• 제목/요약/키워드: Medical examination

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Testicular Cancer and Testicular Self-Examination; Knowledge, Attitudes and Practice in Final Year Medical Students in Nigeria

  • Ugwumba, Fred O;Ekwueme, Osa Eloka C;Okoh, Agharighom D
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권11호
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    • pp.4999-5003
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    • 2016
  • The testicular cancer (TCa) incidence is increasing in many countries, with age-standardized incidence rates up to 7.8/100,000 men in the Western world, although reductions in mortality and increasingly high cure rates are being witnessed at the same time. In Africa, where rates are lower, presentation is often late and morbidity and mortality high. Given this scenario, awareness of testicular cancer and practice of testicular self-examination among future first response doctors is very important. This study was conducted to determine knowledge and attitude to testicular cancer, and practice of testicular self-examination (TSE) among final (6th) year medical students. In addition, the effect of an intervention in the form of a single PowerPoint(R) lecture, lasting 40 minutes with image content on testicular cancer and testicular self examination was assessed. Pre and post intervention administration of a self-administered structured pre tested questionnaire was performed on 151 medical students, 101 of whom returned answers (response rate of 66.8%). In the TC domain, there was a high level of awareness of testicular cancer, but poor knowledge of the age group most affected, with significant improvement post intervention (p<0.001). Notable also was the poor awareness of the potential curability of TC, this also being improved following the intervention (p<0.001). A poor level of awareness and practice of testicular self-examination pre-intervention was found considering the nature of the study group..Respondents had surprisingly weak/poor responses to the question "How important to men's health is regular testicular self-examination?" Answers to the questions "Do you think it is worthwhile to examine your testis regularly?" and "Would you be interested in more information on testicular cancer and testicular self-examination?" were also suboptimal, but improved post intervention p<0.001, p<0.001 and p=0.037. Age, gender and marital status were without specific influence. In conclusion, this study showed poor levels of knowledge regarding epidemiology of TCa and its potential curability when detected early. There was also a poor awareness of, practice of, and poor attitudes to TSE. The significant improvement in these parameters post intervention indicates value in educational intervention. We recommend inclusion of TCa coverage and TSE teaching in the secondary school curriculum (targeting adolescents). Greater emphasis should also be given to testicular cancer in the curricula of medical schools and other training institutions for health care personnel.

가족동거여부가 치과진료 수진률에 미치는 영향 : 제7기 국민건강영양조사 이용 (The Effect of Family Cohabitating on Dental Examination Rate : Use of the 7th national health and nutrition survey)

  • 정호진;김경민
    • 대한통합의학회지
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    • 제11권4호
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    • pp.291-298
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    • 2023
  • Purpose : Although Korea's health insurance system and access to medical care are well established compared to other countries, the rate of non-fulfillment of dental treatment is high. Medical use rates can be affected by economic characteristics, individual heatlh condtions, health concerns, and health behaviors. This study was implemented to investigate the effect of the middle-aged elderly people's family living together on the dental examination rate and to use it as basic data for program development, research, and poicies to promote oral health. Methods : Raw data from the 7th national health and nutrition survey conducted by the Korea centers for disease control and prevention (2016~2018) were used and analyzed using SPSS 21.0 Version (IBM, United States). Results : As a result of the study family types accroding to general characteristics, the more women are (p<.001), the higther the age (p<.001), the lower the hosehold income level (p<.001), the lower the educational background (p<.001), the more people who live in Eup-Myeon (p<.001) It was fouend that the rate of living alone was high. The dental examination rate according to general characteristics was related to age (p<.001), income (p<.001), and educational background (p<.001), and the higher the examination rate was in the same (p<.001), and the higher the family living together (p<.001). Factors influencing whether or not dental treatment was not performed were in the following order: household income (p<.001), age (p=.001), and family type (p=.017). Conclusion : The above results confirmed the relationship between family membership and dental examination rates, and measures such as the development and operation of participatory programs to improve public oral health by resolving medical inequality and enhancing health equity, and it is believed that the development of professional manpower and the operation of education and programs for professionals are necessary.

의사면허 실기시험 제도의 성과와 과제 (The Effects and Challenges of Clinical Skills Assessment in the Korean Medical License Examination)

  • 김종훈
    • 의학교육논단
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    • 제15권3호
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    • pp.136-143
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    • 2013
  • Clinical skills assessment was recently introduced to the Korean Medical License Examination to test medical school graduates' competencies in clinical skills. Various measures, including research and rehearsals, had been undertaken to prepare for the assessment for several years before the clinical skills assessment was first implemented. The assessment has been repeated annually for about 3,500 examinees over the course of 50 days per year for the past 4 years. The introduction of the assessment had significant effects on education in Korea's medical schools. Many schools have established clinical skills labs and the teaching of clinical skills has also been strengthened. The residents who have taken the clinical skills exam now express more confidence in caring for patients. To improve the quality of the assessment, it should be performed on a year-round schedule and a pilot test and various forms of the items should be introduced.

진단서, 처방전과 관련된 최근의 쟁점 (Recent Issues related to the Medical Certificate and Prescriptions)

  • 문현호
    • 의료법학
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    • 제14권2호
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    • pp.49-80
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    • 2013
  • The Issuance of false medical certificates on Criminal Law or the Medical Service Act are frequently applied to the insurance fraud cases related with the medical certificate, prescriptions. The meaning of medical certificate is not defined on the crime of Issuance of false medical certificates, but considering the rule of Paragraph 1 of Article 17 of the Medical Service Act, which punishes drawing up the medical certificate by anyone except the doctor who has directly examined, and the principle of legality, the medical certificate applied with the crime of Issuance of false medical certificates should (1) include the judgment after current medical ex-amination, (2) be written for the purpose of verifying the health status and (3) have a style that can be recognizable as medical document usually written by doctors. In addition, since there have been many argues on the range of application of the Paragraph 1 of Article 17 of the Medical Service Act, which generally regulates various kinds of documents such as medical certificates, prescriptions and others, which have different purpose and characters, the range of application of the clause above is needed to be interpreted strictly.

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Internet Based Telemedicine & Distance education System

  • Kim, Seok-Soo;Park, Cil-Cheol
    • 한국멀티미디어학회:학술대회논문집
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    • 한국멀티미디어학회 2001년도 춘계학술발표논문집
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    • pp.373-377
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    • 2001
  • The telemedicine & distance education system that this paper suggests has been designed on the CTE(Collaborative Telemedicine & distance Education) framework, which is an integrated multimedia environment. This is a CBM-based collaborative telemedicine & distance education type, different from the conventional doctor based general practice, and is an integrated multimedia telemedicine & distance education system capable of many application developments using information super highway. This paper presents the content regarding electronic medical examination chart and data treatment for efficient medical examination and prompt treatment by realizing mutual conversation type remote medical examination system among 3 parties(patient, doctor, pharmacist) on internet base. And, The implementation of this new teaming system should be designed with multimedia application development platform base which is interfaced with computer engineering, computer network technology, CSCW (Computer-Supported Cooperative Work) technology, and education engineering.

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비콘을 활용한 건강검진 안내 시스템의 구현 (The Implementation of medical examination guidance system using the Beacon)

  • 박수빈;이현동;김동현;조대수
    • 한국컴퓨터정보학회:학술대회논문집
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    • 한국컴퓨터정보학회 2018년도 제58차 하계학술대회논문집 26권2호
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    • pp.185-186
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    • 2018
  • 현대 사회에서는 건강을 해치게 되면 삶의 질이 저하 될 뿐만 아니라 시간과 비용의 소모가 커져 어려움을 겪는다. 현대인들이 건강을 지키기 위한 가장 좋은 방법은 정기적으로 건강검진을 받는 것이다. 건강검진 대상자가 건강검진을 받을 때 각 단계별 검사 대기시간 및 안내를 받기 위하여 장시간 소요되는 문제가 있다. 본 논문에서는 건강검진을 받으러 온 검사자마다 간호사가 일일이 다음 검진 안내를 해주는 것에 대한 수고를 덜어 주고자 비콘을 활용한 건강검진 안내 시스템을 제안하고자 한다.

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기능성 화장품의 특허청구범위 기재 (A Study of Patent Examination Practice for the Use Claims of Cosmeceuticals)

  • 이미정;박정민
    • 대한화장품학회지
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    • 제40권2호
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    • pp.215-219
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    • 2014
  • 의약품의 치료 효과와 유사한 치료활성 기능을 갖는 화장품(코스메슈티컬)의 개발이 증가함에 따라 화장품법에서 규정한 기능성 화장품의 용도인 피부 미백, 주름개선, 자외선 차단 또는 피부를 곱게 태워주는 기능이외의 항염증, 탈모 방지, 비만 개선 등과 같은 의약품의 치료 효과와 차별화되지 않는 다양한 기능을 화장품의 용도로서 특허청구범위에 기재하여 특허출원하는 경우가 증가하고 있다. 그러나 상기와 같은 의약품의 치료 효과와 차별화되지 않는 기능을 화장품의 용도로서 화장품 발명에 기재한 경우 특허요건 판단에 있어서 심사과 및 심사관에 따라 차이를 보이고 있어 심사의 일관성에 대한 요구가 제기되어 왔다. 위와 같은 요구에 부응하기 위하여, 본 논문에서는 국내 기능성 화장품의 특허등록 현황, 심사관들의 견해 및 미국, 유럽, 일본의 화장품 관련 발명의 심사 실무를 파악하여 일관성 있는 특허 심사를 위한 대응방안을 제시하고자 하였다.

Medical Data Base Controlled By Medical Knowledge Base

  • Chernyakhovskaya, Mery Y.;Gribova, Valeriya V.;Kleshchev, Alexander S.
    • 한국지능정보시스템학회:학술대회논문집
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    • 한국지능정보시스템학회 2001년도 The Pacific Aisan Confrence On Intelligent Systems 2001
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    • pp.343-351
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    • 2001
  • World practice is evidence of that computer systems of an intellectual support of medical activities bound up with examination of patients, their diagnosis, therapy and so on are the most effective means for attainment of a high level of physician\`s qualification. Such systems must contain large knowledge bases consistent with the modern level of science and practice. To from large knowledge bases for such systems it is necessary to have a medical ontology model reflecting contemporary notions of medicine. This paper presents a description of an observation ontology, knowledge base for the physician of general tipe, architecture, functions and implementation of problem independent shell of the system for intellectual supporting patient examination and mathematical model of the dialog. The system can be used by the following specialist: therapeutist, surgeon, gynecologist, urologist, otolaryngologist, ophthalmologist, endocrinologist, neuropathologist and immunologist. The system supports a high level of examination of patients, delivers doctors from routine work upon filling in case records and also automatically forms a computer archives of case records. The archives can be used for any statistical data processing, for producing accounts and also for debugging of knowledge bases of expert systems. Besides that, the system can be used for rise of medical education level of students, doctors in internship, staff physicians and postgraduate students.

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2011-2016년 의학교육평가컨소시엄 임상종합평가의 효과성 (Effectiveness of Medical Education Assessment Consortium Clinical Knowledge Mock Examination (2011-2016))

  • 이상엽;이예리;김미경
    • 의학교육논단
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    • 제20권1호
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    • pp.20-31
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    • 2018
  • Good assessment is crucial for feedback on curriculum and to motivate students to learn. This study was conducted to perform item analysis on the Medical Education Assessment Consortium clinical knowledge mock examination (MEAC CKME) (2011-2016) and to evaluate several effects to improve item quality using both classical test theory and item response theory. The estimated difficulty index (P) and discrimination index (D) were calculated according to each course, item type, A (single best answer)/R (extended matching) type, and grading of item quality. The cut-off values used to evaluate P were: >0.8 (easy); 0.6-0.8 (moderate); and <0.6 (difficult). The cut-off value for D was 0.3. The proportion of appropriate items was defined as those with P between 0.25-0.75 and D ${\geq}0.25$. Cronbach ${\alpha}$ was used to assess the reliability and was compared with those of the Korean Medical Licensing Examination (KMLE). The results showed the recent mean difficulty and decimation index was 0.62 and 0.20 for the first MEAC CKME and 0.71 and 0.19 for the second MEAC CKME, respectively. Higher grade items evaluated by a self-checklist system had better D values than lower grade items and higher grade items gradually increased. The preview and editing process by experts revealed maintained P, decreased recall items, increased appropriate items with better D values, and higher reliability. In conclusion, the MEAC CKME (2011-2016) is deemed appropriate as an assessment to evaluate students' competence and prepare year four medical students for the KMLE. In addition, the self-checklist system for writing good items was useful in improving item quality.