• 보건의료산업학회지
• /
• 제12권1호
• /
• pp.23-34
• /
• 2018

Objectives : This study developed and validated the local clinic Medical Doctor Role Stress Scale(MDRS). Methods : The interviews were conducted with 12 local clinic medical doctors to develop final preliminary questions. The scale was developed using statistical item analysis, exploratory and confirmatory factor analysis surveys with local clinic medical doctors in Seoul, Busan, Daejeon, and Gyeonggi province. Results : The MDRS developed in this study consisted of 14 items and three factors. The factors were role conflict, role ambiguity and role overload. The three factors explained 56.71% of the total variance, and the internal consistency of this scale was .90. The internal consistency for each factor was .81 ~ .90. Confirmatory factor analysis through a separate sampling met the fit criteria (CFI = .941, TLI = .927, RMSEA = .079, SRMR = .069). Conclusions : The results indicate that this scale is a reliable instrument for assessing local clinic medical doctor role stress.

• 한국임상수의학회지
• /
• 제16권1호
• /
• pp.203-209
• /
• 1999

A 4-year-old female Shih-tzu with severe episcleral congestion and buphthalmos in left eye was referred to the Veterinary Teaching Hospital, Chonnam National University in October 1998. During two months in local veterinary clinics, the dog had been treated unsuccessfully with tarsorrhaphy and antibiotics. By history taking, cause of the glaucoma was ascertained as accidental nonpenetrated cornea trauma by owner, Ophthalmic examination revealed that the left eye was buphthalmic with severe episcleral congestion, pain and fever. The direct pupillary light response could not be evaluated in the left eye, but right eye had normal reaction. The intraocular pressure was 4.5 mmHg in the right eye and 33 mmHg in the left eye, as measured with a Schiotz tonometer, Ultrasonographic finding revealed hyperechoic vitrous body and central echofree material. The Schirmer tear test showed 20 mm in the left eye and 8 mm in the right eye. The hematologic examination revealed monocytosis. The initial medical treatment was admitted, but there was no response. Transpalpebral enucleation in the left eye under inhalation anesthesia with enflurane 1.2 vol% in oxygen was performed. The day after operation the left eye ravealed no exudate, and pain, and the systemic vital signs were normal. The prognosis is excellent.

• 한국임상수의학회지
• /
• 제39권6호
• /
• pp.326-333
• /
• 2022

The purpose of this study was to evaluate the radiographic positioning techniques used in local animal hospitals, identify the most common positioning problem, and determine whether there were changes after teleradiology consultations. From September 2016 to April 2021, 15 local animal hospitals that requested radiographic interpretation more than 10 times and for more than six cases of thoracic radiographs were selected. Six sets of two-views of (lateral and ventrodorsal [VD] or dorsoventral [DV] views) digital thoracic radiographs from six dogs per hospital were evaluated in four categories. For the lateral view, radiographic technique scores used in ten local animal hospitals improved, one remained the same, and four became worse. For the VD/DV view, the score for eleven hospitals improved and worsened for four. The most common problem was rotation (57/90) for the lateral view, followed by an inappropriate field of view (59/90), and incorrect beam center (71/90). For the VD/DV view, an inappropriate field of view (54/90) was the most common problem, followed by asymmetry (63/90), and incorrect beam center (73/90). Every factor, except rotation in the lateral view, improved after obtaining technical consultation; however, the degrees of improvement were not remarkable. There was no significant correlation between the number of requests and the degree of improvement. According to the results, the radiographic technique used in local animal hospitals was improved by technical advice on teleradiology. These changes make it possible to provide accurate diagnoses of the requested images. There are some limitations regarding the indicators of evaluation and the number of cases; therefore, further studies that use detailed indicators in large cohort group are needed. In addition, an effective method of teaching should be developed to improve radiographic techniques in local animal hospitals.

• 한국임상수의학회지
• /
• 제21권2호
• /
• pp.214-218
• /
• 2004

A 16-month old female Golden retriever dog was presented with a 2-week history of left-sided exophthalmos, third eyelid prominence, some scale of the trunk, mild anorexia, mild diarrhea and depression. In radiographic findings, a mass with increased opacity in the left retrobulbar area was observed. Cytologic and histopathologic examinations after enucleation and mass excision showed diffuse round cell accumulation and adjacent small area of elongated cell proliferation were shown. They also illustrated the neoplastic cells with large nucleoli, multiple nucleoli that differ in size and scant cytoplasm with several clear vacuoles. Extent of local invasiveness and central necrosis of the retrobulbar mass was identified by magnetic resonance imaging. Based on the physical and laboratory examination, radiographic, cytologic and histopathologic findings this case was diagnosed as extranodal malignant lymphoma of the retrobulbar area.

• 한국임상수의학회지
• /
• 제33권3호
• /
• pp.183-186
• /
• 2016

An 8-year-old, female lionhead rabbit with clinical sign of hematuria and vaginal discharge with/without blood was submitted to a local animal hospital. On exploratory laparotomy, three round to oval masses were observed in both uterine horns. The lumen of uterus was severely obstructed and distorted because of massive neoplastic proliferation. Histopathologically, the uterine masses revealed papillary projections along with irregular glandular structures into the lumen. The neoplastic foci were composed of numerous irregular sized neoplastic glands originated from uterine glands. These neoplastic cells showed very strong invasive tendency to muscle layer, therefore emboli of neoplastic cells were located in lymphatics. According to immunohistochemistry, the tumor cells in uterine masses demonstrated strong positive signals for cytokeratin, but negative for vimentin. Based on the gross, histopathologic and immunohistochemical features, this case was diagnosed as uterine adenocarcinoma in lionhead rabbit.

• 한국임상수의학회지
• /
• 제18권2호
• /
• pp.164-166
• /
• 2001

An eight-month old female mixed breed dog was presented to the at Gyeongsang National University Animal Hospital, for tarsocrural arthrodesis. Previously the dog had been presented to a local animal clinic. Orthopedic and blood examinations were conducted. There was absent response of conscious proprioception on the right tarsocrural articulation. The dog stood knuckled onto the digits and had hock dropped but showed normal values in WBC, RBC, Hb, PCV, BUN, creatine, glucose, cholesterol, AST and ALT analyses. The dog was anesthetized and prepared for aseptic surgery. Steinmann pin and Joshi external fixators were applied(bilaterally). 11 weeks after the operation, the external fixators were removed from the bones. The hock dropped was well stabilized, but mild knuckling of distal metatarsopharangeal joint was remained.

• 한국임상수의학회지
• /
• 제17권2호
• /
• pp.416-419
• /
• 2000

Ultrasonographic appearance of the normal involution process of the porcine postpartum uterus was examined. Six, sows were used to determine the normal Ultrasonographic appearance of the involution postpartum uterus. Ultrasonographic examinations were performed daily from days one through eight, then on days 15 and 21 postpartum. Ultrasonographic the mean local uterine wall thickness was 12.00 mm on day one postpartum. By day 15 the mean total uterine wall thickness was about 7.21 mm and on day 21 postpartum the uterus was about 6.12 mm. From one day to five days postpartum, intraluminal contents were isoechoic to the endometrium. From 15 days to 21 days, the luminal 7ont7llts were of mixed echogenicity compared to the endometrillm.

• 한국임상수의학회지
• /
• 제14권2호
• /
• pp.352-356
• /
• 1997

5 years Poodle was referred to the Veterinary Teaching Hospital, Chonnam National University in January 1997, with progressive swelling on the rear xiphoid process after cesarean section last year in local-vet clinic. Physical, radiographic, ultrasonographic and intraoperative findings that were obtained from this case were as follow; Physical findings were known as no pain, no fever in the hernia] sal at palpation. Radiographic findings revealed the decreased density of swelling contents more than peritoneum and did not identify the abdominal wall defect line. Ultrasonographic findings showed abdominal wall defect line of 3mm and intra-abdominal originated fat contents with mixed echo(hypoechoic). During the operation, falciform ligament into the hernial sac was observed and not excised, manipulated back into the cavity. The dog was given an herniorraphy with no recurrence and infection.

• 한국임상수의학회지
• /
• 제18권3호
• /
• pp.279-283
• /
• 2001

Eleven years old cocker spaniel referred to Veterianry Medical Teaching Hospital, Seoul National University was diagnosed as pheochromocytoma. The patient was transferred to the hospital after hit by car and the main clinical signs were tachypnea, tachycardia, edema of hindlimb and lethargy. On ultrasonographic examination, hyperechoic foci was detected and it was invaded into the caudal vena cava. Venography showed the filling defect and local dilation of the caudal vena. The diagnosis of pheochromocytoma is challenging due to the nonspecific clinical signs and severe concurrent disease in dogs. This report describes one dog with invasive pheochromocytoma in which radiography, ultrasonography and venacavography were key diagnositc tools. Ultrasonography was a usuful method for assessment of size, shape and margination of the tumor and invasiveness to the major vessels.

• 한국임상수의학회지
• /
• 제17권2호
• /
• pp.505-509
• /
• 2000

A five-month old female dog was presented to Teaching Anilmal Hospital, Gyeongasng National University for femur fracture. Previously the dog had been presented to a local hospital. Orthopedic and blood examinations were conducted. There was absent response of conscious propri- oception. The dog stood knuckled onto the digits and had hock dropped, but showed no117a1 values in WBC.RBC, Hb, PCV, BUN, Creatine, Glucose, Cholesterol, AST and ALT. Plain radioaraphs were taken and there were abundant periosteal reaction and malalignment of fragments. The dog was anesthetized and prepared for aseptic surgery. Joshi external fixator and half pins were applied(uni lateral). AT 8 weeks after surgery, the pins were removed from the bone. The fracture was well healed wish no evidence of original fracture line. but mild muscle atropy and shortening of femur were found.