• Title/Summary/Keyword: Field clinical practice

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Research Trends on Qigong in the Korean Journal (한국 저널에 게재된 기공관련 연구 동향 분석)

  • Han, Chang-Hyun;Lee, Sang-Nam;Kwon, Young-Kyu;Choi, Sun-Mi
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.22 no.4
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    • pp.954-959
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    • 2008
  • Qigong is one energy-healing intervention used to prevent and cure ailments and to improve health through regular practice. Although qigong-neither itself nor its postulated mechanism of action - are within the paradigm of modern Western medical science, effects on the human body could be possible. This study aims to review the bibliography, biological responses and therapeutic effects of Qigong. In the process, this review will grasp trends in this field of studies and will direct further researches into the right direction. The computerized Korean databases were searched from their respective inceptions up to January 2008. The search terms used were 'qi', 'qigong', 'doin', 'training', 'bioenergy', 'life nurturing' and random or Korean language terms related to qigong. Several specialized journals were also manually searched for relevant articles. Since the 1990s, Qigong papers in the Korean Literature is increased. Published 152 papers on Korean medicine were more than Physical education and Nursing. 78 papers published in The Journal of Korean Academy of medical Gi-gong are the best in many areas related to Korean medicine. Most people have submitted papers related to Qigong was Lee Gi-nam. The depth study for the each Qigong is needed. Specifically, I think it should be a clinical studies and qualitative research methods for evaluation are needed.

The Dosimetric evaluation of the standard electron cone for the extended cone for the extended SSD and The Dosimetric characteristics of the custom-made electron cone (표준 전자선 cone의 확장된 SSD에서의 선량평가 및 자체제작한 전자선 cone의 특성)

  • Chung Se Young;Chung Hui Young;Kim Young Bum;Kwon Young Ho
    • The Journal of Korean Society for Radiation Therapy
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    • v.11 no.1
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    • pp.73-78
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    • 1999
  • In general, the patients of the head and neck cancer are treated with 4MV photon beam up to prescribed dose, but spinal cord should be excluded in the treatment field. When its absorbed dose is limited at the tolerance dose. In case of the patients who has the positive posterior neck nodes need a boost electron beam treatment to the prescribed dose. In that case, the anatomical structure of the neck and the physical structure of the standard electron cone interrupt to allow proper access to the disease site. Therefore, we extended treatment SSD for the remove of the those hindrances. In this study, we evaluated the dosimetric variation of the standard electron cone for the extended SSD, from 100cm to 120cm, 5 cm increment, and compare to the custom-made electron cone. As a result, the $\%$ depth dose, the point of maximum dose and the range of maximum were changed within the $2\%$. The penumbra width was increased from 1.0cm to 2.0cm. However, the dosimetric characteristics of the custom-made electron cone was very similar to that of the 100cm SSD standard electron cone and due to its characteristic of physical structure, patients didn't need re-positioning after photon beam treatment, therefore accurate treatment was possible, we conclude that the custom-made electron cone was very useful for the clinical practice.

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The Effect of Sensory Stimulation on Mother-Infant Interaction in Premature Infants (감각자극이 미숙아의 모-영아 상호작용에 미치는 효과)

  • Kim Mi-Ye;Kim Sun-Hee;Jang Gun-Ja
    • Child Health Nursing Research
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    • v.10 no.2
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    • pp.180-187
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    • 2004
  • Purpose: This study was designed to investigate effect of sensory stimulation on the mother-infant interaction in premature infants. Method: The subjects of this study consisted of 36 pairs of premature infants and their mothers from NICU of one university hospital located in Taegu, 18 pairs for intervention group and 18 pairs for control group. The data were collected from May, 1999 to October, 2000. For the intervention group Field's sensory stimulation(tactile and kinesthetic stimulation) was applied 2 times a day for 10 days(10:00-11:00 in the morning and 7:00-8:00 in the afternoon by researcher and mother). To determine mother and infant interaction during feeding, tool developed by Kim Mi-Ye(1999) was used. Collected data were analyzed with SAS program using chi-square test and t-test. Result: Significant differences were found in mother-infant interaction between two groups(t=-5.38, p=.00). It indicates that sensory stimulation was effective in improving mother-infant interaction. In the aspects of the quality of mother-infant interaction, sensory stimulation was most effective in improving sensitivity to mother and infant's synchronic behaviors(t=-5.43. p=.00) and followed by growth fostering(t=-5.07, p=.00), sensitivity to infant's cues(t=-4.53, p=.00), clarity of infant's cues(t=-3.03, p=.00) and responsiveness to the mother's behaviors(t=-2.14, p= 0.04). Conclusion: Based on the result of this study, it is suggested that maternally administered sensory stimulation should be applied clinical practice to improve interaction of premature infants and their mothers.

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Ghosting Artifacts in Digital Radiography (디지털 방사선영상에서 고스팅 아티팩트)

  • Jung, Wonhee;Chon, Kwonsu
    • Journal of the Korean Society of Radiology
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    • v.8 no.7
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    • pp.377-382
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    • 2014
  • Because of using computer system in the field of medical radiology, many artifacts which can not be seen in film/screen system are being created, especially ghosting artifacts. This artifacts could be yielded by taking advantage of a flat panel Thin-Film Transistor array detector. Ghosting artifacts can be rarely seen in clinical practice when an image that has a high-contrast object within a region of high exposure is quickly followed by another image that puts the high-contrast ghosting image in an area of lower radiation exposure. In this experiment, the ghosting artifacts were minimized for approximately 3 minutes with the unaided eye and almost disappeared for 6 minutes quantitatively between exposures. Moreover, the artifacts were influenced by more tube voltage than current and those depended not upon the number of readout cycles, but upon time.

Exploring Secondary Science Teacher Preparation Program and Suggesting its Development Direction: A Case of USA and Korea

  • Park, Young-Shin;Lee, Ki-Young;Morrell, Patricia D.;Schepige, Adele
    • Journal of the Korean earth science society
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    • v.38 no.5
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    • pp.378-392
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    • 2017
  • Teacher quality is a topic of international concern, as it impacts student learning and teacher preparation. This study compared the undergraduate secondary science teacher preparation programs from two universities in Korea with those of Oregon, USA. We examined the programs' structural curricular coherence, conceptual curricular coherence, and curricular balance. Structural curricular coherence was determined by examining the overarching goals of the institutions' programs, the organization of the programs of study in terms of meeting those goals, and outside bodies of evidence. All universities were in structural coherence for various reasons. Conceptual curricular coherence was determined by examining students' perceptions of the connection between their preparation and their clinical practice. In case of Korea, most students from both universities were not satisfied with their practical preparation. In the US, the students from both institutions felt well prepared to transition to inservice teaching. To determine curricular balance, we examined the institutions' preparation programs looking at the credit hours taken in the four main areas of the teacher knowledge base: GPK (General Pedagogical Knowledge), SMK (Subject Matter Knowledge), PCK (Pedagogical Content Knowledge), and CK (Contextual Knowledge). The total credit hours taken in each category was very similar by country but the application and field component in the USA was far greater than those of Korea where the focus was heavily on SMK and PCK. The main reason for these may be the nations' licensing and employment processes.

Study about the satisfaction with simulation practice course experience on ACLS of paramedic students (전문심장소생술 시뮬레이션 실습교육 경험 만족도에 관한 연구 -응급구조학과 학생대상-)

  • Yoou, Soon-Kyu;Kwon, Hye-Ji
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.10
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    • pp.6647-6654
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    • 2015
  • The purpose of this study was to analysis a Korean version of Satisfaction with Simulation Experience(SSE) Scale by paramedic students. Total number of 111 students majoring in the EMT-paramedic education area have taken part in the survey after completing the professional cardiac resuscitation simulative training, using the standardized simulation satisfaction evaluation method (SSE scale). Through the scale, one's preference, necessity, ACLS theory grade, and satisfaction rate per year regarding the training were measured. To analyze one's preference, necessity, ACLS theory grade, and satisfaction rate per year in regards to the training, one-way ANOVA was used. The result reveals that the overall satisfaction rate was generally quite high. When one's preference and necessity rate is high, the satisfaction rate also seems to increase. The result indicates that the simulation training will enhance the students' clinical skill, patient evaluation, and treatment capability as well as one's field adaptation skill at the time of an emergency occurrence. Eventually, training through the ACLS simulation will be used in the future for the benefit of encouraging students from emergency rescue to adapt to the site of an emergency. Therefore, such an education method should be maintained and further developed.

Adverse Effect of Newer Antidepressant : Nausea and Vomiting, Weight Gain, Sexual Dysfunction - Mechanisms, Epidemiology, and Pharmacological Management - (새로운 항우울제의 부작용: 오심 및 구토, 체중증가, 성 기능장애 - 발병기전, 역학, 약물학적 처치를 중심으로 -)

  • Lee, Kyung-Kyu
    • Korean Journal of Psychosomatic Medicine
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    • v.21 no.2
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    • pp.81-92
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    • 2013
  • Newer antidepressants are commonly used in clinical practice to treat psychiatric disorder and psychosomatic disorder including chronic pain syndrome, fibromyalgia, headache. However there are many unexpected adverse effects of these drugs such as nausea and vomiting, weight gain, sexual dysfunction. These are 3 most well-recognized common adverse effects of newer antidepressant and are most common causes of treatment failure. I reviewed mechanisms, epidemiology, and pharmacological management of these adverse effects of newer antidepressants. In this paper, newer antidepressants include selective serotonin reuptake inhibitor(fluoxetine, fluvoxamine, citalopram, escitalopram, sertraline, paroxetine), serotonin norepinephrine reuptake inhibitor(venlafaxine, duloxetine), norepinephrine and dopamine reuptake inhibitor(bupropion), noradrenergic and specific serotonergic antidepressant(mirtazapine), and reversible inhibitor of MAO-A(moclobemide). I suggest that psychiatrists and clinicians in the psychosomatic field should know mechanisms, epidemiology, and management of these common and well-recognized adverse effects of newer antidepressants. Therefore it will be helpful to recognize easily and treat well for patients with psychiatric disorder and psychosomatic disorder using newer antidepressants.

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Shape memory alloy (SMA)-based head and neck immobilizer for radiotherapy

  • Lee, Hyun-Taek;Kim, Sung-In;Park, Jong Min;Kim, Ho-Jin;Song, Dae-Seob;Kim, Hyung-Il;Wu, Hong-Gyun;Ahn, Sung-Hoon
    • Journal of Computational Design and Engineering
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    • v.2 no.3
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    • pp.176-182
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    • 2015
  • Head-and-neck cancer is often treated with intensive irradiation focused on the tumor, while delivering the minimum amount of irradiation to normal cells. Since a course of radiotherapy can take 5-6 weeks or more, the repeatability of the patient posture and the fastening method during treatment are important determinants of the success of radiotherapy. Many devices have been developed to minimize positional discrepancies, but all of the commercial devices used in clinical practice are operated manually and require customized fixtures for each patient. This is inefficient and the performance of the fixture device depends on the operator's skill. Therefore, this study developed an automated head-and-neck immobilizer that can be used during radiotherapy and evaluated the positioning reproducibility in a phantom experiment. To eliminate interference caused by the magnetic field from computed tomography hardware, Ni-Ti shape-memory alloy wires were used as the actuating elements of the fixtures. The resulting positional discrepancy was less than 5 mm for all positions, which is acceptable for radiotherapy.

Correlation between the time elapsed after liposuction and the risk of fat embolism: An animal model

  • Lim, Kwang-Ryeol;Cho, Jeong-Min;Yoon, Chung-Min;Lee, Keun-Cheol;Lee, Sang-Yun;Ju, Mi-Ha
    • Archives of Plastic Surgery
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    • v.45 no.1
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    • pp.14-22
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    • 2018
  • Background Liposuction has become one of the most frequently performed procedures in the field of aesthetic surgery. Fat embolism syndrome after liposuction can easily be overlooked or underestimated; however, occasionally, fulminating fat embolism syndrome can develop and lead to a critical situation within 2-3 days after lipoplasty. Changes over time in the amount of circulating fat particles and the histology of major organs have not yet been studied. Methods This study was conducted using 18 male Sprague-Dawley rats aged 12 weeks and weighing 500-628 g (average, 562 g). Fifteen rats were used as the experimental group and 3 as the control group. Under general anesthesia, tumescent-technique liposuction was performed at the lateral flank areas and abdomen for 1 hour. Blood, lung, and brain tissue specimens were obtained at 1 hour, 1 day, and 2 days after the liposuction procedure. Results The average number of fat particles in the blood samples was 25,960/dL at 1 hour, 111,100/dL at 24 hours, and 21,780/dL at 48 hours. The differences between study groups were statistically significant. Both intravascular and extravascular fat particles with inflammation were seen in all 15 rats, as were inflammatory cell infiltration, hemorrhage, and consolidation with shrinkage of the lung alveoli. Conclusions These results imply that there is a strong possibility of fat embolism syndrome after liposuction in real clinical practice, and the first 24-48 hours after the operation were found to be the most important period for preventing pulmonary embolism and progression to fulminating fat embolism syndrome.

Effectiveness of inactivated hantavirus vaccine on the disease severity of hemorrhagic fever with renal syndrome

  • Yi, Yongjin;Park, Hayne;Jung, Jaehun
    • Kidney Research and Clinical Practice
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    • v.37 no.4
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    • pp.366-372
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    • 2018
  • Background: An inactivated Hantaan virus vaccine (iHV) has been broadly used as a preventive strategy for hemorrhagic fever with renal syndrome (HFRS) by the South Korean Army. After the vaccination program was initiated, the overall incidence of HFRS cases was reduced in the military population. While there are about 400 HFRS cases annually, few studies have demonstrated the efficacy of the iHV in field settings. Therefore, this study aimed to evaluate the iHV efficacy on HFRS severity. Methods: From 2009 to 2017, HFRS cases were collected in South Korean Army hospitals along with patients' vaccination history. HFRS patients were classified retrospectively into two groups according to vaccination records: no history of iHV vaccination and valid vaccination. Vaccine efficacy on the severity of acute kidney injury (AKI) stage and dialysis events were investigated. Results: The effects of the iHV on renal injury severity in between 18 valid vaccinated and 110 non-vaccinated patients were respectively evaluated. In the valid vaccination group, six of the 18 HFRS patients (33.3%) had stage 3 AKI, compared to 60 of the 110 (54.5%) patients in the non-vaccination group. The iHV efficacy against disease progression ($VE_p$) was 58.1% (95% confidence interval, 31.3% to 88.0%). Conclusion: The iHV efficacy against the progression of HFRS failed to demonstrate statistically significant protection. However, different severity profiles were observed between the iHV and non-vaccination groups. Additional studies with larger populations are needed to demonstrate the effectiveness of the iHV in patients with HFRS.