• Title/Summary/Keyword: clinical guidance

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Types of Coping with a Mistake in Clinical Practice of Nursing Students

  • Jung, Yun;Jung, Sun Young
    • Journal of the Korea Society of Computer and Information
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    • v.24 no.6
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    • pp.141-149
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    • 2019
  • This study was attempted to contribute to enhancing the quality of practical education by using Q-methodology to find out how nursing students cope with a mistake during clinical practice. From October 3rd to 26th, 2016, 30 Q-statements were selected through in-depth interviews and prior papers to identify response patterns for mistakes in the 3rd to 4th grade of the Department of Nursing at K University. The analysis using the QUANL program has four types. the first type was named the frankness type, the second type was named the forwardness type, the third type was named the evasion type, the fourth type was named the anxiousness type. In this paper we proposed that the practical guidance instructor and the field instructor need to understand the individual recognition style of each student and to develop coping strategies considering the individuality and to cooperate with education and guidance. In addition, in order to establish a positive cognitive formation and coping method in case of a mistake, it is necessary to educate management about mistakes in systematic nursing student clinical practice.

Evaluation of Appropriate Management of Chronic Obstructive Pulmonary Disease in Korea: Based on Health Insurance Review and Assessment Service (HIRA) Claims

  • Chung, Sang Mi;Lee, Sung Yong
    • Tuberculosis and Respiratory Diseases
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    • v.80 no.3
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    • pp.241-246
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    • 2017
  • Chronic obstructive pulmonary disease (COPD) is an ambulatory care-sensitive condition, and effective treatment of outpatients can prevent worsening of the illness and hospitalization. Current COPD guidelines provide appropriate guidance for the diagnosis and treatment of patients with COPD. In fact, it has been shown that when appropriate guidance and treatment are performed, the morbidity and mortality rates of COPD patients are reduced. However, there is a gap between the clinical guidelines and the actual clinical treatment. Therefore, the Health Insurance Review and Assessment Service (HIRA) conducted an evaluation of the adequacy of COPD diagnosis and treatment using the Claims Database of HIRA. This review provides a summary of the COPD adequacy assessment results reported by the HIRA and some brief comments on the results.

Changes in Clinical Practice Satisfaction of Healthcare Students Before and After COVID-19 (COVID-19 전·후의 보건계열 학생들의 임상 실습 만족도의 변화)

  • Namkoong, Seung;Ro, Hyo-Lyun
    • Journal of the Korean Society of Physical Medicine
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    • v.17 no.3
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    • pp.41-50
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    • 2022
  • PURPOSE: This study sought to investigate the change in the satisfaction levels of healthcare students regarding clinical practice before and after the coronavirus disease 19 (COVID-19) outbreak. METHODS: This was a longitudinal survey using a structured questionnaire. The first survey was conducted before the COVID-19 outbreak in April 2018, and the second survey was conducted after the outbreak from May to June 2022. The questionnaire used before and after COVID-19 had the same content and was categorized into the following six factors to determine clinical practice satisfaction: practice guidance, practice environment, practice time, practice evaluation, interpersonal relationships, and effectiveness of practice. Before the COVID-19 pandemic, a total of 153 healthcare students (average age: 22.43 ± 1.47 years old), participated from 4 departments: nursing, physical therapy, occupational therapy, and dental hygiene. After COVID-19, 84 students (average age: 22.75 ± 2.87 years old), from the physical therapy, occupational therapy, nursing, and dental hygiene departments participated in the survey. RESULTS: Clinical practice satisfaction was evaluated considering the factors of practical guidance, practice environment, practice time, interpersonal relationships, and practical effects. It was observed that the satisfaction with clinical practice increased in nursing, physical therapy, occupational therapy, and dental hygiene students after COVID-19 compared to the situation before the outbreak. There was no difference seen in the practice time and practice evaluation factors in the occupational therapy department and in the practice time factor in the dental hygiene department before and after COVID. CONCLUSION: In clinical practice under the extremely constrained circumstances imposed by the COVID-19 pandemic, it seems that the emotional internal response is greater, and the satisfaction with clinical practice appears to be relatively higher than before the outbreak.

Non-Pharmacological Behavior Guidance in Pediatric Dentistry (소아청소년의 비약물적 행동유도)

  • Yoo, Seung-Hoon
    • The Journal of the Korean dental association
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    • v.54 no.11
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    • pp.917-922
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    • 2016
  • Attitudes of parents toward behavior guidance techniques used in pediatric dentistry have changed for decades. Some techniques were regarded acceptable with authority of dentists' assistance, but now face the objection of caregivers. For the way of breeding is changing, dentist should understand the situation and try to communicate with caregiver for eliminating misunderstanding of the procedures that could induce lawsuit for abusive techniques. Most of all, dentist should try to find the best method for the patient and help to overcome the fear and anxiety. The meaningful knowledge driven from clinical experience should be shared with other dentists to build up sound theoretical foundation.

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The Study on Vascular Dementia recorded in Chinese Medical Journal (중의잡지(中醫雜誌)에 보고(報告)된 뇌혈관성치매에 대(對)한 고찰(考察))

  • Jung, In-Chul
    • Journal of Haehwa Medicine
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    • v.12 no.2
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    • pp.11-40
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    • 2004
  • This study analyzed the contents of the research papers concerning the vascular dementia(VD) recorded in Chinese medical journal published over the period between 1998 and 2000. As a result, the following conclusion was drawn. The Chinese medical category of VD includes Sun-Mang(善忘), Chi-Mae, Jung-Pung-Chi-Mae and so on, and the Major mechanism of the VD is Bon-Heo- Pyo-Sil(state of deficient vital essence and excessive pestilential vapor;本虛標實), Bon(本) includes Sin-Jeong-Heo-Son(腎精虧損), Ki-Hyeol-Hyu-Heo(氣血虧虛) and Pyo(標) includes Dam-Chae-Eo-Jo(痰滯瘀阻), Ki-Chae-Hyeol-Eo(氣滯血瘀), Gan-Yang-Sang-Hang(肝陽上亢). It is mainly used DSM and evidence of brain-vascular disease in brain CT or MRI as the criterion for diagnosis in Western medicine and MMSE, HDS, ADL is used as assistant diagnostic indicator. "Principle of clinical study guidance for treatment of dementia by Chinese medicine, Western medicine"("中藥新藥治療痴呆 病的臨床硏究指導原則") is mainly used as the criterion for diagnosis in Chinese medicine. It is mainly used "Principle of clinical study guidance for treatment of senile disease by Chinese medicine, Western medicine"("中藥新藥治療老年病臨床硏究指導原則"), "Principle of clinical study guidance for treatment of dementia by Chinese medicine, Western medicine" as the criterion for treatment effect evaluation, and score change of MMSE and HDS is used as assistant evaluation indicator. The research papers reported that the use of prescriptions such as Hwan-Chong-Dan(還聰丹), Noi-Hyeol-So-Tong-Gu-Bok-Yaek(腦血疏通口服液), Yik-Gi-Gyo-Nang(益智膠囊), Cheon-Ma-Chok-Gi-Chung-Je(天麻促智沖劑), Sam-Gap-San-Ga-Mi-Bang(三甲散加味方), Seon-Ryong-Gyo-Nang(仙龍膠囊), Seong-Noi-Tang II(醒腦湯II號), Bo-Sin-Geon-Noi-Tang(補腎健腦湯), Ga-Mi-Tong-Gyu-Hyal-Hyeol-Tang(加味通竅活血湯), So-Jo-Yik-Ji-Bang(疏調益智方), Tong-Gyu-Hwal-Hyeol-Tang-Ga-Gam(通竅活血湯加減), Yik-Sin-Seong-Noi-Tang(益腎醒腦湯) led to the high efficacy.

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Clinical Features Related to Occlusion and Head and Neck Posture in Patients with Internal Derangement of Temporomandibular Joint (악관절내장환자에서 교합관계와 두경부자세의 임상적 양상에 관한 연구)

  • 정호인;한경수;이규미
    • Journal of Oral Medicine and Pain
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    • v.23 no.2
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    • pp.127-141
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    • 1998
  • This study was performed to investigate the clinical features of internal derangement of temporomandibular joint. For this study, 117 patients with temporomandibular disorders and 81 dental students without any signs and symptoms of temporomandibular disorders were selected as the patients group and as the control group, respectively. Preferred chewing side, Angle's classification, lateral guidance pattern, maximal mouth opening range, and affected side were recorded clinically. Head and shouldeer posture was measured in a groundplate on which square diagram of five centimeters each had been drawn, and cephalograph was also taken for measurement of head and neck posture. Sonopak of Biopak system (Bioresearch inc., USA) was used to record joint vibration for evaluation of internal healthy status of temporomandibular joint. The data collected were analyzed by SAS statistical program. The results of this study were as follows : 1. Frequency of left side chewing subjects was higher in patients than in control group, but there was no difference in distribution of subjects by Angle's classification. Other types was prvalent in patients whereas group function was more in control group for lateral guidance pattern. 2. As to lateral guidance pattern by clinical diagnosis, patients with internal derangement and/or degenerative joint disease showed higher frequency was consistent with the result by Sonopak impression. 3. There was no difference for shoulder height between the two groups, however, tilting of head and backward extension of cervical spine was more frequent in control group. 4. Acromion was positioned more anteriorly in patients with internal derangement and/or degenerative joint disease than in control group and angle between eye and tragus was larger in patients. Patients with degenerative joint disease showed more flexed head posture than control group did in cephalometric profile. 5. Maximal mouth opening range in patients with internal derangement was the least in all subgroups in patients classified by Sonopak impression.

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A Survey on the use of veterinary medicines and veterinary pharmacies by companion animal lovers (반려동물애호가 대상 동물의약품 사용 및 동물약국 이용 현황 조사)

  • Ahn, Hwa Young;Kim, Hyun Ji;Heo, Ji Seon;Yeo, Seung Eun;Kim, Yu Hwan;Cheon, Young Ju;Lim, Sung Cil
    • Korean Journal of Clinical Pharmacy
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    • v.32 no.1
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    • pp.47-56
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    • 2022
  • Background: In modern society, the number of households raising companion animals increases, and the market for veterinary medicines is expanding even more. This study aims to investigate the perception of companion animal lovers' veterinary medicines, the necessity of specific guidance by pharmacists for veterinary medicines, the role of pharmacists at veterinary pharmacies, and ways to fulfill that role. Methods: This study evaluated veterinary medicines and medication guidance through Google online questionnaire targeting pet-lovers from December 20, 2021, until January 19, 2022. The questions consist of 1) characteristics of petlovers, 2) purchase history and drug recognition of veterinary drugs, 3) use of veterinary vaccines, 4) use of diagnostic kits, and 5) guidance of veterinary medicines by local pharmacists. Results: The respondents' experience purchasing veterinary drugs was as high as 94.4%. The most purchased drug was heartworm-preventing products, and vaccination was performed mainly at veterinary clinics (veterinarians). The respondents primarily purchased veterinary medicines for companion animals at veterinary hospitals and did not know the name of the drugs which they bought. In addition, respondents expected to receive specific information on veterinary medicines from pharmacists. Conclusion: As the number of veterinary pharmacies in the community will increase with the expansion of the companion animal market, pharmacists should play their role as experts in veterinary medicines through systematic and continuous professional education.

Guidance of Nerve Stimulator and Ultrasound for Transforaminal Epidural Steroid Injection in Lumbosacral Radicular Pain : A Single Institution Experience in Vietnam

  • Viet-Thang Le;Chi Hue Nguyen;Phuoc Trong Do;Anh Minh Nguyen;Khoi Hong Vo
    • Journal of Korean Neurosurgical Society
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    • v.67 no.2
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    • pp.194-201
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    • 2024
  • Objective : This study aimed to evaluate the clinical feasibility of the combination of ultrasound and nerve stimulator guidance in transforaminal epidural steroid injections (TESIs) to manage lumbosacral chronic radicular pain. Methods : Using the combination of nerve stimulator and ultrasound guidance, TESIs were performed in 125 segments of 78 patients who presented with chronic lumbar radicular pain. Demographic characteristics and surgical outcomes were recorded on admission, pre-procedural and post-procedural for 1-week, 1-month, 3-month, and 6-month follow-ups. The result was measured using the Numeric rating scale (NRS) and Oswestry disability index (ODI). Results : Patients who received TESIs showed significant improvements on two evaluation tools (NRS, ODI), compared to that before procedure (p<0.001). No significant complications were observed for 6 months' follow-up. Conclusion : The result suggests that a combination of ultrasound and nerve stimulator guidance in transforaminal epidural injections is safe, reliable and effective for short-term management of lumbar disc herniation. It is a promising technique and has shown good results in providing intermediate pain relief.

Satisfaction Level of Clinical Practice and Related Variables for Students in the Department of Radiology (방사선학과 학생의 임상실습 만족도와 관련 요인)

  • Shin, Sung-Gyu;Im, In-Chul
    • The Journal of the Korea Contents Association
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    • v.10 no.9
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    • pp.276-284
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    • 2010
  • The purpose of this study was to investigate satisfacation level of clinical practice and related variables to develop more effective learning program for students in the department of radiology. We surveyed 138 students who participated in the clinical practice program and they were university or college students in the area of Busan and Kyungnam. As a result, the satisfaction level of professional guidance were the highest and the satisfaction level of practice evaluation were the lowest. In the college students, the satisfaction level of the professional guidance were the highest and the satisfaction level of practice environment were the lowest. In the university students, the satisfaction level of the practice duration were the highest and the satisfaction level of practice evaluation were the lowest. The results of multiple regression analysis between the satisfaction level and the related variables indicated that the status of radiologist in the clinical practice are the major component in the college students and the status of radiologist in the academic duration and the clinical experience are the major component that contribute the satisfaction level in the university students.