• Journal of the Korean Data and Information Science Society
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• 제19권2호
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• pp.511-518
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• 2008

Medical diagnosis systems have been developed to make the knowledge and expertise of human experts more widely available, therefore achieving high-quality diagnosis. In this study, in order to support the diagnosis by the medical diagnosis system, we have preformed medical diagnosis inference three times: first by a neural network with the backpropagation algorithm, secondly by a discriminant analysis with all of the variables, and thirdly by a discriminant analysis with the selected variables. A discussion on comparison of these three methods has been provided.

• 대한한의학원전학회지
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• 제30권3호
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• pp.143-165
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• 2017

Objectives : The paper seeks to provide a study on Bianque's Pulse Diagnosis in the contexts of Huangdi Neijing's Maijing and Nanjing. Methods : The paper provides a comparison of sentences regarding Bianque's Pulse Diagnosis discovered in Neijing, Maijing, and Nanjing. Results & Conclusions: 1. Bianque's Pulse Diagnosis was given birth through stages in accoradnce with the development of Pyobonjin, Maeggujin, Gyeongmaeghyjin, and Meridian Theory. 2. It seems that Neijing filled in Sambuguhujin and In-yeongbuyangmaegjin because they were not discovered in Canggong's Records of Diagnosis. 3. Bianque's Pulse Diagnosis diagnosed death using Osaegjin. Underneath each sentence within each biography regarding Meridian, there existed Pulse dead Hou. 4. Bianque's Pulse Diagnosis quantified the operation and length of pulse in time. The concept of small net was added which led to the establishment of Fifty circulations, Yeongwi theory, Meridians circulation, and chongu's boundary.

• 의료법학
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• 제21권3호
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• pp.3-33
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• 2020

'원격의료(telemedicine)'란 '의료인이 정보통신기술을 이용하여 원격으로 실시하는 의료행위'라고 정의할 수 있다. 지금까지 우리나라의 통설은 의료법 제34조를 근거로 의료인 간의 원격자문만 허용되고, 의료인과 환자 간의 원격의료는 금지되는 것으로 이해하였다. 그러나, 의료법 제34조는 의료업 수행에 대한 장소적 제한 규정일 뿐, 원격의료 자체를 금지하는 규정은 아니다. 그 외 현행 의료법에는 원격의료를 금지하는 규정이 존재하지 않는다. 건강보험 요양급여기준과 별개로 현행 의료법 해석상 원격의료가 일반적으로 금지된다고 보기는 어렵다. 다만, 의료법 제17조와 제17조의2에서의 '직접 진찰'의 의미와 관련해서 해석상 논란이 있다. 헌법재판소는 이를 '대면 진찰'로 해석한 반면, 대법원은 '스스로 진찰'로 해석하였다. '직접'의 사전적 의미와 관련 의료법 규정에 대한 해석 등에 비추어 볼 때, 대법원의 해석이 타당하다고 생각한다. '직접 진찰'이 '대면 진찰'을 의미하지는 않더라도, '진찰'의 개념 안에 '대면진찰의 원칙'이 내포되어 있고 '비대면 진찰'은 대면진찰을 보완하는 수준에서만 허용되기 때문에 비대면진찰로 인한 문제점은 충분히 극복할 수 있다고 본다. 결국은 진찰이 얼마나 충실하였느냐, 즉 '진찰의 충실성' 여부가 원격진료 허용의 한계라고 할 수 있다.

• 보험의학회지
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• 제2권1호
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• pp.245-252
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• 1985

Ultrasonographic examination in the obstetrics not only makes easy of the diagnosis of Hydrocephalus, placenta previa, anencephalus and ectopic pregnancy, etc, but also guaranteed its excellence in the diagnosis of women gynecology disease. Especially in case that it doesn't affect radiation hazard on the embryo, its efficiency keeps increasing and it is spotlighted to many clinic doctors. Even though in general hospital we often observe congenital hydrocephalus in Med. Dept. which entirly undergoes the medical examination to the insured, we don't observe even the women delivered with child and it is very difficult to find a rare congenital hydrocephlus throughout other present insurance companies. We inspected a congenital hydrocephalus, which other medical equipments of present insurance companies have many difficulties in the medical examination, accompanied by meningoencephalocele by ultrasonic diagnosis. We analyzed and compared the data by ultrasonic diagnosis with that of surgical diagnosis and the results are follows; 1) We could correctly describe meningoencephalocele by ultrasonic diagnosis. 2) It was able to be diagnosed in LMP 22 weeks. 3) BPD has about 10 mm higher than normal value in LMP 22 weeks. 4) Dilatation of lateral ventricle was observed in LMP 22 weeks. 5) As paralled with ultrasonic diagnosis in pregnancy medical examination, accepting declines including the risk rate can be restrained.

• 동의생리병리학회지
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• 제23권1호
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• pp.180-185
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• 2009

We are developing the methods for the objective and systematic diagnosis, but in actuality the relativity between a diagnosis of Korean medical doctor to a symptom of patients and the conformity to the expression of the Korean medical diagnostic mechanism is short of the statistical data. so, the questionnaire of Cold-Heat & Deficiency-Excess and a diagnosis of Korean medical doctor and a result of the Korean medical diagnostic mechanism, through the relationship of those, we have offered the objective data for diagnostic validity. The study group was 750 volunteers who diagnosed by Cold-Heat & Deficiency-Excess, out of 1475 volunteers who participated in Korean-Western medical examination. We compared the results of the questionnaires for Cold-Heat & Deficiency-Excess patternization through the questionnaire with a diagnosis of Korean medical doctor. we also studied the diagnostic validity for the item of the questionnaire by statistics analysis. It is proper that 9 questions of 16 questions for the Cold, 6 questions of 14 questions for the Heat, 13 questions of 14 questions for the Deficiency, 6 questions of 9 questions for the Excess, and there is close correlation between the questionnaire to the diagnosis. The difference between the questionnaire score is meaningful(p=0.000), this conforms to the diagnosis of the Korean medical doctor, so the questionnaire have the validity. The result of the questionnaire of Cold-Heat & Deficiency-Excess conform to a diagnosis of Korean medical doctor, it carries an important meaning by the measure of diagnosis, and it is necessary for further study for the significance of the medical diagnostic mechanism.

• 한국의료질향상학회지
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• 제10권2호
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• pp.204-215
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• 2003

Background : ICD-10 Classification, which is used domestically as well as internationally, has limited use in the clinical practice since it is developed for at disease statistics and epidemiology. Therefore, the purposes of this study were to improve the quality of diagnosis by constructing a new disease classification based on the diagnoses doctors currently make in the clinical setting and connecting this classification with OCS and EMR, and to meet the demands of doctors for high quality medical study data in medical research. Methods : The specialists in each ophthalmic subfield collected clinical diagnoses and abbreviations based on the ophthalmology textbooks and confirmed the classifications. Total number of clinical diagnoses collected was totaled 672, for which ideal diagnoses had been selected and a new model of disease classification model in connection with ICD-10 was constructed. The constructed classification of clinical diagnoses consisted of six steps: the first step was the classification by ophthalmic subspecialty field; the second to fifth steps were the detailed classification by each specialty field; the sixth step was the classification by site. Results : After introducing the new disease classification, research on the use and a pre-post comparison was conducted. The result from the research on the use of the clinical diagnoses in inpatient and outpatient care has shown a gradually increasing tendency. From the pre-post comparison of EMR discharge summary diagnoses, the result demonstrated that the diagnosis was stated correctly and in detail. Since the diagnosis was stated correctly, code classification became correct as well, which makes it possible to construct high quality medical DB. Conclusion : This construction of clinical diagnoses provides the medical team with high quality medical information. It is also expected to increase the accuracy and efficiency of service in the department of medical record and department of insurance investigation. In the future, if hospitals wish to construct a classification of clinical diagnosis and a standard proposal of clinical diagnosis is presented by a medical society, the standardization of diagnosis seems to be possible.

• 대한한의학원전학회지
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• 제29권2호
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• pp.13-29
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• 2016

Objectives : The purpose of this study is to investigate the concept of the Chukbu(尺膚) diagnosis in Huangdineijing(黃帝內經) and explain the characteristic of Chukbu(尺膚) diagnosis and causes of its clinical applicational decline. It will help the application of the Chukbu(尺膚) diagnosis to clinical treatment. Methods : The Sikuquanshu(四庫全書) database and Traditional Chinese Medical(TCM) books web database were used. The related contents of the Chukbu(尺膚) diagnosis in Huangdineijing (黃帝內經) and its annotation books were analyzed. The mentions on the Chukbu(尺膚) diagnosis in other medical books were examined. Results & Conclusions : The Chukbu(尺膚) diagnosis is important in the diagnostic system of the Huangdineijing(黃帝內經). The Chukbu(尺膚) diagnosis is composed of inspection and palpation. Its characteristic is something different compared to that of the Chongumaek(寸口脈) diagnosis; it relatively diagnoses condition of exterior disease(表病). The causes of its clinical applicational decline are relative inconvenience, limits of feudal society, and development of Zangfubianzheng(臟腑辨證) in that era.

• Asian Pacific Journal of Cancer Prevention
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• 제15권10호
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• pp.4187-4192
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• 2014

Matrix metalloproteinase (MMP)-2 and MMP-9 are important proteases involved in invasion and metastasis of various tumors. Extra-gastrointestinal stromal tumors (EGISTs) are rare neoplasms. This study was performed to assess MMP-2 and MMP-9 expression in EGIST tissue samples for association with clinicopathological data from the patients. Twenty-one surgical EGIST tissue specimens were collected for analysis of MMP-2 and MMP-9 expression using immunohistochemistry. MMP-2 and MMP-9 proteins were expressed in all of the epithelial cell types of EGISTs, whereas they were only expressed in 75% of the spindle cell type, although there was no statistically significant difference (p>0.05). Expression of MMP-2 and MMP-9 proteins was associated with tumor size, mitotic rate, tumor necrosis, and distant metastasis (p<0.05). MMP-2 expression was linked with MMP-9 levels (p<0.05). However, there was no correlation between MMP-9 expression and age, sex, primary site, or cell morphology in any of these 21 EGIST patients (p>0.05). Moreover, expression of MMP-2 and MMP-9 proteins increased with the degree of EGIST risk. This study provided evidence of an association of MMP-2 and MMP-9 expression with advanced EGIST behavior.

• 동의생리병리학회지
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• 제17권5호
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• pp.1147-1150
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• 2003

Modern Objectification of Pulse Diagnosis, One of the Four Diagnosis Method of Oriental Medicine, is necessarily project to improving Oriental medical clinic status and quality by standardization of diagnosis database. At that, accurate measurement equipment or devices(sensor, system and instruments, etc,) to exactly detect MacSang(脈診 : the parameter and subject of pulse diagnosis) have not developed yet. Existing Pulse diagnosis devices are not satisfy clinical needs and medical equipments quality. We study for pulse diagnosis system, that CD is satisfying oriental medical clinic needs, is ensuring accuracy and reappearance to support in clinical diagnosis and treatment, is guaranteeing the quality of medical equipments. theoretical base and convenience.

• 대한의용생체공학회:의공학회지
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• 제9권2호
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• pp.195-210
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• 1988

We build up distributed database of medical picture and design and realize H/W & S/W of special image workstation. We build up high speed image transmission system for distributed database and retrieval of various medical pictures in w ard through image transmission system and realize integrated image diagnosis. This system improves medical service by speedy diagnosis and enables more precise diagnosis by integrated image diagnosis through distributed database. In economical view this system curtails huge cost of film processing and transmission, which make medical expense cheaf, because it does not use film. We built up PACS in pediatric hospital of Seoul National University Hopital and tested the system with various medical pictures and showed that speedy integrated image diagnosis is possible.