• Asian Pacific Journal of Cancer Prevention
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• 제15권19호
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• pp.8361-8366
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• 2014

This meta-analysis was performed to assess the implementation effects of clinical pathways in patients with gastrointestinal cancer. A comprehensive search was conducted in the Cochrane Library, PubMed, EMBASE, Web of Science and Chinese Biomedical Literature Database (from inception to May 2014). Selection of studies, assessing risk of bias and extracting data were performed by two reviewers independently. Outcomes were analyzed by fixed-effects and random-effects model meta-analysis and reported as mean difference (MD), standardized mean difference (SMD) and odds ratio (OR) with 95% confidence intervals (CI). The Jadad methodological approach was used to assess the quality of included studies and the meta-analysis was conducted with RevMan 5.1 software. Nine citations (eight trials) involving 642 patients were included. The aggregate results showed that a shorter average length of stay [MD = -4.0; 95% CI (-5.1, -2.8); P < 0.00001] was observed with the clinical pathways as compared with the usual care. A reduction in inpatient expenditure [SMD = -1.5; 95% CI (-2.3, -0.7); P = 0.0001] was also associated with clinical pathways, along with higher patient satisfaction [OR = 4.9; 95% CI (2.2, 10.6); P < 0.0001]. Clinical pathways could improve the quality of care in patients with gastrointestinal cancer, as evidenced by a significant reduction in average length of stay, a decrease in inpatient expenditure and an improvement in patient satisfaction. Therefore, indicators and mechanisms within clinical pathways should be a focus in the future.

• 한국콘텐츠학회논문지
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• 제20권5호
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• pp.359-366
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• 2020

치위생학과 임상실습 시 실습생의 적극성을 유발하는 요인을 탐색하기 위해 임상실습에 참여한 학생을 대상으로 2019.9.2.부터 2019.9.27.까지 개념도 연구를 수행하였다. 초점질문은 '임상 실습 시 적극성을 유발시키는 요인은 무엇입니까?' 이었고, 이에 대한 응답을 분석하여 총 33개의 진술문을 도출하였다. 다차원척도분석과 군집분석을 실시한 결과 적극성을 유발하는 요인은 '실습에 관한 정보 제공', '실무 참여 가능성', '적응 가능성', '교육자 태도', '교육자 인내심', '실습생 대우' 등 6가지로 나타났고, 이 중 적극성을 가장 높게 유발하는 요인은 '실무 참여 가능성'으로 나타났다. 적극성을 높이는 항목은 '실습 매뉴얼을 제공한다.', '가까이에서 자세히 관찰할 수 있다.', '충분한 기간동안 실습한다.', '교육자의 태도가 친절하다.' 등 4가지로 나타났다. 본 연구 결과는 치위생학과 학생들의 임상실습 효과를 높이기 위한 기초자료로 활용될 수 있을 것이다.

• 한국인터넷방송통신학회논문지
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• 제17권5호
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• pp.137-142
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• 2017

인구의 고령화와 의료서비스 수요의 증가로 한의학의 이론을 기초로 한 의료기기 개발이 증가하고 있다. 개발한 의료기기의 임상적 유효성 확보를 위한 다양한 임상시험들이 수행되고 있으며, 이 과정에서 다양하게 수집되는 정보들의 체계적인 관리의 중요성이 증가하고 있다. 본 논문에서는 한의학의 대표적인 진단 방법인 맥진을 기기화 한 맥진기를 이용하여 임상시험을 진행하는데 있어 환자의 의학적 정보, 맥진기의 측정 정보들을 체계적으로 관리할 수 있는 데이터베이스를 설계하고 구축하였다. 구축된 데이터베이스는 임상시험에 대한 다양한 정보 및 측정된 정보의 질관리를 통해 기존 알고리즘 검증 또는 새로운 알고리즘 개발 시 효율적인 대응이 가능하고, 임상 데이터의 통제 측면에서도 여러 장점들을 가지고 있다. 본 연구의 결과는 이종의 맥진기나 다른 생체신호 측정기와의 정보 공유가 가능한 통합 데이터베이스 관리 시스템 구축을 위한 한의 의료기기 데이터 표준안 구성에 기여할 수 있을 것이다.

• Asian Pacific Journal of Cancer Prevention
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• 제16권12호
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• pp.5101-5106
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• 2015

Background: This systemic analysis was conducted to evaluate tumor recurrence rate and one-year survival rate for patients with liver metastases received radiofrequency ablation after transarterial chemoembolization and introduce a new method of radiofrequency ablation by puncture navigation technology for single liver metastases after transarterial chemoembolization. Materials and Methods: Clinical studies evaluating tumor recurrence rate and one-year survival rate. Appling the innova trackvision software to process one liver metastases received transarterial chemoembolization and using radiofrequency ablation by puncture navigation technology to treat the liver metastases. Results: 3 clinical studies which including 235 patients with liver metastases after transaeterial chemoembolization were considered eligible for inclusion. Systemic analysis suggested that tumor recurrence rate was 23% (54/235), one-year survival rate was 76% (178/235). The new procedure was performed successfully and the patient received a good prognosis. Conclusions: This systemic analysis suggests that radiofrequency ablation is a good method for liver metastases after transarterial chemoembolization and could receive a relatively good prognosis.

• 한국안광학회지
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• 제17권4호
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• pp.345-352
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• 2012

목적: 현장실습 내용의 적절성과 표준화된 실습내용을 개발하는 기초자료를 얻고자 하였다. 방법: 2009 년도부터 2011년도까지 현장실습을 이수한 전체 인원에 대하여 연도별, 성별, 지역별 실습 내용을 분석하였다. 결과: 평균 실습 일수는 24.27일 이었고 일일 평균 수행 일의 요소는 2.74개로 나타났다. 연도별, 지역별 실습내용의 변화를 볼 수 있었다. 남 여 학생의 실습내용도 일의 요소 수행에서 남학생의 경우 전체 일의 요소에 대한 빈도는 차이가 났다. 결론: 현장실습을 규격화할 수 있고 현장실습에서 요구하는 일의 요소가 포함되며 안경광학과 교육목표에 부합되도록 체계화된 실습매뉴얼의 개발이 필요하다.

• 융합정보논문지
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• 제11권9호
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• pp.191-200
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• 2021

본 연구는 치위생(학)과 대학생의 임상실습 스트레스에 대한 선행연구의 결과를 체계적으로 수집, 분석하여 임상실습 스트레스의 측정도구와 관련요인에 대한 분석을 실시하였다. PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analysis)의 체계적 문헌고찰 가이드라인에 의거하여 수행되었으며 최종분석에 사용된 문헌은 24편이었다. 임상실습 스트레스를 측정하기 위하여 사용된 측정도구는 4개였다. 문헌 분석결과 만족도가 낮을수록 임상실습 스트레스가 높은 것으로 나타났고, 대인관계, 역할 및 활동, 이상과 가치의 요인이 스트레스에 유의한 영향을 미치는 것으로 나타났다. 본 연구에서는 임상실습 스트레스와 다양한 변수들 간의 상관관계 및 영향요인에 국한되어 분석하였기에 향후 본 연구 결과를 기초로 하여 치위생(학)과 대학생의 임상실습 스트레스에 관하여 다면적인 연구들이 활발하게 진행되길 기대한다.

• 대한한방내과학회지
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• 제43권1호
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• pp.53-67
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• 2022

Objectives: This study aimed to identify the characteristics of the heart rate variability (HRV) index in patients with burning mouth syndrome (BMS) and to evaluate the predictive value of HRV for Korean medical treatment responsiveness to tongue pain in BMS. Methods: Among BMS patients who visited the Oral Diseases Clinic of Kyung Hee University Korean Medicine Hospital from January 1, 2018, to May 31, 2021, we reviewed the clinical records of 217 women aged 50 years and over. HRV and unstimulated saliva flow rate (USFR) measurements were carried out, and all patients were asked to indicate their degree of tongue pain using the visual analog scale (VAS). The subjects were classified into subgroups according to the presence or absence of hyposalivation and VAS improvement, and each subgroup was compared using the HRV index. Logistic regression analysis was conducted to confirm whether cause-effect relationships were present between statistically significant values. Results: BMS patients had lower LF and HF than healthy people. Subgroup analysis demonstrated that there were some statistically significant differences in the HRV index according to salivation rate and degree of pain. In addition, as the LF/HF ratio increased, the pain improvement rate decreased after treatment. Conclusion: The autonomic nerve activity of BMS patients was lower than that of healthy people; however, autonomic balance was not impaired. In addition, tongue pain in BMS patients responded more favorably to Korean medical treatment when patients fell within a normal range of the LF/HF ratio, suggesting that autonomic imbalance could be used as one of the predictable factors in clinical practice.

• 한국임상보건과학회지
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• 제4권3호
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• pp.652-661
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• 2016

The analysis of cornea morphology using corneal topographers is a clinical practice for the diagnosis of keratoconus in contact lens fitting. The recently technique has developed with the possibility of achieving a great number of measuring points of both anterior and posterior corneal surfaces in cornea. Also these data are used to extract a series of topographic valuation indices that permit to offer the most exact clinical diagnosis of keratoconus in contact lens fitting. This study describes the technologies in which current corneal topographers are based on the morphological characteristics that the keratoconus status observe on corneal surface. Therefore, this paper can provide that the analysis of corneal topographers applied for the diagnosis of keratoconus in contact lens fitting.

• 대한한의학회지
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• 제18권2호
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• pp.73-81
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• 1997

We have done factor analysis to study the effects of clinical knowledge on the diagnosis process. Clinical datas were made on 94 patients with cerebrovascular accident diagnosed by computed tomographic scan and who did not over 20 days after stroke. After analysis, totally 11 factors has been found. Among these factors, we interpreted significant 5 factors as oriental-medical meaning, Factor 1 meant Han-youl(寒熱) and factor 2 meant Huh-Shil(虛實). These were exactly corresponded with clinical experience.

• 혜화의학회지
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• 제15권2호
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• pp.9-16
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• 2006

Objectives : This study was designed to evaluate the clinical effects of herb medicine and acupuncture therapy on chronic bacterial prostatitis. Method : A clinical observation was made on two patients with chronic bacterial prostatitis diagnosed with DNA analysis. They were treated with herb medicine and acupuncture therapy. Before and after treatment we measured National Institutes of Health Chronic Prostatitis Symptom Index(NIH-CPSI) and WBC counts on expressed prostatic secretion(EPS). Results : According to DNA analysis, Streptococcus mitis and Veillonella was proved to be the cause for chronic bacterial prostatitis for each patients. After treatment, NIH-CPSI score improved from severe to mild, and WBC counts on EPS decreased considerably from many to under 10. Conclusion : The present result suggest that oriental medical therapy has effect on chronic bacterial prostatitis. Further clinical study about chronic bacterial prostatitis, and research on herbal medicine sensitive to each bacterium causing chronic bacterial prostatitis is needed.