• Title/Summary/Keyword: Medical evaluation

Search Result 5,544, Processing Time 0.027 seconds

Arthroscopic Evaluation for Endoscopic ACL Reconstruction Using a Multi-stranded Hamstring Tendon Graft and EndoButton (슬괵 건을 이용한 전방십자인대 재건술후 2차 관절경적 평가)

  • Lee, Kwang-Won;Lee, Byeong-Ki;Ryu, Chang-Soo;Keum, Teok-Seop;Choy, Won-Sik;Kim, Joon-Sik
    • Journal of the Korean Arthroscopy Society
    • /
    • v.2 no.2
    • /
    • pp.124-128
    • /
    • 1998
  • From Feb. 1996 to Feb. 1997. among sixty-four patients of anterior cruciate ligament(ACL) reconstruction using multi-stranded hamstring tendon and EndoButton fixation, twenty-five patients of volunteer, 15 men and 10 women, from 16 to 50 years of age(mean 27.6 years) underwent arthroscopic evaluation. Arthroscopic evaluation was routinely performed one year after surgery along with an examination of stability. The purpose of this study was to arthroscopically evaluate the morphological changes that occurred in hamstring tendon autograft one year after ACL reconstruction. Both of the tendon graft and the adjacent fibrous tissues were observed for gross appearance and physical properties with probing and response to passive anterior translation. Biopsy samples were taken from the surrounding fibrous tissue and the tendon graft. Grossly, we found a well-defined ligamentous structure with good tension tested with a probe. A common finding was that the reconstructed ligaments were embedded in a layer of the synovium, and blood vessels could be seen on the anterior surface of the ligament. The biopsy tissue was placed in formalin solution and subjected to histological preparation by hematoxylin and eosin staining method. The hamstring tendon graft appeared histologically normal under light microscopic finding. There were a few vessels located between existing collagen bundles, and the vessels had an orderly pattern. The surrounding fibrous tissue envelope was covered with synovium. We pleased with preliminary findings in our evaluation.

  • PDF

An Action Convergence Research to Improve Evaluation Index of Pneumonia Adequacy in Regional Public Hospital (지역거점 공공병원의 폐렴 적정성 평가 지표 개선을 위한 융복합 실행연구)

  • Eun Young Choi;Yoen-Im Park;Seung-Ju, Kang;Ja-Ok Kim
    • Journal of Digital Convergence
    • /
    • v.21 no.1
    • /
    • pp.19-27
    • /
    • 2023
  • This is an implementation study towards the development of a strategy to improve the pneumonia adequacy evaluation index of regional public hospital and to confirm its effectiveness. One physician, eight nurses, one computer room staff, and one nursing professor working at a regional base public hospital located in N city participated in this study from March to October 2021. An implementation study was conducted based on the conceptual model of Zuber-Skerritt & Fletcher. The stages of planning, implementation, evaluation, and reflection were operated in two cycles, and the effectiveness was evaluated in the second and third quarters. Compared to the pneumonia adequacy evaluation index in 2019, all indicators reached 100% of the standard target in 2021. The results of this study therefore infer that to provide higher quality medical services in the future, it is necessary to apply medical quality improvement activities through practical research under multidisciplinary participation and cooperation and to review the applicability of clinical sites.

Comparison of the relative importance of educational content, teaching methods, and evaluation methods in the patient assessment curriculum for 119 EMTs (119구급대원 대상 환자평가 교육과정에서 교육내용, 교수법, 평가 방법의 상대적 중요도 비교)

  • Ah-Ram Seo;Jun-Dong Moon
    • The Korean Journal of Emergency Medical Services
    • /
    • v.28 no.1
    • /
    • pp.97-112
    • /
    • 2024
  • Purpose: This study compared the relative importance of educational content, teaching methods, and evaluation methods in the patient assessment curricula of 119 emergency medical technicians (EMTs). Methods: First, we identified the educational content, training hours, and teaching and evaluation methods of the existing patient assessment curriculum based on the National Competency Standard learning module. Second, we surveyed 30 EMTs affiliated with 119 services using the Analytic Hierarchy Process (AHP) method. Subsequently, we compared the differences between the current curriculum and the AHP analysis results. Results: Currently in operation, the "Advanced EMT Course" comprises three learning modules: assessment of patient status, scene size-up and triage, and assessment using monitoring devices. Among these, content related to the assessment of patient status received the most allocated time and was deemed the most important according to the AHP survey results. Conversely, while less time was allocated to scene size and triage compared with assessment using monitoring devices, the former was assessed as more important than the latter in the AHP results. Furthermore, scenario-based team training and procedure-focused individual practice were evaluated as relatively important teaching methods, while practical examination using a checklist was deemed the most appropriate evaluation method for all learning content. Conclusion: To improve the patient assessment curriculum, we propose adjusting teaching hours and introducing new teaching and evaluation methods based on the results of relative importance. The proposed improvement plan will contribute to enhancing the competency of 119 EMTs.

Response Evaluation of Chemotherapy for Lung Cancer

  • Hwang, Ki-Eun;Kim, Hak-Ryul
    • Tuberculosis and Respiratory Diseases
    • /
    • v.80 no.2
    • /
    • pp.136-142
    • /
    • 2017
  • Assessing response to therapy allows for prospective end point evaluation in clinical trials and serves as a guide to clinicians for making decisions. Recent prospective and randomized trials suggest the development of imaging techniques and introduction of new anti-cancer drugs. However, the revision of methods, or proposal of new methods to evaluate chemotherapeutic response, is not enough. This paper discusses the characteristics of the Response Evaluation Criteria In Solid Tumor (RECIST) version 1.1 suggested in 2009 and used widely by experts. It also contains information about possible dilemmas arising from the application of response assessment by the latest version of the response evaluation method, or recently introduced chemotherapeutic agents. Further data reveals the problems and limitations caused by applying the existing RECIST criteria to anti-cancer immune therapy, and the application of a new technique, immune related response criteria, for the response assessment of immune therapy. Lastly, the paper includes a newly developing response evaluation method and suggests its developmental direction.

Student Engagement in Student Support System Reform: A Case Study (학생지원체계 개선을 위한 학생주도 교육평가 사례)

  • Yena Jang;Seo Yoon Kim;Ji Yoon Kang;Donghwa Kang;Na Hyeon Kweon;Ga Yeon Kim;Narae Kim;Sang Hun Kim;Seongwoo Kim;Juhee Kim;Chae Yeon Kim;Shinyoung Park;Ju Yeon Park;Ji Su Park;Geon Ho Lee;Bora Im;Bo Young Yoon
    • Korean Medical Education Review
    • /
    • v.25 no.2
    • /
    • pp.174-183
    • /
    • 2023
  • Educational evaluation involves data collection and the analysis of various education-related factors to make decisions that improve educational quality. Systematic educational evaluation is essential for enhancing the quality of education. This study reports a case of student-conducted process evaluation of a medical school's student support system and the procedure for devising improvement plans. Sixteen Inje University College of Medicine students participated in the Education Evaluation Committee (IUCM-EEC) to understand the educational improvement process as learners and actively achieve improvement. The Quality Improvement Committee of the Inje University College of Medicine (IUCM-QIC) decided to reform its student support system based on a previous educational evaluation in 2019. The evaluation of the student support system was conducted for 10 months in 2021 by the student subcommittee, under the guidance of the IUCM-EEC. The CIPP (context-input-process-product) evaluation model was used for a systematic evaluation. Accordingly, the subcommittee developed evaluation criteria and indicators, and analyzed relevant data collected from surveys and the previous literature. For further recommendations and revision ideas, the student subcommittee members interviewed faculty members from six other medical schools and also conducted a focus group interview with the dean and vice deans of IUCM. Finally, the student subcommittee submitted a report to the IUCM-QIC. Communication with various stakeholders is essential for a successful evaluation process. In this case, students, as key stakeholders in education, evaluated the student support system. Their active participation helped improve their understanding of the evaluation process.

Evaluating Health-Promoting Schools Based on WHO Standards in Yangpyung-Gun, Korea (WHO 건강증진학교 평가개념을 적용한 사정 및 평가 - 앙평군 초.중.고등학교별 차이 분석 -)

  • Sohn, Ae-Ree;Kim, Bo-Ram;Kim, Seok-Hyeon;Shin, Young-Jeon;Ahn, Dong-Hyun;Choi, Bo-Youl
    • The Journal of Korean Society for School & Community Health Education
    • /
    • v.9 no.1
    • /
    • pp.1-15
    • /
    • 2008
  • Objectives: The concept of the WHO's 'Health Promoting School (HPS)' has been advocated as an approach enhancing national health promotion through school. Health-promoting schools have existed internationally about 20 years. Yet there are few comprehensive evaluation results. Methods: This study is a cross-sectional survey, aiming to explore the HPS status. A total of 31 elementary, middle and high schools were included, and 260 teachers participated in the study. The schools were assessed based on tools of HPS. Results: 'School health promotion and protection services' and 'school's physical environment' had the highest scores, 80.7 score and 77.4 score, respectively. Community links and action competencies for healthy living were two areas with the lowest scores. Conclusions: These results are a good source of reference for assessment and evaluation of Health Promoting Schools programs. For the improvement of efficiency of Health Promoting Schools programs, cooperation with family and community link and support system would be necessary.

  • PDF