• Title/Summary/Keyword: 임상분류

Search Result 1,404, Processing Time 0.03 seconds

Semi-Markov 모형에 기초한 다중상태 생존자료의 준모수적 분석

  • 여성칠
    • Communications for Statistical Applications and Methods
    • /
    • v.5 no.3
    • /
    • pp.777-792
    • /
    • 1998
  • 병원의 임상연구실험에서 종종 환자들의 치료에 따른 병세의 호전상태를 여러단계로 분류하여 상이한 치료방법에 대한 치료효과간의 차이론 알고자 하는 경우가 있다. 이와 같이 다중상태의 생존자료를 분석하기 위해서 본 논문에서는 semi-Markov 모형에 Cox 회귀모형을 적용하여 회귀계수와 기저생존함수를 추정하고 이를 바탕으로 반응확률함수를 추정하였다. 그리고 본 논문의 결과를 실제 임상실험에서 얻어진 자료에 적용하여 분석하였다.

  • PDF

중심위(Centric relation)의 임상적 의의

  • Jang, Ik-Tae
    • The Journal of the Korean dental association
    • /
    • v.21 no.9 s.172
    • /
    • pp.705-711
    • /
    • 1983
  • 교합의 기본이 되는 하악의 위치와 치아접촉상태는 중심교합위와 중심위의 두개의 기초적 개념으로 분류되는데 교합을 정상적으로 유지하고 기능적 상태로 부여하기 위해서는 다수의 논란이 지속되고 있으며, 하악의 중심성(Centricity)에 관한 개념간의 차이에 관하여 어떠한 관계를 나타내느냐는 문제가 최근의 임상적 쟁점의 초점이 되고 있는 것이다.

  • PDF

Current Status of Ophthalmic Optometry Laboratory Personnel in Korea, Japan, and the United States (한국, 일본, 미국 안과검사인력의 현황)

  • Okhwan, Jeon;Junbeom, Park;Dae Jin, Kim;Dae Eun, Kim;Cheol, Moon;Bon-Kyeong, Koo
    • Korean Journal of Clinical Laboratory Science
    • /
    • v.54 no.4
    • /
    • pp.285-292
    • /
    • 2022
  • The education and training system, the ISCO (International Standard Classification of Occupations), and the legal systems of Japan and the United States consider all ophthalmic optometry laboratory personnel as ophthalmologists. They encompass optometrists, orthoptists, optometric technicians, and ophthalmic medical technicians. Data retrieved from the KOSIS (Korean Statistical Information Service) revealed that the number of opticians associated with the department of ophthalmology in 2022 could be appraised by classifying their medical institutions; contrarily, the number of clinical laboratory technologists could not be assessed. However, the current research investigated a general tertiary hospital and determined that clinical laboratory technologists outnumber opticians. Classification in Korea is based on ophthalmic optometry laboratory personnel, ISCO, ISCED (International Standard Classification of Education), the medical service act, the act on medical service technologists, and the higher education act. These results cannot be compared to the optometrists evaluated in the United States. Ophthalmology is a suitable profession for optometric technologists and technicians who perform under the instructions of ophthalmologists and optometrists. The field of eye healthcare would be benefitted by assigning the management based on their qualification according to the requirement of the job title, such as 'Clinical Optometry Technologist' to be given to clinical laboratory technologists and opticians who work in the ophthalmic optometry laboratories after obtaining a private qualification endowed by the Korean Ophthalmological Society and the Korean Optometry Society.

Validation of Onen's Alternative Grading System for Congenital Hydronephrosis (선천성 수신증을 위한 Onen 등급 분류법의 임상적인 타당성)

  • Woo, Da Eun;Lim, Myung Hee;Kim, Myung Uk;Kim, Sae Yoon;Park, Yong Hoon
    • Childhood Kidney Diseases
    • /
    • v.18 no.2
    • /
    • pp.77-84
    • /
    • 2014
  • Purpose: The purpose of this study was to compare the validity of Onen's alternative grading system (AGS) with that of the APDRP and SFU grading systems in patients with isolated and complicated congenital hydronephrosis. Methods: We retrospectively reviewed the medical records of 153 patients (204 renal units) diagnosed with congenital hydronephrosis between January 2002 and December 2011. We classified patients into 2 groups; isolated or complicated hydronephrosis. All renal units were graded according to anterior-posterior diameter of renal pelvis (APDRP), Society for Fetus Urology (SFU) and Onen's grading systems. We analyzed the prognosis of hydronephrosis, according to each grading system, at 2 years of age. Results: There were 152 renal units with isolated hydronephrosis and 52 renal units with complicated hydronephrosis. The isolated hydronephrosis group had a lower grade according to Onen's AGS, and showed more frequent spontaneous remission by 2 years of age. There was more frequent obstruction (P =0.000) and surgical treatment (P =0.000) of units with high-grade hydronephrosis according to Onen's AGS. In the complicated hydronephrosis group the frequencies of spontaneous remission (P =0.015) and renal dysfunction (P =0.013) were significantly higher than those in high-grade hydronephrosis, as indicated by Onen's AGS. There were no significant differences in clinical outcomes among the highest grade groups, according to the 3 systems, in either isolated or complicated hydronephrosis. Conclusion: Onen's AGS reflects the prognosis of hydronephrosis as well as other grading systems in those with isolated hydronephrosis. It was better predictor of renal dysfunction in those with complicated hydronephrosis. However, Onen's AGS was not superior to the other grading systems in terms of predicting prognosis, especially in high-grade hydronephrosis.

Design and Implementation of a Nursing Records for the Nursing Process for Use Within the Health Level 7 Clinical Document Architecture (HL7 임상문서구조의 기반 한 간호과정을 위한 간호기록지의 설계 및 구현)

  • Kim, Hwa-Sun;Tran, Tung;Kim, Hyung-Hoi;Lee, Eun-Joo;Cho, Hune
    • Journal of Korea Multimedia Society
    • /
    • v.9 no.8
    • /
    • pp.1054-1066
    • /
    • 2006
  • This study proposes a new paradigm hospital information system through the nursing classification system and design of the HL7 clinical document architecture (Health Level Seven CDA) for information-sharing among various healthcare institutions. Nursing information CDA are included coding systems of nursing diagnosis, nursing intervention, nursing activity and outcomes. And, we have developed CDA generator for active generation of XML document. This study aims to facilitate the optimum care by providing health information required for individuals to nursing specialists in real-time, to help improvements in health, to improve the quality of productive life. This study has the following significance. First, an expansion and redefining process conducted, founded on the HL7 clinical document architecture and reference information model, to apply international standards to Korean contexts. Second, we propose a next-generation web based hospital information system that is based on the clinical document architecture. In conclusion, the study of the clinical document architecture will include an electronic health record (EHR) and a clinical data repository (CDR), and also make possible healthcare information-sharing among various healthcare institutions.

  • PDF

Comparison of Intelligent Color Classifier for Urine Analysis (요 분석을 위한 지능형 컬러 분류기 비교)

  • Eom Sang-Hoon;Kim Hyung-Il;Jeon Gye-Rok;Eom Sang-Hee
    • Journal of the Korea Institute of Information and Communication Engineering
    • /
    • v.10 no.7
    • /
    • pp.1319-1325
    • /
    • 2006
  • Urine analysis is basic test in clinical medicine using visual examination by expert nurse. Recently, this test is measured by automatic urine analysis system. But, this system has different results by each instrument. So, a new classification algorithm is required for accurate classify and urine color collection. In this paper, a intelligent color classifier of urine analysis system was designed using neural network algorithm. The input parameters are three stimulus(RGB) after preprocessing using normalization. The fuzzy inference and neural network ware constructed for classify class according to 9 urine test items and $3{\sim}7$ classes. The experiment material to be used a standard sample of medicine. The possibility to adapt classifier designed for urine analysis system was verified as classifying measured standard samples and observing classified result. Of many test items, experimental results showed a satisfactory agreement with test results of reference system.

Vascular Tumors, Chondroid-osseous Tumors, Tumors of Uncertain Differentiation: An Update Based on the New WHO Soft Tissue Classification (연조직종양의 새로운 WHO 분류를 중심으로: 혈관종, 연골-골종과 불확실한분화종에 대하여)

  • Suh, Kyung-Jin
    • The Journal of the Korean bone and joint tumor society
    • /
    • v.14 no.2
    • /
    • pp.79-85
    • /
    • 2008
  • Soft tissue tumor classifications should be an important part of radiology, oncology and, for orthopedic clinicians and pathologists, they provide diagnostic instruction and prognostic guidelines. In soft tissue tumor classification systems, the World Health Organization (WHO) classifications have become dominant, enabled by the timely publication of new blue books which included detailed text and numerous good illustrations. The new WHO classification of soft tissue tumors was introduced in 2002. Because the classification represents a broad consensus concept, it has gained widespread acceptance around the globe. This article reviews the changes which were introduced the vascular tumors, chondroid-osseous tumors and tumors of uncertain differentiation which have been first recognized or properly classified during the past decade.

  • PDF

Effects of Computer Based Virtual Reality Program on Clinical Rehabilitation in Korea: A Meta-analysis (컴퓨터 기반 가상현실 프로그램의 국내 임상재활 적용 효과: 메타분석)

  • Kwon, Jae-Sung
    • Journal of Digital Convergence
    • /
    • v.13 no.7
    • /
    • pp.293-304
    • /
    • 2015
  • Meta-analysis was conducted to examine effects of computer based virtual reality on clinical rehabilitation in Korea. The data were analyzed as the ICF categorizations. The papers used in this study were located through domestic data search engines. The fifteen studies were selected among the studies published between 1995 and 2014. The PEDro score was used for qualitative assessment. The sample size and the average and standard deviations of pre and post tests were analyzed through a meta-analysis. The PEDro scores of the selected studies were 6 points higher and 338 participants were involved. The effect size of combined data was 1.030, activities and participation 1.120, sensory function 1.199 as indicated by a "large effect size" and the effect size of mental function was 0.557 as indicated by a "medium effect size." As a result, virtual reality program as a adjunctive therapeutic methods has proven the effect. In particular, the effects were demonstrated in activities and participation, sensory function. However there was no evidence of the effectiveness of mental function.