• Title/Summary/Keyword: Diagnosis of Index

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Consideration of Predictive Indices for Metabolic Syndrome Diagnosis Using Cardiometabolic Index and Triglyceride-glucose Index: Focusing on Those Subject to Health Checkups in the Busan Area (Cardiometabolic Index, Triglyceride-glucose Index를 이용한 대사증후군 진단 예측지수에 대한 고찰: 부산지역 건강검진대상자 중심으로)

  • Hyun An;Hyun-Seo Yoon;Chung-Mu Park
    • Journal of radiological science and technology
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    • v.46 no.5
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    • pp.367-377
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    • 2023
  • This study investigates the utility of the Triglyceride-glucose(TyG) index and Cardiometabolic Index(CMI) as predictors for diagnosing metabolic syndrome. The study involved 1970 males, 1459 females, totaling 3429 participants who underwent health checkups at P Hospital in Busan between January 2023 and June 2023. Metabolic syndrome diagnosis was based on the presence of 3 or more risk factors out of the 5 criteria outlined by the American Heart Association/National Heart, Lung, and Blood Institute(AHA/NHLBI), and participants with 2 or fewer risk factors were categorized as normal. Statistical analyses included independent sample t-tests, chi-square tests, Pearson's correlation analysis, Receiver Operating Characteristic(ROC) curve analysis, and logistic regression analysis, using the Statistical Package for the Social Sciences(SPSS) program. Significance was established at p<0.05. The comparison revealed that the metabolic syndrome group exhibited attributes such as advanced age, male gender, elevated systolic and diastolic blood pressures, high blood sugar, elevated triglycerides, reduced LDL-C, elevated HDL-C, higher Cardiometabolic Index, Triglyceride-glucose index, and components linked to abdominal obesity. Pearson correlation analysis showed strong positive correlations between waist circumference/height ratio, waist circumference, Cardiometabolic Index, and triglycerides. Weak positive correlations were observed between LDL-C, body mass index, and Cardiometabolic index, while a strong negative correlation was found between Cardiometabolic Index and HDL-C. ROC analysis indicated that the Cardiometabolic Index(CMI), Triglyceride-glucose(TyG) index, and waist circumference demonstrated the highest Area Under the Curve(AUC) values, indicating their efficacy in diagnosing metabolic syndrome. Optimal cut-off values were determined as >1.34, >8.86, and >84.5 for the Cardiometabolic Index, Triglyceride-glucose index, and waist circumference, respectively. Logistic regression analysis revealed significant differences for age(p=0.037), waist circumference(p<0.001), systolic blood pressure(p<0.001), triglycerides(p<0.001), LDL-C(p=0.028), fasting blood sugar(p<0.001), Cardiometabolic Index(p<0.001), and Triglyceride-glucose index (p<0.001). The odds ratios for these variables were 1.015, 1.179, 1.090, 3.03, and 69.16, respectively. In conclusion, the Cardiometabolic Index and Triglyceride-glucose index are robust predictive indicators closely associated with metabolic syndrome diagnosis, and waist circumference is identified as an excellent predictor. Integrating these variables into clinical practice holds the potential for enhancing early diagnosis and prevention of metabolic syndrome.

Correlation between Vocal Indicators and Buzhongyiqi-Tang Questionnaire (음성 진단 지표와 보중익기탕 적응증과의 상관성 연구)

  • Cho, Shin-Woong;Park, Young-Bae;Park, Young-Jae
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.13 no.1
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    • pp.81-88
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    • 2009
  • Purpose : To find out correlation between the Vocal indicators and the 'Buzhongyiqi-Tang questionnaire'. Method : The 'Buzhongyiqi-Tang questionnaire' is given to 83 healthy adults and collected their voice /a/ /e/ /i/ /o/ /u/. Analyze mean values of each factors of the Vocal indicators and the 'Buzhongyiqi-Tang questionnaire'. Conclusions : R square values of /i/ sound in factor 1 and factor 3 of 'Buzhongyiqi-Tang questionnaire' are noticeably high. The value of vocal diagnosis index F0, Fundamental Frequency, in Factor 1 and factor 3 of 'Buzhongyiqi-Tang questionnaire' are considerable. The research has shown conclusively that there is a link between The value of vocal diagnosis index F0 and Factor 3, lung deficiency factor, of 'Buzhongyiqi-Tang questionnaire'.

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A study on The Characteristic of Traditional Pediatric Pulse Diagnosis (소아맥진(小兒脈診)의 특성(特性)에 대한 소고(小考))

  • Baik, You-Sang
    • Journal of Korean Medical classics
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    • v.27 no.1
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    • pp.111-122
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    • 2014
  • Objective : The region, observation period, figuration of pulse, pulse frequency, process of diagnosis and related diagnostic methods in traditional pediatric pulse diagnosis were studied in this article. Method : The articles related to traditional pediatric pulse diagnosis in Traditional medical classics, and analysis to the characteristics of it was done, then lastly, the principle of pulse manifestation and the meaning of application to modern times were considered. Result & Conclusion : It is difficult to catch the figuration of pediatric pulse because of dynamic change of body conditions, fast heartbeat and narrow region of pulse. Therefore, the pulse diagnosis appropriated for children have been developed and combined with the special diagnosis methods, for example, palpation of forehead and observation of index finger. The traditional pediatric pulse diagnosis is done with just one finger palpation in the period of 3 to 5 years old to identify the speed, length, size and height of pulse. The standard average of pulse frequency is 7~8 par breath in the period of 3 to 5 years old according to traditional medical classic.

Upper Endoscopy up to 3 Years Prior to a Diagnosis of Gastric Cancer Is Associated With Lower Stage of Disease in a USA Multiethnic Urban Population, a Retrospective Study

  • Shah, Shailja C.;Nakata, Chiaki;Polydorides, Alexandros D.;Peek, Richard M. Jr;Itzkowitz, Steven H.
    • Journal of Preventive Medicine and Public Health
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    • v.52 no.3
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    • pp.179-187
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    • 2019
  • Objectives: In the USA, certain races and ethnicities have a disproportionately higher gastric cancer burden. Selective screening might allow for earlier detection and curative resection. Among a USA-based multiracial and ethnic cohort diagnosed with non-cardia gastric cancer (NCGC), we aimed to identify factors associated with curable stage disease at diagnosis. Methods: We retrospectively identified endoscopically diagnosed and histologically confirmed cases of NCGC at Mount Sinai Hospital in New York City. Demographic, clinical, endoscopic and histologic factors, as well as grade/stage of NCGC at diagnosis were documented. The primary outcome was the frequency of curable-stage NCGC (stage 0-1a) at diagnosis in patients with versus without an endoscopy negative for malignancy prior to their index exam diagnosing NCGC. Additional factors associated with curable-stage disease at diagnosis were determined. Results: A total of 103 racially and ethnically diverse patients were included. Nearly 38% of NCGC were stage 0-Ia, 34% stage Ib-III, and 20.3% stage IV at diagnosis. A significantly higher frequency of NCGC was diagnosed in curable stages among patients who had undergone an endoscopy that was negative for malignancy prior to their index endoscopy that diagnosed NCGC, compared to patients without a negative endoscopy prior to their index exam (69.6% vs. 28.6%, p=0.003). A prior negative endoscopy was associated with 94.0% higher likelihood of diagnosing curable-stage NCGC (p=0.003). No other factors analyzed were associated with curablestage NCGC at diagnosis. Conclusions: Endoscopic screening and surveillance in select high-risk populations might increase diagnoses of curable-stage NCGC. These findings warrant confirmation in larger, prospective studies.

Research on grading the quality level and developing the comparability index of the national statistics (국가승인통계 품질 등급 부여 및 상대지표 개발)

  • Shim, Kyu-Ho
    • Journal of Korean Society for Quality Management
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    • v.38 no.2
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    • pp.150-160
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    • 2010
  • Statistics Korea has been diagnosis national statistics every year since 2006. They diagnosis over 200 kinds of national statistics. They have 7 quality dimension used for quality diagnosis. That is relevance, accuracy, Timeliness, Comparability, Coherence, Accessibility. Since we are interest in how well they produce national statistics, comparability has become the most important dimension recently. In this reason, Statistics Korea try to rating quality level and development comparability index for national statistics. This paper propose the practical method of grading the quality level and developing the comparability index of the national statistics.

Development of diagnosis index for tick/click and tone noise of blower motor using vibration signals (진동 신호를 이용한 블로워 모터 틱/클릭과 톤 소음의 진단 지수 개발)

  • Lee, Songjune;Cheong, Cheolung;Lee, In-Hyuk
    • The Journal of the Acoustical Society of Korea
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    • v.38 no.3
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    • pp.363-369
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    • 2019
  • Various studies have been conducted for the diagnosis of noise condition of complex rotary machines. In this study, diagnosis index using vibration signal is developed for the efficient and objective assessment of noise condition of a blower motor. The noise most commonly caused by the abnormal blower motor are Tick/Click noise and Tone noise. According to cause and noise characteristics, time-frequency analysis is used to diagnose Tick/Click noise, and smoothing in frequency domain is used to diagnose tone noise condition. The noise condition of the blower motors were diagnosed using the developed index and these results are compared with the diagnostic results by the experts. As a result, the agreement rate was about 95 %.

Discussion on the Clinical meanings of the Collateral Diagnosis Method in the "Hwangjenaegyeong(黃帝內經)" (약론(略论) $\ll$내경(内经)$\gg$ 낙맥진법적림상의의(络脉诊法的临床意义))

  • Wang, Xiao-Ping
    • Journal of Korean Medical classics
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    • v.23 no.1
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    • pp.317-319
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    • 2010
  • The collateral diagnosis method is unique in Traditional Chinese Medicine diagnosis methods which has important clinical value. In my article, the contents of the "Hwangjenaegyeong(黃帝內經)" related to this method is discussed. According to the site of inspection in the diagnosis process, there are five types as following: inspection of the face and surface, the thenar, the orifices, abdominal collaterals and finally the index finger of children. This method can inspire clinical practitioners.

A Review Study on Ryodoraku Study Trend (양도락(良導絡) 연구동향(硏究動向)에 관한 문헌(文獻) 고찰(考察))

  • Kim, Kyu-Tae;Kim, Dong-Hoon;Park, Young-Jae;Kim, Jung-Kuk;Park, Young-Bae
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.9 no.1
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    • pp.69-83
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    • 2005
  • Background and purpose: The purpose of this study is to review the recent achievements on ryodoraku and suggest new ryodoraku studies. Methods: The study papers related with ryodoraku, published in foreign countries and Korea up to the present, were collected first by internet search & journal. And then the collected papers were classified and summarized. Results and Conclusion: There are three study trends. One is finding some effect and analysis for some symptoms, another is finding a distinguishing mark and a diagnostic index, and the other is raising several points & providing solution & studying about relativity with another diagnosis. Some studies finding some effect and analysis for some symptoms are to be classified into four items(1. effect of drugs medication. 2. effect of ryodoraku therapy. 3. effect of other treatments. 4. effect of other treatments with ryodoraku therapy). Other studies finding a distinguishing mark and a diagnostic index are to be classified into two items(1. diagnostic index of symptoms. 2. distinguishing mark of disease). The other studies are to be classified into three items(1. ryodoraku introduction and raising several points at issue. 2. improvement machinery and tools. 3. studying about relativity with another diagnosis). Finally we need solving the ryodoraku problems(the condition of measurement and reproducibility, relation with Kyung-rak(經絡) and Ryodoraku, the reason of Ryodoraku points producing and etc.).

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Effects of Recent Life Changes on the Temporomandibular Disorders and Treatment Course (생활변화가 측두하악기능장애와 치료과정에 끼치는 영향)

  • Cheol-Ki Park;Kyung-Soo Han
    • Journal of Oral Medicine and Pain
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    • v.17 no.1
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    • pp.51-60
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    • 1992
  • 44 Temporomandibular Disorders(TMDs) patients with non-trauma and non-iatrogenic origin pressented at Wonkwang University Dental Hospital. They were grouped into experimental subjects and 85 persons without TMSDs were classified into control groups. The objectives of this study was to investigate the effects of recent life changes on the symptom severity and treatment course of TMDs. For that purpose, the author used several scales and indices, namely, Social Readjustment Rating Scale(SRRS) devised by Holmes and Rahe, SRRS-Korean revision by Hong and Jeong, Helkimos Anamnestic index, Clinical Dysfunction index, and Visual Analogue Scale treatment index(VAS Ti) transformed from VAS by the author. Data resulted from the investigation were collected by scale or index and processed with SPSS. The obtained results were as follows : 1. Life change units(LCU) and values of indices of experimental group were higher than those of control group. 2. Life change units recorded with SRRS-Korean revision were higher than those with original SRRS in all cases and significant positive correlations existed, between he two Therefore, clinical use of original SRRS in Korea is reliable and valid. 3. In experimental group, LCU were positively correlated with Helkimos Clinical Dysfunction index and VAS treatment index, but in control group LCU were not correlated with any items. From this, increase of life changes in patient with TMDs is likely to aggravate TMJ dysfunction and more likely to complicate treatment course.

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A Feasibility Study of Constitution Discrimination Using a Measurement Device for Dynamic Friction Coefficients of the Back of a Hand (손등피부 운동 마찰계수 측정기를 이용한 체질 판별 가능성 연구)

  • Kim, Keun-Ho;Woo, Yung-Jae;Lee, Hae-Jung;Lee, Yu-Jung;Kim, Jong-Yeol
    • Journal of Sasang Constitutional Medicine
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    • v.22 no.4
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    • pp.20-29
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    • 2010
  • 1. Objectives Our goal is to observe the feasibility of constitution discrimination from computing quantitative roughness index from dynamic friction coefficients and their gradients with the measurement device of skin friction with 3-Axis load cell sensor. 2. Methods In the traditional Korean medicine, skin diagnosis is one of the examination methods to discriminate Sasang constitution since it was known that Tae-eumin has rough skin, and Soyangin has smooth one. It is based on the skin roughness on the back of one's hand for the discrimination. The measurement device of skin friction with 3-axis load cell sensor has been developed in order to provide quantitative skin roughness through dynamic friction coefficients. The effective interval of the coefficients is obtained from the automatic sampling algorithm to use their curvature and slope. Then, Fisher's discriminant function of them makes the discrimination. 3. Results The success rate of extracting the effective interval was about 90% and the discriminant accuracy between Tae-eumin and Soyangin was 70% and 68% for men and women, respectively. The entire methods showed the possibility to distinguish between Tae-eumin and Soyangin by using stochastic properties of roughness index, which can make the entire system to include the measurement, the computation of the roughness index and the discrimination of constitution automatical. 4. Conclusions The measurement device, the automatic sampling algorithm of dynamic friction coefficients and the constitution discrimination algorithm were developed, respectively, and their combination can become the serial and automatic procedure for quantitative and objective skin diagnosis, which mimics the movement of the Oriental medical doctors' skin diagnosis. It can be applied to healthcare as well as the diagnosis of constitution in a u-Health system soon.