• Title/Summary/Keyword: diagnosis

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Research on Oriental Medicine Diagnosis and Classification System by Using Neck Pain Questionnaire (경항통 설문지를 이용한 한의학적 진단 및 분류체계에 관한 연구)

  • Song, In;Lee, Geon-Mok;Hong, Kwon-Eui
    • Journal of Acupuncture Research
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    • v.28 no.3
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    • pp.85-100
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    • 2011
  • Objectives : The purpose of this thesis is to help the preparation of oriental medicine clinical guidelines for drawing up the standards of oriental medicine demonstration and diagnosis classification about the neck pain. Methods : Statistical analysis about Gyeonghangtong(頸項痛), Nakchim(落枕), Sagyeong(斜頸), Hanggang (項强) classified experts' opinions about neck pain patients by Delphi method is conducted by using oriental medicine diagnosis questionnaire. The result was classified by using linear discriminant analysis (LDA), diagonal linear discriminant analysis (DLDA), diagonal quadratic discriminant analysis (DQDA), K-nearest neighbor classification (KNN), classification and regression trees (CART), support vector machines (SVM). Results : The results are summarized as follows. 1. The result analyzed by using LDA has a hit rate of 84.47% in comparison with the original diagnosis. 2. High hit rate was shown when the test for three categories such as Gyeonghangtong and Hanggang category, Sagyeong caterogy and Nakchim caterogy was conducted. 3. The result analyzed by using DLDA has a hit rate of 58.25% in comparison with the original diagnosis. The result analyzed by using DQDA has a accuracy of 57.28% in comparison with the original diagnosis. 4. The result analyzed by using KNN has a hit rate of 69.90% in comparison with the original diagnosis. 5. The result analyzed by using CART has a hit rate of 69.60% in comparison with the original diagnosis. There was a hit rate of 70.87% When the test of selected 8 significant questions based on analysis of variance was performed. 6. The result analyzed by using SVM has a hit rate of 80.58% in comparison with the original diagnosis. Conclusions : Statistical analysis using oriental medicine diagnosis questionnaire on neck pain generally turned out to have a significant result.

Reasoning and Learning Methods for Diagnosis in Oriental Medicine (한의 진단 추론과 진단 학습 방법)

  • Kim, Sang-Kyun;Kim, Jin-Hyun;Jang, Hyun-Chul;Kim, An-Na;Yea, Sang-Jun;Kim, Chul;Song, Mi-Young
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.23 no.5
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    • pp.942-949
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    • 2009
  • We in this paper propose the method for diagnosis patients through the reasoning based on the diagnosis ontology in oriental medicine. In prior studies, it is simply diagnosed with the information of main symptoms, optional symptoms, and tongue / pulse. In addition, ontology itself has subjective opinions of oriental medical doctors for patients in form of axioms. There is a problem in latter case that it is difficult for other oriental medical doctors to change knowledge within the ontology. In order to solve these problems, we have constructed the diagnosis ontology and the reasoning algorithm as followings: First, in order to raise the diagnosis accuracy, we constructed the diagnosis ontology with pattern identifications, main symptoms, optional symptoms, and tongue / pulse. We also utilize the diagnosis points described in the pathology textbook, which has been studied in all of domestic oriental medical colleges. This information is represented as OWL instances in ontology, not OWL axioms so that it can be easily updated. Second, we suggest the algorithms for diagnosis reasoning and learning method based on the ontology. We have implemented the reasoning and learning system according to the diagnosis algorithm. In future study, we will construct the diagnosis ontology with all of pattern identifications and symptoms within the pathology textbook.

Analysis of Delayed Diagnosis of Pediatric and Adolescent Patients Injured by Minor Trauma (경미한 외상을 받은 소아.청소년 환자의 지연 진단에 대한 고찰)

  • Choi, Jee Ahn;Park, Won Bin;Kim, Jin Joo;Jo, Jin Sung;Kim, Jae Kwang;Lim, Yong Su;Hyun, Sung Yeol;Jeong, Ho Seong;Yang, Hyuk Jun;Lee, Gun
    • Journal of Trauma and Injury
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    • v.22 no.2
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    • pp.212-217
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    • 2009
  • Purpose: To analyze delayed diagnosis, we collected date on pediatric and adolescent patients who had been admitted to the Emergency Department with injuries due to minor trauma Methods: We retrospectively analyzed the age distribution, trauma mechanism, time interval for each affected body region at delayed diagnosis, hospital stay, and outcome for 161 pediatric and adolescent patients who had been admitted to the Emergent Department of Gachon University Gil Hospital from January 2006 to September 2008. Results: The incidence of delayed diagnosis in pediatric and adolescent trauma was 11.8% in our retrospective review of 161 pediatric and adolescent patients. Lengths of hospitalization were longer in patients with delayed diagnosis (p<0.05). Patients with delayed diagnosis were more often transferred to other hospitals than patients with non-delayed diagnosis (p<0.05). The time intervals for each different affected body regions at delayed diagnosis were significantly different, but the hospital stays were not. There were no statistical significance to age on affected body region. Conclusion: From this study, we found that admission result and hospital stay were statistically significant differences between the delayed-diagnosis patient group and the non-delayed-diagnosis patient group. Finally, we must follow up pediatric and adolescent patients with minor trauma, closely considering missed injuries.

Development and Evaluation of Ontology for Diagnosis in Oriental Medicine (한의진단 Ontology 구축과 평가)

  • Shin Sang-Woo;Jung Gil-San;Park Kyung-Mo;Kim Seon-Ho;Park Jong-Hyun
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.20 no.1
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    • pp.202-208
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    • 2006
  • The goal of this study is to develop knowledge representation method for the construction and evaluation of ontology for diagnosis in oriental medicine. To develop the expert system for decision making on diagnosis and treatment, the systematic and structural knowledge which can be processible in EMR(Electronic Medical Record) must be precedent, and the Computational Process which control the system as well. This study set up an ontology as a trial model to represent the oriental medical knowledge into the machine processible one. Protege 2.1 has been used to build the ontology, and the serialization format of our ontology is the XML document based on OWL. The components of oriental medical diagnosis was arranged with the combination of symptoms which belong to the certain symptom patterns. Then natural language which expresses the oriental medical diagnosis components were converted into the logical sentence, and individual characteristic symptoms into each values of specific properties. In addition to the study, the diagnosis software for oriental medicine was developed and it used the ontology which we developed. Sequently, we tested the software to confirm the appropriateness of ontology. The result of the test shows that diagnostic questions are automatically formulated according to the diagnosis components of this ontology and that as such diagnostic results are induced. Therefore, the ontology system in this study will be efficient to develop the diagnosis program and useful as a tool for doctors to make decision. But, it is not recommendable to apply the system to the clinical environment until the clear diagnosis standards are introduced, and the more reliable diagnosis program can be developed based on the more appropriate ontology mentioned above.

Influence of CBCT parameters on image quality and the diagnosis of vertical root fractures in teeth with metallic posts: an ex vivo study

  • Larissa Pereira Lagos de Melo;Polyane Mazucatto Queiroz;Larissa Moreira-Souza;Mariana Rocha Nadaes;Gustavo Machado Santaella;Matheus Lima Oliveira;Deborah Queiroz Freitas
    • Restorative Dentistry and Endodontics
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    • v.48 no.2
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    • pp.16.1-16.11
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    • 2023
  • Objectives: The aim of this study was to evaluate the influence of peak kilovoltage (kVp) and a metal artifact reduction (MAR) tool on image quality and the diagnosis of vertical root fracture (VRF) in cone-beam computed tomography (CBCT). Materials and Methods: Twenty single-rooted human teeth filled with an intracanal metal post were divided into 2 groups: control (n = 10) and VRF (n = 10). Each tooth was placed into the socket of a dry mandible, and CBCT scans were acquired using a Picasso Trio varying the kVp (70, 80, 90, or 99), and the use of MAR (with or without). The examinations were assessed by 5 examiners for the diagnosis of VRF using a 5-point scale. A subjective evaluation of the expression of artifacts was done by comparing random axial images of the studied protocols. The results of the diagnoses were analyzed using 2-way analysis of variance and the Tukey post hoc test, the subjective evaluations were compared using the Friedman test, and intra-examiner reproducibility was evaluated using the weighted kappa test (α = 5%). Results: The kVp and MAR did not influence the diagnosis of VRF (p > 0.05). According to the subjective classification, the 99 kVp protocol with MAR demonstrated the least expression of artifacts, while the 70 kVp protocol without MAR led to the most artifacts. Conclusions: Protocols with higher kVp combined with MAR improved the image quality of CBCT examinations. However, those factors did not lead to an improvement in the diagnosis of VRF.

Computerized pulse diagnosis system (컴퓨터 맥진시스템)

  • Lee, Ho-Jae;Huh, Woong
    • Journal of the Korean Institute of Telematics and Electronics B
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    • v.33B no.4
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    • pp.81-90
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    • 1996
  • In this paper, we implemented a computerized pulse diagnosis system for the developement of pulse diagnosis algorithms and the generalization of the pulse diagnosis. The system consists of the hardware and software. The hardware detects pulse waves and inputs the waves into the computer system, while the software not only manages and analyzes the input pulse wave data but also privides the database. In order to clinically test the developed pulse diagnosis system, we applied the carotid-radial pulse diagnosis algorithm to the system. As the results, it is found that the genralizatio of the pulse diagnosis is possible.

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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.

Design the Expert Systems for the Stroke Early Diagnosis based in Web Environment (Web환경기반의 뇌졸중 초기진단 전문가시스템 설계)

  • 이주원;정원근;박성록;이건기
    • Proceedings of the IEEK Conference
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    • 2002.06e
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    • pp.269-272
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    • 2002
  • In this study, we designed the expert system for the diagnosis of stroke. The causes of stroke in central nervous systems are very diverse, so a doctor who treats the patients with stroke must have the expert knowledge for the quick and correct diagnosis and for the adequate medical management. But the primary physician who engaged in the primary care of the patient with stroke does not have the export knowledge for the stroke. So, we need to develop the expert system for assisting the diagnosis of stroke. Also the diagnosis system can be used as simulator for the medical students who study the neurology. In this study, we developed the diagnosis expert system that offer a pathological name provided by artificial neural networks. And we designed the inference engine and interfaces. The artificial neural network is a system that provide a possible diagnosis of stroke. We implemented the system using Windows2000 Server, IIS5.0 and ASP.

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Radiological Diagnosis of vomitting in infant and children (소아의 구토에 대한 방사선학적 진단)

  • Kim, In-Won
    • Journal of Korea Association of Health Promotion
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    • v.1 no.1
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    • pp.21-25
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    • 2003
  • Vomiting in pediatric patient is frequently encountered problem in emergency room or outpatient clinic. In differential diagnosis, age of the patient or accompanying symptoms should be considered in the differential diagnosis. Accurate diagnosis is very important because surgical treatment is necessary in some of the conditions. Imaging diagnosis of conservative modality such as upper gastrointestinal series or colon study is still important radiological examination in the initial differential diagnosis, but recently ultrasonography offers accurate diagnosis in many situations. The cause of vomiting in pediatric are diverse according to the age group :neonatal sepsis, necrotizing enterocolitis, or hypertrophic pyloric stenosis in neonates : gastroesophageal reflux, viral enteritis, or intussusception in infant: midgut volvulus, appendicitis, metabolic disorders, or increased intracranial pressure also an be the cause. knowledge of radiological findings of normal gastrointestinal tract is important to recognize abnormalities. A discussion of radiological findings in variable surgical conditions to present as vomiting in pediatric patients is offered.

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Development of the Fault and Early Diagnosis Technology for Diesel Engine (디젤엔진용 고장 및 예측진단 기술 개발)

  • Park, Jong-Il;Rhyu, Keel-Soo;Cho, Kwon-Hae;So, Myoung-Ok;Kim, Tae-Jin;Won, La-Kyoung;Lee, Tae-Lin;An, Jong-Gab
    • Proceedings of the Korean Society of Marine Engineers Conference
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    • 2005.06a
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    • pp.321-325
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    • 2005
  • These days, it is needed that more stability and reliability of Diesel engine. So it is essential that a systematic and comprehensive fault diagnosis analysis technology. this technology makes fault diagnosis analysis system more efficient. Expert System is required to make fault diagnosis analysis system. In this paper, fault and early diagnosis system is implemented to use Expert System development tools.

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