• 제목/요약/키워드: Diagnosis agreement

검색결과 278건 처리시간 0.025초

사상체질 진단 연구의 전문가 일치도와 진단 정확률 (Inter-expert Agreement and Diagnostic Accuracy of Sasang Constitution Medicine)

  • 한은경;권영규
    • 동의생리병리학회지
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    • 제32권4호
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    • pp.185-196
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    • 2018
  • The purpose of this study is to evaluate the current inter-expert agreement of Sasang Constitution Medicine (SCM), to expand the current knowledge on the causes of imperfect inter-expert agreement, and to explore possible solutions for improving inter-expert agreement. A literature search was conducted to gather data on the studies on diagnosis of SCM. The 127 articles included in this analysis had a mean 4.1 publications per year, 56.0% published in the Journal of Sasang Constitutional Medicine between the year of 1987 and 2017. SCM specialist participated in 96.3% of all the expert judgment cases. Inter-expert agreement was reported in 14.8% of the cases that had two or more experts. We recommend that expert panels integrate the results of current status of diagnostic consensus into guideline development and strengthen expert education and training with the aim of improving SCM diagnostic accuracy.

사상체질과 팔체질 진단결과의 연관성에 대한 예비 연구 (The Pilot Study on the Association of Diagnosis Results between Sasang Constitutional Medicine and Eight Constitutional Medicine)

  • 장은수;김호석;정종욱;유종향;임정아;이시우
    • 한국한의학연구원논문집
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    • 제14권2호
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    • pp.93-99
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    • 2008
  • Objectives: This study aims to find out the association between Sasang and Eight Constitution by analyzing Sasang and Eight Constitution Diagnosis results. Methods: We analyzed Sasang and Eight Constitution Diagnosis results according to confidence, by reviewing medical records of 247 patients retrospectively whose Sasang and Eight constitutions were diagnosed by two independent specialists. We used chi-square test and Cramer Statistic to know association of two diagnosis results. Results and Conclusions: Taeumin was 49.8% in Jupita, Soeumin 65.2% in Mercuria, Soyangin 90.9% in Saturna, Taeumin was 54.2% in Jupita, Soeumin 83.4% in Mercuria, Soyangin 100% in Saturna in condition that Sasang and Eight Constitution diagnosis confidence is over Band 50 score. The higher diagnosis confidence is, also the higher association between Sasang and Eight Constitution is up to 0.414(Cramer Statistic). There is association between Sasang and Eight Constitution.

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글로우 방전 플라즈마 진단 특성 (The Characteristics of Glow Discharge Plasma Diagnosis)

  • 우성훈
    • 한국조명전기설비학회:학술대회논문집
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    • 한국조명전기설비학회 2009년도 춘계학술대회 논문집
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    • pp.372-375
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    • 2009
  • We have studied on plasma diagnosis, characteristics of the glow discharge at the several different conditions of pressure, discharge current and such. The discharge onset voltage and onset current decreased as pressure increase, the general trend was nearly in agreement with the left regions of Paschen's curve. As normal glow discharge, discharge voltage was constant according to discharge current.

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Usefulness of Assessment of Stool Form by the Modified Bristol Stool Form Scale in Primary Care Pediatrics

  • Gulati, Reema;Komuravelly, Arpitha;Leb, Stephen;Mhanna, Maroun J;Ghori, Abdullah;Leon, Janeen;Needlman, Robert
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제21권2호
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    • pp.93-100
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    • 2018
  • Purpose: Rome criteria are considered the gold standard for diagnosing functional constipation. The modified Bristol stool form scale (m-BSFS) was validated to measure stool form in children. However, neither the potential use of the m-BSFS as a tool to facilitate the diagnosis of potential constipation, nor the agreement between m-BSFS and stool consistency by Rome has been studied. Our objective is to determine if m-BSFS is a reliable tool to facilitate detection of constipation; and the agreement between stool form by m-BSFS and hard stool criteria in Rome. Methods: A survey tool with the Rome III criteria and the m-BSFS was developed. A Likert-scale addressed frequency of each stool form on the m-BSFS. Responses to Rome III and m-BSFS were compared. Results: The sensitivity and specificity of the m-BSFS was 79.2% and 66.0% respectively; and in children <4 years. improved to 81.2% and 75.0% respectively. There was poor agreement between hard stools by m-BSFS and the painful or hard bowel movement question of Rome Criteria. Conclusion: The potential utility of m-BSFS as a reasonably good tool to facilitate the diagnosis of potential constipation in children is shown. The poor agreement between painful or hard stool question in Rome III, and ratings for hard stool on the m-BSFS illustrates that one's perception may differ between a question and a picture. A useful pictorial tool to appraise stool form may, thus, be a favorable complement in the process of enquiry about bowel habits in well-child care.

30 kVA 초전도 발전기의 소용량 부하 인가시 운전특성 해석 (Performance Analysis of 30 kVA Super-Conducting Generator under Light Load)

  • 하경덕;황돈하;박도영;김용주
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 1999년도 하계학술대회 논문집 A
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    • pp.271-273
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    • 1999
  • In this paper 30 kVA Super-Conducting Generator's test and analysis results of OCC and SCC are presented. Also the test and FE analysis results of the generator under 1.2, 2.4, and 3.6[kW] load are described. For FE analysis of the generator's performance, the external circuit is coupled with the FE region. The generator's end winding reactance is obtained based on the design data, actual dimension, preliminary FE analysis, and empirical formulas. The comparison of FE analysis coupled with external circuit to the test results shows a good agreement.

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간호진단 분류체계에 근거한 간호개념틀 개발 (Development of a Conceptual Framework of Nursing from Selected Concepts of Nursing Diagnoses)

  • 김조자
    • 대한간호학회지
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    • 제26권1호
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    • pp.177-193
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    • 1996
  • For the purpose of integrating nursing diagnosis into the nursing curriculum, a descriptive survey research was done using the inductive method with questionnaires and a literature review. Research subjects included nurse educators, textbooks of adult nursing published in Korea, and the course outline for adult nursing used in one college of nursing. The Results show that there was common agreement on 39 nursing diagnosis which should be in cluded in the adult nursing curriculum, textbooks of adult nursing, and patient care on the medical-surgical units. The two existing nursing diagnosis classification systems(NANDA and Gordon's Human Response Patterns) show different basic frameworks and difficulties were discovered in integration of nursing diagnosis into the curriculum. To develop a conceptual framework for a nursing diagnosis classification system, diagnosis were classified into three categories ; health promotion, high risk problem, and actual problem on the basis of the framework used in adult nursing textbooks and Gordon's 11 Functional Health Patterns. Subconcepts for actual problems were classified as ; activity and rest, nutrition and elimination, perception and coordination, stress and coping. Progress in this study supports further development of a conceptual framework of nursing based on a nursing diagnosis classification system, from which improvement in nursing education and clinical practice can be expected.

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키넥트 센서를 이용한 실용적인 3차원 안면 진단기 연구 (Study on the Practical 3D Facial Diagnosis using Kinect Sensors)

  • 장준수;도준형;김장웅;남지호
    • 동의생리병리학회지
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    • 제29권3호
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    • pp.218-222
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    • 2015
  • Facial diagnosis based on quantitative facial features has been studied in many Korean medicine fields, especially in Sasang constitutional medicine. By the rapid growing of 3D measuring technology, generic and cheap 3D sensors, such as Microsoft Kinect, is popular in many research fields. In this study, the possibility of using Kinect in facial diagnosis is examined. We introduce the development of facial feature extraction system and verify its accuracy and repeatability of measurement. Furthermore, we compare Sasang constitution diagnosis results between DSLR-based system and the developed Kinect-based system. A Sasang constitution diagnosis algorithm applied in the experiment was previously developed by a huge database containing 2D facial images acquired by DSLR cameras. Interrater reliability analysis result shows almost perfect agreement (Kappa = 0.818) between the two systems. This means that Kinect can be utilized to the diagnosis algorithm, even though it was originally derived from 2D facial image data. We conclude that Kinect can be successfully applicable to practical facial diagnosis.

The prevalence and characteristics of external cervical resorption based on cone-beam computed tomographic imaging: a cross-sectional study

  • Matheus Diniz Ferreira;Matheus Barros-Costa;Felipe Ferreira Costa;Deborah Queiroz Freitas
    • Restorative Dentistry and Endodontics
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    • 제47권4호
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    • pp.39.1-39.12
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    • 2022
  • Objectives: This study investigated the prevalence and characteristics of external cervical resorption (ECR) regarding sex, age, tooth, stages of progression, and portal of entry, using cone-beam computed tomography (CBCT) scans. Materials and Methods: CBCT scans of 1,313 patients from a Brazilian subpopulation comprising 883 female and 430 male patients (mean age, 55.2 years), acquired using a PreXion 3D CBCT unit, were evaluated. All permanent teeth included in the scans were evaluated for the presence of ECR according to the 3-dimensional classification and the portal of entry. The association between the presence of ECR and the factors studied was assessed using the χ2 test. Intra-observer agreement was analyzed with the kappa test (α = 0.05). Results: In total, 6,240 teeth were analyzed, of which 84 (1.35%) were affected by ECR. A significant association was found between the presence of ECR and sex, with a higher prevalence in male patients (p = 0.002). The most frequently affected teeth were the mandibular and maxillary central incisors. The most common height was the mid-third of the root. For the portal of entry, 44% of cases were on the proximal surfaces, 40.5% on the lingual/palatal surface and 15.5% on the buccal surface. Intra-observer agreement was excellent. Conclusions: The prevalence of ECR was 1.35%, with a higher prevalence in male patients and a wide age distribution. The mandibular and maxillary central incisors were the most commonly affected teeth, and cases of ECR most frequently showed a height into the mid-third of the root and proximal entry.

한의사의 진단, 설문지, 맥진을 이용한 미병 관리에 관한 관찰적 임상연구 (Observational Clinical Study on Mibyeong Based on Korean Medicine Diagnosis, Questionnaire, and Radial Artery Tonometry)

  • 문희영;김민수;임수현;채윤병;이인선
    • Korean Journal of Acupuncture
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    • 제40권2호
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    • pp.44-53
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    • 2023
  • Objectives : This study was conducted to reveal the relationship between multiple factors of traditional Korean Medicine diagnosis and consider the further probabilities of treating people with physical and mental problems not defined as diseases, which is called 'Mibyeong' in traditional Korean Medicine. Methods : 40 healthy participants were included in the observational clinical trial. The participants were asked to complete health questionnaires (e.g. State-Trait Anxiety Inventory, Pittsburgh Sleep Quality Index, Stress Response Inventory) and they went through a traditional diagnosis process, including four stages of diagnosis (looking, listening/smelling, inquiring, and pulse taking), by a Korean Medicine doctor. Both the Korean Medicine doctor and an artery tonometry device performed the pulse diagnosis. Results : Although all participants were healthy people with no history of disease, more than half of participants had a problem related with severe level of fatigue (n=19), sleep disturbance (n=26) and stress (n=27) status according to the related questionnaires. Participants diagnosed with phlegm syndrome by the Korean Medicine doctor showed significantly greater score in phlegm pattern questionnaires than participants who were not. However, there was little agreement between the doctor's pulse diagnosis and radial artery tonometry results. Conclusions : We conducted a pulse diagnosis and measured health-related information along with the traditional Korean Medicine diagnose procedure, including four stages of diagnosis, and we found a linkage between diagnosis of phlegm and the phlegm pattern questionnaire score. The results suggest that a number of healthy participants, with no disease diagnosed, have Mibyoung symptoms which need further clinical management. Thus, we suggest that Mibyoung management programs based on qualified diagnosis tools and traditional Korean medicine diagnosis procedures be developed, and that future research using various diagnostic tools be carried out on a large population.