• Title/Summary/Keyword: Patient guideline

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Strategy for Clinical Progress Note of Physical Therapy (물리치료 임상기록 전략)

  • Bae Sung-Soo;Kim Chung-Sun
    • The Journal of Korean Physical Therapy
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    • v.10 no.2
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    • pp.133-148
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    • 1998
  • Documentation of patient care has much emphasis during the past few years. As reviewing the orthopedic, neurosurgery, rehabilitation medicine of progress note, SOAP note, modified SOAP note and have been integrated a model of Korean clinical progress note of physical therapy. Academically, educationally and clinically development of physical therapy depend upon writing clinical progress note. Based on the research results, the following considerations and guideline are presented. 1. Include writing a clinical progress note of physical therapy in the school curriculums. 2. Physical therapist write the clinical progress note their procedure to the patients. 3. Korean Physical Therapy Association can provide a model of clinical progress note of physical therapy.

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Dental management of patients on anti-thrombotic agents

  • Lee, Jeong Keun
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.44 no.4
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    • pp.143-150
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    • 2018
  • The number of geriatric patients seeking dental service is ever-rising because of increased life expectancy, also with problem of increased chronic medical conditions. One of them are patients on anti-thrombotic medication. Bleeding complication after minor oral surgery by anti-thrombotic agents is of concerns to dentists on dental management of these patients. Risk and benefit of the anti-thrombotic agents must be weighed before initiating dental procedures, which should be established as a treatment guideline. Purpose of the paper is to optimize the management of the dental patients on antithrombotic medication via standardization of treatment protocol of such a patient.

A Study on the Architectural Planning of the Typical Plan Type in Ward (병동부 평면유형에 관한 건축계획적 연구)

  • Kim, Khil-Chae;Choi, Kwang Seok
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.6 no.10
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    • pp.59-65
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    • 2000
  • Wards are the biggest part in hospital buildings and the flow of medical personnels and materials is an important factor in the ward design. The evaluation method of the wards and is esscential for the optimum design considering function, environment, patient psychology, etc. This study attempts to classify ward pattern and analyse architectural characteristics, survey the wards in Korea. The purpose of this study is to get the design guideline of the wards To achieve this goal, ward type by using corridor form were introduced and then each type was systematically analyzed. A evaluation method are developed from studied factors and are applied to existing wards to check the reliability.

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Clinical Preventive Dental and Dental Hygiene Practice by Caries Management by Risk Assessment (CAMBRA) (Caries Management by Risk Assessment (CAMBRA) 모형에 따른 임상 예방치과 및 치위생 진료)

  • Cho, Young-Sik
    • Journal of dental hygiene science
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    • v.12 no.6
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    • pp.545-557
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    • 2012
  • Dental caries is biofilm induced disease throughout life and is recognized significant oral health problem. This article reviewed new trends in dental caries management by risk assessment, including history, protocol/guideline, and collaborated model. Dental caries prevention and treatment according to caries management by risk assessment (CAMBRA) model is patient-centered, risk-based, evidence-based practice. Team approach is necessary and clinician need to integrate science, practice and product. Dental hygienist take a important role in implementing CAMBRA. CAMBRA model could be incorporated into clinical dental hygiene education based on dental hygiene process of care as standard of dental hygiene practice and education. Dentist and dental hygienist able to provide scientific and ethical care managing dental caries by risk assessment.

ERRATUM: Patient's Perception for Developing Research Questions of a Clinical Practice Guideline of Korean Medicine for Degenerative Lumbar Spinal Stenosis: A Descriptive Cross-Sectional Survey (ERRATUM: 퇴행성 요추 척추관 협착증의 한의표준임상진료지침 핵심질문 설정에 대한 환자 인식 설문 조사: 단면 설문 연구)

Evaluation of Breast Dose by Breast Pressure Thickness of Breast Prosthesis Insertion (보형물 삽입 유방의 압박 두께에 따른 유방 선량 평가)

  • Lee, Hyeon-Yong;Kim, Ji-Soo
    • Journal of radiological science and technology
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    • v.43 no.6
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    • pp.469-473
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    • 2020
  • Breast cancer is growing rapidly year by year and has the highest incidence since 2001. As a result, the interest in mammography for early detection of breast cancer is increasing. However, mammography is accompanied by radiation exposure and therefore it is necessary to reduce exposure dose through appropriate test conditions. The significance of this study is that breast dose studies, which were limited to ordinary women, were applied to breast implant patient. Using MCNP simulation, the phantom with prosthesis inserted was developed to compare dose by tube voltage by pressure thickness. In addition phantom without prostheses has higher dose than phantom with prostheses. If these results were used as basic data, it would be possible to recommend test condition guideline only for breast implant patients.

Suicide Prevention Policy Guideline Model Considering Privacy Law in Korea

  • Do-Hyun Kwon
    • Korean Journal of Biological Psychiatry
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    • v.30 no.1
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    • pp.7-16
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    • 2023
  • Objectives This study aimed to review the Korean Constitution articles 14 and 20 of the "Law on suicide prevention" and investigate public perceptions of specific improvements to suicide prevention policies using results from the Korean 2018 National Survey on Suicide. Methods The questionnaire was designed to analyzing the act restricts sharing of patient information between hospitals, making it difficult to track suicide attempts. The questionnaire was also designed to suggest further medical and normative criteria for objective judgment of continuous follow-up utilizing suicide risk evaluations and proportional principle review that consider patients' and medical staff's basic rights. Results This study identified the result of the 1500 respondents, 79.1% believed that Korea should allow suicide prevention management to be implemented without requiring individual consent to protect suicide attempters. Conclusions According the results, I propose the following criteria for policy improvement: use of anonymized information and non-profit research for technical and ethical considerations, access to medical information only for therapeutic purposes, and use of surgical severity assessment criteria appropriate for Korea.

Emerging Treatment in Metastatic Colorectal Cancer (전이성 대장암에서 표적치료와 면역치료)

  • Jae Hyun Kim;Seun Ja Park
    • Journal of Digestive Cancer Research
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    • v.6 no.2
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    • pp.45-49
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    • 2018
  • Colorectal cancer (CRC) is the third most common cause of cancer-related death in the world. Although the long-term outcome of patients with metastatic CRC is still poor, target therapy including anti EGFR agents and anti VEGF agents and immunotherapy including anti PD-1 antibody and anti CTLA-4 antibody have shown clinical benefits in the treatment of patient with metastatic CRC. In the future, the personalized treatment strategy based on the clinical characteristics and biologic features of patients with metastatic CRC will be necessary. In this review, we summarized the mechanisms and clinical evidences of target therapy and immunotherapy, and the guideline of clinical practice in patients with metastatic CRC.

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Relationship between Non-technical Skills and Resuscitation Performance of Nurses' Team in in-situ Simulated Cardiac Arrest (심정지 현장 시뮬레이션에서 일반 간호사의 비기술적 술기와 심폐소생술 수행 간의 관계)

  • Kim, Eun Jung;Lee, Kyeong Ryong
    • Korean Journal of Adult Nursing
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    • v.27 no.2
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    • pp.146-155
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    • 2015
  • Purpose: The aim of this descriptive study was to explore the relationship between non-technical skills (NTSs) and cardiopulmonary resuscitation (CPR) performance of nurses' teams in simulated cardiac arrest in the hospital. Methods: The sample was 28 teams of nurses in one university hospital located in Seoul. A high fidelity simulator was used to enact simulated cardiac arrest. The nurse teams were scored by raters using both the CPR performance checklist and the NTSs checklist. Specifically the CPR performance checklist included critical actions; time elapsed to initiation of critical actions, and quality of cardiac compression. The NTSs checklist was comprised of leadership, communication, mutual performance monitoring, maintenance of guideline, and task management. Data were collected directly from manikin and video recordings. Results: There was a significant difference between the medians of the NTSs and CPR performance (Mann Whitney U=43.5, p=.014). In five subcategories, communication (p=.026), mutual performance monitoring (p=.005), and maintenance of guideline (p=.003) differed significantly with CPR performance in medians. Leadership (p=.053) and task management (p=.080) were not significantly different with CPR performance. Conclusion: The findings indicate that NTSs of teams in addition to technical skills of individual rescuers affect the outcome of CPR. NTSs development and assessment should be considered an integral part of resuscitation training.

A Study on the Space Organization and Facility Equipment of Medical Laboratory - focusing on the USA, UK and Germany - (병원 진단검사의학부의 공간구조와 설비기준에 대한 조사 - 미국, 영국, 독일을 중심으로 -)

  • Kim, Youngaee
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.22 no.3
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    • pp.7-15
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    • 2016
  • Purpose: As medicare services have gotten spreaded, clinical laboratory has been dominant position. So, it has been acted for quality control and clinical pathology accreditation. But there has been quite deficient information to evaluate working space and technical standards of medical laboratory for accreditation. This study goals to figure out accreditation standard and design guideline for clinical laboratory, and to give safe and efficient design information. Methods: This study has been searched by literature for accreditation standards and design guidelines of clinical pathology in USA, UK, and Germany. Results: Three countries have accredited based on working lab space, staff space, storage space, patient space and health and safety equipment. Design guidelines of three countries commonly have focused on worktable layout, worktable distance and module, and specific laboratory biosafety level. And USA guidelines stress on the architectural design such as design process and passage distance for escape, UK stress on the efficiency as functional work flow and construction cost, lastly Germany design guidelines stress on the operator's safety distance and workstation. Three countries have not only accreditation standards but also design guidelines for more specific quality management, separating from accrediting institute. Implications: In korea, it has been needed to make clinical laboratory design guideline for the safe and efficient environment and reliable and competitive medical service.