• Title/Summary/Keyword: a diagnosis

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Risk Factors for the Development and Progression of Atlantoaxial Subluxation in Surgically Treated Rheumatoid Arthritis Patients, Considering the Time Interval between Rheumatoid Arthritis Diagnosis and Surgery

  • Na, Min-Kyun;Chun, Hyoung-Joon;Bak, Koang-Hum;Yi, Hyeong-Joong;Ryu, Je Il;Han, Myung-Hoon
    • Journal of Korean Neurosurgical Society
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    • v.59 no.6
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    • pp.590-596
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    • 2016
  • Objective : Rheumatoid arthritis (RA) is a systemic disease that can affect the cervical spine, especially the atlantoaxial region. The present study evaluated the risk factors for atlantoaxial subluxation (AAS) development and progression in patients who have undergone surgical treatment. Methods : We retrospectively analyzed the data of 62 patients with RA and surgically treated AAS between 2002 and 2015. Additionally, we identified 62 patients as controls using propensity score matching of sex and age among 12667 RA patients from a rheumatology registry between 2007 and 2015. We extracted patient data, including sex, age at diagnosis, age at surgery, disease duration, radiographic hand joint changes, and history of methotrexate use, and laboratory data, including presence of rheumatoid factor and the C-reactive protein (CRP) level. Results : The mean patient age at diagnosis was 38.0 years. The mean time interval between RA diagnosis and AAS surgery was $13.6{\pm}7.0$ years. The risk factors for surgically treated AAS development were the serum CRP level (p=0.005) and radiographic hand joint erosion (p=0.009). The risk factors for AAS progression were a short time interval between RA diagnosis and radiographic hand joint erosion (p<0.001) and young age at RA diagnosis (p=0.04). Conclusion : The CRP level at RA diagnosis and a short time interval between RA diagnosis and radiographic hand joint erosion might be risk factors for surgically treated AAS development in RA patients. Additionally, a short time interval between RA diagnosis and radiographic hand joint erosion and young age at RA diagnosis might be risk factors for AAS progression.

Development of Clinical Protocol on the Correlation Between Disease Cause Pattern Identification and Pulse Wave Variables (병인변증과 요골동맥 맥상파의 특성 파악을 위한 탐색적 관찰 연구 : 임상시험 프로토콜 개발)

  • Kim, Jihye;Yu, Hana;Ku, Boncho;Kim, Hyunho;Kim, Jongyeol;Jeon, Youngju
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.28 no.6
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    • pp.662-667
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    • 2014
  • The purpose of this clinical study is to develop structured clinical trial protocol and guideline for improvement of safety, useful and effective of pulse diagnosis devices. As a first step, papers on pulse diagnosis and pulse diagnosis devices from 2001 and 2013 were systematically reviewed. In the next step, we have collected the opinions from the specialists, companies, and statistician in pulse diagnosis to evaluate the current condition, the state and problem of domestic clinical trial cases of pulse diagnosis device. And we have to created protocol and case report form (CRF) in regards to site condition and characteristics of pulse diagnosis devices, and showed the guideline of eligibility criteria, operation process, investigation items, evaluation items and so on. This clinical protocol will become a basic information for a researcher in designing or performing a clinical study of pulse diagnosis devices, and be used as a useful material during acquisition of good clinical data. Furthermore, we hope to enhance the invigoration of pulse diagnosis clinical trials and the performance improvement of pulse diagnosis devices.

KOHONEN NETWORK BASED FAULT DIAGNOSIS AND CONDITION MONITORING OF PRE-ENGAGED STARTER MOTORS

  • BAY O. F.;BAYIR R.
    • International Journal of Automotive Technology
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    • v.6 no.4
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    • pp.341-350
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    • 2005
  • In this study, fault diagnosis and monitoring of serial wound pre-engaged starter motors have been carried out. Starter motors are DC motors that enable internal combustion engine (ICE) to run. In case of breakdown of a starter motor, internal combustion engine can not be worked. Starter motors have vital importance on internal combustion engines. Kohonen network based fault diagnosis system is proposed for fault diagnosis and monitoring of starter motors. A graphical user interface (GUI) software has been developed by using Visual Basic 6.0 for fault diagnosis. Six faults, seen in starter motors, have been diagnosed successfully by using the developed fault diagnosis system. GUI software makes it possible to diagnose the faults in starter motors before they occur by keeping fault records of past occurrences.

A Study on Real time Multiple Fault Diagnosis Control Methods (실시간 다중고장진단 제어기법에 관한 연구)

  • 배용환;배태용;이석희
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 1995.04b
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    • pp.457-462
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    • 1995
  • This paper describes diagnosis strategy of the Flexible Multiple Fault Diagnosis Module for forecasting faults in system and deciding current machine state form sensor information. Most studydeal with diagnosis control stategy about single fault in a system, this studies deal with multiple fault diagnosis. This strategy is consist of diagnosis control module such as backward tracking expert system shell, various neural network, numerical model to predict machine state and communication module for information exchange and cooperate between each model. This models are used to describe structure, function and behavior of subsystem, complex component and total system. Hierarchical structure is very efficient to represent structural, functional and behavioral knowledge. FT(Fault Tree). ST(Symptom Tree), FCD(Fault Consequence Diagrapy), SGM(State Graph Model) and FFM(Functional Flow Model) are used to represent hierachical structure. In this study, IA(Intelligent Agent) concept is introduced to match FT component and event symbol in diagnosed system and to transfer message between each event process. Proposed diagnosis control module is made of IPC(Inter Process Communication) method under UNIX operating system.

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Functional Modeling of Nuclear Power Plant Using Multilevel Flow Modeling Concept

  • Park, Jin-Kyun;Chang, Soon-Heung;Cheon, Se-Woo;Lee, Jung-Woon;Sim, Bong-Shick
    • Proceedings of the Korean Nuclear Society Conference
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    • 1996.05a
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    • pp.340-345
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    • 1996
  • Because of limited resources of time and information processing capability during abnormal situation, diagnosis is difficult tasks in nuclear power plant (NPP) operators. Moreover since minimizing of adverse consequences according to process abnormalities is vital for the safety of NPP, introducing of diagnosis support systems have particularly emphasized. However, considerable works to develop effective diagnostic support system are not sufficiently fulfilled because of the complexity of NPP is one of the major problems. To cope with this complexity, a lot of model-based diagnosis support systems have considered and implemented worldwide. In this paper, as a prior step to development of model-based diagnosis support systems, primary side of pressurized water reactor is functionally modeled by multilevel flow modeling (MFM) concept. MFM is suitable for complex system modeling and for diagnosis of abnormalities. Furthermore, knowledge-based diagnosis process, of NPP operator could be supported because this diagnosis strategy can represent operator's one.

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A Study on the Evaluation Method of Structural Safety(Durability) for the Safety Diagnosis of Apartment Housing (공동주택 재건축 안전진단 구조안전성(내구성) 평가 방법에 관한 고찰)

  • Kim, Hong-Seop;Kim, Eun-Young;Jeon, Jun-Seo;Choe, Gyeing-Cheol;Lee, Mun-Hwan
    • Proceedings of the Korean Institute of Building Construction Conference
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    • 2023.05a
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    • pp.313-314
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    • 2023
  • This paper summarized the safety diagnosis method in the field of durability among the structural safety suggested in the safety diagnosis manual of the reconstruction project and analyzed the safety diagnosis case. It is expected to be a reference material for safety diagnosis in the field of durability by pointing out cases that are wrong during existing safety diagnosis and cases where diagnostics are likely to make errors.

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The Study for a Model Development of School Health Diagnosis (학교건강진단모형 개발을 위한 연구)

  • Im Mee Young
    • Journal of Korean Public Health Nursing
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    • v.11 no.2
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    • pp.131-140
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    • 1997
  • School health aims to guide and manage growing students in order to grow healthily through the formation of healthy life habits, the self-control health management guide and the making of pleasant school health environments. The purpose of this study is to clarify the concepts, to draw common features, and develop a new approach for school health diagnosis through literature review. School health diagnosis is defined as the identification of actual and potential health problems in school health problems in population. It is a label that both describes a situation and implies an ethiology. Although it is widely acknowledeged that school health diagnosis is an essential precursor to school health nursing intervention, it still has ambiguous definition, unmeasurable goal. and a tenuous structure. In addition, the eclipse of school health diagnosis theory in the literature is so complete that some texts even exclude diagnosis as a stage of the nursing theory has not developed sufficiently to guide school nurses in the application of the nursing diagnosis with in the school. The Neuman's systems model provided the conceptual framework for this study and offered school health nursing the sort of clear structure that will assist them to clarify their work to nursing colleges and also to the client group with whom they will work. The Neuman model is fully congruent with today's health care philosophy by taking a wellness-orientaed approach, involving clients III their health care with prevention as intervention.

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PNN based Rogers Diagnosis Method for Fault Classification of Oil-filled Power Transformer (유입변압기 고장분류를 위한 PNN 기반 Rogers 진단기법 개발)

  • Lim, Jae-Yoon;Lee, Dae-Jong;Ji, Pyeong-Shik
    • The Transactions of the Korean Institute of Electrical Engineers P
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    • v.65 no.4
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    • pp.280-284
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    • 2016
  • Stability and reliability of a power system in many respects depend on the condition of power transformers. Essential devices as power transformers are in a transmission and distribution system. Being one of the most expensive and important elements, a power transformer is a highly essential element, whose failures and damage may cause the outage of a power system. To detect the power transformer faults, dissolved gas analysis (DGA) is a widely-used method because of its high sensitivity to small amount of electrical faults. Among the various diagnosis methods, Rogers diagonsis method has been widely used in transformer in service. But this method cannot offer accurate diagnosis for all the faults. This paper proposes a fault diagnosis method of oil-filled power transformers using PNN(Probability Neural Network) based Rogers diagnosis method. The test result show better performance than conventional Rogers diagnosis method.

Development of a Conceptual Framework of Nursing from Selected Concepts of Nursing Diagnoses (간호진단 분류체계에 근거한 간호개념틀 개발)

  • 김조자
    • Journal of Korean Academy of Nursing
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    • v.26 no.1
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    • pp.177-193
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    • 1996
  • For the purpose of integrating nursing diagnosis into the nursing curriculum, a descriptive survey research was done using the inductive method with questionnaires and a literature review. Research subjects included nurse educators, textbooks of adult nursing published in Korea, and the course outline for adult nursing used in one college of nursing. The Results show that there was common agreement on 39 nursing diagnosis which should be in cluded in the adult nursing curriculum, textbooks of adult nursing, and patient care on the medical-surgical units. The two existing nursing diagnosis classification systems(NANDA and Gordon's Human Response Patterns) show different basic frameworks and difficulties were discovered in integration of nursing diagnosis into the curriculum. To develop a conceptual framework for a nursing diagnosis classification system, diagnosis were classified into three categories ; health promotion, high risk problem, and actual problem on the basis of the framework used in adult nursing textbooks and Gordon's 11 Functional Health Patterns. Subconcepts for actual problems were classified as ; activity and rest, nutrition and elimination, perception and coordination, stress and coping. Progress in this study supports further development of a conceptual framework of nursing based on a nursing diagnosis classification system, from which improvement in nursing education and clinical practice can be expected.

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Development of Computerized Program for Nursing diagnosis and Intervention linked to Medical Diagnosis (의학진단과 연계된 간호진단 및 중재 프로그램 개발)

  • Park, Sung-Ae;Lee, Hiye-Ja;Park, Sung-Hee
    • Journal of Korean Academy of Nursing Administration
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    • v.8 no.2
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    • pp.239-248
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    • 2002
  • Purpose: The actual nursing processes have been performed by individual nurses' judgment without any supporting programs in Korea. It is not easy for novice nurses to make accurate diagnoses and provide proper nursing interventions to patients. Therefore, we propose a computerized program for nursing diagnosis and intervention linked to medical diagnosis. Method: For the program, we have linked standardized nursing diagnosis and intervention classifications with medical diagnosis. It is premised that the program is connected to order communication system(OCS) in hospitals. Result: We provide a nursing information system with standardized database for nursing diagnosis and interventions so that nurses can make more accurate diagnosis and perform more adequate interventions. Conclusion: It is expected that the program will help the nurses perform their nursing processes more efficiently. And we expect the system can be used in many hospitals efficiently in the future after pilot operations are completed in some hospitals.

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