 weeks. The data collection period was from March 29, 2021 to May 7, 2021. Collected data were analyzed using SPSS PC+ 19.0. The experimental group had significantly different in knowledge related home health nursing, problem-solving ability, and clinical competency in comparison to the control group. This suggests that the home health practical education program applying simulation can be applied as a way to increase nursing students' knowledge related home health nursing, problem-solving ability, and clinical competency.

Acute Toxicity of Bovine Somatotrophine-Sustained Release(BST-SR) in Rats and Mice (랫드와 마우스에서 소성장 호르몬-서방형 제형(BST-SR)의 급성독성에 관한 연구)

  • 강경선;이영순
    • Journal of Food Hygiene and Safety
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    • v.6 no.3
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    • pp.185-189
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    • 1991
  • This study was carried out to investigate whether acute toxicity of BST-SR is or not. Single dose of BST-SR was given to both sexes of Spraqe-Dawley rats and ICR mice, subcutaneously. No significant toxic symptom was observed in single treated rats and mice during the experimental period. In gross and microscopic observation, no significantly different abnormality observed between the several organs of tested animals and control animals. Therefore, it was concluded that BST-SR was nontoxic when BST-SR was subcutaneously administered to rats and mice up to 1000 times of clinical dose.

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Application of Matrix-assisted Laser Desorption/Ionization Time-of-flight Mass Spectrometry (Matrix-assisted Laser Desorption/Ionization Time-of-flight Mass Spectrometry의 활용)

  • Pil Seung KWON
    • Korean Journal of Clinical Laboratory Science
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    • v.55 no.4
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    • pp.244-252
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    • 2023
  • The timeliness and accuracy of test results are crucial factors for clinicians to decide and promptly administer effective and targeted antimicrobial therapy, especially in life-threatening infections or when vital organs and functions, such as sight, are at risk. Further research is needed to refine and optimize matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS)-based assays to obtain accurate and reliable results in the shortest time possible. MALDI-TOF MS-based bacterial identification focuses primarily on techniques for isolating and purifying pathogens from clinical samples, the expansion of spectral libraries, and the upgrading of software. As technology advances, many MALDI-based microbial identification databases and systems have been licensed and put into clinical use. Nevertheless, it is still necessary to develop MALDI-TOF MS-based antimicrobial-resistance analysis for comprehensive clinical microbiology characterization. The important applications of MALDI-TOF MS in clinical research include specific application categories, common analytes, main methods, limitations, and solutions. In order to utilize clinical microbiology laboratories, it is essential to secure expertise through education and training of clinical laboratory scientists, and database construction and experience must be maximized. In the future, MALDI-TOF mass spectrometry is expected to be applied in various fields through the use of more powerful databases.

Analysis of CT Image Quality Change according to Clinical Application Shielding Materials (임상 적용 차폐물질에 따른 선량 및 CT 화질 변화 분석)

  • Hyeon-Ju Kim
    • Journal of the Korean Society of Radiology
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    • v.17 no.2
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    • pp.215-221
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    • 2023
  • Among brain CT scan conditions including the lens, the tube voltage was changed to 80, 100, and 120 kVp and applied. The change in dose was analyzed using lead, lead goggles and barium sulfate silicon shielding materials, and the degree of influence of the shielding materials on image quality was compared and analyzed by applying the SNR, CNR, and SSIM index analysis methods. As a result, it was analyzed that although the dose was reduced by applying all shielding materials, the difference in dose reduction was not large (P > 0.05). In addition, as for the change in image quality due to the application of the shielding material, SNR and CNR were the highest when lead goggles were applied, and the structural similarity was measured to be the best as it was closest to the reference value of 1 in SSIM analysis. Therefore, based on the results of this study, it is thought that if more diverse shielding materials and clinical test results are derived and applied, it will be helpful for the clinical application criteria in the case of shielding utilization inspection.

Convergence among Resilience, Clinical Performance ability, Stress in Clinical Practice of Nursing Students (간호대학생의 회복탄력성, 임상실습 수행능력, 임상실습 스트레스 간의 융합관련성)

  • Shin, Mi-Ja;Chun, Yeol-eo
    • Journal of the Korea Convergence Society
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    • v.9 no.2
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    • pp.19-32
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    • 2018
  • The purpose of this study was to identify the convergence that resilience has on clinical performance ability and stress in clinical practice in order to prepare effective educational materials for clinical practice. The results showed that satisfaction of university life, satisfaction of nursing major and satisfaction of clinical practice had significant effects on resilience, clinical performance ability and stress in clinical practice. Also the correlation between the resilience and clinical performance ability of nursing students was positive(r=.510). And the correlation between the resilience and stress in clinical practice was negative(r=-.153). These findings indicate that there is a need to improve resilience of nursing students to promote the clinical performance ability and to lessen stress in clinical practice. The results should be reflected in the development of effective programs.

Scoping Review of Occupational Therapy in Hospice and Palliative Care (호스피스 작업치료에 관한 범위 고찰)

  • Kim, Ji-yoon;Kim, Hwan
    • The Journal of Korean society of community based occupational therapy
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    • v.7 no.2
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    • pp.33-45
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    • 2017
  • Objective : This study is to provide basic data for hospice occupational therapy and to develop hospice occupational therapy curriculum in Korea. Methods : 45 articles were selected from CINAHL, MEDLINE, and Scopus, which were published from 1980 to 2013. The selected articles were analyzed in term of study year, study source, author's characteristics, study subjects, and study designs. Results : The number of studies have increased steadily since the 1980's. A total of 21 research journals was published, and the most highest published journals were American Journal of Occupational Therapy. Qualitative research methodology was employed four times more than quantitative research methodology. Interventions included various formats such as crafts, ADLs trainings, relaxation techniques, care giver educations and applications of spirituality. The doing-being-becoming theoretical framework and the model of human occupation applied to hospice or palliative patients as a theoretical foundation. Conclusion : Hospice occupational therapy has been developed along with hospice and palliative medicine. There also appeared to be a balance on both clinical trials and researches The hospce occupational therapy care has being studied deeply with various topic. More efforts on curriculum developments as well as clinical advances pertinent to the palliative care should be proceed to warrant making the start of the hospice and palliative occupational therapy in Korea.

The effects of Peer Mentoring Learnings-based Preclinical OSCE program on Self-Confidence on Core Basic Nursing Skills and Critical Thinking Disposition for Nursing Student (임상실습 전 동료멘토링 학습을 적용한 OSCE 프로그램이 간호학생의 핵심기본간호술 수행자신감과 비판적 사고성향에 미치는 효과)

  • Yoon, Me-Ok;Ju, Youn-Sook
    • Journal of Digital Convergence
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    • v.15 no.7
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    • pp.285-295
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    • 2017
  • This study was performed to examine the effects of the peer mentoring learning-based program, named preclinical objective structured clinical examination (OSCE), on self-confidence on core basic nursing skills and critical thinking disposition of nursing students. A nonequivalent control group pretest-posttest design was used. The participants were 68 sophomore nursing students of a university in J province. The research period was conducted from February 2016 to February 2017. As a result, OSCE increased self-confidence on core basic nursing skills and critical thinking disposition, compared to the control group. Post self-confidence on core basic nursing skills had positive correlations with post critical thinking. Therefore, we suggest that based on this study findings, further research be done to compare and analyze effectiveness of various peer mentoring learning-based OSCE programs.