• Title/Summary/Keyword: Self Diagnosis

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Use of the ID Migraine Questionnaire for Migraine in TMJ and Orofacial Pain Clinic (턱관절 및 안면통증 클리닉에서 편두통 진단을 위한 ID Migraine 설문지의 이용)

  • Kim, Seong-Taek
    • Journal of Dental Rehabilitation and Applied Science
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    • v.22 no.1
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    • pp.29-36
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    • 2006
  • As migraine pain represents a substantial personal and social burden worldwide, there has been a great deal of effort in developing a screening instrument for migraine. Lipton et al(2003) developed and validated the ID Migraine questionnaire, which is a self-administered screener for migraine in primary care, and it is brief and easy to use for a primary care provider. The aim of this study was to determine if the ID Migraine questionnaire could be applied successfully to assess the headache patients with temporomandibular disorders(TMD) and orofacial pain. This study found that nausea, photophobia and headache-related disability had the highest individual sensitivities and specificities, and the performance of the three-item screener was equivalent to that reported in a previous study. Although the sensitivity of the three-item screener in this study (0.58) was lower than in a previous study (0.81), the specificity (0.98) was higher and the positive predictive value was 93.9%. This suggest that the ID Migraine questionnaire is very efficient in this setting. In conclusion, the ID Migraine questionnaire, which is a three-item screener consisting of nausea, photophobia and headache-related disability, is effective as a self-administered report for detecting migraine headaches in patients with temporomandibular disorders(TMD) and orofacial pain.

An Evaluative Study of Health Education Programs for Community-based Hypertension Control in Public Health Centers (보건소 고혈압관리 교육사업의 평가적 연구)

  • Lee, In-Sook
    • Research in Community and Public Health Nursing
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    • v.15 no.4
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    • pp.517-527
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    • 2004
  • Purpose: This research is to find a solution for educational work on high blood pressure control in public health centers by analyzing their current status. Method: It analyzed data from 133 public health centers that had been doing educational work on high blood pressure, through a questionnaire. Also, it developed recommendations by converging opinions from an expert group made of 25 people with nominal group technique. Result: The educational methods of public health centers did not make any approach to get to the goal of the work. The mass media education and campaign activities for the general public had just temporary and passive propensities. In education for patients, it did not use appropriate methods to present management techniques for diagnosis process of patients, medication management, self monitoring BP, and risk factors. Pocket book for monitoring high blood pressure was not focused on self-recording for self-management. The expert group recommended that educational materials for adults should be developed focusing on treatments and observance of risk factors through daily living, and those for children should be focused on basic understanding about diseases, and life style. Conclusion: Presenting direction and strategy of fundamental education work is needed for public health centers by giving them standard educational guidelines of managing high blood pressure nationally, and it is desirable that fundamental frameworks of educational materials should be developed and distributed by professional groups nationally.

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Dietary Supplement use among Elderly Women with Self-perceived Musculoskeletal Problems (지각된 근골격계 문제를 가진 여성노인의 건강기능식품 이용행태)

  • Kim, In Kyung;Ko, Young Ji
    • Journal of Home Health Care Nursing
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    • v.20 no.1
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    • pp.24-32
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    • 2013
  • Purpose: This study aimed to clarify the characteristics of musculoskeletal problems in elderly Korean women and their actual and current use of dietary supplements by conducting a descriptive survey. Methods: The 1-month study began on April 3, 2012. A total of 150 elderly women from City D responded to the survey questionnaire used in this study. Results: Among the respondents, 55.3% used dietary supplements, although they had not consulted a physician for a definitive diagnosis of their condition but reported a self-perceived musculoskeletal problem instead. In addition, they engaged in healthy behaviors such as exercising and dietary supplement intake, without receiving any medical treatment. Compared with the nonusers, the dietary supplement users self-perceived a relatively more serious musculoskeletal problem (t =4.566, p<.001). Among the most commonly used supplements, multivitamins ranked first, followed by glucosamine and omega-3. Conclusion: Nurses should thoroughly monitor and maintain a positive attitude toward their patients' use of dietary supplements in order to appropriately educate them about the proper use of supplements.

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Mobile u-healthcare system in IEEE 802.15.4 WSN and CDMA network environments

  • Toh, Sing-Hui;Lee, Seung-Chul;Lee, Hoon-Jae;Do, Kyeong-Hoon;Chung, Wan-Young
    • Journal of Sensor Science and Technology
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    • v.18 no.5
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    • pp.337-342
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    • 2009
  • This paper describes a robust mobile u-healthcare system with multiple physiological signs measurement capability in real time with integration of WSN(wireless sensor network) technology and CDMA(code division multiple access) network. A cellular phone receives health data in WSN and performs local physiological signs analysis at a phone processor, and then transmits abnormal data to server for further detail or precise health signal evaluation by a medical doctor over a CDMA network. Physiological signs of the patients are continuously monitored, processed and analyzed locally at cellular phone process to produce useful medical information for diagnosis and tracking purposes. By local simple analysis in cellular phone processor we can save the data transmission cost in CDMA network. By using the developed integrate ubiquitous healthcare service architecture, patients can realize self-health checking so that the prevention actions can be taken earlier. Appropriate self-monitoring and self-management can cure disease and relieve pain especially for patients who suffer from chronic diseases that need long term observation.

Exploring the Psychosocial Characteristics and Systematic Support of Academically Maladjusted Students (의과대학 학업부적응 학생의 심리사회적 특성과 체계적 지원방안에 대한 탐색)

  • Park, Young-Soon;Chun, Kyunghee;Lee, Tae Hee
    • Korean Medical Education Review
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    • v.24 no.3
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    • pp.215-230
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    • 2022
  • The purpose of this study was to explore the psychosocial characteristics of academically maladjusted students and the College's current status regarding academic maladjustment based on 4-year medical student cohort data collected from 2018 to 2021 and through interviews with 10 medical education experts using the integrated research method. This study included 223 students who consented to inclusion in the student cohort and participated in the emotional behavior test and college adaptability test of whom 65 students experienced academic maladjustment. Academically maladjusted students had significantly higher scores for social stress, anxiety, sense of inadequacy, attention, hyperactivity, and school maladjustment, and significantly lower scores for relationships with parents, interpersonal relationships, self-esteem, self-confidence, and self-strength. Academic and social integrity, emotional stability, university satisfaction, and university service satisfaction were all significantly lower in the academically maladjusted students than in the non-maladjusted group. The expert interviews indicated that academic maladjustment was mainly recognized as a personal problem, with causes such as lack of motivation and learning methods, vulnerability to stress, lack of social relationships and alienation, lack of support from the family, and insufficient resilience. Systematic support other than counseling for academically maladjusted students is required, and an early diagnosis and preventive intervention are important.

Successful nonsurgical treatment of type II dens invaginatus with 5 root canals using a self-adjusting file: a case report

  • George Taccio de Miranda Candeiro;Antonio Sergio Teixeira de Menezes;Ana Carolina Saldanha de Oliveira;Flavio Rodrigues Ferreira Alves
    • Restorative Dentistry and Endodontics
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    • v.48 no.2
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    • pp.17.1-17.8
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    • 2023
  • The present report describes the endodontic treatment of an Oehlers type II dens invaginatus in a maxillary lateral incisor with 5 root canals, an extremely rare condition. Apical periodontitis and related symptoms were noted. Cone-beam computed tomography was used to aid the diagnosis, reveal tooth morphology, and assist in canal location. The pulp chamber was carefully accessed, and the root canals were explored under magnification. All root canals were prepared with an R25 Reciproc Blue system and sodium hypochlorite (NaOCl) irrigation. After initial preparation, a self-adjusting file (SAF) with NaOCl and ethylenediaminetetraacetic acid was used to complement the disinfection. Additionally, calcium hydroxide medication was applied. Vertical compaction was used to fill the canals with a calcium silicate-based endodontic sealer and gutta-percha. After 12 months, the patient exhibited healing of the periapical region, absence of symptoms, and normal dental function. In conclusion, this nonsurgical treatment protocol was successful in promoting the cure of apical periodontitis. Both complementary disinfection with an SAF and use of calcium hydroxide medication should be considered when choosing the best treatment approach for dens invaginatus with very complex anatomy.

SoC Design of Self-Diagnosing Speaker Connection System (자동 고장진단이 가능한 스피커 연결 시스템의 SoC 설계)

  • Song, Moon-Vin;Kwon, Oh-Kyun;Song, The-Hoon;Chung, Yun-Mo
    • The Journal of the Acoustical Society of Korea
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    • v.26 no.6
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    • pp.269-275
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    • 2007
  • Pervasive Multi-channel audio systems are being realized due to advances in digital technology. This paper proposes an efficient system that serially connects individual speakers with bidirectional digital communication capability by means of SoC design. In particular, each speaker can identify the bit stream assigned to the speaker and convert it into analog audio. Furthermore, the speaker can self-diagnose the speaker functionality by utilizing the designed capability to measure frequencies of various square wave test signals. The proposed system running on 200MHz clock yielded restoration of analog output signal with latency of only $500{\mu}s$ compared to directly driving the speakers in a traditional way.

Toward Self-Directed Math Learning in College Math Classes (대학수학에서, 자기주도 수학학습)

  • Kim, Byung-Moo
    • Communications of Mathematical Education
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    • v.24 no.3
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    • pp.563-585
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    • 2010
  • The major goals of this study are to find the factors that enhance self-directed math learning in college math classes and to provide the students with the opportunities to check and develop their self-directed math learning attitude. For these research goals, we prepared the questionnaires that asked about their learning motivations, basic learning ability, self-discipline strategies, and self-directed learning strategies. Another purpose of the questionnaires was to give them the chances to check and improve their attitude toward those learning strategies, motivation and ability. From the research results, we find that the important factors for self-directed learning are internal & external motivations, concentration ability, and the goal-setting and plan-making abilities. In addition, concentration ability, good habit, stress-control, recognition of math value, and self-directing ability are found to be necessary for the desirable learning environment. On the other hand, we find that the ability to perform note-taking, class preparation and review, time-control, and test-control is required for the selection and practice of self-fitting learning strategies. Finally, we provided our own self-directed math learning model. Our model, containing the necessary factors for self-directed math learning, is the revised and modified one of Knowles(1975)'s 5 stage self-directed learning model that comprises diagnosis of learning desire, setting learning goals, grasping human&material resources, selection and practice of proper learning strategies, and evaluation of learning results.

Setting Priority Criteria for Classification of Self-Testing In Vitro Diagnostic Medical Devices Using Analytic Hierarchy Process Technique (Analytic Hierarchy Process 기법을 활용한 개인용 체외진단의료기기 분류기준에 대한 우선순위 연구)

  • Seol-Ihn Kim;Do-Yun Pyeon;Yong-Ik Jeong;Jahyun Cho;Gaya Noh;Green Bae;Hye-Young Kwon
    • Health Policy and Management
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    • v.33 no.2
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    • pp.173-184
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    • 2023
  • Background: The coronavirus disease 2019 pandemic has been challenging the healthcare service, i.e., the vitalization of the point of care accompanying self-testing in vitro diagnostic medical devices (IVDs). This study aims to suggest priority criteria to classify self-testing IVDs using the analytic hierarchy process technique. Methods: Two dimensions of the characteristics embedded in the IVDs and the diseases to be diagnosed with self-testing IVDs were parallelly considered and independently investigated. In addition, three expert panels consisting of laboratory medical doctors (n=11), clinicians (n=10), and citizens (n=11) who have an interest in the selection of self-testing IVDs were asked to answer to questionnaires. Priorities were derived and compared among each expert panel. Results: First of all, ease of specimen collection (0.241), urgency of the situation (0.224), and simplicity of device operation (0.214) were found to be the most important criteria in light of the functional characteristics of self-testing IVDs. Medical doctors valued the ease of specimen collection, but the citizen's panel valued self-management of the disease more. Second, considering the characteristics of the diseases, the priority criteria were shown in the order of prevalence of diseases (0.421), fatality of disease (0.378), and disease with stigma (0.201). Third, medical doctors responded that self-testing IVDs were more than twice as suitable for non-communicable diseases as compared to communicable diseases (0.688 vs. 0.312), but the citizen's group responded that self-testing IVDs were slightly more suitable for infectious diseases (0.511 vs. 0.489). Conclusion: Our findings suggested that self-testing IVDs could be primarily classified as the items for diagnosis of non-communicable diseases for the purpose of self-management with easy specimen collection and simple operation of devices, taking into account the urgency of the situation as well as prevalence and fatality of the disease.

A Clinical Study of cysts on Mandible (하악골에 발생한 낭종에 관한 임상적 연구)

  • Baik, Byeong-Ju;Kim, Mi-Ra;An, Soo-Hyeon;Kim, Jae-Gon
    • Journal of the korean academy of Pediatric Dentistry
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    • v.24 no.3
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    • pp.678-687
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    • 1997
  • Cystic lesions of the mandible are fairly common and usually a presumptive diagnosis is made readily, more often on the basis of roentgenographic appearance than by any other means. Occasionally, however, it is easy to fall into errors of diagnosis which may affect one's choice of treatment. The diagnosis in these situations are usually resolved by the histopathologic examination of material obtained by surgical exploration. The present discussion to the lesions which can be most easily confused in the roentgenographic interpretation, that is, the traumatic bone cyst, the dentigerous cyst, the radicular cyst. These lesions often grow to considerable size before they cause any subjective or objective symptoms. Less frequently, perhaps, the patient presents himself with the complaint of enlargement of the affected part, a discharge, or pain. On rare occasions the first sign is fracture through the cyst cavity. In any case, an adequate roentgenographic survey by means of extraoral films is essential. This is the primary means of diagnosis. The three lesions in mandible, reported here, resembled each other roentgenographically in that they were osteolytic lesions. The follicular and radicular cysts usually have a smooth periphery and may be surrounded by a white line. The follicular cyst, slow-growing lesions, is usually associated with an unerupted tooth. The radicular cyst, the most common type of the odontogenic cyst, is always associated with a nonvital tooth, or it may persist as a "residual" radicular cyst after the causative tooth has been extracted. The traumatic bone cyst can often be differentiated from the first two in that the periphery is less definite and is irregular. It is thought that because it does not occur in older people, the lesion is self-limiting and heals spontaneously if left alone.

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