• Title/Summary/Keyword: ICD-10

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Herbal Medicine Treatment of Tic Disorder in Traditional Chinese Medicine : A Review Study (틱장애에 대한 한약 대조군 연구의 최근 동향;2007년 중국 임상 논문에서)

  • Kang, Mun-Su;Cho, Yi-Hyun;Kim, Lak-Hyung
    • Journal of Oriental Neuropsychiatry
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    • v.19 no.2
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    • pp.141-149
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    • 2008
  • Objective : This study was designed to analyze the herbal medicine case-control studies of tic disorder in traditional chinese medicine. Method : For this study, we searched the studies on tic disorder, which had been published 2007, through web-site CNKI(中國知識基魔設施工程) http://www.cnki.net). There were 15 herbal medicine case-control studies and we focused on those studies. Results: 1. DSM-IV(7 studies), CCMD(5 studies) and ICD-10(3 studies) were frequently used in the diagnosis of tic disorder. 2. Paeonia radix alba, Uncariae ramulus et uncus and Glycyrrhizae radix were frequently used in treatment. Moreover Scorpio, Gastrodiae rhizoma, Pinelliae rhizoma and so on were used. 3. Treatment results were assessed by improvement of symptom, YGTSS and so on. 4. Herbal medicine treatment was more effective than western medicine treatment in most studies, and side effects of herbal medicine were far less than those of western medicine. Conclusion : There have been reported many herbal medicine treatment studies of tic disorder in traditional chinese medicine. We believe that these studies can be applied to the clinical practices in Korean medicine.

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A review on the problems in coding system of Korean Classification of Disease for temporomandibular disorders (측두하악관절장애에 있어서 표준질병사인분류기호 부여의 문제점에 대한 고찰)

  • Song, Yun-Heon;Kim, Youn-Joong
    • The Journal of the Korean dental association
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    • v.48 no.6
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    • pp.459-468
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    • 2010
  • International Classification of Disease (ICD-10) is widely used as a crucial reference not only in the medical diagnosis of diseases but also within the health insurance system. It makes possible for medical personnel to make decisions systematically and for the people working in the health insurance or public health industries to better understand medical issues. However, this classification is often not enough or acceptable in a clinical setting. Many countries amend in their own way to make it more appropriate for their people. Korean Classification of Disease (KCD-5) was made by adding a 5 digit code for some diseases to clarify the conditions of the patients. The authors found problems of KCD-5 in temporomandibular disorders and several related medical problems. Medical treatment for these problems had not been covered even by public health insurance until 2000 in Korea. For the last decade, private insurance companies have introduced new items for reimbursement of the treatment fees the patients actually pay. The authors assumed that many patients with these medical problems encountered difficulties in the reimbursement from private insurance companies because KCD-5 did not classify these medical conditions appropriately. An overview of KCD-5 and suggestions for improvement are introduced in this study.

An Epidemiologic Study on the Anxiety Level of Dental Ouppatients in Response to Dental Procedure (치과치료에 따른 외래환자의 불안도 수준에 관한 역학적 연구)

  • Hyun-Koo Kang;Myung-Yun Ko
    • Journal of Oral Medicine and Pain
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    • v.17 no.1
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    • pp.19-29
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    • 1992
  • Fear at the dental treatment is a problem not only for patient but for dentist as well, because the anxious patient often require more item, even for simple procedures. The anxiety level in response to dental procedures was evaluated through a simple questionnaire, Corahs, DAS. 783 female and 790 male outpatients were studied at the Dept. of Oral Diagnosis, PNUH from 1988 to 1989. The obtained results were as follows : 1. The anxiety level in female was significantly higher than that in male, and patients in 10s and 30s showed more anxious than those in other groups. 2. Housewives and pupils revealed higher level of anxiety. 3. The anxiety level in 524 (ICD) was the highest in all diseases, inspite of no difference among various diseases. 4. There was significantly higher level of anxiety in the patient of Orthodontics and Pedodontics than those of other departments. 5. There was no difference in anxiety level between acute and chronic group. 6. Dental phobes were more in female than in male.

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A Study on the Strategies for Promoting Rail Container Transportation in Honam Area (호남권 철도 컨테이너 수송의 활성화 방안 연구)

  • Park, Mi-Ran;Choi, Chang-Ho;Lee, Yong-Sang;Park, Dong-Joo
    • Proceedings of the KSR Conference
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    • 2009.05a
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    • pp.1765-1768
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    • 2009
  • Honam area is one of the under-industrial areas in Korea and because of this it has low weight in the total container transportation in Korea. Also the railway distance from honam area to the main container ports like Busan port and Gwangyang port is so short that the portion of rail container transportation occupies about 10 percent in total container transportation amount in Honam area. But on the contrary of those situations, 1st step Jangsung inland container depot (ICD) was finished as one of the main logistics facilities in Korea and 2nd Jangsung inland container depot is under construction. To promote rail container transportation in Honam area which has shortage of container transportation demand, it is necessary to give adequate transport service to the client. So, this research studied some methods for promoting rail container transportation in Honam area. The subject of survey is freight agent and survey items are selected to find the present situation of rail container transportation in Honam area. And from the survey results various strategies will be suggested to promote rail container transportation in Honam area.

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Secure and Robust Clustering for Quantized Target Tracking in Wireless Sensor Networks

  • Mansouri, Majdi;Khoukhi, Lyes;Nounou, Hazem;Nounou, Mohamed
    • Journal of Communications and Networks
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    • v.15 no.2
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    • pp.164-172
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    • 2013
  • We consider the problem of secure and robust clustering for quantized target tracking in wireless sensor networks (WSN) where the observed system is assumed to evolve according to a probabilistic state space model. We propose a new method for jointly activating the best group of candidate sensors that participate in data aggregation, detecting the malicious sensors and estimating the target position. Firstly, we select the appropriate group in order to balance the energy dissipation and to provide the required data of the target in the WSN. This selection is also based on the transmission power between a sensor node and a cluster head. Secondly, we detect the malicious sensor nodes based on the information relevance of their measurements. Then, we estimate the target position using quantized variational filtering (QVF) algorithm. The selection of the candidate sensors group is based on multi-criteria function, which is computed by using the predicted target position provided by the QVF algorithm, while the malicious sensor nodes detection is based on Kullback-Leibler distance between the current target position distribution and the predicted sensor observation. The performance of the proposed method is validated by simulation results in target tracking for WSN.

Avionics Software Data Modeling Method and Test For FACE Conformance (FACE 적합성을 위한 항공전자 소프트웨어 데이터 모델링 방안 및 검증)

  • Kyeong-Yeon, Cho;Doo-Hwan, Lee;Sang-Cheol, Cha;Jeong-Yeol, Kim
    • Journal of Aerospace System Engineering
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    • v.16 no.6
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    • pp.45-53
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    • 2022
  • The avionics industry has recently adopted an open architecture to increase software portability and reduce the development schedule and cost associated with changing hardware equipment. This paper presents a data modeling method compliant with FACE, a widely used open avionics architecture. A FACE data model is designed and implemented to output data from VOR/ILS avionics equipment. A FACE Conformance Test Suite (CTS) program is utilised to verify that the data model meets FACE standards. The proposed data modeling method is expected to improve the development schedule and cost associated with modifying communication methods and ICDs (Interface Control Documents).

A Study on the Incidence of Cancer and Evaluating the Quality of the Community-based Cancer Registry in Gwangju Metropolitan City during the First Five Years of Implementation (1998-2002) (광주광역시 지역암등록 시행 5년간의 암 발생과 질적평가에 대한 연구)

  • Lee, Su-Jin;Shin, Min-Ho;Choi, Jin-Su
    • Journal of Preventive Medicine and Public Health
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    • v.39 no.3
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    • pp.255-262
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    • 2006
  • Objectives: This study is conducted to identify the cancer incidence in Gwangju during the 5-year period from 1998 to 2002 and to assess the completeness and validity of the cancer registry data during this time period. Methods: All cases that had a diagnosis of invasive cancer (ICD-10 sites C00-C97) during the study period were retrieved from the records of the Gwangju Cancer Registry (GCR), which theoretically includes all the cancer cases in Gwangju. All the cases during the study period were analyzed by gender, age group and cancer sites. The completeness (mortality/incidence ratio and age-specific incidence curve) and validity (histologic verification, primary site unknown, age unknown and death certificate only) of the cancer registry in Gwangju were analyzed by gender, age group and cancer sites for the 5-year period. Results: The overall cancer incidence was higher in the males than in the females (age-standardized incidence rates (ASR) 299.8 and 172.4 per 100,000, respectively). In males, the most common cancer was stomach (ASR: 65.8), followed by liver (ASR: 50.5), bronchus and lung (ASR: 50.5), colo-rectum (ASR: 26.7), oesophagus (ASR: 10.6), and bladder (ASR: 10.3) in descending order. In females, the most common cancer was stomach (ASR: 26.8), followed by thyroid (ASR: 20.7), breast (ASR: 20.4), cervix uteri (ASR: 14.3), bronchus and lung (ASR: 13.0), liver (ASR: 10.7) and colo-rectum (ASR: 17.2) in descending order. The overall quality (completeness and validity) of the cancer registry was at the in 'good' level. Conclusions: These results will be useful in the overall context of planning and evaluating of cancer control activities in Gwangju.

The Variation of HbA1c Examination Performance Rates among Diabetic Patients Using Ambulatory Care in South Korea (우리나라 외래서비스 이용 당뇨환자의 특성에 따른 당화혈색소(HbA1c)검사 시행률 변이 분석)

  • Hong, Jae-Seok;Kang, Hee-Chung;Kim, Jai-Yong
    • Health Policy and Management
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    • v.19 no.1
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    • pp.49-61
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    • 2009
  • Background: The appropriate management of diabetes mellitus(DM) can help reduce its relapse and economic burden, but the level of management of DM in Korea is reported to be insufficient. This study aims to identify the management level of DM by figuring out the HbA1c examination performance rate of the diabetics and analyzing the variation according to the characteristic of a diabetic. Methods: This study used the Korean National Health Insurance Database which includes E10-14(ICD-10 code) as a primary or secondary disease as of 2006. Study population is 1,892,062 diabetics excluding 393,784 patients with the first attack of DM in 2006, 33,440 diabetics who died in 2006, and 21,299 patients with DM having no record of ambulatory care among the 2,340,585 DM patients in total. Results: The HbA1c examination performance rate of all DM patients in our country is estimated to be 41.5% as of 2006 and shows variation according to the characteristic of individual DM patients. The highest performance odds was shown by the patients who were below 19 of age, insured for health insurance, attended more than 3 ambulatory care providers, made ambulatory care visits more than 10 times annually, attended a specialized general hospital as their main attending medical institution, had a record of hospitalization or had co-morbidity. Conclusion: This study propose that is necessary to make politic preparations for the appropriate management of diabetes at a national level, and particularly, the patients with advanced age, the ones dependent on Medical Aid, and the ones using hospitals or clinics, whose appropriate management seems vulnerable, demand a careful management.

Clinical analysis of pediatric patients who visited Masan Samsung Emergency Center (일개 종합병원 응급의료센터에 내원한 소아청소년 환자에 대한 임상 분석)

  • Yoo, Jae Wook;Lee, Jun Hwa
    • Clinical and Experimental Pediatrics
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    • v.53 no.3
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    • pp.314-322
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    • 2010
  • Purpose : Through a clinical and retrospective analysis of pediatric patients who visited the Regional Emergency Medical Center of Masan Samsung Hospital from January 2007 to December 2008, we characterized pediatric and adolescent emergency patients to improve emergency care in future. Methods : We reviewed the medical records of 14,065 pediatric patients below 19 years of age. Results : The male to female ratio was 1.5:1, and the most common age group was less than 3 years (49.6%). The peak month was May (10.0%), the peak day of the week was Sunday (24.7%), and the peak time of day was 20:00-0:59 (8.5%). There was no difference in the number of visits per day based on weather (sunny, rain [below 10 mm per day], snow, and fog) or daily temperature difference; however, visits increased on sandy, dusty days and decreased on rainy days with more than 10 mm of rain per day. Based on the international classification of disease (ICD)-10 system, the most common disease code was code R (symptoms, sign, and abnormal clinical laboratory finding) (31.5%), and the most common symptom was fever (13.1%). Final outcomes were discharged (73.8%), admitted (25.7%), transferred (0.4%), and expired (0.1%). In adolescent patients aged 15-9 years, the most common disease code was Injury & Poisoning (code S&T, 36.9%); the most common symptom was abdominal pain (9.6%). Conclusion : Pediatric patients visiting the emergency center were most likely to be male and under 3 years of age and to visit between 20:00 and 21:00 on Sundays and in May, and the most common symptom was fever. Differences between adolescents and pediatric patients showed that adolescents had a higher visiting rate with abdominal pain and a larger temperature difference.

Continuity of Ambulatory Care among Adult Patients with Type 2 Diabetes and Its Associated Factors in Korea (우리나라 성인 2형 당뇨환자의 외래진료 지속성과 관련요인 분석)

  • Hong, Jae-Seok;Kim, Jai-Yong;Kang, Hee-Chung
    • Health Policy and Management
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    • v.19 no.2
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    • pp.51-70
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    • 2009
  • Background : Previous studies have reported that enhanced continuity of care prevented a sudden worsening in progress among chronic disease patients, and as a result was favorable for efficient spending of health care funds. This study aims to estimate the continuity of care of Korean with diabetes and to identify factors affecting the continuity of care. Methods : This study used the Korean National Health Insurance Claims Database which includes E11 (ICD-10) as a primary or secondary disease as of 2006. Study population is 1,160,725 type 2 diabetics (20-84 years). Continuity of Care Index (COC), Modified, Modified Continuity Index (MMCI), and Most Frequent Provider Continuity (MFPC) were used as indexes of continuity of care. Results : The continuity of care in the study population was $0.94{\pm}0.10$ as calculated by MMCI, $0.91{\pm}0.16$ as calculated by MFPC and $0.86{\pm}0.23$ as calculated by COC. The lower continuity of care was shown in the patients who were female, 65 and over years old, Medical Aid recipients, 13 times or more visitors, hospital users as main attending medical institution, patients experienced hospitalizations or comorbidities. Conclusion : The continuity of care for adult patients with type 2 diabetes was high in Korea, and showed variation according to patients' characteristics. This result provides empirical evidence for policymakers to develop or strengthen programs for managing patients showing low continuity of care.