• 제목/요약/키워드: Medical Instruments

검색결과 527건 처리시간 0.024초

Health-related Quality of Life Instrument With 8 Items for Use in Patients With Type 2 Diabetes Mellitus: A Validation Study in Korea

  • Kim, Juyoung;Lee, Hyeon-Jeong;Jo, Min-Woo
    • Journal of Preventive Medicine and Public Health
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    • 제55권3호
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    • pp.234-242
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    • 2022
  • Objectives: This study assessed the validity and reliability of the Health-related Quality of Life Instrument with 8 Items (HINT-8) in patients with diabetes. HINT-8 is a newly-developed, generic health-related quality of life (HRQoL) instrument. Methods: Three HRQoL instruments-HINT-8, EuroQoL 5-Dimension 5-Level (EQ-5D-5L), and Short Form Health Survey version 2.0 (SF-36v2)-were provided to 300 patients with diabetes visiting a tertiary hospital for follow-up visits in Korea. The HRQoL scores obtained using the HINT-8 were evaluated for subgroups with known differences based on demographics and diabetes-related characteristics (known-group validity). The mean scores of the instruments were compared between groups segmented by their responses to the HINT-8 (discriminatory ability). Correlation coefficients of the HINT-8 with other instruments were calculated (convergent and divergent validity). The Cohen kappa and intra-class correlation coefficient (ICC) were also evaluated (test-retest reliability). Results: The average HINT-8 indexes were lower among women, older, and less-educated subjects. Subjects who did not list any problems on the HINT-8 had significantly higher HRQoL scores than those who did. The correlation coefficients of the HINT-8 with the EQ-5D-5L index and EuroQoL visual analogue scale were 0.715 (p<0.001) and 0.517 (p<0.001), respectively. The correlation coefficients between the HINT-8 index and the scores of 8 domains of the SF-36v2 ranged from 0.478 (p<0.001) to 0.669 (p<0.001). The Cohen kappa values for the HINT-8 ranged from 0.268 to 0.601, and the ICC of the HINT-8 index was 0.800 (95% confidence interval [CI], 0.720 to 0.860). Conclusions: This study showed that the HINT-8 is a valid and reliable HRQoL instrument for patients with diabetes.

감기약 콘택600 제조물책임사건에 관한 민사법적 고찰 - 대법원 2008.2.28. 선고 2007다52287 판결 - (A Study on the Product Liability Case of a Cold Medicine CONTAC 600 in Terms of Civil Law)

  • 전병남
    • 의료법학
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    • 제10권1호
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    • pp.213-260
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    • 2009
  • While the medical supplies have positive functions such as extending lifespan, recovering health, and preventing diseases, they also cause unexpected tragic consequences due to their side effects, and the magnitude of such damage inevitably increases due to the mechanism of mass production, mass distribution, and mass consumption of those medical supplies. Therefore, needless to say, the optimal way to prevent or reduce such damage is rather through medical supply manufacturers' producing non-defective products, or through the government's controlling production and sales of medical supplies with more aggressive exercise of regulatory authority on medical supply manufacturers, than through a remedy by a legal relief after using medical supplies. In this case, although the victim died due to the defect of the cold medicine, 'CONTAC 600', the drug company's responsibility to cover damages was not recognized because a defect could not be found in the then-manufacturing process. Thus, while pharmaceutical companies are gaining economic profits by producing and selling a medical supplies, if they do not take any remedy measures for the victims of their products' side effects, the victims have to use medical supplies under their own responsibility of taking a risk, and they have to accept the full damage of the potential consequence. Therefore, to remove such absurdity and contradiction, and to practically remedy the victim of medical supplies' side effects, the pharmaceutical side effects remedy project pending in the the Drugs, Cosmetics and Medical Instruments Lawneeds to be actively implemented.

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집중치료 후 증후군의 신체적 장애 측정도구에 관한 체계적 고찰 (Instruments to Assess Physical Impairments in Post-Intensive Care Syndrome: A Systematic Review)

  • 강지연;이민주;정연진;김수경;조영신;박정훈;이순영;홍지원
    • 중환자간호학회지
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    • 제11권1호
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    • pp.46-66
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    • 2018
  • Purpose : The purpose of this study was to systematically review the instruments utilized to assess physical impairment in post-intensive care syndrome (PICS) of intensive care unit (ICU) survivors. Method : Online databases searched were MEDLINE, Cochrane, CINAHL, and Embase. Studies that met the following criteria were included: 1) the study population exclusively had experience with ICU admission; 2) the study assessed pulmonary, neuromuscular, and physical functions; and 3) the study was published in English language journals after 2007. Results : A total of 56 instruments (2 pulmonary, 25 neuromuscular, 29 physical function) from 94 studies were reviewed. They were classified into self-report, observation, and measurement according to the type of assessment. No instrument measured all 3 areas of physical impairment. Five instruments were originally developed for the ICU patients. The most frequently applied instruments were the Medical Research Council and the 36-item Short Form Survey (physical component summary), which were used in 23 studies each. Only 13.8% of reviewed studies reported the reliability or validity of the instruments. Conclusion : Our results suggest that the appropriateness of instruments assessing physical impairment in PICS cannot be guaranteed. Despite the multidimensional concept of physical disabilities, most studies measured only one area, and studies that reported psychometric properties were limited. Accordingly, we propose to develop a unique and multifaceted instrument for ICU survivors.

비만의 3가지 병기(病機)에 따른 한방음악치료의 적용에 관한 소고(小考) (The Study on Treatment of Obesity by Oriental Medicine Music Therapy)

  • 이승현;김연수;김여진
    • 한방비만학회지
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    • 제8권2호
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    • pp.15-23
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    • 2008
  • The purpose of this study is to introduce oriental medicine music therapy related to the treatment of obesity. Obesity is caused by deficiency of the spleen, retention of phlegm, stagnation of liver Gi. According to the patients' state, the musical instruments should be chosen. In case of deficiency of the spleen, retention of phlegm, and stagnation of liver Gi, the obese patients beat pulsatile instruments to Earth-Gi rhythm, Fire-Gi rhythm, and Wood-Gi rhythm respectively. In addition to beating the musical instrument to the Five Phases rhythm, an oral sound therapy, relieving constraint therapy, and dispersing therapy can be performed. This study describes the theory of oriental medicine music therapy that has a good possibility as a new method of oriental medical treatment. It is necessary to study in measuring the effects after oriental medicine music therapy from now on.

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헤파린화 혈액 적합성 고분자 재료

  • 한동근;김영하
    • 대한의용생체공학회:의공학회지
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    • 제8권2호
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    • pp.255-270
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    • 1987
  • A medical image workstation was developed using multimedia technique. The system based on PC-486DX was designed to acquire medical images produced by medical imaging instruments and related audio information, that is, doctors' reporting results. Input information was processed and analyzed, then the results were presented in the form of graph and animation. All the informations of the system were hierarchically related with the image as the apex. Processing and analysis algorithms were implemented so that the diagnostic accuracy could be improved. The diagnosed information can be transferred for patient diagnosis through LAN(local area network).

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의료기기용 고속 BLDC 전동기의 특성해석 (Characteristics Analysis of high speed BLDC motor for Medical instruments)

  • 서영택;김형길;남상석;김철호;오철수
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2003년도 춘계학술대회 논문집 전기기기 및 에너지변환시스템부문
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    • pp.9-12
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    • 2003
  • Brushless do motors have been replacing brush type motors in machine tool and robotics applications over the last number of years This Paper deals with the design and application of the slot-less permanent magnet synchronous motor (PMSM). The slot-less PMSM eliminates rotational cogging torque due to permanent magnet preferred positions decreases core loss and thus increases efficiency, provides excellent torque-to-volume and power-to-volume ratios, and has a linear current versus torque relation. The PMSM with slot-less stator is designed and manufactured, which will be used for high speed and high efficiency application such a medical instruments.

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