• 한국산학기술학회논문지
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• 제12권5호
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• pp.2149-2162
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• 2011

현행 실기시험의 형태가 실기능력 평가'라는 제 기능을 해내지 못함으로써 방사선사 면허시험에 합격하여도 임상적응(training) 과정을 이수해야 하는 모순이 발생되고 있다. 본 연구는 이러한 단점을 개선하기 위하여 현행 방사선사 실기시험제도 도입이 타당한지, 개선점은 무엇인지를 분석하여 가장 합리적인 개선 방안을 도출하고자 하였다. 연구대상은 임상에 근무 중인 방사선사 634명과 방사선(학)과 교수 56명을 대상으로 하였으며, 주요 선진국의 방사선사 실기시험의 실태를 조사하여 비교 분석하였다. 연구결과, 방사선선사 실기시험은 선진국과 국내 여건상 차이가 있어 임상실습으로 대체가 어려우며, 실기시험제도 도입이 필연적인 것으로 나타났다. 그러나 현행 실기시험 방식은 실기능력을 평가할 수 있는 시험 형태가 아니므로 객관적 임상능력 시험(OSCE; objective structured clinical examination)의 형태로 전환이 필수적이라는 결론을 얻었다. 향후 새로운 방사선사 실기시험 제도의 유형별 모델 제시 및 실행 방안에 관한 심도 있는 연구가 필요할 것으로 사료된다.

• 동의생리병리학회지
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• 제32권1호
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• pp.51-61
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• 2018

This study aims to evaluate the student's satisfaction of clinical performance examination(CPX) and self-assessment in Korean medical curriculum. A questionnaire was given to clinical clerkship students of Pusan National University School of Korean medicine in this study. The items in this questionnaire covered overall evaluation of guidelines, module & learning environment, standardized patients, and self-assessment in CPX. Most of all students recognized CPX as a more effective learning method than any other method. Most students were satisfied with the module & learning environment, standardized patients, and self-assessment except the satisfaction for guidelines relationally. The results of this study demonstrated that the students had a high level of satisfaction in CPX. This study shows that CPX has been implemented into the Korean medical curriculum.

• 대한한의학회지
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• 제32권1호
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• pp.1-11
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• 2011

Objectives: The aim of this study was to examine the controversial issues about objective structured clinical examination (OSCE) of pulse diagnosis and investigate the objectification of traditional Korean medicine and technical feasibility of pulse simulation through the suggestion of a pulse simulator. Methods: The concept, validity and reliability of OSCE and the current situation of medical simulation was described. The actual level and problems on the simulator development was presented through haptics and tactile technology in order to compose a pulse simulator for OSCE. Results: The pulse wave system of a pulse simulator should materialize through haptic technology and the classification of the differences between tactile sensation and tactile quality is essential for the development of the relevant pulse simulator for OSCE in traditional Korean medicine. Conclusions: The introduction and controversial issues of OSCE and methodology of pulse wave reappearance system are proposed for the objectification of Traditional Korean Medicine and the development of clinical technology.

• Imaging Science in Dentistry
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• 제40권1호
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• pp.25-32
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• 2010

Purpose : This study was designed to evaluate the efficacy and utility of panoramic radiograph for the improvement of the periodic oral examinations. Materials and Methods : Clinical examinations and panoramic examinations were done for the 242 subjects of oral examinations. The results of panoramic radiograph interpretation were compared with the clinical findings. Two questionnaires were created. One was carried out before the panoramic examination and the other done afterwards, to find out the subjects' cognition and satisfaction for the clinical and panoramic examinations. Results : 1. Panoramic findings showed a higher detection rate of 31.9% for periodontal diseases, and 23.1% for dental caries than clinical findings. 2. The additional abnormalities detected through panoramic examinations were impacted tooth in 81 subjects (33.6%), maxillary sinus abnormalities in 28 subjects (11.6%), condylar abnormalities in 5 subjects (2.1%), congenital and acquired dental anormalies in 59 subjects (24.5%), and other miscellaneous abnormalities in 34 subjects (14.1%). 3. 164 subjects (67.8%) were satisfied with the current periodic oral examination, and 75 subjects (31.1%) hoped for better accuracy. 4. In the first and second questionnaire, 154 subjects (67.0%) and 163 subjects (70.6%) responded respectively that panoramic examination was necessary, and 193 subjects (83.2%) responded that it actually helped. Conclusion : The panoramic examination was revealed to improve the effectiveness of the periodic oral examination and to increase the satisfaction of the subjects of examination.

• Restorative Dentistry and Endodontics
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• 제38권2호
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• pp.79-84
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• 2013

Objectives: This study aimed to investigate the effect of clinical clerkship-associated achievements, such as performance of procedures at the student clinic, observation, and attitude towards a clerkship, on the objective structured clinical examination (OSCE) scores of dental students graduating in restorative dentistry. Materials and Methods: The OSCEs consisted of two stations designed to assess students' clinical skills regarding cavity preparation for a class II gold inlay and a class IV composite restoration. The clerkship achievements, consisting of the number of student clinical procedures performed, observation-related OSCE, and scores of their attitudes towards a conservative dentistry clerkship, were assessed. Correlation and multiple regression analyses were conducted. Results: The correlation coefficient between the OSCE scores for cavity preparation for a class II gold restoration and clerkship attitude scores was 0.241 (p < 0.05). Regarding a class IV composite restoration, OSCE scores showed statistically significant correlations with the observation (r = 0.344, p < 0.01) and attitude (r = 0.303, p < 0.01) scores. In a multiple regression analysis, attitudes towards a clerkship (p = 0.033) was associated with the cavity preparation for a class II gold inlay OSCE scores, while the number of procedure observations (p = 0.002) was associated with the class IV composite restoration OSCE scores. Conclusions: The number of clinical procedures performed by students, which is an important requirement for graduation, showed no correlation with either of the OSCEs scores.

• 대한두경부종양학회지
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• 제4권1호
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• pp.5-11
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• 1988

CT examination has been used in the preoperative examination of patients with head and neck cancer. The accuracy of CT in detecting nodal metastases has not been well established. We studied 35 patients (41 neck specimens) with head and neck cancer who underwent neck dissection. Surgical pathologic findings were compared with preoperative CT scan to establish the diagnostic accuracy for cervical lymph node metastases. The results of physical examination, CT scans of neck and histologic examinations were compared each other. The overall diagnostic accuracy of CT was 83.3%. Comparison with clinical accuracy shows the CT scan to be superior to the clinical examination in spite of careful physical examination, particularly in detecting occult metastases.

• Child Health Nursing Research
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• 제8권4호
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• pp.391-399
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• 2002

Purpose: Knowing the accurate gestational age(GA) is critical in nursing care of premature infants. A descriptive study was performed to examine the reliability and clinical applicability of the New Ballard examination(NBE) in premature infants. Method: A NBE was performed to measure GA by assessing the neuromuscular and physical maturity in the course of physical examination of a convenient sample of 74 premature infants. Result: 1. The highest item of NBE score was posture (mean=2.82) and the lowest item was breast (mean=1.84). 2. There was a highly correlation between both the GA by LMP(GA-LMP) and GA by NBE (GA-NBE)(r=.844, p=.000). 3. There was a greater positive relationship in neuromuscular maturity than physical maturity in the GA-NBE of the premature infants(r=.786 vs r=.933). 4. There was a positive correlation between neuromuscular, physical, total maturity, GA-LMP and GA-NBE in the birth weight, length, 1, 5 minute apgar score. 5. There was no significant difference neuromuscular, physical, total maturity in NBE by delivery history. Conclusion: The study supports the reliability a clinical relevance of NBE in assessment of the accurate GA in premature infants.

• 대한수의학회지
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• 제45권3호
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• pp.439-444
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• 2005

A 7.1 kg, seven-year old, castrated male, Shih-Tzu with severe pruritus, chronic otitis externa and Malassezia infection was referred to Veterinary Medical Teaching Hospital of Chungnam National University. In local animal hospital, steroid therapy was used to treat uncontrollable pruritus, but the clinical signs were recurrent when steroid therapy was discontinued. On physical examination, generalized alopecia, erythema, papules, severe crust and diffuse lichenification were presented. Tape strip test of skin lesions revealed cocci and Malassezia infections. Based on the result of history, clinical signs and examination described above, canine atopic dermatitis with secondary superficial pyoderma and Malassezia dermatitis was diagnosed. Oral challenge with cyclosporine and antibiotics had good results in clinical signs. Clinical sign scores were evaluated by investigator with CADESI at 2weeks, 4weeks, 6weeks, 8weeks and 10weeks after cyclosporine administration. And in the result of comparing of allergen-specific IgE value, the level of allergen-specific IgE to general causative allergen after 10 weeks of cyclosporine therapy was higher than that before cyclosporine therapy.

• 대한임상검사과학회지
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• 제37권1호
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• pp.16-21
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• 2005

To find out the effectiveness of clinical examination for detection of dermatophagoides farinae allergen asthma disease, 50 patients (control group) and 50 healthy persons matched by sex and age to the control group, were tested for allergen asthma. The results of the study follow. The ESR there was significantly different from the comparisons of the patients' normal reference values, 95.3 % in ESR, patient groups allergen asthma and heamatology values with control group. The ESR level of allergen asthma patients, $62.23{\pm}35.09$ mm/hr, was higher than that of the controls, $9.47{\pm}5.36$ mm/hr (p<0.001). The eosinophil count level of the patients, $370.65{\pm}365.45mm^3$, was higher than that of the controls with $171.99{\pm}131.80mm^3$ (p<0.001). The IgE level of the patients, $1137.79{\pm}784.69IU/ml$, was higher than that of the controls with $71.29{\pm}14.28 IU/ml$ (p<0.001).

• 의학교육논단
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• 제13권1호
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• pp.35-43
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• 2011

Purpose: Communication skills are considered as one of the essential requirements in medical education, and the training often involves exercising medical interviews with standardized patients(SP) or role play. This study investigated the helpfulness of the communication skills training programs for students' performance on the clinical performance examination (CPX). Methods: Fourth-year students who have taken one of two communication skills programs(exercising communication skills with SP or elective communication skill course with role play) completed a questionnaire on their evaluation of the helpfulness of communication skills programs immediately after finishing the CPX. Then, the programs were objectively assessed by comparing all fourth-year students' CPX scores between program participants and non-participants. Results: About 70% of participants answered that the programs were helpful to perform clinical clerkship and CPX. However, there was no difference in either the total CPX score or 2 categorical scores(integrated clinical encounter, communication and interpersonal skill) between program participants and non-participants. Conclusion: Although the students felt that the communication skills programs were helpful to their clinical activities, this study failed to find objective evidence of any effect of the programs on the CPX results. Communication skills training should be continued during clinical clerkship to maintain or enhance the skills, and it is necessary to introduce more effective methods for precise evaluation of students' communication skills.