• 제목/요약/키워드: Diagnostic assessment

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Study of the Usefulness of Tiltable standing detector in Testing Shoulder Joint Superoinferior axial (견관절 Superoinferior axial 검사 시 Tiltable standing detector의 유용성에 관한 고찰)

  • Lee, Dong-Hee;Kim, Byung-Ki;Kim, Ki-Jung;Kim, Min-Hyun;Lee, Min-Woo;Kim, Sun-Bae;Kim, Gyeong-Soo
    • Korean Journal of Digital Imaging in Medicine
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    • v.11 no.1
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    • pp.27-33
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    • 2009
  • In this study, we compared the alteration of test positions according to various test equipments when testing shoulder joint superoinferior axial to estimate the clinical usefulness of tiltable standing detector. Our objectives were patients who visited our hospital. Among them we chose patients who were prescribed to get a shoulder axial test, again we selected 30 patients whose abduction is more than 90 degree.(2008. Nov.$\sim$2009 Jan.) With the patients cooperation, we used CR(Agfa, Belgium), fixed-detector(Canon, japan), Tiltable-detector(Philips, Netherlands). Tested with only one equipment(tiltable detector), and posed with the other two. We surveyed 5 inspectors and 30 patients, asking them to rate the convenience of test position. Also, we checked how long it takes to have the image appear on screen after testing with the equipment We provided a standard for an assessment of the image to an expert in bone radiology, an orthopedist and a radiologist with 5 years experience. When the patients were asked about the convenience of the equipments, 15 people(50%) answered CR is convenient and 14 people(46.7%) answered the Tilting detector is convenient, showing not much difference. However, when the inspectors were asked the same question, 4people(80%) out of 5 answered that the Tilting detector is more convenient The time test showed that CR takes 2 minutes and 50 seconds, the Fixed detector 1minute and 48 seconds andor had no distortion showing the shoulder joint space. However, even though the Fixed detector showed ac the Tilting detector takes 1 minute and 43 seconds to bring the image to the screen after the position. The results of the value of image taken by each equipment, CR and the Tilting detectromion, coracoid process, due to the unstable pose, they were quite distorted and scored poor in observing glenoid fossa. By this study, we can see that testing the shoulder joint superoinferior axial projection with a detector that has a tilting device would be more convenient than testing it with a CR.

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An Analysis of Local Wind Field by Location of Industrial Complex using CALMET and ENVI-MET (CALMET 및 ENVI-MET를 이용한 산업단지 입지에 따른 국지 바람장 분석)

  • Song, Dong Woong
    • Journal of Environmental Impact Assessment
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    • v.21 no.3
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    • pp.417-429
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    • 2012
  • In this study, a diagnostic wind model, CALMET and a micrometeorological numerical model, ENVI-MET were used to analyze the wind field in and out of the site designated for the industrial complex around Buron-myeon, Wonju, Gangwon-do. The results of modeling with CALMET showed that the air flow in industrial complex was little affected by the surrounding terrain. And the result of wind field analysis with ENVI-MET showed there are turbulent air flows such as cavity and wake around structures in the industrial complex, which can cause high-air pollution. Therefore, it is necessary to design the industrial complex considering the wind path according to wind directions.

Assessment of panoramic radiography as a national oral examination tool: review of the literature

  • Choi, Jin-Woo
    • Imaging Science in Dentistry
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    • v.41 no.1
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    • pp.1-6
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    • 2011
  • Purpose : The purpose of this review is to evaluate the possibility of panoramic radiography as a national oral examination tool. Materials and Methods : This report was carried out by review of the literatures. Results : Panoramic radiography has sufficient diagnostic accuracy in dental caries, periodontal diseases, and other lesions. Also, the effective dose of panoramic radiography is lower than traditional full-mouth periapical radiography. Conclusion : Panoramic radiography will improve the efficacy of dental examination in national oral examination. However, more studies are required to evaluate the benefit, financial cost, and operation time and also to make selection criteria and quality management program.

Assessment of Prognosis and Risk Stratification in Coronary Artery Disease (관상동맥질환의 예후 및 위험도 평가)

  • Lim, Seok-Tae
    • Nuclear Medicine and Molecular Imaging
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    • v.43 no.3
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    • pp.222-228
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    • 2009
  • Risk stratification and assessment of prognosis in patients with known or suspected CAD is of crucial important for the practice of contemporary medicine. Noninvasive testing such as myocardial perfusion scintigraphy, coronary artery calcium scoring or CT coronary angiography is increasingly being used to determine the need for aggressive medical therapy and to select patients for catheterization. The integrated anatomic and functional information may provide more additional information for the cardiologist or other clinician by the improved risk stratification and diagnostic accuracy of integrated techniques. The development of SPECT/CT or PET/CT hybrid systems is therefore of important value for the nuclear cardiology.

Review on Theoretical Background and Components of Dental Hygiene Process (치위생과정의 이론적 배경과 구성요소에 관한 고찰)

  • Lee, Su-Young;Cho, Young-Sik
    • Journal of dental hygiene science
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    • v.5 no.1
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    • pp.25-32
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    • 2005
  • The dental hygiene process of care is a model for providing integrated dental hygiene care. It was developed by Mueller-Joseph and Petersen in 1995. The purpose of the dental hygiene process is to provide a framework within which the individualized needs of the client can be met. This model enables the dental hygienist to focus on patient need. The process is composed of five components: assessment, diagnosis, planning, implementation and evaluation. The process of dental hygiene has to move from simple clinical procedure to comprehensive and systemic dental hygiene care. The dental hygiene diagnostic model broadens the biomedical dental model to the behavioral model to include health behavior and health function of individuals. The dental hygiene process will provide a mechanism to develop dental hygienist's role and scope of practice in Korea.

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Insomnia in Medical Illnesses:The Secondary Insomnia (내과적 질환에 동반된 불면증:이차성 불면증)

  • Lim, Se-Won;Kim, Leen
    • Sleep Medicine and Psychophysiology
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    • v.12 no.1
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    • pp.11-16
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    • 2005
  • Sleep can be easily disrupted by variety of conditions. Most of medical illnesses could be a primary condition causing secondary insomnia. The common underlying mechanism of secondary insomnia is presumed to be stress effects on sleep. The assessment and treatment of secondary insomnia are often complicated. Establishing an causal inference between primary condition and insomnia is the key to assessment. However, it can be difficult even for experienced clinicians due to diagnostic ambiguity of secondary insomnia. Therefore, through medical evaluation and integrative understanding of primary condition is essential to manage secondary insomnia properly. Although treatment have been usually focused on the primary medical illnesses per se, nonpharmacologic interventions, such as sleep hygiene, might be effective in many cases.

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A Development and Performance Assessment of On-Line Monitoring System for Optical Fiber Composite Underground Distribution Network using DTS (DTS를 활용한 광복합 지중 배전계통 실시간 감시시스템 개발 및 성능평가)

  • Cho, Jin-Tae;Kim, Ju-Yong;Lee, Hak-Ju;Cho, Hwi-Chang;Choi, Myeong-Ho
    • Journal of the Korean Institute of Illuminating and Electrical Installation Engineers
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    • v.25 no.6
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    • pp.115-121
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    • 2011
  • Intelligent distribution equipment is inevitable to realize self-healing which is one of smart grid functions in distribution network. Therefore, most of distribution equipment have been developed with self diagnostic sensors. However, it is not effective to construct on-line monitoring system for underground distribution cable because of high cost and low sensitivity. Recently, optical fiber composite cable is being considered for communication and power delivery in order to cope with increasing communication in distribution network. This paper presents the design and performance assessment results of underground cable on-line monitoring system using DTS(Distributed Temperature Sensing) and optical fiber composite underground cable.

Change in Quality of Tuberculosis (TB) Care since National Quality Assessment Program of TB Healthcare Service (결핵 적정성 평가에 따른 국내 결핵 진료서비스 질 관리 현황)

  • Jang, Seong-Ja;Hwang, Mi-Jin;Lee, Chung-Hun;Lee, Hyeon-Ju;Shim, Tae-Sun;Kim, Dong-Sook
    • Quality Improvement in Health Care
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    • v.27 no.2
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    • pp.73-82
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    • 2021
  • Purpose: This study aims to examine the quality of tuberculosis (TB) care after the 1st to 3rd national quality assessment (QA) program for TB healthcare service in Korea was conducted. Methods: We analyzed Health Insurance Review & Assessment Service (HIRA) claims data of new TB patients during the period of January to June from 2018-2020. The new TB patients were defined as TB patients reported to Korea Centers for Disease Control and Prevention Agency (KCDA). The unit of analysis was the patient. Chi-square tests were used to analyze the differences in indicator value according to the types of medical facilities. The QA indicators of TB care were divided into 3 areas consisting of the following 7 quality indicators: 4 indicators of diagnosis test (the rate of acid-fast bacilli smear, the rate of acid-fast bacilli culture, the rate of Mycobacterium tuberculosis-polymerase chain reaction, drug susceptibility test), 1 compliance of treatment guideline, and 2 indicators of care management of TB patients (encounter rate, day of therapy). Results: The QA program for TB care was conducted among 8,246 patients from 534 facilities in 2020. The value of the 7 quality indicators was shown to increase as a result of the QA program. The indicators of the diagnostic test were all higher than 95%, with the exception of the drug susceptibility test which was 84.8%. Both indicators for care management of TB patients were 88.5%. Conclusion: The quality of TB care has been improving with the implementation of the QA program. In order to continue to improve the quality of TB care, it will be necessary to disclose the results of the QA program in medical facilities in the future.

Study on the Present Status and Developments of New Health Technologies of Traditional Korean Medicine (한의 신의료기술 행위 동향 분석)

  • Han, Chang-Hyun;Park, Hwang-Jin;Lee, Bong-Hyo;Lee, Young-Joon;Kwon, Oh-Min
    • Korean Journal of Acupuncture
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    • v.29 no.2
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    • pp.315-326
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    • 2012
  • Objectives : The new health technology assessment system was introduced in April 2007. The purpose of new health technology assessment is assessing safety and efficacy in deciding a behavior of new health technology according to the Health Insurance Act. This study aims to understand the present status of new health technologies of Korean medicine. Methods : This research introduces new health technologies and their present status, and searches for a development direction for the new health technology of Korean medicine in the future. Results : Thirty seven cases(3%) of Korean medicine doctors who utilized new health technologies application were found. In the status about new health technologies application by technologies assortment, diagnostic test techniques were used more often than treatment skills. New medical technology that included korean medicine doctor as actual user was only one item, i.e. HCV antibody test. Conclusions : In order for the new health technology of korean medicine to settle down well, continuous interest and efforts of both government and medical community are necessary.

Ecological Health Assessment of Mountainous Stream in Mt. Sik-Jang using Multi-metric Models (다변수 메트릭 모델을 이용한 식장산 계곡천의 생태 건강성 평가)

  • Bae, Dae-Yeul;Kim, Yu-Pyo;An, Kwang-Guk
    • Journal of Korean Society on Water Environment
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    • v.24 no.2
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    • pp.156-163
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    • 2008
  • This study was to introduce a methodology of ecological health assessment for efficient management and to provide some diagnostic results of the survey. We evaluated ecological health assessment at five sampling locations of Sikjang Mountainous Stream using the index of biological integrity (IBI) and Qualitative Habitat Evaluation Index (QHEI) during May - October 2006. The health condition, based on the IBI model, averaged 32 and varied from 27 to 37 depending on the sampling sites. Thus, the stream health was judged as "good" to "fair" conditions. IBI values showed slight differences between upstream and downstream sites. Whereas, QHEI values varied from 75 (fair condition) to 196 (excellent condition) and QHEI at St. 4~5, indicating the downstream reach had significantly lower than the headwater site (St.1). Regression analyses also showed that QHEI values had a linear decrease from the headwater to downstream. This result indicated that habitat quality was rapidly degradated by human influence. Overall, data of IBI and QHEI suggested that the stream health was maintained well in the present but the habitat and biological quality were partially degradated in the downstream. So, the human interference should be minimized to protect the downstream environment.