• Title/Summary/Keyword: Quality diagnosis

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Medical Diagnosis Inference using Neural Network and Discriminant Analyses

  • Chang, Duk-Joon;Kwon, Yong-Man
    • Journal of the Korean Data and Information Science Society
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    • v.19 no.2
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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.

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Fatigue, Sleep Disturbance, and Quality of Life among Breast Cancer Patients Receiving Radiotherapy (방사선치료를 받는 유방암 환자의 피로, 수면장애, 삶의 질에 대한 연구)

  • Kim, Ran Young;Park, Hyojung
    • Korean Journal of Adult Nursing
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    • v.27 no.2
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    • pp.188-197
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    • 2015
  • Purpose: The purpose of this study was to examine fatigue, sleep disturbances, and quality of life (QOL) among patients with breast cancer receiving radiotherapy. Methods: A cross-sectional, descriptive design was used. Data were collected through questionnaires distributed to 201 breast cancer patients in a hospital. The data were analyzed using SPSS 21.0. Results: The fatigue scores showed significant differences depending on exercise and duration since diagnosis. The sleep disturbance scores showed significant differences depending on duration since diagnosis. QOL scores showed significant differences depending on exercise, duration since diagnosis, and treatment site. Fatigue and sleep disturbances (r=.40, p<.001) showed statistically significant positive correlations, while fatigue and QOL (r=-.55, p<.001), and sleep disturbances and QOL (r=-.45, p<.001) showed statistically significant negative correlations. The multiple regression analysis, which was used to determine the variables influencing on QOL after radiotherapy, resulted in a significant regression model (F=23.88, p<.001), which accounted for approximately 45% of the explanatory power. Fatigue (${\beta}=-.39$, p<.001) and sleep disturbances (${\beta}=-.27$, p<.001) were revealed to adversely affect quality of life. Conclusion: The nursing intervention is necessary to reduce fatigue and sleep disturbance and to promote exercise in order to enhance QOL of patients with breast neoplasm while receiving radiotherapy.

Social Support, Quality of Life, and the Impact of Social Support on Quality of Life Among Medicaid Recipient with Chronic Illness (만성질환을 가진 의료급여 수급권자의 사회적 지원과 삶의 질: 성별, 질환별, 거주지역별 비교)

  • Lee, Ick-Seop;Hong, Young-Su
    • Korean Journal of Social Welfare
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    • v.57 no.2
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    • pp.71-92
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    • 2005
  • This study investigated social support, quality of life, and the impact of social support on quality of life among medicaid recipient with chronic illness such as hypertension, arthritis, diabetes, and stroke in Dec, 2003(N=221). Subjects were collected using stratified sampling by sex, age, diagnosis, and domicile on national data from National Health Insurance Corporation. Descriptive analysis and regression were performed. Results showed social support and quality of life was very low and social support was different in diagnosis and domicile, and social support, especially emotional support from family members, positively impacted on quality of life. The relationship of the two variables showed the differences in sex, diagnosis and domicile. This study will be used as theoretical bases for enhancing social support and quality of life among medicaid recipient with chronic illness.

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Automatic Diagnosis of Defects in Roller Element Bearings (롤러 베어링에서의 결함의 자동진단)

  • 유정훈;윤종호;김성걸;이장무
    • Journal of KSNVE
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    • v.5 no.3
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    • pp.353-360
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    • 1995
  • A new automatic diagnostic system for predicting multiple defects in rolling element bearings is developed by taking probbability into account. A database is constructed from the frequency characteristics of tested bearings with various types of defects. The proposed algorithms for the automatic diagnosis of bearing defects are shown to be satisfactory through the experiments. This method can be effectively used for quality control of the rolling bearing in plants.

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A Study on the Prediction Diagnosis System Improvement by Error Terms and Learning Methodologies Application (오차항과 러닝 기법을 활용한 예측진단 시스템 개선 방안 연구)

  • Kim, Myung Joon;Park, Youngho;Kim, Tai Kyoo;Jung, Jae-Seok
    • Journal of Korean Society for Quality Management
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    • v.47 no.4
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    • pp.783-793
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    • 2019
  • Purpose: The purpose of this study is to apply the machine and deep learning methodology on error terms which are continuously auto-generated on the sensors with specific time period and prove the improvement effects of power generator prediction diagnosis system by comparing detection ability. Methods: The SVM(Support Vector Machine) and MLP(Multi Layer Perception) learning procedures were applied for predicting the target values and sequentially producing the error terms for confirming the detection improvement effects of suggested application. For checking the effectiveness of suggested procedures, several detection methodologies such as Cusum and EWMA were used for the comparison. Results: The statistical analysis result shows that without noticing the sequential trivial changes on current diagnosis system, suggested approach based on the error term diagnosis is sensing the changes in the very early stages. Conclusion: Using pattern of error terms as a diagnosis tool for the safety control process with SVM and MLP learning procedure, unusual symptoms could be detected earlier than current prediction system. By combining the suggested error term management methodology with current process seems to be meaningful for sustainable safety condition by early detecting the symptoms.

Very Early-Onset Inflammatory Bowel Disease: A Challenging Field for Pediatric Gastroenterologists

  • Arai, Katsuhiro
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.23 no.5
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    • pp.411-422
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    • 2020
  • With the increasing number of children with inflammatory bowel disease (IBD), very early-onset IBD (VEO-IBD), defined as IBD that is diagnosed or that develops before 6 years of age, has become a field of innovation among pediatric gastroenterologists. Advances in genetic testing have enabled the diagnosis of IBD caused by gene mutations, also known as monogenic or Mendelian disorder-associated IBD (MD-IBD), with approximately 60 causative genes reported to date. The diagnosis of VEO-IBD requires endoscopic and histological evaluations. However, satisfactory small bowel imaging studies may not be feasible in this small population. Both genetic and immunological approaches are necessary for the diagnosis of MD-IBD, which can differ among countries according to the available resources. As a result of the use of targeted gene panels covered by the national health insurance and the nationwide research project investigating inborn errors of immunity, an efficient approach for the diagnosis of MD-IBD has been developed in Japan. Proper management of VEO-IBD by pediatric gastroenterologists constitutes a challenge. Some MD-IBDs can be curable by allogenic hematopoietic stem cell transplantation. With an understanding of the affected gene functions, targeted therapies are being developed. Social and psychological support systems for both children and their families should also be provided to improve their quality of life. Multidisciplinary team care would contribute to early diagnosis, proper therapeutic interventions, and improved quality of life in patients and their families.

Prevalence of Benign Pulmonary Lesions Excised for Suspicion of Malignancy: Could It Reflect a Quality Management Index of Indeterminate Lung Lesions?

  • Carillo, Gerardo Andres Obeso;Vazquez, Jose Eduardo Rivo;Villar, Alberto Fernandez
    • Journal of Chest Surgery
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    • v.47 no.5
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    • pp.458-464
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    • 2014
  • Background: The effort to detect lung cancer in ever-earlier stages leads to the identification of an increasing number of patients without preoperative histological diagnosis. The aim of this study is to determine the prevalence and characteristics of benign lesions excised in the context of lung cancer surgery. Methods: We retrospectively analyzed data from 125 surgical procedures. We compared the preoperative clinical or cyto-histological diagnosis with the surgical-pathologic diagnosis in order to identify the percentage of benign lesions excised. Furthermore, other parameters were analyzed, such as age, sex, tumor size, the presence of calcification, and the type of surgery according to subgroup. Results: Of the 125 patients included in the study, 63 (50.4%) had a preoperative histological diagnosis of malignancy, corresponding to 56 cases (44.8%) of primary lung cancer and 7 cases (5.6%) of metastases. The 62 (49.6%) remaining cases without preoperative histological diagnosis were divided among 50 (40%) solitary pulmonary nodules and 12 (9.6%) pulmonary masses. According to the postoperative pathologic examination, we identified 12 (9.6%) benign lesions excised during lung cancer surgery. There were no statistically significant differences by subgroups with respect to age or sex. We found statistically significant evidence regarding the size and wedge resection as the surgical technique of choice for this type of benign lesion. Conclusion: Our study obtained results similar to those published by other groups regarding the resection of benign lesions in lung cancer surgery. This percentage could be a quality management index of indeterminate lung lesions.

Growth and Tissue Nutrient Responses of Fraxinus rhynchophylla, Fraxinus mandshurica, Pinus koraiensis, and Abies holophylla Seedlings Fertilized with Nitrogen, Phosphorus, and Potassium

  • Park, Byung-Bae;Byun, Jae-Kyong;Park, Pil-Sun;Lee, Soo-Won;Kim, Woo-Sung
    • Journal of Korean Society of Forest Science
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    • v.99 no.2
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    • pp.186-196
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    • 2010
  • Fertilization increases the crop productivity and produces high quality seedlings for plantation. We quantitatively measured both physical performances and nutrient responses of Fraxinus rhynchophylla, Fraxinus mandshurica, Pinus koraiensis, and Abies holophylla seedlings, which are commercially planted species in Korea, to nitrogen, phosphorus, and potassium fertilization. We analyzed the growth performances by using Dickson's quality index (QI) and the nutrient status by using vector diagnosis. Nitrogen or phosphorus treatment increased height and root collar diameter growth of F. rhynchophylla and F. mandshurica, however, did not increase those of P. koraiensis and A. holophylla. The order of QI was N > P > K > control for F. rhynchophylla, P ${\geq}$ N > Control ${\geq}$ P for F. mandshurica, P > Control ${\geq}$ K > N for P. koraiensis and A. holophylla. In F. rhynchophylla, fertilization diluted N concentration in tissues by 5-25% because growth responses were higher than fertilization uptake. P. koraiensis and A. holophylla showed N excess showing "toxic accumulation". F. rhynchophylla and F. mandshurica showed P deficiency with P fertilization, however, P. koraiensis and A. holophylla showed "luxury accumulation". Vector diagnosis indicated that more fertilization was applicable for F. rhynchophylla and F. mandshurica, and high fertilization rates were inefficient for P. koraiensis and A. holophylla. Both QI and vector diagnosis can be applied to verify seedling quality in the light of growth responses and nutrient status in fertilization trials.

Pattern Identification of 97 Functional Dyspepsia Patients and the Characteristics of Each Pattern Type (기능성 소화불량 환자 97명의 변증유형별 특성)

  • Han, Ga-Jin;Kim, Jin-Sung;Park, Jae-Woo;Ryu, Bong-Ha
    • The Journal of Korean Medicine
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    • v.32 no.2
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    • pp.42-62
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    • 2011
  • Objective: This study was designed to identify and explore the pathological patterns of functional dyspepsia (FD) patients. We also evaluated the usefulness of the Pattern Identification Questionnaire by comparing it with other assessment tools for FD. Methods: We recruited 97 FD patients based on the Rome III criteria for FD diagnosis. The pathological patterns of the subjects were determined by the Pattern Identification Questionnaire. Their dyspepsia-related symptoms were assessed using the Gastrointestinal Symptom Questionnaire (GIS) and the Pyeongwi-san (Pingwei-san) Patternization Questionnaire. Depressive symptoms were evaluated with the Beck Depression Inventory (BDI) and quality of life with the Functional Dyspepsia-Related Quality of Life (FD-QoL) Questionnaire. Tongue coating was measured by the Digital Tongue Diagnosis System (DTDS). Results: The male to female ratio was 1:1.1, and the forties and fifties age groups were largest in number. The spleen deficiency and phlegm-dampness pattern was the most common pattern found among the FD patients. No significant differences in the GIS, BDI, FD-QoL, and DTDS scores were found among the five pattern types. All pattern types showed significant correlation with GIS, Pyeongwi-san Patternization Questionnaire, and FD-QoL scores. Conclusions: Pattern Identification Questionnaire can not only identify the pathological pattern types of FD patients but also evaluate the severity of their symptoms. Compared to conventional assessment tools for FD, it could enable a more dynamic evaluation of FD patients reflecting the severity of dyspeptic symptoms and the quality of life. Further studies on the Pattern Identification of FD patients are anticipated in order to improve the diagnosis and therapy for Korean FD patients.

The Effect of a Community-Based Self-Management Program for Patients at Thyroid Cancer-Diagnosis Stage : a Pilot Study (재가 갑상선암 환자를 위한 지역암센터 자가관리프로그램 중재 효과에 대한 예비연구)

  • Yoo, Hyera;Boo, Sunjoo;Chun, Mison;Jo, Eun Mi
    • Journal of Korean Public Health Nursing
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    • v.29 no.3
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    • pp.582-593
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    • 2015
  • Purpose: This study was conducted to examine the effectiveness of a self-management program on patients with thyroid cancer, particularly during the time of waiting for surgery after cancer diagnosis. Psychological distress, biological responses of immune cell counts, and quality of life were the variables of this study. Methods: One group pre-post test design was used with the nature of a pilot study. Ten newly diagnosed thyroid cancer patients were recruited through physicians' referrals. After drop out of 4 participants, final data were collected from six participants. Small group technique, a one and half hour-session per week for one month (total 4 sessions, 6 hours) was used. Relaxation techniques, meditation training, and strategies to reduce distress were provided by researchers. Standardized questionnaires and an established bio-assay were used for collection of data. Results: Participants showed significant lowering of psychological distress (p<.05) and improvement in global quality of life (p<.05). Biological responses of immune cell counts did not show statistical significance. Conclusion: The self-management program may reduce psychological distress and improve quality of life of patients with thyroid cancer between the time of diagnosis and surgery. The self-management program would be a valuable approach for patients with an unexpected cancer diagnosis to prepare for their disease experience in a community setting.