• Title/Summary/Keyword: Standardized patients

Search Result 865, Processing Time 0.029 seconds

Feature Extraction of ECG Signal for Heart Diseases Diagnoses (심장질환진단을 위한 ECG파형의 특징추출)

  • Kim, Hyun-Dong;Min, Chul-Hong;Kim, Tae-Seon
    • Proceedings of the KIEE Conference
    • /
    • 2004.11c
    • /
    • pp.325-327
    • /
    • 2004
  • ECG limb lead II signal widely used to diagnosis heart diseases and it is essential to detect ECG events (onsets, offsets and peaks of the QRS complex P wave and T wave) and extract them from ECG signal for heart diseases diagnoses. However, it is very difficult to develop standardized feature extraction formulas since ECG signals are varying on patients and disease types. In this paper, simple feature extraction method from normal and abnormal types of ECG signals is proposed. As a signal features, heart rate, PR interval, QRS interval, QT interval, interval between S wave and baseline, and T wave types are extracted. To show the validity of proposed method, Right Bundle Branch Block (RBBB), Left Bundle Branch Block (LBBB), Sinus Bradycardia, and Sinus Tachycardia data from MIT-BIH arrhythmia database are used for feature extraction and the extraction results showed higher extraction capability compare to conventional formula based extraction method.

  • PDF

Small Area Variation in Rates of Common Surgery in General Surgery Department (일반외과 영역 다빈도 수술률의 소규모 지역간 변이)

  • 김윤미;양봉민
    • Health Policy and Management
    • /
    • v.14 no.2
    • /
    • pp.138-162
    • /
    • 2004
  • This study was performed to investigate small area variation in rates of three common surgeries in general surgery department across 156 small areas. Three surgery rates were analyzed; Anal and/or stomal procedures, inguinal and/or femoral hernia procedures, appendectomy. Methods: We used health insurance claims data and the number of patients were 13,845, 2,154 and 7,151 persons respectively. Surgery rates were directly standardized with age and sex and logistic regression was used to analyze surgery rates. Results: Mapping of the surgery rates, there was small area variation in anal and/or stomal procedures. The clinic which was located in more competitive market and chose DRG payment system tends to do more anal and/or stomal procedures. There was no factor except DRG bed rates had effect on rate of inguinal and/or femoral hernia procedures. Conclusions: Findings of this study will contribute to developing investigation method on small area variation and policy to reduce the variation such as developing evidence based medical practice guideline.

Effect of Mandibular Reposition on Airway Resistance (하악의 위치 변화가 기도저항에 미치는 영향)

  • 최재갑;정태훈
    • Journal of Oral Medicine and Pain
    • /
    • v.23 no.1
    • /
    • pp.65-73
    • /
    • 1998
  • This study evaluated whether substantial airflow resistance changes occurred by changing jaw position in normal and snoring subjects. A case-control design was utilized to assess group differences. Subjects included 11 snoring patients and 10 non-snoring subjects. Airway resistance was assessed using a whole body plethysmograph. Subjects in this study had their mouth opening standardized to a position of 7 mm of vertical separation and the resistance was measured under the following conditions; normal jaw position and 2/3 maximum protrusive jaw position. The results were as follows : 1. The airway resistance was higher in snoring group than in non-snoring group. 2. Both groups had a significant decrease in their airflow resistance upon jaw protrusion. In conclusion, these data document that airflow resistance can be significantly influenced by jaw positioning. Moving the jaw in a protrusive position produced reduction of resistance.

  • PDF

The Effects of Medical Service Quality on the Customer Satisfaction and Intention of Revisit in Long-Term Care Hospitals (요양병원의 서비스품질이 고객만족과 재이용의도에 미치는 영향)

  • Yang, Jong-Hyun;Chang, Dong-Min
    • Korea Journal of Hospital Management
    • /
    • v.17 no.3
    • /
    • pp.37-56
    • /
    • 2012
  • The purpose of this study is to analyze effects of medical service quality on the customer satisfaction and intention of revisit in long-term care hospitals. To achieve purpose of the research, the data was collected from 321 patients in 8 long-term care hospitals using a standardized questionnaires. Using the structural equation modeling(SEM), this study examines the relationship among medical service quality, customer satisfaction and intention of revisit. The results show that the medical service quality factors such as convenience and accessibility have positive effects on the customer satisfaction which positively relates to intention of revisit. Medical expertise of the service quality factors has positive influence upon intention of revisit in long-term care hospitals. Therefore, the results of this study show that the medical service quality factors which are convenience and accessibility leading to customer satisfaction are important factors to select long-term care hospitals.

  • PDF

Various craniofacial clefts (다양한 두개안면 파열)

  • Baek Seung-Hak;Lee Jin-Kyung;Kim Na-Young;Kim Tae-Kyung
    • Korean Journal of Cleft Lip And Palate
    • /
    • v.6 no.2
    • /
    • pp.117-130
    • /
    • 2003
  • The prevalence of craniofacial cleft is reported to be 10-34 / 100,000 live birth of human. This case report describes the characteristics of the Tessier classification number 0, 5, 7, and 14 craniofacial cleft patients. Given the rarity and unique nature of the clinical expression of each of the craniofacial clefts, the treatment plans can not be standardized but must be based on the individual assessment of each case.

  • PDF

Pediatric Acute Kidney Injury: Focusing on Diagnosis and Management

  • Cho, Myung Hyun
    • Childhood Kidney Diseases
    • /
    • v.24 no.1
    • /
    • pp.19-26
    • /
    • 2020
  • Acute kidney injury (AKI) is common in critically ill children, and is associated with increased mortality and long-term renal sequelae. The definition of pediatric AKI was standardized based on elevation in serum creatinine levels or decrease in urine output; accordingly, epidemiological studies have ensued. Although new biomarkers appear to detect AKI earlier and predict prognosis more accurately than traditional markers, they are not frequently used in clinical setting. There is no validated pharmacological intervention for AKI, so prevention and early detection are the mainstays of treatment. For high risk or early stage AKI patients, optimization of volume status and blood pressure, avoidance of nephrotoxins, and sufficient nutritional support are necessary, and have been demonstrated to be effective in preventing the occurrence of AKI and improving prognosis. Nevertheless, renal replacement therapy is needed when conservative care fails.

Evaluation of Cancer Treatment Using FDG-PET (FDG-PET을 이용한 암 치료 효과의 평가)

  • Ryu, Jin-Sook
    • The Korean Journal of Nuclear Medicine
    • /
    • v.36 no.1
    • /
    • pp.64-73
    • /
    • 2002
  • FDG-PET has potential as an effective, non-invasive tool to measure tumor response to anticancer therapy. The changes in tumor FDG uptake may provide an early, sensitive guide to the clinical and subclinical response of tumors to cancer treatment, as well as functional assessment of residual viable tumor. This may allow the evaluation of subclinical response to anticancer drugs in early clinical trials and improvements in patients management. However, monitoring tumor responses with FDG-PET is still in its infancy. The methods of measurement of FDG uptake are currently diverse and timing with respect to anti cancer therapy variable. Therefore, there is a need for larger-scale trials along with standardized methodology and a collection of reproducibility data. The recent guideline from the European group seems to be the most comprehensive. In future, the combination of morphological and metabolic images may improve the quantitative nature of these measurements by relating tumor viability to total tumor mass. More data on sensitivity and specificity of FDG-PET technique are needed along with continued advancement of PET methodology.

An Integrative Review on Augmented Reality/Virtual Reality Simulation Programs in the Mental Health Area for Health Professionals

  • Han, Soolgi
    • International Journal of Contents
    • /
    • v.15 no.4
    • /
    • pp.36-43
    • /
    • 2019
  • This is an integrative review paper of Augmented Reality (AR)/Virtual Reality (VR) simulation programs in the mental health area including the analysis of the general characteristics, contents, and the impact of the interventions studies. The keywords used to search the studies were "AR/VR" and "medical/nursing students". The author and a postdoctoral research fellow searched four electronic databases: Web of Science, PubMed, EmBase, and CINHA, and as a result nine studies met the inclusion criteria. Among the selected studies AR/VR simulation programs in the mental health area for healthcare professionals were found to be effective in clinical skills as well as for the interpersonal relationship and the stigma of mentally ill patients. Providing an opportunity to experience a safe and effective tool is important when educating health professionals and AR/VR simulation programs are safe and effective. Thus, standardized AR/VR simulation programs are needed to be developed for health professionals.

THE IMPORTANCE OF PATIENT-SPECIFIC DOSE CALCULATIONS IN NUCLEAR MEDICINE

  • Stabin, Michael G.
    • Nuclear Engineering and Technology
    • /
    • v.40 no.7
    • /
    • pp.527-532
    • /
    • 2008
  • As therapeutic uses of radionuclides in nuclear medicine increases, the use of patient-specific methods for calculation of radiation dose becomes more important. In this manuscript basic methods and resources for internal dose calculations are outlined, with a focus on how current changes and advances are making more accurate and detailed, patient-individualized dose calculations possible. Most current resources make use of standardized models of the human body representing median individuals, but the use of image-based and more realistic models will soon take their place, and will permit adjustments to represent individual patients and tailor therapy planning uniquely for each subject.

A Literature Review of Case Series of Soyang Person in Journal of Sasang Constitutional Medicine from 2007 to 2016 (사상의학회지에 10년간 게재된 소양인 증례연구(Case series) 논문 동향조사: 2례 이상을 중심으로)

  • Sung, Soo-Hyun;Park, Jang-Kyung
    • Journal of Sasang Constitutional Medicine
    • /
    • v.29 no.2
    • /
    • pp.83-94
    • /
    • 2017
  • Objectives This study aimed to provide a basis for treatment of soyang person by investigate published case series of soyangin Methods We have reviewed case series of soyangin in the Journal of Sasang Medicine from 2007 to 2016. Results A total of 16 case series related to soyangin were reported. Among them, herbal medicine was used in 16 papers (100.0%), of which 'Hyeongbangjihwang-tang' was the most frequently used, reported in five papers (31.3%). For acupuncture of 12 papers (75.0%), acupoint 'ST36' was the most frequently used, reported in four papers (33.3%). Conclusions Most of the included case series were effective in treating patients of soyangin. However, the number of papers was insufficient to suggest standardized treatment for "diseases-Sasang medicine pattern-treatment" systems.