• 제목/요약/키워드: Clinical usefulness

검색결과 1,018건 처리시간 0.033초

고관절 내외회전 가동범위 검사에 대한 범용플라스틱 측각기의 동시타당도와 임상적 유용성 (Concurrent Validity and Clinical Usefulness of Universal Plastic Goniometer for Hip Internal and External Rotation Range Measurement)

  • 김용욱
    • 대한물리의학회지
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    • 제13권1호
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    • pp.99-105
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    • 2018
  • PURPOSE: The aim of this study was to evaluate the concurrent validity and clinical usefulness of the universal plastic goniometer to measure the range of motion of the internal and external rotation of the hip joint using the three dimensional motion analysis which can analyze the joints and segment movements in the most objective and quantitative method. METHODS: Clinical and kinematic data were collected from thirty individuals using a universal plastic goniometer and a ten camera motion analysis system. Passive hip rotation range was obtained three trials for left and right hip joints using two measure methods simultaneously. RESULTS: There were significant differences between all matching measures of the two measures of internal and external rotation of the hip joint (p<.05). The relationship between the two tests for all measurements of the internal and external rotation of the hip was statistically significant with correlation coefficient form r=.87 to .96. (p<.01). CONCLUSION: Clinical measurement of the internal and external rotation of the hip using a universal plastic goniometer is effective to assess the hip condition. However, application of universal plastic goniometer requires careful attention in more accurate evaluation and research verification of the internal and external rotation of hip joint.

임상검체별 결핵균 검출을 위한 자동화 중합효소연쇄반응 검사의 유용성 (Usefulness of Automated PCR Test for Detection of Mycobacterium tuberculosis in Clinical Samples)

  • 최우순;신소영
    • 대한임상검사과학회지
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    • 제38권3호
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    • pp.152-157
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    • 2006
  • The purpose of this study was to evaluate the usefulness of the automated TB-PCR assay for the detection of Mycobacterium tuberculosis. The 807 cases were analyzed with their TB-PCR, AFB smear and culture in bronchial washing fluids, sputum and body fluids samples. The TB-PCR positive of the bronchial washing fluid, sputum and body fluids were 11.3%, 7.3% and 3.6%, respectively, in cases of AFB smear-negative and culture-negative. The sensitivity values of the bronchial washing fluid, sputum and body fluids were 93.3%, 100% and 50%, respectively, according to the culture result. The sensitivity of body fluids was lower than that of the bronchial washing fluid and sputum. The specificity values of the bronchial washing fluid, sputum and body fluids were 83.3%, 89.0% and 95.7%, respectively, according to the culture result. In conclusion, the automated TB-PCR assay proved to be a useful method for the detection of Mycobacterium tuberculosis in the bronchial washing fluid and sputum. But we think that there is still a need for us to study body fluids further.

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뇌심부자극술 시술환자의 뇌 자기공명영상에서 고주파 출력의 제한기준에 대한 임상적 유용성 평가 (Evaluation of Clinical Usefulness of Radio-Frequency Power Limitation in Brain MRI of Patients with Deep Brain Stimulation)

  • 연규진;장영애;이승근;이태수
    • 방사선산업학회지
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    • 제11권3호
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    • pp.139-144
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    • 2017
  • To evaluation of clinical usefulness for B1+RMS limits, we compared image quality of Routine, Specific absorption rate (SAR) and Root mean square (RMS) protocol. 5 volunteers underwent Magnetic Resonance Imaging (MRI) scan of the brain using three different protocols. We draw Region of interest ROI in cortex, white matter, gray matter, putamen and thalamus of axial plan. Signal to noise ratio (SNR) were evaluated in each area and Contrast to noise ration (CNR) were evaluated between white matter and gray matter. Qualitative evaluation was used to score each ROI. B1+RMS is confirmed its usefulness compared to conventional SAR standard on the aspect of improvement of image quality, reduction of scan time and easy adjusting parameter.

Usefulness of AB/BA/AA/BB Crossover Design

  • Nam, Jusun;Kim, Dongjae
    • Communications for Statistical Applications and Methods
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    • 제10권1호
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    • pp.115-123
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    • 2003
  • In this paper, we discuss the usefulness of AB/BA/AA/BB crossover design sense of sample size. The result is that the AB/BA/AA/BB crossover design is more economical than AB/BA one if large carryover effect exists and so is it in the comparison with completely randomized design within-subject correlation is large.

비등팔법(飛騰八法)의 임상적(臨床的) 활용(活用)에 관(關)한 소고(小考) (A Short Review on the Practical Use of Bideungpalbub)

  • 이봉효;마정훈
    • Korean Journal of Acupuncture
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    • 제28권4호
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    • pp.119-124
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    • 2011
  • Objectives : This study was performed to review the principal of Bideungpalbub and to investigate the usefulness of it. Methods : The authors reviewed several literatures about Younggupalbub and investigated the clinical usefulness as well found some problems with it. Results and Conclusions : Bideungpalbub is a time related-acupuncture treatment and has a possibility to make some problems for the patients and oriental medical doctors.

Clinical usefulness of teleradiology in general dental practice

  • Choi, Jin-Woo
    • Imaging Science in Dentistry
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    • 제43권2호
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    • pp.99-104
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    • 2013
  • Purpose: This study was performed to investigate the clinical usefulness of teleradiology in general dental practice. Materials and Methods: Two hundred and seventy five cases were submitted for inquiry to the case presentation board of the website of The Korean Academy of Oral and Maxillofacial Radiology for a 5 year periods. The diagnosis results of those cases were analyzed according to the disease classification, the correlation with the patient's chief complaint, the necessity of additional examinations or treatments, the image modalities, and the number of dentists inquiring. Results: Differential diagnoses of normal anatomic structures were the most frequently submitted cases, covering 15.6% of all cases. Among 275 cases, 164 cases required no additional treatments or examinations. Panoramic radiographs were the most frequently submitted images, accounting for 248 inquiries. The 275 cases were submitted by 96 dentists. Fifty-two dentists wrote one inquiry, and 44 inquired 2 or more times. The average inquiry number of the latter group was 5.0 cases. Conclusion: A teleradiology system in general dental practice could be helpful in the differential diagnosis of common lesions and reduce unnecessary costs.

Respiratory Review of 2014: Pulmonary Thromboembolism

  • Lee, Jae Seung
    • Tuberculosis and Respiratory Diseases
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    • 제77권3호
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    • pp.105-110
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    • 2014
  • Venous thromboembolism (VTE), which includes pulmonary embolism and deep vein thrombosis, is an important cause of morbidity and mortality. The aim of this review is to summarize the findings from clinically important publications over the last year in the area of VTE. In this review, we discuss 11 randomized controlled trials published from March 2013 to April 2014. The COAG and the EU-PACT trials indicate that pharmacogenetic testing has either no usefulness in the initial dosing of vitamin K antagonists or marginal usefulness in the Caucasian population. Recent clinical trials with novel oral anticoagulants (NOACs) have demonstrated that the efficacy and safety of rivaroxaban, apixaban, edoxaban, and dabigatran are not inferior to those of conventional anticoagulants for the treatment of VTE. The PEITHO and ULTIMA trials suggested that rescue thrombolysis or catheter-directed thrombolysis may maximize the clinical benefits and minimize the bleeding risk. Lastly, riociguat has a proven efficacy in treating chronic thromboembolic pulmonary hypertension. In the future, NOACs, riociguat, and catheter-directed thrombolysis have the potential to revolutionize the management of patients with VTE.

Clinical Usefulness of Korean Red Ginseng in Postmenopausal Women with Severe Climacteric Disturbance

  • Kikuchi, Yoshihiro;Tode, Takehiko;Hirata, Junko;Nakataand, Hideyui;Kita, Tsunekazu
    • Journal of Ginseng Research
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    • 제27권3호
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    • pp.98-102
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    • 2003
  • The aim of this study is to evaluate clinical usefulness of Korean red ginseng (RG) on various postmenopausal syndromes. Total plasminogen inhibitor-l (tPAI-l) in peripheral blood from 9 postmenopausal women with climacteric syndromes (CS) was measured before and 3 months after treatment with daily oral administration of 6 g RG and that from 8 postmenopausal women without any CS was also measured as healthy controls. Blood samples were collected in the early morning on the bed-rest. Psychological conditions of postmenopausal women with CS were measured before and 3 months after treatment with RG using simplified menopausal index (SMI). In addition, OKETSU (blood stagnation) syndrome scores and KI deficiency (generalized energy stagnation) scores proposed by Terasawa et al., were recorded before and 3 months after treatment with RG in postmenopausal women with CS and in healthy postmenopausal women. OKETSU syndrome scores and tPAI-l levels in postmenopausal patients with CS were significantly (P<0.001 and P<0.01) higher than those in healthy postmenopausal women without CS. Similarly, SMI scores and KI deficiency scores in postmenopausal patients with CS were about three-fold higher than those without any CS. When RG was administered for 3 months, KI deficiency scores and OKETSU scores as well as SMI scores declined around the levels of healthy postmenopausal women. Although tPAI-1 levels significantly (P<0.05) decreased after treatment with RG, those did not reach the levels of healthy postmenopausal women. Clinical usefulness of administration of RG to postmenopausal women with CS was confirmed from evaluation not only by modem medicine but also by traditional KAMPO medicine.

비만하지 않은 성인 남성에서 대사증후군의 대리 표지자로서 감마 글루타밀 전이효소의 임상적 유용성 평가 (Evaluation of Clinical Usefulness of Gamma Glutamyl Transferase as a Surrogate Marker for Metabolic Syndrome in Non Obese Adult Men)

  • 신경아;김은재
    • 융합정보논문지
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    • 제10권12호
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    • pp.146-155
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    • 2020
  • 본 연구는 대사증후군을 예측하는 대리 표지자로서 감마 글루타밀 전이효소(gamma glutamyl transferase, GGT)의 유용성을 평가하고자 하였다. 20세 이상의 비만하지 않은 남성 7,155명을 연구대상자로 하였다. 대사증후군 진단기준은 NCEP-ATP III (National Cholesterol Education Program - Third Adult Treatment Panel) 기준을 적용하였다. GGT에 따른 대사증후군 발병 위험도는 로지스틱 회귀분석을 적용하였으며, GGT의 대사증후군 위험 예측능력을 확인하기 위해 ROC (receiver operating characteristic) 곡선을 구하였다. 연령과 체질량지수와 무관하게 GGT 1사분위수보다 4사분위수에서 대사증후군 발병위험이 7.09배 높게 나타났다(p<0.001). 대사증후군 진단을 위한 GGT의 곡선아래면적(area under the curve)은 0.715였으며, GGT의 절단값(cut-off value)은 40.0 U/L, 민감도는 65.0%, 특이도 70.2%로 나타났다. 따라서 GGT는 대사증후군을 진단하기 위한 유용한 진단 지표로 판단된다.

CT 및 초음파 스캔 데이터를 이용한 체적 측정의 정확도 및 유용성 (Accuracy and Usefulness of Volume Measurement using CT and Ultrasound Scan Data)

  • 김현주;이후민;윤준
    • 한국방사선학회논문지
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    • 제16권3호
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    • pp.289-294
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    • 2022
  • 본 연구는 CT와 USG 스캔 데이터를 이용하여 팬텀 실험과 환자 스캔 데이터를 활용하는 임상실험으로 체적 측정의 정확도 및 유용성을 알아보았다. 그 결과 CT와 USG 스캔 데이터 모두 다양한 체적의 실제 원형 팬텀의 체적과 유의한 차이가 없었으며(p>0.05), 동일 환자의 방광 체적 측정 결과 CT 데이터는 236.9±2.1, USG 영상은 236.9±1로 측정되어 통계분석 결과 유의한 차이가 없는 것으로 분석되었다(p>0.05). 본 결과의 임상 적용은 추가 임상실험이 필요하지만, 환자 피폭, 검사자의 스캔 기술, 그리고 CT 재구성 경험 등을 고려하여 CT 또는 초음파 장치를 선택 적용한다면 의료영상을 활용한 체적 측정의 유용성 측면에서 기초자료로 적용 가치가 있을 것으로 사료된다.