• Title/Summary/Keyword: diagnostic quality

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Reliability and Accuracy of Infrared Temperature: A Systematic Review (적외선 체온의 진단 정확도 평가 연구: 체계적 문헌고찰)

  • Park, Seong-Hi
    • Korean Journal of Adult Nursing
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    • v.26 no.6
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    • pp.668-680
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    • 2014
  • Purpose: The aim of this study was to investigate the accuracy of infrared temperature measurements compared to axillary temperature in order to detect fever in patients. Methods: Studies published between 1946 and 2012 from periodicals indexed in Ovid Medline, Embase, CINAHL, Cochrane, KoreaMed, NDSL, KERIS and other databases were selected using the following key words: "infrared thermometer". QUADAS-II was utilized to assess the internal validity of the diagnostic studies. Selected studies were analyzed through a meta-analysis using MetaDisc 1.4. Results: Twenty-one diagnostic studies with high methodological quality were included representing 3,623 subjects in total. Results of the meta-analysis showed that the pooled sensitivity, specificity, and area under the curve (AUC) of infrared tympanic thermometers were 0.73 (95% CI 0.70~0.75), 0.92 (95% CI 0.91~0.92), and 0.90, respectively. For axillary temperature readings, the pooled sensitivity was 0.67 (95% CI 0.62~0.73), the pooled specificity was 0.87 (95% CI 0.85~0.90), and the AUC was 0.80. Conclusion: Infrared tympanic temperature can predict axillary temperature in normothermic and in febrile patients with an acceptable level of diagnostic accuracy. However, further research is necessary to substantiate this finding in patients with hyperthermia.

Current Diagnostic Methods for Periprosthetic Joint Infection

  • Lee, Jiyoung;Park, Heechul;Bae, Jinyoung;Hyun, Hyanglan;Kim, Sunghyun
    • Biomedical Science Letters
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    • v.28 no.1
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    • pp.1-8
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    • 2022
  • Total joint arthroplasty is a successful joint replacement treatment that improves joint function and overall quality of life and provides pain relief. However, the prevalence of periprosthetic joint infection (PJI) has become prevalent with the rise in the incidence of arthroplasty surgery. PJI occurs rarely following arthroplasty however presents with serious complications, including high morbidity. The identification of causative microorganisms is essential for the treatment of PJI. Managing PJI requires complex treatment strategies, including long-term antibacterial treatment, and significant medical costs can be incurred. The American Academy of Orthopedic Surgeons, the Centers for Disease Control and Prevention, and Surgical Care Improvement Project guidelines recommend that prophylactic antibiotics such as first-generation cephalosporins be infused completely 1 hour before surgical incision. However, these preventative antibiotics are very limited, therefore risk factors must be identified to diagnosis and treat patients effectively. Moreover, determining antimicrobial susceptibility during artificial joint surgery and choosing the most appropriate treatment strategy following an accurate diagnosis of microbial infections are essential. In the present review, we describe the management, including the etiology, diagnosis, and classification of PJI, and approaches to its diagnosis using the available novel molecular diagnostic methods.

Model Development and Analysis for Assessment of the National Defense Industry Quality Management (국방 군수업체 품질경영 수준 평가 모델 개발 및 분석)

  • Kim, Sung-Do;Bae, Suk-Joo;Yang, Ji-Eung;Chung, Kyu-Suk;Riew, Moon-Charn;Lim, Sung-Uk;Kim, Myung-joon;Park, Sang Ho;Jeong, Ji-Sun
    • Journal of Korean Society for Quality Management
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    • v.44 no.2
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    • pp.277-296
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    • 2016
  • Purpose: Propose model to diagnose and assess National Defense Industry and quality management by investigating and analyzing established standard model. Methods: Research on established internal model including MB, EQA and JQA model and make standard index for quality index extraction and quantitative index to test objectively for internal state. Results: Extract advantage and disadvantage by performance of National Defense Industry level diagnose and build foundation for quality management policy and road map. Conclusion: Due to result of diagnostic assesment of quality management of national defense industry, dependability, SCQM and safety part shows vulnerability and require improvement and support.

Application of Quality Statistical Techniques Based on the Review and the Interpretation of Medical Decision Metrics (의학적 의사결정 지표의 고찰 및 해석에 기초한 품질통계기법의 적용)

  • Choi, Sungwoon
    • Journal of the Korea Safety Management & Science
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    • v.15 no.2
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    • pp.243-253
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    • 2013
  • This research paper introduces the application and implementation of medical decision metrics that classifies medical decision-making into four different metrics using statistical diagnostic tools, such as confusion matrix, normal distribution, Bayesian prediction and Receiver Operating Curve(ROC). In this study, the metrics are developed based on cross-section study, cohort study and case-control study done by systematic literature review and reformulated the structure of type I error, type II error, confidence level and power of detection. The study proposed implementation strategies for 10 quality improvement activities via 14 medical decision metrics which consider specificity and sensitivity in terms of ${\alpha}$ and ${\beta}$. Examples of ROC implication are depicted in this paper with a useful guidelines to implement a continuous quality improvement, not only in a variable acceptance sampling in Quality Control(QC) but also in a supplier grading score chart in Supplier Chain Management(SCM) quality. This research paper is the first to apply and implement medical decision-making tools as quality improvement activities. These proposed models will help quality practitioners to enhance the process and product quality level.

A Concept of Self-Optimizing Forming System (자율 최적 성형 공정 시스템 개발)

  • Park, Hong-Seok;Hoang, Van-Vinh;Song, Jun-Yeob;Kim, Dong-Hoon;Le, Ngoc-Tran
    • Journal of the Korean Society of Manufacturing Technology Engineers
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    • v.22 no.2
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    • pp.292-297
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    • 2013
  • Nowadays, a strategy of the self-optimizing machining process is an imperative approach to improve the product quality and increase productivity of manufacturing systems. This paper presents a concept of self-optimizing forming system that allows the forming system automatically to adjust the forming parameters online for guarantee the product quality and avoiding the machine stop. An intelligent monitoring system that has the functions of observation, evaluation and diagnostic is developed to evaluate the pully quality during forming process. Any abnormal variation of forming machining parameters could be detected and adjusted by an intelligent control system aiming to maintain the machining stability and the desired product quality. This approach is being practiced on the pully forming machine for evaluating the efficiency of the proposed strategy.

Characteristics of Dissipation Factor in High Voltage Motor Stator Windings (고압전동기 고정자 권선의 유전정접 특성)

  • Kim, Hee-Dong
    • Proceedings of the KIEE Conference
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    • 2008.10a
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    • pp.93-94
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    • 2008
  • Diagnostic tests were performed in three high voltage motors. These tests included insulation resistance, polarization index, ac current, dissipation factor($tan{\delta}$) and partial discharge magnitude. The rewind of motor stator insulation at rated voltage is assessed by the results of these tests. After completing the diagnostic tests, the stator windings of motors were subjected to gradually increasing ac voltage, until the insulation punctured. NO.1 and No.2 motors failed near rated voltage of 14.0 kV, respectively. These motors are lower that expected for good quality coils in 6.6 kV class motors. The breakdown voltage of No.3 motor was 15.0 kV.

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Neuro-Fuzzy Diagnostic Technique for Performance Evaluation of a Chiller (뉴로 퍼지를 이용한 냉동기 성능 진단 기법)

  • Shin, Young-Gy;Chang, Young-Soo;Kim, Young-Il
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.27 no.5
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    • pp.553-560
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    • 2003
  • On-site diagnosis of chiller performance is an essential step fur energy saving business. The main purpose of the on-site diagnosis is to predict the COP of a target chiller. Many models based on thermodynamics background have been proposed for this purpose. However, they have to be modified from chiller to chiller and require deep insight into thermodynamics that most of field engineers are often lacking in. This study focuses on developing an easy-to-use diagnostic technique that is based on adaptive neuro-fuzzy inference system (ANFIS). Quality of the training data for ANFIS, sampled over June through September, is assessed by checking COP prediction errors. The architecture of the ANFIS, its error bounds, and collection of training data are described in detail.

Development a Knowledge-based Medical Diagnosing System for Thyroid Disorders (갑상선 질환의 진단을 위한 지식기반 의료진단 시스템의 개발)

  • Cho, Kwun-Ik;Kim, Soung-Hie;Noh, Jae-Bum
    • IE interfaces
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    • v.3 no.2
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    • pp.1-11
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    • 1990
  • In this study, we will present a knowledge-based consulting system, called THYCONS, for diagnosing thyroid disorders. It has been developed to make the knowledge and expertise of the human expert more widely available, therefore achieving a high-quality diagnosis. Frames will be used to represent the medical knowledge of thyroid disorders, and several rules are attached in each slot of a frame. The uncertainty of diagnostic processes is manipulated by the subjective Bayesian method under the assumption that the pieces of evidence are conditionally independent. Searching for the group of diagnostic tests to be carried out and their optimum sequences will be established in order to infer a more correct diagnosis on the basis of maximum information gain with cost and time restrictions. Additionally. differential diagnosis will be carried out based on the information gained.

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Oral cancer diagnosed using PET/CT: A case report (PET/CT를 이용하여 진단한 구강암의 증례)

  • Kim Young-Hee;Yang Byoung-Eun;Cho Young-Min;Kim Seong-Gon
    • Imaging Science in Dentistry
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    • v.36 no.2
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    • pp.111-116
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    • 2006
  • PET/CT is a new imaging technology that combines high-quality Positron Emission Tomography (PET) and Computed Tomography (CT). This imaging provides simultaneous anatomical and metabolic information. Therefore PET/CT is useful diagnostic modality for early detection of malignant tumor, accurate staging, decision on therapeutic plan, monitoring response to therapy and rapid detection of recurrence. We report oral and maxillofacial cancers diagnosed by using PET/CT and the usefulness of PET/CT in the evaluation of postoperative recurrence.

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A method for ultrasound image edge enhancement by using Probabilistic edge map (초음파 진단영상 대조도 개선을 위한 확률 경계 맵을 이용한 연구)

  • Choi, Woo-hyuk;Park, Won-hwan;Park, Sungyun
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.20 no.1
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    • pp.37-44
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    • 2016
  • Ultrasonic imaging is the most widely modality among modern imaging device for medical diagnosis. Nevertheless, medical ultrasound images suffer from speckle noise and low contrast. In this paper, we propose probabilistic edge map for ultrasound image edge enhancement using automatic alien algorithm. The proposed method used applied speckle reduced ultrasound imaging for edge improvement using sequentially acquired ultrasound imaging. To evaluate the performance of method, the similarity between the reference and edge enhanced image was measured by quantity analysis. The experimental results show that the proposed method considerably improves the image quality with region edge enhancement.