• 제목/요약/키워드: Diagnosis and management

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Web based 공작기계 원격감시.진단시스템 설계 (Design of Web based Remote Monitoring & Diagnosis System for Machine Tool)

  • 김동훈;김선호;이은애;한기상;권용찬;김주한
    • 한국정밀공학회:학술대회논문집
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    • 한국정밀공학회 2000년도 춘계학술대회 논문집
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    • pp.1005-1010
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    • 2000
  • Internet service has widely used in office automation such as, manufacturing management purchase, and material resource. Nowadays, factory automation and shop floor control system including CAD/CAM department need a web based monitoring and diagnosis to achieve global collaboration and tole-service. This raper deal with design of web based remote monitoring and diagnosis system which concerned with open architecture controller for machine tool.

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세포 병리 자문 재판독의 진단 불일치에 관한 연구: 서울아산병원의 경험 (Second Opinion Diagnoses of Cytologic Specimens on Consultation : Asan Medical Center Experience)

  • 박소형;노재윤;조경자;공경엽;조영미;강신광
    • 대한세포병리학회지
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    • 제19권2호
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    • pp.99-106
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    • 2008
  • Background : Second opinion diagnosis of outside pathology slides is a common practice for efficient and proper patient management. We analyzed cytology slides from outside hospitals submitted for a second opinion diagnosis to determine whether the second opinion diagnosis had any influence on patient care. Methods : We reviewed 1,153 outside cytology slides referred to Asan Medical Center for second opinions from January, 2007, to December, 2007. All cases were categorized into three groups; no diagnostic discrepancy, minor diagnostic discrepancies (no impact on the management), and major diagnostic discrepancies (significant impact on the management and subsequent follow-up). Results : The thyroid was the most common organ system (933 cases, 80.9%), Forty cases (3.6%) belonged to the major diagnostic discrepancy group and 149 cases (12.8%) to the minor discrepancy group. For validation of second opinion diagnoses in major discrepancy cases, subsequent biopsy or surgical resection specimens and clinical information were reviewed, which were available in 29 cases. The second opinion diagnoses resulted in alteration of clinical management in 21 of 29 cases. Conclusion : For all referred patients, second opinion diagnosis is important and mandatory for appropriate patient care.

Direct Costs of Cervical Cancer Management in Morocco

  • Berraho, Mohamed;Najdi, Adil;Mathoulin-Pelissier, Simone;Salamon, Roger;Nejjari, Chakib
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권7호
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    • pp.3159-3163
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    • 2012
  • Background: For cervical cancer the epidemiological profile is poorly known in Morocco and no data is available concerning the direct medical costs. The purpose of this work is to estimate the direct cost of medical management of invasive cervical cancer during the first year after diagnosis in Morocco. Methods: The estimation of direct costs of medical management of invasive cervical cancer during the first year after diagnosis in Morocco is based on the estimation of individual cost in each stage which covers diagnosis, treatment and follow-up during first year. The cost was estimated per patient and whole cycle-set using the costs for each drug and procedure as indicated by the Moroccan National Agency for Health Insurance. Extrapolation of the results to the whole country was used to calculate the total annual cost of cervical cancer treatments in Morocco. Results: Overall approximately 1,978 new cases of cervical cancer occur each year in Morocco. The majority (82.96%) of these cases were diagnosed at a late stage (stageII or more). The cost of one case of cervical cancer depends on stage of diagnosis, the lowest cost is $382 for stageCis followed by the cost of stageIA1 for young women (< 40 years) which is $2,952. The highest cost is for stageIV, which is $7,827. The total cost of cervical cancer care for one year after diagnosis is estimated at $13,589,360. The share allocated to treatment is the most important part of the global care budget with an annual sum of $13,027,609 whereas other cost components are represented as follows: $435,694 for annual follow-up activity and $126,057 for diagnosis and preclinical staging. Conclusion: This study provides health decision-makers with a first estimate of costs and the opportunity to achieve the optimal use of available data to estimate the needs of health facilities in Morocco.

CAD(Computer AidedDiagnosis)의 다차원적인의사결정지원시스템 (Multi-Dimensional Decision Support System for CAD(Computer Aided Diagnosis))

  • 정인성;왕지남
    • 한국경영과학회:학술대회논문집
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    • 대한산업공학회/한국경영과학회 2004년도 춘계공동학술대회 논문집
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    • pp.13-18
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    • 2004
  • 최근 몇 년간 방사선 의학진단과 관련된 연구가 한층 높아진 가운데 유방암은 여성의 암 중에서 1위를 차지하고 조기에 진단하고 치료하기 위한 국가적인 노력이 필요한 시점이다. 이렇듯 여성들의 유방암 발생빈도수가 급증하면서 대두 되고 있는 것이 조기 진단방법인 Mammography와 초음파 진단이며 그로인하여 발생하는 오진률 역시 많은 연구가 진행 되고 있다. 먼저 Mammography 및 초음파 진단의 문제점 보면 첫째 촬영과정에서의 오차, 둘째 영상의 선명도 ,셋째 전문의의 판독에 대한오차, 넷째 의사의 경험으로 진단함으로 표준화가 존재하지 않는다는 공통적인 문제점을 가지고 있다. 본 연구에서는 CAD 시스템의 프레임웍 및 요소 기술을 제시하여 의사의 진단을 보조적 수행이 보다 수월하도록 하고자 한다. 본 연구에서는 CAD시스템의 기능은 Detection기능(Image enhancement, Morphology, segment detection)과 Diagnosis기능( Neural Natwork등을 이용하여 증상을 판단)이다. 또한 과거 자료를 이용한 변이 및 변화를 예측함으로써 향후 있을 위험요소에 대비가 가능한 모듈과 전문의사가 대화형으로 빠르게 진단지식을 구축할 수 있는 지능형, 대화형 온라인 진단기능을 추가함으로써 외국의 CAD시스템과는 많은 차이가 있다고 볼 수 있다.

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CAD(ComputerAidedDiagnosis)의 다차원적인 의사결정지원 시스템 Modeling (Modeling of Multi-Dimensional Decision Support System for CAD(Computer Aided Diagnosis))

  • 이상복;왕지남
    • 한국경영과학회:학술대회논문집
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    • 대한산업공학회/한국경영과학회 2004년도 춘계공동학술대회 논문집
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    • pp.599-602
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    • 2004
  • 최근 국내 여성의 유방암 발생율은 1위를 차지하며 그 비율 또한 나날이 늘어가고 있는 추세이다. 하지만 유방암은 다른 암에 비해 5년간 관찰 생존율이 약 76%로 갑상선에 이어 두 번째의 생존율을 보이며, 이는 조기발견의 중요성을 다시 한번 상기시키게 한다. 하지만 국내에서 사용되는 유방암 조기검진 방법에는 Mammography(유방촬영술)와 초음파 진단 두 가지가 주를 이루고 있으나 촬영과정 및 장비에 따른 오차로 인한 객관화된 정보생성 부족 및 전달의 부족으로 문제점이 대두되고 있다. 본 연구에서는 Mamography 및 초음파 유방 진단술을 이용하여 전문의의 의사결정에 도움을 줄 수 있는 CAD(Computer Aided Diagnosis) 시스템의 유방암 진단의 특징을 이용, 전문의 관점의 모델링을 기술해보고자 한다.

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도시철도 절연기기 모니터링 기술 현황 (Recent Trend on Condition Monitoring Technology of Insulating Machine in Metro)

  • 박영;정호성
    • 한국전기전자재료학회:학술대회논문집
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    • 한국전기전자재료학회 2008년도 추계학술대회 논문집 Vol.21
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    • pp.380-381
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    • 2008
  • This paper consider the condition monitoring technology of electrical machine in metro substation need for efficient and effective management and diagnosis. Developing management system using condition monitoring system is very competitive field, and still to a great extent seen as an unnecessary cost. There are several approaches to maintenance management in urban transit such as reliability-centered maintenance, availability-target maintenance and preventive maintenance to advanced approaches involving condition monitoring techniques. In this paper we give a brief introduction to condition-based management and diagnosis in metro substation and which management system satisfying various demanding in railway.

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BPMN 모델링 방식을 활용한 공동주택 하자진단 업무프로세스 모델 (The Defect Diagnosis Process Model Utilizing BPMN Modeling Method in the Apartment Housing)

  • 정려원;김경환;이정석;김재준
    • 한국주거학회논문집
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    • 제26권2호
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    • pp.67-79
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    • 2015
  • As the Korean construction market in the apartment housing has changed to a housing consumer focused market, interest and importance on efficient use and management on existing buildings has increased rather than demand for new buildings. Interest of housing consumers on apartment house quality has increased in this market paradigm, and this spontaneously is connected to quality flaw related defect disputes and lawsuits that the importance of defect diagnosis has continuously increased. This defect diagnosis is directly connected to maintenance charges in defect dispute and lawsuit processes that rather objective and highly credible progress of duty is required. However, most defect diagnosis firms today that progress defect diagnosis are using different diagnosis methods and depend on the experience of experienced professionals that there is no standardized defect diagnosis process. Therefore, the purpose of this study is to provide common defect diagnosis process model for defect diagnosis firms utilizing the BPMN (Business Process Modeling Notation) modeling method. It is expected that this will contribute to professional and reliable task performances of concerned defect diagnosis workers. Furthermore, it is expected that design lawsuit damage will be substantially reduced by standardizing defect diagnosis processes.

Looking beyond Piriformis Syndrome: Is It Really the Piriformis?

  • Shivam Sharma;Harmanpreet Kaur;Nishank Verma;Bibek Adhya
    • Hip & pelvis
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    • 제35권1호
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    • pp.1-5
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    • 2023
  • Piriformis syndrome is a common differential diagnosis related to sciatica. The following review provides a concise synopsis of the diagnosis, management, history, and alternatives to diagnosis of piriformis syndrome. A search of the literature for research articles related to piriformis syndrome and associated differential diagnosis of sciatica was conducted. A thorough review of the included articles found that the condition known as piriformis syndrome is over-diagnosed and that potential anatomic and biomechanical variations originating in the pelvic region might be related to the complaint of sciatica. The criteria for diagnosis are based on findings from both physical examination and radio imaging. Piriformis syndrome resembles a variety of clinical conditions; therefore, conduct of future studies should include development of a validated method for evaluation as well as clinical criteria for diagnosis of piriformis syndrome.

심근 SPECT를 이용한 관상동맥질환의 진단 (Diagnosis of Coronary Artery Disease Using Myocardial Perfusion SPECT)

  • 원경숙;김해원
    • Nuclear Medicine and Molecular Imaging
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    • 제43권3호
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    • pp.196-202
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    • 2009
  • Myocardial perfusion scintigraphy is currently by far the most commonly performed cardiac nuclear study, constituting approximately one third of all nuclear medicine procedure. It plays an important role in the diagnosis, prognosis, risk assessment and management of heart disease. Aim of this review is to describe recent evolution of myocardial perfusion imaging on the focus of diagnosis of coronary artery disease. In addition, current status of other imaging modalities will be reviewed.

Six-Box Model을 이용한 일개대학 부속 한방병원의 조직진단과 직무만족, 조직몰입에 미치는 영향 (Effect of Organizational Diagnosis, Job Satisfaction and Organizational Commitment of a Single-grade Korean Medicine Hospital Using Six-Box Model)

  • 안화영;권성복
    • 보건의료산업학회지
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    • 제12권1호
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    • pp.35-46
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    • 2018
  • Objectives : The purpose of this study was to present basic data on organizational changes in a Korean medicine hospital by performing organizational diagnosis and examining the job satisfaction and organizational commitment of the hospital. Methods : The subjects were a total of 218 employees in four Korean medicine hospitals, and data were collected from 1st to 25th September 2015. Using SPSS 21.0, frequency analysis, technical statistical analysis, t-test, ANOVA, Pearson's correlation analysis, and multiple regression analysis were performed. Results : The Korean medicine hospital tended to value relationships, the rewards for and attitudes towards change were low. The number of participants in this study with higher organizational diagnosis scores was high for job satisfaction and organizational commitment, and there was a strong positive correlation. It was seen that rewards, relationship, helpful mechanisms, and leadership among organizational diagnosis areas had an effect on job satisfaction, and helpful mechanisms, purposes, and leadership had an effect on organizational commitment. Conclusions : These findings will be useful because policies, research, and education are needed to facilitate organizational changes in Korean medicine hospitals.