• Title/Summary/Keyword: Hospital Guidance

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The Concept of Wind in Traditional Chinese Medicine

  • Dashtdar, Mehrab;Dashtdar, Mohammad Reza;Dashtdar, Babak;Kardi, Karima;Shirazi, Mohammad khabaz
    • Journal of Pharmacopuncture
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    • v.19 no.4
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    • pp.293-302
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    • 2016
  • The use of folk medicine has been widely embraced in many developed countries under the name of traditional, complementary and alternative medicine (TCAM) and is now becoming the mainstream in the UK and the rest of Europe, as well as in North America and Australia. Diversity, easy accessibility, broad continuity, relatively low cost, base levels of technological inputs, fewer side effects, and growing economic importance are some of the positive features of folk medicine. In this framework, a critical need exists to introduce the practice of folk medicine into public healthcare if the goal of reformed access to healthcare facilities is to be achieved. The amount of information available to public health practitioners about traditional medicine concepts and the utilization of that information are inadequate and pose many problems for the delivery of primary healthcare globally. Different societies have evolved various forms of indigenous perceptions that are captured under the broad concept of folk medicine, e.g., Persian, Chinese, Grecian, and African folk medicines, which explain the lack of universally accepted definitions of terms. Thus, the exchange of information on the diverse forms of folk medicine needs to be facilitated. Various concepts of Wind are found in books on traditional medicine, and many of those go beyond the boundaries established in old manuscripts and are not easily understood. This study intends to provide information, context, and guidance for the collection of all important information on the different concepts of Wind and for their simplification. This new vision for understanding earlier Chinese medicine will benefit public health specialists, traditional and complementary medicine practitioners, and those who are interested in historical medicine by providing a theoretical basis for the traditional medicines and the acupuncture that is used to eliminate Wind in order to treat various diseases.

The Effect of Field Practice on Career Attitude Maturity in Health Science Majors (보건학전공 대학생의 현장실습이 진로태도성숙에 미치는 영향)

  • Nam, Young-Hee;Lee, Tae-Im;Oh, Hyang-Suk
    • The Journal of Korean Society for School & Community Health Education
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    • v.18 no.1
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    • pp.99-110
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    • 2017
  • Objectives: The purpose of this study was to examine the effect of the field practice of health science majors on their career attitude maturity in our country in an effort to determine influential factors. Methods: The subjects in this study were 220 selected health science majors in three different colleges located in North Gyeongsang Province and South Chungcheong Province. A survey was conducted with structured questionnaires from September 1 to 10, 2016. As for statistical analysis. a statistical package SPSS 20.0 was used. Results: The factors of the field practice of the health science majors that affected their career attitude maturity were the career of people in charge(${\beta}=.145$, p-.034) and the content of field practice(${\beta}=.233$, p=.015), which were the factors of the institution for field practice, and the relationship between people in charge and trainees(${\beta}=.299$, p=.008) and satisfaction with field placement(${\beta}=-.262$, p=.013) that were the factors of field practice tasks were also influential. The influence of these factors were statistically significant. Conclusions: Institutions that provide health science majors with the opportunity of field practice should try to improve the competencies of people in charge, to ensure the substantiality of field practice in content and to develop standardized manuals for field practice. In schools, professors who are in charge of field practice should offer intensive guidance and feedback on problems with field practice. These efforts are expected to elevate the career attitude maturity of students.

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Clinical Characteristics and Outcomes of the First Episode of Urinary Tract Infection in Neonates and Infants Younger than 2 Months of Age

  • Cheng, Jackie Ying-Wai
    • Childhood Kidney Diseases
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    • v.21 no.2
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    • pp.94-100
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    • 2017
  • Purpose: The American Academy of Pediatrics provides guidelines for managing febrile urinary tract infection (UTI) in infants and children 2-24 months old, but little guidance is offered regarding UTIs in those younger than 8 weeks of age. The definition of UTI is unclear and whether to proceed with micturating cystourethrography (MCUG) or $^{99m}$technetium-dimercaptosuccinic acid (DMSA) scintigraphy scan in this age group is controversial. Methods: We retrospectively analyzed 29 neonates and infants younger than 2 months of age who underwent late DMSA scans 9 months following the first episode of febrile or symptomatic UTI between July 2009 and June 2016. Results: In total, 192 children aged 0-24 months underwent ultrasound and DMSA scans (MCUG in 174/192). Neonates and infants younger than 2 months of age were significantly less likely to develop fever, and had a lower fever peak, shorter duration of fever before admission and after starting antibiotics, longer hospitalization period, lower C-reactive protein, and greater incidence of nonEscherichia coli infection. There was no difference in pyuria response at diagnosis. The prevalence rates of an ultrasound abnormality (28%), vesicoureteral reflux (28%), UTI recurrence (38%), and renal scarring (10%) in infants younger than 8 weeks of age were similar to those in children 2-24 months old. Conclusion: Neonates and infants younger than 2 months of age with UTI warrant special consideration because the fever response used for diagnosis in older children may be absent or blunted. Clinical guideline is needed for the diagnosis and management of UTI in this age group.

Surgical Perspective of T1799A BRAF Mutation Diagnostic Value in Papillary Thyroid Carcinoma

  • Brahma, Bayu;Yulian, Erwin Danil;Ramli, Muchlis;Setianingsih, Iswari;Gautama, Walta;Brahma, Putri;Sastroasmoro, Sudigdo;Harimurti, Kuntjoro
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.1
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    • pp.31-37
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    • 2013
  • Background: Throughout Indonesia, thyroid cancer is one of the ten commonest malignancies, with papillary thyroid carcinoma (PTC) in our hospital accounting for about 60% of all thyroid nodules. Although fine needle aspiration biopsy (FNAB) is the most reliable diagnostic tool, some nodules are diagnosed as indeterminate and second surgery is common for PTC. The aim of this study was to establish the diagnostic value and feasibility of testing the BRAF T1799A mutation on FNA specimens for improving PTC diagnosis. Materials and Methods: This prospective study enrolled 95 patients with thyroid nodules and future surgery planned. Results of mutational status were compared with surgical pathology diagnosis. Results: Of the 70 cases included in the final analysis, 62.8% were PTC and the prevalence of BRAF mutation was 38.6%. The sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) for BRAF mutation analysis were 36%, 100%, 100% and 48%, respectively. With other data findings, nodules with "onset less than 5 year" and "hard consistency" were proven as diagnostic determinants for BRAF mutation with a probability of 62.5%. This mutation was also a significant risk factor for extra-capsular extension. Conclusions: Molecular analysis of the BRAF T1799A mutation in FNAB specimens has high specificity and positive predictive value for PTC. It could be used in the selective patients with clinical characteristics to facilitate PTC diagnosis and for guidance regarding extent of thyroidectomy.

Orthodontic and orthopedic treatment for a growing patient with Tessier number 0 cleft

  • Baek, Seung-Hak;Park, Yoon-Hee;Chung, Jee Hyeok;Kim, Sukwha;Choi, Jin-Young
    • The korean journal of orthodontics
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    • v.48 no.2
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    • pp.113-124
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    • 2018
  • The purpose of this case report was to introduce the concept of orthodontic and orthopedic treatment for a growing patient with Tessier number 0 cleft. A 5-year-old boy patient with Tessier number 0 cleft presented congenitally missing maxillary central incisors (MXCI), a bony defect at the premaxilla, a constricted maxillary arch, an anterior openbite, and maxillary hypoplasia. His treatment was divided into three stages: management of the bony defect at the premaxilla and the congenitally missing MXCIs using a fan-type expansion plate, iliac bone grafting, and eruption guidance of the maxillary lateral incisors into the graft area for substitution of MXCIs; management of the maxillary hypoplasia using sequential facemask therapy with conventional and skeletal anchorage; and management of the remaining occlusal problems using fixed orthodontic treatment. The total treatment duration was 15 years and 10 months. Class I canine and Class II molar relationships and normal overbite and overjet were achieved at the end of treatment. Although the long-term use of facemask therapy resulted in significant protraction of the retrusive maxilla, the patient exhibited Class III profile because of continued mandibular growth. However, the treatment result was well maintained after 2 years of retention. The findings from this case suggest that interdisciplinary and customized approaches are mandatory for successful management of maxillary hypoplasia, bony defect, and dental problems in Tessier number 0 cleft. Moreover, considering the potential of orthognathic surgery or distraction osteogenesis, meticulous monitoring of mandibular growth until growth completion is important.

Home Care Services Utilization and Satisfaction for Clients with Cancer (항암화학요법 환자의 가정간호 이용 양상과 간호 만족도)

  • Kim, Yun-Ok;Baek, Hee-Chong
    • Journal of Home Health Care Nursing
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    • v.10 no.2
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    • pp.132-140
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    • 2003
  • This study was to identify the utilization of home care service and home care nursing satisfaction for clients with cancer who had completed secondary and tertiary chemotherapy session. Raw data was collected by reviewing charts and questionnaire of 23 clients with cancer between September, 2002 and November 2002 at an university hospital located in Seoul. Korea. The result are as follows: 1. Characteristics in the use of home care: After applying for home care service, patients were visiting an average of 1.88 days later. The major purpose of using home care service was to help recovery after hospitalization or to maintain present health. The average period for home care service was 14.6 days, with 4 visits over this period, for 35.78 minutes per visit. 2. Content of home care service: A total of 47 items of service were provided - basic nursing care, education and counseling, and therapeutic nursing care. On every visit, an average of 19 items of home care service were provided, and the majority (7 items) were therapeutic nursing care. 3. Satisfaction with home care services: Satisfaction was very high, an average of 3.88 on a scale of 4 points. Both patients and families expressed high satisfaction with all sub-domains of nursing care: guidance by the home care nurses, knowledge, skill, attitude, interpersonal relationships, emotional support, and accessibility. In conclusion, home care served basic nursing care, teaching and counseling, and therapeutic nursing to clients with cancer going through secondary or tertiary chemotherapy. Therefore they changed knowledge and attitude to disease and treatment which were difficult to change.

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Domestic radio waves propagate management and control systems investigate the system status (국내 전파관리제도 및 전파관리 시스템 현황에 대한 조사)

  • Shin, Hyun-Shin;Kim, Sung-Hong;Seok, Gyeong-Hyu
    • The Journal of the Korea institute of electronic communication sciences
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    • v.11 no.5
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    • pp.441-450
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    • 2016
  • The International Telecommunications Union(: ITU) Radio Regulations(: RR) and in which is defined as the frequency of electromagnetic waves below 3000GHz spread in space without artificial guidance, our country also follows the international definition. As radio waves are electromagnetic waves spreading in space without artificial induction means having a frequency within the range set by the ITU. Frequency distribution for dual-work is to inde 300GHz, among the divided frequency is our daily or less than 90% of the frequency band is in contact saenghwalyong 3GHz. Propagation, but can occur indefinitely without depleting that anyone can create only gatchumyeon transmission equipment, if the radio frequency to use at the same time and space, the soul is the interference occurs is not available radio resources. Due to the physical finiteness used in our country for the first time on such a propagation laws enacted in 1961 and to the state radio resource management, and rules to be used for propagation only if granted the rights.

Satisfaction towards clinical training institution according to clinical practice contents in the dental hygiene students (치위생과 학생들의 임상실습내용에 따른 실습기관별 만족도)

  • Park, Jeong-Hee;Lee, Myeong-Ju;Goo, Hyo-Jin
    • Journal of Korean society of Dental Hygiene
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    • v.15 no.4
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    • pp.631-639
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    • 2015
  • Objectives: The purpose of the study was to investigate the satisfaction towards clinical training institution according to clinical practice contents in the dental hygiene students. Methods: A self-reported questionnaire was completed by 382 dental hygiene students of five colleges in Busan, Ulsan, and Gyeongsangnam-do from August 20 to September 30, 2013. The data were analyzed using SPSS WIN 20.0 program for t-test, one-way ANOVA, and Pearson's correlation analysis. The questionnaire consisted of the general characteristics of the subjects and the satisfaction towards the clinical training institution. The satisfaction was composed of 44 questions including the general satisfaction, practice contents, practice guide, training time of practice, training environment, practice evaluation, and personal relationship by Likert 5 point scale. Results: The students were most satisfied with the practice contents of the dental university hospitals. The dental hospital and dental clinics were the most satisfied choice in the personal relationships. Public health center dental clinics bestowed the students with the most satisfied practice guidance, time, environment, and evaluation. Practice contents and practice time were the most influential factors to dental hygiene department satisfaction to the students. Conclusions: In order to enhance the clinical practice satisfaction, it is necessary to have the continuous relationship with the clinical training institution. The practice satisfaction is influenced by the contents and environment of the clinical training institution.

The Convergence Relevance of The Department of Radiology students' Selection of Department, Clinical Practice, Curriculum of Department and The Selection Satisfaction of Major (방사선학과 학생들의 학과 선택, 임상실습, 학과 교육 과정과 전공 선택 만족도의 융복합형 관련성)

  • Choi, Seon-Wook;Jeon, Min-Cheol
    • Journal of the Korea Convergence Society
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    • v.9 no.10
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    • pp.121-129
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    • 2018
  • This study is to analyze and evaluate the factors affecting the selection satisfaction of major of radiology students. After conducting a questionnaire survey on radiology students, we conducted t-test and multiple regression analysis. There was a significant difference between the preference and current factor among the selection of department. There were significant differences in clinical practice between practice environment, practice guidance, practice time and evaluation, satisfaction after practice, and employment. There were significant differences in curriculum framing, professor teaching and evaluation, support facilities, education system satisfaction, and curriculum satisfaction. As a result, it is necessary to develop system for increasing satisfaction with student's major selection and to improve the quality of education.

Cytomorphologic Patterns of Breast Lesions in Sudanese Patients: Lessons Learned from Fine Needle Aspiration Cytology

  • Almobarak, Ahmed Omer;Elhassan, Taiseer Mohamed;Elhoweris, Mohamed Hassan;Awadalla, Heitham Mohammed;Elmadhoun, Wadie Mohamed Yasin;Ahmed, Mohamed Hassan
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.8
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    • pp.3411-3413
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    • 2014
  • Background: Cytology for breast lesions is a safe, rapid and cost-effective with a high specificity and sensitivity. Objective: To determine the cytomorphologic patterns of breast lesions identified among a group of Sudanese patients. Materials and Methods: This study included 759 patients undergoing either a fine needle aspiration FNA, nipple discharge (ND) smears or breast skin scraping (SS) at a cytology clinic in Khartoum. Clinical and demographic data were reviewed. Stained smears were categorized into: inadequate sample, normal breast, benign lesion, suspicious, or malignant neoplasm. Results: Of the 759 cases, 734 (96.71%) were FNA, 18 (2.37%) ND and 7 cases (0.92%) SS. For 28 cases, FNA was done under ultrasound guidance. Females were 720 (94.86%). Benign lesions were 423 (55.75%) and 248 (32.67%) were malignant and 77 (10.14%) of smears were normal without any detected abnormality. Ten (1.31%) cases were suspicious for malignancy, and only one case (0.13%) was reported as inadequate. Most lesions were observed among the age group 30 years and above. Conclusions: Most patients investigated have benign lesions, one third of cytological smears were malignant. FNAC is a useful tool for investigating breast lesions in limited-resource settings.