• Title/Summary/Keyword: clinical skills

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Neurobiological basis for learning disorders with a special emphasis on reading disorders (학습장애의 신경생물학적 기전 : 읽기장애를 중심으로)

  • Chung, Hee Jung
    • Clinical and Experimental Pediatrics
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    • v.49 no.4
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    • pp.341-353
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    • 2006
  • Learning disorders are diagnosed when the individual's achievement on standardized tests in reading, mathematics, or written expression is substantially below that expected for age, schooling, and level of intelligence. Subtypes of learning disorders may be classified into two groups, language-based type learning disorders including reading and writing disorder, and nonverbal type learning disorder (NLD) such as those relating to mathematics & visuospatial skills, and those in the autism spectrum. Converging evidence indicates that reading disorder represents a disorder within the language system and more specifically within a particular subcomponent of that system, phonological processing. Recent advances in neuroimaging technology, particularly the development of fMRI, provide evidences of a neurobiological basis for reading disorder, specifically a disruption of two left hemisphere posterior brain systems, one parieto-temporal, the other occipito-temporal. The former is the reading system for beginner reading, the latter for skilled reading. Compensatory engagement of anterior systems around the inferior frontal gyrus(Broca's area) and a posterior(right occipito-temporal) system is noted in persistent poor readers in long-term follow up study. The theoretical model proposed to explain NLD's source is not right hemisphere damage, but rather the white matter model. The working hypothesis of the white matter model is that the underdevelopment of, damage to, or dysfunction of cerebral white matter(long myelinated fibers) is the source of this disorder. The role of an evidence-based effective intervention in the remediation of children with learning disorder is discussed.

Competitiveness in Exports of Pharmaceuticals to Developed Countries: A Comparative Policy Analysis on South Korea and India (선진국으로의 의약품 수출 경쟁력: 한국과 인도를 대상으로 한 정책비교분석 연구)

  • Yun, Su-Jin;Cho, Eun
    • YAKHAK HOEJI
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    • v.56 no.2
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    • pp.116-125
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    • 2012
  • Local pharmaceutical companies in Korea, which have grown focusing on domestic markets, have recently faced difficulties such as market saturation, price control policies and market-opening pressures by FTA. It seems to be an urgent issue for them to export pharmaceuticals to developed countries comprising the greater part of the global pharmaceutical market. Hence, this research was conducted to investigate and benchmark the strategies employed by India industry for the successful access to the global pharmaceutical markets. Drug policies as well as their influences on pharmaceutical market changes between India and Korea for the last 40 years have been searched and the differences have been comparatively analyzed. The pharmaceutical industry of India has the following strengths: low costs; experienced labor pool; excellent reverse-engineering skills; powerful IT; marketing capability; and established distribution network. After 2000, consolidations, M&A and alliances with domestic and multinational companies have been sharply increased in the industry of India. Indian companies unfolding both competition and cooperation with multinational corporations currently move up the value-added chain, and this enthusiastic strategy should be learned by local pharmaceutical companies.

An Analysis of the Familial Dynamics and Characteristics of the Myers-Briggs Type Indicator Characters in the Novel Our Happy Time (소설 "우리들의 행복한 시간"에 나오는 등장인물들의 가족역동과 MBTI 성격유형 분석)

  • Lee, Hye Seung
    • Perspectives in Nursing Science
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    • v.15 no.1
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    • pp.1-10
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    • 2018
  • Purpose: The purpose of this study was to examine the usefulness of the Myers-Briggs Type Indicator (MBTI) through a character analysis of a novel and to improve the understanding of various types of people. This study aimed to increase nurses' understanding and empathy regarding the personality of various patients. Methods: This study categorized the characters in the novel Our Happy Time based on MBTI and analyzed their personality characteristics. Results: It is important for nurses to understand that the following types of patients can be identified using the MBTI: those with a concise explanation (ENTP), a modest attitude (ISFJ), an objective response (ENFJ), and a logical response (ENTJ). Conclusion: It is important for nurses to broaden their understanding of various personality types and backgrounds related to the formation of patients' personalities that they encounter in the clinical field via analyses using the MBTI personality types. Furthermore, understanding communication skills can be an important first step in resolving conflicts that occur during peer interactions.

Review of Neurosurgical Fluorescence Imaging Systems for Clinical Application

  • Kim, Hong Rae;Lee, Hyun Min;Yoo, Heon;Lee, Seung Hoon;Kim, Kwang Gi
    • Journal of the Optical Society of Korea
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    • v.20 no.2
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    • pp.305-313
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    • 2016
  • A number of fluorescence imaging techniques for use in the surgical removal of glioma have been developed over the course of the long history of neurosurgery. Various biomarkers, biochemical agents, and detection systems for glioma have also been developed. This review focuses on 5-aminolevulinic acid (5-ALA), which is used to detect glioma. Numerous forms of fluorescence-guided surgery use 5-ALA, which is helpful to the surgeon. The surgical microscope system is the observational method generally used with 5-ALA, while the loupe, endoscope, and exoscope are simpler alternatives. A system is needed for minimal resection and other issues that arise during neurosurgery. Such an enhanced system should be able to detect low-grade tumors and provide information on microinvasive diseases, resulting in an improved survival rate and better surgical skills. Development of systems that fulfill certain needs would help protect the brain function of the patient and broaden the use of such systems in neurosurgery.

Levels of Partnership between Nurses and Parents of Hospitalized Children and the Quality of Pediatric Nursing Care as Perceived by Nurses

  • Yoo, So Yeon;Cho, Haeryun;Kim, Yae Young;Park, Ji Hyeon
    • Child Health Nursing Research
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    • v.26 no.1
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    • pp.64-71
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    • 2020
  • Purpose: This study investigated the relationship of the partnership between nurses and parents of hospitalized children with the quality of pediatric nursing care as perceived by pediatric nurses. Methods: A cross-sectional descriptive study was conducted among 90 nurses. The data collected were analyzed using the independent t-test and the Pearson correlation coefficient. Results: The level of partnership between nurses and parents showed significant differences by nurses' age (t=2.22, p=.029) and marital status (t=2.54, p=.013). The quality of pediatric nursing care was found to significantly differ by the nurses' age (t=2.62, p=.013), marital status (t=4.17, p<.001), whether nurses had children (t=2.53, p=.020), pediatric ward work experience (t=2.43, p=.020), and total work experience (t=2.51, p=.016). The level of partnership between nurses and parents was positively correlated with the quality of pediatric nursing care (r=.48, p<.001). Conclusion: To improve the quality of nursing care for hospitalized children and their parents, it is important to consider the specific characteristics of pediatric nurses, whose clinical skills should be improved.

Reliability and Validity of the Korean Translation of the Pediatric Evaluation of Disability Inventory in School-Aged Children With Cerebral Palsy

  • Kim, Won-Ho;Park, Eun-Young;Park, So-Yeon
    • Physical Therapy Korea
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    • v.17 no.4
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    • pp.69-76
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    • 2010
  • The purposes of this study were to examine the reliability and validity of Korean translation of Pediatric Evaluation of Disability Inventory (PEDI-K) in school-aged children with cerebral palsy (CP). The PEDI-K, Functional Independence Measure for Children (WeeFIM) and Gross Motor Function Classification System (GMIFCS) were completed in 104 school-aged children with CP by therapists. The internal consistency of the PEDI-K was calculated by Cronbach's alpha (${\alpha}$) for assessing reliability. Concurrent validity was evaluated by correlation with the subsets of WeeFIM. Discriminant validity was assessed by comparing GMFCS levels with tests of the PEDI-K. The results showed that internal consistency was good (Cronbach's ${\alpha}$ ranged from .97~.98). Concurrent validity was demonstrated. The correlation with WeeFIM was high in the Functional Skills (self-care, r=.74~.94; mobility, r=.59~.91; social function, r=.65~.93) and in the Caregiver Assistance (self-care, r=.75~.94; mobility, r=.63~.90; social function, r=.78~.96). Discriminant validity was demonstrated on significant decreases in domain scores with increasing GMFCS levels. Reliability and validity have been demonstrated on the PEDI-K. This study extends usage of PEDI-K in clinical activities and research.

Factors Predicting Condom Use for the Prevention of Sexually Transmitted Diseases among Sex Workers (성매매 종사자들의 성병감염예방을 위한 콘돔사용 예측요인)

  • Ahn, Yang-Heui
    • Research in Community and Public Health Nursing
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    • v.16 no.2
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    • pp.167-176
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    • 2005
  • Purpose: The purpose of this study was to identify factors to predict of condom use for the prevention of sexually transmitted diseases (STDs) among sex workers in a Korean community. The theoretical ground of this study was the Interaction Model of Client Health Behavior. Method: A descriptive, cross sectional and retrospective research design was employed in this study. A total of 100 sex workers who take a clinical check-up on STDs regularly at W Public Health Center were recruited by convenient sampling, and with consent to participate in this study. All of the measures were piloted, and the reliability of each scale ranged from 0.7 to 0.9. Data were analyzed using discriminating function analysis with SPSS-PC. Results: Five independent measures (partner preference for using condoms, subjects desire to prevent STD, age, type of relationship and sexual self-determination) contributed significantly to the best discriminating function. The discriminating function analysis resulted in correct classification of 83.1% of the respondents into their corresponding groups. Conclusion: Condoms are a main means of STDs prevention. Risk-reduction interventions that enhance communication skills and intrinsic motivation will be effective in increasing condom use to prevent STDs among sex workers.

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Effect of Cognitive-Behavioral Treatment in Children with Anxiety Disorder: A Preliminary Study (소아기 불안장애의 인지행동치료 효과 : 예비 연구)

  • Song, Dong-Ho;Ha, Eun-Hye;Oh, Wook-Jin;Ko, Kwang-Bum;Lew, Young-Min
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.19 no.3
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    • pp.182-189
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    • 2008
  • Objectives: This study aimed to evaluate preliminarily the clinical effects of cognitive-behavioral treatment in children with anxiety disorders. Methods: Subjects were 11 children between 2nd and 6th grade with anxiety disorder. All subjects were diagnosed through Kiddie-Schedule for Affective Disorder and Schizophrenia Present and Lifetime Version (K-SADS-PL) interview. The CBT program consisted of sessions once a week (60min/session) for 14 weeks with parent education. Results: Children and parents reported significantly improved social skills, social competence and decreased anxiety. However, there were no significant changes in children's negative thoughts and subjective depressive symptoms. Conclusion: Cognitive-behavioral treatment is expected to be effective in children with anxiety disorders such as generalized anxiety disorder, phobia, separation anxiety disorder, and obsessive-compulsive disorder.

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Research of Database Model of Kim-YoungHun's Medical Chart (청강 김영훈 진료기록 데이터베이스모형 개발연구)

  • Cha, Wung-Seok
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.20 no.2
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    • pp.279-291
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    • 2006
  • Cheong-Gang Medical Chart is 60 years worth of diagnosis records kept by Oriental Medicine Doctor Kim Young Hoon [金永勳, 號 晴崗 1882-1974], who held practice in Seoul's Jong-ro from 1915 till 1974. Kim Young Hoon's eldest son, Kim Ki Su (金琦洙) donated the medical records exceeding a thousand volumes to KyungHee University, and researches are being made presently. The author of Cheong-Gang Medical Chart, Kim Young Hoon, was a medical scholar who studied the essence of the traditional medicine of his time. He was handed down the quintessence of traditional medicine by keeping in touch with the prominent oriental doctors in Seoul at that time, and he constantly applied it to his practice and made records of it. Consequently, his diagnosis charts contain a whole new form of prescriptions, treatment skills, and processes of clinical application that have never been seen before in the texts of Korean Medicine. The writer has written a paper on the present condition of Cheong-Gang Medical Chart, which was published in the Journal of Korean Oriental Medicine in 2004. This manuscript reports the results of the test studies made to develop an efficient database model as a prior step to organizing the medical records into a data bank.

Clinical Implications of Social Communication Disorder (사회적 의사소통장애의 임상적 이해)

  • Shin, Suk-Ho
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.28 no.4
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    • pp.192-196
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    • 2017
  • Social (pragmatic) communication disorder (SCD) is a new diagnosis included under communication disorders in the neurodevelopmental disorders section of Diagnostic and Statistical Manual of Mental Disorders-5. SCD is defined as a primary deficit in the social use of nonverbal and verbal communication. SCD has very much in common with pragmatic language impairment, which is characterized by difficulties in understanding and using language in context and following the social rules of language, despite relative strengths in word knowledge and grammar. SCD and Autism Spectrum Disorder (ASD) are similar in that they both involve deficits in social communication skills, however individuals with SCD do not demonstrate restricted interests, repetitive behaviors, insistence on sameness, or sensory abnormalities. It is essential to rule out a diagnosis of ASD by verifying the lack of these additional symptoms, current or past. The criteria for SCD are qualitatively different from those of ASD and are not equivalent to those of mild ASD. It is clinically important that SCD should be differentiated from high-functioning ASD (such as Asperger syndrome) and nonverbal learning disabilities. The ultimate goals are the refinement of the conceptualization, development and validation of assessment tools and interventions, and obtaining a comprehensive understanding of the shared and unique etiologic factors for SCD in relation to those of other neurodevelopmental disorders.