• 제목/요약/키워드: diagnosis

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의학진단과 연계된 간호진단 및 중재 프로그램 개발 (Development of Computerized Program for Nursing diagnosis and Intervention linked to Medical Diagnosis)

  • 박성애;이혜자;박성희
    • 간호행정학회지
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    • 제8권2호
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    • pp.239-248
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    • 2002
  • Purpose: The actual nursing processes have been performed by individual nurses' judgment without any supporting programs in Korea. It is not easy for novice nurses to make accurate diagnoses and provide proper nursing interventions to patients. Therefore, we propose a computerized program for nursing diagnosis and intervention linked to medical diagnosis. Method: For the program, we have linked standardized nursing diagnosis and intervention classifications with medical diagnosis. It is premised that the program is connected to order communication system(OCS) in hospitals. Result: We provide a nursing information system with standardized database for nursing diagnosis and interventions so that nurses can make more accurate diagnosis and perform more adequate interventions. Conclusion: It is expected that the program will help the nurses perform their nursing processes more efficiently. And we expect the system can be used in many hospitals efficiently in the future after pilot operations are completed in some hospitals.

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액체로켓엔진의 진단 방법론 연구 (Methodology of Liquid Rocket Engine Diagnosis)

  • 김철웅;박순영;조원국
    • 항공우주기술
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    • 제11권2호
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    • pp.182-194
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    • 2012
  • 한정된 기간과 비용 하에 높은 신뢰도와 안전성을 갖는 엔진을 완성하기 위해서는 엔진 개발과 병행하여 엔진에 최적화된 진단시스템의 개발이 필요하다. 본 연구에서는 진단시스템의 개발방향을 정립하기 위하여 해외문헌을 바탕으로 엔진에서 발생 가능한 고장들, 상태진단을 위한 검사파라미터의 특성, 진단방법들(실시간 진단법, 사후 진단법, 사고원인 분석법, 파라미터 계통법, 시험진단법)을 고찰하였고, 엔진 개발단계 및 운용단계에서 수행해야할 진단관련 과제들을 제시하였으며, 해외의 액체로켓엔진 진단 사례를 정리하였다.

간호진단별 관련요인 및 특성에 관한 타당도 연구 (Validity Testing Study for Related Factors and Characteristics of Nursing Diagnosis)

  • 최영희;이향련;김혜숙;김소선;박광옥;박현애;박현경
    • 대한간호학회지
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    • 제27권3호
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    • pp.705-714
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    • 1997
  • This study was conducted to test validity of related factors and characteristics of 98 Nursing Diagnosis identified in a previous study by the Korean Nurses Association. Data for this study was collected from 892 nurses in eight teaching hospitals located in Seoul using a cross sectional survey method. Each participating hospital was asked to produce at least 10 cases for every nursing diagnosis. There were 7,422 responses out of a possible 7,840. Out of the 7,422 responses 26 were discarded due to incompleteness. Data were analyzed using SAS. The result of the study shows that most of the related factors and characteristics for each of the 98 nursing diagnosis were ranked at more than 3.5 point out of 5 point Likert scale in terms of significance. Through this study the related factors and characteristics of the 98 nursing diagnosis identificance. Through this study the related factors and characteristics of the 98 nursing diagnosis identified through literature review were validated by experts in nursing diagnosis. These validated related factors and characteristics will be utilized for computerization of the nursing diagnosis process.

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"황제내경"에 나타난 침자 전후의 맥진 (Pulse diagnosis procedure before and after the acupuncture in Hwangjenaekyung)

  • 배성철;신승훈;김기왕
    • 대한한의학원전학회지
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    • 제24권3호
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    • pp.15-25
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    • 2011
  • The acupuncture procedures in Hwangjenaekyung (黃帝內經) was different to modern ones in many aspects. Especially, the role of pulse diagnosis in acupuncture was totally different and the pulse diagnosis was essential part in acupuncture therapy in Hwangjenaekyung era. We found four noteworthy features on the pulse diagnosis before and after acupuncture in Hwangjenaekyung : (1) Pulse diagnosis was a mandatory process in acupuncture (2) Doctors who used pulse diagnosis in 12 meridians (十二經脈遍診脈法), pulse diagnosis in 9 points of 3 body parts (三部九候脈法), and comparative pulse diagnosis between radial artery and carotid artery (人迎寸口對比脈法) followed the former rule ((1)). (3) The major pulse features to detect before and after acupuncture were conversion between the vacuous pulse (虛脈) and the replete pulse (實脈), and conversion between slippery pulse (滑脈) and rough pulse (澁脈). (4) Deukki (得氣, Deqi) was synonym of Kiji (氣至), and it referred to the changes of arterial pulse, not the sensation followed by acupuncture manipulation.

에이젼트기반 실시간 고장진단 시뮬레이션기법 (Agent based real-time fault diagnosis simulation)

  • 배용환;이석희;배태용;이형국
    • 한국정밀공학회:학술대회논문집
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    • 한국정밀공학회 1994년도 추계학술대회 논문집
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    • pp.670-675
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    • 1994
  • Yhis paper describes a fault diagnosis simulation of the Real-Time Multiple Fault Dignosis System (RTMFDS) for forcasting faults in a system and deciding current machine state from signal information. Comparing with other diagnosis system for single fault,the system developed deals with multiple fault diagnosis,comprising two main parts. One is a remotesignal generating and transimission terminal and the other is a host system for fault diagnosis. Signal generator generate the random fault signal and the image information, and send this information to host. Host consists of various modules and agents such as Signal Processing Module(SPM) for sinal preprocessing, Performence Monotoring Module(PMM) for subsystem performance monitoring, Trigger Module(TM) for multi-triggering subsystem fault diagnosis, Subsystem Fault Diagnosis Agent(SFDA) for receiving trigger signal, formulating subsystem fault D\ulcornerB and initiating diagnosis, Fault Diagnosis Module(FDM) for simulating component fault with Hierarchical Artificial Neural Network (HANN), numerical models and Hofield network,Result Agent(RA) for receiving simulation result and sending to Treatment solver and Graphic Agent(GA). Each agent represents a separate process in UNIX operating system, information exchange and cooperation between agents was doen by IPC(Inter Process Communication : message queue, semaphore, signal, pipe). Numerical models are used to deseribe structure, function and behavior of total system, subsystems and their components. Hierarchical data structure for diagnosing the fault system is implemented by HANN. Signal generation and transmittion was performed on PC. As a host, SUN workstation with X-Windows(Motif)is used for graphic representation.

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다변량 통계기법을 활용한 데이터기반 실시간 진단 (Data-based On-line Diagnosis Using Multivariate Statistical Techniques)

  • 조현우
    • 한국산학기술학회논문지
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    • 제17권1호
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    • pp.538-543
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    • 2016
  • 고품질의 제품과 조업 안전을 확보하기 위해서는 적절한 실시간 공정 감시 및 진단 시스템이 설치되어있는 것이 무엇보다 중요하다. 공정 감시 시스템과 결합된 신뢰도 높은 진단 시스템은 공정에서 발생한 특별한 사건이나 사고의 근본적인 원인과 공정 변수를 알려준다. 본 연구에서는 다변량 통계 분석과 분류기법에 기반한 공정진단 체계를 제시한다. 이 진단시스템은 비선형 데이터 표현과 필터링을 통한 지능적 데이터 표현으로 구성되어 있다. 진단 성능을 평가하기 위해 사례연구를 수행하였으며 다른 방법론과의 결과를 비교하기 위하여 진단 결과와 미래값 추정 방법을 평가하였다. 그 결과 본 연구에서 비교된 진단 방법론들에 비해 신뢰도 높은 진단 결과를 얻을 수 있었다.

기경팔맥(奇經八脈)의 맥진법(脈診法)인 기구구도맥(氣口九道脈)에 나타난 탄맥(彈脈)의 의미에 관한 고찰 - 대맥(帶脈)을 중심으로 - (A Meaning of the Tan Pulse(彈脈) in the Qikoujiudaomai(氣口九道脈) Method for Examining the Eight Extra Meridians(奇經八脈) Pulse -Focusing on the Belt Pulse(帶脈)-)

  • 박건우;황민섭;윤종화
    • 대한한의학원전학회지
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    • 제35권1호
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    • pp.33-42
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    • 2022
  • Objectives : This paper is to find the meaning of Tan pulse in Qikooujiudamai Diagnosis, Methods : In terms of Qikooujiudamai, the position to diagnose the Intermittent Pulse is Kwan(關) position and the pulse is Tan(彈) pulse. To find the meaning of Tan pulse, the symptoms of Intermittent pulse were analyzed. Then the symptoms were analyzed in terms of both Qikooujiudamai Diagnosis and 28-pulse diagnosis to find the correlation. Results & Conclusions : The Tan pulse at Kwan position is related to Hyen(弦), Kin(緊), Hwal(滑), Dan(短) pulse in 28-pulse diagnosis. The symptom of disease of Intermittent pulse's diagnosis is mostly concluded to those 4 pulses. Qikooujiudamai is the diagnosis for acupucture treatment, but with 28-pulse diagnosis, it can be developed to usage of medicine.

RNN-based integrated system for real-time sensor fault detection and fault-informed accident diagnosis in nuclear power plant accidents

  • Jeonghun Choi;Seung Jun Lee
    • Nuclear Engineering and Technology
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    • 제55권3호
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    • pp.814-826
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    • 2023
  • Sensor faults in nuclear power plant instrumentation have the potential to spread negative effects from wrong signals that can cause an accident misdiagnosis by plant operators. To detect sensor faults and make accurate accident diagnoses, prior studies have developed a supervised learning-based sensor fault detection model and an accident diagnosis model with faulty sensor isolation. Even though the developed neural network models demonstrated satisfactory performance, their diagnosis performance should be reevaluated considering real-time connection. When operating in real-time, the diagnosis model is expected to indiscriminately accept fault data before receiving delayed fault information transferred from the previous fault detection model. The uncertainty of neural networks can also have a significant impact following the sensor fault features. In the present work, a pilot study was conducted to connect two models and observe actual outcomes from a real-time application with an integrated system. While the initial results showed an overall successful diagnosis, some issues were observed. To recover the diagnosis performance degradations, additive logics were applied to minimize the diagnosis failures that were not observed in the previous validations of the separate models. The results of a case study were then analyzed in terms of the real-time diagnosis outputs that plant operators would actually face in an emergency situation.

원격의료의 허용 여부와 그 한계 (The Legitimacy of Telemedicine and its Limit)

  • 현두륜
    • 의료법학
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    • 제21권3호
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    • pp.3-33
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    • 2020
  • '원격의료(telemedicine)'란 '의료인이 정보통신기술을 이용하여 원격으로 실시하는 의료행위'라고 정의할 수 있다. 지금까지 우리나라의 통설은 의료법 제34조를 근거로 의료인 간의 원격자문만 허용되고, 의료인과 환자 간의 원격의료는 금지되는 것으로 이해하였다. 그러나, 의료법 제34조는 의료업 수행에 대한 장소적 제한 규정일 뿐, 원격의료 자체를 금지하는 규정은 아니다. 그 외 현행 의료법에는 원격의료를 금지하는 규정이 존재하지 않는다. 건강보험 요양급여기준과 별개로 현행 의료법 해석상 원격의료가 일반적으로 금지된다고 보기는 어렵다. 다만, 의료법 제17조와 제17조의2에서의 '직접 진찰'의 의미와 관련해서 해석상 논란이 있다. 헌법재판소는 이를 '대면 진찰'로 해석한 반면, 대법원은 '스스로 진찰'로 해석하였다. '직접'의 사전적 의미와 관련 의료법 규정에 대한 해석 등에 비추어 볼 때, 대법원의 해석이 타당하다고 생각한다. '직접 진찰'이 '대면 진찰'을 의미하지는 않더라도, '진찰'의 개념 안에 '대면진찰의 원칙'이 내포되어 있고 '비대면 진찰'은 대면진찰을 보완하는 수준에서만 허용되기 때문에 비대면진찰로 인한 문제점은 충분히 극복할 수 있다고 본다. 결국은 진찰이 얼마나 충실하였느냐, 즉 '진찰의 충실성' 여부가 원격진료 허용의 한계라고 할 수 있다.

기구인영비교맥법에 대한 수지맥진과 기기측정치의 상관성 연구 (Study of the relationship between manual pulse diagnosis and machinery measurement on QiguㆍInyoung comparison pulse diagnosis)

  • 전용석;채우석;조명래;소철호;최찬헌;장경선
    • 동의생리병리학회지
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    • 제16권1호
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    • pp.201-208
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    • 2002
  • The measurement parameter of QiguㆍInyoung pulse diagnosis distinguishes the excess, deficiency and quick-temper of pulse through relative comparison of Qigu and Inyoung. We have estimated the relationship between measurement of QiguㆍInyoung pulse wave detection system and measurement of manual pulse diagnosis by means of quantifying pulse peak and Inyoung/Qigu index. The results can be summarized as follows : When standardizing manual pulse diagnosis measurement was standardized, Inyoung index of machinery measurement was more significantly correlative with the index of manual pulse diagnosis than Qigu index of machinery measurement. The ratio of Inyoung/Qigu magnitude with machinery measurement was doser to manual pulse diagnosis than that of Qigu and Inyoung pulse magnitude measured separately. A linear proportion relationship was found between measurement of QiguㆍInyoung pulse wave detection system and measurement of manual pulse diagnosis. It was necessary to adjust the output signal of pulse in order to estimate the exact relationship between measurement of QiguㆍInyoung pulse wave detection system and measurement of manual pulse diagnosis.