• 제목/요약/키워드: quality diagnosis

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안면형상을 활용한 사상체질 진단 연구에 관한 체계적 고찰 (Systematic Review on Researches of Sasang Constitution Diagnosis Using Facial Feature)

  • 이선영;고병희;이의주;이준희;황민우
    • 사상체질의학회지
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    • 제24권4호
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    • pp.17-27
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    • 2012
  • Objectives : This study proposes developing Sasang Medical Diagnosis Program using Facial form for increase in Sasang Constitution Diagnosis objectivity and putting the Diagnosis Program into practical use. The author presents a review of extant research on Sasang constitution diagnosis utilizing facial feature analysis and suggests an agenda for further research. Methods : For this thesis, a collection of dissertations on the subject of 'Usage of facial form for constitution diagnosis' published until September of 2012 such as RISS4U, OASIS, KISTI, Korean TK were reviewed. The final 33 dissertations were classified into two categories, basic or clinical research and then analyzed. Results : 9 out of 33 dissertations were of basic research and 24 were of clinical research. 1) As result of review of references, a uniform tendency was found in facial form according to Sasang Constitution. 2) In the grade of practical use, facial element is repeatedly used and the facial element of important use has constitutional differences. 3) Standard faces per Sasang Constitution were derived as result of 2-dimensional research. 4) 3-dimensional research focused on improvement of accuracy and reliability of 3D-AFRA, and there has been an attempt to develop a prototype for identification. Conclusions : For practical use of facial feature in Sasang Constitution Diagnosis, 1) Standardization of diagnosis through establishing Sasang Medical Diagnosis clinical protocol must be preceded. After the standardization, practical purpose and direction of facial form in general may be decided. 2) Information on high quality facial form of constitutional and conditional patients must be collected to form extensive database. 3) Subdivided symptomatology, as well as Sasang Constitution must be considered for diagnosis in order for diagnosis technique to acquire clinical practicality.

우리 나라 개원의 고혈압 관리의 질 평가 (Quality Assessment of Hypertension Management of Office-based Physicians in Korea)

  • 조홍준;이상일
    • 한국의료질향상학회지
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    • 제4권1호
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    • pp.36-49
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    • 1997
  • Background : Hypertension is one of the most important risk factors of the cerebrovascular accident and coronary artery disease which are the major causes of mortality in Korea. In Korea, the quality of care provided by office-based physicians has not been evaluated formally. The purpose of this study is to assess the quality of hypertension management of office-based physicians. Method : Self-administered questionnaires were mailed to the office-based physicians with the speciality of internal medicine, general surgery, family medicine, and general practitioners. Among 2,045 physicians, 981 doctors(48.0%) replied the questionnaires. Contents of questionnaires were based on the recommendation from the JNC-V report(the Fifth Report of the Joint National Committee on Detection, Evaluation, and Treatment of High Blood Pressure), and included the criteria of diagnosis, treatment, follow-up interval, and other characteristics of physicians(age, sex, type of speciality, and location of practice). Results : Eighty four percent of the office-based physicians made diagnosis of hypertension with less than 3 times of blood pressure measurements. The performance rate of required examination for hypertensives was very low in most items. Rate of fundoscopic examination is the lowest one among them(5.9%). The performance rate of laboratory examination was also low in most items. Internists tended to order more frequent laboratory examinations than any other type of physicians. Only 11.4% of the physicians did appropriate treatments for the mild hypertension case. The antihypertensives selected by the physicians as a first line drug were in the order of beta blocker(26.4%), calcium channel blocker(23.4%), diuretics(23.1%), ACE inhibitors(14.3%). The visit interval for established hypertensives was very short. Proportion of physicians with follow-up interval longer than 4 weeks was only 4.3%. Conclusions : The overall quality of hypertension management of office-based physicians in Korea is very problematic in many aspects. So further investigations to find out the reasons of low quality arid quality of care should be initiated.

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성인 선천성 심장질환자의 신체상, 자아존중감 및 삶의 질에 관한 연구 (Body Image, Self Esteem and Quality of Life in Grown-up Congenital Heart Patients)

  • 김유정;김금순
    • 재활간호학회지
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    • 제7권2호
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    • pp.127-139
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    • 2004
  • Purpose: This study was to investigate the degree of body image, self esteem and quality of life, to identify general and disease of characteristics on influencing this factors with the intention of providing basal data for developing nursing intervention to promote body image, self esteem and quality of life. Method: Subjects of this study were 91 grown-up congenital heart patients over 18 years in 2 tertiary hospitals. The data on body image, self esteem and quality of life were collected through questionnaire from March to April 2004. The data were analyzed by descriptive statistics, t-test, Pearson's correlation, ANOVA and tukey test using SAS for Windows 8.1 program. Result: 1) The mean scores of body image, self esteem and quality of life were 63.01, 25.29 and 496.79. 2) Body image was correlated with age(p=.0239), educational level(p=.0182), diagnosis(p=.0066), number of operation(p=.0148), cyanosis(p<.0001), complication(p=.0096) and NYHA level(p=.0378). 3) Self esteem was correlated with education level(p=.0026), economic level(p=.0240), number of operation(p=.0113) and cyanosis (p=.0006). 4) Quality of life was correlated with age(p=.0432) and diagnosis(p=.0020), number of operation (p=.0063), duration of last operation(p=.0225), cyanosis(p<.0001), complication(p=.0090) and NYHA level(p<.0001). 5) There was significantly positive relationship between body image, self esteem and quality of life. Subjects with more positive body image had higher self esteem(r=.7897, p<.05) and subjects with higher self esteem had higher quality of life(r=.6091, p<.05).

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수질 모니터링 데이터 기반의 수질센서 자가진단 알고리즘 (Self-diagnosis Algorithm for Water Quality Sensors Based on Water Quality Monitoring Data)

  • 김홍중;김종민;강태형;류갑상
    • 사물인터넷융복합논문지
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    • 제9권1호
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    • pp.41-47
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    • 2023
  • 오늘날, 세계 인구성장률의 증가로 국제사회는 심각하게 식량문제 해결을 논의하고 있다. 식량문제 해결을 위한 대안으로는 양식산업이 대두되고 있다. 최근 양식산업의 혁신성장을 위해 4차 산업기술을 융합한 스마트 양식장이 보급되고 있으며, 전주기적 디지털화가 추진되고 있다. 양식산업에서 중요한 수질센서는 전기화학방식의 휴대용 센서를 사용하고 있으며, 이를 이용하여 개별적, 간헐적으로 수질을 체크하고 있어서 양식장 수질을 실시간 분석하고 관리하기가 불가능하다. 최근 광학 기반의 모니터링이 가능한 수질센서들이 개발되어 현장에 적용되고 있다. 그러나 수질센서의 상태정보를 알 수 없기 때문에 모니터링 데이터의 신뢰성을 보장할 수 없는 상황이다. 따라서, 본 논문에서는 데이터의 신뢰성을 확보할 수 있도록, 수질센서가 수집하는 모니터링 데이터를 기반으로 고장, 기준일탈, 유지보수, 점검 등의 수질센서 자가진단 상태를 파악할 수 있는 알고리즘을 제안한다.

한국인 유방암 경험자의 유방암 진단 후 식사변화: 신체활동, 신체측정치, 그리고 건강관련 삶의 질과의 연관성 (Dietary Changes After Breast Cancer Diagnosis: Associations with Physical Activity, Anthropometry, and Health-related Quality of life Among Korean Breast Cancer Survivors)

  • 송시한;윤현조;정소연;이은숙;김지선;조지형;유영범;문형곤;노동영;이정은
    • 대한지역사회영양학회지
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    • 제21권6호
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    • pp.533-544
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    • 2016
  • Objectives: We aimed to examine levels of physical activity, anthropometric features, and health-related quality of life (HRQoL) among Korean breast cancer survivors who reported changes in their diet after diagnosis. Methods: A total of 380 women who had been diagnosed with stage I to III breast cancer and had breast cancer surgery at least six months before the interview were included. Participants provided information on dietary change after diagnosis, post-diagnostic diet, physical activity, anthropometric measures, and HRQoL through face-to-face interview. We assessed HRQoL levels of breast cancer survivors using a validated Korean version of European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) and Breast Cancer Module (BR23). We used the logistic regression and generalized linear models to identify the associations of dietary changes in relation with physical activity, anthropometry, and HRQoL. Results: The majority of participants (72.6%) reported that they have changed their diet to a healthier diet after diagnosis. Breast cancer survivors who reported to have change to a healthy diet had higher intakes of vegetables and fruits and lower intakes of red and processed meats, and refined grains than those who did not. Also, survivors with a healthy change in their diet were more likely to engage in physical activity (top vs. bottom tertile: odds ratio [OR], 1.85; 95% confidence interval [95% CI], 1.02-3.36) and have lower body mass index (BMI) (OR, 0.90; 95% CI, 0.82-0.98 for one $kg/m^2$ increment in BMI) compared to those who did not. We found that a healthy change in diet was associated with higher scores of physical functioning (p=0.02) and lower scores of constipation (p=0.04) and diarrhea (p=0.006) compared to those who did not. Conclusions: Healthy changes in diet after breast cancer diagnosis may be associated with lower levels of BMI, and higher levels of physical activity and HRQoL.

8체질(體質) 진단(診斷) 전문가(專門家) 시스템 개발을 위한 기초연구(基礎硏究) (A Fundamental Study for 8 Constitution Medicine Diagnosis Expert System Development)

  • 신용섭;박영배;박영재;김민용;이상철;오환섭
    • 대한한의진단학회지
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    • 제11권1호
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    • pp.25-47
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    • 2007
  • Background and Purpose: There was seldom study about method that diagnose 8 Constitution beside method of pulse diagnosis in 8 Constitution Medicine. Objectives: This study is to make out check list for 8 Constitution Medicine Diagnosis Expert System Development used CBR(Case based Reasoning). Methods: Review of literatures about special quality element of 8 Constitution and supplement learning advice of 8 Constitution Medicine Experts constructed knowledge base. And then, knowledge base divided through AHP(Analytic Hierarchy Process), and made out check list with this. Results: Knowledge base based on special quality element of 8 Constitution was divided by 5 greate classification and 25 bisection kind, and check list consisted of 251 item was made out through this. Conclusion: Based on this research, cases necessary to make 8 Constitution Medicine Diagnosis Expert System can be gathered through check list, and further study for 8 Constitution Medicine Diagnosis Expert System Development used CBR(Case based Reasoning) is needed to supplement this research.

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응급실 주진단명과 퇴원시 주진단명의 불일치도 조사 (Survey on Discordance Rate between Final Principal Diagnosis and Principal Diagnosis at Emergency Room)

  • 김광환;서순원;원시연;박석건;김승렬;송화식;김갑득;조혜경;부유경;이현경
    • 한국의료질향상학회지
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    • 제5권2호
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    • pp.216-223
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    • 1998
  • We surveyed the discordance rate of principal diagnosis made at emergency room(ER) & made at ward on discharge of the patients. Subjects were four hundred eighty cases who came to the ER of one third-line hospital from January 1, 1998 to January 31, 1998. The discordance rate was higher in patients admitted to medical department(8.2%) than surgical department(1.5%). If the patients were transferred to other department during hospital stay, discordance rate increased from 3.3% to 6.3%. In conclusion, discordance rate of principal diagnosis made at ER and made at ward was higher in patients with complicated problems. Medical record department should keep these findings in mind if it has a plan to support the management of ER record.

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The Association between Health-related Quality of Life and Depression on Activity Restriction in Osteoarthritis: A Cross-sectional Study

  • Lee, Do-Youn;Kim, Seong-Gil
    • The Journal of Korean Physical Therapy
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    • 제32권6호
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    • pp.329-334
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    • 2020
  • Purpose: The purpose of this study is to provide basic evidence on the need to approach osteoarthritis patients through a psychological factors-considering rehabilitation program by understanding how activity restrictions in osteoarthritis affect health-related quality of life and depression. Methods: This study assessed 3,761 osteoarthritis patients from the Korea National Health and Nutrition Examination Survey. The subjects were divided into two categories: with and without activity restriction. Results: The prevalence of osteoarthritis in women was higher than that of men (men: 19.7%; women: 80.3%), and high BMI increased the prevalence of osteoarthritis. The EQ-5D index of subjects with activity restriction was 0.84±0.18 (points), while in those without activity restriction was 0.93±0.12, and the diagnosis of depression was 15.8%, 8.2%. There was a statistically significant difference in the odds ratio for each item in the EQ-5D. Moreover, the odds ratio for depression with activity restriction was 2.098 compared with no activity restriction. Conclusion: Activity restriction of osteoarthritis patients significantly decreases the health-related quality of life and increase the probability of depression. Therefore, early diagnosis of depression symptoms to prevent deterioration of symptoms in patients with osteoarthritis and to increase compliance with rehabilitation treatment, and to provide arbitration, including treatment that can alleviate depression.

신경회로망을 이용한 회전기계의 고장진단에 관한 연구 (A Study on Defect Diagnosis of Rotating Machinery Using Neural Network)

  • 최원호;양보석
    • 수산해양기술연구
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    • 제28권2호
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    • pp.144-150
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    • 1992
  • This paper describes an application of artificial neural network to diagnose the defects of rotating machiner. Induction motor was used to the object of defect diagnosis. For defect diagnosis, the frequency spectrum of vibration was utilized. Learning method of applied neural network was back propagation. Neural network has following advantage; Once it has been learned, inference time is very short and it can provide a reasonable conclusion regardless of insufficient input data. So, this defect diagnosis system can be used superiorly to rule based expert system as quality inspection of rotating machinery in the shop.

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A Study on the Fault Diagnosis of the 3-D Roll Shape in Cold Rolling

  • Lee, Chang-Woo;Kang, Hyun-Kyoo;Shin, Kee-Hyun
    • Journal of Mechanical Science and Technology
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    • 제18권12호
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    • pp.2174-2181
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    • 2004
  • The metal processing system usually consists of various components such as motors, work rolls, backup rolls, idle rolls, sensors, etc. Even a simple fault in a single component in the system may cause a serious damage on the final product. It is, therefore, necessary to diagnose the faults of the components to detect and prevent a system failure. Especially, the defects in a work roll are critical to the quality of strip. In this study, a new 3-D diagnosis method was developed for roll shape defects in rolling processes. The new method was induced from analyzing the rolling mechanism by using a rolling force model, a tension model, the Hitchcock's equation, and measurement of the strip thickness, etc. Computer simulation shows that the proposed method is very useful in the diagnosis of the 3-D roll shape.