• Title/Summary/Keyword: Diagnostic Evaluation

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Current and Future Challenges of Student Assessment in Medical Education from an Outcome-based Education Perspective (성과중심교육 측면에서 우리나라 의과대학 학생평가의 현실과 과제)

  • Park, Jang Hee
    • Korean Medical Education Review
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    • v.15 no.3
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    • pp.112-119
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    • 2013
  • Most medical colleges in Korea have been shifting from traditional education to outcome-based education, which is the general trend in medical education. The purpose of this study was to make some suggestions in light of the reality and challenges of student assessment in medical education from the perspective of outcome- based education. First, those who are responsible for student assessment should be diversified to include faculty, residents, students, and evaluation committee members. They need separate roles in educational evaluation, so evaluation competencies are required for them. Second, various methods for evaluation and score interpretation can be used for effective evaluation. We can adopt diagnostic, formative, and summative evaluation functionally, and the norm-referenced, criterion-referenced, growth-referenced, and ability-referenced evaluation based on criteria for score interpretation. Finally, various evaluation domains and test forms can be administered together in the common lectures in the medical school. We can test not only knowledge but also skills and attitudes, with diverse test forms such as supply and performance types.

Comparison of ESG Evaluation Methods: Focusing on the K-ESG Guideline (ESG 평가방법 비교: K-ESG 가이드라인을 중심으로)

  • Chanhi Cho;Hyoung-Yong Lee
    • Journal of Intelligence and Information Systems
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    • v.29 no.1
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    • pp.1-25
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    • 2023
  • ESG management is becoming a necessity of the times, but there are about 600 ESG evaluation indicators worldwide, causing confusion in the market as different ESG ratings were assigned to individual companies according to evaluation agencies. In addition, since the method of applying ESG was not disclosed, there were not many ways for companies that wanted to introduce ESG management to get help. Accordingly, the Ministry of Trade, Industry and Energy announced the K-ESG guideline jointly with the ministries. In previous studies, there were few studies on the comparison of evaluation grades by ESG evaluation company or the application of evaluation diagnostic items. Therefore, in this study, the ease of application and improvement of the K-ESG guideline was attempted by applying the K-ESG guideline to companies that already have ESG ratings. The position of the K-ESG guideline is also confirmed by comparing the scores calculated through the K-ESG guideline for companies that have ESG ratings from global ESG evaluation agencies and domestic ESG evaluation agencies. As a result of the analysis, first, the K-ESG guideline provide clear and detailed standards for individual companies to set their own ESG goals and set the direction of ESG practice. Second, the K-ESG guideline is suitable for domestic and global ESG evaluation standards as it has 61 diagnostic items and 12 additional diagnostic items covering the evaluation indicators of global representative ESG evaluation agencies and KCGS in Korea. Third, the ESG rating of the K-ESG guideline was higher than that of a global ESG rating company and lower than or similar to that of a domestic ESG rating company. Fourth, the ease of application of the K-ESG guideline is judged to be high. Fifth, the point to be improved in the K-ESG guideline is that the government needs to compile industry average statistics on diagnostic items in the K-ESG environment area and publish them on the government's ESG-only site. In addition, the applied weights of E, S, and G by industry should be determined and disclosed. This study will help ESG evaluation agencies, corporate management, and ESG managers interested in ESG management in establishing ESG management strategies and contributing to providing improvements to be referenced when revising the K-ESG guideline in the future.

Accuracy evaluation of diagnostic parameters estimated by uroflowmetry technique measuring hydraulic pressure (수압측정 방식의 요류검사 진단매개변수의 정확도 평가)

  • Kim, Kyung-Ah;Choi, Seong-Su;Kim, Sung-Sik;Kim, Kun-Jin;Park, Kyung-Soon;Cha, Eun-Jong
    • Journal of Sensor Science and Technology
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    • v.16 no.6
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    • pp.413-418
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    • 2007
  • Uroflowmetry is of great convenience to diagnose benign prostate hypertrophy common in aged men. The urinary flow rate is obtained by weight measurement using load cell, however, sensitive to impact noise. An alternative technique was recently proposed to measure hydraulic pressure instead of weight and demonstrated to introduce significantly reduced noise. In this paper, we described the measured diagnostic parameters between the weight and pressure measuring techniques in 10 normal men. The weight and pressure signals were simultaneously acquired during urination, converted into urine volumes, then differentiated to obtain flow rate signals, which showed very similar waveforms. Diagnostic parameters evaluated by pressure measuring technique were well correlated with the standard weight measuring technique (correlation coefficient > 0.99). Therefore, the new uroflowmetry based on hydraulic pressure measurement can provide accurate diagnostic parameters, which would be clinically valid.

Clinical Situations in which Musculoskeletal Ultrasound is Helpful (근골격계 초음파검사가 도움이 되는 진료 상황)

  • Cho, Kil-Ho
    • Journal of Yeungnam Medical Science
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    • v.18 no.2
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    • pp.170-186
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    • 2001
  • Musculoskeletal ultrasound (MSUS) has newly evolved by the mechanical improvement of the machine over past several years, becoming a part of imaging techniques for the evaluation of variable diseases in the musculoskeletal system. MSUS has proven diagnostic superiority in pathologies including rotator cuff disease of the shoulder, lateral epicondylitis of the elbow, diseases of the peripheral nerve, detection of intra-articular loose bodies and soft tissue foreign bodies, and in evaluating small superficial soft tissue tumors such as ganglion, epidermoid cyst, and glomus tumor. Besides, MSUS is very useful for obtaining tissue or fluid via percutaneous fine needle aspiration and/or biopsy for the histopathologic diagnosis. Combining MSUS with MR would play a great role in the field of the diagnostic imaging of the musculoskeletal system. The MSUS examiner should have the knowledge of cross-sectional anatomy, and of the mechanical and physical properties of ultrasound in order to interpret the ultrasound findings accurately and properly, and to avoid diagnostic errors due to variable artifacts subsequently. The goal of this article is to introduce the capabilities of MSUS in certain kinds of clinical situation and to familiarize the reader with MSUS. For the purpose, author intends to describe this article according not to the disease-, or organ-based, but to the clinical problem-based format.

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Assessment of Insulation Deterioration in Stator Windings of High Voltage Motor (고압전동기 고정자 권선의 절연열화 평가)

  • Kim, Hee-Dong;Kong, Tae-Sik
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.61 no.5
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    • pp.711-716
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    • 2012
  • To assess the insulation deterioration of stator windings, diagnostic and AC breakdown tests were performed on the eleven high voltage (HV) motors rated at 6kV. After completing the diagnostic tests, the AC overvoltage test was performed by gradually increasing the voltage applied to the stator windings until electrical insulation failure occurred, to obtain the breakdown voltage. Stator winding of motors 1, 3, and 8 failed at above rated voltage at 14 kV, 13.8kV, and 16.4kV, respectively. The breakdown voltage of three motors was higher than expected for good quality windings in 6kV motors. Based on deterioration evaluation criteria, the stator winding insulation of eleven HV motors are confirmed to be in good condition. The turning point of the current, $P_{i2}$, in the AC current vs. voltage characteristics occurred between 5kV and 6kV, and the breakdown voltage was low between 13.8kV and 16.4kV. There was a strong correlation between the breakdown voltage and various electrical characteristics in diagnostic tests including Pi2.

Diagnostic Accuracy of Dermoscopy for Scabies

  • Li, Feng-Zeng;Chen, Shuang
    • Parasites, Hosts and Diseases
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    • v.58 no.6
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    • pp.669-674
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    • 2020
  • The diagnostic accuracy of dermoscopy (DS) for scabies, a highly contagious parasitic disease, remains disputed. This study aimed to assess the diagnostic accuracy of DS in scabies, analyze the factors influencing DS, and explore its role in post-treatment evaluation. Patients with suspected scabies were randomly divided into 2 groups: 71 patients in the skin scraping (SS) group and 73 patients in the DS group. The diagnostic efficiencies of SS and DS in these groups were calculated. We also analyzed the influence of body part and investigator competence on the accuracy of DS. Then 16 body parts with typical signs of scabies were monitored by DS 2 and 4 day after sulfur ointment treatment. The sensitivity and specificity of DS were 98.3% and 88.5%, respectively. Hands, arms, and the abdomen had higher positivity rates than other body parts (P<0.001). The accuracy of dermatologists' interpretations of images negative for scabies in the intermediate- and high-level groups was higher than that in the low-level group (P<0.001). At follow-up, the mites were still visible on 43.8% to 62.5% of the skin lesions 2 and 4 day after sulfur ointment treatment. These results showed that DS could significantly increase the accuracy of diagnosing scabies owing to its high sensitivity and specificity. Therefore, it may be useful for monitoring clinical responses to anti-parasitic treatment.

Application of Diagnostic Laboratory Tests in the Field of Oral Medicine: A Narrative Review

  • Ji Woon, Park;Yeong-Gwan, Im
    • Journal of Korean Dental Science
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    • v.15 no.2
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    • pp.101-111
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    • 2022
  • The purpose of laboratory tests in the field of oral medicine can be divided into two categories: (1) medical evaluation of patients with systemic diseases that are planning to receive dental care and (2) diagnosis of patients with certain oral diseases. First, laboratory tests are commonly used to evaluate patients with systemic diseases who need dental management. A combination of multiple tests is usually prescribed as a test panel to diagnose and assess a specific disease. Test panels closely related to oral medicine include those for rheumatoid arthritis, connective tissue disease/lupus, liver function, thyroid screening, anemia, and bleeding disorders. Second, laboratory tests are used as auxiliary diagnostic methods for certain oral diseases. They often provide crucial diagnostic information for infectious diseases caused by bacteria, fungi, and viruses that are associated with pathology in the oral and maxillofacial regions. Laboratory tests for infectious diseases are composed of growth-dependent methods, immunologic assays, and molecular biology. As the field develops, further application of laboratory tests, including synovial fluid analysis in temporomandibular joint disorders, salivary diagnostics, and hematologic biomarkers associated with temporomandibular disorders and orofacial pain conditions, is currently under scrutiny for their reliability as diagnostic tools.

Evaluation of IgG4 Subclass Antibody Detection by Peptide-Based ELISA for the Diagnosis of Human Paragonimiasis Heterotrema

  • Intapan, Pewpan M.;Sanpool, Oranuch;Janwan, Penchom;Laummaunwai, Porntip;Morakote, Nimit;Kong, Yoon;Maleewong, Wanchai
    • Parasites, Hosts and Diseases
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    • v.51 no.6
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    • pp.763-766
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    • 2013
  • A synthetic peptide was prepared based on the antigenic region of Paragonimus westermani pre-procathepsin L, and its applicability for immunodiagnosis for human paragonimiasis (due to Paragonimus heterotremus) was tested using an ELISA to detect IgG4 antibodies in the sera of patients. Sera from other helminthiases, tuberculosis, and healthy volunteers were used as the references. This peptide-based assay system gave sensitivity, specificity, accuracy, and positive and negative predictive values of 100%, 94.6%, 96.2%, 100%, and 88.9%, respectively. Cross reactivity was frequently seen against the sera of fascioliasis (75%) and hookworm infections (50%). Since differential diagnosis between paragonimiasis and fascioliasis can be easily done by clinical presentation and fascioliasis serology, this cross reaction is not a serious problem. Sera from patients with other parasitoses (0-25%) rarely responded to this synthetic antigen. This synthetic peptide antigen seems to be useful for development of a standardized diagnostic system for paragonimiasis.

The Effect of the Fault Tolerant Capability due to Degradation of the Self-diagnostics Function in the Safety Critical System for Nuclear Power Plants (원자력발전소 안전필수시스템 고장허용능력에 대한 자가진단기능 저하 영향 분석)

  • Hur, Seop;Hwang, In-Koo;Lee, Dong-Young;Choi, Heon-Ho;Kim, Yang-Mo;Lee, Sang-Jeong
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.59 no.8
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    • pp.1456-1463
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    • 2010
  • The safety critical systems in nuclear power plants should be designed to have a high level of fault tolerant capability because those systems are used for protection or mitigation of the postulated accidents of nuclear reactor. Due to increasing of the system complexity of the digital based system in nuclear fields, the reliability of the digital based systems without an auto-test or a self-diagnostic feature is generally lower than those of analog system. To overcome this problem, additional redundant architectures in each redundant channel and self-diagnostic features are commonly integrated into the digital safety systems. The self diagnostic function is a key factor for increasing fault tolerant capabilities in the digital based safety system. This paper presents an availability and safety evaluation model to analyze the effect to the system's fault tolerant capabilities depending on self-diagnostic features when the loss or erroneous behaviors of self-diagnostic function are expected to occur. The analysis result of the proposed model on the several modules of a safety platform shows that the improvement effect on unavailability of each module has generally become smaller than the result of usage of conventional models and the unavailability itself has changed significantly depending on the characteristics of failures or errors of self-diagnostic function.

Clinical Utility of $^{99m}Tc-HMPAO$ Brain SPECT Findings in Chronic Head Injury (만성 두부외상 환자에서 $^{99m}Tc-HMPAO$ Brain SPECT의 임상적 유용성)

  • Chung, Jin-Ill;Chung, Tae-Sub;Suh, Jung-Ho;Kim, Dong-Ik;Lee, Jong-Doo;Park, Chang-Yoon;Kim, Young-Soo
    • The Korean Journal of Nuclear Medicine
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    • v.26 no.1
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    • pp.26-32
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    • 1992
  • Minimal deterioration of cerebral perfusion or microanatomical changes were undetectable on conventional Brain CT or MRI. So evaluation of focal functional changes of the brain parenchyme is essential in chronic head injury patients, who did not show focal anatomical changes on these radiological studies. However, the patients who had longstanding neurologic sequelae following head injury, there had been no available imaging modalities for evaluating these patients precisely. Therefore we tried to detect the focal functional changes on the brain parenchyme using $^{99m}Tc-HMPAO$ Brain SPECT on the patients of chronic head injuries. Twenty three patients who had suffered from headache, memory dysfunction, personality change and insomnia lasting more than six months fellowing head injury were included in our cases, which showed no anatomical abnormalities on Brain CT or MRI. At first they underwent psychological test whether the symptoms were organic or not. Also we were able to evaluate the cerebral perfusion changes with $^{99m}Tc-HMPAO$ Brain SPECT in 22 patients among the 23, which five patients were focal and 17 patients were nonfocally diffuse perfusion changes. Thus we can predict the perfusion changes such as local vascular deterioration or functional defects using $^{99m}Tc-HMPAO$ Brain SPECT in the patients who had suffered from post-traumatic sequelae, which changes were undetectable on Brain CT or MRI.

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