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장성호(Seong Ho Chang),안덕선(Deok Sun Ahn),유세화(Se Wha Yoo),김형규(Hyoung Kyu Kim) 한국의학교육학회 1993 Korean journal of medical education Vol.5 No.1
This study was carried out to provide some principles for the improvement of clinical training in medical students. To investigate the current problems in our systems of clinical training, we made sev eral questionnaires and distributed to the individuals of each survey groups. Senior medical students (59), interns (31), residents (14) and medical staffs (15) were included in these survey groups. The summarized current problems in clinical training are as follows : 1) lack of personnels in charge of clinical training, 2) lack of objective criteria for the evaluation of clinical training, 3) lack of involvement of students in clinical patient management, 4) needs of improvement in contents of clinical education, 5) lack of strict execution of education program, 6) lack of places for clinical education, 7) lack of interests in clinical training of the staffs, 8) needs of the orientation for the students about hospital systems. With this summary we held workshop for the staffs (29) in charge of clinical education. The summarized methods to improve clinical education were to promote interests in clinical education of staffs, to select the personnel in charge of clinical education, to make assignment of patient to the students, to let the student write patient progress note, to improve evaluation method for clinical education, to orient student about clinical education.
지종대,박승철,유세화,인광호,김민자,신현재,김우주,우흥정 대한감염학회 1993 감염 Vol.25 No.4
The combination of ticarcillin and clavulanic acid (Timentin) was used in a non-randomized open study in 30 patients with lower respiratory tract infection to assess the clinical efficacy and safety of the drug. The clinical diagnosis were: pneumonia (26), lung abscess (2), chronic bronchitis (1), and acute exacerbation of chronic obstructive pulmonary disease (1). Timentin 3.2g were administered every 6 or 8 hours for a mean duration of 10.6 days (range 3∼20 days). Timentin was clinically effective treatment in 23 (79%) of 29 evaluable patients. The isolated pathogens were P. aeruginosa(7), K.Pneumoniae(3). S.Pneumoniae(3), S.aureus(2), E. aerogenes (2) and other organisms(5). Four patients with infection due to P. aeruginosa were failed. Infection due to other organisms except P. aeruginosa were 14 cases and showed high cure rate of 86% (12/14). Adverse effects were reported from 3 patients: one drug fever, one urticaria and one mild elevation of transaminases. This open study shows Timentin to be a safe and effective antibiotic for the treatment of the lower respiratory tract infection.