• Title/Summary/Keyword: Diagnos

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Study on the Association of DSOM Pathogenic Factor in the Insomnia Patients (불면환자의 수면의 질 척도와 한방진단시스템 병기(病機)와의 연관성 연구)

  • Lee, Dong-Wha;Kim, Bo-Kyung
    • Journal of Oriental Neuropsychiatry
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    • v.21 no.1
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    • pp.89-108
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    • 2010
  • Objectives: This study was to investigate the relation of Pittsburgh Sleep Quality Index(PSQI) and Diagnos system of oriental medicine(DSOM) in the Insomnia Patients. Methods: For this study, we carried out PSQI and DSOM of 92 patients with insomnia who have come to Kijang public health center and Donguei oriental hospital of Donguei university from November 2008 to October 2009. We verified the association of PSQI and DSOM using crosstabulation analysis, independent sample T-test, one-way ANOVA and correlation analysis. Results: 1. Blood-deficiency(血虛) is the most frequent pathogenic factor and frequency of nightmare has positive correlation with that factor including heart(心) in total insomnia patients. 2. Female patients have a higher percentage of chronic insomnia than male patients. 3. As patients aged, maintaining sleep gets harder, sleep time is lessening, taking hypnotics is increasing and quality of sleep gets worse. 4. There is high frequency of chronic insomnia in 40~50 years and over 60 years old. Also, the people who are over 60 years of age tend to sleepless and urinated frequently during the middle of the night. The people with the age of 20~30 years tend to take less sleeping pills and frequency of sleeping during daytime is higher than the other age groups but the quality of sleep is quite good. 5. The patient with over 6 months of chronic insomnia tend to be older in age than the patient with less than 6 months. And the patient with chronic sleeping disorder has frequent pain and the quality of sleep is very poor. 6. The patient who took hypnotics tend to be older than hypnotics non-user and frequency of urination was relatively high. 7. The patient who visited oriental medical hospital were tend to be older and get difficult in maintaining sleep. And frequency of taking hypnotics and urinating during night were tend to be higher and the quality of sleep was poor compared with the patient who visited public health center. Conclusions: This study provides insights into the complicated relations of the associated symptom of insomnia with Diagnos system of oriental medicine. And especially this study showed apparent correlation between nightmare in insomnia patients and pathogenic factor of blood-deficiency and heart. Specific correlations and characteristics in this study could be connect develop of new questionaire of insomnia.

REPORT OF 9 CASES OF DENTIGEROUS AMELOBLASTOMA (양종(Cyst)으로 진단된 법랑아세포종(Ameloblstoma)9예)

  • Cho, Young-Pill
    • The Journal of the Korean dental association
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    • v.9 no.12
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    • pp.837-840
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    • 1971
  • The Auther have diagnosed the 9 cases Dentigerous Ameloblastoma from mandible in Korean. 1) All 9 cases were Korean patients. 2) Clinical Diagnosis of 9 cases were cyst but microscopical Diagnos's of all cases were Dentigerous Ameloblastoma. 3) Patients of all cases were sedated with 100mg. Demerol and anesthetized with 2% Lidocain hydrochloride. The surgical procedure was performed in the usual manner.

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Object imaging in the water by neural network and multi-element ultrasound transducer (신경회로망과 다소자 초음파 트랜스듀스에 의한 수중물체의 화상화)

  • 김응규
    • Journal of the Korean Institute of Telematics and Electronics S
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    • v.35S no.1
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    • pp.80-87
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    • 1998
  • In this study, a multi-element ultrasound transducer has been developed aiming at basic experiment of three-dimension endovascular ultrasound endscopy for clinical diagnos, and experimental results of two-dimensional object imaging in the water are presented by the ultrasound tranducer and neural network. Each ultrasound echo received by thirty-six angular transducer elements is inputed to the eural network, and then backpropagation is used as a learning algorithm. A three-layer artificial neural network is used for learning and imaging of targetw placed in front of the transducer. The object shape of imaging is restricted to rectangular shapes by considering experimental restraint conditions. As a result, rough visualization can be realized even for objects with unlearned shapes through the training by primitive patterns of a various sized rectangular targets.

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Study on the Association of PSQI, IQ, BDI and DSOM in the Insomnia Patients(l) (불면환자의 수면의 질 척도, 우울척도, 한방진단시스템과의 연관성 연구(1))

  • Oh, Kyong-Min;Kim, Bo-Kyong
    • Journal of Oriental Neuropsychiatry
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    • v.20 no.3
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    • pp.89-119
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    • 2009
  • Objectives : This study was to investigate the association of Pittsburgh Sleep Quality Index(PSQI), Insomnia Questionaire(IQ), Beck Depression Inventory(BDI) and Diagnos system of oriental medicine(DSOM) in the Insomnia Patients. Methods : For this study, we carried out PSQI, IQ, BDI and DSOM of 37 patients with insomnia who have come to Donguei oriental hospital of Donguei university from November 2008 to May 2009. And Using cross tabulation analysis, verified the association of PSQI, IQ, BDI and DSOM. Results : 1. The most Frequent Pathogenic Factor is blood-deficiency(血虛) in total patients. 2. The score of BDI has positive correlation with sc10 of deficiency of qi(氣虛), damp(濕), kdney(腎) in total patients. 3. The score of PSQI has positive correlation with zp of liver(肝) in total patients. 4. The score of PSQI has positive correlation with sc10 and zp of insufficiency of Yin(陰虛), and the score of BDI has positive correlation with sc10 of blood stasis(血瘀) and zp of liver(肝) in female patients. 5. The score of PSQI has positive correlation with sc10 of deficiency of qi(氣虛) and zp of heart(心), and the score of IQ has positive correlation with sc10 of liver(肝) in male patients. 6. The duration from onset in the group of 22-59years are longer than the group of 60-80 years and the duration of using hypnotics have positive correlation with total sleep time in 22-59years group. 7. The score of PSQI has positive correlation with zp of liver(肝) in 22-59years group. 8. The score of PSQI has positive correlation with the score of BDI in 60-80years group. 9. The score of BDI has positive correlation with sc10 of deficiency of qi(氣虛) and zp of blood-deficiency(血虛), and the score of IQ has positive correlation with zp of coldness(寒) in 60-80years group. 10. The score of IQ has positive correlation with sc10 and zp of dryness(燥) in below 6 Months Group. 11. The score of PSQI has positive correlation with the score of BDI in over 6 Months Group. 12. The score of PSQI has positive correlation with zp of liver(肝) in over 6 Months Group. 13. The score of IQ has positive correlation with sc10 of dryness(燥) in BDI 2nd Grade Group. 14. The score of BDI has positive correlation with sc10 of kidney(腎) and the age has positive correlation with zp of heart(心) in BDI 3rd Grade Group. 15. The age has positive correlation with sc10 of damp(濕) in BDI 4th Grade Group. Conclusions : This study provides insights into the complicated associations of the pattern of insomnia with depression and Diagnos system of oriental medicine. And especially this study showed apparent correlation between insomnia and depression in 60-80years group and over 6 months group.

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A Case Study on Diagnosis and Checking for Machine-Tools with an OAC (개방형 컨트롤러를 갖는 공작기계에 적합한 진단 및 신호점검사례)

  • 김동훈;송준엽;김경돈;김찬봉;김선호;고광식
    • Proceedings of the Korean Society of Machine Tool Engineers Conference
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    • 2004.10a
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    • pp.292-297
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    • 2004
  • The conventional computerized numerical controller (CNC) of machine tools has been increasingly replaced by a PC-based open architecture CNC (OAC) which is independent of the CNC vendor. The OAC and machine tools with OAC led the convenient environment where it is possible to implement user-defined application programs efficiently within CNC. Tis paper proposes a method of operational fault cause diagnosis which is based on the status of programmable logic controller (PLC) in machine tools with OAC. The operational fault is defined as a disability state occurring during normal operation of machine tools. The faults are occupied by over 70% of all faults and are also unpredictable as most of them occur without any warning. Two diagnosis models, the switching function (SF) and the step switching function (SSF), are propose in order to diagnose the fault cause quickly and exactly. The cause of an occurring fault is logically diagnosed through a fault diagnosis system (FDS) using the diagnosis models. A suitable interface environment between CNC and develope application modules is constructed in order to implement the diagnostic functions in the CNC domain. The diagnosed results were displayed on a CNC monitor for machine operators and provided to a remote site through a web browser. The result of his research could be a model of the fault cause diagnosis and the remote monitoring for machine tools with OAC.

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Development of Real-time Diagnosis Method for PEMFC Stack via Intermodulation Method (Intermodulation 방법에 의한 자동차용 연료전지 스택의 실시간 진단방법 개발)

  • Lee, Young-Hyun;Yoo, Seungyeol;Kim, Jonghyeon
    • Transactions of the Korean Society of Automotive Engineers
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    • v.22 no.7
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    • pp.76-83
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    • 2014
  • During PEMFC(Proton Exchange Membrane Fuel Cell) operation monitoring and diagnosis are important issues for reliability and durability. Stack defect can be followed by a critical cell voltage drop in the stack. One method for monitoring the cell voltage is CVM(Cell Voltage Monitoring), where all cells in the stack are electrically connected to a voltage measuring system and monitored these voltages. The other methods are based on the EIS(Electrochemical Impedance Spectroscopy) and on nonlinear frequency response. In this paper, intermodulation(IM) method for diagnosis PEMFC stack is introduced. To detect one or more critical PEMFC cell voltage PEMFC stack is excited by two or more test sinusoid current, and the frequency response of the stack voltage is analyzed. If one or more critical cell voltage exists, higher harmonics on the voltage frequency spectrum will appear. For the proposed IM method, stack simulation and experiments are conducted.

Compensatory change of opposite hippocampus after temporal lobe surgery in patients with temporal lobe epilepsy Evidence from single-voxel proton MR spectroscopy

  • Lee, Sang-Hyun;Chang, Kee-Hyun;Chung, Chun-Kee;Song, In-Chan;Han, Moon-Hee
    • Proceedings of the KSMRM Conference
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    • 2001.11a
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    • pp.172-172
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    • 2001
  • Purpose: To evaluate compensatory change of opposite hippocampus after temporal lobe surgery in th patient with temporal lobe epilepsy by using single-voxel proton MR spectroscopy. Method: Eighteen patients with intractable temporal lobe epilepsy (TLE) whose MR diagnos was unilateral hippocampal sclerosis (n=11) or localized unilateral anterior temporal lobe lesio (n=7) and who underwent anterior temporal lobectomy were included in the study. Singl proton MRS of opposite hippocampus was carried out on the same day or within 1 week af MR imaging before temporal lobe surgery and after over 1-year post-surgical follow-u Single voxel proton MRS were acquired using GE signa 1.5T scanner and spectrosco system (TR, 1500-2, 000: TE, 136-144). Region of interest (ROI) was placed in a simitar position for all examination to cover the medial temporal lobes including most of the head an body of hippocampus and a part of amygdala, the parahippocampal gyrus. The MR spectr were evaluated with a focus on the metabolite ratio of N-acetylaspartate (NAA choline-containing phospholipids (Cho), creatine (Cr). The metabolite ratios of NAA/ Cr were calculated from the relative peak height measurement. We evaluated change of th intensity ratio NAA/Cr between before and after surgery, to simplify quantification acro patients, because observed decreases in the ratio of NAA/Cr can be interpreted in terms o neuronal or axonal damage.

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Application of NANDA and HHCC to Classification of Nursing Diagnosis in a Hospital-Based Home Health Care (일개 종합병원중심 가정간호 간호진단분류를 위한 NANDA와 HHCC의 적용 비교)

  • Lee, Jin Kyung;Park, Hyeoun Ae
    • Korean Journal of Adult Nursing
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    • v.12 no.4
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    • pp.507-516
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    • 2000
  • This study examines that North American Nursing Diagnosis Association(NANDA) and Home Health Care Classification(HHCC) is appropriate to classify home health care client's nursing problems and suggests a modified nursing diagnosis classification system. Two hundred and forty-nine clients' records at a general hospital were reviewed and nursing problems were diagnosed according to each classification system. Results of this study are as follows. The major client's medical diagnosis are pregnancy, childbirth and puerperium, malignant neoplasm, and benign neoplasm. Of four hundred and sixty-three nursing problems, all nursing problems made a diagnos according to HHCC, while three hundred and eighty-five made a diagnosis according to NANDA. The HHCC diagnosis included 78 more nursing problems than NANDA. The discrepancy in the results may indicate a significant advantage to HHCC diagnosis because HHCC nomenclature was created empirically from hard data. However, this may be due to limitations in the data collection method so determination of which classification system is more useful is difficult to judge. However, nursing components of the HHCC are more concrete and clearer than human response patterns of the NANDA. Also the HHCC facilitates the documentation of patient care by computer, while using a conceptual framework consisting of 20 Care Components based on the nursing process: assessment, diagnosis, outcome identification, planning, implementation and evaluation. Accordingly, the practical application of HHCC is more useful than NANDA. Limitations of this study include a retrospective data collecting method and universality of samples. Further research for various samples that use prospective data collection method is recommended.

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A Clinical Study on Differentiation of Syndromes of Amenorrhea or Oligomenorrhea with DSOM (한방진단시스템 DSOM을 이용한 무월경 및 희발월경의 변증진단 연구)

  • Lee, In-Seon;Bae, Geung-Mee
    • The Journal of Korean Obstetrics and Gynecology
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    • v.22 no.2
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    • pp.189-208
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    • 2009
  • Purpose: In oriental medicine, doctors have mainly made diagnosis and treatment with amenorrhea or delayed menstrual period based on overall analysis of symptoms and signs patients have. We think patients with amenorrhea or delayed menstrual period to have symptoms that are classified into one differentiation of syndromes, and then studied to make the index. This study has been carried out to investigate pattern identifications and classify symptoms according to them. Methods: We examined 52 patients who visited Dong-eui university oriental medical center from June 2005 to February 2009 for undergoing treatment for amenorrhea or delayed menstrual period and made OB & GY questionnaires up Results: We investigated whether the patients had symptoms concerned with symptom types by analyzing the result of DSOM(Diagnos System of Oriental Medicine, hearafter DSOM). It came out 51 cases among 52 with pathogenesis that was related to the symptom types. The symptom types of were surveyed into Insufficiency of Kidney and Liver(肝腎不足), Insufficiency of Qi and Blood(氣血虛弱), Insufficiency of Yin & Dryness of blood(陰虛血燥), stagnation of Qi and Blood(氣滯血瘀), phlegm and damp(痰濕阻滯), coldness of Blood(血寒), Heat of Heart(心火). Conclusion: As a result of the investigation, one case did not have symptoms of differentiation of syndromes of amenorrhea or delayed menstrual period. 29 cases had 1 or 2 differentiation of syndromes. 21 patients had such complex symptoms of diverse differentiation of syndromes that it was difficult to diagnose a differentiation of syndromes in clinical survey. It is necessary to put the priority among the differentiation of syndromes in diagnosis in the future.