• Title/Summary/Keyword: physical examination

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The Effect of Web-based Multimedia Contents for a Course of Physical Examination and Health Assessment (웹기반 건강사정 멀티미디어 컨텐츠의 학습효과)

  • O Pok-Ja;Kim Il-Ok;Shin Sung-Rae;Jung Hoe-Kyung
    • Journal of Korean Academy of Nursing
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    • v.35 no.5
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    • pp.810-816
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    • 2005
  • Purpose: This study was to test the effectiveness of Web-based multimedia contents for Physical Examination and Health Assessment on learning achievement. Method: Multimedia contents based on Jung's teaching and learning structure model were used to enhance learning achievement. Learning achievement was measured by the knowledge of Physical Examination and Health Assessment. The participants of this study were students in a BSN and RN-BSN program in a university located in Seoul. 59 students in the experimental group received lectures using web-based multimedia contents and 75 students in the control group received regular lectures. Results: The mean score of the degree of educational achievement in the experimental group(mean=31.09) was significantly higher than in the control group(mean=25.55)(t=-3.883, p=.000). Conclusion: These web-based multimedia contents were found to maximizethe effectiveness of the teaching process when used as a teaching aid, and yet kept the strength of a face to face teaching learning method. This program is recommended as part of a main text, vital teaching aid or cyber lecture materials in nursing schools and in health care educational institutions.

The Effect of Clinical Performance Improving by Application of Core Skill-TLP (Core Skill-TLP가 임상수행능력 향상에 미치는 효과)

  • Hwang, Hyun-Sook
    • Journal of the Korean Society of Physical Medicine
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    • v.7 no.2
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    • pp.231-239
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    • 2012
  • Purpose : The purpose of this study is to investigate the effect of clinical performance improved by the application of the Core-Skill TLP to students. Methods : The subject of the study were 48 students who are enrolled in the 2nd semester of the 3rd year in the department of physical therapy. In order to compare the difference in physical examination and intervention, clinical practice integration as well as interpersonal communication skills were measured before and after clinical performance experiments by using the questionnaire. Result : The results are as follows. There was an improvement after examination & intervention about mean 1.52(t=16.928, p=.000), in clinical practice integration 1.30(t=14.541, p=.000) and in interpersonal communication skills 0.86(t=9.510, p=.000). It shows the significant difference in statistics. Conclusion : According to these results, the Core-Skill TLP is proved as a good learning strategy and could be strongly recommended since it significantly improved physical examination & intervention, clinical practice integration and interpersonal communication skills.

Veiled Paraquat Poisoning - A Focus on Clinical Characteristics (베일에 가린 파라쿼트 중독 - 임상적 특징을 중심으로)

  • Song, Ye-Wan;Choi, Sang-Cheon;You, Young-Yeol;Shin, Yeoun-Ho;Park, Eun-Jung;Ahn, Jung-Hwan;Min, Young-Gi;Jung, Yoon-Seok
    • Journal of The Korean Society of Clinical Toxicology
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    • v.9 no.1
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    • pp.14-19
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    • 2011
  • Purpose: Most paraquat poisonings are easily diagnosed by history taking on physical examination, however, some are failed to be diagnosed initially if the poisoning was veiled. The purpose of this study was to explore the clinical characteristics of veiled paraquat poisoning. Methods: We retrospectively reviewed the medical records of patients whose discharge diagnosis was paraquat poisoning in one university teaching hospital between 1 Jan, 2001 and 31 Dec, 2010. Veiled paraquat poisoning was determined when there was a positive urine paraquat kit in patients who did not mention paraquat poisoning in an initial physical examination or had unknown cause of pulmonary fibrosis, acute renal failure, or multi-organ failure. Results: Of the 117 patients with paraquat poisoning during the study period, 6 patients (5.1%) had veiled paraquat poisoning. The clinical characteristics were 1) proteinuria - 6 (100%), 2) increased creatinine - 4 (66.7%), 3) green skin stains - 2 (33.3%), 4) mucosal ulcer - 3 (50%). Blood chemistry results were variable. Conclusion: We should suspect veiled paraquat poisoning for patients who have proteinuria, increased creatinine, green skin stain, mucosal ulcer and vomiting, or if they have rapidly progressing acute renal failure or multi-organ failure with unknown cause, even if patients didn't mention about paraquat poisoning upon the initial physical examination. In cases with the above clinical conditions, a thorough repeated physical examination including history taking and use of urine paraquat kits should be performed.

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A Study of Evaluating Eye Movement Based on Ocular Motor Score for Children with Spastic Cerebral Palsy

  • Jeong, Seo-Young;Oh, Tae-Young
    • The Journal of Korean Physical Therapy
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    • v.32 no.6
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    • pp.341-347
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    • 2020
  • Purpose: The purpose of this study is to introduce a tool for evaluating eye movement and analyze the reliability of measurement based on 10 cases of evaluating the oculomotor function of children with spastic cerebral palsy Methods: The participants were selected by 6 medical and welfare institutions in Busan as GMFCS grade 1-3 among spastic diplegia and hemiplegia. Seven examiners evaluated 3 children for the evaluation of inter-rater agreement of Ocular Motor Score (OMS) and evaluated the condition of the ocular motor of 10 children using OMS, a re-examination was performed at six weeks after the initial examination. SPSS ver.25.0 was used to calculate the interclass correlation coefficient and Wilcoxon's signed-rank test, Mann Whitney-U test. Results: The inter-rater agreement of OMS was 0.89. Second mean values were decreased compared first examination in motility/ductions/version, saccades and smooth pursuit, but there was no significant difference. Children under 6 years old had a high mean value of saccades in first examination and the motility/ductions/version, fixation, saccades in second examination, but there was no significant difference. Spastic diplegia children's mean values were higher in head posture, fixation in 8 gaze directions than hemiplegia children in both first and second examination, but there were no significant differences. Conclusion: Ocular motor function in 10 children of spastic children who participated in the study and could see that the scores was differed depending on age, type, grade of cerebral palsy. OMS may be available for this purpose.

The Craniofacial Pain and the Personality Characteristics in the Students who Failed the College-Entrance Examination (대입재수생의 두경부 동통 발생 양상과 인성 특성)

  • 구자윤;기우천;최재갑
    • Journal of Oral Medicine and Pain
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    • v.23 no.1
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    • pp.57-64
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    • 1998
  • Personality characteristics were studied by means of SCL-90-R test, Behavioral problem and pain site was studied Isleep disturbance, irregular eating habit, decreased physical activity, decreased social activity, increased emotional tension) by examination sheets. This study was conducted to examine the mature and extent of psychological difference between the students who failed the college-entrance examination and freshment and to determine whether psychological distress acts as a precipitate for craniocervical pain. 96students who failed the college-entrance examination (examination-failed student) and 86 freshmen were included in this study. The obtained results were as follows : Mean T-score of SCL-90-R primary scaled and global Indies in examination-failed students were significantly higher than the freshmen group. In comparison with examination-failed student group, the prevalence of neck and shoulder pain was significantly higher than the freshmen group. When the study and control group were compared in behavioral problem the study group had not more sound sleep than the control group. The study group had more irregular eating habit than control group. The study group had the lower physical activity than control group. The study group had poor social activity than control group. There was no significant difference in emotional tension.

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The Effects of Self-Determination Motivation and Ego Resilience on Grit of the Secondary School Physical Education Teacher Certification Examination (중등 체육교사 임용고사 준비생들의 자기결정성 동기와 자아탄력성이 그릿에 미치는 영향)

  • An, Jung-Hun;Kim, Sang-Tai
    • Journal of the Korea Convergence Society
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    • v.10 no.11
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    • pp.419-428
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    • 2019
  • This study aims to verify the self-determination motivation and ego resilience on the grit of the preparing students for the secondary school physical education teacher certification examination to provide basic data to improve the level of grit required for them to pass the certification examination and be appointed as physical education teachers. Thus, in order to achieve the objectives of this study, 403 students were verified through one-way ANOVA and correlation analysis and stepwise multiple regression analysis, which resulted in the following conclusions: The higher the level of intrinsic motivation and ego resilience, the higher the level of the grit sub-factors. Self-determination motivation and ego resilience that affect grit the most are found to be intrinsic motivation. Next came positive thinking, emotion regulation, problem solving and identified motivation factors. The results of this study suggest the importance of dealing with self-determination motivation and ego resilience affecting grit, and put forward the limitations of the study and future directions of research.

The Phsical therapeutic Approache of Low Back Pain On the Study of Cause and Phscal Examination (요통의 물리치료적 접근 -원인과 물리적진단 중심으로-)

  • Park Youn-Ki;Park Ji-whan
    • The Journal of Korean Physical Therapy
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    • v.3 no.1
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    • pp.221-227
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    • 1991
  • Regardless of the age, Low back pains are appeared to the highest occurrence ratio and every one meet with the disease once at least through life. In order to treat a pain, therefore, it make a accurated treatment program by the accurated a cause and evaluation and can expected to effects of treatment. In order to do the perfected physical therapy, futhermore, it is nessessary more systematic studies not a cause and physical diagnosis but pathological aspects.

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Are Magnetic Resonance Imaging Findings of Ankle Instability Always Correlated with Operative and Physical Examination Findings? (외측 인대 손상의 자기공명영상 소견들이 수술 소견 및 신체검사와 항상 일치할까?)

  • Park, Hyun-woo
    • Journal of Korean Foot and Ankle Society
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    • v.25 no.1
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    • pp.1-5
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    • 2021
  • Physical examination and surgical findings and symptoms are often inconsistent with magnetic resonance imaging (MRI) findings when diagnosing chronic ankle lateral ligament instability, and confirmed surgical findings are used as the gold standard in most clinical studies. Anterior drawer testing is considered unreliable because normal findings are highly variable, and its accuracy ranges from 50% to 100%. Furthermore, radiographic stress imaging, such as in anterior drawer stress view, is performed under manual stress or using a stress device, and its findings also vary widely and confuse when interpreting stress views. The average accuracy of MRI findings is around 85% (range, 66%~91.7%), and thus, cannot be used as a primary indicator for surgery. For patients with suspected lateral ankle ligament instability, based on symptoms and physical examination findings, MRI may be useful for identifying lesions in ankle joints and for differentiating them from other conditions.

The Analysis of the Physical Examination of Elementary & Secondary School Students -Centering on the Primary Health Assessment- (초(初)·중(中)·고등학생(高等學生)의 체질검사(體質檢査) 실태분석(實態分析) - 1차(次) 건강사정(健康査定)을 중심(中心)으로-)

  • Lee, Kang Soon;Chung, Yeon Kang;Park, Keoi Sug
    • Journal of the Korean Society of School Health
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    • v.7 no.1
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    • pp.9-28
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    • 1994
  • This study is to investigate the status and problems in the anual physical examination in elementary & secondary schools. The study helps the introduction of health assessment. Two hundreds and forty nurse teachers of elementary & seconcary school in Seoul received in-service traomong fpr 20 daus frp, September 7 to September 27, 1992. Questionnaires were given to the 240 teachers and the number of collected questionnaire is 112. The result of the questionnaire analysis is like the following. First, the answered teachers aged 35~39, 36.6%; experience 6~10 years 37.5%; the number of class 31~40, 28.6%. Among the answered of the school doctors is practicioners. The doctors major subjects are 26.8% of internal medicine and 35.7% of surgery. Second, in elementary & secondary school nurse teachers received in-service training for the primary health assessment. And then 37.5% of schools practiced the health assessment. The term of the health assessment is largely a-year-length, occurately its rate of schools have practiced the assessment reaches 81.0%. The number of health assessment are consist of eyes, nose, ear, throat, skin, spine, heart and other abnormal regions and diseases all over the body. And 83.3% of the rate of the health assessment includes all these contents. The period of the health assessment is 7 to 28 days. Third, the physical examination conducted by school doctors is 91.0%. The method is various; one is 56.6% of the students who checked first by he nurse teacher. The number of 15.1% of the schools is directly checked by the school doctor. The invited medical doctors are divided into two categories. The number of general physician is 61.9%. Contrary to that school doctors are 38.1%. The contents of the medical examination is all the items printed on the medical examination sheet. To follow the medical examination sheet the number of school is 59.6%. Eyes, throat, skin and heart etc. partly medical examination is 40.4%. The rate of schools that used only stethoscope, tongue pressor as the medical instruments reaches 53.4% and 87.1% of elementary & secondary school give the invited doctors the allowance a nurse teachers conference decided. The number of 8.9% schools pay the doctors independent allowance. The medical examomatopm allowance is 200 to 250 won per capita. The rate is 56.1%. Forth, after the medical examination 72.1% of school sends letter to the parents to notice the result of the examination. The number of response from parent is 12.5%. The observation record in secondary school is 70.6% for junior, and 80.0% for senior respectively, and 65.5% is for the elementary school children. To conclude the regular physical examination in elementary & secondary school is very important. Because the students are in the stage of rapid growth and development. Early finding of the students diseases can help to cure with ease. In the light of public health the management of health program in the elementary & secondary school is of consequence.

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