• Title/Summary/Keyword: Data quality diagnosis

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Change in Quality of Tuberculosis (TB) Care since National Quality Assessment Program of TB Healthcare Service (결핵 적정성 평가에 따른 국내 결핵 진료서비스 질 관리 현황)

  • Jang, Seong-Ja;Hwang, Mi-Jin;Lee, Chung-Hun;Lee, Hyeon-Ju;Shim, Tae-Sun;Kim, Dong-Sook
    • Quality Improvement in Health Care
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    • v.27 no.2
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    • pp.73-82
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    • 2021
  • Purpose: This study aims to examine the quality of tuberculosis (TB) care after the 1st to 3rd national quality assessment (QA) program for TB healthcare service in Korea was conducted. Methods: We analyzed Health Insurance Review & Assessment Service (HIRA) claims data of new TB patients during the period of January to June from 2018-2020. The new TB patients were defined as TB patients reported to Korea Centers for Disease Control and Prevention Agency (KCDA). The unit of analysis was the patient. Chi-square tests were used to analyze the differences in indicator value according to the types of medical facilities. The QA indicators of TB care were divided into 3 areas consisting of the following 7 quality indicators: 4 indicators of diagnosis test (the rate of acid-fast bacilli smear, the rate of acid-fast bacilli culture, the rate of Mycobacterium tuberculosis-polymerase chain reaction, drug susceptibility test), 1 compliance of treatment guideline, and 2 indicators of care management of TB patients (encounter rate, day of therapy). Results: The QA program for TB care was conducted among 8,246 patients from 534 facilities in 2020. The value of the 7 quality indicators was shown to increase as a result of the QA program. The indicators of the diagnostic test were all higher than 95%, with the exception of the drug susceptibility test which was 84.8%. Both indicators for care management of TB patients were 88.5%. Conclusion: The quality of TB care has been improving with the implementation of the QA program. In order to continue to improve the quality of TB care, it will be necessary to disclose the results of the QA program in medical facilities in the future.

How To Preserve Old Documents Permanently : Especially Papers (기록물을 영구 보존하려면 : 문서 기록물을 중심으로)

  • Lee Young-Sook
    • Journal of Korean Library and Information Science Society
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    • v.30 no.1
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    • pp.243-255
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    • 1999
  • In modem day Korea, the amount of records containing data, statistic etc are increasing dramatically. However, our country neglects to deal with these archives which include fields such as culture. Thus government documents, even modem documents less than 50 years old, are fading. becoming damaged and acidic. The purpose of this study is to research factors for prolongment the life of archival records, especially papers. Firstly, we want to maintain the document's original quality, which is a PH between 7 to 8.5, permanently. Secondly, our objective is to permanently maintain the records in a scientific environment. Thirdly, to execute proper repair methods by conservators. Permanent quality refers to the maintenance of a PH between 7 and 8.5 in a scientific environment whereby regulations are in effect to control the environment. These factors include constant temperature and humidity, breakors of various lights, Stable storage facilities which are fire resistent. A CCV control system as well as the dusting and fumigation of records. Finally, to conservate damaged papers based on exact diagnosis.

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Development of intelligent distribution automation system with the function of substation SCADA, power quality monitoring and diagnosis condition monitoring (SCADA 기능과 전기품질 온라인 감시 및 배전설비 열화감시 기능을 갖는 배전지능화 시스템 개발)

  • Ha, B.N.;Lee, S.W.;Shin, C.H.;Seo, I.Y.;Jang, Mun-Jong;Park, M.H.;Yun, G.G.;Song, I.K.;Lee, B.S.;Lee, J.C.;NamKoong, W.
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.59 no.10
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    • pp.1776-1786
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    • 2010
  • Intelligent distribution automation system have total monitoring and control capability. The system covers substation, distribution network, distributed generations and customers at HV system. Various intelligent distribution facilities installed at distribution systems have voltage sensor, current sensor, aging monitoring sensor. Intelligent Feeder Remote Terminal Unit (IFRTU) tied to intelligent distribution facilities process information from facilities and it checks information of fault, power quality and aging of distribution facilities. The information is transmitted to master station through communication line. The master station have remote monitoring system covers substation, distribution network, distributed generations and customers. It also have various application programs that maintain optimal network operation by using information from on-site devices.

Current Status and Future Direction of Artificial Intelligence in Healthcare and Medical Education (의료분야에서 인공지능 현황 및 의학교육의 방향)

  • Jung, Jin Sup
    • Korean Medical Education Review
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    • v.22 no.2
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    • pp.99-114
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    • 2020
  • The rapid development of artificial intelligence (AI), including deep learning, has led to the development of technologies that may assist in the diagnosis and treatment of diseases, prediction of disease risk and prognosis, health index monitoring, drug development, and healthcare management and administration. However, in order for AI technology to improve the quality of medical care, technical problems and the efficacy of algorithms should be evaluated in real clinical environments rather than the environment in which algorithms are developed. Further consideration should be given to whether these models can improve the quality of medical care and clinical outcomes of patients. In addition, the development of regulatory systems to secure the safety of AI medical technology, the ethical and legal issues related to the proliferation of AI technology, and the impacts on the relationship with patients also need to be addressed. Systematic training of healthcare personnel is needed to enable adaption to the rapid changes in the healthcare environment. An overall review and revision of undergraduate medical curriculum is required to enable extraction of significant information from rapidly expanding medical information, data science literacy, empathy/compassion for patients, and communication among various healthcare providers. Specialized postgraduate AI education programs for each medical specialty are needed to develop proper utilization of AI models in clinical practice.

Characteristics of health-concerning interior design under well-being trends (웰빙 트렌드에 따른 아파트의 건강 관련 실내 디자인 요소에 관한 연구)

  • Ha Mi-Kyoung;Lim Bo-Lyun
    • Korean Institute of Interior Design Journal
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    • v.14 no.3 s.50
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    • pp.130-138
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    • 2005
  • Recently, as people are interested in the quality of life and well-being trend, the consumer's demand on a healthy residence is rapidly increasing. To offer heathy residential environment to consumers, it is necessary to investigate the quality of design regardings health. The purposes of this study are to arrange the elements of interior design for the healthy apartment and to present the essential points of design to make a proposal for the newly built healthy apartment. It is believed that the accumulated data will be the basic information to develop more healthy apartment in the future. Questionnaire was delivered and analyzed. Also, checklist were checked by visiting model house. Through the comparison and analysis between consumer's demand and the condition of the model house, this research suggests what the healthy apartment should be replenish. The result of this study are as following. In spite of the demand of improvement on sanitation, health diagnosis program, thermal comfort, sound comfort were high but the evaluation of the present apartments shows not that high. Consumer's demands like above are reflected on latest apartments but those are not reached enough to the consumer's demand.

A Noise Reduction Technique for Enhancing Pituitary Adenoma Diagnostic on Magnetic Resonance Image (개선된 뇌하수체 선종 진단을 위한 자기공명영상 노이즈 제거 기법)

  • Jung, Young-Jin
    • Journal of radiological science and technology
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    • v.42 no.4
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    • pp.285-290
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    • 2019
  • Magnetic resonance imaging is a technique specialized in soft tissue imaging with high contrast resolution without in vivo ionization and has been widely used in various clinical settings. In particular, the recent increase in social stress factors has been used in the diagnosis of pituitary adenoma, the incidence increases rapidly. Recently, due to the development of magnetic resonance imaging, it is possible to diagnose micro pituitary adenoma, but despite the use of contrast medium, there has been a difficulty in diagnosing the pituitary adenoma due to its small size and noise. In order to solve this problem, a proposed method of separating signal components image and noise components image from a measured image is applied, and the improvement of diagnostic efficiency is attempted by removing noise. As a result, it was confirmed that the image quality was improved as a whole by applying SNR for 30 subjects data. It is expected that this study will be useful as a pre-processing method for improving the image quality and developing diagnostic indicators of pituitary adenoma.

Parental burden of food-allergic children's parents and influencing factors (식품알레르기 아동 부모의 양육부담과 영향요인)

  • Lee, EunSun;Kim, KyooSang
    • Journal of Nutrition and Health
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    • v.51 no.2
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    • pp.140-152
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    • 2018
  • Purpose: Recently, there has been a worldwide increase in the prevalence of food allergies in children and it may cause nutritional imbalance and poor quality of life for growing children due to dietary restrictions. This study was conducted to quantitatively measure the life burden and related factors of mothers who are the primary caretakers of food-allergic children. Moreover, we generated data for use as a scientific basis for the development of a disease management program to reduce the burden on life from raising food-allergic children. Methods: Mothers of 2,005 children aged 2 years or older and enrolled in Seoul Metropolitan Atopy Free Schools in 2016 who have had diagnosis of food allergy in their lifetime were surveyed. The burden on life of parents with food-allergic children was measured using 17 questions from the Food Allergy Quality of Life-Parental Burden (FAQL-PB) questionnaire, and subjects were asked to respond with a scale of 1 ~ 7. Results: We analyzed the effects of sociodemographic factors of parents and children and the accompanying allergic disease factors on the lives of parents. The number of restricted food items due to food allergy of a child and accompanying diagnosis of atopic dermatitis had a positive (+) effect on the life burden of the parents. Conclusion: Accurate oral food challenge for food allergies should be administered to prevent excessive restriction of food intake. Moreover, efforts should be taken to prevent morbidity accompanying food allergy and relieve symptoms of asthma, allergic rhinitis and atopic dermatitis.

A Study on the Development Methodology of Intelligent Medical Devices Utilizing KANO-QFD Model (지능형 메디컬 기기 개발을 위한 KANO-QFD 모델 제안: AI 기반 탈모관리 기기 중심으로)

  • Kim, Yechan;Choi, Kwangeun;Chung, Doohee
    • Journal of Intelligence and Information Systems
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    • v.28 no.1
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    • pp.217-242
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    • 2022
  • With the launch of Artificial Intelligence(AI)-based intelligent products on the market, innovative changes are taking place not only in business but also in consumers' daily lives. Intelligent products have the potential to realize technology differentiation and increase market competitiveness through advanced functions of artificial intelligence. However, there is no new product development methodology that can sufficiently reflect the characteristics of artificial intelligence for the purpose of developing intelligent products with high market acceptance. This study proposes a KANO-QFD integrated model as a methodology for intelligent product development. As a specific example of the empirical analysis, the types of consumer requirements for hair loss prediction and treatment device were classified, and the relative importance and priority of engineering characteristics were derived to suggest the direction of intelligent medical product development. As a result of a survey of 130 consumers, accurate prediction of future hair loss progress, future hair loss and improved future after treatment realized and viewed on a smartphone, sophisticated design, and treatment using laser and LED combined light energy were realized as attractive quality factors among the KANO categories. As a result of the analysis based on House of Quality of QFD, learning data for hair loss diagnosis and prediction, micro camera resolution for scalp scan, hair loss type classification model, customized personal account management, and hair loss progress diagnosis model were derived. This study is significant in that it presented directions for the development of artificial intelligence-based intelligent medical product that were not previously preceded.

Study of matching user operation name and operation classification code (ICD-9-CM) (Through OCS program use facilitation at operating room) (사용자 수술명과 수술분류 code (ICD-9-CM) 일치율 향상에 관한 연구 (수술실 OCS program 사용 활성화를 통하여))

  • Choi, Hyang-Ha;Kim, Mi-Young;Kim, Do-Jin;Yu, Ji-Won;Chang, Jung-Hwa;Park, Su-Jung;Park, Jae-Sung
    • Quality Improvement in Health Care
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    • v.12 no.1
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    • pp.104-112
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    • 2006
  • Background : The necessity of unify and standardize codes used at hospital has been emphasized since OCS (Order Communicating System) was adopted. Therefore, the purpose of this study were to standardize operation code by continuous training of the ICD-9-CM code that is used as standard code in OCS program at operating room. Method : In 400 operation data, operation code entered in OCS program at operating room was compared to operation name recorded in medical record. In addition, a matching rate between input data of operation code by medical record department and computing input data of operation code in 3,710 cases was compared for each department. User operation name and operation code were matched and major diagnosis by operation department and operation name were also matched. Results : User operation name was reflected in operation classification code in detail, and operation code entered on user was registered. Input rate and matching rate of operation code were gradually improved after improvement activity. In particular, a matching rate was high at ophthalmology where operation name is segmented. Plastic surgery and orthopedics with a lot of emergency operation and comprehensive operation name show low input rates. Conclusions : As the medical field makes progress in computerlization, awareness of information exchange and sharing becomes higher. Among codes to classified medical institution, codes related to surgical operation are all different by user of hospital and department. Computerlization and standardization is essential. And when efforts of standardization continue in alliance with individual hospital and institution, initiative of preparing medical policy data at a national level will be accelerated.

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PSNR Appraisal of MRI Image (MRI 영상의 PSNR 평가)

  • Kang, Kwang-Soo;Lee, Jun-Haeng
    • Journal of the Korean Society of Radiology
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    • v.3 no.4
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    • pp.13-21
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    • 2009
  • The Magnetic Resonance Imaging (MRI) systems consist of various parameters. Among them, the image quality can be arguably the most important part of the systems. As the other components in MRI systems have been developed and evolved, the MRI image quality has been advanced remarkably. And, the radiation imaging system is being converted from the Film to the digital method, which drives the computerization of many hospitals. The management of the tremendous radiation images becomes more critical. The data compression is used to store such large data in a network server. When the image files are compressed, the image quality degrades comparing to its original images. Even slight quality degradation of a medical image could cause an erroneous diagnosis, so the images must be handled carefully. This thesis studied the image assessment methods of comparing the quality of the compressed image to its original, and the quality of the original and the displayed images of the MRI systems via PSNR with actual medical images used in hospitals. As a result, no noticeable quality degradation was found comparing the compressed images with various digital compression methods and the original images. However, it was a different story comparing the original images and the displayed images on MRI monitors. Some noise or image distortion was visible using any regular CRT or LCD monitors were used while the special monitors designed for the MRI imaging and medical images displayed high definition images.

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