• Title/Summary/Keyword: CDSS

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Reasoning and Learning Methods for Diagnosis in Oriental Medicine (한의 진단 추론과 진단 학습 방법)

  • Kim, Sang-Kyun;Kim, Jin-Hyun;Jang, Hyun-Chul;Kim, An-Na;Yea, Sang-Jun;Kim, Chul;Song, Mi-Young
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.23 no.5
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    • pp.942-949
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    • 2009
  • We in this paper propose the method for diagnosis patients through the reasoning based on the diagnosis ontology in oriental medicine. In prior studies, it is simply diagnosed with the information of main symptoms, optional symptoms, and tongue / pulse. In addition, ontology itself has subjective opinions of oriental medical doctors for patients in form of axioms. There is a problem in latter case that it is difficult for other oriental medical doctors to change knowledge within the ontology. In order to solve these problems, we have constructed the diagnosis ontology and the reasoning algorithm as followings: First, in order to raise the diagnosis accuracy, we constructed the diagnosis ontology with pattern identifications, main symptoms, optional symptoms, and tongue / pulse. We also utilize the diagnosis points described in the pathology textbook, which has been studied in all of domestic oriental medical colleges. This information is represented as OWL instances in ontology, not OWL axioms so that it can be easily updated. Second, we suggest the algorithms for diagnosis reasoning and learning method based on the ontology. We have implemented the reasoning and learning system according to the diagnosis algorithm. In future study, we will construct the diagnosis ontology with all of pattern identifications and symptoms within the pathology textbook.

A CAOPI System Based on APACHE II for Predicting the Degree of Severity of Emergency Patients (응급환자의 중증도 예측을 위한 APACHE II 기반 CAOPI 시스템)

  • Lee, Young-Ho;Kang, Un-Gu;Jung, Eun-Young;Yoon, Eun-Sil;Park, Dong-Kyun
    • Journal of the Korea Society of Computer and Information
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    • v.16 no.1
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    • pp.175-182
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    • 2011
  • This study proposes CAOPI(Computer Aided Organ Prediction Index) system based on APACHE II(Acute Physiology And Chronic Health Evaluation) for classifying disease severity and predicting the conditions of patients' major organs. The existing ICU disease severity evaluation is mostly about calculating risk scores using patients' data at certain points, which has limitations on making precise treatments. CAOPI system is designed to provide personalized treatments by classifying accurate severity degrees of emergency patients, predicting patients' mortality rate and scoring the conditions of certain organs.

Study on Daily Living Symptom Record and Utilization (일상 증상 기록과 활용 방안 연구)

  • Seo, Jin Soon;Kim, An Na;Kim, Sang Kyun;Jang, Hyun Chul
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.29 no.5
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    • pp.386-393
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    • 2015
  • Bian-zheng(辨證) of Korean Medicine(KM) is based on four examinations(四診) of Korean medical doctor. The interrogation or questioning(問診) provides the most information of four examinations. The symptom obtained from the interrogation or questioning is the main basis of the Bian-zheng. KM is understood in the whole state of the body of a specified time without seeing the disease exist. So the observable symptom is disease itself. Symptom in KM is used as an important basis for the diagnosis. But if the interview when memories are not sure of the correct answer does not get much easier to find exactly the symptoms. So when recording original symptom(素證) and daily subjective symptom can be helpful for care. In this paper, we propose daily living symptom record system as a method that can be applied to the health care according to the importance of collecting the symptom in the KM. Daily living symptom record system can record the symptom in the individual to awaken daily. The system stores the symptom in structure and provides an open shared services. So it can be used as a symptom of other systems, such as PHR, EMR, CDSS. In addition, Doctor may be able to help in the treatment determined by reference to shared symptom.

Genome Sequence of Bacillus cereus FORC_021, a Food-Borne Pathogen Isolated from a Knife at a Sashimi Restaurant

  • Chung, Han Young;Lee, Kyu-Ho;Ryu, Sangryeol;Yoon, Hyunjin;Lee, Ju-Hoon;Kim, Hyeun Bum;Kim, Heebal;Jeong, Hee Gon;Choi, Sang Ho;Kim, Bong-Soo
    • Journal of Microbiology and Biotechnology
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    • v.26 no.12
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    • pp.2030-2035
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    • 2016
  • Bacillus cereus causes food-borne illness through contaminated foods; therefore, its pathogenicity and genome sequences have been analyzed in several studies. We sequenced and analyzed B. cereus strain FORC_021 isolated from a sashimi restaurant. The genome sequence consists of 5,373,294 bp with 35.36% GC contents, 5,350 predicted CDSs, 42 rRNA genes, and 107 tRNA genes. Based on in silico DNA-DNA hybridization values, B. cereus ATCC $14579^T$ was closest to FORC_021 among the complete genome-sequenced strains. Three major enterotoxins were detected in FORC_021. Comparative genomic analysis of FORC_021 with ATCC $14579^T$ revealed that FORC_021 harbored an additional genomic region encoding virulence factors, such as putative ADP-ribosylating toxin, spore germination protein, internalin, and sortase. Furthermore, in vitro cytotoxicity testing showed that FORC_021 exhibited a high level of cytotoxicity toward INT-407 human epithelial cells. This genomic information of FORC_021 will help us to understand its pathogenesis and assist in managing food contamination.

A Study on Clinical Decision Support System based on Common Data Model (공통데이터모델 기반의 임상의사결정지원시스템에 관한 연구)

  • Ahn, Yoon-Ae;Cho, Han-Jin
    • Journal of the Korea Convergence Society
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    • v.10 no.11
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    • pp.117-124
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    • 2019
  • Recently, medical IT solutions are being provided on a distributed environment basis. In Korea, the necessity of developing a clinical decision support system that can share medical information in a distributed environment has been recognized and studied. The existing clinical decision support system is being built using only medical information of its own within the hospital. This makes it difficult for existing systems to achieve good results in terms of efficiency and accuracy of decision support. In order to solve these limitations, this paper proposes a design and implementation method of clinical decision support system based on common data model in medical field. To explain the application process of the proposed model, we describe the development scenario of the clinical decision support system for the diagnosis of colorectal cancer. We also propose the essential requirements for the development of successful clinical decision support systems. Through this, it is expected that it will be possible to develop clinical decision support system that can be used in various hospitals and improve the efficiency and accuracy of the system.

Clinical Characteristics of Formal Thought Disorder in Schizophrenia (조현병에서 형식적 사고장애의 임상적 특성)

  • Yang, Chaeyoung;Kim, Han-sung;Kim, Eunkyung;Kim, Il Bin;Park, Seon-Cheol;Choi, Joonho
    • Korean Journal of Biological Psychiatry
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    • v.28 no.2
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    • pp.70-77
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    • 2021
  • Objectives Our study aimed to present the distinctive correlates of formal thought disorder in patients with schizophrenia, using the Clinical Language Disorder Rating Scale (CLANG). Methods We compared clinical characteristics between schizophrenia patients with (n = 84) and without (n = 82) formal thought disorder. Psychometric scales including the CLANG, the Brief Psychiatric Rating Scale (BPRS), the Young Mania Rating Scale (YMRS), the Calgery Depression Scale for Schizophrenia (CDSS) and the Word Fluency Test (WFT) were used. Results After adjusting the effects of age, sex and total scores on the BPRS, YMRS and WFT, the subjects with disorganized speech presented significantly higher score on the abnormal syntax (p = 0.009), lack of semantic association (p = 0.005), discourse failure (p < 0.0001), pragmatics disorder (p = 0.001), dysarthria (p < 0.0001), and paraphasic error (p = 0.005) items than those without formal thought disorder. With defining the mentioned item scores as covariates, binary logistic regression model predicted that discourse failure (adjusted odds ratio [aOR] = 5.88, p < 0.0001) and pragmatics disorder (aOR = 2.17, p = 0.04) were distinctive correlates of formal thought disorder in patients with schizophrenia. Conclusions This study conducted Clinician Rated Dimensions of Psychosis Symptom Severity (CRDPSS) and CLANG scales on 166 hospitalized schizophrenia patients to explore the sub-items of the CLANG scale independently related to formal thought disorders in schizophrenia patients. Discourse failure and pragmatics disorder might be used as the distinctive indexes for formal thought disorder in patients with schizophrenia.

A Study on XAI-based Clinical Decision Support System (XAI 기반의 임상의사결정시스템에 관한 연구)

  • Ahn, Yoon-Ae;Cho, Han-Jin
    • The Journal of the Korea Contents Association
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    • v.21 no.12
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    • pp.13-22
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    • 2021
  • The clinical decision support system uses accumulated medical data to apply an AI model learned by machine learning to patient diagnosis and treatment prediction. However, the existing black box-based AI application does not provide a valid reason for the result predicted by the system, so there is a limitation in that it lacks explanation. To compensate for these problems, this paper proposes a system model that applies XAI that can be explained in the development stage of the clinical decision support system. The proposed model can supplement the limitations of the black box by additionally applying a specific XAI technology that can be explained to the existing AI model. To show the application of the proposed model, we present an example of XAI application using LIME and SHAP. Through testing, it is possible to explain how data affects the prediction results of the model from various perspectives. The proposed model has the advantage of increasing the user's trust by presenting a specific reason to the user. In addition, it is expected that the active use of XAI will overcome the limitations of the existing clinical decision support system and enable better diagnosis and decision support.

Construction of Artificial Intelligence Training Platform for Machine Learning Based on Web Radiology_CDM (Web Radiology_CDM기반 기계학습을 위한 인공지능 학습 플랫폼 구축)

  • Noh, Si-Hyeong;Kim, SeungJin;Kim, Ji-Eon;Lee, Chungsub;Kim, Tae-Hoon;Kim, KyungWon;Kim, Tae-Gyu;Yoon, Kwon-Ha;Jeong, Chang-Won
    • Proceedings of the Korea Information Processing Society Conference
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    • 2020.05a
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    • pp.487-489
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    • 2020
  • 인공지능 기술을 도입한 의료분야에서 진단 및 예측과 연계한 임상의사결정지원 시스템(CDSS)에 관련된 연구가 활발하게 진행되고 있다. 특히, 인공지능 기술 적용에 가장 많은 이슈를 일으키고 있는 의료영상기반의 질환진단연구가 다양한 제품으로 출시되고 있는 실정이다. 그러나 의료영상 데이터는 일관되지 않은 데이터들로 이루어져 있으며, 그것을 정제하여 연구에 사용하기 위해서는 상당한 시간이 필요한 것이 현실이다. 본 논문에서는 익명화된 데이터를 정제하여 인공지능 연구에 사용할 수 있는 표준화된 데이터 셋을 만들고, 그 데이터를 기반으로 인공지능 알고리즘 개발 연구를 지원하기 위한 원스톱 인공지능학습 플랫폼에 대하여 기술한다. 이를 위해 전체 인공지능 연구프로세스를 보이고 이에 따라 학습을 위한 데이터셋 생성과 인공지능 학습학습용 플랫폼에서 수행되는 수행 과정을 결과로 보인다 제안한 플랫폼을 통해 다양한 영상기반 인공지능 연구에 활용될 것으로 기대하고 있다.

Analysis of Volumetric Deformation Influence Factor after Liquefaction of Sand using Cyclic Direct Simple Shear Tests (CDSS 실험을 이용한 모래의 액상화 후 체적변형 영향인자 분석)

  • Herrera, Diego;Kim, Jongkwan;Kwak, Tae-Young;Han, Jin-Tae
    • Journal of the Korean Geotechnical Society
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    • v.40 no.3
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    • pp.65-75
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    • 2024
  • This study investigates liquefaction-induced settlement through strain-controlled tests using a cyclic direct simple shear device on clean sand specimens. By focusing on the accumulated shear strain, soil density, sample preparation method, and cyclic waveshape, this study attempts to enhance the understanding of soil behavior under seismic loading and its further deformation. Results from tests conducted on remolded samples reveal insights into excess pore water pressure development and post-liquefaction volumetric strain behavior, with denser samples exhibiting lower volumetric strains than looser samples. Similarly, the correlation between the frequency and amplitude variations of the wave and volumetric strain highlights the importance of wave characteristics in soil response, with shear strain amplitude changes, varying the volumetric strain response after reconsolidation. In addition, samples prepared under moist conditions exhibit less volumetric strain than dry-reconstituted samples. Overall, the findings of this study are expected to contribute to predictive models to evaluate liquefaction-induced settlement.

Complete genome sequence of Enterococcus faecium strain AK_C_05 with potential characteristics applicable in livestock industry

  • Hyunok Doo;Jin Ho Cho;Minho Song;Eun Sol Kim;Sheena Kim;Gi Beom Keum;Jinok Kwak;Sriniwas Pandey;Sumin Ryu;Yejin Choi;Juyoun Kang;Hyeun Bum Kim;Ju-Hoon Lee
    • Journal of Animal Science and Technology
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    • v.66 no.2
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    • pp.438-441
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    • 2024
  • The Enterococcus faecium (E. faecium) strain AK_C_05 was isolated from cheonggukjang, the Korean traditional food, collected from a local market in South Korea. In this report, we presented the complete genome sequence of E. faecium strain AK_C_05. The genome of E. faecium strain AK_C_05 genome consisted of one circular chromosome (2,691,319 bp) with a guanine + cytosine (GC) content of 38.3% and one circular plasmid (177,732 bp) with a GC content of 35.48%. The Annotation results revealed 2,827 protein-coding sequences (CDSs), 18 rRNAs, and 68 tRNA genes. It possesses genes, which encodes enzymes such as alpha-galactosidase (EC 3.2.1.22), beta-glucosidase (EC 3.2.1.21) and alpha-L-arabinofuranosidase (EC 3.2.1.55) enabling efficient utilization of carbohydrates. Based on Clusters of Orthologous Groups analysis, E. faecium strain AK_C_05 showed specialization in carbohydrate transport and metabolism indicating the ability to generate energy using a variety of carbohydrates.