• Title/Summary/Keyword: Questionnaire Diagnosis

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Development of System Dynamics Model and Integrated Tool for Safety Culture Diagnosis of a Combined-Cycle Power Plant (복합발전 플랜트 안전문화 진단을 위한 시스템 다이내믹스 모델링 및 통합도구 개발 연구)

  • Choi, Jaewoo;Um, Sungin;Hong, Inki
    • Journal of the Korean Institute of Gas
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    • v.21 no.3
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    • pp.70-76
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    • 2017
  • Although various methods have been tried to measure the safety culture of firms, they are limited to derive the qualitative analysis results according to the subjective criteria that are not formalized according to the evaluation method. We developed a questionnaire that can be applied to a combined power plant, quantified the evaluation results using the system dynamics model based on the results, and conducted simulation through various scenarios. And to present the criteria for safety cultural policy.

A Case Study of a Patient with Cluster Headache Diagnosed as Soyang-sangpung Symptomatology (소양인 소양상풍증으로 진단한 군발두통 환자 치험 1례)

  • Yu, Jun-sang
    • Journal of Sasang Constitutional Medicine
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    • v.28 no.4
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    • pp.396-402
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    • 2016
  • Objectives The symptom of nineteen-year-old male patient who had cluster headache was alleviated using Soyangin's diagnosis and treatment. Methods This patient was diagnosed as Soyangin in terms of QSCC II(Questionnaire of Sasang Constitutional Classification II) and ordinary symptoms and current symptoms. The disease pattern was diagnosed as Soyang-sangpung symptomology. The intensity of headache was assessed by VAS(Visual Analogue Scale). Results and Conclusions The patient's symptom was improved using Hyeongbangsabaek-san, acupuncture treatment and cupping treatment.

Considerations for Pulp therapy in primary teeth (유치의 치수치료 : 치료법 선택의 근거)

  • Ra, Ji-young
    • The Journal of the Korean dental association
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    • v.57 no.8
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    • pp.457-463
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    • 2019
  • According to the results of the questionnaire survey and the HIRA data released in KAPD conference in 2019, the pulpotomy in primary teeth is gradually decreasing while the one-visit pulpectomy is rapidly increasing. However, these changes seem to be for a more definite prognosis rather than based on academic grounds, and a more accurate diagnosis and conservative approach are needed. In addition, many studies have suggested that MTA pulpotomy was superior to any other materials and which are currently preferred as medicaments for pulpotomy. In the long term period, MTA pulpotomy is expected to be cost effective option.

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PERFORMANCE EVALUATION FOR CONSTRUCTION VALUE ENGINEERING STUDY

  • Wei Tong Chen;Hong-Long Chen;Po-Yi Chang;Tsang-Jung Wang
    • International conference on construction engineering and project management
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    • 2005.10a
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    • pp.347-352
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    • 2005
  • This paper presents an evaluation model for the performance of Value Engineering Study (VES) for construction projects. The proposed model consists of 6 PEGs and 32 PEIs. The expertise of the proposed model was collected from VE experts in Taiwan using two-phase questionnaire survey. One real-life VES of construction projects was used to demonstrate how the proposed model works. The proposed model not only can be used by project owners to appraise the performance of VES team but also be used by the VES teams to conduct self-diagnosis, improvement, and motivation for achieving better performance. Additionally, the proposed model is capable of: (1) clarifying the defects of VES and avoiding committing same mistakes, (2) assisting inexperience team members to implement VES and catch the critical issues of a VES.

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Relationship of Level of Stress, Life Style, Subjective Symptoms and Clinical Diagnosis in Clients taken Multiphasic Screening Program (종합검진 수검자의 스트레스 수준과 생활습관, 자각증상 및 임상적 진단의 관련성)

  • Park, Jun-Han;Chun, Jin-Ho;Kang, Jang-Mi;Son, Byung-Chul;Kim, Dae-Hwan;Lee, Chang-Hee;Jeong, Kui-Won;Urm, Sang-Hwa
    • Journal of Preventive Medicine and Public Health
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    • v.31 no.4 s.63
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    • pp.728-739
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    • 1998
  • To improve wellness and quality of life by recognizing the health efforts of stress, the author estimated the relationships between stress, subjective symptoms and clinical diagnosis through a questionnaire and a battery of specified laboratory tests; electrocardiography, blood pressure, cholesterol, aspartate aminotransferase(AST), alanine aminotransferase(ALT), gamma glutamyl transferase$(\gamma-GTP)$, fasting blood sugar, gastro-endoscopy or UGI, abdominal sonography, etc. The data was gathered from 337 clients who were undergoing multiphasic screening program at a University Hospital from January to March 1998. The mean age of subjects was $46.5{\pm}11.2$ years and the mean of body mass index was $24.0{\pm}3.7kg/m^2$. The mean vol of stress was $18.5{\pm}6.0$ expressed as the score out of 40. By general characteristics and lift style among male, mean level of stress was significantly higher in case of lower socioeconomic status, habitual drug use, longer daily working time(>10 hours), no regular exercise, drinkers, irregular meal, skip-ping breakfast(p<0.05). In case of female, that was significantly higher in case of lower education, lowe. socioeconomic status, longer daily working time(>10 hours), no regular exercise, drinkers, smokers, irregular meal, skipping breakfast(p<0.05). Significant correlations were observed between stress and subjective symptoms in all kinds of organ system (p<0.01). Correlation coefficients of stress among male were relatively high with neuro-psychiatric symptom$(\gamma=0.476)$ and cardio-vascular symptom$(\gamma=0.361)$ in order, and correlation coefficients of stress among female was highest with neuro-psychiatric symptom$(\gamma=0.371)$. The prevalence of the diagnosis through the battery of laboratory tests was high in upper gastrointestinal disorders and hypercholesterolemia in order in both sex group. Among male the mean score of stress was significantly high in ulcerative peptic disorder of upper gastrointestine and hepatopathy in order (p<0.05) . Among female that was significantly high in diabetes mellitus. In summary, it is likely that there are associations between stress, subjective symptoms and clinical diagnosis. To promote wellness and quality of life it would be of value that periodic stress evaluation program and stress management including apropriate control of smoking and drinking, regular exercise and meal.

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Thoracic Surgeon's Role in Differential Diagnosis of the Interstitial Lung Disease (간질성 폐질환의 확진을 위한 흉부외과의 역할)

  • Kim Sung-Whan;Yahang Jun-Ho;Kim Jong-Woo;Choi Jun-Young;Rhie Sang-Ho;Jang In-Seok
    • Journal of Chest Surgery
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    • v.39 no.5 s.262
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    • pp.382-386
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    • 2006
  • Background: Pathologic confirmation is needed to diagnose various forms of interstitial lung diseases. We wanted to find out how much the thoracic surgical lung biopsies will be needed for definite diagnosis of interstitial lung diseases. Material and Method: 17 patients underwent surgical lung biopsy in the department of thoracic and cardiovascular surgery, Gyeongsang National University Hospital from June 1995 to November 2002. Chart review and telephone questionnaire were done for retrospective study. Result: Mean age was $49{\pm}22$ years. Age ranged from 1 to 70 years. Dyspnea was the most common complaint. They were referred for definite differential diagnosis from pediatrics and internal medicine. Biopsy methods were thoracotomy in 11 cases, and thoracoscopy in 6 cases. Pathologic confirmation was possible in 11 cases (65%). According to the pathologic reports, treatment plans were changed in 13 cases (76%). Conclusion: Surgical lung biopsy was effective method in differentiating diagnosis of the interstitial lung disease, There was no mortality during operation. It is important that undiagnosed fibrous lung disease should be recommanded the lung biopsy for planning patient's treatment.

The Problems for Application of Nursing Process in Clinical Experience of Nursing Students (임상실습에서 학생들이 경험하는 간호과정 적용문제)

  • Yang Young-Hee
    • The Journal of Korean Academic Society of Nursing Education
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    • v.5 no.1
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    • pp.58-71
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    • 1999
  • Nursing process is an essential part for nursing practice. Nursing faculty members must focus on the clinical application for students and try to identify the possible problems that students might face in the fields. The purpose of this study is to examine the actual condition of nursing process education in curricula and to investigate the response of students in clinical experience of nursing process. From 462 students in the 6 associate programs(ADN) and the 6 baccalaureate programs (BSN) data was collected by questionnaire. The results were as followed. 1. Seven programs (58.3%) opened the nursing process in mainly sophomore (BSN) or freshman(ADN). If not opened, the nursing process was taught at the major subjects(espcially fundamental nursing or adult nursing). 2. All Students responded they we supposed to use nursing process in preparing the case report. The majority(94.6%) used NANDA lists for nursing diagnosis and 55.7% of subjects consulted the Korean terms by KNA when translating. The tutors for nursing process in clinical settings were the professor in charge of the subject (68.6) or clinical instructors (48.1%) , assistants(34%). 3. The problems in clinical application that students experienced consisted of 17 items and the mean was 2.27. The biggest problem was 'the lack of the model for RN of applying the nursing process in clinical settings'(2.97). Next the big problem was 'the lack of the competency for implementing the established nursing plans'(2.69). All items were significantly different according to the level of educational programs(ADN or BSN). ADN students had more problems in applying the each step of nursing process and BSN students perceived the NANDA as a guidance of nursing diagnosis and the inconsistency of advices from several instructors or practicum to be mere problematic. 4. The mean of merits after application of nursing process was relatively fair (2.82). The best merit was 'they can identify nursing problems more exactly'(3.07). The second high merit was 'they can study the rational of nursing action' (3.03). BSN than ADN and the subjects of second year than of one year in clinical experience perceived the use of nursing process to be better. Based on this results we need to enforce the application of nursing diagnosis in the class. The use of sample cases can be the efficient method. Students can identify the possible health problems for patient from the cases in imaginary world and discuss them each other. Also we can use the discussion session after practice every other day or as needed. All this is on the good interaction between tutor and student. We must consider to have enough time for student to seize the essence of the nursing process.

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A Study on the Effect of Interaction between Acupuncture at Shinmun(HT7) and Subject's Cold or Heat Tendency on Heart Rate Variability (신문혈(神門穴) 자극(刺戟)과 한열성향(寒熱性向)의 교호작용(交互作用)이 심박변이도(心博變移度)에 미치는 영향(影響))

  • Kim, Dong-Hoon;Yang, Dong-Hoon;Kim, Eun-Jung;Nam, Dong-Woo;Park, Yeon-Cheol;Park, Young-Jae;Lee, Sang-Chul;Park, Young-Bae
    • Journal of Acupuncture Research
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    • v.23 no.1
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    • pp.25-38
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    • 2006
  • Objectives : Acupuncture has been widely used in oriental medicine. The aim of this research is to study how does the interaction between reinforcement-reduction by twirling nine and six and subject's cold or heat tendency effect on Heart Rate Variability. Methods : We divided our subjects into 3 groups at random and classified subjects by their cold or heat tendency using questionnaire for cold-heat patternization. Group 1 is acupuncture at shinmun(HT7) reinforcement group, 2 is acupuncture at shinmun(HT7) reduction group, 3 in acupuncture at hapkok(LI4) group. According to their group, we acupunctured. Before and after acupuncture Heart Rate Variability raw data were measured during 5 minutes. LF, HF, LF norm HF norm were calculated. We analyzed these data using 3-way repeated ANOVA, Paired student T-Test. Results : 3-way repeated ANOVA showed significant interaction among LF, each group and subject's cold heat tendency(p<0.05). Paired student T-Test showed significant differences between before and after acupuncture at shinmun(HT7) reinforcement method in cold tendency men and acupuncture at shinmun(HT7) reduction method in heat tendency men(p<0.05). Conclusion : These results suggest that acupuncture at Shinmun(HT7) has an effect on declining sympathetic nerve function and has an effect on stabilizing mind through Interaction between reinforcement-reduction by twirling nine and six and subject's cold or heat tendency. We propose that more prudent care is needed about subject's cold or heat tendency and acupuncture technique of reinforcement-reduction to achieve the most suitable treatment effect.

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Correlation Study between Dry mouth and Comprehensive Diagnosis of Qi xu${\cdot}$Qi yu in Patients with Halitosis. (구취환자의 구강건조와 기허${\cdot}$기울 변증의 상관성 분석)

  • Kim, So-Yeon;Kim, Yoo-Seung;Hong, In-A;Hur, Won-Young;Eom, Guk-Hyeon;Lee, Seon-Young;Yoon, Sang-Hyub;Ryu, Bong-Ha;Kim, Jin-Sung
    • The Journal of Internal Korean Medicine
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    • v.28 no.1
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    • pp.97-105
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    • 2007
  • Objectives : This study investigated the correlation between dry mouth and comprehensive diagnosis of Qi xu and Qi yu in patients with halitosis. Methods : We surveyed 124 halitosis patients by reviewing the questionnaires from the Halitosis Clinic in the Hospital of Oriental Medicine, Kyunghee University from January 2004 to March 2006. The halitosis questionnaires contained self-awareness of halitosis, self-assessed severity of halitosis, dry mouth and taste abnormality. Among comprehensive diagnosis of Qui Xue Shui, Qi xu and Qi yu parts were investigated by questionnaire and physical examination, and each Qi xu and Qi yu part scores were summed. Winkel tongue coating index was estimated by investigator, the level of volatile sulfur compounds were measured by halimeter, and salivary function was assessed by salivary scan test. All patients were divided into two groups based on salivary scan test (salivary function normal and decreased). Results : Qi xu score of halitosis patients with decreased salivary function was higher than normal halitosis patients. There was highly significant correlation between Qi yu score and dry mouth, and another significant correlation between self-assessed halitosis severity and dry mouth was noted. Conclusions : The results of this study suggest that Qi yu condition influences dry mouth in halitosis patients, and halitosis is affected by dry mouth. Therefore. we assume that treating Qi yu condition can be a potentially effective way of treating dry mouth and halitosis.

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Diagnosis of Functional Gastrointestinal Disorders with Rome III Criteria in Korean Pediatric and Adolescent Patients: Clinical Usefulness of QPGS (한국 소아청소년에서 로마 III 기준을 이용한 기능성 위장관 질환의 진단: QPGS (Questionnaire on Pediatric Gastrointestinal Symptoms)의 유용성)

  • Kim, Dong-Soon;Nho, Han-Nae;Kim, Cu-Rie;Lee, Hee-Woo;Yoon, Ji-Hyun;Uhm, Ji-Hyun
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.12 no.2
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    • pp.120-132
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    • 2009
  • Purpose: We diagnosed pediatric functional gastrointestinal disorders in Korean children and adolescents using Rome III criteria and investigated the clinical validity of QPGS-Rome III. Methods: Diagnosis based on QPGS was compared with the physician's diagnosis based on Rome III criteria. One hundred and thirty eight children and their parents completed the QPGS. Agreement rates were measured using Kappa method. Results: In physician's diagnoses, the most prevalent disorders were functional dyspepsia (39.1%), irritable bowel syndrome (38.4%), and functional abdominal pain (18.8%). Among QPGS based diagnoses, the most prevalent disorders were irritable bowel syndrome (39.1%), functional dyspepsia (29.7%), and functional abdominal pain (21.7%). The agreement rate was substantial (${\kappa}$=0.72, p=0.00). Diagnostic disagreements probably resulted from different patient responses to bowel movement form and bowel frequency. Conclusion: Functional dyspepsia, irritable bowel syndrome, and functional abdominal pain were the most common disorders by Rome III criteria in the Korean pediatric and adolescent patients. The agreement rate between physician's diagnoses and QPGS based diagnoses supported the validity of the QPGS-Rome III in Korean pediatric and adolescent patients. QPGS seems to be useful in diagnosis of patients with functional gastrointestinal disorders by Rome III criteria.

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