• 제목/요약/키워드: Clinical performance ability

검색결과 252건 처리시간 0.024초

Comparison of the Ingredient Quantities, and Antioxidant and Anti-inflammatory Activities of Hwangryunhaedok Decoction Pharmacopuncture by Preparation Type

  • Lee, Jin Ho;Kim, Min Jeong;Lee, Jae Woong;Kim, Me Riong;Lee, In Hee;Kim, Eun Jee
    • Journal of Acupuncture Research
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    • 제31권4호
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    • pp.45-55
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    • 2014
  • Objectives : The main aim of this study was to assess the comparative efficiency of two preparation types of Hwangryunhaedok decoction(HRHD-D) using distilled and mixed extraction by measuring the index components and indicators of antioxidant and anti-inflammatory effects. Methods : The antioxidant activity was assessed by comparing distilled and mixed extractions of HRHD-D using an ELISA reader. The anti-inflammatory effect was determined by measuring NO amounts in RAW 264.7 cells. The contents were analyzed with high performance liquid chromatography-diode array detector(HPLC-DAD). Results : The electron donating ability of mixed and distilled extractions obtained with 500 ppm DPPH(1,1-diphenyl-2-picrylhydrazyl assay) solution were 57.8 % and 4.2 %, respectively. The total phenolic content of mixed extraction was 6.9 times that of distilled extraction and total flavonoid content was 51.5 times higher. The anti-inflammatory effect was assessed by NO measurement, and was found to increase significantly dependent on concentration in all mixed extract concentrations(25, 50, 100, 200, $400{\mu}g/mL$), but the difference in distilled extraction by concentration was only significant at 200 and $400{\mu}g/mL$. The HPLC analysis results of mixed extract of HRHD-D showed detection of all four main active constituents of HRHD-D. However, they were not detected in the distilled extract of HRHD-D. Conclusions : Mixed extraction with distillation added to decoction of HRHD-D showed better efficacy in antioxidant and anti-inflammatory effects, and ingredient quantities compared to distilled extraction. Further stability and clinical efficacy studies for standardization of mixed extractions are required.

일 전문대학 졸업학년 간호학생의 진로만족 영향요인 (Affecting Factors of Career Satisfaction Perceived by Senior Nursing Students)

  • 김정아
    • 한국콘텐츠학회논문지
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    • 제13권4호
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    • pp.339-349
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    • 2013
  • 본 연구는 일 전문대학 졸업학년 간호학생의 진로만족 영향요인을 파악함으로써 양질의 진로교육을 제공하기 위한 기반을 마련하고자 시도하였다. 연구대상자는 서울시 소재 3년제 일 간호대학의 3학년 학생 131명이며 자료분석방법은 기술통계, Independent t-test, One way ANOVA, 피어슨 상관관계 분석, 위계적 다중회귀분석을 하였다. 연구결과에 의하면 첫째, 대상자의 일반적 특성에 따른 진로만족의 수준에는 유의한 차이가 없었다. 둘째, 진로만족은 전공관련 진로인식, 전공관련 학습선호, 전공관련 활동참여, 전공학업 수행, 전공학업 집중, 내적동기, 문제해결력, 교내실습 만족도, 임상실습 만족도와 양의 상관관계를 나타내었다. 셋째, 진로만족의 영향요인은 전공관련 진로인식, 전공관련 학습선호, 전공관련 활동참여, 전공학업 집중, 교내실습 만족도로 나타났으며, 이들 개념은 진로만족을 63.0% 설명하였다. 특히 전공관련 진로인식이 가장 영향력 있는 요인으로 나타났기에 간호대학생이 자신의 진로를 긍정적으로 인식하도록 간호전문직의 가치를 전달하고 간호철학 정립을 돕기 위한 교수자의 노력이 필요하다.

CDMA-Based Ubiquitous $SaO_2$ Monitoring System for Oxygen Therapy Patients

  • Lee, Seung-Yup;Kang, Jae-Min;Shin, Il-Hyeung;Lee, Jae-Ho;Lee, Choon-Taek;Kim, Hee-Chan
    • 대한의용생체공학회:의공학회지
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    • 제27권5호
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    • pp.274-281
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    • 2006
  • In this paper, we propose a ubiquitous $SaO_2$ monitoring system for patients using oxygen therapy. For these patients, the ability to monitor oxygen saturation ubiquitously is very important fur accurate adjustment of ventilator's flow rate to match the patient's time-varying requirements with the shortest lag time possible. We have developed a portable device to measure $SaO_2$ and transmit it to hospital in real-time or in store-and-forward mode through the integration of $Bluetooth^{TM}$ technology and the code division multiple access (CDMA) cellular network. We also developed software for doctors to receive and manage the patients' $SaO_2$ information. Performance of the developed system was evaluated as acceptable by assessing the accuracy of the measured oxygen saturation value and the stability of communication network. Test results in real clinical setting demonstrate that our system is feasible for immediate use in home oxygen therapy.

Reliability and validity of the patellofemoral disability index as a measure of functional performance and subjective pain in subjects with patellofemoral pain syndrome

  • Alshaharani, Mastour Saeed;Lohman, Everett Bernell;Bahjri, Khaled;Harp, Travis;Alameri, Mansoor;Daher, Noha S.
    • Physical Therapy Rehabilitation Science
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    • 제7권2호
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    • pp.61-66
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    • 2018
  • Objective: Patellofemoral pain syndrome (PFPS) is a condition that is characterized by patellar discomfort or pain that is aggravated during certain activities such as ascending/descending stairs. The Patellofemoral Disability Index (PDI) was developed to assess the effect of pain on functional activities in individuals with PFPS. The objectives of the current study were to determine the internal consistency, test-retest reliability, and validity of this index. Design: Cross-sectional study. Methods: Forty-one subjects who had PFPS with a mean age of $28.8{\pm}5.0years$ and a mean body mass index of $25.6{\pm}4.7kg/m^2$ participated in the study. All subjects were concurrently enrolled in a clinical trial for which they were instructed to complete hamstring-resistance exercises for 4 weeks. Over the course of the intervention, they completed both the PDI and the Oswestry Disability Index (ODI) at baseline after two weeks, and after four weeks. Pearson correlation coefficient was used to assess the criterion validity. Cronbach's ${\alpha}$ was used to examine the internal consistency. Intraclass correlation coefficients with 95% confidence interval were computed to examine test-retest reliability. Results: Subjects' responses within both the PDI and the ODI yielded Pearson correlation coefficient values that were positive and highly significant (range, 0.73-0.97; p<0.001). There was a high level of internal consistency (Cronbach's ${\alpha}{\geq}0.8$), with the exception of stair climbing (Cronbach's ${\alpha}=0.65$). Intraclass correlation ranged from 0.87 to 0.92, indicating high levels of test-retest reliability. Conclusions: The PDI is a valid, reliable, and feasible method of assessing pain and functional ability in patients with PFPS.

아세트아미노펜 중독 환자에서 간독성 발생 예측인자들의 유용성 (Usefulness of Predictors for Hepatotoxicity in Acetaminophen Poisoning Patient)

  • 김은영;정성필;고동률;공태영;유제성;좌민홍;김민정
    • 대한임상독성학회지
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    • 제16권2호
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    • pp.149-156
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    • 2018
  • Purpose: The purpose of this study was to determine whether hepatotoxicity could be predicted early using biochemical markers in patients with acetaminophen (AAP) poisoning and to assess the usefulness of predictive factors for acute liver injury or hepatotoxicity. Methods: This study was a retrospective observational study involving a medical records review. The participants were patients who were admitted to the emergency department (ED) with AAP overdose at two hospitals over a 10-year period. Demographic data, age, time from ingestion to visit, initial AAP level, initial hepatic aminotransferases, and initial prothrombin time were recorded. Acute liver injury was defined as a peak serum ALT >50 U/L or double the admission value, and hepatotoxicity was defined as a peak ALT >1,000 U/L. Receiver operating characteristic curve analyses were performed to compare the prognostic performance among variables. Results: A total of 97 patients were admitted to the ED with AAP overdose, of whom 26 had acute liver injury and 6 had hepatotoxicity. Acute liver injury was associated with the time interval after taking the drug, and hepatotoxicity was associated with the initial PT and the ALT level. The scoring system proposed by the authors has a significant ability to predict both acute liver injury and hepatotoxicity. Conclusion: To predict the prognosis of AAP poisoning patients, the time interval after taking AAP was important, and initial prothrombin time and ALT level were useful tests. Also a scoring system combining variables may be useful.

Investigating Non-Laboratory Variables to Predict Diabetic and Prediabetic Patients from Electronic Medical Records Using Machine Learning

  • Mukhtar, Hamid;Al Azwari, Sana
    • International Journal of Computer Science & Network Security
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    • 제21권9호
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    • pp.19-30
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    • 2021
  • Diabetes Mellitus (DM) is one of common chronic diseases leading to severe health complications that may cause death. The disease influences individuals, community, and the government due to the continuous monitoring, lifelong commitment, and the cost of treatment. The World Health Organization (WHO) considers Saudi Arabia as one of the top 10 countries in diabetes prevalence across the world. Since most of the medical services are provided by the government, the cost of the treatment in terms of hospitals and clinical visits and lab tests represents a real burden due to the large scale of the disease. The ability to predict the diabetic status of a patient without the laboratory tests by performing screening based on some personal features can lessen the health and economic burden caused by diabetes alone. The goal of this paper is to investigate the prediction of diabetic and prediabetic patients by considering factors other than the laboratory tests, as required by physicians in general. With the data obtained from local hospitals, medical records were processed to obtain a dataset that classified patients into three classes: diabetic, prediabetic, and non-diabetic. After applying three machine learning algorithms, we established good performance for accuracy, precision, and recall of the models on the dataset. Further analysis was performed on the data to identify important non-laboratory variables related to the patients for diabetes classification. The importance of five variables (gender, physical activity level, hypertension, BMI, and age) from the person's basic health data were investigated to find their contribution to the state of a patient being diabetic, prediabetic or normal. Our analysis presented great agreement with the risk factors of diabetes and prediabetes stated by the American Diabetes Association (ADA) and other health institutions worldwide. We conclude that by performing class-specific analysis of the disease, important factors specific to Saudi population can be identified, whose management can result in controlling the disease. We also provide some recommendations learnt from this research.

10주간의 신체 안정화 운동프로그램이 초등학교 태권도 선수의 민첩성, 기능적 움직임, 균형, 폐기능에 미치는 효과 (Effect of Changes in Visual Response Speed, Functional Movement, Body Balance, and Lung Capacity after a 10-Week Body Stability Exercise Program for High School Male Taekwondo Athletes)

  • 강양훈;김철승
    • 대한통합의학회지
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    • 제9권3호
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    • pp.111-124
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    • 2021
  • Purpose : The purpose of this study is to evaluate whether physical ability is improved by body stabilization, develop training methods to improve physical fitness factors suitable for body conditions, and provide future management and exercise materials to improve Taekwondo athletes' performance, after conducting the Body stabilization exercise (BSE) program on 22 elementary school Taekwondo athletes for 10 weeks to strengthen core muscles and evaluating Visual response speed test (VRST), Functional movement screen (FMS), Y-Balance test (YBT) and Vital capacity (VC). Methods : In order to examine the impact of the BSE program on Taekwondo athletes' VRST, FMS, YBT and VC this study conducted individual evaluations on all subjects, including VRST, FMS, YBT and VC before applying the programs, and compared exercise effects before and after the program, before and after exercise by a certain period. Results : After exercising, strength and quickness were improved significantly and reaction time was significantly shortened (p<.001). The total score of FMS was improved from 10.86±1.17 before to 11.68±0.99 after exercising, was statistically significant (p=.014). YBT was significantly improved from 91.11±4.84 before to 95.68±5.15 after exercising (p<.001). VC improved was statistically significant (p<.001). Conclusion : In conclusion, the BSE athletic program is expected to help Taekwondo athletes perform well by preventing and reducing injuries through the improvement of muscular strength, strength, speed, agility, step, kick, balance, flexibility, full body endurance and the combination of technical abilities.

Influence of Job Crafting on Evidence-Based Practical Skills of Dental Hygienists

  • Min-ji Kim;Kyu-ri Kim;Yun-ji Kim;Seo-yeon Im;You-bin Cho;Ru-by Choi;Hee-jung Lim
    • 치위생과학회지
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    • 제23권4호
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    • pp.330-342
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    • 2023
  • Background: As the medical knowledge base grows at an accelerating rate, evidence-based clinical performance becomes increasingly important for providing quality care. Previous studies have highlighted the need to promote job crafting to actualize evidence-based practical skills in the medical field. This study aimed to investigate the degree of evidence-based practice among dental hygienists and assess the impact of job crafting on the evidence-based practical skills of dental hygienists. Methods: Dental hygienists working at dental hospitals and clinics in Seoul and Gyeonggi Province were surveyed between February 28 and April 6, 2023. The sample was comprised of 267 participants. The hypotheses were tested independent t-tests, one-way analysis of variance, Pearson's correlation coefficients, and multiple regression analyses using SPSS 29.0. Results: The degree of job crafting by dental hygienists demonstrated significant differences based on educational attainment, workplace size, and workplace type. Evidence-based practical skills exhibited significant variations based on educational attainment and job position. All job crafting subfactors demonstrated positive correlations with evidence-based practical skills. The job crafting subfactors affecting the evidence-based practical skills of dental hygienists were 'increasing structural job resources' and 'increasing challenging job demands,' which together explained 38.7% of the variance in evidence-based practical skills. Conclusion: This study demonstrates that job crafting was positively and significantly correlated with evidence-based practical skills. To strengthen the job crafting ability of dental hygienists, improving environmental conditions and fostering an organizational culture that motivates continued participation in education is necessary. The development and promotion of programs that enable learning of the latest evidence should be actively pursued. Additionally, regular attendance at workshops and participation in organizational evidence-based practice education programs are necessary.

가속도계를 이용한 편마비 환자의 보행 분석 알고리즘 개발 (Development of Gait Analysis Algorithm for Hemiplegic Patients based on Accelerometry)

  • 이재영;이경중;김영호;이성호;박시운
    • 전자공학회논문지SC
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    • 제41권4호
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    • pp.55-62
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    • 2004
  • 본 연구에서는 보행 가속도 신호를 측정할 수 있는 휴대용 무선 가속도 측정 시스템을 설계하고 편마비 환자로부터 획득된 데이터를 이용하여 보행 인자 계산과 보행의 규칙성 및 대칭성을 평가할 수 있는 보행 자동분석 알고리즘을 개발하였다. 휴대용 무선 가속도 측정 시스템은 2축 가속도계와 증폭기 및 16㎐ 저역 통과 필터로 구성된 아날로그 신호처리부(가속도 센서부)와 원칩 마이크로프로세서, EEPROM RF 송신부 및 수신부로 구성되어 있다. 보행 분석 알고리즘은 FFT 분석부, 필터 처리부 및 정점 검출부로 구성된다. 알고리즘 개발 및 평가를 위하여 8명의 편마비 환자가 실험군으로 또 다른 8명의 편마비 환자가 대조군으로 참여하였으며, 요추 3∼4번 위치에서 10m 동안의 보행 가속도 신호를 60㎐의 샘플링 주파수로 측정하였다. 보행자동분석 알고리즘에 의해 먼저 보행 구분점을 검출하고 좌우 발을 구분하였으며, 이 정보를 이용하여 보행 인자들을 계산하였다. 비디오 데이터와 보행 가속도 신호를 직접 관찰하여 얻은 정보와 비교하여 알고리즘의 성능을 평가한 결과 보행 구분점이 모두 정확히 검출되었으며 좌우 발 또한 모두 구분되었다. 향후 알고리즘의 신뢰성과 더 많은 보행 인자들을 계산할 수 있도록 성능을 향상시킴으로써 임상에서 편마비 환자의 재활치료 성과를 평가하는데 사용될 수 있을 것이다.

치과위생사의 임시치관제작 기술 숙련에 대한 인식도 (Recognition on technical skills of temporary resin jacket of dental hygienist)

  • 김경원;김광희
    • 한국치위생학회지
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    • 제9권4호
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    • pp.559-568
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    • 2009
  • Objectives : In order to manage to reformative tendency of the educational whole with change request of dental hygienics education which is diversificated and professionalized the manufacturing practice of a temporary resin jacket which is educated with from much dental hygiene is become accomplished, so far also the recognition which relates with the manufacturing practice of a temporary resin jacket of dental hygiene students there is not researched. The present research carried out the practice evaluation with the target of students of a dental hygiene department, who finished a manufacturing practice of a temporary resin jacket, analyzed and investigated the material, reported its result, and enforced a research. Methods : This research selected students of 6 dental hygiene departments located in the Daegu Gyeongbuk region, who have manufacturing experience of a temporary resin jacket, by a convenient sampling method, and then a questionnaire was executed by a self-administration method, and a total of 290 copies were statistically treated. The content of the questionnaire are composed of 2 questions on an attitude survey before and after manufacturing practice of a temporary resin jacket, 3 questions on an educator for practice of a temporary resin jacket, 7 questions on recognition of technical skills for manufacturing a temporary resin jacket, 9 questions on the practice content evaluation of manufacturing of a temporary resin jacket and recognition on manufacturing practice of a the temporary resin jacket. Results : 1. The average of recognition on technical skills for manufacturing a temporary resin jacket of a dental hygienist was 3.82 points, the average of evaluation on practice content of manufacturing a temporary resin jacket being 3.75 points, and the average of recognition on the practice of manufacturing a temporary resin jacket was 3.71 points. 2. Currently, as the educator for the practice of manufacturing a temporary resin jacket, dental hygienists were 188 persons(64.8%) and dental technicians was 102 persons(35.2%), and as educators they want in the future, dental hygienists were 97 persons(33.3%) and dental technicians was 193 persons(66.7%). Persons hoping reeducation for manufacturing a temporary resin jacket were 219 persons(85.9%). 3. There was a significant difference in consciousness of students before and after practice of manufacturing a temporary resin jacket(p<.001). 4. There was a significant difference in practice evaluation and practice recognition according to the educational subject(p<.001). 5. There was a significant reverse correlation in the educational subject, practice evaluation and practice recognition(p<0.01). Conclusions : The practice for manufacturing a temporary resin jacket in education of dental hygiene is necessary to improve job performance ability in more various and specialized dental treatment and to solve desire for improvement of professional technical skill ability of students, and accordingly. About study process of the future students observation investigation or student objective interview investigation etc. seeks a problem in the become research lead, the succeeding research which gropes the plan which is the possibility of solving the problem which discovered is thought will be necessary.

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