• 제목/요약/키워드: Diagnostic ability

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가족발달단계에 따른 간호요구영역에 관한 연구 (Study of The Area of Nursing Need by the Family Developmental Stage)

  • 최부옥
    • 대한간호학회지
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    • 제7권2호
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    • pp.43-59
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    • 1977
  • The Community Health Service considers the family as a service unit and places the emphasis of its service on the health problems and the nursing needs of the family rather than the individual. From the conceptual point of view that tile community health service is both health maintenance and health promotion of the family, the community health nurse should have a knowledge of the growth and development of the family and be responsible for the comprehensive support of normal family development. The community health nurse often is in a position to make a real contribution to normal family development. In order to investigate the relationship between the areas of nursing need and family development, the following objectives were established 1. To discover the general characteristics of the study population by the stage of family development. 2. To discover specific nursing needs in relation to the family developmental stage, and to determine the intensity of the nursing needs and the ability of the family to cope with these needs. 3. To discover overall family health nursing problems in relation to the family developmental stage and determine the intensity of the nursing need and the problem solving ability of family. Definitions : The family developmental stages as classified by Dually were used stage 1. Married couples(without children) stage 2. Childbearing Families (oldest child birth to 30 months of age) stage 3. Families with preschool children (oldest child 2½-to 6 years) stage 4. Families with schoolchildren (oldest child 6 to 13 years). stage 5. Families with teenagers (oldest child 13 to 20 years) stage 6. Families as launching centers (first child gone to last child′s leaving home). stage 7. Middle- aged parents (empty nest to retirement) stage 8. Aging family member (retirement to death of both spouses) The areas of nursing need were defined as those used in the study, "A Comprehensive Study about Health and Nursing Need and a Social Diagram of the Community", by tile Nursing research Institute and Center for population. and Family Planning, July 1974. The study population defiled and selected were 260 nuclear families ill two myron of Kang Hwa Island. Percent, mean value and F- test were utilized in tile statistical analysis of the study result. Findings : 1. General characteristics of the study population by tile family developmental stage ; 1)The study population was distributed by the family developmental stage as follows : stage 1 : 3 families stage 2 : 13 families stage 3 : 24 families stage 4 : 41 families stage 5 : 50 families stage 6 : 106 families stage 7 : 13 families stage 8 : 10 families 2) Most families had 4 or 5 members except for those in stage, 1, 7, and 8. 3) The parents′ present age was older in the higher developmental stage and their age at marriage was also younger in the higher developmental stages. 4) The educational level of parents was primarily less than elementary school irrespective of the developmental stage. 5) More than half of parents′ occupations were listed as laborers irrespective of the developmental stage, 6) More than half of the parents were atheists irrespective of the developmental stage. 7) The higher the developmental stage(from stage 2 to stage 6 ), the wider the distribution of children′s ages. 8) More than half of the families were of middle or lower socio-economic level. 2. Problems in specific areas of nursing need by family developmental stage, the intensity of nursing need and the problem solving ability of the family : 1) As a whole, many problems, irrespective of the developmental stage, occurred in tile areas of Housing and Sanitation, Eating Patterns, Housekeeping, Preventive Measures and Dental care. Problems occurring ill particular stages included the following ; stage 1 : Prevention of Accident stage 2 : Preventive Vaccination, Family Planning. stage 3 : Preventive Vaccination, Maternal Health, Family Planning, Health of Infant and Preschooler. stage 4, 5 : Preventive Vaccination, Family Planning, Health of School Children. stage 6 : Preventive Vaccination, Health of School Children. 2) The intensity of the nursing need in the area of Acute and Chronic Diseases was generally of moderate degree or above irrespective of the developmental stages except for stage 1. Other areas of need listed as moderate or above were found in the following stages: stage 1 : Maternal Health stage 3 . Horsing and Sanitation, Prevention of Accident. stage 4 . Housing and Sanitation. stage 5 : Housing and Sanitation, Diagnostic and Medical Care. stage 6 : Diagnostic and Medical care stage 7 : Diagnostic and Medical Care, Housekeeping. stage 8 : Housing and Sanitation, Prevention of Accident, Diagnostic and Medical Care, Dental Care, Eating Patterns, Housekeeping. 3) Areas of need with moderate problem solving ability or less were as follows : stage 1 : Diagnostic and Medical Care, Maternal Health. stage 2 : Prevention of Accident, Acute and Chronic Disease, Dental Care. stage 3 : Housing and Sanitation, Acute and Chronic Disease, Diagnostic and Medical Care, Preventive Measure, Dental Care, Maternal Health, Health of Infant and preschooler, Eating Patterns. stage 4 : Housing and Sanitation, Prevention of Accident, Diagnostic and Medical Care, Preventive Measure, Dental Care, Maternal Health, Health of New Born, Health of Infant and Preschooler, Health of school Children, Eating Patterns, Housekeeping. stage 5 . Housing and Sanitation, Prevention of Accident, Acute and Chronic Disease, Diagnostic and Medical Care, Preventive Measure, Dental Care, Preventive Vaccination, Maternal Health, Eating Patterns. stage 7, 8 : Housing and Sanitation, Prevention of Accident, Acute and Chronic Disease, Diagnostic and Medical Care, Preventive Measures, Dental Care, Preventive Vaccination, Eating Patterns , Housekeeping. Problem occurrence, the degree of nursing need and the degree of problem solving ability 1 nursing need areas for the family as a whole were as follows : 1) The higher the stages(except stage 1 ), the lower the rate of problem occurrence. 2) The higher the stage becomes, the lower the intensity of the nursing need becomes. 3) The higher the stages (except stages 7 and 8), the higher. the problem solving ability. Conclusions ; 1) When the nursing care plan for the family is drawn up, depending upon the stage of family development, higher priority should be give to nursing need areas ① at which problems were shown to occur ② where the nursing need is shown to be above moderate degree and ③ where the problem solving ability was shown to be of moderate degree. 2) The priority of the nursing service should be Placed ① not on those families in the high developmental stage but on those families in the low developmental stage ② and on those areas of need shown in stages 7 and 8 where the degree nursing need was high and the ability to cope low.

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사상체질분류검사지(QSCC II)의 Upgrade 연구 (II) - 사상체질분류검사지(QSCC II)의 재타당화 연구 - (The Study on the Upgrade of QSCC II (II) - The study on the re-validity of QSCC II-)

  • 곽창규;이의주;고병희;송일병;이상규
    • 사상체질의학회지
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    • 제15권1호
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    • pp.39-49
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    • 2003
  • 1. The purpose of study The problem lies in the Sasang-constitutional-medicine is a subjectiveness of diagnosis that can be varied by every donor. Questionnare for the Sasang Constitution Classification II(QSCCII) was invented to solve this problem. This study was conducted for two purpose. The one is re-value the QSCCII. The other is to make a basis to upgrade QSCCII. 2. The method of study QSCCII was administered to 537 patients at Kyung Hee Oriental Medicine Hospital. Data was collected during 19 months from september 2000 to march 2002. For the purpose of this study, the collected data was analyzed by crosstabs, variation analysis and discrimination analysis. The analyzing program was SPSS 8.0 for Windows. And using this program I made the judgmental equation to re-value the QSCCII. 3. The result of study 1) not applied intensifying value The diagnostic discrimination abilities of the QSCCII is 61.5% about Taeyangin, 57.7% about Soyangin, 67.2% about Taeumin, 68.8% about Soemin. And its average is 65.0%. 2) applied intensifying value The diagnostic discrimination abilities of the QSCCII is 76.9% about Taeyangin, 59.9% about Soyangin, 68.9% about Taeumin, 71.2% about Soemin. And its average is 67.3%. 3) I propose a new diagnostic possibility with a different discriminant analysis and increase 42.3% of diagnostic discrimination ability considering 25% of accident diagnostic discrimination ability. 4) Development and complement of Taeyangin and Soyangin questions is needed to increase the accuracy of diagnosis.

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종합학습평가를 위한 퍼지추론 시스템 (Fuzzy Inference System for the Synthesis Learning Evaluation)

  • 손창식;김종욱;정구범
    • 한국지능시스템학회논문지
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    • 제16권6호
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    • pp.742-746
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    • 2006
  • 학습자에 대한 학습능력의 평가는 진단평가, 형성평가와 총괄평가 단계로 구분할 수 있다. 이러한 단계적 평가는 학습자의 사전 학습 준비상태부터 학습 과정의 충실성 및 학습 결과까지를 종합적으로 판단할 수 있는 기준이 된다. 본 논문에서는 퍼지추론을 이용하여 각 단계의 평가를 모두 고려한 종합학습평가 방법을 제안하였다. 학습 수행능력에 대한 객관적인 평가를 위하여 각 평가 단계별로 가중치를 부여하였고, 진단, 형성 및 총괄 평가에 대한 퍼지추론에서 획득한 비퍼지화 값을 최종평가의 소속함수 구간으로 적용하였다. 그 결과 객관성을 보장할 수 있는 명확한 추론을 수행할 수 있었으며, 종합적인 학습평가 방법의 타당성을 보였다.

현장진단 전문가 시스템의 개발 : 휴리스틱과 인플루언스 다이아그램 (Development of On-Line Diagnostic Expert System : Heuristics and Influence Diagrams)

  • 김영진
    • 대한산업공학회지
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    • 제23권1호
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    • pp.95-113
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    • 1997
  • This paper outlines a framework for a diagnosis of a complex system with uncertain information. Sensor validation ploys a vital role in the ability of the overall system to correctly determine the state of a system monitored by imperfect sensors. Here, emphases are put on the heuristic technology and post-processor for reasoning. Heuristic Sensor Validation (HSV) exploits deeper knowledge about parameter interaction within the plant to cull sensor faults from the data stream. Finally the modified probability distributions and validated data are used as input to the reasoning scheme which is the runtime version of the influence diagram. The output of the influence diagram is a diagnostic mapping from the symptoms or sensor readings to a determination of likely failure modes. Once likely failure modes are identified, a detailed diagnostic knowledge base suggests corrective actions to improve performance. This framework for a diagnostic expert system with sensor validation and reasoning under uncertainty applies in $HEATXPRT^{TM}$ a data-driven on-line expert system for diagnosing heat rate degradation problems in fossil power plants [1].

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Konica Ortho-type MG.MGH Film의 임상응용 (Clinical Application of Konica Ortho-type MG.MGH Film)

  • 김창남;이창엽;김영환;이인자;허준
    • 대한방사선기술학회지:방사선기술과학
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    • 제13권1호
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    • pp.11-18
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    • 1990
  • Konica high ortho MG series has good system to develop diagnostic ability which in high speed and result in reduce $25{\sim}60%$ of exposure factors. MG film in suitable for genenal radiography which has good contrast and wide latitude. MGH is high contrast type and has a good sharpness which prevent to redusing contrast by scatter ray. Therefore, MGH is suitable to special study such as angiography.

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DEVELOPMENT OF A MAJORITY VOTE DECISION MODULE FOR A SELF-DIAGNOSTIC MONITORING SYSTEM FOR AN AIR-OPERATED VALVE SYSTEM

  • KIM, WOOSHIK;CHAI, JANGBOM;KIM, INTAEK
    • Nuclear Engineering and Technology
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    • 제47권5호
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    • pp.624-632
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    • 2015
  • A self-diagnostic monitoring system is a system that has the ability to measure various physical quantities such as temperature, pressure, or acceleration from sensors scattered over a mechanical system such as a power plant, in order to monitor its various states, and to make a decision about its health status. We have developed a self-diagnostic monitoring system for an air-operated valve system to be used in a nuclear power plant. In this study, we have tried to improve the self-diagnostic monitoring system to increase its reliability. We have implemented three different machine learning algorithms, i.e., logistic regression, an artificial neural network, and a support vector machine. After each algorithm performs the decision process independently, the decision-making module collects these individual decisions and makes a final decision using a majority vote scheme. With this, we performed some simulations and presented some of its results. The contribution of this study is that, by employing more robust and stable algorithms, each of the algorithms performs the recognition task more accurately. Moreover, by integrating these results and employing the majority vote scheme, we can make a definite decision, which makes the self-diagnostic monitoring system more reliable.

보건소 보건간호사의 지역사회 진단활동에 관한 조사연구 (A Study of community diagnosis activity by Community Health Nurse Working in Health Centers)

  • 조원정;김영란
    • 한국보건간호학회지
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    • 제6권1호
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    • pp.32-45
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    • 1992
  • An important role of community health nurses in health centers is to solve community health problems found through data collection methodology which has been used to identify the health needs of the community, diagnose the health problems and to plan health programs suitable for the health problems. Also community health nurses must be prepared to know the community health needs and to participate in the planning process. Since 1956 when the health center law was established, community health nurses have really implemented only the services which the government has asked them to do. This has kept them busy enough. But these days as society is in rapid change, community health nurses should have the flexibility to deal with the social change and demands that are unique to their community each which has different health needs and demands. So community health nurses need to identify what community health problems exist in their particular communities. The purposes of this study were as follows. 1) To explore the suitability of the health programs which the government has asked the community health nurses to do for their own communities and if these programs are not suitable, to explore the reasons why. 2) To explore the degree to which the community health nurses have the ability to identify health problems in their own communities and activate the community diagnostic process. 3) To identify the degree that the community health nurses have the ability to implement plans related to community diagnosis. 4) To find out how much data related to community health problems, the community health nurses have and how they are utilizing it. 5) To measure the community health nurses self-confidence concerning diagnostic activities for community health. The study subjects were 454 Community Health Nurses working in Health Centers in Seoul, Korea. The period of data collection was 6 days(Nov. 9th 1991-Nov. 15th 1991). A questionnaire used for data collection was composed of three different items; general characteristics, community health diagnostic activities and self-confidence in performing diagnostic activities. The results of the study are as follows. First, over one third of the respondents replied that the government required activities for their communities are not appropriate. Of these activities the most frequent reply $(51.2\%)$ indicated that many of the activities in the community were inappropriate to the actual situation. Further, $25\%$ of the replies indicated that many activities were only administratively oriented and as such not appropriate. Second, $49.8\%$ of the respondents replied that they had done general assessments and had a general idea of the health problems of their community. Effective solutions to health problems could be found with an increase in health personnel and management ability according to $41.5\%$ of the respondents. Third, to the question as to whether they had ever independently implemented a plan towards solving community diagnosed problems, $52\%$ of nurses replied 'never', $40\%$ 'occasionally' but only $7.5\%$ replied that they did it frequently. Actually there was very little done even in the basic work of collecting the necessary data. Fourth, when asked how much of basic information they had collected that might be used in community diagnosis activity, of 26 items in 5 areas, there was hardly one for which complete data had been collected. Fifteen percent did have data on the geographical aspects of their area, housing distribution and types of housing, while $17.8\%$ knew the frequency with which the health center was used. Concerning community resources, even with a list of community resources, only $12.3\%$ had data on any of these resources, and this data was incomplete. Further, information about social work institutions, and facilities was also incomplete, only $14.2\%$ of the respondents had any data and even it was incomplete; that is, in general, the nurses did not have this information. Fifth, concerning the confidence of the community health nurse in their ability to carry out community diagnoses activities, $60\%$ replied that they were very or at least nominally confident, indicating that although they were not doing community diagnostic activities they felt they could do so, as they were carrying out home visits and program planning as part of their official duties. The following recommendations are made based on the results of this study. First; since the community health nurses have a high perception of the need for community diagnostic activities and. high confidence in their ability to carry out this activity and high percentage of respondents replied that with a little training they could do this even better it is recommended that community diagnostic activity training be included in the continuing education program for community health nurses. Second, in order for the Community Health Nurses to successfully solve the health problems of their respective community they reported to a need to increase the number of health personnel, improve the facilities and the system of managing their work. Considering this, it is recommended that ways be sought to remedy these deficits.

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초등학생의 융합수업이 영어 능력(듣기, 읽기) 향상에 미치는 영향: 과학 애니메이션의 활용 (The Effect of Integrated Instruction for Improving English Ability (Listening & Reading Skills) of Elementary School Students: Using Science Animation)

  • 박미화;송해성
    • 한국융합학회논문지
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    • 제10권5호
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    • pp.133-140
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    • 2019
  • 2015 개정 교육과정의 궁극적인 목표는 창의융합형 인재육성이다. 본 연구에서는 과학 애니메이션을 활용한 영어 융합 수업을 통해 초등학교 6학년 학생들의 영어 듣기와 읽기 능력(이하 영어 능력)이 얼마나 향상되었는지를 검증하고자 하였다. 실험반(27명) 학생들은 영어수업 시작 전 융합수업을 받은 반면 통제반(28명) 학생들은 그 시간에 전 시간에 배운 수업을 복습하였다. 실험 시작 전, 2018년 3월에 C 교육청에서 실시한 초등학교 6학년 진단평가를 통해 동질집단인 것을 확인하였고 10개월의 실험기간 종료 후 2017년 3월 C 교육청에서 실시한 중학교 1학년용 진단평가를 통해 학생들의 영어능력 향상 여부를 알아보았다. 실험 결과, 융합수업을 받은 학생들의 영어 능력이 향상된 것으로 나타났다. 뿐만 아니라 실험 전 후 영어학습에 대한 정의적 태도에 관한 설문조사 결과, 흥미도와 자신감 측면에서 향상이 있었음도 확인할 수 있었다.

통합적 평가 도구를 활용한 근감소증 분석 : 국내 65세 이상 노인을 대상으로 (Analysis of Sarcopenia Using an Integrated Evaluation Tool : Targeting the elderly over 65 years of age in Korea)

  • 박채림;김해인;김명철
    • 대한통합의학회지
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    • 제11권1호
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    • pp.31-41
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    • 2023
  • Purpose : This study was conducted to identify the common characteristics of older persons with sarcopenia and to explore the relationship between gait, balance, and stress using an integrated assessment tool. Methods : In this study, 95 people aged 65 years or older were screened using the sarcopenia diagnostic evaluation algorithm presented by the Asian Working Group for Sarcopenia in 2019. Skeletal muscle index, grip strength, and short physical performance battery were used as sarcopenia evaluation measurements. Based on the results of this evaluation, participants were grouped into the 'non-sarcopenia group' (41 participants) or the 'sarcopenia group' (54 participants). Participants underwent further assessment using an integrated evaluation tool capable of measuring gait, balance, and stress. Gait ability was evaluated using the timed up and go test, and balance ability was evaluated using the berg balance scale. And the stress of the last month was measured by modifying the stress index developed by a Korean researcher. Collected data were statistically analyzed using the independent t-test and Mann Whitney-U test. Results : The sarcopenia group and the non-sarcopenia group showed significant differences in all elements of the sarcopenia diagnostic evaluation. There were significant differences in all three integrated evaluation tools. For the evaluation of walking ability, the time measured in the timed up and go test was longer in the sarcopenia group, the berg balance scale score for the evaluation of balance ability was lower in the sarcopenia group, and the stress index was higher in the sarcopenia group. Conclusion : Through sarcopenia analysis using an integrated evaluation tool, it was confirmed that sarcopenia is closely related to decreased walking ability, poor balance, and increased stress. We recommend using this tool to reduce the risk of sarcopenia progression and stress exposure through the planning and implementation of an exercise program for sarcopenia prevention.