• 제목/요약/키워드: diagnoses

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간호 대상자별 다빈도 간호진단, 간호중재, 간호결과 및 연계 체계조사 (A Study on Nursing Diagnoses, Interventions, Outcomes Frequently Used and Linkage to NANDA-NOC-NIC in Major Nursing Departments)

  • 김종경
    • 간호행정학회지
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    • 제16권2호
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    • pp.121-142
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    • 2010
  • Purpose: The purpose of this study was to identify NANDA, NIC, and NOC frequently used and their linkages in major nursing departments for development of the nursing process and nursing management system. Methods: This study was a descriptive study. Data were collected from 123 nurses who worked in medical, surgical, pediatric, gynecologic, and psychiatric department. The questionnaire was based on the NANDA, NOC, NIC, and NANDA-NOC-NIC linkage system. This research was analyzed by an EXCEL program and SPSS $Pc^{+}15.0$. Results: Nursing diagnoses frequently used were 'anxiety', 'disturbed sleep pattern', 'activity intolerance', 'social isolation', 'nausea', 'ineffective airway clearance', 'chronic pain', nursing outcomes frequently used were 'thermoregulation', 'bowel elimination', 'pain control', 'vital sign status', 'pain level', and nursing interventions frequently used were 'nausea management', 'airway suctioning', 'bowel elimination management', 'diarrhea management', 'medication management'. NANDA-NOC-NIC linkages in major nursing departments were recognized, and these results were similar to the results of other researches. Conclusion: The results of this study will be provided as a guideline to apply to the nursing process and development of the nursing process system with the NANDA-NOC-NIC linkage in major nursing department.

Knowledge Discovery in Nursing Minimum Data Set Using Data Mining

  • Park Myong-Hwa;Park Jeong-Sook;Kim Chong-Nam;Park Kyung-Min;Kwon Young-Sook
    • 대한간호학회지
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    • 제36권4호
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    • pp.652-661
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    • 2006
  • Purpose. The purposes of this study were to apply data mining tool to nursing specific knowledge discovery process and to identify the utilization of data mining skill for clinical decision making. Methods. Data mining based on rough set model was conducted on a large clinical data set containing NMDS elements. Randomized 1000 patient data were selected from year 1998 database which had at least one of the five most frequently used nursing diagnoses. Patient characteristics and care service characteristics including nursing diagnoses, interventions and outcomes were analyzed to derive the meaningful decision rules. Results. Number of comorbidity, marital status, nursing diagnosis related to risk for infection and nursing intervention related to infection protection, and discharge status were the predictors that could determine the length of stay. Four variables (age, impaired skin integrity, pain, and discharge status) were identified as valuable predictors for nursing outcome, relived pain. Five variables (age, pain, potential for infection, marital status, and primary disease) were identified as important predictors for mortality. Conclusions. This study demonstrated the utilization of data mining method through a large data set with stan dardized language format to identify the contribution of nursing care to patient's health.

간호진단-간호결과-간호중재 연계를 이용한 내외과계 간호단위 간호정보시스템 구축 및 적용 (Construction and Application of Nursing Information System Using NANDA-NOC-NIC Linkage in Medical-Surgical Nursing Units)

  • 고은;소향숙
    • 성인간호학회지
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    • 제25권4호
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    • pp.365-376
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    • 2013
  • Purpose: The purpose of this study was to construct, develop, and apply a nursing information system (NIS) using NANDA-NOC-NIC linkage in medical-surgical nursing units. Methods: This study consisted of three phases which were the construction of the database, development of the NIS, and application of the NIS. To construct the database, a questionnaire and nursing record review by an expert group were used. Collected data were analyzed by the SPSS/WIN 13.0 program. Results: In first phase, the database was made up of 50 nursing diagnoses, 127 nursing outcomes and 300 nursing interventions. In the second phase, NIS was developed according to its flow diagram and then tested. In the third phase, the developed NIS was applied to 130 inpatients. Nursing diagnoses frequently used were acute pain, delayed surgical recovery, and deficient knowledge (specify). Nursing outcomes for a nursing diagnosis of 'acute pain' were identified as pain control, pain level and comfort level. Nursing interventions for the nursing outcome 'pain control' were pain management, patient controlled analgesia assistance and medication management. Conclusion: The results of this study will facilitate the use of the newly proposed NIS in nursing practice and provide a guideline for evidence-based nursing.

컨셉맵을 이용한 적응형 교수 시스템 (An Adaptive Tutoring System using Concept-Map)

  • 최숙영
    • 컴퓨터교육학회논문지
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    • 제9권1호
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    • pp.29-39
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    • 2006
  • 본 연구는 학습자의 학습과정과 학습내용, 평가내용을 분석하여 학습내용 중에 이해가 안된 부분이 있거나 문제가 있는 부분을 진단하고 이에 적절한 학습 조언을 제공함으로써 학습의 효과를 높일 수 있도록 하는 적응형 교수 시스템을 제안한다. 학습자의 학습내용 중 한 개념에 대한 학습은 다른 개념의 학습에 영향을 미치며, 한 개념을 학습하기 위해서는 그 개념에 대한 선행개념을 충분히 이해하고 있어야 된다는 점을 고려하여 학습내용을 구성시 컨셉맵을 기반으로 학습개념간의 관련성을 표현하고 있다. 이러한 컨셉맵을 통해 한 개념을 학습하기 전 요구되는 선행개념에 대한 학습 정도를 파악하여 이에 따른 적합한 학습내용을 제공하고, 평가문항과 학습개념과의 관련도를 이용하여 학습자의 학습내용 중 문제 있는 부분을 진단하여 적절한 조언을 제공한다.

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Network Coding-Based Fault Diagnosis Protocol for Dynamic Networks

  • Jarrah, Hazim;Chong, Peter Han Joo;Sarkar, Nurul I.;Gutierrez, Jairo
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제14권4호
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    • pp.1479-1501
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    • 2020
  • Dependable functioning of dynamic networks is essential for delivering ubiquitous services. Faults are the root causes of network outages. The comparison diagnosis model, which automates fault's identification, is one of the leading approaches to attain network dependability. Most of the existing research has focused on stationary networks. Nonetheless, the time-free comparison model imposes no time constraints on the system under considerations, and it suits most of the diagnosis requirements of dynamic networks. This paper presents a novel protocol that diagnoses faulty nodes in diagnosable dynamic networks. The proposed protocol comprises two stages, a testing stage, which uses the time-free comparison model to diagnose faulty neighbour nodes, and a disseminating stage, which leverages a Random Linear Network Coding (RLNC) technique to disseminate the partial view of nodes. We analysed and evaluated the performance of the proposed protocol under various scenarios, considering two metrics: communication overhead and diagnosis time. The simulation results revealed that the proposed protocol diagnoses different types of faults in dynamic networks. Compared with most related protocols, our proposed protocol has very low communication overhead and diagnosis time. These results demonstrated that the proposed protocol is energy-efficient, scalable, and robust.

담도계 협착 환자의 진단에 솔질 세포검사의 유용성 (Usefulness of Brushing Cytology in the Diagnosis of the Patients with the Stricture of Biliary Tree)

  • 박미옥
    • 대한세포병리학회지
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    • 제11권1호
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    • pp.11-18
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    • 2000
  • Pancreaticobiliary tract strictures are frequent Indications for endoscopic retrograde cholangiopancreatography(ERCP). We have investigated the brushing cytology in order to determine its efficacy for diagnosis of pancreaticobiliary malisnancies. Brushing cytology during ERCP was evaluated in 56 patients with biliary tract stricture presenting to the Catholic Hospital of Taegu-Hyosung from April 1997 to August 1999. A comparison was made between the cytologic and histologic diagnoses on 32 cases from 30 patients. A diagnosis of malignancy was establishied in 78.1%, benign in 15.6%, and inadequate in 6.3% of the cases. Statistical data on cytologic diagnoses in strictures of the bile duct were as follows; specificity and sensitivity of blushing procedure was 100% & 83.3%, respectively: sensitivity of interpretation was 89.3%: with no false positive cases and 3 false negative cases: predictive value for malignancy was 100% & 100%, respectively: predictive value for benign was 28.6% & 40%,, respectively: overall diagnostic efficiency was 84.4%. It is concluded that brush cytology is a diagnostically reliable, highly specific technique for malignant lesions encounted at ERCP, although a negative result does not rule out the diagnosis of malignancy.

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무선통신을 이용한 원격 차량운행정보 저장시스템 개발 (Development of Remote Vehicle Information Storage System Using Wireless Communication)

  • 이중현;고국원;최병욱;고경철
    • 한국정밀공학회:학술대회논문집
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    • 한국정밀공학회 2004년도 추계학술대회 논문집
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    • pp.576-579
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    • 2004
  • Recently, using GPS and equipment that recognizes the position of the car such a computer system inside the car are very universalized. Specially, the technique that diagnoses troubles and prevents troubles through scanning engine ECU is very popularized also. However, because these data have to be directly transferred and received from the car, in cases of traffic accident such as serious damage or car theft, it is impossible to receive the data at the time of accident. In order to receive and preserve the data safely regardless of these situations, it is possible to provide data for analyzing reasons of accident and prevent accidents from occurring by using wireless communication to receive the transferred information of the car, then saving into a Database system DB, or grasping the situation of the car and the driving pattern of drivers through analyzing stored data. Moreover, due to developing some related services such as providing the information about the real time of the accident, diagnoses of the car and alarms, etc. It is expected to contribute to creating added values.

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국내외 홍채학 연구동향 (A Review of Iridology)

  • 임영우;박성일;박영재;박영배
    • 대한한의진단학회지
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    • 제17권1호
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    • pp.1-16
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    • 2013
  • Objectives Iridology is a field of study that diagnoses various systemic diseases through analysis of colors, structural characteristics and changes in iris. The purpose of this study was to review previously published study results of the iridology. Methods The studies were searched with the keyword "iridology" through search engines such as SCOPUS, Pub med, RISS, and NDSL. Total of 36 iridology-related studies published from 1980 to 2012 were analyzed. Results Most diagnoses of systemic disease through iris markings were insignificant. The studies on relevance of gene polymorphism and iris constitution were highly significant. The studies on relevance of Sasang constitution and iris constitution varied in results depending on diagnosis methods. The studies on relevance of iris constitution and diseases had significant results. The structural characteristics of iris were related to certain personality. Conclusions The studies on utility of iris diagnosis and diagnostic markings were negative, but the relevance of constitution, heredity, and iris diagnosis was positive. A persistent in-depth study on relevance of iris and constitution is needed in the future.

Objective and Subjective Voice Examination in Korean Medicine

  • Yu, Junsang
    • 대한약침학회지
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    • 제17권3호
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    • pp.57-61
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    • 2014
  • Objectives: When a person speaks, voice problems usually include pain or discomfort and/or difficulties in terms of the pitch, the loudness and the quality of the voice. When patients with voice problems induced by stroke, Parkinson's disease, and systemic diseases involving the voice are examined, generally, of the Four Diagnoses (四診), a Diagnosis of Hearing can be used in current Korean medicine. The effects of acupuncture and herb medicine on voice problems have been reported for over 20 years. However, when it comes to improvements, objective and subjective evaluation methods need to be explained. Methods: Subjective methods for evaluating voice were studied through a literature search of old medicinal books containing Korean medicine diagnostics, and an objective evaluation method using Praat software is presented. Results: Korean medicine doctors analyze the patient's voice in clinical settings unconsciously on a daily basis. However, most voice diagnoses depend on the doctor's subjective evaluation. Voice qualities can be evaluated by using the Eight Principles (八綱), including Yin-Yang; the Five Elements (Phases); the Grade, Roughness, Breathy, Asthenic, Strained (GRBAS) score, and the Visual Analogue Scale (VAS) as subjective methods, and an acoustic analysis using the Praat program can be used as an objective method. Conclusion: A more complete voice examination can be achieved by using subjective and objective methods at the same time. For an objective explanation and management of patient's voice problems or systemic disorders, an objective method should be used in Korean medicine, which already has many subjective diagnostic methods. More research needs to be conducted, and more clinical evidence needs to be collected in the future.

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

  • 김조자
    • 대한간호학회지
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    • 제26권1호
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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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