• 제목/요약/키워드: Diagnostic Code

검색결과 101건 처리시간 0.027초

An original device for train bogie energy harvesting: a real application scenario

  • Amoroso, Francesco;Pecora, Rosario;Ciminello, Monica;Concilio, Antonio
    • Smart Structures and Systems
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    • 제16권3호
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    • pp.383-399
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    • 2015
  • Today, as railways increase their capacity and speeds, it is more important than ever to be completely aware of the state of vehicles fleet's condition to ensure the highest quality and safety standards, as well as being able to maintain the costs as low as possible. Operation of a modern, dynamic and efficient railway demands a real time, accurate and reliable evaluation of the infrastructure assets, including signal networks and diagnostic systems able to acquire functional parameters. In the conventional system, measurement data are reliably collected using coaxial wires for communication between sensors and the repository. As sensors grow in size, the cost of the monitoring system can grow. Recently, auto-powered wireless sensor has been considered as an alternative tool for economical and accurate realization of structural health monitoring system, being provided by the following essential features: on-board micro-processor, sensing capability, wireless communication, auto-powered battery, and low cost. In this work, an original harvester device is designed to supply wireless sensor system battery using train bogie energy. Piezoelectric materials have in here considered due to their established ability to directly convert applied strain energy into usable electric energy and their relatively simple modelling into an integrated system. The mechanical and electrical properties of the system are studied according to the project specifications. The numerical formulation is implemented with in-house code using commercial software tool and then experimentally validated through a proof of concept setup using an excitation signal by a real application scenario.

진료비 심사제도에 대한 개원의 들의 태도 및 만족도 (Physicians' behavior and attitude toward Review system of National Health Insurance claim in Korea)

  • 조희숙;정헌재;황문선
    • 한국병원경영학회지
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    • 제10권2호
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    • pp.45-63
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    • 2005
  • The purposes of this study are to understand the doctors' attitude and satisfaction about the review system of national health insurance claim in Korea and to suggest the way to improve this system This study conducted a survey of the doctors registered in the medical association in Seoul city. The survey was performed as a form of self-administered questionnaire from January 2004 to February 2004. The contents of questionnaire dealt with doctors' attitude and satisfaction about the review system of medical service claim. Totally, 1,037 members replied to our survey and we analysed 981 doctors' data, excluding incomplete responses. As a result, 89.7% of repliers showed a negative attitude about the influences of the review system on improvement of medical service quality, 98.0% of repliers have had experiences that they have given distorted insufficient medical services in order to evade the curtailment of service claim. Also, 91.6% of repliers stated that they have had experiences of intentional modification or alteration of diagnostic code to shun the curtailment. Most of the doctors showed negative attitude to the curtailment procedure and the review system of service claim originally intended to be one of the quality control methods of medical service in Korea also, the development of both scientific and reasonable parameters and criteria for claim is needed. 'Through the improvement of review system for appropriate medical service, there is a need of a way to increase the satisfaction of medical service providers, and to encourage the motivation for quality control. Also, education is strongly needed to provide doctors with sufficient information about review criteria and curtailment cases.

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보안 효율성 제고를 위한 인트라넷 네트워크 아키텍쳐 모델 (A Designing Method of Intranet Security Architecture Model for Network Security Efficiency)

  • 노시춘
    • 융합보안논문지
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    • 제10권1호
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    • pp.9-17
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    • 2010
  • 인트라넷의 네트워크는 악성트래픽의 확산과 분산을 차단하는 역할이 수행되는 영역이다. 네트워크 구조상에서는 트래픽 소통경로상에서 악성코드 침투와 보안차단기능이 수행된다. 네트워크보안 아키텍쳐란 침투와 보안차단기능이 수행되는 네트워크 구조상에서의 트래픽처리 영역과 그룹을 차별화하여 구분시키는 개념이다. 인트라넷 네트워크 아키텍쳐는 보안도메인은 영역과 가능을 기준으로 차별화가 가능하고 따라서 도메인별로 차별화된 보안 메커니즘이 개발되고 적용되어야한다. 본 논문는 네트워크 아키텍쳐의 보안 취약성을 진단하고 네트워크는 구조적으로 어떤 가준으로 보안 도메인이 설정되어야하는가에 대한 방법론 개발을 위해 네트워크 형상(Topology) 결정 요소, 보안 아키텍쳐 설정기준, 구조도 선택기준, 차단위치 결정, 경로 방역망 구성기준을 도출한다. 설계된 방법론을 적용할 경우 전통적인 네트워크 구조상에서보다 바이러스 차단 효율이 증대되고 있음이 실험을 통해 입증한다. 따라서 아키텍쳐 영역기준에 따라 차별화된 차단기능이 필요하며 보안 메커니즘 개발이 요구되고 있음을 본 연구를 통해 제시하고자한다.

교량에 설치된 도시가스배관의 안전관리에 관한 연구 (A Study on The Safety Management of City Gas Pipelines Attached on the Bridges)

  • 윤영만;손상근;최도균;이수경
    • 한국가스학회지
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    • 제22권1호
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    • pp.45-52
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    • 2018
  • 이 논문에서는 도시가스 배관 중 교량에 설치된 배관 398개소에 대해 현황을 조사하고, 배관을 설치연도별, 길이별, 원격차단장치 설치여부 등 특성별로 분류하여 분석하였다. 분석결과 20년 이상 장기사용배관이 43.0%를 차지하고 있었고, 원격차단장치 미설치 교량배관은 89.4%에 달하는 등 드러난 현상에 대한 안전관리 방안을 제시하였다. 또한 조사된 교량설치 배관 중 76개소를 선정한 후 응력해석 전용프로그램인 CAESAR-II를 이용하여 응력특성을 연구하고, 교량배관 중 루프관을 설치할 경우 루프관의 위치 및 크기가 배관의 합성응력에 미치는 영향을 분석하였다. 본 연구의 결과를 통해 교량 배관의 설치, 검사 및 진단 기준 개선 등에 활용하여 교량설치 배관에 대한 안전성 향상에 도움이 될 수 있을 것으로 판단한다.

Telemedicine Software Application

  • UNGUREANU, Ovidiu Costica;POPESCU, Marius-Constantin;CIOBANU, Daniela;UNGUREANU, Elena;SARLA, Calin Gabriel;CIOBANU, Alina-Elena;TODINCA, Paul
    • International Journal of Computer Science & Network Security
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    • 제21권2호
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    • pp.171-180
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    • 2021
  • Currently, hospitals and medical practices have a large amount of unstructured information, gathered in time at each ward or practice by physicians in a wide range of medical branches. The data requires processing in order to be able to extract relevant information, which can be used to improve the medical system. It is useful for a physician to have access to a patient's entire medical history when he or she is in an emergency situation, as relevant information can be found about the patient's problems such as: allergies to various medications, personal history, or hereditary collateral conditions etc. If the information exists in a structured form, the detection of diseases based on specific symptoms is much easier, faster and with a higher degree of accuracy. Thus, physicians may investigate certain pathological profiles and conduct cohort clinical trials, including comparing the profile of a particular patient with other similar profiles that already have a confirmed diagnosis. Involving information technology in this field will change so the time which the physicians should spend in front of the computer into a much more beneficial one, providing them with the possibility for more interaction with the patient while listening to the patient's needs. The expert system, described in the paper, is an application for medical diagnostic of the most frequently met conditions, based on logical programming and on the theory of probabilities. The system rationale is a search item in the field basic knowledge on the condition. The web application described in the paper is implemented for the ward of pathological anatomy of a hospital in Romania. It aims to ease the healthcare staff's work, to create a connection of communication at one click between the necessary wards and to reduce the time lost with bureaucratic proceedings. The software (made in PHP programming language, by writing directly in the source code) is developed in order to ease the healthcare staff's activity, being created in a simpler and as elegant way as possible.

농촌 생활권 기초생활서비스 항목 설정 및 공간데이터 구축을 위한 기초연구 (Deriving Basic Living Service Items and Establishing Spatial Data in Rural Areas)

  • 김수연;김상범
    • 한국농촌건축학회논문집
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    • 제24권3호
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    • pp.39-46
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    • 2022
  • This study aims to derive basic living service facility items in rural areas and construct related spatial data. To do this, a literature review on the laws and systems related to the residential environment and services in rural areas, rural spatial planning, and the 'Rural Convention' strategic plan reports for the Jeolla and Gyeongsang Region in 2021 was conducted. Primary data collection and review on the list of basic living service items in rural areas derived from the analysis were conducted. After data collection, 12 sectors and 44 types of rural basic living service items were derived; the data selection was carried out based on the clarity of the subject of data management, whether it was established nationwide, whether it was disclosed and provided, whether it was periodically updated, and whether it was an underlying law. Afterwards, data on the derived rural basic living service items were constructed. Afterwards, spatial data on the derived rural basic living service items were constructed. Because open data provided through various institutions were employed, data structure unification such as data attribute values and code names was needed, and abnormal data such as address errors and omissions were refined. After that, the data provided in text form was converted into spatial data through geocoding, and through comparative review of the distribution status of the converted data and the provided address, spatial data related to rural basic living services were finally constructed for about 540,000 cases. Finally, implications for data construction for diagnosing rural living areas were derived through the data collection and construction process. The derived implications include data unification, data update system establishment, the establishment of attribute values necessary for rural living area diagnosis and spatial planning, data establishment plan for facilities that provide various services, rural living area analysis method, and diagnostic index development. This study is meaningful in that it laid the foundation for data-based rural area diagnosis and rural planning, by selecting the basic rural living service items, and constructing spatial data on the selected items.

Clinical Characteristics and Distribution of the Tongue-Related Diagnoses of Patients with Tongue Symptoms

  • Park, Jae-Man;Kim, Ji Hoo;Park, Hyun-Jeong;Ahn, Jong-Mo
    • Journal of Oral Medicine and Pain
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    • 제47권3호
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    • pp.109-116
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    • 2022
  • Purpose: This study was conducted to analyze the clinical characteristics and distribution of the tongue-related diagnoses in patients with tongue symptoms. Methods: The subjects were patients who visited Chosun University Dental Hospital with tongue symptoms from January 1, 2021, to December 31, 2021. We analyzed 491 patients (139 males and 352 females) with tongue-related diagnostic code names in the Korean Standard Classification of Disease (KCD) in the Electronic Medical Record (Dentopinformation Technology Co., Seoul, Korea). Results: On analyzing the diagnoses of tongue diseases using the KCD, glossopyrosis (44.8%) and painful tongue (15.2%) showed high rates. Of the 491 patients, 139 (28.3%) were males and 352 (71.7%) were females, and the average age was 58.1 years. As for systemic diseases, there were many patients with diseases of the circulatory system (27.0%) and endocrine, nutritional, and metabolic diseases (13.7%). Tongue symptoms were discomfort in 58 patients, pain in 329 patients, paresthesia in 10 patients, burning sensations in 222 patients, dysgeusia in 25 patients, dryness in 110 patients, fissures in 57 patients, and other symptoms in 72 patients. Areas with tongue symptoms were the anterior area in 102 patients, the lateral area in 140 patients, the posterior area in 12 patients, the dorsal area in 140 patients, the ventral area in 42 patients, and which area in 126 patients overall. Patients with burning mouth syndrome and oral candidiasis had significantly more tongue symptoms. Conclusions: Patients with tongue symptoms exhibited a variety of tongue diseases. Tongue symptoms were more common in women over 50 years of age and were frequently seen in patients with burning mouth syndrome and oral candidiasis.

한국표준질병사인분류중 한방내과영역의 분류체계 개선 및 진단명 구성에 관한 연구 (The Research about the Classification System Improvement and Cord Development of Korean Classification of Disease on Oriental Internal Medicine)

  • 이원철
    • 대한한방내과학회지
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    • 제31권1호
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    • pp.1-10
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    • 2010
  • Objectives : It is necessary that the international classification of diseases (ICD) be examined in order to comprise the third revision of the Korean Classification of Disease on Oriental Medicine (KCD-OM) and disease classification in the oriental internal medicine field. It is essential that the selection, classification and definition of disease and pattern names of oriental concepts in internal medicine be clear. Since 2008, the fifth revision of the Korean Classification of Disease (KCD-5) has been used in Korea. It was required to use the reference classification from the Oriental medicine area based on the ICD-10. Methods : In this review, the necessity for, meaning of and content of the third revision are briefly described. The ICD system was reviewed and KCD-OM was reconstructed. How diagnosis in the oriental internal medicine area had changed is discussed. Review and Results : In 1973, the disease classification of oriental medicine was established the basis on the contents of Dongeuibogam. It was irrespective of the ICD. As to the classification system in the Oriental internal medicine field, systemic disease was comprised of wind, cold, warm, wet, dryness, heat, spirit, ki, blood, phlegm and retained fluid, consumptive disease, etc. Diseases of internal medicine comprised a system according to the five viscera and the six internal organs and followed the classification system of Dongeuibogam. The first and second revisions were of the classification system based on the curriculum in 1979 and 1995. In 1979, in the first revision, geriatric disease and idiopathic types of disease were deleted, and skin disease was included among surgery diseases. This classification was expanded to 792 small classification items and 1,535 detailed classification items to the dozen disease classes. In 1995, in the second revision, it was adjusted to 644 small classes and 1,784 detailed classification items in the dozen disease classes. KCD-OM3 did KCD from this basis. It added and comprised the oriental medical doctor's concept names of diseases considering the special conditions in Korea. KCD-OM3 examined the KCD-OMsecond revised edition (1994). It improved the duplex classification, improper classifications, etc. It is difficult for us to separate the disease names and pattern names in oriental medicine. We added to the U code and made one classification system. By considering the special conditions in Korea, 169 codes (83 disease name codes, 86 pattern name codes) became the pre-existence classification and links among 306 U codes of KCD-OM3. 137 codes were newly added in the third revision. U code added 3 domains. These are composed of the disease name (U20-U33, 97 codes), the disease pattern name (U50-U79, 191 codes) and the constitution pattern name of each disease (U95-U98, 18 codes). Conclusion : The introduction of KCD-OM3 conforms to the diagnostic system by which oriental medical doctors examine classes used with the basic structure of the reference classification of WHO and raises the clinical study and academic activity of the Korean oriental medicine and makes the production of all kinds of nation statistical indices possible. The introduction of KCD-OM3 promotes the diagnostic system by which doctors of Oriental medicine examine classes using the association with KCD-5. It will raise the smoothness and efficiency of oriental medical treatment payments in the health insurance, automobile insurance, industrial accident compensation insurance, etc. In addition, internationally, the eleventh revision work of the ICD has been initiated. It needs to consider incorporating into the International Classification of Diseases some of every country's traditional medicine.

인형 모의피폭체내 MOSFET 선량계의 에너지 및 방향 의존도를 고려하기 위한 선량보정인자 결정 (Determination of Dose Correction Factor for Energy and Directional Dependence of the MOSFET Dosimeter in an Anthropomorphic Phantom)

  • 조성구;최상현;나성호;김찬형
    • Journal of Radiation Protection and Research
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    • 제31권2호
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    • pp.97-104
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    • 2006
  • 최근 방사선 치료 및 진단 분야에서 선량 측정을 위하여 다양하게 사용되고 있는 MOSFET 선량계는 검출부위가 실리콘으로 이루어져 있으며 다른 검출기들과 마찬가지로 어느 정도의 에너지 의존도와 방향 의존도를 보인다. 따라서 MOSFET 선량제가 공기 중이 아닌 모의피폭체 내에서 선량 측정에 사용될 경우 낮은 에너지를 갖는 산란 광자 등 이차 광자들로 인하여 선량을 실제보다. 높게 평가하게 된다. 본 연구에서는 MOSFET 선량계의 에너지 의존도와 방향 의존도로 인하여 발생하는 오차를 보정하기 위한 선량보정인자를 몬테카를로 전산모사 기법을 이용하여 계산하였다. 먼저 사용되는 인형 모의 피폭체의 체적소 모의피폭체(Voxel Phanom)를 CT 영상을 이용하여 제작하였으며 제작된 체적소 모의 피폭체를 몬테카를로 전산코드로 구현한 후, 모의피폭체 내 각 선량계 지점에서 입사하는 광자의 에너지 및 방향별 에너지 스펙트럼을 계산하였다. 각각의 선량계 지점에서 0.662 MeV와 1.25 MeV의 광자빔을 고려하였으며 또한 MOSFET 선량계의 방향은 실리콘 베이스 방향과 에폭시 방향을 고려하였다. 주어진 선량제 지점에서의 선량보정인자는 계산된 에너지 의존도들의 중간간을 이용하여 결정하였으며 이렇게 결정된 각 선량계 지점에서 선량보정인자는 0.89-0.97 범위의 값들을 나타내었다. 본 연구결과에 따르면 MOSFET 선량계를 이용하여 인형 모의피폭체 내에 선량을 측정할 때 에너지 의존도와 방향 의존도를 고려하지 않을 경우 측정 위치에 따라 $3{\sim}11%$ 정도의 측정오차가 발생할 수 있다. 그러므로 인형 모의피폭체 내의 선량을 정확하게 측정하기 위해서는 선량보정인자를 각 선량계에 필히 적용해주어야 한다.

휴대용 단말 기반 의료용 무선 방사선 모니터링 시스템 개발 (Development of a Portable Device Based Wireless Medical Radiation Monitoring System)

  • 박혜민;홍현승;김정호;주관식
    • Journal of Radiation Protection and Research
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    • 제39권3호
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    • pp.150-158
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    • 2014
  • 각 의료기관 내 방사선 관련 종사자나 방사선 치료환자들은 진단 및 치료 시 필연적으로 의료상 피폭을 수반하게 된다. 국제방사선방호위원회(ICRP) 권고나 국제원자력기구(IAEA)의 기준에 따라 기준선량 제약치를 적용 및 권고 받고 있지만 1차 피폭대상자인 종사자나 환자들의 피폭최적관리를 위해서는 잠재적인 피폭대상자들에게 기존의 피폭관리 시스템보다 직접적이고 가용성이 높은 측정 및 분석 방법이 필요하다. 따라서 본 연구에서는 기존에 구비된 휴대용 단말과 연동하여 원거리에서 실시간으로 방사선 모니터링이 가능한 시스템을 개발하였다. 모니터링 시스템은 검출부, 영상부, 통신부 세 부분으로 구성되었다. 검출부는 시스템의 소형화를 위해 실리콘 광증배소자(silicon photomultiplier) 기반 섬광검출기를 설계하였으며, 영상부는 무선 CCD (charge-coupled device)카메라 모듈을 사용하여 검출부와 함께 Bluetooth 통신모듈을 통해 휴대용 단말로 측정된 방사선 정보와 영상이 전송된다. 제작된 시스템은 성능 평가를 위해 진단용 X-ray 발생장치와 $^{137}Cs$, $^{22}Na$, $^{60}Co$, $^{204}Tl$, $^{90}Sr$ 선원을 사용하였다. 측정결과를 통해 개발된 시스템은 gamma, beta, X-ray에 대해서 검출 반응성을 확인하였고, 방사선 세기에 따른 응답 선형성과 MCNPX 전산코드를 이용한 측정 거리에 따른 시스템의 검출 정확도 평가 시 3% 내외의 오차범위를 확인하였다. 본 연구의 결과는 방사선 검출 시스템 구성의 비용절감 효과와 개인피폭정도관리에 기여할 것으로 기대한다.