• Title/Summary/Keyword: Student Diagnosis

Search Result 175, Processing Time 0.025 seconds

Diagnostic Hierarchy of Tic Disorders in Real-World Clinical Practice

  • Yeeji Sung;Soon-Beom Hong
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
    • /
    • v.34 no.4
    • /
    • pp.236-241
    • /
    • 2023
  • Objectives: According to the 10th revision of the International Classification of Diseases, the main categories of tic disorders (F95.0, F95.1, and F95.2) follow a diagnostic hierarchy based on the duration and diversity of tic symptoms. The present study investigated the use of this diagnostic hierarchy in real-world clinical practice. Methods: Based on the National Health Insurance Service-National Health Information Database, the diagnosis of transient tic disorder (F95.0) made after a diagnosis of chronic motor or vocal tic disorder (F95.1) or Tourette's syndrome (F95.2) and diagnosis of chronic motor or vocal tic disorder (F95.1) made after a diagnosis of Tourette's syndrome (F95.2) were referred to as type A errors. The diagnosis of transient tic disorder (F95.0) repeated after a period of >12 months was referred to as type B error. Demographic and clinical differences according to the diagnostic error types were analyzed using analysis of variance, Student's t-tests, and chi-squared tests. Results: Most participants (96.5%) were without errors in the diagnosis of tic disorders. Higher proportions of males (p=0.005) and antipsychotic prescriptions (p<0.001) were observed in patients with type A or B diagnostic errors. A higher proportion of health insurance holders was observed among those with type A errors (p=0.027). Conclusion: Errors were absent in majority of the tic diagnoses in real-world clinical practice in terms of the diagnostic hierarchy.

The Validation of the Estimate Adolescents' Parents Attachment level by the Bird's Nest Drawings (새둥지화를 통한 청소년의 부모애착수준 타당화 연구)

  • Kim, Gab-Sook;Jeon, Young-Sook
    • Korean Journal of Human Ecology
    • /
    • v.17 no.6
    • /
    • pp.1065-1077
    • /
    • 2008
  • The purpose of this study was to verify whether BND test was an appropriate tool for diagnosis of attachment security and to investigate difference of responsive Characteristics to the Bird's Nest Drawings according to parents attachment degree. The subjects in the study were 525 students, selected from senior high schools in D-city. The instruments used were parents attachment scale and Bird's Nest Drawings, and Discriminant analyses and crosstab analyses were used. The results were as follows. First, attachment indicators in the Bird's Nest Drawings discriminated according to group of parents attachment. Second, for male student, there was a significant difference placement nest, eggs, entire birds family, quality of line and tree picture according to attachment to father. For female student, there was a significant difference eggs, entire birds family, quality of line and tree picture according to attachment to father. For male student, there was a significant difference nest contents, placement nest, eggs, entire birds family, quality of line and tree picture according to attachment to mother. For female student, placement nest, space, nest size, eggs, entire birds family and quality of line according to attachment to mother.

A Status of Student Sickness and Medical Care in University Health Service, Ewha Womans University (이화여자대학교 학생들의 의료실태에 관한 조사 연구)

  • Lee, Jong-Sook
    • Journal of Preventive Medicine and Public Health
    • /
    • v.15 no.1
    • /
    • pp.197-203
    • /
    • 1982
  • A study was carried out in order to obtain the status of student sickness and medical care in University Health Service, Ewha Womans University. This study was based on the clinical records of University Health Service and hospitals 'for student insurance pay claims during the year of 1981. And the findings from the study were as follows; 1. A total number of student patients cared at University Health Service in 1981 was 9,822 and the incidence rate of primary cared was 773 per 1,000 students. 2. A total number of student patients cared at hospitals was 393 and the incidence rate of secondary cared was 31 per 1,000 students and 5 student out of 31 per 1000 was cared under the haspitalization. 3. The evacuation rate of student patients from University Health Service to hospital was 393 out of 9,822 student primary cared or 4.0 percent. 4. The order of 5 major diseases of primary cared in University Health Service was respiratory system diseases (36.6%), Digestive system diseases (17.4%), Skin and subcutaneous tissue diseases (16.0%), Symptoms and undetermined diagnosis (13.7%) and Nerve and sensory organ diseases (12.0%) respectively. 5. The disease order of student patients(333) cared in hospitals as out-patients was Skin and subcutaneous tissue diseases (40.3%), Nervous and Sensory organ disease (19.2%), Digestive system diseases (10.8%) respectively. 6. The disease order of student patients (60) cared in hospitals as in-patients was Digestive system diseases (35.0%), Respiratory system diseases (13.3%), Nerve and sensory organ diseases (10.0%), Infectious and parasitic diseases (10.0%), and Symptom and Undetermined diagonsis (10.0%) respectively. 7. The evacuation rate of student patients in University Health Service to hospital was varied according to disease groups; the lowest rate was the diseases evacuated to Internal Medicine Department 1.5% or 75 out of 5,072 patient primary cared and the highest rate was Neuropsychiatry department 63.7% or 7 out of 11 patients. 8. The monthly distribution of student patients in University Health Service was the highest in September (17.9%) and April (15.5%) each semester. 9. The monthly number of student patients treated in hospitals was the range 20 to 40 in out patients and 2 to 9 in in-patients. 10. The hospital ill days per case were $4.3{\pm}5.0$ days in out-patients and $9.7{\pm}9.5$ days in in-patients.

  • PDF

A study for developing a system of computer adaptive diagnosis and instruction(CADI) for tailored learning under e-learning environment. (맞춤 e-learning을 위한 컴퓨터 적응 진단 및 수업 체제 개발 연구)

  • 이중권;김성훈
    • The Mathematical Education
    • /
    • v.43 no.3
    • /
    • pp.291-307
    • /
    • 2004
  • This study focused on the developing a system of computer adaptive diagnosis and instruction(CADI). This system is a conceptual model that connected learning with assesment by using new media such as computers, multimedia, and new technologies. In this conceptual model, adaptive diagnosis means tailored or customized diagnostic evaluation, and adaptive instruction implies tailored or customized instruction. The connection between learning and assesment suggests that they are closely related to determine following learning contents and learning methods. CADI's expected effect are 1) it can contribute to real learning of core concept, 2) it can enlarge the educational opportunities, 3) it can help students study by student himself and learn media literacy, 4) information for evaluation functions more essential roles, 5) it is possible to work cooperatively with any other school subject.

  • PDF

Tracheobronchial Rupture following Blunt Chest Trauma -1 case report- (외상성 기관지 파열 -1례 보고-)

  • 김용한
    • Journal of Chest Surgery
    • /
    • v.23 no.3
    • /
    • pp.588-593
    • /
    • 1990
  • The rupture of tracheobronchial tree caused by non penetrating blunt trauma is being increased in incidence though it is still rarely occurred on now Because this type of injury is uncommon, a high index of suspicion should be maintained in all crush injuries involving the chest. Early diagnosis and primary repair not only restore normal lung function but also avoid the difficulties and complications associated with delayed diagnosis and repair. We experienced a case of tracheobronchial rupture caused by non penetrating blunt chest trauma without rib fracture. The patient was a 16 year old male who was a high school student. He was compressed on anterior chest by hand ball goal post being failed down on the morning of admission day. After this accident, he was suffered from progressively developing dyspnea and subcutaneous emphysema on face, neck and anterior chest. The diagnosis, tracheal rupture, was made by chest CT and bronchoscopy. After right thoracotomy, the ruptured site was directly closed by using interrupted suture. Post-operative course was uneventful. Thus we report this case of traumatic tracheal rupture with review of literature.

  • PDF

Development of an Evidence-based Nursing Process System to Improve Clinical Decision Making with Colorectal Cancer Nursing Diagnosis (임상의사결정 향상을 위한 근거 기반 간호과정 시스템 개발-대장암 간호진단을 중심으로-)

  • Park, Hyun Sang;Cho, Hune;Kim, Hwa Sun
    • Journal of Korea Multimedia Society
    • /
    • v.19 no.7
    • /
    • pp.1197-1207
    • /
    • 2016
  • The purpose of this study was to develop an evidence-based Nursing Process System on Nursing Diagnosis, Nursing Outcomes, and Nursing Interventions Classification targeting nurse students. We use standard classification-focused research data on the basis of Nursing Diagnosis Classification established by NANDA (North American Nursing Diagnosis Association), NOC (Nursing Outcomes Classification) and NIC (Nursing Interventions Classification) mainly developed by Iowa Sate University. The existing research methods are difficult to be applied the consistent nursing process, since such methods need to repeatedly enter the same nursing process without systematic guidelines. But, this study was coded data of standardized nursing process in accordance with the 10 clinical condition in order to implement the nursing process macro, and developed a system that reflects the needs of nursing educators. Therefore, nurse students can improve clinical decision-making ability, and naturally learn the nursing process through a system developed.

Consistency of Student Self-Assessment of Role Play Using the Syndrome Differentiation-Based Clinical Performance Examination Scenario and Improvement Measures (변증(辨證) 기반 진료수행시험(CPX) 시나리오를 이용한 역할극에 대한 학생 자가 평가의 일치도와 개선 방안)

  • Jo, Hak-Jun;Jo, Na-young;Park, Jeong-Su
    • Journal of Society of Preventive Korean Medicine
    • /
    • v.26 no.2
    • /
    • pp.37-53
    • /
    • 2022
  • Objectives : This study analyzed the concordance between student self-assessment and peer-evaluation in a role play using the Clinical Performance Examination (CPX) scenario developed based on Korean medical syndrome differentiation. Methods : The subjects of this study are first-year-students majoring in Korean Medicine. The role play based on clinical case was performed in the class of Korean Medicine Classics. Feedback on clinical skill competency got through student self-assessment and peer-evaluation, and this study was compared and analyzed of result. Results : A simple comparison of the results of self-assessment and peer-evaluation in the evaluation results of clinical skill competency may appear to be consistent. However, it was not statistically significant. It is necessary to enhance the discriminative ability in the evaluation of clinical skill competency. It will be possible to improve a bit by relatively increasing the weight of the scores on the items that students expect to respond differently among the evaluation items. In addition, in order to dramatically improve the systemicity and reliability of the evaluation of clinical skill competency itself, it is necessary to introduce the Introduction to Clinical Traditional Korean Medicine (ICTKM) course. Conclusions : Student's self-assessment and peer-evaluation as feedback on clinical skill competency are suitable for the purpose of education and training. However, the reliability of the evaluation was not statistically significant.

Study about Satisfaction of Clinical Practice by Using Diagnosis Expert System in Korean Medicine (한의학 진단전문가시스템을 활용한 임상실습 만족도 연구)

  • Choi, Sung Woon;Park, Jun Kwan;Hwang, Kyo Sung;Noh, Yun Hwan;Cho, Young Seuk;Shin, Dong Ha;Kwon, Young Kyu
    • Journal of Physiology & Pathology in Korean Medicine
    • /
    • v.32 no.6
    • /
    • pp.355-360
    • /
    • 2018
  • The purpose of this study is to find out the direction of development of the expert diagnosis system by questioning student satisfaction after practicing Oriental Diagnosis System (ODS). A questionnaire survey was conducted for 73 students who attended Pusan National University Graduate School of Korean Medicine and conducted clinical practice from the second semester of 17 years to the first semester of 18 years. The questionnaire survey consisted of 6 questions about the satisfaction of current expert system and 5 questions about supplementation and addition. As a result of the questionnaire analysis, the question about the necessity of the expert diagnosis system and the benefit of clinical practice using the expert diagnosis system indicated high positive response rate. On the other hand, there is a difference in the results of the dialysis before and after using the expert diagnosis system. So, It seems that the reliability of the results of the expert diagnosis system is still low. The results of the questionnaire indicate that the need for expert diagnosis system is beneficial, but it is necessary to supplement the current system in order to improve clinical utility in the future.

Applying Mahalanobis Taguchi System for Analyzing the Effect between University Admission Requirements and Student's Academic Accomplishment

  • Hong, Jung-Eui
    • Proceedings of the Safety Management and Science Conference
    • /
    • 2010.11a
    • /
    • pp.233-243
    • /
    • 2010
  • Mahalanobis Taguchi System (MTS) is a pattern information technology, which has been used in different diagnostic applications to make quantitative decisions by constructing a multivariative measurement scale using data analytic methods. In MTS approach, Mahalanobis distance (MD) is used to measure the degree of abnormality of patterns and principles of Taguchi methods are used to evaluate accuracy of predictions based on the scale constructed. The advantage of MD is that it takes into consideration the correlations between the variables and this consideration is very important in pattern analysis. The purpose of this study is constructing admission diagnosis system and define the effect of admission requirements for student's academic accomplishment.

  • PDF

Statistcal Analysis of Sports Injury (스포츠 손상의 통계적 분석)

  • Hong, Seong-Ryul
    • 물리치료
    • /
    • s.34
    • /
    • pp.2-8
    • /
    • 1985
  • STATISTCAL ANALYSIS OF SPORTS INJURY Seong-Ryul Hong R.P.T. Seoul School Health Center Hospital Upon comings of 1986 Asian Games and 1988 Olympiad in Seoul , Korean people have more enthusiasm for sports than any other time .It's very desirable that student athletes are doing thier best to train skills and to improve records for the coming 2 international sports events .I concluded as followings from the statistical analysis of 159 student athletes about sports injury who had been received Physiotherapy in School Health Center Hospital in Seoul from Jan.8 1982 to Dec,4 1984Track & field is the most common team among school sports team in Seoul.47 Students(30%) were injuried during football game, Career of sports injury: 88 students(55.3 %) were injured for the first time .Location of injury: More than 30% in both sexs were injuried in the Lumbar Frequency in injury in lower limb is higher than that of upper . Frequency of injury in upper right limb and lower left limb are higher than of counterparts6. Diagnosis: 32% of students were diagnosed as lumbago. Treatment period: 42.7% of students were healed within a week and 76.8% within 2 weeks

  • PDF