• Title/Summary/Keyword: Diagnosis related group

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심박 변이도 분석을 통한 전중혈(膻中穴) 압진(壓診)과 자율신경실조의 상관성 연구 (Study of the Relation between Palpation of the Jeonjung(膻中, $CV_{17}$) and Autonomic Nerve System by Heart Rate Variability)

  • 하선윤;조성연;장진영;김용석;남상수
    • Journal of Acupuncture Research
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    • 제26권5호
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    • pp.57-63
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    • 2009
  • Objectives : Since the Front Points are treated as response zone, it can be used for the diagnosis and treatment of disease in viscera and bowels. Jeonjung($CV_{17}$) is the Front Point of SIMPO, it is related with cardiovascular, neuro-psychiatrical disease in aspect of Oriental Medicine. This research is for clarifying relations with palpation of the Jeonjung($CV_{17}$) and autonomic nerve system by comparing HRV and SRI(Stress Reaction Index). Methods : This study was proceeded for three months, from June 2009 to September 2009. Among 31 healthy volunteers, 13 subjects who complained the pressure pain around Jeonjung($CV_{17}$) are classified pressure pain group and 18 subjects who had no pain around Jeonjung($CV_{17}$) as normal group. All subjects had their HRV(SA-2000E: Medicore Co..Ltd. Korea) and SRI measured at visit. We studied the difference of HRV between two groups.(Statistics by Student t-test, p<0.05) Results : LF normalization of the pressure pain group were significantly higher than those of the normal group. HF normalization of the pressure pain group were significantly lower than those of the normal group. Compared with those of the normal group, total SRI of the pressure pain group were low but it's not significant. Conclusions : The results of HRV of the pressure pain group show that pressure pain around Jeonjung($CV_{17}$) is related to mental stress and autonomic disturbance.

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안모비대칭의 진단용 기준선의 유용성에 관한 연구 (A STUDY ON USEFULNESS OF THE REFERENCE LINE IN DIAGNOSIS OF THE FACIAL ASYMMETRY)

  • 류성호;장현호
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제31권3호
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    • pp.266-273
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    • 2005
  • Purpose: To assess the relationship between soft tissue reference line and hard tissue reference line using the standardized photographs and the posteroanterior cephalometric radiographs(P-A)in facial asymmetric patients and to compare the differences of angular measurement between normal group and asymmetry group. Methods: Normal group consisted of 44 persons with normal occlusion and normal facial morphology. Asymmetry group consisted of 90 patients with facial asymmetry. Standardized facial photographs and P-A were taken in all subjects. The horizontal reference lines were bipupillary line in photographs and latero-orbitale line in P-A respectively. The vertical reference line were the line from the midpoint of horizontal reference line perpendicularly. Angular measurement of otobasion canting, lip canting, nose deviation, chin deviation, and maxillary deviation were compared and analyzed in photographs. And angular measurement of mastoid canting, mandibular canting, nose deviation, chin deviation, and maxillary deviation were compared and analyzed in P-A. Results: 1. The variables of photographs and P-A were significantly related in the asymmetry group. 2. Significant differences between all variables except for PT2 and PA2 were shown in the asymmetry group and between PT1 and PA1, PT3 and PA3 in the normal group respectively. 3. Comparison measurement scores of angular difference between control group and experimental group concerning each variable showed significant difference except for PA1. Conclusions: Soft tissue components may not compensate for underlying skeletal imbalance in nose deviation and chin deviation. The horizontal reference lines in photographs were significant related with the P-A, but angular variables between the two studies show significant differences. Therefore, we do not recommend use photography in the assessment the facial asymmetry as complemented in the P-A.

중소기계제조업의 사업포지셔닝에 영향을 미치는 생산관련 핵심성과지표에 관한 연구 (A study on the analysis of production-related key performance indicator affecting business positioning of machinery manufacturers)

  • 정해석;유우식
    • 대한안전경영과학회지
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    • 제14권2호
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    • pp.221-228
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    • 2012
  • This paper analyzed twenty-six production-related KPI(Key Performance indicator) factors of business diagnosis, such as personnel, equipment, materials, operations and quality affecting company business competition to 186 small machinery manufacturers in 2010. Also, we explained the concept of Business Positioning and divided research subjects into four Business Positioning Groups formed break-even point ratio & fixed cost ratio to sales and then we compared between the 4 groups using Logistic Regression analysis by SAS statistical software package. The objective of this study is two-fold. The first is to find out production-related KPI factor of superior Business Positioning Group. The second is to suggest improvement ways for small manufacturers in order to get better profitable Business Positioning.

CAM-ICU로 평가한 중환자실의 섬망 발생률과 섬망 발생 위험요인 (Prevalence and Related Risk Factors of Delirium in Intensive Care Units as Detected by the CAM-ICU)

  • 최수정;조용애
    • 임상간호연구
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    • 제20권3호
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    • pp.406-416
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    • 2014
  • Purpose: Screening of delirium using delirium assessment tools could promote delirium detection, however, there is lack of report about regular delirium assessment in Korea. This study was intended to describe the prevalence and related risk factors of delirium in intensive care unit (ICU). Methods: The Confusion Assessment Method for the ICU (CAM-ICU) data which were evaluated by nurses in ICUs was obtained through retrospective chart review. Data were analyzed using descriptive statistics, Chi-square test, t-test, Mann-Whitney U test, and stepwise logistic regression. Results: Delirium was evaluated in 125 patients. The incidence rate of delirium was 27.2% with a high prevalence of hypoactive delirium compared to hyperactive delirium (61.8 vs. 38.2%). Those with delirium were older, had hypertension, stayed longer in hospital, receiving ventilator support, had more number of catheters, had low serum protein and albumin level. Delirium incidence also varied according to diagnosis. Age, diagnosis of gastrointestinal disease, and application of ventilator were the significant risk factors for the incidence of delirium. Conclusion: Routine delirium screening is important for early detection of delirium. Identification of high-risk group and running delirium prevention programs could improve early recognition of delirium in ICU.

병원의 입원 진료 집중화 전략과 융합적 운영 성과 (Inpatient care focused strategy and convergence performance in hospitals)

  • 유해원
    • 한국융합학회논문지
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    • 제7권4호
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    • pp.59-66
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    • 2016
  • 본 연구의 목적은 병원의 입원환자 진료서비스와 환자 재원일수와의 관계를 알아보기 위함이다. 병원 진료의 집중화 정도를 측정하기 위하여 진단명 기준 환자군(Diagnosis Related Group, 이하 DRG)을 이용하여 내부 허핀달 지수(IHI: Internal Herfindahl-Hirshman Index)를 산출하였다. 그 다음 병원 운영의 효율성에 미치는 영향을 분석하기 위하여 병원별 평균 재원일수를 종속 변수로 하여 분석하였다. 입원 진료 서비스의 집중화 정도와 재원 일수는 음의 상관관계로 집중화 정도가 높을수록 재원일수가 유의미하게 짧아지고 있다. 이는 다시 해석하면 입원 진료의 집중화 전략은 병원 운영 측면에서는 병상 회전율을 높여주고 환자 결과 측면에서는 건강성과에 긍정적인 영향을 주는 전략이라고 할 수 있다.

한국형진단명기준환자군의 개선과 평가 (Refinement and Evaluation of Korean Diagnosis Related Groups)

  • 강길원;박하영;신영수
    • 보건행정학회지
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    • 제14권1호
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    • pp.121-147
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    • 2004
  • Since the pilot program for a DRG-based prospective payment system was introduced in 1997, the performance of KDRGs has been one of hotly debated issues. The objectives of this study are to refine the classification algorithm of the KDRGs and to assess the improvement achieved by the refinement. The U.S. Medicare DRGs version 17.0 and the Australian Refined DRGs version 4.1 were reviewed to identify areas of possible impro-vement. Refined changes in the classification and result of date analyses were submitted to a panel of 48 physicians for their reviews and suggestions. The refinement was evaluated by the variance reduction in resource utilization achieved by the KDRG The database of 2,182,168 claims submitted to the Health Insurance Review Agency during 2002 was used for evaluation. As the result of the refinement, three new MDCs were introduced and the number of ADEGs increased from 332 to 674. Various age splits and two to four levels of severity classification for secondary diagnoses were introduced as well. A total of 1,817 groups were defined in the refined KDRGs. The variance reduction for charges of all patients increased from 48.2% to 53.6% by the refinement, and from 65.6% to 73.1% for non-outlier patients. The r-square for length of stays of all patients was increased from 28.3% to 32.6%, and from 40.4% to 44.9% for non-outlier patients. These results indicated a significant improvement in the classification accuracy of the KDRG system.

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.

Strategies for Deriving Strategic Products to Enter the Dementia Industry on SMEs-Focused on AHP Analysis

  • Yu, Tae Gyu
    • International Journal of Internet, Broadcasting and Communication
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    • 제12권1호
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    • pp.61-66
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    • 2020
  • Many SMEs are interested in entering the dementia industry as the national dementia responsibility system begins in earnest. However, it is ambiguous about which technology and field to enter, and accordingly, it is impossible to make a quick judgment and misses the time to enter the market. Therefore, the purpose of this study is to provide a simple but clear information to many SMEs in this situation, which products and related technologies will be able to help product development and market entry in the dementia prevention and diagnosis technology market more easily. In this regard, I would like to suggest the direction through hierarchical analysis (AHP) through conducting with a group of experts who can make professional judgments about the development of dementia medical technology, including the four-year university senior welfare department, nurses, directors and directors of long-term care institutions, medical device workers and experts' opinions on what sectors SMEs can most effectively apply to product development to enter the dementia market.

납축전지 건전상태 진단을 위한 기준 임피던스/컨덕턴스 설정에 관한 연구 (A Study on the Establishment of Impedance/Conductance Guide Line for Diagnosis of Lead-Acid Battery's State of Health(SOH))

  • 김종민;방선배;송길목
    • 전기학회논문지P
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    • 제58권2호
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    • pp.214-220
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    • 2009
  • Battery is one of the emergency power and its reliability is a very important to keep up the minimum of building capabilities in case of interruption of electric power. This paper, a comparison was made between three different types of instrument on 30 valve regulated lead acid(VRLA) TYPE 12[V]/100[AH] batteries, and then their indicated measured values(impedance/conductance) were compared with the measured capacity of the battery. As a result, Measured value of instrument is strongly related to battery's capacity in the same group battery and Impedance/Conductance guide line for diagnosis of lead-acid battery's state of health(SOH) is a different from each battery guoup.

A Case of Mucous Membrane Pemphigoid: From Diagnosis to Therapeutic Strategy

  • Kang, Kun-Hwa;Byun, Jin-Seok;Jung, Jae-Kwang;Choi, Jae-Kap
    • Journal of Oral Medicine and Pain
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    • 제46권2호
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    • pp.63-68
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    • 2021
  • Mucous membrane pemphigoid (MMP) is a heterogeneous group of chronic, autoimmune subepithelial blistering diseases, predominantly involving oral mucosal membrane. Because of its pathophysiology of autoimmune reaction, MMP-related gingivitis would not respond to conventional periodontal treatments. We present a case of a 65-year-old female with a chief complaint of chronic generalized buccal gingivitis, unimproved after periodontal treatment for four months. Based on the clinical findings, histological examination, and direct immunofluorescence microscopy, it was diagnosed as MMP. The symptoms were relieved with immunomodulatory therapy using corticosteroids and the supportive management of professional plaque control. MMP can cause pathological involvement throughout the oral and other mucosae of the body, thus leading to functional impairment through repeated inflammatory cascades. Therefore, accurate diagnosis is essential to properly manage local and possible systemic complications of MMP.