• Title/Summary/Keyword: diagnoses

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A Review of Minimum Data Sets and Standardized Nursing Classifications (보건의료정보 자료 세트의 비교 및 간호정보 표준화에 대한 고찰)

  • Yom Young-Hee;Lee Ji-Soon;Kim Hee-Kyung;Chang Hae-Kyung;Oh Won-Ok;Choi Bo-Kyung;Park Chang-Sung;Chun Sook-Hee;Lee Jung-Ae
    • The Journal of Korean Academic Society of Nursing Education
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    • v.5 no.1
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    • pp.72-85
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    • 1999
  • The paper presents a review of three data sets(Uniform Hospital Discharge Data Set, Nursing Minimum Data Set, and Nursing Management Minimum Data Set) and six major nursing classifications(the North American Nursing Diagnoses Association Taxonomy I, Omaha System, Nursing Interventions Classification, Nursing Intervention Lexicon and Taxonomy, Nursing Outcome Classification, Nursing Outcomes Classification, and Classification of Patient Outcome). The reviewed data sets and nursing classifications were different from each other in the purpose, structure, and user. Nursing Interventions Classification and Nursing Outcomes Classification were linked to North American Nursing Diagnosis Association, but others not. The data set and nursing classifications need to be linked to other data sets and classifications.

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Study on Development of Insulation Degradation Diagnosis System for Electrical System (전기기기 절연열화진단 시스템개발에 관한 고찰)

  • Kim, Yi-Gon;Yoo, Kwen-Jong;Kim, Seo-Young;Cho, Yong-Sub;Bak, Bong-Seo;Choi, Si-Young;Sim, Sang-Uk
    • Proceedings of the KIEE Conference
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    • 2001.11c
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    • pp.231-235
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    • 2001
  • Insulation aging diagnosis system provides early warning regarding electrical equipment defect. Early warning is very important in that it can avoid great losses resulting from unexpected shutdown of the production line. Since relations of insulation aging and partial discharge dynamics are non-linear, it is very difficult to provide early warning in an electrical equipment. In this paper, we propose the design method of insulation aging diagnosis system that use a magnetic wave and acoustic signal to diagnoses an electrical equipment. Proposed system measures the partial discharge on-line from DAS(Data Acquisition System) and acquires 2D Patterns from analyzing it. For fettering the noise contained in sensor signals we used ICA algorithms. Using this data design of the neuro-fuzzy model that diagnoses an electrical equipment is investigated. Validity of the new method is asserted by numerical simulation.

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Analysis of Transthoracic Fine Needle Aspiration Cytologic Diagnoses of Pulmonary Nodules (폐장 결절성 병변에 대한 경흉 세침천자 세포학적검사 결과의 분석)

  • Park, Chan-Kum;Lee, Jung-Dal
    • The Korean Journal of Cytopathology
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    • v.6 no.2
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    • pp.133-139
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    • 1995
  • To evaluate the sensitivity and specificity of transthoracic fine needle aspiration cytology(TFNAC) in the preoperative diagnosis of pulmonary nodules, a retrospective analysis was carried out on a consecutive series of 200 TFNACs. They included 186 primary malignant tumors, 66 squamous cell carcinomas, 65 adenocarcinomas, 36 small cell carcinomas, 7 large ceil carcinomas, 4 carcinomas, 8 others, 9 metastatic tumors, and 5 benign tumors. On cytohistologic correlation of malignant pulmonary tumors, the procedure had a sensitivity of 97.3% and a specificity of 100%. A 86.6% correct correlation between the cytologic and histologic diagnoses was achieved. Five out of the 7 undifferentiated large cell carcinomas, 10 out of the 65 adenocarcinomas, 2 out of the 36 small cell carcinomas, and 2 out of the 66 squamous cell carcinomas were turned out to be mistyped in cytologic diagnosis. We concluded that TFNAC is a highly sensitive and specific preoperative diagnostic procedure in the investigation of patients with discrete pulmonary nodules in whom the specific ceil type of the malignant neoplasm has important implications in treatment modality and prognosis.

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Pulmonary Resections Using Bronchoplastic Procedures (기관지 성형술을 이용한 폐엽 절제술)

  • Kim, Ju-Hyeon;Seong, Suk-Hwan
    • Journal of Chest Surgery
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    • v.25 no.6
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    • pp.616-620
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    • 1992
  • A sleeve lobectomy is an appropriate operative procedure in patients with endobronchial neoplasms of low-grade malignancies in the proximal airways and for a small but significant number of patients with carcinoma. Here, we present eleven cases of sleeve lobectomy which were performed from 1984 to the August of 1991 in the Department of Thoracic Surgery of Seoul National University Hospital. The sex distribution was 6 males and 5 females in the age range from twenty to sixty seven, with an average of 44.9 years. The pathologic diagnoses were 7 cases of pulmonary malignancies: carcinoid in two, mucoepidermoid carcinoma in two, adenoid cystic carcinoma in one, adenocarcinoma in one, and squamous carcinoma in one. Other diagnoses were two cases of tuberculous bronchial strictures and two cases of benign tumors: one case of pesudolymphoma and one case of neurilemmoma. The procedures consisted of five right upper sleeve lobectomies [Fig. 1], four left upper sleeve lovectomies [Fig. 2], one left lower sleeve lobectomy[Fig. 3], and one right middle and lower lobetomy [Fig. 4]. All except one had a normal preoperative pulmonary function. The case which had a poor pulmonary function was a 66-year-old female adenocarcinoma patient. She seemed to be very intolerable to pneumonectomy [predicted FEV1=0.60L]. Therefore, she had a right sleeve upper lobectomy and experienced smooth postoperative course without any pulmonary problems. All cases had good postoperative results and no postoperative complications.

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Evaluation on performances of a real-time microscopic and telescopic monitoring system for diagnoses of vibratory bodies

  • Jeon, Min Gyu;Doh, Deog Hee;Kim, Ue Kan;Kim, Kang Ki
    • Journal of Advanced Marine Engineering and Technology
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    • v.38 no.10
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    • pp.1275-1280
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    • 2014
  • In this study, the performance of a real-time micro telescopic monitoring system is evaluated, in which an artificial neural network is adopted for the diagnoses of vibratory bodies, such as solid piping system or machinery. The structural vibration was measured by a non-contact remote sensing method, in which images of a high-speed high-definition camera were used. The structural vibration data that can be obtained by the PIV (particle image velocimetry) technique were used for training the neural network. The structures of the neural network are dynamically changed and their performances are evaluated for the constructed diagnosis system. Optimized structures of the neural network are proposed for real-time diagnosis for the piping system. It was experimentally verified that the performances of the neural network used for real-time monitoring are influenced by the types of the vibration data, such as minimum, maximum and average values of the vibration data. It concludes that the time-mean values are most appropriate for monitoring the piping system.

A Study on the Diagnosis and Prognosis by the Arts of Divination (명리학적 질병진단과 예측에 관한 방법연구)

  • Ryu, Si-Oak
    • Journal of the Korean Institute of Oriental Medical Informatics
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    • v.14 no.2
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    • pp.21-46
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    • 2008
  • Though modern medicine has taken rapid strides, varieties of intractable maladies and diseases go on increasing more and more. And so medical technologies and academic achievements related to diagnoses and prognoses are being carried on. As the progress of genetics, all sorts of diseases have proved to be hereditary. This makes efficient use of the prevention of diseases. According to Sasang-Constitution medicine, each person inherently possesses a unique constitution different from that of any other person. The shapes and sizes, temperaments and characters of people have enormous variations that must affect our health and happiness. Without understanding our particular constitution, we must fall into poor health and disease. The food and exercise that are good for one person's constitution may not be good for another. No standardized medicine can adequately deal with our individual variations. Only a system that can discern our different constitutional types has this capacity. This paper is to study Life-Regulating Science that has taken firm root in our culture from time immemorial, so that I suggest the methods of diagnoses and prognoses by using Life-Regulating Science. In the medical texts, psychological imbalances of Eum-Yang and Five Phases generate all kinds of diseases. Accordingly visceral manifestation and diseases as a future possibility may be known by the Four Pillars.

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Clinical Experience with Subxiphoid Drainage of Pericardial Effusions (검상돌기하 심낭절개술에 의한 심낭 삼출액의 치료에 관한 고찰)

  • 김문환
    • Journal of Chest Surgery
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    • v.24 no.4
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    • pp.397-403
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    • 1991
  • From June 1987 to January 1991, 24 patients with moderate or massive pericardial effusion underwent subxiphoid pericardial window procedures for diagnosis and therapy. The patients` ages were ranged from 28 years to 71 years. The underlying diseases were chronic renal failure with long term hemodialysis in 3 cases, malignant lung cancer in 7 cases, stomach cancer in 2 cases, tuberculous pericarditis in 5 cases, pyogenic pericarditis in 2 cases, myxedema in one case, one metastatic squamous cell carcinoma from unknown origin and three of undefined etiology. Preoperative diagnoses of pericardial effusions were confirmed by echocardiogram in all cases. Subxiphoid pericardial drainages were performed under general[n=19] or local anesthesia[n=5]. Histological diagnoses were made from the inferior pericardial tissue in all cases except one. In this one case[tuberculous pericarditis], the subxiphoid pericardial approach was failed from intraoperative bleeding. There were two postoperative death, one[in malignant lung cancer] had postoperative ventricular tachycardia which result in cardiac arrest, and the other[unknown origin metastatic malignant effusion] had persistent tachyarrhythmia postoperatively and died on postoperative 5th days. Twenty three patients were followed up from 3 days to 9 months; mean follow-up day was 43 days. The preoperative and postoperative mean cardiothoracic ratio in chest x-ray were 0.69 and 0.52 respectively. Subxiphoid pericardial drainage may provide definitive diagnosis and treatment for pericardial effusions. The approach through subxiphoid pericardium under general or local anesthesia avoids the complications of pericardiocentesis and is effective for malignant pericardial effusion.

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Cytology of Crush Preparation in Central Nervous System Lesions (중추신경계 병변의 압착도말 세포학적 소견)

  • Yang, Young-Il;Park, Sul-Mi;Kim, Young-Joo;Khang, Shin-Kwang
    • The Korean Journal of Cytopathology
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    • v.5 no.2
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    • pp.79-89
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    • 1994
  • This study was performed in order to evaluate the accuracy and the usefulness of the cytology of crush preparation in central nervous system (CNS) lesions. Forty four intraoperative biopsies were performed at the time of craniotomy including 34 benign and 10 malignant lesions. Crush preparations were prepared from tiny tissue fragments of craniotomy products. All cases were stained with toluidine blue. Intraoperative diagnoses made on cytologic examination were compared with the final paraffin section diagnoses. Comparison between the results of the cytologic and histologic findings revealed an overall diagnostic accuracy of 88.6%. This study attests to the diagnostic accuracy of cytologic examination in CNS lesions. The detailed cytologic features are described and important criteria for the cytodiagnosis of CNS lesions are discussed. This review leads us to think that cytologic examination by crush preparation in CNS lesions is considered as a simple, safe and highly diagnostically accurate method.

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Analysis on Military Hospital Nursing Records by NANDA, NIC, NOC System (간호과정 용어체계를 이용한 간호기록 분석 - 군병원 정형외과 재원환자 기록 대상으로 -)

  • Kim, Myung-Ja
    • Journal of Korean Academy of Nursing Administration
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    • v.16 no.1
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    • pp.73-85
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    • 2010
  • Purpose: This study was to construct a useful nursing language system on military nursing field. Method: Military hospital nursing records were analyzed using NANDA(North American Nursing Diagnosis Association), NIC(Nursing Interventions Classification), and NOC(Nursing Outcomes Classification) systems. All kinds of nursing statements from 80 sets of orthopedics inpatient's records were deduced. All nursing statements were mapped to 167 NANDA diagnoses, 433 NIC interventions, and 260 NOC outcomes. Result: 14,744 nursing statements were extracted. Among the extracted nursing statements, 11.75% were linked with NANDA diagnosis, 83.62% were connected with NIC intervention, and 0.96% was tied to NOC outcome. 3.66% of nursing statements were not linked with NANDA-NIC-NOC system. In the nursing statements, 18 diagnoses of NANDA, 63 interventions of NIC, 8 outcomes of NOC were used. Conclusions: The majority of those nursing statements focused on nursing intervention of the nursing process; few nursing plans or goals were found in nursing records. Therefore, it's difficult to make the nursing process network with the nursing statements. Documenting nursing records using a nursing process will contribute to strengthen nursing practice in patient care and to develop nursing as science. Continuous further researches related to nursing records are needed to provide basic data for developing nursing language system and nursing record system.

Demand on Nursing Services in 7 Korean Diagnostic-Related Group (7개 포괄수가 질환군 대상 간호요구도 분석)

  • Choi, Youn Jeong;Lee, Youngjin;Seo, Young Min;Lim, Ji Young
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.24 no.2
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    • pp.151-159
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    • 2017
  • Purpose: The purpose of this study was to identify nursing demands according to general characteristics and diseases of inpatients to whom comprehensive payment systems apply. Methods: This study was designed as a retrospective research study using the electronic medical records of Hospital Information Systems (HIS). Participants were 836 subjects who received seven Diagnostic-Related Group diagnoses among inpatients of one tertiary hospital from January 1, 2015 to June 30, 2015. Data were analyzed using SPSS 23.0. Results: Nursing demand among inpatients'seven Diagnostic-Related Group diagnoses was relatively higher for appendectomy, cataract surgery, and hysterectomy, while there was a significant difference depending on the age, duration of admission, admission path, hospital entry method and Diagnostic-Related Group. Conclusion: The results can be utilized as basic data on accurate nursing demands that reflect various features of patients.