• Journal of Korean Academy of Nursing
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• v.38 no.1
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• pp.83-91
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• 2008

Purpose: The purpose of this study was to test the validity of a modified clinical performance examination (CPX) for preclinical students in nursing. Method: 70 nursing students in their second semester of the junior year at C University participated in CPX. Scenarios and checklists were developed by our research team from September to October 2005. Six stations were organized. Evaluation included physical examination of a patient with lung cancer, education on usage of a metered dosage inhaler, and lobectomy postoperative care. Students were randomly assigned to a station. Result: There was a difference in the CPX scores according to stations. The agreement of scoring between trained faculty members and SPs was more than moderate (r=.647). The correlation between the CPX score and the average grade in the previous semester and between the CPX score and the average grade of a paper and pen test of the pulmonary system of adults was low (r=.276; r=.048). Conclusion: Traditional CPX is generally recommended, however, modified CPX is appropriate for preclinical students in the current Korean Nursing school setting if there are additional scoring systems to balance the testing level at each station.

• Korean Journal of Adult Nursing
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• v.22 no.2
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• pp.221-228
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• 2010

Purpose: The purpose of this study is to identify the relationship among clinical competence of diabetic diet education on standardized patients, self-efficacy, communication skill, learning satisfaction, and professional values of nursing students. Methods: The present study was a descriptive research. The participants were 144 junior nursing students in a university. The clinical competence on diabetic diet education was assessed by trained evaluators when nursing students performed diabetic diet education using the standardized patients. The students' self-efficacy, communication skill, professional values, and learning satisfaction were measured by themselves using the questionnaires. Results: The clinical competence on diabetic diet education showed positive correlations with communication skill and learning satisfaction, while the competence was not correlated to self-efficacy and professional values. Conclusion: The results of this study suggest that clinical competence on diabetic diet education may be more related to communication skills and learning satisfaction than self-efficacy and professional values. Promoting communication skills and learning satisfaction using a standardized patient may increase nursing students' competence on diabetic diet education.

• Journal of Hospice and Palliative Care
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• v.16 no.3
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• pp.145-154
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• 2013

This study was performed to evaluate the existing pain assessment methods including the tools developed for use with nonverbal older adults with dementia, and to suggest recommendations to clinicians based on the evaluations. Computerized literature searches published after year 2000 using databases - Google scholar, RISS, KoreaMed, Medline, ScienceDirect, CINAHL - were done. Searching keywords were 'pain', 'pain assessment', and 'cognitive impairment/dementia'. The pain assessments for non-communicative dementia patients who are unable to self-report their pains are often made using the assessment tools relying on the observation of behavioral indicators or alternatively the strategy of surrogate reporting. While several tools in English version and only one in Korean are suggested for the pain assessments based on the observation of behavioral indicators, none are commonly used. In this review, we selectively evaluated those tools known to show relatively higher degree of validity and reliability for nonverbal older adults with dementia, namely, CNPI, DOLOPLUS 2, PACSLAC, PAINAD, and DS-DAT. It is hoped that the present review of selected tools for assessing pain in those vulnerable population and the general recommendations given be useful for clinicians in their palliative care practice. And future studies should focus on enriching the validation of the useful tools used to observe the nonverbal patient's behavioral indicators for pain in Korean.

• Nuclear Medicine and Molecular Imaging
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• v.42 no.6
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• pp.451-455
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• 2008

Purpose: Lymphoscintigraphy and sentinel node biopsy has become a standard method for detection of axillary lymph node metastasis in breast cancer patients, but the standard radiopharmaceutical was not prepared. About detection of axillary lymph node metastasis by lymphoscintigraphy and sentinel node biopsy in breast cancer patient, we compared the results of Tc-99m Tin-colloid and Tc-99m Phytate by subareolar injection. Materials and Methods: This study included 382 breast cancer patients who were performed operation during 2001-2008. Three hundred forty nine patients was injected 0.8ml of Tc-99m Tin-colloid (37-185 MBq) by subareolar injection. Thirty three patients was injected 0.8ml of Tc-99m Phytate (37-185 MBq). Lymphoscintigraphy was performed in supine position and sentinel node localization was performed by hand-held gamma probe in operation. Result: Among 349 patients by Tc-99m Tin-colloid, 312 cases (89.4%) localized the sentinel node by lymphoscintigraphy, 304 cases (87.1%) localized by gamma probe. Among 33 patients by Tc-99m Phytate, 32 cases (97.0%) localized by lymphoscintigraphy, 33 cases (100%) localized by gamma probe. Detection rate by lymphoscintigraphy and gamma probe was superior for Tc-99m Phytate compared to that with Tc-99m Tin-colloid, with a statistically significant difference. (p<0.05, p<0.05) Conclusion: Tc-99m Phytate is a better choice for localization of sentinel node than Tc-99m Tin-colloid in breast cancer patients.

• Journal of the Korean Society of Radiology
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• v.9 no.6
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• pp.357-362
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• 2015

This study was to evaluate the usefulness through the comparison of patients group and healthy control group by acquiring a variety of functional parameters index from time-activity curves of salivary gland scan using 99mTc-pertechnetate. From December 2014 to February 2015, had the targets of 30 patients with dry mouth and 10 people in healthy control group underwent the salivary gland scan. After intravenous injection of 370 MBq of 99mTc-pertechnetate, Vitamin C powder stimulation was administerd orally at 20 min and then 10 minutes were taken scan. The method of quantitative analysis was as follows, the time-activity curve was drawn after the parotid gland and submandible gland were prescribed as a region of interest, a variety of function parameters index was obtained in each position of the curve, and the patients group and the control group were compared. As for the methods applied in comparison and measurement, uptake ratio (UR), time at maximum counts (Tmax), time at minimum counts (Tmin), maximum accumulation (MA), accumulation velocity, maximum secretion (MS), maximum stimulation secretion (MSS), and secretion velocity (SV) were used. In the comparison of functional parameters index of patient group and normal group, the healthy normal group showed significant difference compared to the patient group in all indices except for the minimum radioactivity time (Tmin), and also in terms of variation over time the normal group showed significant difference compared to the patient group (p<0.05). Consequently, it was considered that the quantitative analysis that used a variety of function parameters index would be useful for evaluating the function of the salivary glands of the patients with dry mouth as an objective and standardized information.

• The Journal of the Korea institute of electronic communication sciences
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• v.2 no.4
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• pp.244-249
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• 2007

HL7 is well-Known standard protocol for text data generated in hospital information systems. In this paper, we have to design to obtain useful vital sign information, which is generated at data receiver modulor of HIS, that is offered by the central monitor. Vital sign informations of central monitor is composed of the row data of several bedsite patient monitors. We are willing to maintain vital sign information of real time and continuity that is generated from the bedsite patient monitor. It is able to apply to remote medical examination and treatment. we proposed integration method between vital sign database systems and hospital information systems. Through the proper exchange and management of patient vital sign information, real time vital sign information management will offer better workflow to all hospital employee.

• Proceedings of the Korean Information Science Society Conference
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• 2012.06d
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• pp.52-54
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• 2012

수년 전부터 환자와 병원 간 의료정보 교환의 표준에 관한 연구가 국내외에서 꾸준히 진행되고 있으며, 앞으로도 활발한 연구가 진행되어 많은 산출물들이 도출될 것이다. 현재 대부분의 연구에서는 병원정보시스템(HIS)을 기반으로 병원 내 의료 장비들 간의 메시지 표준화를 위한 것으로 환자와 병원 간 정보 교환을 위해 스마트 기기, Open Service Gateway Initiative(OSGi) 플랫폼 등에서 오픈소스를 이용한 HL7 메시지 교환 시스템을 구성하는 연구는 아직 미비한 실정이다. 본 논문에서는 Open eHealth Integration Platform(IPF)을 이용해 안드로이드와 OSGi 플랫폼에서 환자와 병원 간의 HL7(Health Level Seven) 메시지의 교환, 검증 그리고 모니터링 위한 시스템을 구현하였다.

• Journal of radiological science and technology
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• v.31 no.1
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• pp.1-10
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• 2008

Ubiquitous health care system, which is one of the developing solution technologies of IT, BT and NT, could give us new medical environments in future. Implementing health information systems can be complex, expensive and frustrating. Healthcare professionals seeking to acquire or upgrade systems do not have a convenient, reliable way of specifying a level of adherence to communication standards sufficient to achieve truly efficient interoperability. Great progress has been made in establishing such standards-DICOM, IHE and HL7, notably, are now highly advanced. IHE has defined a common framework to deliver the basic interoperability needed for local and regional health information networks. It has developed a foundational set of standards-based integration profiles for information exchange with three interrelated efforts. HL7 is one of several ANSI-accredited Standards Developing Organizations operating in the healthcare arena. Most SDOs produce standards (protocols) for a particular healthcare domain such as pharmacy, medical devices, imaging or insurance transactions. HL7's domain is clinical and administrative data. HL7 is an international community of healthcare subject matter experts and information scientists collaborating to create standards for the exchange, management and integration of electronic healthcare information. The ASTM specification for Continuity of Care Record was developed by subcommittee E31.28 on electronic health records, which includes clinicians, provider institutions, administrators, patient advocates, vendors, and health industry. In this paper, there are suggestions that provide a test bed, demonstration and specification of how standards such a IHE, HL7, ASTM can be used to provide an integrated environment.

• The Journal of the Korea Contents Association
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• v.22 no.1
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• pp.431-443
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• 2022

The purpose of this study is to share and assess the experiences of the emergency remote teaching method adopted for the medical communication course at a medical school due to the COVID-19 pandemic. The standardized patients hired for this 'Emergency Remote Teaching (hereafter ERT)' course said that students' interactions with them were less enthusiastic and less realistic, However, in the one-on-one virtual practice, the students seemed to be more focused than in the existing face to face practice. There were no differences in the unit practice test scores between ERT and the face-to-face course while in the face-to-face final exam, the test scores of FTF students were statistically higher than those of the ERT students, which might have resulted from the different methodologies of teaching. Further research on the virtual medical communication course is necessary to prepare medical students for the adoption of the telemedicine which could be accelerated in the near future.

• Journal of Korean Academy of Nursing
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• v.31 no.3
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• pp.401-416
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• 2001

현재의 보건의료체계에서는 모든 것이 급박하게 변화하고 있으며 또 구체적인 자료를 요구한다. 컴퓨터의 보급과 함께 이러한 변화에 능동적으로 대처하기 위해 간호학에서도 표준화된 대규모 데이터베이스의 개발이 필수적이다. Nursing Minimum Data Set (NMDS)은 간호학분야에서 개발된 최초의 표준화된 대규모 데이터 베이스로서, 간호가 일어나는 모든 상황에서 반드시 수집되어야 할 핵심적인 간호요소를 포함하고 있다. 따라서 본 논문에서는 NMDS 개발의 역사적인 배경, 목적, 요소, 그리고 간호계의 세계적인 동향과 관련하여 NMDS가 이루어야 할 방향, 그리고 NMDS를 완성하기 위해 선행되어 할 문제로 표준화된 분류체계에 대해 논의하였다. 그리고 미국이외에도 몇몇나라에서 NNDS나 혹은 유사한 데이터베이스가 개발 중이거나 이미 수집되고 있는 나라들이 있으므로 이들에 대한 비교와 분석도 제시하였다. 그리고 보다 최근에 개발된 데이터 베이스로 주로 행정적인 목적을 위해 개발된 Nursing Management Minimum Data Set (NMMDS)을 소개하였다. 즉 NMDS가 임상적인 자료의 수집에 초점을 맞춘 데 비해, NMMD는 효과적인 간호관리에 필수적인 요소들을 포함시켰다. 그래서 간호행정가들이 의사결정에 필요한 재정적자원, 환경적자원, 간호자원에 대한 정보를 수집할 수 있게 고안되었다. 이러한 데이터 베이스들은 관계형 데이터베이스로 서로 연결되어야 하며, 다른 학문분야와도 연계되어 활용되어져야 할 것이다. 만약 이러한 대규모 데이터베이스 들이 한국에서도 개발되고 사용되어 진다면 환자간호에 더욱 비용 효과적인 관리가 가능하게 될 것이다. 마지막으로 우리나라에서 NMDS나 NMMDS 같은 대규모데이터 베이스의 개발이 시급히 요청됨을 강조하였다.