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A Study on Diagnosis Support using Knowledge of Diseases from Literature (문헌 내 병명 정보를 활용한 진단 지원 방안 연구)

  • Oh, Yong-Taek;Kim, An-Na;Kim, Sang-Kyun;Jang, Hyun-Chul
    • Journal of Haehwa Medicine
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    • v.23 no.1
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    • pp.13-20
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    • 2014
  • Objectives : Clinical data in traditional medicine, such as Korean medicine, traditional Chinese medicine have a long history of accumulating evidence and these rich data are recorded in classic literature. We have conducted a study of developing an algorithm that support clinical diagnosis with composing both users knowledge and data obtained from literature. In order to define necessary information and required steps in diagnosis procedure, we have established a clinical diagnostic procedure including a step of collecting patients symptoms, a step of determining candidates, a step of diagnostic decisions, a step of deciding of treatment and a step of adjusting medicinal treatment. Methods : Our study have been based on the following premises. 1. Using data obtained from literature contributes to accurate diagnosis 2. Displaying the data before users request contributes to accurate conclusion. Displaying before users request enable users to recognize their overlooking a fact on purpose or not. 3. Checking symptoms that are commonly accompanied with a group of diseases that accompany symptoms appealed by a patient contributes to accurate conclusion. These symptoms are worthy of checking. 4. Comparing more than two candidates contributes to accurate conclusion. Users can compare their accompanied symptoms with patients symptoms and this helps users to make a decision. Results : Based on the above premises, we have developed an literature based algorithm to provide various functions, such as recommending symptoms to check, comparing groups of symptoms, differential diagnosis, recommending medicinal materials to prescribe, and more. Conclusions : By the results of simulation with virtual diagnostic scenario, we concluded this algorithm is useful helping clinician in diagnosis procedure.

The Relationships between the Levels of Evaluation of the Training & Development for Job skills (직무교육훈련 평가수준들간의 관계)

  • Kim, Jin-Mo
    • Journal of Agricultural Extension & Community Development
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    • v.4 no.1
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    • pp.305-315
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    • 1997
  • The propose of this study was to analyze the relationships among the levels of training & development evaluation (reaction, learning, transfer). The study has been conducted on 730 trainees who attended in the basic accounting program in L training and development institution through three incidents of tracked research such as reaction survey right after the conclusion of training, learning evaluation through test, and an evaluation of the transferability after 3 months of training. Questionnaires and test papers for analyses were used after their reliability, validity, difficulty, and discrimination have been verified on a pre-test. The research has been conducted for six months from 4 March 1996 to the end of August 1996, and data have been collected through direct research and survey through mail. The collected data have been worked on at SAS program for Windows with a statistical significance level of 5%. Statistical method that had been used was Pearson's correlation coefficient. The result and conclusion acquired from this study were as follows: Between reaction and learning, learning and transfer of training, only a weak positive correlation exists and explanation or prediction variance showing hierarchical relationship was quite weak with 1%. Thus, this research not only does not strongly support Kirkpatrick(1976)'s hierarchical model of $reaction{\rightarrow}learning{\rightarrow}transfer$, but also indicates that the separate measurement on each levels of training evaluation needs to be done. On the other hand, there was a relatively strong positive correlation between reaction and transfer of training. Based on the result, the conclusion, and the restriction perceived through this study, the following suggestions were made. 1. There is a need to empirically analyze and verify the hierarchy of all levels of training evaluation including the evaluation of the fourth level (result) such as organizational productivity, organizational satisfaction, and separation rate. 2. A great deal of efforts will be needed to systematically analyze what the relationships are among the methods measuring the level of evaluation of the training and development, and to apply this result to the training field.

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A Study on Working conditions and Characteristics of Dental Technicians (치과기공사의 근무 환경 및 업무특성 평가에 관한 연구)

  • Song, Jae-Sang;Hong, Young-Ho;Choi, Sang-Jun
    • Journal of Technologic Dentistry
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    • v.33 no.4
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    • pp.379-390
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    • 2011
  • Purpose: This study was conducted to improve the working conditions of dental technicians, through survey for working conditions related to perform one's duty, the extent of personal exposure to substances hazardous and complaint rate and factor of job stress and subjective symptom on musculoskeletal disorders. Methods: Using four types of structured questionnaires: social and demographic factor; the actual conditions of working space; working conditions; and characteristics of dental technicians, respondents filled in the questionnaires and the results were analyzed statistically. Results: The evaluation of comfort in working place found that satisfaction level on indoor noise was the lowest with 2.6 on a five-point scale and privacy space followed 2.8 point. In reasons for dissatisfaction with job, over workload ranked the highest by 25.4% and role overload had the highest by 39.5% in job stress factors. Based on the results, we could draw conclusion that dental technicians were unsatisfied with role overload and heavy workload a day. In reasons for musculoskeletal symptom prevalence, long-patient work was the highest by 24.1%. It was thought to cause dental technicians need deep procession and long-patient work due to the nature of their job. Conclusion: In conclusion, noise reduction and privacy space are required to improve job efficiency of dental technicians. In addition; we need to think of ways to increase the job satisfaction with adequate rest while deep procession and long-patient working.

A Case Report of Nerve Entrapment Syndrome with Lymphedema (림프부종에 의한 신경포착증후군: 증례 보고)

  • Kim, Hong-Ryul;Ahn, Duck-Sun
    • Archives of Plastic Surgery
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    • v.37 no.1
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    • pp.95-98
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    • 2010
  • Purpose: One of the most common cause of upper extremity lymphedema is breast cancer surgery. We experienced the nerve entrapment syndrome which was associated with postmastectomy lymphedema. To the best of our knowledge, this is the first case report of lymphedema induced nerve entrapment syndrome on upper extremity in Korea. Methods: A 54-year-old woman presented with a tingling sensation on her right hand, which had been present for 1 year. On her history, she had a postmastectomy lymphedema on her right upper extremity for 20 years. Initial electromyography (EMG) showed that the ampulitude of the median, ulnar, and dorsal ulnar cutaneous nerve were decreased, and conduction block was also seen in median nerve across the wrist. In needle EMG, incomplete interference patterns were observed in the muscles innervated by median and ulnar nerves. In conclusion, electrophysiologic study and clinical findings suggested right median and ulnar neuropathy below the elbow. Therefore, we performed surgical procedures, which were release of carpal tunnel, Guyon's canal, and cubital tunnel. Results: The postoperative course was uneventful until the first two years. The tingling sensation and claw hand deformity were improved, however, the motor function decreased progressively. In 7 years after the operation, patient could not flex her wrist and thumb sufficiently. EMG which was performed recently showed that ulnar motor response was of low ampulitude. Moreover, median, ulnar, dorsal ulnar cutaneous, lateral antecubital cutaneous and median antebrachial cutaneous sensory response were unobtainable. Abnormal spontaneous activities were observed in upper arm muscles. In conclusion, multiple neuropathies were eventually developed at above elbow level. Conclusion: On treating nerve entrapments associated with lymphedema, medical professionals should be fully aware of the possibility of unpredictable results after the surgery, because of the pathophysiologic traits of chronic lymphedema.

Analysis of GRF & Plantar Foot Pressure of Stepping Foot on Skilled & Unskilled Player's in the Soccer Instep Shoot (축구 인스텝 슈팅시 숙련자와 미숙련자의 지지발 지면반력과 족저압력 분석)

  • Kim, Dong-Seop;Lee, Joong-Sook;Jang, Young-Min
    • Korean Journal of Applied Biomechanics
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    • v.22 no.1
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    • pp.17-24
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    • 2012
  • This study is for providing fundamental data of sport biomechanics in GRF & plantar pressure of stepping foot of skilled & unskilled players' at the soccer instep shooting moments. Wearing Pedar-x of Novel, the study has drawn the following conclusion after measuring and analyzing the impact on the GRF and plantar pressure of stepping foot at the instep shooting moments. First, maximum vertical GRF showed higher in the skilled group than in the unskilled group. The results showed significantly different. This study reached the conclusion that the players in the skilled group performed faster and stronger stepping foot motions that the ones in the unskilled(p<.01). Second, since the plantar pressure of the skilled group appeared significantly higher than that of the unskilled, it has brought us to the conclusion that the skilled group performed faster and stronger stepping foot motions than the unskilled group (p<.05). Third, at the moment of instep kicking, the skilled group's average maximum plantar foot pressure of stepping foot was higher than the unskilled. Though the difference was not statistically significant, it can be concluded that the skilled group performed faster and stronger stepping foot motions than the unskilled group(p>.05). Fourth, for the COP moving route of stepping foot while instep kicking, the skilled people performed accurate and strong shooting motions directly toward the target direction with stable postures, no matter how it's left, right, front or back.

Analysis of Adult Cardiopulmonary Resuscitation Skill Performed by Emergency Medical Technicians in Fire Department (소방 2급응급구조사의 성인 심폐소생술에 대한 숙련도 분석)

  • 최용철;이창섭;왕순주
    • Fire Science and Engineering
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    • v.18 no.1
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    • pp.13-17
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    • 2004
  • Purpose: The purpose of this study is to predict a reasonable direction to design a pertinent educational program in the future by evaluating an adult CPR(Cardiopulmonary Resuscitation) skill performed by EMTs engaged in fire services organization and comparing the CPR success rate of factors as like a duty place and licensed year. Methods: We studied CPR skill by the use of a CPR manikin(Skillmeter Resusci Annie, Laerdal company). The study population consisted of 320 EMTs. Every EMT performed four cycle after investigating the manikin for 2 minutes. We regarded chest compression with 100 times in a minute as the 100% success rate. We analysed the skill of chest compression, ventilation and chest compression times success rate by the records printed in the CPR paper. Results: The average success rate of chest compression was 59.42$\pm$29.26% and ventilation 49.22$\pm$29.65%. The success rate of manual CPR was different between chest compression and ventilation. Also the success rate of chest compression times was high relatively as a 87.32$\pm$9.14%(p=0.000). For the CPR skill, ventilation was lowest as 49.22%. The factors such as duty place and licensed year did not influence the CPR success rate (p>0.001). Conclusion: We could have conclusion that CPR training should be shared more time in ventilation than in chest compression. Also we could reach to a conclusion that it is important to increase the times of CPR training for improving the accuracy of CPR and that the continuing education of CPR training frequency might be more than four times in a year.

System for Supporting the Decision about the Possibility of Concluding the Civil Law Agreements for Medical, Therapeutic and Dental Services

  • Hnatchuk, Yelyzaveta;Hovorushchenko, Tetiana;Shteinbrekher, Daria;Kysil, Tetiana
    • International Journal of Computer Science & Network Security
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    • v.22 no.10
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    • pp.155-164
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    • 2022
  • The review of known decisions showed that currently there are no systems and technologies for supporting the decision about the possibility of concluding the civil law agreements for medical, therapeutic and dental services. The paper models the decision-making support process on the possibility of concluding the civil law agreements for medical, therapeutic and dental services, which is the theoretical basis for the development of rules, methods and system for supporting the decision about the possibility of concluding the civil law agreements for medical, therapeutic and dental services. The paper also developed the system for supporting the decision about the possibility of concluding the civil law agreements for medical, therapeutic and dental services, which automatically and free determines the possibility or impossibility of concluding the corresponding civil law agreement for the provision of a corresponding medical service. In the case of formation of a conclusion about the possibility of concluding the agreement, further conclusion and signing of the corresponding agreement takes place. In the case of forming a conclusion about the impossibility of concluding the agreement, a request is made for finalizing the relevant agreement for the provision of the relevant medical service, indicating the reasons for the impossibility of concluding the agreement - missing essential conditions in the agreement. After finalization, the agreement can be analyzed again by the developed system for supporting the decision.

An Analysis of the Ability of Inquiry Performance for Students Gifted in Science in Elementary School (초등학교 과학 영재 학생의 탐구 수행 능력 분석)

  • Hong, Jun-Euy;Lee, In-Ho;Jhun, Young-Seok
    • Journal of Korean Elementary Science Education
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    • v.26 no.3
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    • pp.267-275
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    • 2007
  • The purpose of this study is to estimate the ability of inquiry performance for students gifted in science in elementary school. 56 sixth graders were included in this study. Initially, a question 'How does the dust effect on human health?' was posed to students. Then, an assessment framework for analysis of the inquiry report was developed. It is composed of 5 domains: data collection, prediction, the inquiry process, results, conclusion and presentation. The findings reveal that the students achieved high scores in the domain of 'data collection' and followed by prediction, inquiry process, results, conclusion and presentation. The results of our study are as follows : first, in spite of high scores obtained in basic inquiries such as data collection, students needed to improve their skills in prediction, the inquiry process, results, conclusion and presentation. Second, the reason why students were outstanding in data collection is that they have improved their ability to handle data in a know-ledge-based information society. Third, even though students were good at citing and applying some information, they didn't fully understand the meaning of data and exhibited weaknesses in arguing their own opinions.

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A NOTE ON A THEOREM OF GROTHENDIECK IN $C_p$-THEORY

  • Hong, Woo-Chorl;Kweon, Seon-Hee
    • East Asian mathematical journal
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    • v.16 no.1
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    • pp.57-60
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    • 2000
  • We study some properties of og-spaces and show some sufficient conditions that a space X satisfy the conclusion of the Grothendieck theorem.

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Report on the Symptoms of Surgical Gastric Disease of Dairy Cattle and its Surgical Finding (유우의 외과적위질환의 증상과 그 수술적소견에 관한 보고)

  • Cheong Chang Kook
    • Journal of the korean veterinary medical association
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    • v.9 no.3
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    • pp.3-12
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    • 1965
  • From the clinical observations and surgical interferences made on the fifteen cases surgical gastric disease of dairy cows in the field, the following conclusion regarding to the traumatic reticulitis, omasal impaction and abomasal displacement may made .

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