• Title/Summary/Keyword: clinical character

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Developing a Best-Evidence Pre-employment Medical Examination: An Example from the Construction Industry

  • Gouttebarge, Vincent;van der Molen, Henk F.;Frings-Dresen, Monique H.W.;Sluiter, Judith K.
    • Safety and Health at Work
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    • v.5 no.3
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    • pp.165-167
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    • 2014
  • The Dutch construction industry has introduced a compulsory preemployment medical examination (PE-ME). Best-evidence contents related to specific job demands are, however, lacking and need to be gathered. After the identification of job demands and health problems in the construction industry (systematic literature search and expert meeting), specific job demands and related requirements were defined and instruments proposed. Finally, a work ability assessment was linked to the instruments' outcomes, resulting in the modular character of the developed PE-ME. Twenty-two specific job demands for all Dutch construction jobs were identified, including kneeling/squatting, working under time pressure, and exposure to hazardous substances. The next step was proposing self-report questions, screening questionnaires, clinical tests, and/or performance-based tests, leading to a work ability judgment. "Lifting/carrying" is described as an example. The new modular PE-ME enables a job-specific assessment of work ability to be made for more than 100 jobs in the Dutch construction industry.

A Concept Analysis of Intuition (직관개념 분석에 관한 연구)

  • 신경림
    • Journal of Korean Academy of Nursing
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    • v.24 no.2
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    • pp.206-215
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    • 1994
  • Intuition is an abstract concept which is most often thought of as a nonrational, nonscientific mode of thought. However, since there are so many amorphous definitions of intuition that it seems important to clarify the meaning of this concept. Therefore, this study use the process of Walker & Avant’s concept analysis to define of the concept of intuition Attributes of intuition were defined as 1) Knowledge of truth that is difficult to explicate ; 2) A type of immediate knowing ; 3) Knowlwdge without reasining analysis ; 4) Knowledge that is attained based on virtue character which integrates all matter and is not attained through individual experience. Antecedents of intuition consists of 1) as ground for knowledge or truth that is not availables to trace through the analytic procedures ; & 2) the flow of Ki which unites human beings and the universe. Consequences of intuition events or incidents occuring as a result of the concept consist of verification of the truth though analytic procedures and application of knowledge in both theoretical and practical ways. To develop intuitive ability, as an educator should not only make studies in recognizine, analysing and teaching concepts related to logical, rational decision making but should also recognize and teach concepts related to intuitive components of making decisions in clinical practice and classroom learning as well.

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A compare research of machined implant and RBM surface implant (Machined 임플란트와 RBM surface 임플란트의 비교 연구)

  • Yoo, Im-Soo;Yim, Sung-Bin;Chung, Chin-Hyung;Hong, Ki-Seok
    • Journal of Periodontal and Implant Science
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    • v.38 no.3
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    • pp.467-474
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    • 2008
  • Purpose: To evaluate RBM surface implant which has its good character like that good initial stability, early bone formation. Material and Methods: In this study fixures have divided in 2 group: Machined(Group I), RBM(Group II). Total 10 fixtures were implanted on rabbit which sacrificed on week 2 and week 4 for the histological specimens. By these specimens polarized microscopic view, micro CT view, ISQ value were measured, compared and analysed by each group to figure out the evidence that clinical use of RBM implant. Result: ISQ value had no significance differences between 2 groups, However in each group 4, 8 weeks had higher ISQ value than 2 weeks. In polarized microscope, calcification level was following: Group II, Group I. In micro CT, formation of cancellous bone level was following: Group II, Group I. Conclusion: RBM implant was the most excellent on the early bone formation and good initial stability.

Considerations about protection of traditional clinical technologies and industrialization plans (전통임상기술의 지적재산권 보호와 산업화 방안에 대한 고찰 -WIPO의 전통지식, 유전자원의 지적재산권 보호 논의에 대한 대응 전략-)

  • Ahn, Sang-Woo;Kim, Hong-Jun;Choi, Hwan-Soo
    • Korean Journal of Oriental Medicine
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    • v.9 no.2
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    • pp.33-43
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    • 2003
  • The international government committee is progressing their agreements about intellectual property protection of traditional knowledge(TK), gene resource(GR), folklore(FL) in WIPO. It is in the course of selection with precedence of TK, GR, FL in WIPO, focused on discussions about listing of TK documents, standardization of DB construction, sharing and profit distribution of GR. We made some plans to deal with agreements in WIPO. These plans consist of 5 subjects which are investigation about intellectual property related laws and systems, study of examination and finding, construction of DB information, development of value evaluation system, development of industrialization system with TK, GR, We suggest preceding details about 5 subjects respectively. It is the character of this plan that patent information DB system of TK, GR is the axis. It is the most important thing in these plans to succeed that we have to have connections with expert groups in order parts and government officials, taking whole supports of government because our traditional medical related study basis is weak.

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The phenomenology of pain in Parkinson's disease

  • Camacho-Conde, Jose Antonio;Campos-Arillo, Victor Manuel
    • The Korean Journal of Pain
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    • v.33 no.1
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    • pp.90-96
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    • 2020
  • Background: Parkinson's disease (PD) is a neurodegenerative disorder that is the second most common disorder after Alzheimer's disease. PD includes both "motor" and "non-motor" symptoms, one of which is pain. The aim of this study was to investigate the clinical characteristics of pain in patients with PD. Methods: This cross-sectional study included 250 patients diagnosed with PD, 70% of which had mild to moderate PD (stages 2/3 of Hoehn and Yahr scale). The average age was 67.4 years, and the average duration since PD diagnosis was 7.1 years. Relevant data collected from PD patients were obtained from their personal medical history. Results: The prevalence of pain was found to be high (82%), with most patients (79.2%) relating their pain to PD. Disease duration was correlated with the frequency of intense pain (R: 0.393; P < 0.05). PD pain is most frequently perceived as an electrical current (64%), and two pain varieties were most prevalent (2.60 ± 0.63). Our findings confirm links between pain, its evolution over time, its multi-modal character, the wide variety of symptoms of PD, and the female sex. Conclusions: Our results demonstrated that the pain felt by PD patients is mainly felt as an electrical current, which contrasts with other studies where the pain is described as burning and itching. Our classification is innovative because it is based on anatomy, whereas those of other authors were based on syndromes.

Concept of Constitution, Evaluative Norms and Prospect of Constitutional Theories (체질개념과 체질이론의 평가기준 설정 및 연구 전망)

  • Chi, Gyoo-Yong
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.20 no.4
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    • pp.759-765
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    • 2006
  • In order to provide the methodology of researching constitutional theories, the original meaning and the source of the term, ti(體) and zhi(質) written in and other text were reviewed, and then components of constitution(體質) and some evaluative norms and prospect on constitutional theories were proposed. Ti(體) means body or 5 tissues or patterns of them and zhi(質) means quality in , so the temporary meaning of constitution was generally same with present one. But the temperament originated from Greek and Elizabethan era is thought that it corresponds with constitution, but it means generally body type and character and mental pathologic features. The fundamental requirements of constitutional theories are needed stability, creativity, clinical efficiency and reproductiveness for differentiating with classical diagnostics over the range of disease and aging of the subject. And heredity, universality and extensiveness were recommended as additional requirements for making level up the theories through long-term follow-up, and to evaluate these requirements detail items were proposed. More of these, weight rendering should be made respectively afterwards.

Vertebral abnormality in Hatchery-reared Black Sea Bream (Acanthoparus schlegelii) fingerlings (인공종묘 생산 감성돔 (Acanthoparus schlegelii) 치어의 척추 변형에 관하여)

  • Park, Sung-Woo;No, Yun-San;Yu, Jin-Ha;Kim, Jin-Do
    • Journal of fish pathology
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    • v.21 no.2
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    • pp.139-148
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    • 2008
  • Vertebral deformity in hatchery-reared black sea bream (Acanthoparus schlegelii) fingerlings occurred. Deformed fish had a good appetite but no clinical signs were found except the vertebral abnormality and darkness around the dorsal skin of the deformed vertebra. As more than 90% of the hatchery-reared fish exhibited vertebral abnormality, the fingerlings could not be used for commercial seeds any more. No morphological change in the swim bladder was observed. Histopathological changes on the deformed vertebra, gill, liver, and spleen were observed to clarify the cause of the deformity. The vertebra were irregularly deformed upward with the shape of "V" in an alphabetic character causing the spinal cord and dorsal aorta suppressed. The diameters of the muscle fibers around the deformed vertebra, especially, in the dorsal part, were much smaller and more irregular than those in normal fish, and the gabs between the fiber bundles were enlarged. No evidence of inflammatory responses in the lateral musculature were found. On the basis of normal inflation of the swim bladder, cultural environments for growth of the fingerlings, and histopathological alterations in the muscle, vertebra and gills, it is suggested that high speed of water current in the culturing aquaria between 23 to 30 days after hatching was responsible for the development of vertebral abnormality.

Research and development of haptic simulator for Dental education using Virtual reality and User motion

  • Lee, Sang-Hyun
    • International Journal of Advanced Culture Technology
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    • v.6 no.4
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    • pp.52-57
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    • 2018
  • The purpose of this paper is to develop simulations that can be used for virtual education in dentistry. The virtual education to be developed will be developed with clinical training and actual case data of tooth extraction. This development goal is to allow dental students to learn the necessary surgical techniques at the point of their choice, not going into the operating room, away from time, space, and physical limits. I want to develop content using VR. Oculus Rift HMD, Optical Based Outside-in Tracking System, Oculus Touch Motion Controller, and Headset as Input / Output Device. In this configuration, the optimization method is applied convergent, and when the operation of the VR contents is performed, the content data is extracted from the interaction analysis formed in the VR engine, and the data is processed by the content algorithm. It also computes events and dental operations generated within the 3D engine programming and generates corresponding events through data processing according to the input signal. The visualization information is output to the HMD using the rendering information. In addition, the operating room environment was constructed by studying lighting and material for actual operating room environment. We applied the ratio of actual space to virtual space and the ratio between character and actual person to create a spatial composition at a similar rate to actual space.

Philological Analysis of Shanghan Prescriptions from the Chinese Unearthed Documents (중국 출토문헌에 보이는 상한방(傷寒方)의 문자학적 분석)

  • Lee, Kyung
    • Journal of Korean Medical classics
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    • v.32 no.3
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    • pp.17-29
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    • 2019
  • Objectives : This paper is an analysis of the name 'Shanghan(傷寒)' and its related contents in unearthed documents. "Shanghanlun" as we know it is an edited version by Wangshuhe of the Jin period, as the original text as written by Zhangzhongjing has been unavailable. Recently in China, documents of the Xian Jin and Liang Han periods are being unearthed, allowing us to look at medical texts of previous times that Zhang referenced. The aim of this paper is to look at the developmental process of the Shanghan theory based on these medical texts. Methods : Research documents include all unearthed documents that include the name 'Shanghan'. There were a total of 4 written cases, 2 in "Wuweihandaiyijian", and one each in "Dunhuanghanjian" and "Juyanhanjian". Meaning of extracted examples were analyzed in reference to the shape of the character, then compared and analyzed with existing medical texts such as "Shanghanlun", "Jibeiqianjinyaofang", and "Bencaogangmu" Conclusions : By examining the 4 examples, Bianzhenglunzi and clinical prescriptions which are characteristics of Shanghanlun could be found. There was an 'Eliminating Wind' formula that was used to eliminate Cold pathogen of the exterior which showed remarkable resemblance to that found in "Jibeiqianjinyaofang". There are also formulas that 'Communicate to Disentangle' and 'Disentangle the Stomach' which are used in progressed stages of Shanghan disease, showing that Bianzhenglunzi had already been applied to Shanghan conditions.

Concept of Synchronized Individuation Based on the Characters in a Movie and a Fairy Tale

  • Moon, Duk-Soo;Bahn, Geon Ho
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.33 no.2
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    • pp.48-54
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    • 2022
  • Objectives: Among adolescent development tasks, being independent of parents is an essential process for emotional and physical separation. There are many conflicts of separation and individuation between parents and adolescents; however, most clinicians explore the process of separation and individuation only from adolescents' perspective. Whether simultaneously or sequentially, separation-individuation occurs between adolescents and parents, respectively. The authors have already introduced the theory of synchronized individuation in a clinical case to explain the concept of this intersubjective phenomena. This study also attempts to prove the synchronized individuation theory through the interaction of characters in a movie and a fairy tale. Methods: The authors present the basis for the theory of synchronized individuation of adolescence through the growing process of Mason Junior, the main character of the movie "Boyhood," and from the process of the separation of a hen, Sprout, and an orphaned duckling in "The hen who dreamed she could fly." Results: Synchronized individuation was developed and observed from Mason, the son's perspective in "Boyhood," and Sprout, the mother's subjective perspective in the story of the hen. Conclusion: Increasing conflict and mutual impact in the relationship between adolescents and parents, ambivalent feelings for separation, selective identification of each other, mutual respect through mutual recognition, and role changes in relationship position were confirmed. Sons and mothers were individualized with synchronization.