• Title/Summary/Keyword: 임상경로 개발

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Deveolping clinical pathways of acute appendicitis patients in emergency room (응급실 급성 충수염 환자의 임상경로 개발)

  • Park, Cheol-Yong;Kim, Yoon-Nyun;Choi, Hyun-Seok;Shin, A-Mi
    • Journal of the Korean Data and Information Science Society
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    • v.21 no.3
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    • pp.427-435
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    • 2010
  • In this study, we develop clinical pathways for test and medical treatment items of acute appendicitis patients in emergency room. In order to develop the clinical pathways, we first employ the order selection method by Park et al. (2010), and then display the selected orders in such a way that associated orders are tied together. More specifically the order selection method that we employ is based on lift and, starting from the orders with higher frequencies, sequentially removes the negatively associated orders with lift values less than 0.9. The way associated orders are selected and tied together is similar to that of the order selection method. More specifically, starting from the selected orders with higher frequencies, the orders with lift values greater than 1.1 are considered associated and displayed to the right of the corresponding order. Therefore, in the diagram of clinical pathways, the orders at the left hand side, in principle, are not associated with each other and upper orders have higher frequencies, and associated orders are located to the right of corresponding order at the left hand side and more left orders, in principle, have higher frequencies.

Order selection method for clinical pathway development in acute appendectomy (맹장염 수술에서 임상경로 개발을 위한 처방 선택 방법)

  • Park, Cheol-Yong;Kim, Tae-Yoon
    • Journal of the Korean Data and Information Science Society
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    • v.21 no.1
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    • pp.43-50
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    • 2010
  • In this study, we propose a new order selection method for clinical pathway development in acute appendectomy. This method is based on the lift concept which is popular in association rule discovery and, starting from the orders with more frequencies, sequentially removes the negatively associated orders which have lift values somewhat less than one. The orders in acute appendectomy we consider in this study are test and medical treatment items respectively, and since there are different order patterns before, during, and after operation, three different order selections are made for each. The selection results are somewhat different from those selected only by the order of more frequencies. Specifically, the selection results of two methods are different in 1 or 2 orders for medical treatment items and in maximum 5 orders for test items, respectively.

Clinical Decision Support System for Identification of Anaerobe (혐기성 동정을 위한 임상의사결정 지원시스템 개발)

  • Shin Yong-Won
    • The Journal of the Korea Contents Association
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    • v.5 no.6
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    • pp.20-30
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    • 2005
  • In the anaerobe identification, when we develop the clinical decision support system for department of laboratory medicine, we must consider expression of an incomplete knowledge structure and addition of an evolving knowledge based on an expert's informal and heuristic knowledge is very complicated work flow. In the present study, we developed the system for anaerobe identification to advise on identification of unknown bacillus using knowledge base and inference engine. In the future, we are planning to develop the clinical decision support system for the whole bacteria not only an anaerobe but also aerobe to offer an expert's static and dynamic knowledge.

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Validation of a Path Model on Clinical Practice Competency of the Nursing Students (간호학생의 임상수행능력 경로모형 분석)

  • Kwon, Yunhee;Kwag, Oh-Gye
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.10
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    • pp.4572-4581
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    • 2012
  • This study examined the fitness of a path model on the relationship among critical thinking, career identity, nursing professional self-concept, satisfaction of clinical practice, and clinical practice competency for nursing students. The subjects consisted of 581 nursing students and data was collected through self-report questionnaires. The data was analyzed by the SPSS and AMOS programs. Critical thinking, career identity, nursing professional self-concept, and satisfaction of clinical practice showed a direct effect on clinical practice competency for nursing students. Critical thinking and career identity showed an indirect effect on clinical practice competency for nursing students. Critical thinking and career identity showed a direct effect on nursing professional self-concept and satisfaction of clinical practice for nursing students. We consider the cause which affects the clinical practice competency of student nurses and study on the reasonable and effective curriculum and teaching and learning program.

Path analysis of major satisfaction, clinical competence, career decision-making self-efficacy, and career decision level in undergraduate nursing students (간호 대학생의 전공만족도, 임상수행능력, 진로결정 자기효능감과 진로결정 수준 간의 경로분석)

  • Lee, Ji-Won;Lee, Nae-Young;Eo, Yong-Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.1
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    • pp.311-320
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    • 2018
  • This study was conducted to investigate the relationship among major satisfaction (MS), clinical competence (CC), career decision-making self-efficacy (CDMS), and career decision level (CDL) for undergraduate nursing students. A self-report instrument was used to measure MS, CC, CDMS, and CDL. Questionnaires were completed by 307 nursing students in three nursing colleges, and path analysis was employed to validate the proposed model and analyze the causal relationships among variables. Four constructs (MS, CC, CDMS, and career decision) were analyzed. To build a path model, MS and CC were linked to CDMS and career decision. The initial analysis suggested that the modification needed modification; therefore, a covariance link was added. The overall goodness of fit for indices indicated satisfactory path analysis. The indices were revealed as $x^2=2412$, GFI=0.996, AGFI=0.961, and RMSEA=0.068. As a result, the proposed model was acceptable with a good fit, and there were significant direct and indirect effects of paths in the model. Specifically, MS and CC had a direct influence on CDMS, and MS and CDMS directly affected CDL. Moreover, MS and CC had indirect effects on CDL through CDMS. These results imply that students' CDMS should be seriously considered when designing counseling programs for career guidance, and substantiality of CC education is needed to improve CDMS. These results may provide a practical guideline to provide educational intervention for nursing students.

A Convergence Study about the Effect Path of Satisfaction with Biological nursing science on Clinical competence (기초간호학만족도가 임상수행능력에 미치는 효과 경로에 관한 융합 연구)

  • Lim, Jung-hye
    • Journal of the Korea Convergence Society
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    • v.10 no.7
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    • pp.421-429
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    • 2019
  • This study is convergence study about the effect path of relationship among satisfaction with biological nursing science, satisfaction with major nursing subject, critical thinking disposition, satisfaction with major and clinical competence. The survey was performed on 203 nursing students in three college. Data was collected using a structured questionnaires in May 2018 and analysed with PASW 18.0 and AMOS 18.0. Model fit indices were in good agreement with recommended level(${\chi}^2/DF=1.093$, GFI=.992, AGFI=.968, RMSEA=.021, CFI=.998, NFI=.983). Base on the path model, satisfaction with biological nursing science showed a direct effect on satisfaction with major nursing subject(${\beta}=.345$), satisfaction with major nursing subject showed a direct effect both on critical thinking disposition(${\beta}=.272$) and satisfaction with major(${\beta}=.277$), critical thinking disposition showed a direct effect both on satisfaction with major(${\beta}=.365$) and clinical competence(${\beta}=.582$), satisfaction with major a direct effect on clinical competence(${\beta}=.228$). In conclusion the biological nursing science satisfaction has eventually improved clinical competence. Therefore, it is necessary to develop and apply various teaching methods that can increase satisfaction with biological nursing science.

Development of a Critical Pathway for Patients with Lobectomy and Pneumonectomy (폐절제술 환자의 표준임상경로지(Critical Pathway) 개발)

  • Kim, So-Sun;Kim, In-Sook;Roh, Jeong-Sook
    • Journal of Korean Academy of Nursing Administration
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    • v.10 no.3
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    • pp.345-364
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    • 2004
  • Purpose: This is develop a critical pathway as an useful alternative to the previous management system in order to restriction of medical resources, high expectation of ordinary people to health and application for DRG. Method: In order to preliminary critical pathway, we analyzed 30 cases of medical records of patients who had lobectomy and pneumonectomy at the Yonsei Medical Center in Seoul. An expert validity test was taken for the preliminary critical pathway, and clinical validity test was also done. After these processes, the final critical pathway was developed. Result: Among 10 cases, one was excluded in this study due to the complication after operation. 7 of total 9 patients were discharged earlier than the expected day, 1 patient was just discharged at the expected day, and 1 patient was discharged 4 days later than the expected day at the 12th day after operation. Conclusion: The critical pathway is developed without difficulty because the posoperative management for patients with lobectomy and pneumonectomy is uncomplicated. Therefore, if it is more researched on the clinical application, then the activity of C.Q.I. will be able to sustain the patient oriented management system.

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Developing a Clinical Pathway of Korean Medicine for Managing Patients with Depression (우울증 환자 진료를 위한 한의표준임상경로 개발 연구)

  • Dohyung Kwon;Yunna Kim;Seung-Ho Lee;Seung-Hun Cho
    • Journal of Oriental Neuropsychiatry
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    • v.34 no.1
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    • pp.1-12
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    • 2023
  • Objectives: To standardize treatment, improve quality of medical service, and reduce medical costs of patients with depression by developing a clinical pathway (CP) of Korean medicine. Methods: CP was developed based on clinical practice guideline (CPG) for depression. To consider the degree of economic burden and satisfaction, the current status of management for patients with depression was examined. After CP was primarily developed, contents of the CP were supplemented by referring to previously developed CPs. Results: Based on CPG, current status survey and previous CP, four types of CP (Korean medicine clinics, Korean medicine hospitals, Western-Korean medicine collaborative hospitals, public medical center) were developed and shown in the algorithm version. However, in the case of Korean medicine hospitals and Western-Korean medicine collaborative hospitals, CPs were detailed according to different clinical scenes of outpatients and inpatients. This study also shows six different time task matrix version. Conclusions: CP for depression is expected to not only reduce financial burden of patients and health insurance, but also increase the quality of treatment and satisfaction.

Multipath Routing Algorithm for Wireless Sensor Networks Using Dual Channel Routers (이중 채널 라우터를 사용하는 무선 센서네트워크를 위한 다중경로 라우팅 알고리즘)

  • Hah, Ki-Jong;Yoo, Seung-Sik;Lim, Sang-Min;Kim, Brian
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.11 no.4
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    • pp.833-839
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    • 2007
  • In case of wireless sensor networks being applied to a target environment having continuous data transfer, high-speed data transmission and processing is necessary to meet increased bandwidth needs. This paper proposes a novel multipath routing algorithm to increase the bandwidth of continuous data stream for the wireless sensor network using dual channel routers. We evaluate performance of the proposed algorithm in the wireless sensor network using the dual channel touter based on ZigBee protocol. According to the experimental evaluation, the proposed algorithm showed outstanding performance enhancement with the bandwidth of 150kbps, which is about twice of existing single channel router.

A study on detection of abdominal coldness areas based on thermal images and palpation data (열화상 및 한의사 촉진 데이터 기반 복부 냉감 영역 검출 연구)

  • Kim, Keun Ho;Seo, Jeong Woo
    • Proceedings of the Korea Information Processing Society Conference
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    • 2022.05a
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    • pp.283-285
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    • 2022
  • 한의사의 복진을 모사하는 진단기기와 이를 이용하여 질환과 변증을 분류하는 알고리즘을 개발하는 연구가 진행되고 있다. 진행되는 연구에서 열화상에서의 복부 냉감 영역 검출 방법이 제시되었다. 이 연구에서 열화상을 획득하고, 한의사의 촉감 데이터를 획득하여 이를 비교하여, 딥러닝 알고리즘을 적용하여 열화상을 가지고 복부 냉감 영역을 찾는 방법을 제시하였다. 배경, 복부, 냉감 영역의 IOU 결과로 95.6%, 70.3%, 36%의 일치도를 보여주었다. 이는 신뢰성 있는 복진기기로 가는 필수적 경로이다.