• Title/Summary/Keyword: Clinical practice

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Effects of Abdominal Meridian Massage with Aroma Oils by Volunteers on the Relief of Constipation in Hospitalized Disability Patients with brain lesions (자원봉사자에 의한 아로마 복부경락마사지 제공이 입원 뇌 병변 장애환자의 변비완화에 미치는 효과)

  • Kim, Tae-Im;Nam, Mi-Jung;Bang, Young-Ie;Yeon, Young-Soon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.5
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    • pp.2267-2277
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    • 2012
  • The purpose of this study was to evaluate the effects of 7 minutes a day, 3 times a week, for 4 weeks of abdominal meridian massage with aroma oils (AMMAO) by Volunteers on the relief of constipation among hospitalized disability patients with brain lesions. One group pretest-posttest quasi experimental research design was used. Subjects were 38 hospitalized disability patients with brain lesions. Data were collected from May 9 to June 19, 2011. Frequencies, mean, standard deviation and Repeated Measures ANOVA with SPSS 19.0 were used to evaluate the effects of AMMAO. The results were as follows; 1. There were significant difference noted in the amount of defecation(F=3.56, p=.033) by time. 2. There were no significant difference was noted in the frequency of defecation, the frequency of suppository or enema application by time. Accordingly, it is concluded that AMMAO would be an effective nursing intervention in relief of constipation among hospitalized disability patients with brain lesions. Therefore it is recommended that AMMAO be used in clinical practice as an effective nursing intervention for hospitalized disability patients with brain lesions.

Early caries detection using optical coherence tomography: a review of the literature (광간섭단층촬영술을 이용한 치아우식증의 발견)

  • Park, Young-Seok;Cho, Byeong-Hoon;Lee, Seung-Pyo;Shon, Won-Jun
    • Restorative Dentistry and Endodontics
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    • v.36 no.5
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    • pp.367-376
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    • 2011
  • Early detection of carious lesions increases the possibility of treatment without the need for surgical intervention. Optical coherence tomography (OCT) is an emerging three-dimensional imaging technique that has been successfully used in other medical fields, such as ophthalmology for optical biopsy, and is a prospective candidate for early caries detection. The technique is based on low coherence interferometry and is advantageous in that it is non-invasive, does not use ionizing radiation, and can render threedimensional images. A brief history of the development of this technique and its principles are discussed in this paper. There have been numerous studies on caries detection, which were mostly in vitro or ex vivo experiments. Through these studies, the feasibility of OCT for caries detection was confirmed. However, further research should be performed, including in vivo studies of OCT applications, in order to prove the clinical usefulness of this technique. In addition, some technological problems must be resolved in the near future to allow for the use of OCT in everyday practice.

An Analysis and Study on the Curriculum of the Christian Education Counseling Department and the Education Counseling Department (기독교교육상담학과와 교육상담학과의 교육과정 분석 및 연구)

  • Park, Mila
    • Journal of Christian Education in Korea
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    • v.62
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    • pp.135-160
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    • 2020
  • This study closely analyzed the curriculum of the Christian Education Counseling Department and the general Education Counseling Department, and found the current status and problems of the curriculum of the Christian Education Counseling Department and the general Education Counsel Department. This study presented a balanced curriculum of the Christian Education Counseling Department with above analysis. For this purpose, the analysis focused on the educational operation process of Christian education counseling departments and general education counseling departments, such as educational goals, subjects, and counseling practical training. The Christian Education Counseling Department and the general Education Counseling Department are often combined with departments such as Christian Education, Youth, Children and Youth, and Lifelong Education, with the characteristics of convergence majors, so the basic subjects of the department were analyzed to have a higher percentage of subjects than counseling subjects. The results of the analysis showed that both departments lacked a considerable number of subjects related to counseling practical training. In the counseling course, the subjects of personal analysis, education analysis, counseling ethics, and counseling case super-vision for the professional development of counselors are still lacking, according to the analysis. In order to train counselors, it was analyzed that the system of systematic clinical practice system, various counseling analysis for counselor education, and the expansion of super vision subjects were urgently needed. In a modern society where the demand for counseling and the need for counseling experts are increasing as society becomes more complex, it is hoped that Korean universities will be able to actively contribute and cooperate in developing models of counseling education and training counseling experts through them, focusing on standardized indicators for fostering counselors.

Effects of the Training of Non-Dominant on Hand Function (과제수행을 통한 비우세손 훈련이 손 기능에 미치는 영향)

  • Jang, Chel;Song, Minok;Kim, Boa;Han, Sujung
    • Journal of The Korean Society of Integrative Medicine
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    • v.3 no.4
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    • pp.1-9
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    • 2015
  • Purpose : We described how the training of non-dominant hand that applicates the activity effects on dominant hand. Method : From November 6th to December 2nd 2013, We randomly selected 18 people that don't have a damage of hand function and are in college of K in Busan. (cross stitch training group 9 people, control group 9 people) All participants agreed on the research after fully being aware of training procedures and spontaneously conducted. Each training was practiced for 40 minutes in once every second day. One researcher deals with three participants at silent environment. We used the study measurement, Purdue pegboard, to investigate the sharpness of hand. To investigate the advancement of hand function caused by cross stitch training, we practiced three times estimations of primary one before training, middle one after 2 weeks training, last one after four weeks training and obtained the following results. Result : First of all, We found that the group of hand training appeared to be advanced of dominant hand's sharpness depending on the training period more than the control group. Second, We found that the group of hand training appeared to be advanced of non-dominant hand's sharpness depending on the training period more than the control group. Third, We found that the group of hand training appeared to be advanced of both hand's sharpness depending on the training period more than the control group. Fourth, We found that the group of hand training appeared to be advanced of the assembling function sharpness depending on the training period more than the control group. Conclusion : Put the results of this research together, we found that non-dominant hand training that used the activity was of help to advance the function of dominant hand. So, we thinks that hand training might help the recovery of affected hand function to the person that have a problem of hand function like hemiplegia patient. It will be required to practice the further study targeting the person that have a problem of hand function like hemiplegia patient. We hope that this research will be apply to clinical occupational therapy.

Evaluation of the feasibility of bony window repositioning without using a barrier membrane in sinus lateral approach (상악동측방접근법시 차폐막을 사용하지 않는 골창재위치술의 유용성 평가)

  • Jeon, Seung-Hwan;Cho, Yong-Seok;Lee, Byung-Ha;Im, Tae-Yun;Hwang, Kyung-Gyun;Park, Chang-Joo
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.37 no.2
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    • pp.122-126
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    • 2011
  • Introduction: In the lateral window approach for a maxillary sinus bone graft, there has been considerable controversy regarding the placement of a barrier membrane over the osteotomy site. In particular, when there is no damage to the Schneiderian membrane, clinicians should decide whether to use a barrier membrane or not, considering the benefits and costs. This study presents the clinical cases to demonstrate that only repositioning the detached window can lead to satisfactory bony healing of the grafted material without using a barrier membrane in the lateral approach for a maxillary sinus bone graft. Materials and Methods: Five consecutive patients were treated with the same surgical procedures. After performing the antrostomy on the lateral maxillary wall using a round carbide bur and diamond bur, the bony window was detached by a gentle levering action. After confirming no perforation of the Schneiderian membrane, the grafting procedure was carried out the detached window of the lateral maxillary wall was repositioned over the grafted material without using a barrier membrane. A gross examination was carried out at the postoperative 6 month re-entry, and the the preoperative and postoperative dental computed tomography (CT) at re-entry were compared. Results: All the procedures in the 5 patients went on to uneventful healing with no complications associated with the bone graft. Satisfactory bone regeneration without the interference of fibrous tissue on the gap between the repositioned window and lateral wall of the maxillary sinus was observed in the postoperative 6 month re-entry. The CT findings at re-entry revealed the, reconstruction of the external cortical plate including repositioned bony window. In addition, the loss of the discontinuity of the lateral maxillary wall was confirmed. Conclusion: This preliminary report showed that the detached window, which was just repositioned on the grafted material, could function as a barrier membrane in the lateral approach for a maxillary sinus bone graft. Therefore additional morphometric and histologic studies will be needed.

SHADE PERCEPTION ABILITY AMONG DIFFERENT DENTAL PERSONNEL (치과 종사자간의 색조 식별 능력)

  • Kim Ja-Yeong;Lee Im-Gi;Yoon Tae-Ho;Ahn Seung-Geun;Park Charn-Woon
    • The Journal of Korean Academy of Prosthodontics
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    • v.44 no.4
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    • pp.455-465
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    • 2006
  • Statement of problem: Many factors influence shade determination in clinical practice and shade matching is highly affected by the viewing conditions. Purpose : This study investigated the differences in shade perception among distinct groups of dental personnel (10 prosthodontists, 10 general practitioners, 10 last-year dental students and 10 dental technicians) Material and method: Four groups of dental personnel were investigated. They were tested to eliminate color blindness. To compare shade selection ability, they were asked to match four test tabs of shades A3, B2, C2 and D4 (VITAPAN$^{(R)}$ Classical shade guide. The identification codes of the shade tabs were masked to prevent shade memory. ) against another full set of VITA$^{(R)}$ PAN$^{(R)}$ Classical shade guide under similar lighting conditions. Shade selections were randomly repeated five times every week and then the repeatability between dental personnel was evaluated. To compare value perception ability, they were asked to arrange randomly selected five test tabs (Bl, A2, D2, C3, A4) in descending order from the brightest to the darkest. To compare hue determination ability, they were asked to divide selected eight test tabs (n, A3, B2, B3, C2, C3, D2, D3) into four groups by manufacturer as follows : Group A-Reddish brown, Group B-Reddish yellow. Group C-Grey. Group D-Reddish grey. Results and conclusion : The obtained results were as follows : 1. For the value perception ability and hue determination ability. there was no significant difference among 4 groups: prosthodontists, general practitioners, dental students, dental technicians (P>.05). 2. For shade selection ability, the prosthodontists and dental technicians were significantly higher than dental students(P<.05). 3. The repeatability of selected shade in the dental technicians was significantly higher than that of general practitioners and dental students(P<.05). 4. The prosthodontists and dental technicians had significantly higher selection ability than dental students for shade B2 (P<.05).

BUBBLE BEHAVIOR OF PIT AND FISSURE SEALANT (치면열구전색제의 도포 시 전색제에 따른 기포 발생 양태)

  • Kim, Hyun-Jin;Lee, Nan-Young;Lee, Sang-Ho
    • Journal of the Korean Academy of Pediatric Dentistry
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    • v.34 no.1
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    • pp.99-105
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    • 2007
  • In clinical practice, air bubbles trapped in the pit and fissure may increase early loss of sealing materials for fracture, wear and microleakage. The purpose of this investigation was to examine the bubble behavior of pit and fissure sealant. The 140 replicas made of epoxy resin were used to this experiment. Following conditioning, light-polymerized sealants were applied and then exposed to the light source. After stereoscopic examination of standarized specimen by grinding, bubble behavior was analysed. The results obtained were as follows; 1. Ultraseal $XT^{(R)}$ plus grops irrespective of using time were higher than groups of $Helioseal^{(R)}$ with clinpro tip and metal tip in the frequency of bubble(p<0.05), 2. Ultraseal $XT^{(R)}$ plus old group was more than $Clinpro^{(R)}$, Teethmate $F-l^{(R)}$ and $Helioseal^{(R)}$ with brush tip in the number of bubble under 200 magnified cross section(p<0.05). 3. The widest mean area of bubble was shown in the Teethmate $F-1^{(R)}$. 4. No statistically significant difference of the frequency and the site of bubble between $Clinpro^{(R)}$ and $Helioseal^{(R)}$ groups(p>0.05).

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Effects of Variation of Illumination on Visual Function Factors (조도변화가 시기능 성분에 미치는 영향)

  • Kim, Da-Young;Kim, Sang-Yeob;Cho, Hyun Gug;Moon, Byeong-Yeon
    • Journal of Korean Ophthalmic Optics Society
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    • v.20 no.2
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    • pp.195-200
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    • 2015
  • Purpose: This study was performed in order to figure out the influence of illumination on visual function. Methods: 40 adults (male 21, female 19) of average age $23.93{\pm}1.59$ years were participated in this study. The test chart surface illumination was adjusted to 5, 50, 200, 500 and 800 lx, and then amplitude of accommodation, near point of convergence, far and near distance phoria, far and near distance fusional vergence, relative accommodation, and accommodation lag were measured at each illumination condition. Results: As illumination intensity of test chart was reduced, amplitude of accommodation was significantly decreased (p<0.05), accommodation lag was also decreased, near point of convergence was receded, and horizontal phoria showed a tendency of esodeviation. In the case of negative fusional vergence, with reduction of illumination intensity, the break point and the recovery point were decreased but in the case of positive fusional vergence, the break point was increased. The negative and positive relative accommodation were significantly decreased (p<0.05) with reduction of illumination intensity. Conclusions: In clinical practice, visual functional test should be performed under condition of adequate illumination level through patient's living environment and job.

Feature-based Non-rigid Registration between Pre- and Post-Contrast Lung CT Images (조영 전후의 폐 CT 영상 정합을 위한 특징 기반의 비강체 정합 기법)

  • Lee, Hyun-Joon;Hong, Young-Taek;Shim, Hack-Joon;Kwon, Dong-Jin;Yun, Il-Dong;Lee, Sang-Uk;Kim, Nam-Kug;Seo, Joon-Beom
    • Journal of Biomedical Engineering Research
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    • v.32 no.3
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    • pp.237-244
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    • 2011
  • In this paper, a feature-based registration technique is proposed for pre-contrast and post-contrast lung CT images. It utilizes three dimensional(3-D) features with their descriptors and estimates feature correspondences by nearest neighborhood matching in the feature space. We design a transformation model between the input image pairs using a free form deformation(FFD) which is based on B-splines. Registration is achieved by minimizing an energy function incorporating the smoothness of FFD and the correspondence information through a non-linear gradient conjugate method. To deal with outliers in feature matching, our energy model integrates a robust estimator which discards outliers effectively by iteratively reducing a radius of confidence in the minimization process. Performance evaluation was carried out in terms of accuracy and efficiency using seven pairs of lung CT images of clinical practice. For a quantitative assessment, a radiologist specialized in thorax manually placed landmarks on each CT image pair. In comparative evaluation to a conventional feature-based registration method, our algorithm showed improved performances in both accuracy and efficiency.

A Survey on the Ethical Issues and Needs for Ethics Education of Nurses in Long-term Care Hospitals (요양병원 간호사의 윤리적 이슈와 윤리교육 요구조사)

  • Shin, Ja-Hyun;Seo, Myoung-Hee
    • The Journal of the Korea Contents Association
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    • v.18 no.6
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    • pp.180-192
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    • 2018
  • Purpose: This study is aimed to identify the ethical issues and needs for ethical education of nurses in long-term care hospitals. Methods: Data were collected in 2015. Participants were 142 nurses working in nine long-term care hospitals. The Ethical Issues in Clinical Practice Tool was used. Data analysis was performed using SPSS WIN 24.0. Results: The degree of experienced ethical issues was 1.23 out of 3, and 'Providing care with a possible risk to your health' was an ethical problem most frequently experienced in nurses. In addition, the ethical problem that the nurse most disturb was identified by 'Determining when death occurs'. The degree of needs for ethical education was 3.11 out of 4, and the highest ethical topic was 'Legal/ethical issues in the use of restraints'. Ethical issues and needs for ethical education were not statistically significant differences according to the characteristic of participants. Conclusion: In this study, we identified the ethical problems and necessity of ethics education experienced by nurses working in long-term care hospitals. The results of this study can be used as basic data for the development of customized ethical education contents for nurses in long-term care hospitals.