• Title/Summary/Keyword: CI Code

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Treatment Patterns of Osteoporosis and Factors Affecting the Prescribing of Bone-forming Agents: From a National Health Insurance Claims Database (건강보험 청구자료를 이용한 골다공증 치료제의 처방 양상과 골형성촉진제 처방에 미치는 영향요인)

  • Jeong, Jihae;Shin, Ju-Young
    • Korean Journal of Clinical Pharmacy
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    • v.31 no.1
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    • pp.27-34
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    • 2021
  • Objective: To analyze osteoporosis treatment patterns and teriparatide prescription-associated factors in Korea by using a national health insurance claims database. Methods: We utilized the Health Insurance Review & Assessment Service National Patients Sample claims database to identify patients (aged ≥50 years) with at least one osteoporosis claim (International Classification of Disease 10th revision code: M80, M81, M82) and at least one prescription for osteoporosis medication (antiresorptive agents: bisphosphonates, selective estrogen receptor modulators, denosumab, and calcitonin; bone-forming agent: teriparatide) in 2018. Demographic characteristics and healthcare utilization patterns were analyzed. Factors associated with teriparatide prescriptions were assessed using a multivariate logistic regression model. Results: Records showed that 44,815 patients were prescribed osteoporosis medications in 2018; the percentage of patients prescribed each treatment was as follows: 86.6% bisphosphonates, 13.9% selective estrogen receptor modulators, 3.1% calcitonin, 2.1% denosumab, and 0.7% teriparatide. A greater proportion of patients prescribed teriparatide were ≥75 years (53.4% vs. 33.8%) and had fractures (63.9% vs. 12.8%) compared to the same for antiresorptives (p<0.001). Patients prescribed teriparatide had higher Charlson comorbidity index values (1.2±1.3 vs. 0.9±1.2) and were more frequently hospitalized (0.8±1.3 vs. 0.1±0.5) than those prescribed antiresorptives (p<0.001). Elderly patients (≥75 years old; adjusted OR=1.66; 95% CI 1.16-2.38) and those with fractures (adjusted OR=6.23; 95% CI 4.76-8.14) were more likely to be prescribed teriparatide than antiresorptives. Conclusion: Patients prescribed teriparatide were older and more likely to have severe osteoporosis than those prescribed antiresorptives.

The Relationship between Parkinson's Disease and Acute Myocardial Infarction in Korea : A Nationwide Longitudinal Cohort Study

  • Sheen, Seung Hun;Hong, Je Beom;Kim, Hakyung;Kim, Jimin;Han, In-bo;Sohn, Seil
    • Journal of Korean Neurosurgical Society
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    • v.65 no.4
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    • pp.507-513
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    • 2022
  • Objective : The goal of the following statewide age and gender-coordinated cohort study in Korea is to find out if there is a link between acute myocardial infarction (AMI) and Parkinson's disease (PD). Methods : Utilizing the National Health Insurance Sharing Service cohort, patient data were collected. Six thousand four hundred seventy-five individuals with PD were distinguished by utilizing the International Classification of Diseases 10 code G20 and have enrolled in the PD group. The number of participants decreased to 5259 after excluding 1039 patients who were hospitalized less than one time or who visited an outpatient clinic less than twice. Then, 26295 individuals were selected as part of the control group after case control matching was conducted through 1 : 5 age- and gender-coordinated matching. The Cox proportional hazard regression analysis and Kaplan-Meier method were utilized to analyze the likelihood of AMI in PD. Results : After controlling for age and gender, the hazard ratio of AMI in the PD group was 3.603 (95% confidence interval [CI], 2.837-4.577). After that, the following hazard ratio of AMI in the PD group was modified against for co-morbid medical disorders, resulting in 3.551 (95% CI, 2.795-4.511). According to a subgroup analysis, in males and females aged <65 and aged ≥65 and in the non-diabetes and diabetes, hypertension and non-hypertension, dyslipidemia and non-dyslipidemia subgroups, the AMI incidence rates were dramatically higher in the PD group compared to that of the control. Conclusion : Individuals with PD have a greater chance of AMI, according to this cross-national study.

Improvement of Address Pointer Assignment in DSP Code Generation (DSP용 코드 생성에서 주소 포인터 할당 성능 향상 기법)

  • Lee, Hee-Jin;Lee, Jong-Yeol
    • Journal of the Institute of Electronics Engineers of Korea CI
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    • v.45 no.1
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    • pp.37-47
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    • 2008
  • Exploitation of address generation units which are typically provided in DSPs plays an important role in DSP code generation since that perform fast address computation in parallel to the central data path. Offset assignment is optimization of memory layout for program variables by taking advantage of the capabilities of address generation units, consists of memory layout generation and address pointer assignment steps. In this paper, we propose an effective address pointer assignment method to minimize the number of address calculation instructions in DSP code generation. The proposed approach reduces the time complexity of a conventional address pointer assignment algorithm with fixed memory layouts by using minimum cost-nodes breaking. In order to contract memory size and processing time, we employ a powerful pruning technique. Moreover our proposed approach improves the initial solution iteratively by changing the memory layout for each iteration because the memory layout affects the result of the address pointer assignment algorithm. We applied the proposed approach to about 3,000 sequences of the OffsetStone benchmarks to demonstrate the effectiveness of the our approach. Experimental results with benchmarks show an average improvement of 25.9% in the address codes over previous works.

Secret Sharing Scheme using Gray Code based on Steganography (스테가노그라피 기반에서 그레이코드를 사용한 비밀공유 기법)

  • Kim, Cheon-Shik;Yoon, Eun-Jun;Hong, You-Sik;Kim, Hyoung-Joong
    • Journal of the Institute of Electronics Engineers of Korea CI
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    • v.46 no.1
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    • pp.96-102
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    • 2009
  • Due to the rapid growth of the Internet, it is possible to distribute the digital content efficiently. However, the need for image data protection and secret communication technique is also on the rise because of an infringement of the copyright by malicious attackers. Shamir and Lin-Tsai proposed simple secret image encryption algorithms based on the principle of secret sharing, respectively. However, their secret sharing schemes have a serious problem which can be declined the image quality and it is possible for third party to know embed information. In this paper, we propose a new secret sharing scheme using gray code that can be increased the image quality and security. As a result of our experiment, the proposed scheme is not only shown of good image quality and but also provide enhanced security compare with Shamir and Lin-Tasi's schemes.

Design of RFID Tag Data Format for Books Information Management and Implementation of System (도서 관리를 위한 RFID 태그 데이터 포맷 설계 및 시스템 구현)

  • Jeong, Pil-Seong;Jung, Won-Soo;Oh, Young-Hwan
    • Journal of the Institute of Electronics Engineers of Korea CI
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    • v.44 no.3
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    • pp.1-7
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    • 2007
  • RFID ( Radio Frequency IDentification ) is an automatic realization technology that recognizes things or a person with data stored tag, card, label, etc that have microchip by using radio frequency. Automation and efficient data base management(DBM) of system are possible by replaces using Bar-code that is used widely with using RFID. In this paper, we designed RFID tag data format that used to recognize information of books in Library and implemented library management system. Library management system is divided checking collection of books, self-loaning books system, self-returning books system, management books information system for a librarian. RFID leader realized information of tag and transfer it to host computer through RS-232 interface. Host computer processes and operates information with middleware. System that we made is depending on executive system for a librarian.

Vocational Preference Inventory of Korean College Students with Symptoms of Temporomandibular Disorders

  • Park, Hye Sook
    • Journal of Oral Medicine and Pain
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    • v.42 no.1
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    • pp.8-15
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    • 2017
  • Purpose: The purpose of this study was to assess the association of vocational interest and personality with temporomandibular disorders (TMD). Methods: Four hundred and fourteen college students in Gyeonggi-do completed Vocational Preference Inventory L form and a questionnaire and collected data were analyzed by R program. Results: The percentage of subjects who responded that they had at least one contributing factor for TMD was significantly different among 27 two-letter Holland codes (p<0.05). The two-letter Holland codes of which the first-letter was social (S) (S artistic [A], S investigative [I], S realistic [R], S conventional [C], S enterprising [E]) or C (CE, CS, CA, CI) had tendency of having the relatively higher prevalence of symptoms and contributing factors for TMD. Among 6 one-letter Holland codes, the prevalence of a symptom of frequent fatigue in the jaw and a habit of gum chewing showed the significant difference (p<0.05). E code seemed to have lower prevalence of a symptom of frequent fatigue in the jaw than other codes. S code appeared to use chewing gum more frequently than other codes. High scorers on emotional instability showed the significantly higher prevalence of TMD symptoms (p<0.05) and contributing factors for TMD (p<0.001) than low scorers. Furthermore, high scorers on emotional instability had significantly higher mean scales of the number of positive answers of TMD symptoms (p<0.01) and of contributing factors for TMD (p<0.001) than low scorers. Conclusions: Symptoms and contributing factors for TMD were related to emotional instability. Vocational Preference Inventory L form might be utilized in assessing emotional factors of persons with TMD symptoms.

A study on the association between electric toothbrush use on calculus formation and periodontal tissue condition in Korean adults: 7th Korea National Health and Nutrition Examination Survey (우리나라 성인의 전동칫솔 사용이 치석 형성 치주조직 상태에 미치는 영향: 제7기 국민건강영양조사 자료 활용)

  • So-Hyeon Lee;Ha-Young Ahn;Yun-Sook Jung
    • Journal of Korean society of Dental Hygiene
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    • v.24 no.4
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    • pp.343-352
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    • 2024
  • Objectives: This study aimed to assess the relationship between electric toothbrush use and the presence of community periodontal index (CPI) code calculus among Korean adults. Methods: Data from the 7th Korea National Health and Nutrition Examination Survey were analyzed. Multiple logistic regression analysis with a complex sampling design was conducted, adjusting for general characteristic factors. Analyses were performed using SPSS Statistics 29.0. Results: Among the participants, the prevalence of electric toothbrush users was 5.3%. Within this group, 4.7% had periodontal disease, whereas 5.9% did not (p=0.025). Even after adjusting for general characteristics factors in model II of electric toothbrush use, the odds ratio remained statistically significant at 0.791 (95% CI: 0.631-0.992) in all cases. Conclusions: Electric toothbrush use appears to be associated with potential benefits in managing the CPI code calculus distribution; however, evidence supporting this notion remains insufficient. The study findings suggest that these results could be a basis for future studies related to oral hygiene products and the design of oral health promotion programs.

Disagreement of ICD-10 Codes Between a Local Hospital Information System and a Cancer Registry

  • Sriplung, Hutcha;Kantipundee, Tirada;Tassanapitak, Cheamjit
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.1
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    • pp.259-263
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    • 2015
  • Background: In the field of cancer, the ICD-10 coding convention is based on the site of a neoplasm in the body and usually ignores the morphology, thus the same code may be assigned to tumors of different morphologic types in an organ. Nowadays, all general (provincial) and center hospitals in Thailand are equipped with the hospital information system (HIS) database. Objective: This study aimed to find the characteristics and magnitude of agreement represented by the positive predictive value (PPV) of provisional cancer diagnoses in the HIS database in Pattani Hospital in Thailand in comparison with the final cancer diagnosis of the ICD-10 codes generated from a well established cancer registry in Songklanagarind Hospital, the medical school hospital of Prince of Songkla University. Materials and Methods: Data on cancer patients residing in Pattani province who visited Pattani Hospital from January 2007 to May 2011 were obtained from the HIS database. The ICD-10 codes of the HIS computer database of Pattani Hospital were compared against the ICD-10 codes of the same person recorded in the hospital-based cancer registry of Songklanagarind Hospital. The degree of agreement or positive predictive value (PPV) was calculated for each sex and for both sexes combined. Results: A total of 313 cases (15.9%) could be matched in the two databases. Some 222 cases, 109 males and 113 females, fulfilled the criteria of referral from Pattani to Songklanagarind Hospitals. Of 109 male cancer cases, 76 had the same ICD-10 codes in both hospitals, thus, the PPV was 69.7% (95%CI: 60.2-78.2%). Agreement in 76 out of 113 females gave a PPV of 67.3% (95%CI: 57.8-75.8%). The two percentages were found non-significant with Fisher's exact p-value of 0.773. The PPV for combined cases of both sexes was 68.5% (95%CI: 61.9-74.5%). Conclusions: Changes in final diagnosis in the referral system are common, thus the summary statistics of a hospital without full investigation facilities must be used with care, as the statistics are biased towards simple diseases able to be investigated by available facilities. A systematic feedback of patient information from a tertiary to a referring hospital should be considered to increase the accuracy of statistics and to improve the comprehensive care of cancer patients.

Group Key Management Protocol for Secure Social Network Service (안전한 소셜 네트워크 서비스를 위한 그룹키 관리 프로토콜)

  • Seo, Seung-Hyun;Cho, Tae-Nam
    • Journal of the Institute of Electronics Engineers of Korea CI
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    • v.48 no.3
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    • pp.18-26
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    • 2011
  • Social network services whose users increase rapidly is the online services that reflect social network. They are used for various purposes such as strategy of election, commercial advertisement and marketing, educational information sharing and exchange of medical knowledge and opinions. These services make users form social networks with other users who have common interests and expand their relationships by releasing their personal information and utilizing other users' social networks. However, the social network services based on open and sharing of information raise various security threats such as violation of privacy and phishing. In this paper, we propose a group key management scheme and protocols using key rings to protect communication of small groups in social network services.

A Four-Layer Robust Storage in Cloud using Privacy Preserving Technique with Reliable Computational Intelligence in Fog-Edge

  • Nirmala, E.;Muthurajkumar, S.
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.14 no.9
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    • pp.3870-3884
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    • 2020
  • The proposed framework of Four Layer Robust Storage in Cloud (FLRSC) architecture involves host server, local host and edge devices in addition to Virtual Machine Monitoring (VMM). The goal is to protect the privacy of stored data at edge devices. The computational intelligence (CI) part of our algorithm distributes blocks of data to three different layers by partially encoded and forwarded for decoding to the next layer using hash and greed Solomon algorithms. VMM monitoring uses snapshot algorithm to detect intrusion. The proposed system is compared with Tiang Wang method to validate efficiency of data transfer with security. Hence, security is proven against the indexed efficiency. It is an important study to integrate communication between local host software and nearer edge devices through different channels by verifying snapshot using lamport mechanism to ensure integrity and security at software level thereby reducing the latency. It also provides thorough knowledge and understanding about data communication at software level with VMM. The performance evaluation and feasibility study of security in FLRSC against three-layered approach is proven over 232 blocks of data with 98% accuracy. Practical implications and contributions to the growing knowledge base are highlighted along with directions for further research.