• 제목/요약/키워드: clinical representation

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COVID-19 임상표현에 대한 한의학적 접근 -국내외 논문을 중심으로- (Clinical features of COVID-19 as presented in journal articles : A Korean Medical Approach)

  • 김종현;안진희;김상현
    • 대한한의학원전학회지
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    • 제35권1호
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    • pp.1-32
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    • 2022
  • Objectives : This paper examines major symptoms representation in COVID-19 patients as groundwork for development of an effective clinical data collection format in Korean Medicine. Methods : Major symptoms representation in COVID-19 related papers published worldwide were collected. Corresponding symptoms in Korean Medicine were then examined, followed by discussion of symptomatic features that require further consideration in regards to a more systematic clinical data collection. Results : Of 256 papers, most papers listed fever and cough while symptoms such as difficulty breathing, diarrhea, muscle pain, headache, nausea, fatigue, chest pain, phlegm, nasal discharge were also mostly listed. Clinical representations could be categorized into general symptoms, throat symptoms, chest symptoms, head and facial symptoms, gastrointestinal symptoms, musculo-skeletal and cutaneous symptoms, psychiatric symptoms and sensory problems. Conclusions : Although each clinical representation could be likened to certain clinical representations of Korean Medicine, the variety of symptoms were too limiting and lacking in detail to be applied in the pattern identification[辨證] of Korean Medicine. For effective clinical data collection and analysis in the future, symptom change according to time, comparison between location, climate and ethnicity, existence of interior symptoms when diagnosing exterior symptoms, deficiency-excessiveness of blood patterns, consciousness levels, etc., need to be considered in establishing criteria for symptom evaluation.

한의학의 증상표현을 위한 방법론 (A Methodology for Representation of Clinical Data in Oriental Medicine)

  • 박경모;박종현
    • 동의생리병리학회지
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    • 제16권5호
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    • pp.845-850
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    • 2002
  • This paper suggest a methodology for representation of findings which can be called as signs and symptoms. A finding consists of unit signs and unit symptoms, and moreover findings which appear in one individual patient have so many different relationship each other. So, it is nat appropriate to list all of possible findings as medical standard or to fill findings as independent things in paper for medical record. We try to distinguish finding item from finding list, and suggest the methodology by which we can make finding list from finding items. That is, we suggest finding item[Concept], value types, relationship, logical operator, and syntax as a component of representation. And by using urinary symptom, we make the example for representation methodology. Finally, we mention the background knowledge, brief research process of related area.

임상가를 위한 특집 3 - 치과용 심미수복재의 심미적 특성 (Esthetics of Dental Materials)

  • 안진수
    • 대한치과의사협회지
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    • 제51권1호
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    • pp.18-24
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    • 2013
  • Esthetic aspect is one of the most important factors in clinical dentistry. Esthetics of dental restorative materials consist of translucency, surface texture, and most importantly 'colour'. Main characteristics of optical properties and its clinical representation and general outlook as to the current information on colour and its representation has been considered in this study. Characteristics of esthetic materials are concerned with the field of science and dental professionals should take into consideration the importance, characteristics, and applications to actual clinical settings of esthetic restorative materials. Relevant information regarding natural teeth and esthetic restorative materials and training will lead to the heightened ability of dental professionals.

Representation Techniques for 4-Dimensional MR Images

  • Homma, Kazuhiro;Takenaka, Kenji;Nakai, Yoshihiko;Hirose, Takeshi
    • 한국의학물리학회:학술대회논문집
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    • 한국의학물리학회 2002년도 Proceedings
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    • pp.429-431
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    • 2002
  • Metabolic analysis of biological tissues, the interventional radiology in MRT (Magnetic Resonance Treatment) and for clinical diagnoses, representation of 4-Dimensional (4D) structural information (x,y,z,t) of biological tissues is required. This paper discusses image representation techniques for those 4D MR Images. We have proposed an image reconstruction method for ultra-fast 3D MRI. It is based on image interpolation and prediction of un-acquired pictorial data in both of the real and the k-space (the acquisition domain in MRI). A 4D MR image is reconstructed from only two 3D MR images and acquired a few echo signals that are optimized by prediction of the tissue motion. This prediction can be done by the phase of acquired echo signal is proportioned to the tissue motion. On the other hand, reconstructed 4D MR images are represented as a 3D-movie by using computer graphics techniques. Rendered tissue surfaces and/or ROIs are displayed on a CRT monitor. It is represented in an arbitrary plane and/or rendered surface with their motion. As examples of the proposed representation techniques, the finger and the lung motion of healthy volunteers are demonstrated.

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다국적 임상시험 지원을 위한 CDISC 표준의 확장 (CDISC Extension for Supporting Multinational Clinical Trials)

  • 염지현;최인영;김석일;김혁만
    • 한국정보과학회논문지:컴퓨팅의 실제 및 레터
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    • 제15권8호
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    • pp.566-575
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    • 2009
  • CDISC 컨소시엄에서는 임상시험에서의 비효율적인 데이터 처리 과정을 개선하기 위해, 플랫폼에 독립적인 임상시험 데이터 표준을 정의하였다. 그러나, CDISC 표준은 여러 나라의 여러 기관이 함께 참여하는 다국가 임상시험에서 발생하는 임상시험 데이터를 다국어로 표현하는 방법에 많은 제약을 갖고 있다. 특히, CDISC가 제정한 표준 중 임상시험 데이터의 콘텐츠 및 포맷에 해당하는 SDTM(Study Data Tabulation Model)과 ODM(Operational Data Model)에서의 다국어 지원이 매우 미비하다. 본 논문은 CDISC의 SDTM과 ODM에서의 언어 설정에 대한 문제점을 해결하기 위해, SDTM과 ODM 표준의 확장을 제안한다. 이를 위해 SDTM에서는 다국어 지원을 위한 새로운 도메인을 설계하였고, ODM에서는 ODM의 확장 스키마를 서브타이핑 방법으로 구현하였다. 확장 SDTM과 ODM을 기반으로 임상시험 데이터를 처리하면, 다국가 임상시험이 수행되는 경우 다국어로 표현된 임상시험 데이터도 효율적으로 처리할 수 있다.

유비쿼터스 헬스케어 서비스 기반의 야뇨증 환자 치료를 위한 임상 프로토콜 지식표현 방법 (Clinical Protocol Knowledge Representation Method for Ubiquitous Healthcare Service Based on Enuresis Patients care)

  • 황경순;이선아;이건명;김원재;윤석중
    • 한국지능시스템학회:학술대회논문집
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    • 한국지능시스템학회 2008년도 춘계학술대회 학술발표회 논문집
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    • pp.229-232
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    • 2008
  • 본 논문은 유비쿼터스 헬스케어 서비스 기반의 환자 치료를 위한 임상프로토콜 지식표현 방법을 제안한다. 제안한 방법은 프로토콜 태스크 관리 모듈, 이벤트 스케줄링 모듈, 그리고 자동실행 및 지식 공유를 위해 XML형식의 저장 모듈을 지원한다. 본 논문에서는 제안한 방법을 모바일(cell phone, PDA)과 웹 어플리케이션을 사용하여 야뇨증 환자치료를 지원하기 위한 유비쿼터스 헬스케어 서비스 기반의 임상 프로토콜 기술방법을 적용하였다.

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학령전기 아동의 심적 표상 : 부모에 대한 심적 표상과의 관계를 중심으로 (MENTAL REPRESENTATION OF PRESCHOOL CHILDREN:ASSOCIATION WITH PARENTAL MENTAL REPRESENTATION)

  • 이경숙;이혜란;신의진
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제10권1호
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    • pp.21-33
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    • 1999
  • 자기보고 능력이 부족하다고 알려진 학령전기 아동의 임상 평가는 외부관찰자의 보고에 의존하는 점이 많고 아동 자신의 내적인 경험, 생각, 감정에 대한 직접적인 평가가 어렵다. 본 연구에서는 놀이 상황에서 학령전기 아동의 내적 마음의 표상을 알아보기 위해 개발된 MacArthur Story-Stem Battery(MSSB)를 사용하여 정상 아동의 내적 마음의 표상의 발달에 대한 연구를 시행하여 학령전기 아동의 임상 평가에 도움을 주고자 하였다. 본 연구는 만 3세부터 7세까지의 정상 아동 55명(남아 32명, 여아 23명)에서 MSSB, 언어평가(Peabody Picture Vocabulary Test-Revised), 지능평가를 시행하고 비디오로 녹화하여 분석하였으며 결과는 다음과 같다. 1) 정서적인 갈등 상황을 설정한 놀이에서 아동들은 비전형적 부정적 반응, 보상/죄의식, 처벌, 개인적 상해 등의 부정적인 정신적 표상이 흔히 표현되었다. 2) 부모에 대한 정신적 표상은 긍정적 표상, 훈육적 표상, 부정적 표상의 순으로 표현되었다. 3) MSSB 내용 주제요인 분석 결과, 비전형적 부정적 반응, 공격성, 개인적 상해, 배제로 묶이는 공격적 주제, 애정, 제휴, 죄의식/보상으로 묶이는 친사회적 주제, 처벌과 불복종으로 묶이는 반항적 주제 세 가지로 나타났다. 4) 부모에 대한 정신적 표상과 MSSB 내용 주제와의 상관관계를 살펴보면, 부모에 대한 긍정적 표상은 친사회적 주제와(r=0.40), 부정적 표상은 공격적 주제와(r=0.52) 그리고 훈육적 표상은 반항적 주제와(r=0.75) 유의미한 양의 상관관계를 보였다. 5) 부모에 대한 정신적 표상과 MSSB 정서 반응과의 상관관계를 살펴보면, 부모에 대한 긍정적 정신적 표상과 불안 사이에 유의미한 부적 상관관계(r=-0.43)를 보였다. 6) MSSB 내용 주제와 정서 반응사이의 상관관계를 살펴보면, 공격적 주제(r=0.28)와 반항적 주제(r=0.29)는 고통의 감정 반응과 유의미한 양적 상관관계를 보였고 친사회적 주제는 근심(r=-0.29), 불안(r=-0.43)과 유의미한 부적 상관관계를 보였다. 이상의 결과에 의하면 정서적인 갈등을 야기하는 놀이 상황에서 학령전기 아동들은 부정적인 정신적 표상을 흔히 보였으며 부모들은 자신들을 도와주는 긍정적인 표상으로 나타남을 알 수 있다. 또한 공격적 주제를 많이 보이는 아동들은 부정적인 정서 반응과 부모에 대해 부정적인 정신적 표상을 많이 나타냄을 알 수 있다.

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3D Facial Scanners: How to Make the Right Choice for Orthodontists

  • Young-Soo Seo;Do-Gil Kim;Gye-Hyeong Lee;Kyungmin Clara Lee
    • Journal of Korean Dental Science
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    • 제17권1호
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    • pp.1-13
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    • 2024
  • With the advances of digital scanning technology in dentistry, the interests in facial scanning in orthodontics have increased. There are many different manufacturers of facial scanners marketing to the dental practice. How do you know which one will work best for you? What questions should you be asking? We suggest a clinical guideline which may help you make an informed decision when choosing facial scanners. The characteristics of 7 facial scanners were discussed in this article. Here are some considerations for choosing a facial scanner. *Accuracy: For facial scanners to be of real value, having an appropriate camera resolution is necessary to achieve more accurate facial image representation. For orthodontic application, the scanner must create an accurate representation of an entire face. *Ease of Use: Scanner-related issues that impact their ease of use include type of light; scan type; scan time; file type generated by the scanner; unit size and foot print; and acceptance of scans by third-party providers. *Cost: Most of the expenses associated with facial scanning involve the fixed cost of purchase and maintenance. Other expenses include technical support, warranty costs, transmission fees, and supply costs. This article suggests a clinical guideline to make the right choice for facial scanner in orthodontics.

초기사정을 위한 간호정보조사지의 임상내용 모델 개발 (Development of Detailed Clinical Models of Nursing Information for Initial Assessment)

  • 김영란;박현애;민열하;이명경;이영지
    • 임상간호연구
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    • 제17권1호
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    • pp.101-112
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    • 2011
  • Purpose: The purpose of this study is to develop a detailed clinical model for recording initial nursing assessment items, and to test the applicability of the model to facilitate semantic interoperability for sharing and exchanging nursing information. Methods: First, the researchers extracted items by analyzing initial nursing assessment records. Second, defining characteristics were identified by analyzing nursing records and reviewing the literature. Third, value sets for defining characteristics were identified and types and cardinalities of defining characteristics were defined based on the value sets. Finally, the detailed clinical model was tested through evaluation by experts and comparison with the initial nursing assessment in a clinical setting. Results: Sixty-one detailed clinical models were developed with 178 defining characteristics and value sets. The experts evaluation and comparison with the initial nursing assessment in a clinical setting showed that the detailed clinical model developed in this study was valid. Conclusion: Use of this detailed clinical model can ensure that the Electronic Health Record contains meaningful and valid information and supports semantic interoperability of nursing information. This use will promote quality in the nursing records and eventually quality of nursing care.

Development of Adaptive Noise Cancelling Algorithm for Post Processing of Biomedical Signals

  • Nam, Ji-Hyun;Yoon, Dal-Hwan
    • 대한전자공학회:학술대회논문집
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    • 대한전자공학회 2002년도 ITC-CSCC -1
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    • pp.500-503
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    • 2002
  • Biomedical signals are ubiquitously contaminated and degraded by background noise which span nearly all frequency bandwidths. This paper proposes the MADF (multiplication free adaptive digital filter) algorithm to cancel the noise. And the convergence characteristics of the algorithm is analyzed. In the experimental results, the MADF algorithm has the advantage in which has superior to a condition of low-frequency and slow data speed. This application gives an important significance in ensuring the objectivity of clinical information and in promoting the representation and the disease diagnosis.

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