• Title/Summary/Keyword: standard of diagnosis

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Study of The Diagnostic Indicators of Deficiency of Eum Pattern Identification In Stroke Patients (중풍환자의 음허변증 진단지표에 관한 연구)

  • Kang, Kyung-Won;Go, Ho-Yeon;Kang, Byeong-Kab;Kim, Jeong-Chul;Go, Mi-Mi;Kim, Bo-Young;Seol, In-Chan;Lee, In;Jo, Hyun-Kyung;Choi, Sun-Mi
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.21 no.6
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    • pp.1655-1659
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    • 2007
  • The purpose of this study was to investigate that which symptoms are adequate indicator of the deficiency of Eum pattern in the stroke patients. In the time period Dec. 2006 to Aug. 2007, 479 patients with a first-ever stroke admitted in the department of Internal Medicine of 12 Oriental Medical Hospitals were included. Patients were hospitalized within 1 months after the onset of stroke. Stroke patients had been interviewed by resident who studied standard operation procedures in Fundamental Study for Standardization and Objectification of Differentiation and Pattern Identification of Syndrome of Oriental Medicine for Stroke. Eum-deficiency patients was confirmed by medical specialist diagnosis, resident diagnosis, case report form analysis without a dissenting voice. Deficiency of Eum group included 65 case, Non Eum group 414 case out of 479 patients. dryness of mouth, short and rapid purse, white face and reddish zygoma, mirror-like tongue were higher among Eum group. Eum and Non Eum patients do not significantly differ in reddened tongue, dryness in tongue, night sweat, palpitation, afternoon tidal heat, palmar heat, sores of the mouth or tongue. This study was insufficiency because sample size is very small. More data from prospective cohort studies will help to Korean Standard Differentiation of the Symptoms and Signs for the Stroke.

Study of The Indicators of Gi Deficiency Pattern Identification In Stroke Patients (중풍환자의 기허변증지표에 관한 연구)

  • Go, Ho-Yeon;Kang, Kyung-Won;Kang, Byung-Gab;Go, Mi-Mi;Kim, Bo-Young;Moon, Jin-Seok;Cha, Min-Ho;Seol, In-Chan;Lee, In;Jo, Hyun-Kyung;Choi, Sun-Mi
    • Korean Journal of Oriental Medicine
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    • v.12 no.3 s.18
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    • pp.69-77
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    • 2006
  • Background and Purpose The purpose of this study was to confirm that what symptoms are adequated indicator in the Gi-Deficiency patients. Methods In the time period July. 2005 to Sep. 2006, 136 patients with a first-ever stroke admitted in the department of Internal Medicine of Daejeon University Oriental Medical Hospital in Daejeon city, Wonkwang Oriental Medical Hospital in Iksan, JeonJu city were included. Patients were hospitalized within 3 months after the onset of stroke. Stroke patients had been interviewed by resident who studied standard operation procedures in Fundamental Study for Standardization and Objectification of Differentiation and Pattern Identification of Syndrome of Oriental Medicine for Stroke. Gi-deficiency patients was confirmed by medical specialist diagnosis, resident diagnosis, case report form analysis without a dissenting voice. Results Gi deficiency group included 23 case, Non Gi deficiency group 47 case out of 136 patients. Fatigue, weakness purse, somnolence, low voice, difficulty of uprise, pale face, pale tongue were higher among Gi deficiency group. Gi deficiency and Non Gi deficiency patients do not significantly differ in white coating tongue, light-red tongue, poor appetite, frequent sweating, teeth printed tongue. Conclusions This study was insufficiency because sample size very small. More data from prospective cohort studies will help to Korean Standard Differentiation of the Symptoms and Signs for the stroke.

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QUANTITATIVE ANALYSIS OF THE ALVEOLAR BONE CHANGE BY THE DIGITAL SUBTRACTION RADIOGRAPHY (Digital subtraction radiography를 이용한 치조골 변화의 정략적 분석)

  • Ryue, Myung-Girl;Chung, Hyun-Ju
    • Journal of Periodontal and Implant Science
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    • v.25 no.1
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    • pp.67-75
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    • 1995
  • The progress of periodontal disease and the wound healing process after treatment result in alveolar bone bone change. So, detection of it is very important in the diagnosis and the radiograph of periodontal disease. Various effects have been made to assess the subtle alveolar bone change and digital subtraction radiography (DSR) has been reported to be the best method in evaluating it qualitatively and quantitatively. The present study was performed to estimate the detectable alveolar bone change qualitatively with digital subtraction radiography. For the in vitro study, 10 intraoral standard radiographs were taken from porcine dry mandible which a rectangular cortical bone chip of 0.1mm to 1.0mm thickness with 0.1mm increment was attached on the buccal surface. The radiographs without and with bone plates were reviewed at the same time by 10 observers and requested to detect the presence of cortical bone plates. Digital Subtraction radiograph was reviewed subsequently by using the DSR system(digital converter-256 grey-levels,DT 2851,Data Translation Co., U.S.A;IBM 386 ; CCD camera, FOTOVIX, Tamrom Co., Japan). The detectable thickness of cortical bone plate was O.4mm on the intraoral radiograph and 0.2mm on the subtaction images. For the human study, radiographs were taken from patients by using intraoral film holding device and aluminum reference wedge before and 3 month after bone graft and 1 week after osteoplasty. The grey level change was estimated in the subtraction images and calculated to aluminum equivalent thickness. The grey level of the grafted site was higher that that of healthy controls. Average grey levels of change on healthy controls were O.48mm aluminum equivalent. However, the amount of changes in grafted sites were 1.87mm aluminum thickness equivalent and in the site of osteoplasty were -1.49mm aluminum thickness equivalent. In conclusion, digital subtraction radiography was more effective in detecting as subtle change of alveolar bone than intraoral standard radiography. With the aid of quantitative analysis of digital subtraction radiography, alveolar bone resorption of apposition can be estimated during diagnosis and treatment of periodontally diseased patients.

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An Analysis on the Actual Condition of Indoor Air Quality in Rural House (농촌지역 노후주택의 실내공기환경 실태분석 연구)

  • Park, Roun;Cho, Sukyeong;Kim, Sangbum
    • Journal of the Korean Institute of Rural Architecture
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    • v.22 no.2
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    • pp.9-17
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    • 2020
  • The ratio of the deterioration housing in rural area was 29.6%, but it was 18.3% in urban area based on a 2018 survey. In consideration of the point, this study aims to analyze the actual condition of indoor air quality in rural houses to provide basic data for improving the indoor air environment. It was investigated 15housings of Hongseong-gun, Chungchengnam-do. To investigate the correlation between indoor air quality and housing type, both the field survey of housing type and precision diagnosis of concentration of indoor air pollutants such as HCHO, TVOC, Fine dust(PM-10, PM-2.5), CO2, Radon. The results of this study are as follows. First, according to the average value of each element of rural old housing, the construction year was distributed in 1939~2004, and 12households(80%) living in houses older than 30years have passed for about 46years. As for the housing area, more than 12houses(80%) of 60㎡ or more and 3 houses (20%) of less than 60㎡ were often living in relatively small-scale housing. Second, as a result of measuring indoor air pollutants in rural houses, substances exceeding the standard values were found in HCHO, TVOC, CO2. Third, in the case of Fine dust and Radon, none of such factors were exceeded the standard. Fourth, there was no significant difference in indoor air quality depending on housing type in rural houses. This paper is expected to contribute to the regional development projects and effective implementation of rural policies.

The Case and Implications of Terminology Mapping for Development of Dankook University Hospital EHR-Based MOA CDM (단국대학교병원 EHR 기반 MOA CDM 구축을 위한 용어 매핑 사례와 시사점)

  • Yookyung Boo;Sihyun Song;Jihwan Park;Mi Jung Rho
    • Korea Journal of Hospital Management
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    • v.29 no.1
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    • pp.1-18
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    • 2024
  • Purposes: The Common Data Model(CDM) is very important for multi-institutional research. There are various domestic and international CDM construction cases to actively utilize it. In order to construct a CDM, different terms from each institution must be mapped to standard terms. Therefore, we intend to derive the importance and major issues of terminology mapping and propose a solution in CDM construction. Methodology/Approach: This study conducted terminology mapping between Electronic Health Record(EHR) and MOA CDM for constructing Medical Record Observation & Assessment for Drug Safety(MOA) CDM at Dankook University Hospital in 2022. In the process of terminology mapping, a CDM standard terminology process and method were developed and terminology mapping was performed by applying this. The constructions of CDM mapping terms proceeded in the order of diagnosis, drug, measurement, and treatment_procedure. Findings: We developed mapping guideline for CDM construction and used this for mapping. A total of 670,993 EHR data from Dankook University Hospital(January 1, 2013 to December 31, 2021) were mapped. In the case of diagnosis terminology, 19,413 were completely mapped. Drug terminology mapped 92.1% of 2,795. Measurement terminology mapped 94.5% of 7,254 cases. Treatment and procedure were mapped to 2,181 cases, which are the number of mapping targets. Practical Implications: This study found the importance of constructing MOA CDM for drug side effect monitoring and developed terminology mapping guideline. Our results would be useful for all future researchers who are conducting terminology mapping when constructing CDM.

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Study of Developing SOP for Extracting Stable Vocal Features for Accurate Diagnosis (음성의 안정적 변수 추출을 위한 SOP 개발 연구)

  • Kim, Keun-Ho;Jang, Jun-Su;Kim, Young-Su;Kim, Jong-Yeol
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.25 no.6
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    • pp.1108-1112
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    • 2011
  • Voice can be widely used to classify the four constitution types and to recognize one's health condition from extracting meaningful features as physical quantity in traditional Korean medicine or Western medicine. In this paper, we proposed the method to update the standard operating procedure (SOP) to acquire and record voices for extracting stable vocal features since they are sensitive to the variation of a subject's utterance. At first, we obtained pitch frequencies from vowels and the sentence and intensity form the sentence as features with voices acquired under subjects' utterance conditions and then the deviation ratios of features from median values according to the utterance conditions were obtained and the condition to minimize the ratio was selected as a new SOP. As a result, we decided the SOP for a subject to utter vowels with the length of 2s~1s and sentences with over 2s interval between them after practice, in consideration of the deviation and qualitative requirements. Stable voice features obtained from updated SOP produce accurate diagnosis, which will be developed and simplified for using in the u-Healthcare system of personalized medicine.

When Are Circular Lesions Square? A National Clinical Education Skin Lesion Audit and Study

  • Miranda, Benjamin H.;Herman, Katie A.;Malahias, Marco;Juma, Ali
    • Archives of Plastic Surgery
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    • v.41 no.5
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    • pp.500-504
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    • 2014
  • Background Skin cancer is the most prevalent cancer by organ type and referral accuracy is vital for diagnosis and management. The British Association of Dermatologists (BAD) and literature highlight the importance of accurate skin lesion examination, diagnosis and educationally-relevant studies. Methods We undertook a review of the relevant literature, a national audit of skin lesion description standards and a study of speciality training influences on these descriptions. Questionnaires (n=200), with pictures of a circular and an oval lesion, were distributed to UK dermatology/plastic surgery consultants and speciality trainees (ST), general practitioners (GP), and medical students (MS). The following variables were analysed against a pre-defined 95% inclusion accuracy standard: site, shape, size, skin/colour, and presence of associated scars. Results There were 250 lesion descriptions provided by 125 consultants, STs, GPs, and MSs. Inclusion accuracy was greatest for consultants over STs (80% vs. 68%; P<0.001), GPs (57%) and MSs (46%) (P<0.0001), for STs over GPs (P<0.010) and MSs (P<0.0001) and for GPs over MSs (P<0.010), all falling below audit standard. Size description accuracy sub-analysis according to circular/oval dimensions was as follows: consultants (94%), GPs (80%), STs (73%), MSs (37%), with the most common error implying a quadrilateral shape (66%). Addressing BAD guidelines and published requirements for more empirical performance data to improve teaching methods, we performed a national audit and studied skin lesion descriptions. To improve diagnostic and referral accuracy for patients, healthcare professionals must strive towards accuracy (a circle is not a square). Conclusions We provide supportive evidence that increased speciality training improves this process and propose that greater focus is placed on such training early on during medical training, and maintained throughout clinical practice.

Algorithm development of automatic symptom degree for Patient with Hallux Valgus (무지외반증 환자의 증상정도의 자동분류 알고리즘 개발)

  • Han, Hyun-Ji;Lee, Sang-Sik
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.4 no.2
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    • pp.96-102
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    • 2011
  • In this study, we performed algorithm development of automatic symptom degree for patient with hallux valgus one of the representative foot disease of morden. And this study proposes an efficient automated technique that is different from the original analog diagnosis for treatment and surgery of hallux valgus using digital image process. And we used X-Ray images of both a normal and a patient with hallux valgus in the procedure. First, we marked the standard angle on the X-Ray image of normal through Overlap & Add technique. Then we created a standard image through thinning filter and roberts filter(edge detection algorithm). Second, we used sobel filter of edge detection algorithm on the X-Ray image of patient. Moreover, we went another overlap & add technique procedure with both normal and patient image that we made. With the output, we projected the display detection image onto the screen. Finally, with the display detection image, we could measure and project the diagnosis angle of hallux valgus. And this confirms that this method is much more practical and applicable for another orthopedics disease than the prior one.

치과용 DICOM encoder와 viewer의 특성과 개발

  • Lee, Seung-Won;Ju, Seong-Dae;Lee, Seok-Yeong;Gang, Seung-Hun
    • The Journal of the Korean dental association
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    • v.43 no.1 s.428
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    • pp.41-52
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    • 2005
  • Information Technology has extended its scope to the medical field as well as dental field. Like medical field, network ststem for dental field requires acquisition, storage, and display of images. However, unlike the medical field, the system to integrate several information including medical images has not been developed according to industrial standard for management of digital image for medical use, so called DICOM conformance. which makes the digital environment in dental field more and more difficult and expensive for this standardization and comfortable communication in LAN and WAN. To solve this problem, the DICOM encoder and server has to be developed because the DICOM file can be easily retrieved with patient's information from the DICOM server in the system as DICOM file has the standard specification to integrate the patient's information. The information including image and other discrete data can be easily integrated in DICOM file and can be used without any difficulty for precise diagnosis and for contribution to the decision making for each treatment protocol. Therefore, the system composed of DICOM encoder and server in dental practive for DICOM file must be developed with prudent consideration of the several strategic factors: I) Enhanced diagnostic capability through the integrated information of image and clinical data. ii) Clinician-friendly interface to simulate the systemic treatment procedure in clinical practice iii) Implementation of multidisciplinary treatment protocol The development of DICOM encoder and server based on these strategic considerations will provide paperless and filmless hospital environments by the seamless integration and management of patient's history, several clinical data and clinical images through image processing for quantitative analysis. The system also allows clinicians to provide more predictable dental care for the patients.

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A Study of DES(Data Encryption Standard) Property, Diagnosis and How to Apply Enhanced Symmetric Key Encryption Algorithm (DES(Data Encryption Standard) 속성 진단과 강화된 대칭키 암호 알고리즘 적용방법)

  • Noh, Si Choon
    • Convergence Security Journal
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    • v.12 no.4
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    • pp.85-90
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    • 2012
  • DES is a 64-bit binary, and each block is divided into units of time are encrypted through an encryption algorithm. The same key as the symmetric algorithm for encryption and decryption algorithms are used. Conversely, when decryption keys, and some differences may apply. The key length of 64 bits are represented by two ten thousand an d two 56-bit is actually being used as the key remaining 8 bits are used as parity check bits. The 64-bit block and 56-bit encryption key that is based on a total of 16 times 16 modifier and spread through the chaos is completed. DES algorithm was chosen on the strength of the password is questionable because the most widely available commercially, but has been used. In addition to the basic DES algorithm adopted in the future in the field by a considerable period are expected to continue to take advantage of the DES algorithm effectively measures are expected to be in the field note.