• Title/Summary/Keyword: CDSS

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Alteration in Plasma BDNF Level after Repetitive Transcranial Magnetic Stimulation(rTMS) in Treatment-Resistant Schizophrenia : A Pilot Study (치료저항성 정신분열병 환자에서 반복적 경두개자기자극술 병행치료시 혈장 BDNF 농도 변화 : 예비 연구)

  • Oh, So-Young;Kim, Yong-Ku
    • Korean Journal of Biological Psychiatry
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    • v.16 no.3
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    • pp.170-180
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    • 2009
  • Objectives : To assess clinical improvement and change in plasma brain-derived neurotrophic factor(BDNF) level after repetitive transcranial magnetic stimulation(rTMS) in patients with treatment-resistant schizophrenia. Methods : Seven patients with DSM-IV schizophrenia, who were proven to be treatment-resistant, were treated with 15 sessions of rTMS for three weeks as an adjuvant therapy to antipsychotic treatment. Clinical improvement and change in plasma BDNF level were measured after the treatment period. The symptom severity was assessed with the Positive and Negative Syndrome Scale(PANSS) and the Korean Version of Calgary Depression Scale for Schizophrenia(K-CDSS) at baseline and 7 days after the treatment. Plasma BDNF level was measured by enzyme-linked immunosorbent assay(ELISA) at baseline and 7 days after the treatment. Results : After the rTMS treatment, there was no significant improvement in PANSS total score(Z=-1.693, p=0.090) and no significant change in plasma BDNF was found(Z=-1.183, p=0.237). Negative correlations were found between percentage change in PANSS positive subscale score and duration of illness(rho=-0.991, N=7, p<0.0005, two-tailed), and PANSS negative subscale score at baseline and percentage change in plasma BDNF level(rho=-0.821, N=7, p=0.023, two-tailed). Conclusion : This preliminary study suggests that rTMS didn't make a significant change in clinical symptoms nor in plasma BDNF level in treatment-resistant schizophrenia. Percentage change in plasma BDNF, however, might be correlated with treatment resistance in schizophrenic patients. This is a pilot study with a small sample size, therefore, a further study with a larger sample size is needed.

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Obsessive-Compulsive Symptoms in Relation to Duration of Schizophrenia (조현병 환자의 유병기간에 따른 강박증상)

  • Seo, Ju-Hyun;Paik, In-Ho;Kim, Im-Yel;Kim, Su-Ryong;Jo, Jung-Min
    • Korean Journal of Biological Psychiatry
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    • v.25 no.2
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    • pp.31-37
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    • 2018
  • Objectives The aim of this study was to evaluate the psychopathological features such as depression and anxiety in schizophrenics with obsessive-compulsive symptoms (OCS) as well as the severity of OCS according to duration of schizophrenia. Methods We randomly selected sixty four inpatients with schizophrenia. We classified the patients into two groups (OCS group, non-OCS group) according to the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS). Clinical and demographic features were evaluated. To assess OCS, Y-BOCS were performed. The Korean version of the Positive and Negative Syndrome Scale(K-PANSS), the Brief Psychiatric Rating Scale (BPRS), the Korean version of the Calgary Depression Scale for Schizophrenia (K-CDSS), the Beck Anxiety Inventory (BAI) and the Satisfaction With Life Scale (SWLS) were conducted. Independent t-test and chi-square test were conducted to compare the two groups. Pearson correlation analysis was performed to examine the relationship between the duration of schizophrenia and the Y-BOCS score. Results The Y-BOCS, K-CDSS, and BAI scores were higher in the OCS group. There was a significant correlation between the duration of schizophrenia and the Y-BOCS score. Conclusions Anxiety and depression symptoms were severe in the OCS group. In addition, the results of this study indicate that the longer duration of schizophrenia, the more severe the OCS. Therefore, the evaluation of OCS in schizophrenics should be accompanied by treatment intervention.

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AptaCDSS - A Cardiovascular Disease Level Prediction and Clinical Decision Support System using Aptamer Biochip (AptaCDSS - 압타머칩을 이용한 심혈관질환 질환단계 예측 및 진단의사결정지원시스템)

  • Eom, Jae-Hong;Kim, Byoung-Hee;Lee, Je-Keun;Heo, Min-Oh;Park, Young-Jin;Kim, Min-Hyeok;Kim, Sung-Chun;Zhang, Byoung-Tak
    • Proceedings of the Korean Information Science Society Conference
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    • 2006.10a
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    • pp.28-32
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    • 2006
  • 최근 연구결과에 의하면 심장질환을 포함한 심혈관질환은 성별에 관계없이 미국 및 전 세계적으로 질병사망의 주요 원인으로 조사되었다. 본 연구에서는 보다 효율적으로 진단하기 위해 진단의사 결정 보조시스템에 대해서 다룬다. 개발된 시스템은 혈청 내의 특정 단백질의 상대적 양을 측정할 수 있는 바이오칩인 압타머칩을 이용해 생성한 환자들의 칩 데이터를 Support Vector Machine, Neural Network, Decision Tree, Bayesian Network 등의 총 4가지 기계학습 알고리즘으로 분석하여 질환단계를 예측하고 진단을 위한 보조정보를 제공한다. 논문에서는 총 135개 샘플로 구성된 3K 압타머칩 데이터에 대해 측정된 초기 시스템의 질환단계 분류성능을 제시하고 보다 유용한 진단의사결정 보조 시스템을 구성하기 위한 요소들에 대해서 논의한다.

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Comparative Genomics Approaches to Understanding Virulence and Antimicrobial Resistance of Salmonella Typhimurium ST1539 Isolated from a Poultry Slaughterhouse in Korea

  • Kim, Eunsuk;Park, Soyeon;Cho, Seongbeom;Hahn, Tae-Wook;Yoon, Hyunjin
    • Journal of Microbiology and Biotechnology
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    • v.29 no.6
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    • pp.962-972
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    • 2019
  • Non-typhoidal Salmonella (NTS) is one of the most frequent causes of bacterial foodborne illnesses. Considering that the main reservoir of NTS is the intestinal tract of livestock, foods of animal origin are regarded as the main vehicles of Salmonella infection. In particular, poultry colonized with Salmonella Typhimurium (S. Typhimurium), a dominant serotype responsible for human infections, do not exhibit overt signs and symptoms, thereby posing a potential health risk to humans. In this study, comparative genomics approaches were applied to two S. Typhimurium strains, ST1539 and ST1120, isolated from a duck slaughterhouse and a pig farm, respectively, to characterize their virulence and antimicrobial resistance-associated genomic determinants. ST1539 containing a chromosome (4,905,039 bp; 4,403 CDSs) and a plasmid (93,876 bp; 96 CDSs) was phylogenetically distinct from other S. Typhimurium strains such as ST1120 and LT2. Compared to the ST1120 genome (previously deposited in GenBank; CP021909.1 and CP021910.1), ST1539 possesses more virulence determinants, including ST64B prophage, plasmid spv operon encoding virulence factors, genes encoding SseJ effector, Rck invasin, and biofilm-forming factors (bcf operon and pefAB). In accordance with the in silico prediction, ST1539 exhibited higher cytotoxicity against epithelial cells, better survival inside macrophage cells, and faster mice-killing activity than ST1120. However, ST1539 showed less resistance against antibiotics than ST1120, which may be attributed to the multiple resistanceassociated genes in the ST1120 chromosome. The accumulation of comparative genomics data on S. Typhimurium isolates from livestock would enrich our understanding of strategies Salmonella employs to adapt to diverse host animals.

Associations between Family Relationships and Quality of Kife in Patients with Schizophrenia (조현병 환자에서 가족관계와 삶의 질의 관계)

  • Kang, Hangoeunbi;Jung, Ha-Ran;Lee, Ju-Yeon;Kim, Seon-Young;Kim, Jae-Min;Yoon, Jin-Sang;Kim, Sung-Wan
    • Journal of the Korean society of biological therapies in psychiatry
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    • v.24 no.3
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    • pp.163-172
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    • 2018
  • Objectives : The aim of this study was to examine associations between quality of life in patients with schizophrenia and their family relationships. Methods : A total of 68 patients with schizophrenia participated in the study. Socio-demographic and clinical data were collected, as well as results from the Subjective Well-being under Neuroleptic Treatment Scale-Short Form(SWN-K), Family Emotional Involvement and Criticism Scale(FEICS), a visual analogue scale for evaluating the degree of perceived criticism(VAS), the Family Adaptability and Cohesion Evaluation Scale(FACES), Beck Cognitive Insight Scale(BCIS), and Rosenberg Self Esteem Scale(R-SES). Psychiatrists administered the Positive and Negative Syndrome Scale and the Calgary Depression Scale for Schizophrenia(CDSS), and collected a history of previous suicide attempts. Results : The SWN-K total scores showed significant negative correlations with scores on the FEICS perceived criticism, CDSS, and VAS measures and significant positive correlations with scores on the R-SES, FACES, and BCIS. Multiple regression analysis revealed that FEICS perceived criticism, FACES, and BCIS scores were significantly associated with SWN-K scores. The FACES total score was significantly lower in patients with a history of previous suicide attempt. Conclusion : The quality of life of patients with schizophrenia was negatively associated with greater perceived familial criticism and positively associated with better family cohesion and higher patient insight. In patients with a history of suicide attempts, family adaptability and cohesion were significantly low.

Effect of Non-Plastic Fines Content on the Pore Pressure Generation of Sand-Silt Mixture Under Strain-Controlled CDSS Test (변형률 제어 반복직접단순전단시험에서 세립분이 모래-실트 혼합토의 간극수압에 미치는 영향)

  • Tran, Dong-Kiem-Lam;Park, Sung-Sik;Nguyen, Tan-No;Park, Jae-Hyun;Sung, Hee-Young;Son, Jun-Hyeok;Hwang, Keum-Bee
    • Journal of the Earthquake Engineering Society of Korea
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    • v.28 no.1
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    • pp.33-39
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    • 2024
  • Understanding the behavior of soil under cyclic loading conditions is essential for assessing its response to seismic events and potential liquefaction. This study investigates the effect of non-plastic fines content (FC) on excess pore pressure generation in medium-density sand-silt mixtures subjected to strain-controlled cyclic direct simple shear (CDSS) tests. The investigation is conducted by analyzing excess pore pressure (EPP) ratios and the number of cycles to liquefaction (Ncyc-liq) under varying shear strain levels and FC values. The study uses Jumunjin sand and silica silt with FC values ranging from 0% to 40% and shear strain levels of 0.1%, 0.2%, 0.5%, and 1.0%. The findings indicate that the EPP ratio increases rapidly during loading cycles, with higher shear strain levels generating more EPP and requiring fewer cycles to reach liquefaction. At 1.0% and 0.5% shear strain levels, FC has a limited effect on Ncyc-liq. However, at a lower shear strain level of 0.2%, increasing FC from 0 to 10% reduces Ncyc-liq from 42 to 27, and as FC increases further, Ncyc-liq also increases. In summary, this study provides valuable insights into the behavior of soil under cyclic loading conditions. It highlights the significance of shear strain levels and FC values in excess pore pressure generation and liquefaction susceptibility.

Implementation of Meta Data-based Clinical Decision Support System for the Portability (이식성을 위한 메타데이터 기반의 CDSS 구축)

  • Lee, Sang Young;Lee, Yoon Hyeon;Lee, Yoon Seok
    • Journal of Korea Society of Digital Industry and Information Management
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    • v.8 no.1
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    • pp.221-229
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    • 2012
  • A model for expressing meta data syntax in the eXtensible Markup Language(XML) was developed to increase the portability of the Arden Syntax in medical treatment. In this model that is Arden syntax uses two syntax checking mechanisms, first an XML validation process, and second, a syntax check using an XSL style sheet. Two hundred seventy-seven examples of MLMs were transformed into MLMs in ArdenML and validated against the schema and style sheet. Both the original MLMs and reverse-parsed MLMs in ArdenML were checked using a Arden Syntax checker. The textual versions of MLMs were successfully transformed into XML documents using the model, and the reverse-parse yielded the original text version of MLMs.

Data Mining Approach to Clinical Decision Support System for Hypertension Management (고혈압관리를 위한 의사지원결정시스템의 데이터마이닝 접근)

  • 김태수;채영문;조승연;윤진희;김도마
    • Proceedings of the Korea Inteligent Information System Society Conference
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    • 2002.11a
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    • pp.203-212
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    • 2002
  • This study examined the predictive power of data mining algorithms by comparing the performance of logistic regression and decision tree algorithm, called CHAID (Chi-squared Automatic Interaction Detection), On the contrary to the previous studies, decision tree performed better than logistic regression. We have also developed a CDSS (Clinical Decision Support System) with three modules (doctor, nurse, and patient) based on data warehouse architecture. Data warehouse collects and integrates relevant information from various databases from hospital information system (HIS ). This system can help improve decision making capability of doctors and improve accessibility of educational material for patients.

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Complete genome sequence of Streptococcus hyointestinalis B19, a strain producing bacteriocin, isolated from chicken feces

  • Lee, Ju-Eun;Heo, Sunhak;Kim, Geun-Bae
    • Journal of Animal Science and Technology
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    • v.62 no.3
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    • pp.420-422
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    • 2020
  • Streptococcus hyointestinalis B19 was isolated from chicken feces collected from local farm in Anseong, Korea. S. hyointestinalis B19 was shown to produce bacteriocin-like compounds exhibiting inhibitory activities against several pathogens including strains of Clostridium perfringens and Listeria monocytogenes. The whole genome of S. hyointestinalis B19 strain was sequenced using PacBio RS II platform. The genome comprised four contigs with a size of 2,217,061 bp. The DNA G + C content was found to be 42.95 mol%. Annotation results revealed 2,266 coding sequences (CDSs), 18 rRNAs, and 61 tRNA genes. Based on genome analysis, we found that the strain B19 possessed various genes associated with bacteriocin synthesis, modification, and transport.

Development of process-centric clinical decision support system (프로세스 중심의 진료의사결정 지원 시스템 구축)

  • Min, Yeong-Bin;Kim, Dong-Soo;Kang, Suk-Ho
    • IE interfaces
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    • v.20 no.4
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    • pp.488-497
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    • 2007
  • In order to provide appropriate decision supports in medical domain, it is required that clinical knowledge should be implemented in a computable form and integrated with hospital information systems. Healthcare organizations are increasingly adopting tools that provide decision support functions to improve patient outcomes and reduce medical errors. This paper proposes a process centric clinical decision support system based on medical knowledge. The proposed system consists of three major parts - CPG (Clinical Practice Guideline) repository, service pool, and decision support module. The decision support module interprets knowledge base generated by the CPG and service part and then generates a personalized and patient centered clinical process satisfying specific requirements of an individual patient during the entire treatment in hospitals. The proposed system helps health professionals to select appropriate clinical procedures according to the circumstances of each patient resulting in improving the quality of care and reducing medical errors.