• Title/Summary/Keyword: Diagnostic assessment

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Panic Disorder Intelligent Health System based on IoT and Context-aware

  • Huan, Meng;Kang, Yun-Jeong;Lee, Sang-won;Choi, Dong-Oun
    • International journal of advanced smart convergence
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    • v.10 no.2
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    • pp.21-30
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    • 2021
  • With the rapid development of artificial intelligence and big data, a lot of medical data is effectively used, and the diagnosis and analysis of diseases has entered the era of intelligence. With the increasing public health awareness, ordinary citizens have also put forward new demands for panic disorder health services. Specifically, people hope to predict the risk of panic disorder as soon as possible and grasp their own condition without leaving home. Against this backdrop, the smart health industry comes into being. In the Internet age, a lot of panic disorder health data has been accumulated, such as diagnostic records, medical record information and electronic files. At the same time, various health monitoring devices emerge one after another, enabling the collection and storage of personal daily health information at any time. How to use the above data to provide people with convenient panic disorder self-assessment services and reduce the incidence of panic disorder in China has become an urgent problem to be solved. In order to solve this problem, this research applies the context awareness to the automatic diagnosis of human diseases. While helping patients find diseases early and get treatment timely, it can effectively assist doctors in making correct diagnosis of diseases and reduce the probability of misdiagnosis and missed diagnosis.

Diagnosis of McKenzie Mechanical Syndromes for Patient with Low Back Pain : Focused on mechanical loading strategies (요통 환자를 위한 멕켄지의 역학적 증후군 진단 : 역학적 부하 전략을 중심으로)

  • Kim, Minhee
    • Archives of Orthopedic and Sports Physical Therapy
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    • v.14 no.2
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    • pp.109-115
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    • 2018
  • Purpose: McKenzie is a widely-used and conventional clinical therapeutic exercise for patients with mechanical lower back pain. It is a well-designed assessment and classification system for the spine. Main issue: Patients with mechanical lower back pain are classified into one of three mechanical syndromes (posture, dysfunction, or derangement syndrome) by mechanical loading strategies. These methods evaluate symptomatic and mechanical responses during repeated end-range movement and sustained postures. The goal of McKenzie mechanical syndrome diagnosis is to determine directional preferences. Directional preference is a phenomenon of preference for posture or movement in one direction, which reduces or centralizes pain. However, in Korea, there is a lack of awareness of basic McKenzie mechanical syndromes diagnostic concepts. Koreans tend to think of the McKenzie method as a simple lumbar extension exercise. However, an accurate diagnosis of a mechanical syndrome must precede the application of McKenzie exercise. Conclusions: Thus, in this study, I present a classification method of McKenzie mechanical syndrome diagnosis and clinical characteristics of each mechanical syndrome.

Photodynamic Diagnosis and Therapy for Peritoneal Carcinomatosis from Gastrointestinal Cancers: Status, Opportunities, and Challenges

  • Kim, Hyoung-Il;Wilson, Brian C.
    • Journal of Gastric Cancer
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    • v.20 no.4
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    • pp.355-375
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    • 2020
  • Selective accumulation of a photosensitizer and the subsequent response in only the light-irradiated target are advantages of photodynamic diagnosis and therapy. The limited depth of the therapeutic effect is a positive characteristic when treating surface malignancies, such as peritoneal carcinomatosis. For photodynamic diagnosis (PDD), adjunctive use of aminolevulinic acid- protoporphyrin IX-guided fluorescence imaging detects cancer nodules, which would have been missed during assessment using white light visualization only. Furthermore, since few side effects have been reported, this has the potential to become a vital component of diagnostic laparoscopy. A variety of photosensitizers have been examined for photodynamic therapy (PDT), and treatment protocols are heterogeneous in terms of photosensitizer type and dose, photosensitizer-light time interval, and light source wavelength, dose, and dose rate. Although several studies have suggested that PDT has favorable effects in peritoneal carcinomatosis, clinical trials in more homogenous patient groups are required to identify the true benefits. In addition, major complications, such as bowel perforation and capillary leak syndrome, need to be reduced. In the long term, PDD and PDT are likely to be successful therapeutic options for patients with peritoneal carcinomatosis, with several options to optimize the photosensitizer and light delivery parameters to improve safety and efficacy.

Comparison of Objective and Subjective Diagnostic Tests for Assessing Oral Dryness in Healthy Participants

  • Shin, Jun-Hee;Kim, Hye-Kyoung;Kim, Mee-Eun
    • Journal of Oral Medicine and Pain
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    • v.46 no.4
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    • pp.109-116
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    • 2021
  • Purpose: Xerostomia is subjective feeling of dry mouth. It is complicated and multifactorial, which burdens clinicians in diagnosis and treatment of the problem. The goal of this study was to discuss the clinical importance of salivary flow rate, pH and subjective symptoms for evaluating oral dryness among young healthy male subjects. Methods: Thirty male participants were recruited in this study (mean age±standard deviation of 25.70±1.84). All participants completed 'Xerostomia Inventory' to measure subjective oral dryness scores. Unstimulated saliva and stimulated saliva were collected from each participant twice a day at 12:00 pm and 5:00 pm, using spitting method. Salivary flow rates and pH were measured immediately after collection. Relationship between objective and subjective measurements were analyzed. Results: There were excellent intra-examiner reliability for salivary flow rate and pH and good internal consistency for Xerostomia Inventory. Objective measurements and subjective symptoms did not exhibit positive association. Salivary flow rate in unstimulated and stimulated condition showed positive association and also for salivary pH. Stimulated salivary flow rate also presented positive correlation with stimulated salivary pH. Conclusions: Comprehensive assessment of objective measurements and subjective symptoms may be complimentary for assessing oral dryness, which would assist in implementing early interventions to improve patient's quality of life.

Critical Care Management Following Lung Transplantation

  • Jeon, Kyeongman
    • Journal of Chest Surgery
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    • v.55 no.4
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    • pp.325-331
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    • 2022
  • Postoperative critical care management for lung transplant recipients in the intensive care unit (ICU) has expanded in recent years due to its complexity and impact on clinical outcomes. The practical aspects of post-transplant critical care management, especially regarding ventilation and hemodynamic management during the early postoperative period in the ICU, are discussed in this brief review. Monitoring in the ICU provides information on the patient's clinical status, diagnostic assessment of complications, and future management plans since lung transplantation involves unique pathophysiological conditions and risk factors for complications. After lung transplantation, the grafts should be appropriately ventilated with lung protective strategies to prevent ventilator-induced lung injury, as well as to promote graft function and maintain adequate gas exchange. Hypotension and varying degrees of pulmonary edema are common in the immediate postoperative lung transplantation setting. Ventricular dysfunction in lung transplant recipients should also be considered. Therefore, adequate volume and hemodynamic management with vasoactive agents based on their physiological effects and patient response are critical in the early postoperative lung transplantation period. Integrated management provided by a professional multidisciplinary team is essential for the critical care management of lung transplant recipients in the ICU.

Urinary Biomarkers for the Noninvasive Detection of Gastric Cancer

  • Li, Dehong;Yan, Li;Lin, Fugui;Yuan, Xiumei;Yang, Xingwen;Yang, Xiaoyan;Wei, Lianhua;Yang, Yang;Lu, Yan
    • Journal of Gastric Cancer
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    • v.22 no.4
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    • pp.306-318
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    • 2022
  • Gastric cancer (GC) is associated with high morbidity and mortality rates. Thus, early diagnosis is important to improve disease prognosis. Endoscopic assessment represents the most reliable imaging method for GC diagnosis; however, it is semi-invasive and costly and heavily depends on the skills of the endoscopist, which limit its clinical applicability. Therefore, the search for new sensitive biomarkers for the early detection of GC using noninvasive sampling collection methods has attracted much attention among scientists. Urine is considered an ideal biofluid, as it is readily accessible, less complex, and relatively stable than plasma and serum. Over the years, substantial progress has been made in screening for potential urinary biomarkers for GC. This review explores the possible applications and limitations of urinary biomarkers in GC detection and diagnosis.

Korean Brain Tumor Society Consensus Review for the Practical Recommendations on Glioma Management in Korea

  • Chul-Kee Park;Jong Hee Chang
    • Journal of Korean Neurosurgical Society
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    • v.66 no.3
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    • pp.308-315
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    • 2023
  • Recent updates in genomic-integrated glioma classification have caused confusion in current clinical practice, as management protocols and health insurance systems are based on evidence from previous diagnostic classifications. The Korean Brain Tumor Society conducted an electronic questionnaire for society members, asking for their ideas on risk group categorization and preferred treatment for each individual diagnosis listed in the new World Health Organization (WHO) classification of gliomas. Additionally, the current off-label drug use (OLDU) protocols for glioma management approved by the Health Insurance Review and Assessment Service (HIRA) in Korea were investigated. A total of 24 responses were collected from 20 major institutes in Korea. A consensus was reached on the dichotomic definition of risk groups for glioma prognosis, using age, performance status, and extent of resection. In selecting management protocols, there was general consistency in decisions according to the WHO grade and the risk group, regardless of the individual diagnosis. As of December 2022, there were 22 OLDU protocols available for the management of gliomas in Korea. The consensus and available options described in this report will be temporarily helpful until there is an accumulation of evidence for effective management under the new classification system for gliomas.

Development of Digital Contents for ADHD Treatment Specialized for VR-based Children

  • Dae-Won Park;Chun-Ok Jang
    • International Journal of Advanced Culture Technology
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    • v.11 no.3
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    • pp.302-309
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    • 2023
  • This study aimed to develop a VR-based digital therapeutic intervention for the diagnosis and treatment of ADHD. The research combined medical data with virtual reality technology to develop an algorithm for ADHD diagnostic scales and implemented a VR-based digital therapeutic platform using a head-mounted display (HMD). This platform can be used for the diagnosis and treatment of ADHD in children and adolescents. Additionally, we four VR games were developed, including archery timing, Antarctic exploration, grocery shopping, and rhythm-based drumming(RBD), incorporating various psychiatric treatment techniques based on cognitive-behavioral therapy(CBT). To evaluate the usability of this digital therapeutic intervention, a group of experts specialized in counseling psychology participated in the study. The evaluations received highly positive feedback regarding the ability to access the system menu while wearing the HMD, the consistency of terminology used in menus and icons, the usage of actual size for 3D graphic elements, and the support for shortcut key functionality. The assessments also indicated that the games could improve attention, working memory, and impulse control, suggesting potential therapeutic effects for ADHD. This intervention could provide a daily treatment method for families experiencing financial constraints that limit hospital-based therapies, thereby reducing the burden.

A Study on the Safety Operation and Evaluation of Unconventional Oil Plant (비전통오일 시설물의 안전성 운용확보 및 평가에 관한 연구)

  • Jin-Woo Jung;Young-Woo Na;Neung-Won Yang
    • Journal of the Korean Recycled Construction Resources Institute
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    • v.11 no.4
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    • pp.576-581
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    • 2023
  • In this study aims to provide operational guidelines based on risk assessment and safety evaluation in the operation of non-traditional oil production plants, serving as alternative resources in comparison to conventional oils within the construction sector. Presently, operational facilities within these plants are active. However, integrating comprehensive management through sectional and device-specific diagnostic and evaluation systems in similar platform-based operational management systems proves to be a challenging reality. Consequently, this research introduces an evaluation methodology tailored for an operation-centric management system using an integrated management approach, and evaluates its practical applicability within the construction field.

HOUSING SATISFACTION IN SUBSIDIZED HOUSING SCHEMES: A SOUTH AFRICA PERSPECTIVE

  • Clinton O. Aigbavboa;Wellington D. Thwala
    • International conference on construction engineering and project management
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    • 2011.02a
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    • pp.636-646
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    • 2011
  • Post-occupancy evaluation (POE) techniques have been developed to provide a means for evaluating occupant responses to changes in an environment and linking this response to physical measures of that environment. POE has been used to systematically evaluate the performance of buildings after they have been built and occupied for some time. This paper present findings on factors (social and physical), which influences housing residential satisfaction of a sample of occupants in four different government Housing Subsidy locations in the Gauteng Province of South Africa. Descriptive statistics were carried out on the data obtained through the use of occupant survey. Findings emanating from the survey revealed that the respondents were satisfied with their overall housing situation, but had complaints about certain aspects of the housing unit. However, the respondents felt that most of their housing needs were not being met. Also, a comparison is also made of the perceived factors of dissatisfaction amongst the housing subsidy occupants. It is recommended that a wider systematic coverage of the subject through investigation and diagnostic POE and occupants need assessment should be carried in housing subsidy schemes in South Africa.

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