• 제목/요약/키워드: Diagnostic Code

검색결과 101건 처리시간 0.026초

진단방사선 및 핵의학 검사에 의한 한국인의 의료상 피폭 (Medical Exposure of Korean by Diagnostic Radiology and Nuclear Medicine Examinations)

  • 권정완;정제호;장기원;이재기
    • Journal of Radiation Protection and Research
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    • 제30권4호
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    • pp.185-196
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    • 2005
  • 의료 목적으로 X선 촬영이나 CT, PET과 같은 진단방사선 피폭은 불가피하지만 선진국에서 의료 방사선이 최대의 인공 피폭원을 구성하고 있고 또 빠르게 증가하는 경향에 있음을 고려하면 의료상 피폭의 특성이나 그 결과로 인한 환자 선량 크기를 이해하는 것은 매우 중요하다. 이에 2002년도를 기준으로 단위 진료행위별 선량과 국내 의료보험 통계자료를 결합하여 방사선 진료절차별 집단선량과 1인당 유효선량 평가하였다. 절차의 유효선량 값은 NRPB 보고서, ICRP 80, MIRDOSE3.1 및 우리가 독립적으로 산출한 자료들로부터 편집하였다. 평가 결과 연간 집단선량은 진단방사선 22880man-Sv, 핵의학 4560man-Sv로서 총 27440 man-Sv로 나타났으며 따라서 인구 4770만 명을 나눈 1인당 연평균 의료상 피폭선량은 0.58mSv였다. 이 집단선량은 2002년 16기의 원전을 가동한 우리나라의 직업상피폭 70man-Sv보다 크게 많다. 특히 CT 촬영만의 집단선량도 9960man-Sv에 이름은 주목할 일이다. 이 결과는 국가의 방사선방호 정책이 의료에서 환자선량 최적화에 보다 주목해야 함을 시사한다.

NCS 기반 의료정보관리를 위한 퇴원분석 교육프로그램 개발 (The Development of Discharge Analysis Educational Program on NCS-Based for Medical Information Management)

  • 최준영
    • 한국전자통신학회논문지
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    • 제12권5호
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    • pp.957-964
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    • 2017
  • 본 연구에서는 NCS 기반 의료정보관리 직무수행을 위한 교육과정을 수행하고, 학습자의 실무지식을 이해할 수 있는 프로그램을 제작하였다. 이 프로그램은 의무기록의 데이터를 발생시키고 저장한 후 의무기록의 데이터를 분석하여 의료정보를 생성할 수 있는 교육용 프로그램이다. 의무기록의 내용이 다양하고 의무기록의 양적 차이가 있기 때문에 교육용 데이터의 표준을 위해 퇴원분석 프로그램에 의무기록의 내용을 요약하고 저장할 수 있도록 하였다. 프로그램을 사용하여 의료정보관리 NCS 능력단위 요소인 의료용어 DB, 의료용어 관련 DB, 진료관련 DB를 구축하고 관리할 수 있다. 다음은 프로그램 운영을 통해 학습 할 수있는 내용이다. 첫 번째로 데이터베이스의 구조를 이해하여 의료정보 DB 관리규정을 작성할 수 있다. 두 번째로 퇴원분석 프로그램에 입력하는 진단코드 및 의료행위코드의 구조와 기능을 이해할 수 있다. 또한 퇴원분석 프로그램에서 입력된 진단코드 및 의료행위코드들을 각 필드별로 검색하고 분석할 수 있다. 세 번째로 데이터를 입력하고 추출하여 의료정보를 생성함으로써 의료정보관리 능력을 향상시킬 수 있다. 본 연구에서는 퇴원분석 프로그램을 이용하여 학생들이 의무기록의 데이터를 발생시키고 분석하여 의료정보를 생성함으로써 의료정보관리에 대한 지식을 습득하고 실무능력을 향상시킬 수 있는 프로그램을 개발하였다.

유중가스농도를 이용한 유입식 변압기 고장진단 기법의 신뢰성에 관한 연구 (A Study on the Reliability of Failure Diagnosis Methods of Oil Filled Transformer using Actual Dissolved Gas Concentration)

  • 박진엽;진수환;박인규
    • 전기학회논문지P
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    • 제60권3호
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    • pp.114-119
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    • 2011
  • Large Power transformer is a complex and critical component of power plant and consists of cellulosic paper, insulation oil, core, coil etc. Insulation materials of transformer and related equipment break down to liberate dissolved gas due to corona, partial discharge, pyrolysis or thermal decomposition. The dissolved gas kinds can be related to the type of electrical faults, and the rate of gas generation can indicate the severity of the fault. The identities of gases being generated are using very useful to decide the condition of transformation status. Therefore dissolved gas analysis is one of the best condition monitoring methods for power transformer. Also, on-line multi-gas analyzer has been developed and installed to monitor the condition of critical transformers. Rogers method, IEC method, key gas method and Duval Triangle method are used to failure diagnosis typically, and those methods are using the ratio or kinds of dissolved gas to evaluate the condition of transformer. This paper analyzes the reliability of transformer diagnostic methods considering actual dissolved gas concentration. Fault diagnosis is performed based on the dissolved gas of five transformers which experienced various fault respectively in the field, and the diagnosis result is compared with the actual off-line fault analysis. In this comparison result, Diagnostic methods using dissolved gas ratio like Rogers method, IEC method are sometimes fall outside the ratio code and no diagnosis but Duval triangle method and Key gas method is correct comparatively.

Generation of Antibodies Against Rice stripe virus Proteins Based on Recombinant Proteins and Synthetic Polypeptides

  • Lian, Sen;Jonson, Miranda Gilda;Cho, Won-Kyong;Choi, Hong-Soo;Je, Yeon-Ho;Kim, Kook-Hyung
    • The Plant Pathology Journal
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    • 제27권1호
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    • pp.37-43
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    • 2011
  • Rice stripe virus (RSV) is one of serious epidemic pathogens for rice species grown in many Asian countries. Therefore, it is necessary to produce a diagnostic detection kit applicable in fields for RSV detection. In this study, RSV proteins that were derived from recombinant proteins and synthetic polypeptides as antigens were generated and were raised in rabbits for antiserum production. Among seven proteins in RSV, genes that code for NCP and NS3 proteins were cloned and subcloned into vector carrying His-tag protein and were expressed in E. coli. Of two recombinant proteins, only anti-NCP displayed stable hybridization signals in western blot analysis. Alternately, synthetic RSV polypeptides for CP, NCP, NS3 and NSvc4 we also generated and only antibodies against CP and NCP were very effective to detect RSV in both RSV infected rice and weed plants. However, antibodies against NS3 and NSvc4 showed weak specific bands as well as strong non-specific background due to the difference of viral proteins produced in the infected leaves. In summary, the antibodies generated against RSV proteins produced in this study will be useful for various assays such as for RSV diagnostic detection, immunoprecipitation, protein purification, and western blot analysis.

SEID(Systemic Exertion Intolerance Disease) 진단 기준을 바탕으로 한 만성 피로 증후군 진단 설문지(SEID-Q27) 타당도 연구 (Validity Study of the Systemic Exertion Intolerance Disease Questionnaire (SEID-Q27) for Chronic Fatigue Syndrome (CFS) Diagnosis)

  • 임은진;손창규;장은수
    • 대한한방내과학회지
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    • 제41권6호
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    • pp.1015-1029
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    • 2020
  • Purpose: This study assessed the validity of a questionnaire (SEID-Q27) for diagnosis of chronic fatigue syndrome (CFS), designed based on the systematic exertion intolerance disorder (SEID) criteria. Methods: Two groups of participants were recruited: 1. a non-CFS control group: adult university personnel with a Chalder fatigue scale (CFQ) score ≥15, and 2. a CFS patient group: patients from an online CFS community diagnosed with CFS (diagnostic code of G93.3) with the symptoms present. The survey ran from September to October, 2020. The validity of the questionnaire was investigated by factor analysis and receiver operator characteristic (ROC) analysis. Results: Among the 35 adults surveyed, 30 (86%) participants had CFQ scores ≥15 (15 males and 15 females) and 5 (14%) had a CFS diagnosis (2 males and 3 females). The total mean score was significantly different between the two groups (CFS: 6.8±2.2 vs. control: 4.4±2.4, p<0.05). The area under the curve (AUC) was 0.827. With a cut-off point 62, the sensitivity was 60%, specificity 97%, and the discriminant ability of the survey was 79%. Conclusions: The SEID -Q27 appears to be a useful instrument for the diagnosis of CFS using SEID criteria. However, further large-scale studies are needed with greater numbers of participants.

전력용 변압기의 유중가스 해석을 위한 지능형 진단 알고리즘 개발 (Development of Artificial Diagnosis Algorithm for Dissolved Gas Analysis of Power Transformer)

  • 임재윤;이대종;이종필;지평식
    • 조명전기설비학회논문지
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    • 제21권7호
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    • pp.75-83
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    • 2007
  • 일반적으로 변압기의 고장진단을 위해 IEC 코드법이 사용되지만, 이 방법은 가스비율이 규정된 범위 내에 존재하지 않거나 경계조건에 있는 경우 숙련된 진단 전문가에게 의뢰하지 않고는 정확한 고장의 원인을 판정하는데 어려움이 있다. 이러한 문제점을 해결하기 위하여 본 논문에서는 SOM을 이용한 전력용 변압기의 고장진단 알고리즘을 제안한다. 제안된 방법은 훈련 데이터의 경쟁학습을 통하여 자기 구성 맵을 구축한 후, 실증 데이터를 구축된 맵에 적용하여 고장의 진단이 이루어진다. 또한 클러스터링 기법에 의해 구축된 정상/고장모델과 정상 데이터를 비교함으로써 고장의 추이 및 열화정도를 분석한다. 제안된 방법의 유용성을 보이기 위한 실험결과에서 기존의 방법들에 비해 향상된 진단결과를 보임을 확인할 수 있었다.

Study on the prevalence and incidence of urolithiasis in Korea over the last 10 years: An analysis of National Health Insurance Data

  • Jung, Joon Se;Han, Chang Hee;Bae, Sangrak
    • Investigative and Clinical Urology
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    • 제59권6호
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    • pp.383-391
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    • 2018
  • Purpose: We aimed to analyze the incidence and prevalence of urolithiasis in Korea over the last decade using the National Health Insurance (NHI) sample cohort data. Materials and Methods: From January 2002 to December 2013, we enrolled sample cohort data from the NHI. Patients diagnosed with international classification of diseases code N20 or N13.2 were included. The incidence and prevalence rate was counted from the same period and patients previously diagnosed with urolithiasis were excluded. We compared the incidence and prevalence of urolithiasis by region, age, and sex, and identified the changes. Results: Total 1,111,828 subjects were included. Of these subjects, 36,857 had urolithiasis. The male-to-female ratio was 1.57:1, and total incidence rate was 3.27 per 1,000 person-years (1,000p-yrs). The annual incidence was lowest in 2013 (3,138 patients) and highest in 2005 (3,751 patients). Incidence rate by diagnostic code was highest in ureter stone only (2.49 per 1,000p-yrs) and was lowest in kidney and ureter stone both (0.17 per 1,000p-yrs). Prevalence gradually increased from 3,172 in 2002 and 5,758 in 2013. Jeollanam-do had the highest incidence rate of 3.70 persons per 1,000p-yrs, and Jeju had the lowest rate of 2.84 persons per 1,000p-yrs. In gender analysis, Daegu had the highest incidence (4.56) in males, Jeollanam-do had the highest incidence (3.20) in females. Conclusions: Annual incidence remained stable, whereas prevalence gradually increased. The incidence in male was 1.57 times higher than female, and the peak incidence age was 45-49 years, with the highest incidence occurring in Jeollanam-do and the lowest in Jeju.

Towards a better understanding of detection properties of different types of plastic scintillator crystals using physical detector and MCNPX code

  • Ayberk Yilmaz;Hatice Yilmaz Alan;Lidya Amon Susam;Baki Akkus;Ghada ALMisned;Taha Batuhan Ilhan;H.O. Tekin
    • Nuclear Engineering and Technology
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    • 제54권12호
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    • pp.4671-4678
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    • 2022
  • The purpose of this comprehensive research is to observe the impact of scintillator crystal type on entire detection process. For this aim, MCNPX (version 2.6.0) is used for designing of a physical plastic scintillation detector available in our laboratory. The modelled detector structure is validated using previous studies in the literature. Next, different types of plastic scintillation crystals were assessed in the same geometry. Several fundamental detector properties are determined for six different plastic scintillation crystals. Additionally, the deposited energy quantities were computed using the MCNPX code. Although six scintillation crystals have comparable compositions, the findings clearly indicate that the crystal composed of PVT 80% + PPO 20% has superior counting and detecting characteristics when compared to the other crystals investigated. Moreover, it is observed that the highest deposited energy amount, which is a result of the highest collision number in the crystal volume, corresponds to a PVT 80% + PPO 20% crystal. Despite the fact that plastic detector crystals have similar chemical structures, this study found that performing advanced Monte Carlo simulations on the detection discrepancies within the structures can aid in the development of the most effective spectroscopy procedures by ensuring maximum efficiency prior to and during use.

Software development for the visualization of brain fiber tract by using 24-bit color coding in diffusion tensor image

  • Oh, Jung-Su;Song, In-Chan;Ik hwan Cho;Kim, Jong-Hyo;Chang, Kee-Hyun;Park, Kwang-Suk
    • 대한자기공명의과학회:학술대회논문집
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    • 대한자기공명의과학회 2002년도 제7차 학술대회 초록집
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    • pp.133-133
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    • 2002
  • Purpose: The purpose of paper is to implement software to visualize brain fiber tract using a 24-bit color coding scheme and to test its feasibility. Materials and Methods: MR imaging was performed on GE 1.5 T Signa scanner. For diffusion tensor image, we used a single shot spin-echo EPI sequence with 7 non-colinear pulsed-field gradient directions: (x, y, z):(1,1,0),(-1,1,0),(1,0,1),(-1,0,1),(0,1,1),(0,1,-1) and without diffusion gradient. B-factor was 500 sec/$\textrm{mm}^2$. Acquisition parameters are as follows: TUTE=10000ms/99ms, FOV=240mm, matrix=128${\times}$128, slice thickness/gap=6mm/0mm, total slice number=30. Subjects consisted of 10 normal young volunteers (age:21∼26 yrs, 5 men, 5 women). All DTI images were smoothed with Gaussian kernel with the FWHM of 2 pixels. Color coding schemes for visualization of directional information was as follows. HSV(Hue, Saturation, Value) color system is appropriate for assigning RGB(Red, Green, and Blue) value for every different directions because of its volumetric directional expression. Each of HSV are assigned due to (r,$\theta$,${\Phi}$) in spherical coordinate. HSV calculated by this way can be transformed into RGB color system by general HSV to RGB conversion formula. Symmetry schemes: It is natural to code the antipodal direction to be same color(antipodal symmetry). So even with no symmetry scheme, the antipodal symmetry must be included. With no symmetry scheme, we can assign every different colors for every different orientation.(H =${\Phi}$, S=2$\theta$/$\pi$, V=λw, where λw is anisotropy). But that may assign very discontinuous color even between adjacent yokels. On the other hand, Full symmetry or absolute value scheme includes symmetry for 180$^{\circ}$ rotation about xy-plane of color coordinate (rotational symmetry) and for both hemisphere (mirror symmetry). In absolute value scheme, each of RGB value can be expressed as follows. R=λw|Vx|, G=λw|Vy|, B=λw|Vz|, where (Vx, Vy, Vz) is eigenvector corresponding to the largest eigenvalue of diffusion tensor. With applying full symmetry or absolute value scheme, we can get more continuous color coding at the expense of coding same color for symmetric direction. For better visualization of fiber tract directions, Gamma and brightness correction had done. All of these implementations were done on the IDL 5.4 platform.

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INFRARED [FE II] EMISSION LINES FROM RADIATIVE ATOMIC SHOCKS

  • KOO, BON-CHUL;RAYMOND, JOHN C.;KIM, HYUN-JEONG
    • 천문학회지
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    • 제49권3호
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    • pp.109-122
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    • 2016
  • [Fe II] emission lines are prominent in the infrared (IR) and important as diagnostic tools for radiative atomic shocks. We investigate the emission characteristics of [Fe II] lines using a shock code developed by Raymond (1979) with updated atomic parameters. We first review general characteristics of the IR [Fe II] emission lines from shocked gas, and derive their fluxes as a function of shock speed and ambient density. We have compiled available IR [Fe II] line observations of interstellar shocks and compare them to the ratios predicted from our model. The sample includes both young and old supernova remnants in the Galaxy and the Large Magellanic Cloud and several Herbig-Haro objects. We find that the observed ratios of the IR [Fe II] lines generally fall on our grid of shock models, but the ratios of some mid-IR lines, e.g., [Fe II] 35.35 µm/[Fe II] 25.99 µm, [Fe II] 5.340 µm/[Fe II] 25.99 µm, and [Fe II] 5.340 µm/[Fe II] 17.94 µm, are significantly offset from our model grid. We discuss possible explanations and conclude that while uncertainties in the shock modeling and the observations certainly exist, the uncertainty in atomic rates appears to be the major source of discrepancy.