• Title/Summary/Keyword: Pattern identification

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Development of Pattern Identification Questionnaire for Attention-Deficit/Hyperactivity Disorder (ADHD) in Korean Medicine (주의력결핍 과잉행동장애(ADHD) 한의 변증 설문지 개발 연구)

  • An, Yunyoung;Jeong, Minjeong;Kim, Miyeon;Kim, Lakhyung
    • Journal of Oriental Neuropsychiatry
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    • v.30 no.1
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    • pp.1-11
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    • 2019
  • Objectives: Attention-Deficit/Hyperactivity Disorder (ADHD) is characterized by a persistent pattern of inattention and/or hyperactivity impulsivity that interferes with function or development in children. In traditional Korean medicine (TKM) and traditional Chinese medicine (TCM), ADHD is classified by several patterns based on symptoms and signs. However, currently, there is no objective diagnostic tool for ADHD in traditional medicine. The objective of this study was to develop the Pattern Identification Questionnaire for ADHD (parents-survey style) to be used in Korean medicine, through a literature review and consultation with groups of experts. Methods: The types of pattern identifications of ADHD mentioned in 13 pieces of Korean and Chinese literatures and their symptoms and signs were analyzed. The advisory committee (15 Neuropsychiatrist and 11 Pediatrist in Korean Medicine) assessed the appropriateness of the literature selection and the types of pattern identification selection and their symptoms and signs, and weighed the significance of the symptoms and signs. The Pattern Identification Questionnaire for ADHD was developed using the calculated weights by evaluated significance. The translation of symptoms and signs to the Korean language was achieved through consultation with expert translators. Results: 1. Four pattern identification types and their symptoms and signs were selected according to frequency of appearance in the Korean and Chinese literatures, and were reviewed by the advisory committee: Kidney yin deficiency and liver yang ascendant hyperactivity (腎虛肝亢), Dual deficiencies in the heart and spleen (心脾兩虛), Phlegm-fire harassing the heart (痰火擾心), and Spleen weakness and liver energy preponderance (脾虛肝旺). 2. The weights of all the symptoms and signs in the four patterns were calculated using the means and standard deviations of the symptoms and signs' importance that were obtained from specialists' significance weighting. 3. The Pattern Identification Questionnaire for ADHD (parents-survey style) in Korean medicine composed of 38 questions was suggested. Conclusions: Using a review of the literature and expert advice, Pattern Identification Questionnaire for ADHD (parents-survey style) in Korean medicine was developed. Further clinical study is required to develop a final version of the questionnaire through the evaluation of reliability and validity.

Preliminary Study for Development of Pattern Identification Tool of Chronic Cough (만성기침 변증도구 개발을 위한 기초연구)

  • Kim, Kwan-il;Shin, Seung-won;Lee, Na-la;Lee, Beom-joon;Jung, Hee-jae;Jung, Sung-ki;Lee, Jun-hee
    • The Journal of Internal Korean Medicine
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    • v.36 no.1
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    • pp.22-39
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    • 2015
  • Objectives : The aim of this study was to develop a standard tool of pattern identification for chronic cough, which will be applied to clinical research. Methods : The items and structures of the instrument were based on reviews of textbooks and published literature. The advisor committee on this study consisted of 11 Korean respiratory internal medicine professors, one clinical fellow, and five clinicians with 10 years of experience. The questionnaire, which includes the signs and symptoms of chronic cough, was studied by the delphi method. Delphi examination was carried out via email, through evaluating the importance of symptoms included in each pattern. Results : We divided the pattern identification of chronic cough into five patterns: Wind-Cold, Phlegm-Turbidity, Liver-Fire, Lung Deficiency, and Kidney Yang Deficiency. By the Delphi method and a score evaluation, 38 items were chosen for pattern identification of chronic cough. Conclusions : Through this study, we created a Korean instrument for the pattern identification tool for chronic cough. We expect to apply this tool to subsequent research as its validity and reliability are further confirmed.

Reliability and Validity Analysis of an Instrument for Pattern Identification and Evaluation in Chemotherapy-Induced Peripheral Neuropathy (항암제 유발 말초신경병증 변증평가도구의 신뢰도 및 타당도 평가)

  • Park, Ji-hye;Jung, In-chul;Lee, Seo-hyun;Lee, Suk-hoon;Choi, Seok-cheol;Yoo, Hwa-seung
    • The Journal of Internal Korean Medicine
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    • v.37 no.4
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    • pp.631-644
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    • 2016
  • Objectives: The purpose of this study was to evaluate the reliability and validity of an instrument for pattern identification and evaluation in chemotherapy-induced peripheral neuropathy (CIPN).Methods: The study consisted of 66 patients with CIPN (visual analog scale ≥30 mm, Eastern Cooperative Oncology Group ≤2). The test-retest reliability of the instrument for pattern identification and evaluation in CIPN was tested twice with the same patients in one week.Results: Pearson’s coefficient test-retest reliability of the instrument was 0.601-0.777. The internal reliability of each part was 0.619-0.811. To confirm the validity of the instrument for pattern identification and evaluation for CIPN, the correlation between the score for each identification pattern and that of other CIPN instruments was analyzed. The results revealed a positive correlation between the Functional Assessment of Cancer Therapy-General and CIPN-20.Conclusion: The reliability of the instrument for pattern identification and evaluation in CIPN was moderate, and the validity analysis revealed a positive correlation.

General User's Understanding of Self-reported Pattern Identification Questionnaire Items (자가 기입 변증 설문문항에 대한 사용자의 이해도 조사)

  • Lee, Jae Chul;Dong, Sang Oak;Kim, Sang Hyuk;Lee, Young Seop;Jin, Hee Jeong
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.27 no.3
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    • pp.336-341
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    • 2013
  • This study aims to reveal understanding of general users on pattern identification questionnaire items from published papers. 132 questionnaire items were selected from five papers which studied reliability and validity of survey items for pattern identification. 36 general participants answered understanding degree on each items, 11 experts also responded clinical utilizability on these. 6 questionnaire items had different recognition between general participants and experts, which were well used items to diagnose for experts, not easily understood to general participants. This study is the first work to analyze pattern identification's item understanding of general participants. Diversified subject population should be involved in further studies for assessment of general participants' understanding degree of questionnaire items.

Development of Questionnaire for Pattern Identification of Chronic Low Back Pain by Delphi Method (만성 요통 변증 설문지 개발을 위한 전문가 Delphi 조사)

  • Ahn, Min-Youn;Song, Yun-Kyung;Ko, Seong-Gyu;Lim, Hyoung-Ho
    • Journal of Korean Medicine Rehabilitation
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    • v.23 no.4
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    • pp.143-158
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    • 2013
  • Objectives The aim of this study is to contribute to developing questionnaire for pattern identification of chronic low back pain using delphi method. Methods The questionnaire which includes symptoms and signs of chronic low back pain is studied by delphi method. Seven experts of Korean medicine, especially of rehabilitation medicine participated in delphi examination. Delphi examination was carried out through evaluating and correcting the questionnaire by e-mail. Results By the Delphi method and score evaluation, 20 items of the initial copy of questionnaire are chosen for pattern identification of chronic low back pain. Conclusions By the delphic method among experts, a reference questionnaire for pattern identification of chronic low back pain was suggested. Further research is necessary for modification of questionnaire by statistics and certification by clinical trial research.

Development of a Basic Standard Tool for Pattern Identification of Benign Prostatic Hyperplasia (BPH) (전립선비대증 변증도구 개발 기초 연구)

  • Jeong, Ho-young;Lee, Ji-yoon;Park, Yang-chun;Jung, In-chul;Cho, Chung-sik
    • The Journal of Internal Korean Medicine
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    • v.38 no.3
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    • pp.301-318
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    • 2017
  • Objective: The purpose of this study was to develop a standard tool of pattern identification, which will be applied to clinical research, for benign prostatic hyperplasia. Method: The items and structure of the instrument were based on a review of the published literature in China and Korea. The advisory committee on this study included 11 kidney-endocrine professors of the Korean Medical Colleges Division and 4 Korean medicine doctors who had a doctor's degree in the Kidney-Endocrine Division. The advisory committee was questioned regarding pattern identification importance, symptom weight, treatment importance, changes in the symptoms, rare changes in the symptoms, and frequency of prescriptions regarding benign prostatic hyperplasia. Results: The Korean instrument of pattern identification was completed; it was composed of four questions for benign prostatic hyperplasia. Conclusion: We sincerely look forward to improving the instrument through the continuous clinical studies.

The Discrimination Model for the Pattern Identification Diagnosis of Overweight Patients (비만의 변증 진단을 위한 판별모형)

  • Kang, Kyung-Won;Moon, Jin-Seok;Kang, Byung-Gab;Kim, Bo-Young;Kim, No-Soo;Yoo, Jong-Hyang;Shin, Mi-Sook;Choi, Sun-Mi
    • Korean Journal of Oriental Medicine
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    • v.14 no.2
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    • pp.41-46
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    • 2008
  • The study was to investigate the agreement rate between the statistical diagnosis of pattern identification by discriminant analysis and the clinical diagnosis of pattern identification by medical specialist in obese patients with BMI$\geqq$23. The agreement rate of deficiency of the spleen, phlegm-retention, deficiency of Yang, retention of undigested food, stagnation of liver Gi, and blood stagnation are 0.40, 0.33, 0.52, 0.76, 0.71, and 0.66, respectively and accuracy rate and prediction rate using linear discriminant function are 0.59 and 0.61, respectively. Therefore, the complementary management in CRF questionnaires and/or consultation from experts will improve the accuracy and prediction rate, which will be helpful for pattern identification of obesity by clinical experts.

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Development of a Basic Standard Tool for Pattern Identification in Hyperthyroidism (갑상선 기능 항진증 변증 도구 개발 기초 연구)

  • Choi, Yu-jin;Han, Yang-hee;Ahn, Se-young;Cho, Chung-sik;Shin, Seon-mi
    • The Journal of Internal Korean Medicine
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    • v.39 no.6
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    • pp.1256-1271
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    • 2018
  • Objective: The purpose of this study was to develop a basic standard tool for pattern identification in hyperthyroidism. Method: It was based on a review of the published literature in China and Korea. The advisory committee on this study included 8 internal medicine professors from Korean Medicine Schools and 2 who had a doctor's degree and specialized in internal medicine. We were advised about the importance of pattern identification, weight gain as a symptom, the importance of treatment, changes in symptoms, rare changes in symptoms, and frequency of prescriptions regarding hyperthyroidism. Results: A Korean instrument of pattern identification was completed. Conclusion: We sincerely look forward to improving the instrument through continuous clinical studies.

The Discussion on Treatment Based on Pattern Identification in Guidelines for Traditional Chinese Medical Treatment of COVID-19 in China (COVID-19 중국 진료방안의 변증론치에 대한 고찰)

  • Sanghyun, Kim
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.36 no.5
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    • pp.163-168
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    • 2022
  • After the outbreak of COVID-19 in China, the national health commission of the people's republic of China distributed guidelines for the diagnosis and treatment of COVID-19. Based on that, each region of China made guidelines for traditional Chinese medical treatment of COVID-19 applicable to clinical field. Under the hypothesis that each region's guideline contains regional characteristics, a comparison was made on pattern identification among each region's guidelines and central guidelines. At the beginning of the analysis of the cases, opinions on pattern identification vary from region to region, and the diversity is mainly reflected in the early stage of the disease. When the guideline is organized to a certain level due to the accumulation of clinical cases, there is a strong tendency to enumerate various types of pattern identification. It means that as a specific infectious disease progresses, it can appear in various cases due to variables. In some guidelines, disease stages were analyzed by only a limited pathological mechanism, but no regional characteristics were found here. Rather, it may mean that unique characteristics for disease can be derived.

A Person Identification Algorithm Utilizing Hybrid Features : Finger Crease Pattern and Finger Thickness Profiles (손가락 마디지문 패턴을 이용한 개인식별 알고리즘 성능 향상에 관한 연구)

  • 신창호;정희철;이현열;최환수
    • Proceedings of the IEEK Conference
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    • 1999.11a
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    • pp.556-559
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    • 1999
  • This paper proposes an hybrid person identification algorithm utilizing finger crease pattern and finger thickness profiles. We have observed that by adding finger thickness profiles as a feature vector, we could improve the performance of the person identification system utilizing only finger crease pattern. We presented the comparative evaluation of the proposed algorithm in detail.

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