• 제목/요약/키워드: preventive system

검색결과 2,024건 처리시간 0.029초

의료보험청구자료중 뇌혈관질환 상병기호의 정확도에 관한 연구 (The Accuracy of ICD codes for Cerebrovascular Diseases in Medical Insurance Claims)

  • 박종구;김기순;이태용;이강숙;이덕희;이선희;지선하;서일;고광욱;류소연;박기호;박운제;김춘배
    • Journal of Preventive Medicine and Public Health
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    • 제33권1호
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    • pp.76-82
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    • 2000
  • Objectives : We attempted to assess He accuracy of ICD codes for cerebrovascular diseases in medical insurance claims (ICMIC) and to investigate the reasons for error. This study was designed as a preliminary study to establish a nationwide surveillance system. Methods : A total of 626 patients with medical insurance claims who indicated a diagnosis of cerebrovascular diseases during the period from 1993 to 1997 was selected from the Korea Medical Insurance Corporation cohort (KMIC cohort: 115,600 persons). The KMIC cohort was 10% of those insured who had taken health examinations in 1990 and 1992 consecutively. The registered medical record administrators were trained in the survey technique and gathered data from March to May 1999. The definition of cerebrovascular diseases in this study included cases which met ore of two criteria (Minnesota, WHO) or 'definite stroke' in CT/MRI finding. We questioned the medical record administrators to explain the error if the final diagnoses were not coded as stroke. Results : The accuracy rate of the ICMIC was 83.0% (425 cases) Medical records were not available for 8.2% (51 cases) due to the closing of hospitals, the absence of a computer system or omission of medical record, etc. Sixty-three cases (10.0%) were classified as impossible to interpret due to insufficient records in 'major clinical symptoms' or 'neurological deficits'. The most common reason was 'to meet review criteria of medical insurance benefits (52.9%)'. The department where errors in the ICMIC occurred most frequently was the department for medical insurance claims in the hospital. Conclusion : The accuracy rate of the ICMIC was 83.0%.

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한의과대학의 예방(사회)의학 관련 교과목의 교육과정 및 표준화방안 (Curriculum and Standardization of Preventive Medicine Education in Traditional Korean Medicine)

  • 고성규;신용철
    • 대한예방한의학회지
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    • 제12권2호
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    • pp.73-83
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    • 2008
  • The rapid change of the health and medical environment and the globalization of medicine has driven doctors to converge and analyse of new and up-to-date medical information and decide to what to make decision for diagnosis and treatments in clinical practice. Medical environment goes with the changes with social environment such as rapid increase of aging population, changes of disease pattern, formation of new area of experts except doctors, government intervention for the medical system, medical insurance of the charges of medical treatment, a increased desire for human rights. These trends should be adopted rapidly to the education system for the students of medical school. The learning objectives of the preventive medicine was developed in 1995 and underwent necessary revision of the contents to create the first revision in 2006. However, the required educational contents of health promotion and disease prevention have been changed by the new trends of medical education such as PBL and integrated curriculum and the 2006 revision does not satisfy these needs. We formed a task force which surveyed all the Western and Traditional Korean medical colleges to describe the state of preventive medicine education in Korea, analyzed the changing education demand according to the change of health environment and quantitatively measured the validity and usefulness of each learning objective in the previous curriculum. With these results, for the good education for preventive medicine, each Traditional Korean medicine schools need more preventive medicine faculties and teaching assistants and opening of some required subjects such as Yangsaeng and Qigong. And future studies of the learning process and ongoing development of teaching materials according to the new learning objectives should be undertaken with persistence in order to ensure the progress of preventive medicine education.

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765kV 신가평, 신태백 변전소 예방진단시스템 (Preventive diagnostic system for 765kV Sin-Ga-Pyong and Sin-Tae-Baek substations)

  • 권동진;심응보;정길조;김범진;김종화;유연표;은종영;신한철
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2002년도 하계학술대회 논문집 C
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    • pp.1694-1697
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    • 2002
  • KEPCO is planing to adopt a preventive diagnostic system to obtain the reliability of transformer and GIS in 765kV substation. KEPRI has developed the preventive diagnostic system for 765kV substation since 1997. We used various sensors and fault detecting devices such as a dissolved gas analyzer in oil, a ultrasonic detector and LA leakage current detector, etc., and carried out adaptation tests at the both a laboratory and a site. We developed a data acquisition system, a communication control unit and a server system as well. Furthermore, monitoring program and diagnostic expert system were also developed. This paper describes the preventive diagnostic system for 765kV Sin-Ga-Pyong and Sin-Tae-Baek substations which will be operated from 2004.

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Predictive and Preventive Maintenance using Distributed Control on LonWorks/IP Network

  • Song, Ki-Won
    • International Journal of Safety
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    • 제5권2호
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    • pp.6-11
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    • 2006
  • The time delay in servo control on LonWorks/IP Virtual Device Network (VDN) is highly stochastic in nature. LonWorks/IP VDN induced time delay deteriorates the performance and stability of the real-time distributed control system and hinders an effective preventive and predictive maintenance. Especially in real-time distributed servo applications on the factory floor, timely response is essential for predictive and preventive maintenance. In order to guarantee the stability and performance of the system for effective preventive and predictive maintenance, LonWorks/IP VDN induced time delay needs to be predicted and compensated for. In this paper position control simulation of DC servo motor using Zero Phase Error Tracking Controller (ZPETC) as a feedforward controller, and Internal Model Controllers (IMC) based on Smith predictor with disturbance observer as a feedback controller is performed. The validity of the proposed control scheme is demonstrated by comparing the IMC based on Smith predictor with disturbance observer.

Preventive and Emergency Control of Power System for Transient Stability Enhancement

  • Siddiqui, Shahbaz A.;Verma, Kusum;Niazi, K.R.;Fozdar, Manoj
    • Journal of Electrical Engineering and Technology
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    • 제10권1호
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    • pp.83-91
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    • 2015
  • This paper presents preventive and emergency control measures for on line transient stability (security) enhancement. For insecure operating state, generation rescheduling based on a real power generation shift factor (RPGSF) is proposed as a preventive control measure to bring the system back to secure operating state. For emergency operating state, two emergency control strategies namely generator shedding and load shedding have been developed. The proposed emergency control strategies are based on voltage magnitudes and rotor trajectories data available through Phasor Measurement Units (PMUs) installed in the systems. The effectiveness of the proposed approach has been investigated on IEEE-39 bus test system under different contingency and fault conditions and application results are presented.

예방의학의 발전 방향 (Preventive Medicine in Times of a Rapid Epidemiologic Transition in Korea)

  • 박정한
    • Journal of Preventive Medicine and Public Health
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    • 제39권1호
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    • pp.2-6
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    • 2006
  • Ever since the foundation of the Korean Society for Preventive Medicine in 1947, members of the Society had made remarkable contributions to the public health development and national health promotion. They had played key roles in establishing national health system, improving environmental hygiene, controlling infectious and chronic diseases, promoting family planning, improving industrial and environmental health, and developing health service management. However, the Society had less actively responded to the changes in health service needs of the population that were caused by a rapid epidemiologic transition in last a few decades. Early detection and treatment of chronic diseases including cancer and cardiovascular diseases and risk reduction by the life style modification are major approaches to the contemporary national health problems and they are the core contents of preventive medicine. The author proposed to develop the clinical preventive medicine specialist who will have additional training in clinical medicine for health screening and life style modification to the current preventive medicine training program and thus will be able to provide comprehensive preventive medical services. Another area that the Society may take the initiative is training preventive medicine specialist in the disaster, including bioterrorism, preparedness and management. The Society should be more active in proposing health policy and health service program and also participate collectively in a large scale health research project of the government. These approaches may not only contribute more effectively to the national health promotion but also improve the identity of the Society.

새로운 한의학 병인분류체계의 연구 (The New Etiologic Classification System of Korean Medicine)

  • 박해모;이기남;황귀서;신용철;고성규;이해웅;이영준;임병묵;이상재;정명수;장보형;박선주;이선동
    • 대한예방한의학회지
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    • 제17권2호
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    • pp.47-68
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    • 2013
  • Objectives : This research aimed to develop a new etiologic classification for traditional Korean Medicine in order to respond to the social and environmental change. Methods : We reviewed the existing theories on etiological classification for East Asian Medicine thoroughly and discussed the problems and limitations. Based on the experts' consensus, we abstracted disease factors and etiologic items. Results : The disease factors are classified into three parts: the human body, the environment, and the interaction between the human body and the environment. We defined them as the inner factor, the external factor, and the interaction between the inner and the external factors. The inner factor is free from the influence of the environment, and it causes diseases solely from the components of the human body. It is divided into genetic factors. The external factor is defined as a case when a disease occurs due to a factor outside the human body and includes external injuries, environmental pollution, and natural disasters. The interaction between the inner and the external factors is a disease factor that causes diseases by the interaction of the human body and the environment and includes emotions, habits, and social environment. As a result of the analysis, it was possible to see the meanings at a single glance as the scattered and fractional meanings were integrated with focus on medicinal herbs, but the increasing number of analyzed medicinal herbs tended to more and more complicate their relationships, thus, requiring additional work like filtering. Conclusions : The new etiologic classification of Korean Medicine fully reflects the perspectives on life in Korean Medicine while embracing the changes in modem society. Also, by avoiding the usage of ambivalent terms and wrong classification methods, the new classification system constructs intuitive and concise etiology and improves usability in clinical medicine.