• Title/Summary/Keyword: Principal diagnosis

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Analysis on the situation of inpatients with pressure ulcer by patient safety indicators (환자안전 지표에 의한 욕창발생 현황 분석)

  • Nam, Mun-Hee;Lim, Ji-Hye
    • Journal of Digital Convergence
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    • v.10 no.3
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    • pp.197-205
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    • 2012
  • In this study, we analyzed situation and length of stay(LOS) variations of inpatients with pressure ulcer using patient safety indicators developed by the United States Agency for Healthcare Research and Quality(AHRQ) and proposed management of medical quality and development of policy. The dataset was taken from 1,373 database of the hospital discharge injury survey from 2005 to 2008. Analysis method was used frequency and chi-square test, ANOVA, multiple linear regression analysis. In result, distribution of inpatients with pressure ulcer by sex were 52.5%(male), 47.5%(female), respectively and aged $65{\geqq}years$ was the highest in age group. LOS of inpatients with nervous system principal disease was the longest. Independent variables which were statistically associated with LOS of inpatients with pressure ulcer were year, sex, insurance type, bed size, operation, principal diagnosis. Therefore, hospital should develop the standardized strategy and guidelines to manage pressure ulcer inpatients efficiently and apply it into the medical information system.

A Study on the Feasibility of Defect Diagnosis using Principal Component Analysis on Aircraft Vibration Data (항공기 진동 데이터 수집 및 주성분 분석을 통한 결함 진단 가능성 연구)

  • Jeong, Sang-gyu;Seo, Young-jin;Kim, Young-mok;Jun, Byung-kyu
    • Journal of the Korean Society for Aeronautical & Space Sciences
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    • v.46 no.9
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    • pp.767-773
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    • 2018
  • In many cases, modern aircraft are equipped with data acquisition system which checks the structural integrity of the aircraft. The analysis of the vibration data collected with the system is generally performed in dependence on a skilled expert who is familiar with aircraft design. Therefore, it is difficult to provide a representative and objective defect identification standard for general users. In this paper, we shows that it is possible to identify the type of maneuvers and faults by using the Principal Component Analysis(PCA) method in the vast vibration data collected during aircraft operation without using the existing aircraft design analysis. We classified the ROK Army aircraft vibration data for maneuvers and faults types, and applied the PCA to the classified data. Our result shows that it is possible to develop an objective maneuver/fault identification method without design analysis for general users.

A Convergence Study in the Severity-adjusted Mortality Ratio on inpatients with multiple chronic conditions (복합만성질환 입원환자의 중증도 보정 사망비에 대한 융복합 연구)

  • Seo, Young-Suk;Kang, Sung-Hong
    • Journal of Digital Convergence
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    • v.13 no.12
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    • pp.245-257
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    • 2015
  • This study was to develop the predictive model for severity-adjusted mortality of inpatients with multiple chronic conditions and analyse the factors on the variation of hospital standardized mortality ratio(HSMR) to propose the plan to reduce the variation. We collect the data "Korean National Hospital Discharge In-depth Injury Survey" from 2008 to 2010 and select the final 110,700 objects of study who have chronic diseases for principal diagnosis and who are over the age of 30 with more than 2 chronic diseases including principal diagnosis. We designed a severity-adjusted mortality predictive model with using data-mining methods (logistic regression analysis, decision tree and neural network method). In this study, we used the predictive model for severity-adjusted mortality ratio by the decision tree using Elixhauser comorbidity index. As the result of the hospital standardized mortality ratio(HSMR) of inpatients with multiple chronic conditions, there were statistically significant differences in HSMR by the insurance type, bed number of hospital, and the location of hospital. We should find the method based on the result of this study to manage mortality ratio of inpatients with multiple chronic conditions efficiently as the national level. So we should make an effort to increase the quality of medical treatment for inpatients with multiple chronic diseases and to reduce growing medical expenses.

Plant-wide On-line Monitoring and Diagnosis Based on Hierarchical Decomposition and Principal Component Analysis (계층적 분해 방법과 PCA를 이용한 공장규모 실시간 감시 및 진단)

  • Cho Hyun-Woo;Han Chong-hun
    • Journal of the Korean Institute of Gas
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    • v.1 no.1
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    • pp.27-32
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    • 1997
  • Continual monitoring of abnormal operating conditions i a key issue in maintaining high product quality and safe operation, since the undetected process abnormality may lead to the undesirable operations, finally producing low quality products, or breakdown of equipment. The statistical projection method recently highlighted has the advantage of easily building reference model with the historical measurement data in the statistically in-control state and not requiring any detailed mathematical model or knowledge-base of process. As the complexity of process increases, however, we have more measurement variables and recycle streams. This situation may not only result in the frequent occurrence of process Perturbation, but make it difficult to pinpoint trouble-making causes or at most assignable source unit due to the confusing candidates. Consequently, an ad hoc skill to monitor and diagnose in plat-wide scale is needed. In this paper, we propose a hierarchical plant-wide monitoring methodology based on hierarchical decomposition and principal component analysis for handling the complexity and interactions among process units. This have the effect of preventing special events in a specific sub-block from propagating to other sub-blocks or at least delaying the transfer of undesired state, and so make it possible to quickly detect and diagnose the process malfunctions. To prove the performance of the proposed methodology, we simulate the Tennessee Eastman benchmark process which is operated continuously with 41 measurement variables of five major units. Simulation results have shown that the proposed methodology offers a fast and reliable monitoring and diagnosis for a large scale chemical plant.

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Study about the relationship between Chief complaint of pure death patients using medical record information (의무기록 정보를 활용한 순사망환자 주호소 증상과 진단명과의 연관성에 관한연구)

  • Kim, Yong-Ha;Kim, Kwang-Hwan
    • Journal of Digital Convergence
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    • v.13 no.1
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    • pp.407-414
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    • 2015
  • This study was executed to be used as the basic data for the improvement of hospital therapy by analyzing the characteristic of principal diagnosis of pure death patients. 428 pure death patients were selected as study subjects out of 1992 dead patients at K university hospital in Daejeon city for three years in 2011, 2012, 2013, and chi-squared test and fisher's correct tests and canonical correlation analysis were used as analysis methods. In the analysis results about general characteristic and top 4 canonical correlation analysis, pneumonia(J18) of organism unspecified and toxic action(T60) of pesticide showed significant results among the principal diagnosis. In the pneumonia of organism unspecified(J18), significant results were identified with the order of car insurance, ages from 15 to 29, health insurance and medical benefits, and in the toxic action of pesticide(T60), significant results were identified with the order of health insurance, medical benefits, car insurance, ages from 45 to 59, Sejong Chungnam. In conclusion, in order to reduce the death of elderly population, quality improvement in medical service and establishment of emergency medical service delivery system are very important to reduce pure death patients.

Convergence performance comparison using combination of ML-SVM, PCA, VBM and GMM for detection of AD (알츠하이머 병의 검출을 위한 ML-SVM, PCA, VBM, GMM을 결합한 융합적 성능 비교)

  • Alam, Saurar;Kwon, Goo-Rak
    • Journal of the Korea Convergence Society
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    • v.7 no.4
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    • pp.1-7
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    • 2016
  • Structural MRI(sMRI) imaging is used to extract morphometric features after Grey Matter (GM), White Matter (WM) for several univariate and multivariate method, and Cerebro-spinal Fluid (CSF) segmentation. A new approach is applied for the diagnosis of very mild to mild AD. We propose the classification method of Alzheimer disease patients from normal controls by combining morphometric features and Gaussian Mixture Models parameters along with MMSE (Mini Mental State Examination) score. The combined features are fed into Multi-kernel SVM classifier after getting rid of curse of dimensionality using principal component analysis. The experimenral results of the proposed diagnosis method yield up to 96% stratification accuracy with Multi-kernel SVM along with high sensitivity and specificity above 90%.

ODONTOGENIC KERATOCYSTS IN THE MAXILLA: A REPORT OF TWO CASES (상악골에 발생한 치성각화낭종)

  • Oh, Sun-Young;Kim, Su-Gwan;Ryu, Chong-Hoy;Park, In-Soon
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.23 no.2
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    • pp.197-200
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    • 2001
  • We described two cases of odontogenic keratocysts of the maxilla. Odontogenic keratocysts (OKCs) are jaw cysts with a proclivity for local invasion and recurrence. Clinically, OKCs are characterized by aggressive, local growth. The diagnosis of mandibular OKC is based on physical examination and plain film radiographic findings. However, histopathological confirmation is required to make the diagnosis with certainty. The molar regions of the mandible and maxilla are the principal primary locations. The maxillary antrum is also a common site. Initial therapy is typically enucleation with or without extraction of the associated teeth. Long-term follow-up is necessary because of the aggressive nature and recurrence rate of OKCs.

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Cytologic Analysis of Malignant Tumor Cells in Cerebrospinal Fluid (뇌척수액에서 진단된 악성 종양세포의 세포학적 분석)

  • Suh, Jae-Hee;Gong, Gyung-Yub;Khang, Shin-Kwang;Kim, On-Ja
    • The Korean Journal of Cytopathology
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    • v.9 no.1
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    • pp.21-28
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    • 1998
  • Cytologic evaluation of cerebrospinal fluid(CSF) is an effective tool in diagnosing many disorders involving the central nervous system(CNS). CSF examination has been found to be of particular value in the diagnosis of metastatic carcinoma, lymphomatous or leukemic involvement of CNS and certain primary CNS tumors. As a survey of metastatic tumors to CSF and an evaluation of the preparation techniques increasing cellular yield in our laboratory, 713 CSF specimens examined between July 1995 and April 1997(1 year 10 months), were reviewed. There were 75 positive and 5 suspicious cases, the latter have had no evidence of tumors clinically. Primary tumors of 75 positive cases were classified as follows; 4(5.3%) as primary brain tumors, 40(53.3%) as secondary carcinomas, 13(17.3%) as leukemias, and 18 (24.0%) as lymphomas. The most common primary site of metastatic carcinomas was the lung in 17 cases(42.5%) followed by the stomach in 13(32.5%), breast in 8 (20.0%), and unknown primary in 2(5.0%). Four primary brain tumors were 3 cerebellar medulloblastomas and a supratentorial primitive neuroectodermal tumor (PNET). All 40 metastatic carcinomas were adenocarcinoma presented as single cells or cell clusters. Although signet ring cells were frequent in the cases of gastric primary cancers, no significant cytologic differences according to the primary site were observed. The cytologic features of leukemia and lymphoma were characterized by hypercellular smears presenting as individual atypical cells with increased N/C ratio, presence of nucleoli, and nuclear protrusions. In medulloblastomas and PNET, the principal cytologic findings were small undifferentiated cells arranged singly or in loose clusters with occasional rosettoid features. This study suggests that the CSF cytology is useful in the diagnosis of malignancy, especially metastatic extracranial tumors and the diagnostic accuracy can be improved by increasing cellular yield using cytocentrifuge.

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An Experimental Study on the Rebound Degree Tendency of Linear Hitting Test Hammer (선 타격 반발도 시험기의 반발도 경향에 관한 실험적 연구)

  • Ahn Hyo-Soo;Seo Chee-Ho
    • Journal of the Korea Concrete Institute
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    • v.17 no.3 s.87
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    • pp.313-322
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    • 2005
  • Recently, as the remodeling market gradually substitute for new construction market and safety diagnosis for reconstruction apartment become a matter of principal Interest, it is demanded that scientific diagnosis and evaluation for existing concrete structure state. And it is increasing that the significance for reliability of data which is used for estimating the concrete compressive strength by nondestructive test. As a result, it is found that different proposal to material age and hitting angle is good to improving the reliability of presumption of concrete compressive strength in the linear hitting rebound test hammer. And for the reason that mutual relation between the compressive strength and rebound degree is highest in linear hitting rebound test hammer 25mm in all portion according to early md middle material age and hitting angle except the early material age $-45^{\circ}$, analysis showed that linear hitting rebound test hammer is more reliable than existing schmidt hammer in presumption of concrete compressive strength.

Diagnostic Evaluation of Serum FSH and LH in Primary Amenorrhea by Radioimmunoassay (방사성 면역측정상의 혈청 FSH와 LH에 관한 일차성 무월경증 환자의 진단적 고찰)

  • Hong, I.S.;Kim, G.E.;Yoo, H.S.;Lee, J.T.;Park, C.Y.;Ryu, K.J.
    • The Korean Journal of Nuclear Medicine
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    • v.14 no.1
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    • pp.37-44
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    • 1980
  • The usefulness of single, random measurements of serum FSH and LH in the diagnosis of primary amenorrhea by radioimmunoassay was investigated. The 16 patients were divided into 3 groups by the level of serum FSH and LH. The first group with increased level of serum FSH and LH is five patients, all of these are related to the acquired or congenital abnormality of the ovary. Further studies indicated include buccal smear, chromosome analysis, gynecography and laparosocopy. The second group with normal serum FSH and LH is nine patients, four patients of these are related to the developmental anomaly of the Mullerian duct and five patients are undo etermined origin. Further studies indicated include laparoscopy and gynecography. The third group with decreased serum FSH and normal or decreased serum LH is two patients, one of these is related to the pituitary function, isolated FSH deficiency, the other is undetermined origin. Further studies indicated include the pituitary function test, LH-RH stimulation test, skull radiography. Determination of serum FSH and LH levels does not permit a specific etiologic diagnosis of primary amenorrhea. However the serum levels of FSH and LH can be used to differentiate the principal area of the investigation and can be of assistance in choosing more specific testing procedures.

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