• Title/Summary/Keyword: Diagnostic Tool

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Discriminant Model V for Syndrome Differentiation Diagnosis based on Sex in Stroke Patients (성별을 고려한 중풍 변증진단 판별모형개발(V))

  • Kang, Byoung-Kab;Lee, Jung-Sup;Ko, Mi-Mi;Kwon, Se-Hyug;Bang, Ok-Sun
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.25 no.1
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    • pp.138-143
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    • 2011
  • In spite of abundant clinical resources of stroke patients, the objective and logical data analyses or diagnostic systems were not established in oriental medicine. As a part of researches for standardization and objectification of differentiation of syndromes for stroke, in this present study, we tried to develop the statistical diagnostic tool discriminating the 4 subtypes of syndrome differentiation using the essential indices considering the sex. Discriminant analysis was carried out using clinical data collected from 1,448 stroke patients who was identically diagnosed for the syndrome differentiation subtypes diagnosed by two clinical experts with more than 3 year experiences. Empirical discriminant model(V) for different sex was constructed using 61 significant symptoms and sign indices selected by stepwise selection. We comparison. We make comparison a between discriminant model(V) and discriminant model(IV) using 33 significant symptoms and sign indices selected by stepwise selection. Development of statistical diagnostic tool discriminating 4 subtypes by sex : The discriminant model with the 24 significant indices in women and the 19 significant indices in men was developed for discriminating the 4 subtypes of syndrome differentiation including phlegm-dampness, qi-deficiency, yin-deficiency and fire-heat. Diagnostic accuracy and prediction rate of syndrome differentiation by sex : The overall diagnostic accuracy and prediction rate of 4 syndrome differentiation subtypes using 24 symptom and sign indices was 74.63%(403/540) and 68.46%(89/130) in women, 19 symptom and sign indices was 72.05%(446/619) and 70.44%(112/159) in men. These results are almost same as those of that the overall diagnostic accuracy(73.68%) and prediction rate(70.59%) are analyzed by the discriminant model(IV) using 33 symptom and sign indices selected by stepwise selection. Considering sex, the statistical discriminant model(V) with significant 24 symptom and sign indices in women and 19 symptom and sign indices in men, instead of 33 indices would be used in the field of oriental medicine contributing to the objectification of syndrome differentiation with parsimony rule.

Analysis for Practical use as a Learning Diagnostic Assessment Instruments through the Knowledge State Analysis Method (지식상태분석법을 이용한 학습 진단평가도구로의 활용성 분석)

  • Park, Sang-Tae;Lee, Hee-Bok;Jeong, Kee-Ju;Kim, Seok-Cheon
    • Journal of The Korean Association For Science Education
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    • v.27 no.4
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    • pp.346-353
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    • 2007
  • In order to be efficient in teaching, a teacher should understand the current learner's level through diagnostic evaluation. This study has examined the major issues arising from the noble diagnostic assessment tool based on the theory of knowledge space. The knowledge state analysis method is actualizing the theory of knowledge space for practical use. The knowledge state analysis method is very advantageous when a certain group or individual student's knowledge structure is analyzed especially for strong hierarchical subjects such as mathematics, physics, chemistry, etc. Students' knowledge state helps design an efficient teaching plan by referring their hierarchical knowledge structure. The knowledge state analysis method can be enhanced by computer due to fast data processing. In addition, each student's knowledge can be improved effectively through individualistic feedback depending on individualized knowledge structure. In this study, we have developed a diagnostic assessment test for measuring student's learning outcome which is unattainable from the conventional examination. The diagnostic assessment test was administered to middle school students and analyzed by the knowledge state analysis method. The analyzed results show that students' knowledge structure after learning found to be more structured and well-defined than the knowledge structure before the learning.

Validity of Korean Version of the Mini-International Neuropsychiatric Interview (한국판 Mini International Neuropsychiatric Interview 타당도 연구)

  • Yoo, Sang-Woo;Kim, Young-Shin;Noh, Joo-Sun;Oh, Kang-Seob;Kim, Chan-Hyung;NamKoong, Kee;Chae, Jeong-Ho;Lee, Gi-Chul;Jeon, Seong-Ill;Min, Kyung-Jun;Oh, Dong-Jae;Joo, Eun-Jung;Park, Hyun-Ju;Choi, Young-Hee;Kim, Se-Joo
    • Anxiety and mood
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    • v.2 no.1
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    • pp.50-55
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    • 2006
  • Objectives : In the psychiatry, structured interview is very important tool to be used in epidemiological or psychopharmacological studies. However, investigators often find that the administration of comprehensive diagnostic interviews is time-consuming and expensive to be used in clinical or research settings. Considering these points, Sheehan and his colleagues developed MINI (Mini International Neuropsychiatric Interview) to meet the need for a brief, reliable, and valid structured diagnostic interview for psychiatric disorders. The MINI has been translated into many languages and used in many countries. Therefore, we translated the MINI into Korean and determined its validity in this study. Methods : Twohundred seventy patients and normal subjects participated in the validation of the MINI versus an expert's professional opinion. Schizophrenia and other psychotic disorders, mood disorders including major depressive disorder and bipolar disorder, anxiety disorders including panic and other phobic disorders, and alcohol dependence were included in this study. The validity was obtained by examination whether MINI based diagnoses were compatible with diagnoses by expert psychiatrists. Results : The range of Kappa values was 0.22 (somatoform disorder) to 0.93 (bipolar disorder - past). Overall agreement between MINI and expert's diagnoses were good. The Kappa values for anxiety disorders seemed to be higher than those for other disorders. Conclusion : The MINI Korean version has the good validity. It also has potential applications as a diagnostic tool for psychiatric disorders.

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DSS of Discharging from Military Service using the Analysis of Mental Patient's Prescription (정신과 환자 처방분석을 통한 의병전역 결정지원 시스템)

  • Jeon, Young-Hee;Park, Gun-Woo;Lee, Sang-Hoon
    • Journal of the military operations research society of Korea
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    • v.34 no.3
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    • pp.93-105
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    • 2008
  • Recently, mental patients are increasing by secondary gain, that is, purpose for avoiding a military service as the social prejudice about mental disease decreases. In particular, it is unique diagnostic tool to a patient's subjective symptoms complaint and a doctor's special judgment, in occasion of psychiatry problem that an objective diagnostic tool does not exist. In this paper, we provide an objective basis to help in a quick decision-making of discharging from military service using the datamining, that analyzes mental patient's prescription to find a special rule. Therefore, we propose the decision support system of discharging from service using the analysis of mental patient's prescription.

Development of Diagnostic Algorithm and Expert System to diagnose Power Transformers by the methods of Gas Analysis (가스분석기법을 이용한 전력용 변압기 내부 이상진단을 위한 진단 알고리즘 및 전문가시스템 개발)

  • 최인혁;정길조;권동진;신명철
    • Journal of the Korean Institute of Illuminating and Electrical Installation Engineers
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    • v.15 no.5
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    • pp.68-74
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    • 2001
  • This paper describes the new algorithm method for detecting abnormal causes within power transformers. Generally, the gas analysis has been proved the most confident method of many transformer diagnostics. The proposed algorithm is adapted to the international codes of IEC, Dornenburg, Gas Pattern including the DEPCO´s gas analysis method for the improvement of diagnostic efficiency. Specially, this algorithm is programmed by the tool of Element Expert developed Neuron DATA Inc. in USA. Also, it was confirmed that the developed algorithm is proved the confidence by the use of real data in fault power transformers.

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Conservative treatment of cytomegalovirus colitis with bowel perforation in an immunocompetent patient: case report and review of literature

  • Nam, Kyoung Sik;Park, Hee Ug;Park, Min Gi;Park, Su Ho;Hwang, Ji Yeon;Kim, Dong Kyu;Kim, Sung Jun
    • Journal of Yeungnam Medical Science
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    • v.34 no.1
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    • pp.75-79
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    • 2017
  • Cytomegalovirus (CMV) colitis, which is rare in an immunocompetent patient, was encountered in a 67-year-old man who was admitted due to persistent diarrhea. The first diagnostic tool was colonoscopy, which showed multiple ulcers from cecum to rectum. The secondary tool was CMV polymerase chain reaction, and CMV colitis was diagnosed. Intravenous ganciclovir therapy was administered, which resulted in improvement of diarrhea and ulcers throughout the colon were healed. Asymptomatic colon perforation was detected during diagnostic testing, which improved over the conventional treatment. CMV colitis is rare in immunocompetent patients, but it is essential for the differential diagnosis.

Development of a New Instrument to Measuring Concerns for Corporate Information Privacy Management (국내 기업개인정보보호 측정항목과 관리모형 개발에 관한 연구)

  • Lee, Sung-Joong;Lee, Young-Jai
    • Journal of Information Technology Applications and Management
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    • v.16 no.4
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    • pp.79-92
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    • 2009
  • With the rising reliance on market estimation through customer analysis in customer-centered marketing, there is a rapid increase in the amount of personal data owned by corporations. There has been a corresponding rise in the customers' interest in personal information protection, and the problem of personal information leakage has risen as a serious issue. The purpose of this research is to develop a diagnosis model for personal information protection that is suited to our country's corporate environment, and on this basis, to present diagnostic instruments that can be applied to domestic corporations. This diagnosis model is a structural equation model that schematizes the degree of synthetic effect that administration factors and estimation items have on the protection of personal information owned by corporations. We develop the model- consisting of the administration factors for personal information protection and the measurement items of each factor- using the development method of standardized structural equation model. We then present a tool through which the administration factors and estimation items verified through this model can be used in the diagnosis for personal information protection in corporations. This diagnostic tool can be utilized as a useful instrument to prevent in advance the leakage of personal information in corporations.

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Performance Evaluation of CT Using Visible Scintillation Light

  • Kodama, Kiyoyuki;Hashimoto, Masatoshi;Hanada, Takashi;Suzuki, Tamotsu;Ide, Tatsuya;Maruyama, Koichi
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 2002.09a
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    • pp.464-467
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    • 2002
  • We propose the use of visible scintillation light for monitoring the X-ray CT in the gantry of a diagnostic CT for its performance test and maintenance works. We placed a disk of bare plastic scintillator disk in the gantry opening area of a helical X-ray CT. When we operated the CT, we could observe the emission of blue scintillation light from the scintillator in a dark room. Visible light was identified under all scanning conditions of diagnostic uses. As a result, we observed the direction and the spread of the incident X-ray in the scintillator. We also observed the change of the part of the scintillator where visible light was generated, and the move that took place associating with the rotation of the X-ray tube during one CT scan. On the basis of the observation, we examined the usefulness of the visible scintillation light as a convenient performance-evaluating tool as well as a maintenance tool of the CT.

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Crush Cytologic Findings of Myxopapillary Ependymoma in Spinal Cord - A Case Report - (점액 유두상 상의세포종의 압착도말 세포학적 소견 - 1예 보고 -)

  • Jung, Soo-Jin;Yang, Young-Il
    • The Korean Journal of Cytopathology
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    • v.10 no.1
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    • pp.73-78
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    • 1999
  • Myxopapillary ependymoma generally arise in the conus medullaris and filum terminale of adult spinal cord. These tumors are readily recognized due to unique histopathologic features, however, their cytologic features are not well described. When only a tiny sample is obtained, cytologic examination using crush preparation may be a useful diagnostic tool to help appropriate intraoperative diagnosis. We present the crush cytologic features of myxopapillary ependymoma arising in thoracic and lumbar spinal cord of a 13-year-old boy. The patient had complained of paraparesis and back pain for 1 month. The MRI image revealed a relatively well demarcated intramedullary mass in T11-L1 levels. Crush preparation for cytology were peformed by biopsy material. Crush cytologic findings revealed high cellularity and small sized branching papillary clusters on fibrillary or mucinous background. The tumor cells had uniform round or elongated nuclei. The cytoplasmic process of tumor cells were attached to the vascular wall. Between the tumor cells and vascular walls, the perivascular collar of globoid acellular stroma with metachromatic reaction on toluidin blue stain was noted. The crush preparation of myxopapillary ependymoma is considered as a simple and highly accurate diagnostic tool for differentiation from other intramedullary neoplasms of central nervous system.

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