• Title/Summary/Keyword: Knowledge assessment

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MR Imaging of Carpal Tunnel Syndrome : The Usefulness of MRI in Treatment Decisions (수근관 증후군의 자기공명 영상 : 치료 결정의 유용성)

  • Lee, Kyu-Yong;Lee, Young Joo;Kim, Seung Hyun;Song, Hyoung Gon;Kim, Juhan
    • Annals of Clinical Neurophysiology
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    • v.4 no.2
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    • pp.114-118
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    • 2002
  • Backgrounds : Carpal tunnel syndrome (CTS) is a common condition that is usually diagnosed by electrophysiologic studies. However, CTS provide limited information to determine the causes of CTS and to choose the treatment method. We evaluated diagnostic sensitivity of MR imaging and treatment decisions by MR imaging in electrodiagnosed CTS. Methods : 14 patients (26 wrists) with electrodiagnosed CTS were studied using MR imaging. In 26 wrists for which axial T1 & T2 weighted images were obtained at 1.5T with a decided wrist coil. Previously described MR imaging of CTS such as increased median nerve signal, flattening of median nerve, reticular bowing, tenosynovitis and space occupying lesions were retrospectively evaluated. Degree of improvement was evaluated by global symptom score (GSS). The GSS rated symptoms from 0 (no symptoms) to 10 (severe) in each of five categories: pain, numbness, paresthesia, weakness/clumsiness, and nocturnal awakening. Subjects' GSS was recorded at baseline, 2 weeks, 1 month, 6 months after treatment. We decided to medical treatment that showed mainly inflammatory sign such as increased median nerve signal, tenosinovitis and to surgical treatment such as space occupying lesion, high canal pressure sign. Results : MR imaging showed that increased median nerve signal were in 20 wrists (77%), flattening of median nerve were in 6 wrists (23%), reticular bowing were in 3 wrists (12%), tenosynovitis were in 8 wrists (32%), decreased canal size in 2 wrists (7.6%), space occupying lesion were in 1 wrist (4%). A good outcome was revealed in 21 wrists by medical treatment that showed mainly increased median nerve signal, tenosynovitis. The mean GSS were 27.7 at baseline, 11.2 at 2 weeks, 11.0 at 6 months in medical treatment group. Another 5 wrist had surgical treatment shown by ganglion and high canal pressure sign such as median nerve flattening, reticular bowing, decreased canal size: 3 wrists had good prognosis, but 2 wrists (one patient) had no significant improvement due to small carpal tunnel size. Conclusions : Our results are in agreement with most previously described MR imaging signs of CTS. MR imaging plays an important role in several cases and especially in the assessment of failure of surgical treatment. Knowledge of MR findings may permit more rational choice of treatment.

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A Review Study on the Treatment of Postpartum Depression in Traditional Chinese Medicine (산후 우울증 치료에 대한 중의학의 최근 임상연구 동향)

  • Kim, Moon-Jeong;Lee, Jong-Nam;Hong, Jin-Man;Lim, Jung-Hwa;Seong, Woo-Yong
    • Journal of Oriental Neuropsychiatry
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    • v.25 no.2
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    • pp.179-190
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    • 2014
  • Objectives: This study was performed to review the research trends regarding the treatment of Postpartum Depression (P.P.D) in the Traditional Chinese Medicine (TCM). Methods: We searched articles in CNKI (China National Knowledge Infrastructure) from 2004 to 2013. Search key words were "产后抑郁症", "Postpartum Depression", and we selected 27 studies except for non-clinical studies, insufficient number of studies, unrelated studies and tests on animals. Results: We selected 27 articles with following results: 1) One study of Jadad Quality Assessment Scale score showed 3 points, 4 studies showed 2 points and 22 studies showed less than 1 point. Overall, the quality of the studies was low. 2) DSM - IV was frequently used as a diagnostic criteria and HAMD was mostly used as evaluation criteria. Diagnostic criteria and evaluation criteria were the same in HAMD and EPDS. 3) In TCM, there are various ways, such as herbal medicine, acupuncture, electro acupuncture, auricular acupuncture and/or massage to treat the postpartum depression. 4) The roots of Bupleurum falcatum Linne, Glycyrrhiza uralensis Fisch, Angelica gigas Nakai and Paeonia lactiflora Pall, the rhizome of Atractylodis macrocephala Koidz, the semen of Zizyphus jujuba Mill, the radix of Curcuma aromatica Salisb, the sclerotium of Poria cocos Wolf and the rhizomas of Cyperus rotundus L and of Cnidium officinale Makino are mainly used in the herbal medicine. BaekHoi (GV20) and Yindang (Ex-HN3) are mainly used in acupuncture points. 5) Most of the studies showed effective results. Some of the results were similar to those of the control groups which were cured by western medicine. Other results were better than those of control groups. Conclusions: Research on postpartum depression has been actively conducted in TCM and all studies showed effective results in the study group patients. Therefore, with this study, we hope to activate more clinical research on the treatment of patients in Korean traditional medicine.

Impacting Student Confidence : The effects of using virtual manipulatives and increasing fraction understanding. (수학에 대한 자신감 증진: 가상학습교구를 통한 분수 개념 이해의 결과)

  • ;Jenifer Suh;Patricia S. Moyer
    • Journal of Educational Research in Mathematics
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    • v.14 no.2
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    • pp.207-219
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    • 2004
  • There have been studies reporting the increase in student confidence in mathematics when using technology. However, past studies indicating a positive correlation between technology and confidence in mathematics do not explain why they see this positive outcome. With increased availability and easy access to the Internet in schools and the development of free online virtual manipulatives, this research was interested in how the use of virtual manipulatives in mathematics can affect students confidence in their mathematical abilities. Our hypothesis was that the classes using virtual manipulatives which allows students to connecting dynamic visual image with abstract symbols will help students gain a deeper conceptual understanding of math concept thus increasing their confidence and ability in mathematics. The participants in this study were 46 fifth-grade students in three ability groups: one high, one middle and one low. During a two-week unit on fractions, students in three groups interacted with several virtual manipulative applets in a computer lab. Data sources in the project included a pre and posttest of students mathematics content knowledge, Confidence in Learning Mathematics Scale, field notes and student interviews, and classroom videotapes. Our aim was to find evidence for increased level of confidence in mathematics as students strengthened their understanding of fraction concepts. Results from the achievement score indicated an overall main effect showing significant improvement for all ability groups following the treatment and an increase in the confidence level from the preassessment of the Confidence in Learning Mathematics Scale in the middle and high ability groups. An interesting finding was that the confidence level for the low ability group students who had the highest confidence level in the beginning did not change much in the final confidence scale assessment. In the middle and high ability groups, the confidence level did increase according to the improvement of the contest posttest. Through interviews, students expressed how the virtual manipulatives assisted their understanding by verifying their answers as they worked and facilitated their ability to figure out math concept in their mind and visually.

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A Survey on the Demand for Home Care of the Mother's of the Hospitalized Children (입원 환아 어머니의 가정간호 요구도 조사)

  • Dim Young Hae;Kwon Bong Sook;Park Soon Og;Bae Young Soon;Lee Young Eun;Lee Ji Won;Lee Hwa Ja;Chung Gyung Ae
    • Child Health Nursing Research
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    • v.3 no.1
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    • pp.99-107
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    • 1997
  • The subjects of the study were the 120 mothers who had children hospitalized in 6 hospitals in P city during the period from Feb. 1. to May 30. 1996. The purpose of the study are(1) the problems encountered when they carried out Home Care after discharge and (2) the degrees of demand that they had against Home Care Services. In order to investigate the purposes above-mentioned the researchers used the 55 items of Home Care services belonging to 10 areas selected by Korea Home-Care Association in 1994. The items were modified and supplemented to 4-point scale. The selected data were analyzed by SPSS : PC+ and the following results were derived. 1. The subjects payed great attention to 5 items such as 'pain control, OPD visits, diet-control problems' among the 15 sources of anxiety that they had against Home Care services after discharge. Especially, 'OPD visits and knowledge deficit' would to be overcome by the nursing activities of the Home Care Nurses. 2. The acknowledge level of the subjects to the Home Care Project that governmental plans to carry out was surveyed and found as under 50. 0% responded they heard about Home Care Nursing System. 60.8% said that they thought the system was 'very necessary' and 'somewhat necessary'. 65.0% said they would like to use the system. However, the acknowledge level of 50.0% is still low and is thought to need further national promotion and propagation. 3. The demand of the subjects against 55 Home Care Services was investigated and found as

    . 'Assessment, Lab, basic nursing technology, relay ' transfer, training ' education and curative nursing' showed comparatively high scores. However, the items belonging to pediatric Home Care Services such as 'umbilical cord care, breast-feeding, infant care, and post-partum care & loan of breast-pump' showed relatively low scores.

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  • A Study on Effectiveness of the Home Care Services for the Low Income Inhabitants (일부 지역사회 저소득층 주민을 대상으로 한 가정간호사업의 효과에 관한 연구)

    • Lee Kunja;Kim Myongsoon;Yang Younghee
      • Journal of Korean Public Health Nursing
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      • v.6 no.2
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      • pp.70-107
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      • 1992
    • This study was intended to assess the need of home nursing care and analyze the effect of home nursing care, and find out the problems during the performance of home nursing care for the chronic patients among the low-income people in urban area. Data collection by interview was carried out from Nov. 1991 to Jul. 1992. The main results were as follows; 1) Total subjects for the need assessment of home nursing care were 123 households wi th 488 persons in a urban poor area. Over half of households $(57.7\%)$ was teenage family. The overall living conditions were poor and the average monthly income was 580 thousands won. $74.8\%$ of subjects was covered by medical care insurance and only $4.7\%$ was covered by public assistance. The morbidity rate was $8.2\%$ among 488 subjects and $27.5\%$ of them was not treated at all, $30\%$ was treated in utilizing pharmacies or local clinics. 2) The subjects of home nursing care were 46 with Hypertension or DM who agreeded the participation of study among registered patients at a public health center in Incheon. Home visiting was performed at intervals per one month for one year. Most of them were the elder(mean age=61 years) and long term patients(7.8 years continued). Home nursing care was effective. That is, blood pressure(including systolic and diastolic pressure) was significantly reduced (t(n=22)=2.31, P=.031, t(n=24)=4.16, P=.000 respectively) and knowledge of disease(t(N=46)=-7.63, P=.000), attitude of disease (t(N =46) = -4.92, P=.000), and self-care(t(N =46) = -4.89, P= .000) were significantly improved through home nursing care. But there was no difference in blood sugar for diabetics between the beginning and the end of visits. At the beginning of visit for home nursing care, sex$(\beta=-0414,\;t=-3.012)$ and nursing need({3=.310, t=2.164) were influencing self-care, and duration of disease$(\beta=.297,\;t=2.106)$ and nursing need $(\beta=.385, t=20417)$ were influencing blood pressure, blood sugar level. Namely, the subjects who were male and had higher nursing need showed better self-care and the longer duration of disease and the higher nursing need were relationship with the better blood pressure and blood sugar level. At the end of visit for home nursing care after one year, the blood pressure and blood sugar level was influenced by age $(\beta.320,\;t= 2.242)$, duration of disease ($(\beta.352,\;t= 2.395)$ and nursing need $(\beta=.350,\;t=2.623)$ and self-care had no influencing factor. The higher age and the longer duration of disease and the higher nursing need were relationship with the better blood pressure and blood sugar level. 3) The problems that were found out during the performance of home nursing care were the absent of useful protocols for services and the clear evaluation base, and the difficulty of teaching elders who were the major part of our subjects.

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    Research of Evaluation Criteria for Educational Program of Human Resources Development (인재개발 교육프로그램의 평가준거 개발을 위한 기초연구)

    • Lee, Kyu-Nyo;Choi, Won-Sik;Park, Ki-Moon
      • 대한공업교육학회지
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      • v.34 no.2
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      • pp.179-204
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      • 2009
    • As the concern with the educational training for human resources development in organizations grows, various programs are being offered in many places. Accordingly, the issue of securing the validity of the education and the importance of its assessment at the level of continuous quality management of the programs draw our attention. The purpose of this study is to offer the basic data of evaluation criteria for human resources development which knowledge-and-information saturated society requires, and also to draw out the greater area of human resources development educational program based on CIPP(Context, Input, Process, Product) model by Stufflebeam, an evaluation model concentrated on process, through literature and case study in and out of Korea. The result of the study is as follows. First, the evaluation areas drawn out by the greater sphere of context evaluation of human resources education program are needs analysis, goal setting, and organizational environment. Second, the evaluation areas drawn out by the greater sphere of input evaluation of human resources education program are educational program strategies, human resources, and physical resources. Third, the evaluation areas drawn out by the greater sphere of process evaluation of human resources education program are educational program management, teaching-learning strategies, and educational support environment. Fourth, the evaluation areas drawn out by the greater sphere of product evaluation of human resources education program are influence, effect, durability, and transference. The author supposes that these results will be able to become the basic materials for the systematic approach to educational programs through the analysis of evaluation criteria for and the greater sphere of educational program of human resources development.

    A Study on Improvement of School Lunch Programs and Its Health and Education Effect in Korea (학교급식효과(學校給食效果)와 제도개선(制度改善)에 관(關)한 연구(硏究))

    • Park, Hee Yong
      • Journal of the Korean Society of School Health
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      • v.1 no.2
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      • pp.86-117
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      • 1988
    • The purpose of school lunch service programs (SLPs) is to provide school children with nutritious meals each day, to assist them in improving their mental and physical development, to make them understand the basic knowledge needed for healthy daily living throughout their lives with sound nutritional habits, and further, to enhance the national health status as well as the individual. The major purpose of this study is to describe the history and current status and promotional plans in Korea's SLSPs to improve the nation's health status. The major findings of this study are as follow: 1) The progression of the SLSPs can be devided into four major periods: Relief (1953-1972), Self-supportive (1973-1977), System-establishment (1973-1983), System-development(1984- ). 2) As result of the implementation of SLSPs in Korea, many positive effects have been found in school education, notably in the field of physical growth, social development and personality cultivation. 3) This study deals with a more detailed assessment with regard to the effects of the program on school education activities and the improvement of nutritional habits in the family. Although it is limited and not yet complete, the program implementation has contributed to the improvement in children's food-intake habits, understanding of food, and manners, and increased sanitary consciousness. It has also affected of parent's concerns and attitudes towards the improvement of daily meals as well as national eating patterns, and eventually provided motivation for increased farm production of nutritious food stuffs and reasonable food consumption. 4) The SLSPs does have its stare of problem such as an unsatisfactory budget, lack of understanding of the program by school personnel and parents. However, there is no doubt that the SLSPs should be carried out effectively for better health, and especially for the growth and development of the children. Finally, the problems and promotive Plans of the SLSPs can be approached by aspects of the administrative, financial and operational systems. These system have to coordinate with relevant authorities to expand participation in the program for the successful implementation of the SLSPs. The eventual objective this study is to propose ways and means for mobilizing every available element in the effort to attain the goals of educating and training healthy and competent personnel manpower, stabilizing the demand and supply of food and the ensuring adequate coordination of national food production and consumption.

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    Assessment of Pass Prediction of Radiologist's license on Academic Achievement through Health law Courses of 3rd Year Students in Radiology Department of College(Focus on D Health College) (전문대학교 방사선과 3학년 학생들의 보건법규학업성취도에 관한 방사선사면허 합격예측평가(D 보건 전문대학 중심으로))

    • Jung, Hong-moon;Lee, Joon-il;park, Hyong-hu;won, Do-yeon;Jung, Jae-eun
      • Journal of the Korean Society of Radiology
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      • v.12 no.4
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      • pp.533-539
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      • 2018
    • The National Competency Standard (NCS) is being implemented on the basis of a college of higher education. The college offers intensive education by organizing three areas of knowledge, skills and attitudes so that students can perform their full capacity at the same time as graduating in industrial field. Health Department at the College has been training for a variety of medical personnel, including medical technician regions. Especially, the medical technician and medical sector must be licensed to work in the medical field. Therefore, passing the national examination license is a prerequisite for employment. In this study, the health law scores of the third grade students (about 200 students) of the radiology department of D College were analyzed at weekly intervals. The weekly score acquisition can be predict the pattern of student class achievement of individual students. Furthermore, these results can predict the possibility of passing the radiation license examination for individual students.

    Status of Birds using Rice Fields in Mid-western Part of Korean Peninsula (한반도 중서부 지역 논습지를 이용하는 조류 현황)

    • Nam, Hyung-Kyu;Kim, Miran;Choi, Green;Jang, Dooly;Choi, Seung-Hye;Cho, Kwang-Jin;Choe, Lak-Jung;Choi, Soon-Kun;Bang, Hea-Son;Na, Young-Eun;Kim, Myung-Hyun
      • Korean Journal of Environmental Agriculture
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      • v.35 no.2
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      • pp.143-147
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      • 2016
    • BACKGROUND: Rice fields are one of the most important habitats for various bird species. The list of bird species occurred in rice fields in Korean peninsula have been documented. However, information of listed bird species is included not only rice fields but also other wetland habitats such as lakes, tidal flats and rivers. Therefore, the study was conducted to clarify the status of bird observed in rice fields of Korea.METHODS AND RESULTS: Birds using rice fields defined as birds which forage or rest on rice paddies, levees, ditches and farming roads. Birds using rice fields recorded as total 124 species belonging to 40 families. Anatidae and Scolopacidae were the best represented family, followed by Ardeidae, Accipitridae, Motacillidae and Emberizidae; 50% of species belonged to these six families. 18 of 124 endangered wild species, which designated threatened at the national scale, found in this study regions.CONCLUSION: Despite interest in birds using rice fields of Korean peninsula, knowledge of birds and rice fields there is extremely limited. We need more studies to understand and conserve for birds in rice fields of Korea.

    Relationship between Characteristics of Five Types of Obese Woman based on Physical Tests and Fei-kao-liuren based on Oriental Medical Theory (여성(女性) 비만(肥滿) 유형별 검사특성과 비고육인(肥膏肉人)과의 관계)

    • Jin Seng-Hee;Choi Kyung-Mee;Park Young-Bae
      • The Journal of Korean Medicine
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      • v.27 no.2 s.66
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      • pp.145-154
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      • 2006
    • Objectives : Methods to evaluate obesity are growing to be important in studying links between health and disease. Physicians are using BMI (body mass index) to evaluate obesity, but they can't know how much fat the body has by using that method. Even though there are several assessments, there are different scales, so patients are diagnosed as obese, by some but not by others. These studies are limited in evaluating obesity; it is necessary to study based on new knowledge. According to Oriental Medical Theory, obese people are categorized into 3 types, Fei, Kao and Liu Ren. They have different pathology and body shapes than non-obese people. The relationship between Oriental Medical Theory and BMI and assessment of body fat is a fundamental need to easily approach and treat obesity. Methods : At 00 Oriental Medical Center, 145 female subjects who intended to lose weight were given physical tests and grouped into 5 types of obesity. The physical tests were height measurement, BMI, body composition (body fat mass and lean body mass), skin elasticity and physical strength tests. One-way analysis of variance was done to compare the means of physical tests between the five types of obese women. There was some relationship between characteristics of the five types based on physical tests and Fei, Kao and Liu Ren based on Oriental Medical Theory. Least significant difference (LSD) was used in multiple comparisons. Results : 1. According to the skin elasticity test, obesity type 5 placed between obesity types 3 and 4 and obesity types 1 and 2. Obesity types 3 and 4 were in the low skin elasticity result group; obesity types 1 and 2 were in the high ones (p<0.1).Based on Oriental Medical Theory, Fei Ren and Kao Ren can be distinguished by skin elasticity degree. This result should form the basis of obesity diagnosis. 2. According to Oriental Medical Theory, Fei Ren is smaller than others. Based on height measurement, obesity types 3 and 4 were significantly lower than other obesity types (p<0.1), so there is a relationship between Fei Ren and obesity types 3 & 4. 3. There were significant differences between obesity type 2 and obesity type 4 in the body fat mass result (p<0.1). This study did not have large enough a sample size to distinguish Liu Ren. Conclusions : Further clinical research is necessary to study measurement methods of body shape type and skin elasticity for distinguishing Fei Ren from Kao Ren. The diagnosis and treatment based on the relationship of these types should be studied further.

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