scholarly journals A pilot study of Korean Medical Examination

2021 ◽  
Vol 42 (4) ◽  
pp. 1-9
Author(s):  
Junghun Yoo ◽  
Sanghun Lee ◽  
Soyoung Kim ◽  
Daehyeok Kim ◽  
Jeong Hwan Park

Objectives: This study aimed to evaluate the feasibility of the Korean medical examination protocol, which included 14 questionnaires and 20 medical examination devices.Methods: We conducted a pilot observational study of 90 subjects to measure the time required to fulfill each item of the Korean medical examination, to evaluate patient satisfaction, and to report improvements that can be made to the Korean medical examination protocol based on clinical coordinator and subject feedback.Results: Among the 90 subjects included in the study (59 women and 31 men; mean [standard deviation] age, 37.2 [12.3] years), over 80% intended to receive a Korean medical examination if hospitals provided it and would recommend a Korean medical examination to others. The average time spent on the overall Korean medical examination was approximately 88.0 (21.4) minutes. Three areas for improvements were reported: survey issues, including the number of items, understanding, and readability; error issues in device measurements; and environmental issues affecting the sequence of medical examinations and temperature.Conclusions: Most subjects were satisfied with the Korean medical examination. Future studies should be conducted with larger samples to collect data continuously.

2017 ◽  
Vol 17 ◽  
pp. 446-456
Author(s):  
V. V. Yusupov

The issue of development of forensic institutions of Ukraine in the ХХ century was studied. Until 1917, forensic medical examinations were conducted in the medical compartments of the provincial administrations, at the departments of forensic medicine of universities and in hospitals - by police doctors. The chairs of forensic medicine existed in the St. Vladimir Kyiv University, Kharkiv, Novorosiisk and Lviv Universities. Real organization of Ukrainian forensic medical institutions began in 1919 with the creation of the Medical Examination Department at the People’s Commissariat of Health. In 1923, the Main forensic medical inspection, headed by M. S. Bokarius, was founded. In the provinces the positions of forensic medical inspectors were created. In 1927 the sections of biological research were established in the Kharkiv, Kyiv and Odesa institutes of scientific andforensic expertise,where separate forensic examinations were conducted. In 1949 the institutions of forensic medical examination of the USSR were merged into the Bureau of Forensic Medical Examination, in Ukraine it was held in 1951. It was proved that forensic medical institutions developed at the following chronological stages: 1) until 1917 - forensic medical service in the Ministry of Internal Affairs; 2) 1917-1941 - prewar formation of forensic medical institutions; 3) 1941-1949 -forensic medical institutions during the war and in the first post-war years; 4) 1949-1990s - period of development of the bureau of forensic medical examinations of the countries of the USSR; 5) since the 1990s - development of expert institutions in the public health care system in independent postSoviet states. It’s stressed that formation of the forensic institutions in Ukraine is closely related with the development of forensic medicine departments of higher educational establishments. Forensic medicine departments were the basisfor practicalforensic medicine, professors provided daily assistance to forensic medical experts.


2019 ◽  
Vol 61 (1) ◽  
pp. 51-56
Author(s):  
Boris I. Sergeev ◽  
I. E. Kazanets

The migration situation in Russia is characterized by presence of significant number of foreign citizens, including those who are working without official registration and evidence of examination for tuberculosis and other infections. In connection with that, attention is to be paid to propositions concerning organization of preventive examination for tuberculosis in the departure country i.e. medical examination of potential migrants according Russian standards on the basis of local medical institutions. The article presents review of data of official statistics concerning migration and prevalence of tuberculosis including scientific publications about analysis of international experience of organization and implementation of preventive examinations in the departure countries. The experience of implementation of medical examinations of migrants in number of departure countries demonstrates that these programs permit focusing efforts on diagnostic of tuberculosis in one of risk groups hence achieving comparatively high degree of reliability of results and providing economic significance. In the context of conditions in Russia and accounting international experience two scenarios are proposed of implementing preventive examinations for tuberculosis in departure countries: with and without introduction of requirement of preliminary medical inspection of working migrants.


2021 ◽  
Vol 13 (19) ◽  
pp. 10566
Author(s):  
Mohammad Nabipour ◽  
M. Ali Ülkü

The emergence of a new pandemic, known as COVID-19, has touched various sections of the supply chain (SC). Since then, numerous studies have been conducted on the issue, but the need for a holistic review study that highlights the gaps and limits of previous research, as well as opportunities and agendas for future studies, is palpable. Through a systematic literature review on blockchain technology (BCT) deployment in supply-chain management (SCM) concerning the COVID-19 pandemic, this research seeks to add to the content of previous studies and to enlighten the path for future studies. Relevant papers were found using a variety of resources (Scopus, Google Scholar, Web of Science, and ProQuest). Seventy-two articles were systematically selected, considering the PRISMA procedure, and were thoroughly analyzed based on BCT, methodologies, industrial sectors, geographical, and sustainability context. According to our findings, there is a significant lack of empirical and quantitative methodologies in the literature. The majority of studies did not take specific industries into account. Furthermore, the articles focusing on the sustainability context are few, particularly regarding social and environmental issues. In addition, most of the reviewed papers did not consider the geographical context. The results indicate that the deployment of BCT in several sectors is not uniform, and this utilization is reliant on their services during the COVID-19 pandemic. Furthermore, the concentration of research on the impacts of the BCT on SCM differs according to the conditions of various countries in terms of the consequences of the COVID-19 pandemic. The findings also show that there is a direct relationship between the deployment of BCT and sustainability factors, such as economic and waste issues, under the circumstances surrounding COVID-19. Finally, this study offers research opportunities and agendas to help academics and other stakeholders to gain a better knowledge of the present literature, recognize aspects that necessitate more exploration, and drive prospective studies.


2020 ◽  
pp. 65-70
Author(s):  
A. Skachkov

To identify the influence of various factors on the body of drivers, a regular medical examination is carried out before the trip. Meanwhile, during its conduct, there are problems that consist in significant time costs, lack of necessary equipment, difficulties in conducting examinations at night and on weekends, etc. According to the author, many of these can be solved by creating special remote automated medical examination systems. The article offers solutions implemented by Air Liquide, as well as the results of the analysis of the obtained statistics.


2021 ◽  
Vol 52 (2) ◽  
pp. 189-212
Author(s):  
Macarena Santana ◽  
Miguel Nussbaum ◽  
Susana Claro ◽  
Sebastián Piza ◽  
Patricia Imbarack ◽  
...  

Even when parents have the time required to support their children’s education, they can increase their children’s anxiety about school when they try to help, especially if they are not confident in their own abilities. This study measures the effects of having parents complete nonacademic schoolwork with their teenage children. Half of the 422 participating parents were randomly assigned to receive weekly assignments for nonacademic activities to complete with their children, whereas the other half received information about upcoming mathematics tests. Mathematics-anxious students benefited from working on the nonacademic assignments, performing significantly better on their mathematics tests and decreasing their mathematics anxiety after treatment. These findings highlight the importance of involving parents in ways that feel nonthreatening to their children.


2003 ◽  
Vol 86 (5) ◽  
pp. 899-908 ◽  
Author(s):  
Nancy J Thiex ◽  
Shirley Anderson ◽  
Bryan Gildemeister ◽  
W Adcock ◽  
J Boedigheimer ◽  
...  

Abstract A method for determining crude fat in animal feed, cereal grain, and forage (plant tissue) was collaboratively studied. Crude fat was extracted from the animal feed, cereal grain, or forage material with hexanes by the Randall method, also called the Soxtec method or the submersion method. The use of hexanes provides for an alternative to diethyl ether for fat extractions. The proposed submersion method considerably decreases the extraction time required to complete a batch of samples compared to Soxhlet. The increase in throughput is very desirable in the quest for faster turnaround times and the greater efficiency in the use of labor. In addition, this method provides for reclamation of the solvent as a step of the method. The submersion method for fat extraction was previously studied for meat and meat products and was accepted as AOAC Official Method 991.36. Fourteen blind samples were sent to 14 collaborators in the United States, Sweden, Canada, and Germany. The within-laboratory relative standard deviation (repeatability) ranged from 1.23 to 5.80% for crude fat. Among-laboratory (including within) relative standard deviation (reproducibility) ranged from 1.88 to 14.1%. The method is recommended for Official First Action.


2018 ◽  
Vol 3 (3) ◽  
pp. 2473011418S0022
Author(s):  
Robert Graham ◽  
Collin Innis ◽  
Benjamin Stevens

Category: Hindfoot Introduction/Purpose: Small studies on gastrocnemius recession for Achilles tendinopathy with associated contracture of the gastrocnemius muscle are encouraging. The analyses have demonstrated fewer postoperative complications, shortened recovery time, and earlier return to work as compared to traditional surgical management of Achilles debridement and repair. Investigators have reported good patient satisfaction, substantial pain reduction, and restoration of dorsiflexion. However, there have been no large studies specifically looking at the outcomes of gastrocnemius recession for either chronic insertional or noninsertional Achilles tendinopathy. The purpose of this study was to review the efficacy of the gastrocnemius recession in mitigating pain for patients who have chronic Achilles tendinopathy with isolated gastrocnemius contracture and have failed nonoperative management. Methods: The records of patients with isolated gastrocnemius contracture were retrospectively reviewed who underwent an isolated gastrocnemius recession to treat insertional or noninsertional Achilles tendinopathy as performed by a single surgeon spanning from 2011 to 2017. Minimum follow-up time required was 6 months with an average of 25.5 months follow-up among all responders with a range from 6 to 63 months. Patients were excluded by the criteria of any other concomitant foot deformities, diagnoses, or surgical procedures performed. Clinical outcome was evaluated using a mail-in patient satisfaction questionnaire. One hundred and thirty-nine patients were identified to have underwent an isolated gastrocnemius recession to treat chronic insertional or noninsertional Achilles tendinopathy that was refractory to conservative management for a minimum of six months. Sixty-six patients (76 legs) of those eligible responded. Results: Sixty-three out of 66 patients (95.5%) were satisfied with the results of the procedure overall. Sixty-two out of 66 patients (93.9%) would elect to repeat the surgery if they knew their results in advance. Sixty-one out of 66 patients (92.4%) would recommend the surgery to a family or friend with the same diagnosis. The most frequently reported postoperative complication was 9 accounts of swelling (out of 76 legs; 11.8%). There were no reports of sural nerve injury. Responses for Visual Analogue scale (VAS) for pain were only eligible if they had reported a preoperative VAS score on their preoperative intake form. This made 23 patients eligible with an average preoperative pain of 8.43/10 and an average postoperative pain of 0.91/10. Conclusion: Gastrocnemius recession for treating chronic Achilles tendinopathy was found to be an effective procedure to mitigate pain in patients with isolated equinus contracture. To our knowledge, this is the largest study assessing gastrocnemius recession for treatment of chronic Achilles tendinopathy.


2002 ◽  
Vol 96 (2) ◽  
pp. 244-247 ◽  
Author(s):  
William C. Broaddus ◽  
Kathryn L. Holloway ◽  
Charles J. Winters ◽  
M. Ross Bullock ◽  
R. Scott Graham ◽  
...  

Object. The authors designed a study to compare low-profile titanium miniplate fixation to that in which stainless steel wire is used. Methods. Before undergoing craniotomy, 40 patients gave informed consent and were randomized to receive either wire or miniplate fixation. After dural closure, bone flap fixation was timed. The bone flap was measured for inward or outward offset and mobility to manual pressure on its margin. Three months postoperatively the bone flap margins were graded for appearance or palpation of an offset and for the presence of burr hole depressions. Twenty-four patients were randomized to receive miniplate fixation and 16 to receive stainless steel wire fixation. The time required for wire fixation was approximately 40% longer than that for miniplates (11.8 ± 5.1 minutes compared with 8.3 ± 5 minutes, p = 0.02). The offset of bone flaps after wire fixation was significantly greater than that with miniplates (1.6 ± 1 mm compared with 0.3 ± 0.6 mm, p < 0.001), as was the mobility of the bone flap on digital pressure (1.2 ± 0.9 mm compared with 0.2 ± 0.5 mm, p < 0.001). At the 3-month follow-up review, two of 12 patients had suboptimal results after wire fixation, whereas none of 14 patients had suboptimal results after miniplate fixation. When dichotomized for excellent or less-than-excellent postoperative results, the data were significantly better for patients who underwent miniplate fixation (p < 0.05). Conclusions. Titanium miniplate cranial fixation provides more accurate and rigid reapproximation of the bone edges, with results that are significantly better on close inspection or palpation. The additional cost of miniplate fixation may thus be justified in many cases.


Radiocarbon ◽  
1976 ◽  
Vol 18 (2) ◽  
pp. 210-220 ◽  
Author(s):  
J J Stipp ◽  
K L Eldridge ◽  
R Cadwell

The following radiocarbon measurements are a partial list of projects and samples dated since the Spring of 1975. The technique used is liquid scintillation counting of wholly synthesized benzene as indicated in R, v 16, p 402-408. The intermediate chemical step of converting CO2 to Li2C2 has been modified so that the CO2 is reacted with the lithium metal at a temperature of 950° to 1000°C instead of the 600°C as formerly done (Tamers, 1975). This modification has had the effect of reducing occasional variable losses in conversion yields in this step, and reducing the reaction time required from 30 min to 10 min for a typical ¼ mole sample. Dates are calculated using a 14C half-life of 5568 yr and errors are reported as one standard deviation. No other correction factors are applied.


2017 ◽  
Vol 83 (5) ◽  
pp. 458-464 ◽  
Author(s):  
Ryan D. Eubanks ◽  
Jesse N. Nodora ◽  
Chiu-Hsieh Hsu ◽  
Marian Bagley ◽  
Marcia E. Bouton ◽  
...  

Patients with limited health literacy (HL) have higher likelihood of problems with communication and may decrease patient satisfaction. This study was performed to determine the time required for routine HL assessment and its effect on patient satisfaction. Retrospective review over four years of consecutive patients who attended a breast clinic who underwent HL assessment as part of routine care. A total of 3126 consecutive patients from 2010 to 2014. Of the 3126 patients (96.9%), 3030 of were capable of undergoing HL assessment. No patients refused assessment, but one patient was inadvertently missed [3029 of 3030 patients (99.9%)]. The average age was 45 years and 10.5 years of education. The average time required was 1:57 minutes. Only 19 per cent of patients had adequate HL. Per each 1000 patients the time decreased (2:07, 1:58, 1:47; P < 0.001). Newest Vital Sign score did not change with time (1.6, 1.8, 1.7; P = NS). Patient satisfaction ratings increased during each subsequent year of HL assessments (P = 0.002). Routine HL assessment is feasible in surgical practice. HL assessment allows for identification of patients at risk for mis-communication. Implementation of communication strategies as described on the AMA website can improve patient-clinician communication and improve patient satisfaction.


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