No abstract available.
Korea ; Physician's Practice Patterns

No abstract available.
Korea ; Physician's Practice Patterns

Ethics, Medical ; Humans ; Physician's Role ; Physician-Patient Relations ; Practice Patterns, Physicians' ; Singapore ; Social Identification ; Social Responsibility ; Trust

Autoimmune pancreatitis (AIP) is a unique type of chronic pancreatitis in which pathogenesis involves autoimmune mechanism. During the past decade, several different diagnostic criteria for AIP have been reported from various countries. A set of international consensus diagnostic criteria and algorithm for AIP has recently been proposed by a consensus of expert opinion. The goal of the international consensus diagnostic criteria and algorithm for AIP is to develop criteria that can be applied worldwide, taking into consideration the marked differences in clinical practice patterns between countries. They also aim at diagnosing AIP nonsurgically and avoiding misdiagnosis of pancreatobiliary malignancies as AIP. This review discusses the recent advances in the diagnosis and management of AIP based on the international consensus diagnostic criteria. We also suggest modified algorithm for diagnosing AIP for Korean practice.
Consensus ; Diagnostic Errors ; Expert Testimony ; Pancreatic Neoplasms ; Pancreatitis ; Pancreatitis, Chronic ; Physician's Practice Patterns

PURPOSE: The purpose of this cross-sectional survey was to determine the reliability and validity of the Korean version of the Belongingness Scale-Clinical Placement Experience (BS-CPE). METHODS: The study conducted a cross-sectional survey which used a self-report questionnaire. A convenient sampling method was utilized, and data on 335 students was gathered. We verified construct validity by performing confirmatory factor analysis. RESULTS: The overall Cronbach's alpha score was .90 (range: .71-.84). BS-CPE was correlated with self-respect (r = .47, p < .001) and self-directed learning (r = .50, p < .001). The original BS-CPE was modified based on the validity test. CONCLUSION: This modified Korean version of the BS-CPE is applicable for use with university undergraduates to measure belongingness in clinical practice.
Cross-Sectional Studies ; Humans ; Learning ; Physician's Practice Patterns ; Reproducibility of Results ; Students, Nursing ; Surveys and Questionnaires

OBJECTIVE: The study was conducted by the Association of Korean College of Nursing in order to survey and analyze the current state of clinical practicum for adult health nursing at four-year nursing college in Korea and to suggest improvements in the contents and methods of clinical practicum and its future direction. METHOD: Data were collected using a survey by mail from July to November 2004 using a structured questionnaire on the general state of clinical practicum for adult health nursing. The questionnaires were sent to 53 nursing colleges throughout the country, and 47 recovered questionnaires were analyzed. RESULTS: The number of credits for adult health nursing practicum was 7~10(average range), and various nursing fields were used in clinical practicum. The number of students per team was 5~6 at general wards and 3~4 at intensive care units. Students also experienced practicum during daytime and in the evening. Clinical practicum for adult health nursing was led by full-time professors and field practicum directors. In clinical practicum for adult health nursing, almost every college evaluated students' attitude, skills, leadership, etc. in various forms. CONCLUSIONS: It is urgent to develope a standardized evaluation tool for clinical practicum.
Adult* ; Education, Nursing ; Humans ; Intensive Care Units ; Korea* ; Leadership ; Nursing* ; Patients' Rooms ; Physician's Practice Patterns ; Postal Service ; Surveys and Questionnaires

PURPOSE: Endovascular treatment for peripheral arterial obstructive disease (PAOD) is replacing traditional arterial bypass in the western world. Yet there are few reports to evaluate the pattern of clinical practice pattern for PAOD in Korea. This study was conducted to evaluate the treatment pattern for PAOD between endovascular treatment and arterial bypass, and to compare their clinical characteristics. METHODS: We conducted a retrospective study on the prospectively maintained database of patients who underwent endovascular treatment and arterial bypass for PAOD from March 2005 to December 2009 in Inha University Hospital. The aortoiliac lesions and femoropopliteal lesions were categorized by the Trans Atlantic Inter-Society Consensus (TASC) II classifications. Their treatments and clinical characteristics were compared between the former period (2005~2007 y) and the latter period (2008~2009 y). RESULTS: Three hundred nine cases (178 patients) were treated for PAOD by either arterial bypass or endovascular treatment. The patients' mean age was 69.1+/-11.3 year old. There was no difference in clinical characteristics between the two periods except for age. Endovascular treatments of both aortoiliac and femoropopliteal arterial lesions were increased in the latter period (P=0.023, P<0.001). Also, the endovascular treatments were increased in the TASC C and D aortoiliac and femoropopliteal lesions in the latter period (P=0.020, P<0.001). CONCLUSION: Endovascular treatment for PAOD is increasing in clinical practice and this shows feasibility in critically ill patient with TASC C and D lesions, although arterial bypass is still important.
Angioplasty ; Arterial Occlusive Diseases ; Atherosclerosis ; Consensus ; Critical Illness ; Humans ; Korea ; Physician's Practice Patterns ; Prospective Studies ; Retrospective Studies ; Western World

PURPOSE: The purpose of this study was to compare the patterns of clinical practice in procedural sedation and analgesia (PSA) during lumbar puncture (LP) between the emergency medicine residents (ER) and the pediatric residents (PR), and to evaluate factors that impeded decisions to use sedation and analgesia during LP. METHODS: The survey was sent to ER and PR in a tertiary referral hospital. The survey inquired about clinical practice patterns, experience of PSA training, current administration of PSA during LP and factors that influence PSA use. RESULTS: Sixteen ER and nineteen PR completed the survey. PR were more confident in LP skill than ER. ER used topical analgesic cream and injectable lidocaine more frequently than PR. The most influential factor in PR administering systemic sedative was the concern of respiratory compromise. PR reported less training opportunities during residency than ER. CONCLUSION: Both ER and PR under-administered sedation and analgesia for LP in pediatric patients. ER were administering more injectable lidocaine and topical analgesic cream for LP in children compared to PR. In spite of the increased ER training opportunities, there are rooms for improvement in the practice of sedation and analgesia.
Analgesia ; Analgesics ; Child ; Emergencies ; Emergency Medicine ; Humans ; Internship and Residency ; Lidocaine ; Physician's Practice Patterns ; Spinal Puncture ; Tertiary Care Centers

Phototherapy with PUVA or UVB has been used to treat a wide variety of diseases such as psoriasis, vitiligo, atopic dermatitis and mycosis fungoides, etc. The present study was performed to investigate the pattern of phototherapy in the phototherapy clinic of Yonsei Medical Center. One thousand six hundred ninety two patients who received PUVA or UVB phototherapy were included in this study. We analyzed the protocols for phototherapy between 1985 and 1994. The number of phototherapy per year increased sharply until 1991 and thereafter it has remained relatively constant. The most common age group at the start of phototherapy was the third decade. The most common indications for PUVA and UVB phototherapy were vitiligo and psoriasis, respectively. Most patients had received less than 50 treatments of PUVA and less than 200 J/cm2 of cumulative UVA. Most patients had received less than 50 treatments with UVB and cumulative UVB doses were variable. We had not found any malignancy in the skin. Since the maximum safe cumulative doses of UVA or UVB have not yet been established, it is difficult to decide when phototherapy should b discontinued. The data presented in this study needs to be further analyzed in correlation with photoaging and cancer development for the safe usage of phototherapy.
*Academic Medical Centers ; Adult ; Female ; Human ; Korea ; Male ; *PUVA Therapy/utilization ; Physician's Practice Patterns ; Radiation Dosage ; *Ultraviolet Therapy/utilization

No abstract available.
Aging ; *Attitude of Health Personnel ; Health Knowledge, Attitudes, Practice ; Humans ; *Physician's Practice Patterns ; Physicians ; Prostatectomy ; Risk Factors ; Urinary Bladder/physiology ; Urinary Incontinence/*epidemiology/*psychology ; Urination/physiology