• 제목/요약/키워드: management diagnoses

검색결과 206건 처리시간 0.023초

영상장치 센서 데이터 QC에 관한 연구 (A study on imaging device sensor data QC)

  • 윤동민;이재영;박성식;전용한
    • Design & Manufacturing
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    • 제16권4호
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    • pp.52-59
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    • 2022
  • Currently, Korea is an aging society and is expected to become a super-aged society in about four years. X-ray devices are widely used for early diagnosis in hospitals, and many X-ray technologies are being developed. The development of X-ray device technology is important, but it is also important to increase the reliability of the device through accurate data management. Sensor nodes such as temperature, voltage, and current of the diagnosis device may malfunction or transmit inaccurate data due to various causes such as failure or power outage. Therefore, in this study, the temperature, tube voltage, and tube current data related to each sensor and detection circuit of the diagnostic X-ray imaging device were measured and analyzed. Based on QC data, device failure prediction and diagnosis algorithms were designed and performed. The fault diagnosis algorithm can configure a simulator capable of setting user parameter values, displaying sensor output graphs, and displaying signs of sensor abnormalities, and can check the detection results when each sensor is operating normally and when the sensor is abnormal. It is judged that efficient device management and diagnosis is possible because it monitors abnormal data values (temperature, voltage, current) in real time and automatically diagnoses failures by feeding back the abnormal values detected at each stage. Although this algorithm cannot predict all failures related to temperature, voltage, and current of diagnostic X-ray imaging devices, it can detect temperature rise, bouncing values, device physical limits, input/output values, and radiation-related anomalies. exposure. If a value exceeding the maximum variation value of each data occurs, it is judged that it will be possible to check and respond in preparation for device failure. If a device's sensor fails, unexpected accidents may occur, increasing costs and risks, and regular maintenance cannot cope with all errors or failures. Therefore, since real-time maintenance through continuous data monitoring is possible, reliability improvement, maintenance cost reduction, and efficient management of equipment are expected to be possible.

공공기관 기록관리 평가제도 개선 방안 자체평가제도 도입을 중심으로 (Improvement Plan for Evaluation System of Records Management in Public Institutions : Focused on Introducing Self-evaluation System)

  • 오명진;주현미;이해영
    • 기록학연구
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    • 제65호
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    • pp.151-197
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    • 2020
  • 기록관리 평가제도는 『공공기록물 관리에 관한 법률』에 근거해 2007년 이래 국가기록원이 운영하는 제도이다. 공공기록관리 환경이 극심하게 변화하면서 이 평가제도의 방식에도 근본적인 제고가 필요하다는 인식이 확산되고 있다. 특히, 가장 역점을 두어야 할 부분으로 기관의 유형과 특성에 따른 맞춤형 방식이 요구되고 있다. 이 연구는 새로운 공공기관 기록관리 평가제도로서 기관의 자율적인 평가 역량을 강화하는 것을 기본 취지로 하는 자체평가 방식에 주목하였다. 자체평가 방식으로 변화해야 할 필요성을 평가대상 기관의 다양성, 기록관 조직 형태의 특수성, 기관 위계 등과 관련하여 설명하고, 기관 스스로 기록관리업무를 진단하고 업무수행 수준의 향상을 지향하는 체계로서 자체평가제도(안)을 설계하였다. 아울러 공공기관 기록관리 평가제도를 공공기록관리 실무에서 단계적으로 작동시키기 위한 평가항목 및 지표 개발과 단계적 적용, 법적, 운영적 측면들을 다루었다.

Male Breast Carcinoma: Epidemiology, Risk Factors and Current Therapeutic Approaches

  • Zygogianni, Anna G.;Kyrgias, George;Gennatas, Costantinos;Ilknur, Aytas;Armonis, Vassilios;Tolia, Maria;Papaloukas, Christos;Pistevou, Gompaki;Kouvaris, John;Kouloulias, Vassilios
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권1호
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    • pp.15-19
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    • 2012
  • Male breast cancer is a very rare disease with an incidence of about 0.5-1% comparing with the one of female breast cancer but relatively little is known about its cause. Treatment strategies for breast cancer in males are derived from studies performed among females. The probable reasons behind the frequent, late diagnoses presented at stages III or IV might be the lack of awareness. The rarity of the disease precludes large prospective randomized clinical trials. This study reviews male breast cancer and its risk factors, recommendations for diagnosis and the management of patients with male breast cancer.

체중 10kg 이하 영아에서의 개심술 (Open Heart Surgery of Infants Uunder 10kg of Body Weight)

  • 박성동
    • Journal of Chest Surgery
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    • 제28권5호
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    • pp.447-452
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    • 1995
  • From January 1983 to December 1992, 116 patients under 10Kg of body weight were underwent open heart surgery in National Medical Center.There were 64 males and 52 females, and their mean age was 14 2.6 months, ranged from 3 days to 38 months. Their mean body weight was 7.4$\pm$1.2Kg, ranged from 2.4Kg to 10Kg which were less than 3 percentile of normal developmental pattern in 109 out of 116 cases.The composition of the patients was VSD[73 , TOF[18 , ASD[8 , ECD[5 , TGA[4 , PS[3 , TAPVC[2 , TA[1 , cardiac rhabdomyoma with ASD[1 , and Ebstein`s anomaly[1 . The overall surgical mortality was 17.2%.In acynotic group, 11 patients died among 91 patients and the mortality was 12.1%, in cyanotic group 9 patients died among 25 patients, the mortality was 36%.The surgical result of patients under 5Kg of body weight was worse than those over 5Kg of body weight. [56.2% versus 11% The surgical result in this period was improved year by year, but poor surgical results in the group of cyanotic, under 5Kg of body weight should be improved by means of more precise preoperative diagnoses, more advanced surgical techniques and more proper postoperative management.

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고신뢰성 USN 응용 서비스 지원을 위한 오작동 진단 상황인지 미들웨어 구현 (Implementation of Failure-Diagnostic Context-awareness Middleware for Support Highly Reliable USN Application Service)

  • 이용웅;김세한;손교훈;이인환;신창선
    • 인터넷정보학회논문지
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    • 제12권3호
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    • pp.1-16
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    • 2011
  • 본 논문에서는 실내에 센서 네트워크가 적용된 USN 응용 시스템에서 발생하는 센서나 설비 장치의 오작동을 진단하여, 해당 시스템이 제공하는 서비스의 신뢰성을 높여주는 오작동 진단 상황인지 미들웨어를 제안한다. 본 논문에서 새롭게 제안하는 미들웨어는 데이터관리 모듈, 상황정보제공 모듈, 상황분석 모듈, 서비스제공 모듈, 정보저장소 모듈로 구성되며, 모듈간의 상호작용으로 얻은 데이터는 오작동 진단 알고리즘을 통해 비교 분석함으로써, 센서나 설비 장치의 오작동 여부를 판단한다. 구현된 미들웨어는 시뮬레이션을 통해 수행성을 검증하였다. 그 결과 다수의 센서가 설치된 대형 시스템에서 본 미들웨어가 높은 성능을 발휘한다는 것을 확인할 수 있었다.

Biomarkers for Evaluation of Prostate Cancer Prognosis

  • Esfahani, Maryam;Ataei, Negar;Panjehpour, Mojtaba
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권7호
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    • pp.2601-2611
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    • 2015
  • Prostate cancer, with a lifetime prevalence of one in six men, is the second cause of malignancy-related death and the most prevalent cancer in men in many countries. Nowadays, prostate cancer diagnosis is often based on the use of biomarkers, especially prostate-specific antigen (PSA) which can result in enhanced detection at earlier stage and decreasing in the number of metastatic patients. However, because of the low specificity of PSA, unnecessary biopsies and mistaken diagnoses frequently occur. Prostate cancer has various features so prognosis following diagnosis is greatly variable. There is a requirement for new prognostic biomarkers, particularly to differentiate between inactive and aggressive forms of disease, to improve clinical management of prostate cancer. Research continues into finding additional markers that may allow this goal to be attained. We here selected a group of candidate biomarkers including PSA, PSA velocity, percentage free PSA, $TGF{\beta}1$, AMACR, chromogranin A, IL-6, IGFBPs, PSCA, biomarkers related to cell cycle regulation, apoptosis, PTEN, androgen receptor, cellular adhesion and angiogenesis, and also prognostic biomarkers with Genomic tests for discussion. This provides an outline of biomarkers that are presently of prognostic interest in prostate cancer investigation.

국내 가정간호 사업의 성과 측정 연구의 고찰 (Literature review on the domestic studies of the Outcomes of Home Care Service for 1981-1996)

  • 윤순녕;조명숙;김홍수
    • 가정∙방문간호학회지
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    • 제4권
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    • pp.41-52
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    • 1997
  • The purpose of this study is to identify the domestic research results related to the outcomes of home care services for 1981-1996. 12 studies were analized by the characteristics of the subjects, home care services provided, and outcome variables and tools during the period of Apirl-June, 1997. The results were as follows: the subjects of 8 studies conducted before 1993 were discharged patients comparing to early discharged patients of 2 studies conducted after 1994. The main home care service delivered to the clients and their families were education before 1993. The outcome variables were used the level of sat. isfaction of home care services, quality of care, cost-effectveness, health status, quality of life, and self -care ability. A variable, health status, were mainly measured by the global outcome measures such as quality of life, health hehelief, health perception, activity of daily living, health management pattern but also foused outcome measures that could be specified by the medical diagnoses.

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간호 업무의 법적 정의 (Legal Definition of Nursing Practice)

  • 김의숙;이한주
    • 간호행정학회지
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    • 제12권4호
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    • pp.574-586
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    • 2006
  • Purpose: This paper is intended to provide a clauses of scope of nursing practice with nursing act. Method: This was a planning study. The provision of scope of nursing practice is constructed through critical review of literatures and regulations. The validity of the legal definition was tested through expert and staffs in affiliates of Korean Nurses Association review. Result: 'Nursing is an activity that assesses and diagnoses the reaction of an individual, family, and community for health promotion and maintenance, illness prevention and rehabilitation and to provide intervention and evaluate the results. This practices are done through nursing knowledge and skills. The nursing practices include basic nursing services (general hygiene, environment and safety control, emotional and physical comfort, examination and surgery related care, systematic observation and reporting about patients, activity and organ function maintenance), practice of doctor's regimen, consulting and education to patients, reference, collaboration and management with other health personnel, public health activity by regulation. And nursing standards are set by a separate code. Conclusions: The result of this study can be used to offer for nursing act. So, This legal definition will be constantly discussed and extended to reflect actual nursing practice.

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마비성구어장애 화자의 조음밸브 교호운동에 관한 공기역학 및 음향학적 특징 (A Study on the Aerodynamic and Acoustic Characteristics in Dysarthria Speakers' Diadochokinesis by Articulation Valves in Vocal Tract)

  • 박희준;권순복;왕수건;정옥란
    • 음성과학
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    • 제15권2호
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    • pp.177-189
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    • 2008
  • This study was to investigate diadochokinetic (DDK) rate, regularity and mean flow rate of articulation valves in dysarthria. DDK rate, mean airflow rate (MFR) and regularity of DDK syllable repetitions of vocal function /ihi/, tongue function /ta/, velopharyngeal function /bm/, and labial function /pa/ in 24 normal and dysarthric speakers were measured. Aerophone Ⅱ and Motor Speech Profile were used for data recording and analysis. The results of the findings were as follows: First, there were significant differences between the dysarthria and the normal group in DDK rate. DDK rates in ataxic dysarthria were the lowest and spastic, flaccid, and hypokinetic dysarthria followed in sequence. Second, there was a significant difference between the dysarthria and the normal group in DDK regularity. Third, there was a significant difference between dysarthria groups and normal group in DDK MFR. Finally, there was a significant difference between the 4 groups of dysarthria and the normal group in DDK air flow tracking. The results of this study can be guidelines for normal DDK rate, regularity and flow rate in dysarthria groups. In addition, their differential diagnoses and descriptions are important to make a decision on medical and behavioral management of the individuals with disorders according to DDK characteristics.

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타액선 질환의 세침흡인생검에 관한 세포학적 연구 (A Cytologic Study of Fine Needle Aspiration Biopsy of Salivary Gland Diseases)

  • 김미진;이태숙
    • 대한세포병리학회지
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    • 제5권2호
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    • pp.120-129
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    • 1994
  • Fine needle aspiration biopsy cytology is a widely recognized and useful technique which can provide diagnosis in lesions of the head and neck, enabling appropriate management plans for individual patient to be made. Fifty one fine needle aspirates from salivary gland masses were examined. Four aspirates (8%) were inadequate for examination. Of the remaning 47 samples, 42 cases (82%) were benign lesions which consist of 30 pleomorphic adenoma(58%), 7 inflammatory lesion (14%), 4 Warthin's tumor(8%) and 1 benign lesion(2%). Two cases(4%) were atypical lesions. Three cases(6%) were malignant lesions consisting of 2 adenoid cystic carcinomas(4%) and 1 mucoepidermoid carcinoma (2%). The cytologic diagnoses were compared with the subsequent histologic diagnosis of surgical resected specimen in 24 cases. 19 cases of 21 aspirates from benign tumors were correctly diagnosed by fine needle aspiration cytology, with a specificity of 90%. All 3 aspirates from the 3 patients with malignant tumor were correctly diagnosed by fine needle aspiration cytology, with a sensitivity at 100%. Overall acurracy was 88%. Diagnostic error was encountered in adenoid cystic carcinoma, mucoepidermoid carcinoma and Warthin's tumor Correct histologic diagnosis was made in 86% of benign tumors(84% for pleomorphic adenoma and 100% for Warthin's tumor) and in 100% of malignant tumors.

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