• Title/Summary/Keyword: Main diagnosis

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Development of Nursing Intervention Protocol for Childhood Cancer at Early Diagnosis Stage (소아암 환자의 초기 진단단계의 간호중재 프로토콜 개발)

  • Choi Ja-Yun;Yoo Il-Young
    • Child Health Nursing Research
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    • v.8 no.1
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    • pp.44-54
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    • 2002
  • The main purpose of this methodological study was to develop an assessment tool and intervention protocol for child and family with childhood cancer at early diagnosis stage. The assessment tool and intervention protocol was developed by extensive literature review and consultation with experts. Review of nine domestic and sixty-six international journal articles were done to identify stress, interventions, coping strategies and adjustment of children with cancer and their family. Results were as follows; First, assessment at the early diagnosis stage need to include information on patient, family, and patient/family attitude toward diagnosis and treatment. Second, intervention protocol for children with cancer includes control physical symptoms, manage the side effects of chemotherapy and diagnostic or therapeutic procedures, control emotional responses, provide support and information, assist decision-making and adjust to environment. Third, intervention protocol for family includes controlling emotional responses, provision of informations, inducing family support to patient, improving family cohesion, supporting siblings and supporting spiritual growth. In conclusion, the early diagnosis stage in cancer treatment is important for child and family since this stage greatly affects the overall adjustment of child and family to live with cancer. Therefore, pediatric nurses need to be sensitive to the need of patient/family and systematically manage their needs at this stage.

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Diagnostic Hierarchy of Tic Disorders in Real-World Clinical Practice

  • Yeeji Sung;Soon-Beom Hong
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.34 no.4
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    • pp.236-241
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    • 2023
  • Objectives: According to the 10th revision of the International Classification of Diseases, the main categories of tic disorders (F95.0, F95.1, and F95.2) follow a diagnostic hierarchy based on the duration and diversity of tic symptoms. The present study investigated the use of this diagnostic hierarchy in real-world clinical practice. Methods: Based on the National Health Insurance Service-National Health Information Database, the diagnosis of transient tic disorder (F95.0) made after a diagnosis of chronic motor or vocal tic disorder (F95.1) or Tourette's syndrome (F95.2) and diagnosis of chronic motor or vocal tic disorder (F95.1) made after a diagnosis of Tourette's syndrome (F95.2) were referred to as type A errors. The diagnosis of transient tic disorder (F95.0) repeated after a period of >12 months was referred to as type B error. Demographic and clinical differences according to the diagnostic error types were analyzed using analysis of variance, Student's t-tests, and chi-squared tests. Results: Most participants (96.5%) were without errors in the diagnosis of tic disorders. Higher proportions of males (p=0.005) and antipsychotic prescriptions (p<0.001) were observed in patients with type A or B diagnostic errors. A higher proportion of health insurance holders was observed among those with type A errors (p=0.027). Conclusion: Errors were absent in majority of the tic diagnoses in real-world clinical practice in terms of the diagnostic hierarchy.

A Comparative Study on the Fault Diagnosis Using Fuzzy Set Concept (Fuzzy집합개념을 이용한 고장진단에 관한 비교연구)

  • Hwang, Won-Guk
    • Nuclear Engineering and Technology
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    • v.18 no.3
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    • pp.228-237
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    • 1986
  • This paper provides a comparative study on methodologies for solutions of the inverse problems of certain basic fuzzy relational equations, with which fuzzy set is defined as mapping from sets into complete Brouwerian lattice. Three different algorithms developed so far are discussed and applied to fault diagnosis problem for the main coolant pump of nuclear power plants.

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Dyslipidemia in Children and Adolescents: When and How to Diagnose and Treat?

  • Yoon, Jung Min
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.17 no.2
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    • pp.85-92
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    • 2014
  • Recently, the incidence and prevalence of obesity and dyslipidemia are increasing. Dyslipidemia is associated with significant comorbidities and complications, and with cardiovascular risk factors (obesity, diabetes mellitus, hypertension and smoking). The main objectives of this article are that describe the prevalence of dyslipidemia in Korean children and adolescents and review the diagnosis and management of dyslipidemia in children and adolescents.

Dynamic Simulation and Analysis of the Space Shuttle Main Engine with Artificially Injected Faults

  • Cha, Jihyoung;Ha, Chulsu;Koo, Jaye;Ko, Sangho
    • International Journal of Aeronautical and Space Sciences
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    • v.17 no.4
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    • pp.535-550
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    • 2016
  • Securing the safety and the reliability of liquid-propellant rocket engines (LREs) for space vehicles is indispensable as engines consist of many complex components and operate under extremely high energy-dense conditions. Thus, health monitoring has become a mandatory requirement, especially for the reusable LREs that are currently being developed. In this context, a dynamic simulation program based on MATLAB/Simulink was developed in the current research on the Space Shuttle Main Engine (SSME), a partly reusable engine. Then, a series of fault simulations using this program was conducted: at a steady state operating condition (104% Rated Propulsion Level), various simulated fault conditions were artificially injected into the simulation models for the five major valves, the pumps, and the turbines of the SSME. The consequent effects due to each fault were analyzed based on the time responses of the major parameters of the engine. It is believed that this research topic is an essential pre-step for the development of fault detection and diagnosis algorithms for reusable engines in the future.

Standardization and unification of the terms and conditions used for diagnosis in oriental medicine III (한의진단명과 진단요건의 표준화 연구III - 3차년도 연구결과 보고 -)

  • Choi, Sun-Mi;Yang, Ki-Sang;Choi, Seung-Hoon;Park, Kyung-Mo;Park, Jong-Hyun;Shim, Bum-Sang;Kim, Sung-Woo;Roh, Seok-Seon;Lee, In-Seon;Cheong, Jin-Hong;Lee, Jin-Yong;Kim, Dal-Rae;Im, Hyeong-Ho;Kim, Yun-Beom;Park, Seong-Sik;Song, Tae-Won;Kim, Jong-U;Lee, Seung-Gi;Choe, Yun-Jeong;Sin, Sun-Sik
    • Korean Journal of Oriental Medicine
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    • v.3 no.1
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    • pp.41-65
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    • 1997
  • The diagnostic requirements were suggested and explained regarding the systems of differentiation of symptoms and signs in the third year study of standardization and unification of the terms and conditions used for diagnosis in oriental medicine. The systems were as follows : - analysing and differentiating of epidemic febrile disease - analysing and differentiating in accordance with the Sasang constitutional medicine baced on four-type recognition - differentiation of diease according to pathological changes of Chong and Ren channels - standards for diagnosis of women's disease - standards for diagnosis of children's disease - standards for diagnosis of motor and sensor disturbance(-muscle born joint etc.) - standards for diagnosis of neuropsychiatric diease - standards for diagnosis of five sense organ diease - standards for diagnosis of external disease. The indivisual diagnosis pattern was arranged by the diagnostic requirments in the following odor : another name, notion of diagnosis pattern, index of differentiation of symptoms and signs, the main point of diagnosis, analysis of diagnosis pattern, discrimination of diagnosis pattrrn, prognosis, a way of curing a diseases, prescription, herbs in common use, dieases appearing the diagnosis pattern, documents. The standards for diagnosis of each disease was arranged by the diagnostic requirments in the following odor. another name, notion of diease, the main point of diagnosis, analysing and differentiating of disease, analysis of diease, discrimination of disease, prognosis, a way of curing and prescription of disease, dieases In western medicine appearing the disease in oriental medicine, documents.

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Systematic Review of the Diagnosis of Pelvic Deviation for Chuna Manual Therapy (추나치료에 적용된 골반변위 진단법에 대한 체계적 문헌고찰)

  • Lee, Jun-Seok;Park, Kyeong-Won;Kim, Hyun-Tae;Park, Sun-Young;Shin, Byung-Cheul
    • Journal of Korean Medicine Rehabilitation
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    • v.32 no.2
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    • pp.83-94
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    • 2022
  • Objectives This systematic review aimed to analyze research about pelvic deviation diagnosis for Chuna manual therapy (CMT) and to review the diagnosis methods, indices, and results of diagnosis. Methods Ten electronic databases were systematically searched up to January 4th 2022. Clinical studies and reviews containing pelvic deviation diagnosis for CMT or using CMT as a treatment of pelvic deviation were selected and evaluated. CMT diagnosis in clinical studies and reviews were isolated and analyzed by 2 independent reviewers. Results Thirteen clinical studies and three reviews were included in the evaluation. X-ray analysis and manual testing were the two main methods used in CMT diagnosis of pelvic deviation. For manual testing in clinical studies, leg length insufficiency testing was the most frequently used measurement index and the most common diagnostic results were anterior and posterior rotation. In the X-ray analysis, Obturator foramen and femur head line were the most frequently used measurement index and the most common diagnostic results were anterior rotation and posterior rotation. Conclusions The systematic review found that manual testing and X-ray analysis were mainly used for the diagnosis of pelvic deviation in CMT among clincial and review articles. As there was little research about diagnosing pelvic deviation in CMT and any existing research presented only low standards of evidence, further research should be updated with using a more standardized approach.

Diagnosis Method for Power Transformer using Intelligent Algorithm based on ELM and Fuzzy Membership Function (ELM 기반의 지능형 알고리즘과 퍼지 소속함수를 이용한 유입변압기 고장진단 기법)

  • Lim, Jae-Yoon;Lee, Dae-Jong;Ji, Pyeong-Shik
    • The Transactions of the Korean Institute of Electrical Engineers P
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    • v.66 no.4
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    • pp.194-199
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    • 2017
  • Power transformers are an important factor for power transmission and cause fatal losses if faults occur. Various diagnostic methods have been applied to predict the failure and to identify the cause of the failure. Typical diagnostic methods include the IEC diagnostic method, the Duval diagnostic method, the Rogers diagnostic method, and the Doernenburg diagnostic method using the ratio of the main gas. However, each diagnostic method has a disadvantage in that it can't diagnose the state of the power transformer unless the gas ratio is within the defined range. In order to solve these problems, we propose a diagnosis method using ELM based intelligent algorithm and fuzzy membership function. The final diagnosis is performed by multiplying the result of diagnosis in the four diagnostic methods (IEC, Duval, Rogers, and Doernenburg) by the fuzzy membership values. To show its effectiveness, the proposed fault diagnostic system has been intensively tested with the dissolved gases acquired from various power transformers.

An analysis of determining factor for frozen shoulder patients diagnosis and treatment of physical therapists (동결견 환자에 대한 물리치료사의 진단 및 치료방법 결정기준)

  • Oh, Young-Taek;Kim, Ki-Won;Kwon, Hyuk-Cheol
    • Journal of Korean Physical Therapy Science
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    • v.5 no.4
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    • pp.777-784
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    • 1998
  • The purpose of this study was to determine the diagnosis and treatment patterns for frozen shoulder patients. It was used Delphi survey techniques and the subjects were 35 expect physical therapists who agreed participated in the study. The data were analyzed by the x2-test at 0.05 level of statistical significance. The results were as follows : 1. In accordance with open ended question, 11 diagnosis and 14 treatment are collected in the first investigation. 2. In accordance with close ended question, they were selected 5 diagnosis and 5 treatments criteria from the results of the first replied questionnaire. 3. Finally, the third close ended questionnaire, they were selected 3 main driteria of the diagnosis and treatments from the results of the second investigation. The physical therapists prefer to 1) History 2) ROM test 3) Palpation & Inspection in the diagnostic field, and 1) EST and Convex-Concave rule 2) Codman's exercise and MFR 3) Deep friction massage in the treatment field.

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Study on the system implementation for a reliable risk diagnosis regarding the lease deposit (신뢰성 기반의 전세위험진단 시스템 개발에 관한 연구)

  • Kim, Sang-Beom;Park, Hwa-Jin
    • Journal of Digital Contents Society
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    • v.10 no.3
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    • pp.441-446
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    • 2009
  • This study suggests a reliable risk diagnosis system on the lease deposit, as one of main functions for a real estate information system. A previous system adopted a method where a user should input all required data and the program just performs a simple calculation to provide the results to users. Such a methodology makes a user feel uncomfortable and reduces the reliability for the risk diagnosis of the lease deposit. Therefore, the suggested method in this paper is to minimize the data input by users and to provide a proper sale price to users based on the existing raw data and the statistic court auction data. In addition to the risk diagnosis, it explains about some possible risk information and provides a way to control a risk so that a user can recognize any risk.

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