• Title/Summary/Keyword: Preventive Diagnosis

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A Comparison of Fasting Glucose and HbA1c for the Diagnosis of Diabetes Mellitus Among Korean Adults (공복혈당과 당화혈색소에 의한 당뇨병 진단 비교)

  • Yun, Woo-Jun;Shin, Min-Ho;Kweon, Sun-Seong;Park, Kyeong-Soo;Lee, Young-Hoon;Nam, Hae-Sung;Jeong, Seul-Ki;Yun, Yong-Woon;Choi, Jin-Su
    • Journal of Preventive Medicine and Public Health
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    • v.43 no.5
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    • pp.451-454
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    • 2010
  • Objectives: The American Diabetes Association (ADA) has recently recommended the HbA1c assay as one of four options for making the diagnosis of diabetes mellitus, with a cut-point of $\geq$ 6.5%. We compared the HbA1c assay and the fasting plasma glucose level for making the diagnosis of diabetes among Korean adults. Methods: We analyzed 8710 adults (age 45-74 years), who were not diagnosed as having diabetes mellitus, from the Namwon study population. A fasting plasma glucose level of $\geq$126 mg/dL and an A1c of $\geq$ 6.5% were used for the diagnosis of diabetes. The kappa index of agreement was calculated to measure the agreement between the diagnosis based on the fasting plasma glucose level and the HbA1c. Results: The kappa index of agreement between the fasting plasma glucose level and HbA1c was 0.50. Conclusions: The agreement between the fasting plasma glucose and HbA1c for the diagnosis of diabetes was moderate for Korean adults.

The measurement of partial discharge for preventive diagnosis in power machinery (전력용 기기의 예방진단을 위한 부분방전측정)

  • 김태성;구할본;임장섭;정우성
    • Electrical & Electronic Materials
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    • v.7 no.1
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    • pp.42-48
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    • 1994
  • The preventive diagnosis technique for power system is being highlighted as a research area for deterioration of insulation in machinery because of high-voltage power system. We make efforts to develop not only diagnosis of aging state but also detection of defects in the initial stage from preventive diagnosis technique. Especially, partial discharge is actively studied as a non-destructive diagnosis technique and very useful because partial discharge measurement reduces damage than conventional diagnosis technique. The loaded stress during this test is smaller than that of other diagnosis techniques. But the continuous research for various complicated analysis method is required because partial discharge has very small signals and its signals have complex forms. In this paper, the measurement of partial discharge was investigated and studied on many specimens with void. We made samples having artificial voids and measured partial discharge. In order to use as a practical diagnosis technique, we studied ways of measurement, measured illustrations and types of partial discharge which could be used in order to diagnose defects of power machinery.

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Establishment of Diagnostic Criteria in the Preventive Diagnostic System for the Power Transformer (전력용 변압기 예방진단새스템의 진단기준치 실정)

  • Kweon Dong-Jin;Koo Kyo-Sun;Kwak Joo-Sik;Woo Jung-Wook;Kang Yeon-Wook
    • The Transactions of the Korean Institute of Electrical Engineers A
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    • v.54 no.9
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    • pp.449-456
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    • 2005
  • The preventive diagnostic technique prevents transformers from power failure through giving alarm and observing transformers in service. And it helps to establish the plan for optimum maintenance of the transformer as well as to find location or cause of fault using accumulated data. Data detection and experience of the preventive diagnostic system need to establish the preventive diagnostic algorithm regarding interrelationship between detected data and deterioration of equipment. Therefore in-depth analysis about the preventive diagnosis system is required. KEPCO has adopted the preventive diagnostic system at nine 345kV substations since 1997. Techniques for component sensors of the preventive diagnosis system were settled but diagnosis algorithm, diagnostic criteria and practical use of accumulated data are not yet established. This paper, to build up the base of preventive diagnostic algorithm for the Power transformer. investigated the preventive diagnostic criteria for the power transformer.

Effects of Comorbid Sleep Disorders on Cardiovascular Complications of Hypertension Among Patients With Newly-diagnosed Hypertension: An Analysis of the Korean National Health Insurance Service-National Sample Cohort

  • Kang, Jeongmook;Park, Yoon-Hyung;Yang, Kwang Ik;Cruz, Jose Rene Bagani;Hwangbo, Young
    • Journal of Preventive Medicine and Public Health
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    • v.53 no.1
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    • pp.37-44
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    • 2020
  • Objectives: This study investigated the effects of comorbid sleep disorders (SD) on the incidence of cardiovascular complications among newly-diagnosed hypertension (HTN) patients. Methods: As study population, 124 057 newly-diagnosed essential HTN patients aged 30 or older, without cardiovascular complications at diagnosis with HTN, were selected from the National Health Insurance Service-National Sample Cohort. The incidence of cardiovascular complications was calculated, Cox proportional-hazards regression model was used to analyze the risk of complications, and the population attributable fraction (PAF) for cardiovascular complications of having comorbid SD at HTN diagnosis was calculated. Results: Over 10 years, 32 275 patients (26.0%) developed cardiovascular complications. In HTN patients with comorbid SD at diagnosis of HTN, the incidence of cardiovascular complications (78.3/1000 person-years; 95% confidence interval [CI], 75.8 to 80.9) was higher than in those without comorbid SD (58.6/1000 person-years; 95% CI, 57.9 to 59.3) and the risk of cardiovascular complications was 1.21 times higher (95% CI, 1.17 to 1.25), adjusting for age, gender, income, area of residence, and comorbid diabetes mellitus. The PAF of having comorbid SD at diagnosis of HTN for the incidence of cardiovascular complications was 2.07% (95% CI, 1.69 to 2.44). Conclusions: Newly-diagnosed essential HTN patients aged 30 or older who had comorbid SD at the time of their HTN diagnosis had a higher incidence of cardiovascular complications than those without comorbid SD. Age, gender, income, area of residence, and comorbid diabetes mellitus had a significant effect on the incidence of cardiovascular complications. Approximately 2% of cardiovascular complications were found to occur due to the presence of SD.

The Association Between Smoking Tobacco After a Diagnosis of Diabetes and the Prevalence of Diabetic Nephropathy in the Korean Male Population

  • Yeom, Hyungseon;Lee, Jung Hyun;Kim, Hyeon Chang;Suh, Il
    • Journal of Preventive Medicine and Public Health
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    • v.49 no.2
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    • pp.108-117
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    • 2016
  • Objectives: Smoking is known to be associated with nephropathy in patients with diabetes. The distinct effects of smoking before and after diabetes has been diagnosed, however, are not well characterized. We evaluated the association of cigarette smoking before and after a diagnosis of diabetes with the presence of diabetic nephropathy. Methods: We analyzed data from the 2011-2013 editions of the Korea National Health and Nutrition Examination Survey. A total of 629 male patients diagnosed with diabetes were classified as non-smokers (90 patients), former smokers (225 patients), or continuing smokers (314 patients). A "former smoker" was a patient who smoked only before receiving his diagnosis of diabetes. A "continuing smoker" was a patient who smoked at any time after his diabetes had been diagnosed. Diabetic nephropathy was defined as the presence of albuminuria (spot urine albumin/creatinine ratio ${\geq}30mg/g$) or low estimated glomerular filtration rate ($<60mL/min/1.73m^2$). Multiple logistic regression models were used to assess the independent association after adjusting for age, duration of diabetes, hemoglobin A1c, body mass index, systolic blood pressure, medication for hypertension, and medication for dyslipidemia. Female patients were excluded from the study due to the small proportion of females in the survey who smoked. Results: Compared to non-smokers, continuing smokers had significantly higher odds ratio ([OR], 2.17; 95% confidence interval [CI], 1.23 to 3.83) of suffering from diabetic nephropathy. The corresponding OR (95% CI) for former smokers was 1.26 (0.70 to 2.29). Conclusions: Smoking after diagnosis of diabetes is significantly associated with the presence of diabetic nephropathy in the Korean male population.

A Study on the Nutritional Knowledge, Nutritional Attitude, Eating Practice and Food Intake of Womans University Student (일부 여자대학교 학생들의 영양지식, 태도, 식행동 및 식품섭취상태와 그 관련요인에 관한 연구 - 1학년, 4학년 중심으로 -)

  • Ha, Eun-Hee;Kim, Sun-Hee;Kang, Ji-Yong
    • Journal of Preventive Medicine and Public Health
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    • v.23 no.4 s.32
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    • pp.404-415
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    • 1990
  • This study was conducted to analyze the relations among nutritional knowledge, nutrional attitude, eating practice and total nutritional diagnosis and also to find the influencing factors of them. The survey was done during the period from April 1990 to June 1990 and the target population were Ewha Womans University students (freshmen and senior) of whom 1,354 peoples were surveyed. The summarized results are as follows ; 1. For the teaming environment, the percentage of completion on nutritional knowledge course was 28.6% and among them the department of foods and nutrition had the highest score(100.0%) and the next was dept. of medicine (53.4%). 2. To find the relation which the nutritional knowledge, nutritional attitude, eating practice and the total nutritional diagnosis influence on one another, the multiple correlation analysis was done. The attitude and the practice were highly correlated with total nutritional diagnosis, but the correlation between nutritional knowledge and total nutrional diagnosis was not significant. The correlation between the practice and nutritional knowledge which were positively and significantly correlated with attitude respectively was positive but not significant. 3. The difference which were analyzed by department, grade and completion on knowledge course on the nutritional knowledge, attitude, eating practice were significant (p<0.01) by ANOVA. 4. The significant variables on nutritional diagnosis are the eating practice points, the grade, the knowledge course, the breakfast and the attitude ($r^2=10.3%$) by multiple regression analysis. This study has the limitation that it did not consider the environmental factors of dietary life such as dietary culture, family environment, cultural habit. Therefore important points of these dietary studies are to extend to the practical nutritional education and dietary improvement for the national health not restricted to the local area or local population.

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Study on the Criterion and Algorithm for On-line Dissolved Gas of a Power Transformer (전력용 변압기 온라인 유중가스 진단기준치 및 알고리즘에 관한 연구)

  • Kweon Dongjin;Kwak Joosik;Kwak Heero;Kim Jaechul;Chin Sunbm
    • The Transactions of the Korean Institute of Electrical Engineers C
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    • v.54 no.5
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    • pp.206-212
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    • 2005
  • In this paper, criterion and algorithm for on-line dissolved gas of a Power transformer are studied. For the initial diagnosis of a power transformer, the on-line dissolved gas analysis is one of the most important and acceptable item to preventively diagnose a power transformer. But the criterion and algorithm of this item are not established yet in korea. In this paper, criterion and alarm level of the on-line dissolved gas analysis are based on the analysis of on-line data of operating transformers, Korea industrial standard and operation manual for a power transformer as well as accumulated data of the preventive diagnosis systems which have been operated at nine substations of Korea Electric Power Co.(KEPCO) since 1997, Therefore, the criterion and alarm level proposed in this paper are to be well suitable and are adaptable for the domestic operational environments and conditions of the power transformer. Considering that the conventional diagnosis system is capable only of accumulating and monitoring data of the power transformer operation, the criteria and the algorithms make it possible to accomplish an ultimate goal of the preventive diagnosis system. It is expected, therefore, that they will have a beneficial effect on broad applications of the preventive diagnosis system and the achievement of manless substation system in the future.

A Study on the Korean medicine Clinical Use of Moire topography in musculoskeletal diseases (근골격계 질환에 대한 경근무늬측정검사(모아레)의 한의약적 임상응용 고찰)

  • Ryu, Hongsun;Song, Aejin;Chong, Myongsoo
    • Journal of Society of Preventive Korean Medicine
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    • v.20 no.1
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    • pp.75-87
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    • 2016
  • Objectives : This study aims to classify and analyze literature related to moire topography, as a diagnostic device of Korean medicine, discuss research trends and major results, and demonstrate the value of moire topography. Methods : To investigate moire topography research trends, Korean keywords that signify 'moire' were searched in a Korean journal search engine. Initially, 2,988 papers were found in the research, and, after classifying them and removing those that are duplicate in other databases, only 37 papers were applicable for the literature review in this study. To analyze research trends, the 37 papers were analyzed based on the publication year, research field, journal, and research type, and, clinical articles were classified based on the diagnosis purpose, subject characteristics, diagnosis method, test method, and test result, for analysis. Results : Moire topography research in South Korea was first conducted in 1995 and most active in 2003, mostly in the field of Korean medicine. In the journal analysis, The Journal of Korea CHUNA Manual Medicine for Spine & Nerves published the highest number of papers, most of which were clinical articles and the rest were literature review. And, in the analysis of clinical papers, based on the diagnosis purpose, muscle somatotype measurement was most common, followed by diagnosis of scoliosis. In terms of subjects, most studies focused on elementary, middle, and high school students, and, in terms of the diagnosis method, other tests were used in most studies. The analysis of moire topography methods showed that most studies measured the shoulder, back, and hip, and the most common measurement method in the studies measured the difference in contour lines on the left and right by designating a central line of the body. In terms of the result, most moire topography brought about significant diagnosis results, and many studies demonstrated its use for musculoskeletal diseases in particular. Conclusions : Moire topography is believed to be highly significant for diagnosis and treatment of musculoskeletal diseases and further research will be needed to support it.

Predictive Diagnosis and Preventive Maintenance Technologies for Dry Vacuum Pumps (건식 진공펌프의 상태진단 및 예지보수 기법)

  • Cheung, Wan-Sup
    • Vacuum Magazine
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    • v.2 no.1
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    • pp.31-34
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    • 2015
  • This article introduces fundamentals of self-diagnosis and predictive (or preventive) maintenance technologies for dry vacuum pumps. The state variables of dry pumps are addressed, such as the pump and motor body temperatures, consumption currents of main and booster pumps, mechanical vibration, and exhaust pressure, etc. The adaptive parametric models of the state variables of the dry pump are exploited to provide dramatic reduction of data size and computation time for self-diagnosis. Two indicators, the Hotelling's $T^2$ and the sum of squares residuals (Q), are illustrated to be quite effective and successful in diagnosing dry pumps used in the semiconductor processes.