• 디지털콘텐츠학회 논문지
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• 제16권5호
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• pp.717-725
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• 2015

전립선 영상은 비용이 상대적으로 저렴한 경직장 초음파 영상을 이용하여 전립선 진단에 많이 사용된다. 경직장 초음파 영상은 3차원으로 촬영되어 여러 장으로 하나의 진단 단위가 만들어 진다. 의사는 진단을 위해 2차원 영상을 순서대로 모니터에 표시하여 볼 수도 있고, 3차원의 영상을 볼 수도 있다. 2차원 영상은 원 영상을 그대로 출력하면 되지만, 3차원 영상은 다양한 각도에서 보이기도 하고, 내부의 어떤 면을 자른 형태로도 보여야 하므로 정확하게 전립선과 배경을 구분하여야 한다. 특히 경계를 구분할 때, 전립선의 중간 부분은 상대적으로 구분하기 쉬우나, 기저부와 첨단부는 불확실한 부분이 많으므로 경계를 구분하기기 매우 어렵다. 이에, 본 논문은 평균 형상 모델을 적용하여 전립선 경계를 추출하는 방법을 제안하고, 실험을 통하여 기존의 방법에 비해 우수함을 보인다.

• 한국병원경영학회지
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• 제21권2호
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• pp.37-49
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• 2016

The purpose of this study is to investigate the level of competition between Public Health Centers (PHCs) and private clinics (PCs) by examining the number of patients that used PHCs vs. PCs, estimating the total amount of revenue generated from outpatient services at both PHCs and PCs, thereby analyzing the financial impacts on PCs derived from the PHCs. We utilized 2011 National Inpatient Sample data (NIS). Using the 20 table containing general information on each individual claims, we integrate it with the 40 table which contains all the diagnostic codes for each claim. Then, we disaggregate the bundled claims into the original individual claims. Overall, 3.1% of outpatient visits are made at PHCs while the rest was made at the PCs (96.9%). Among the total claim costs of 6.34 billion USD (as of 2011), PHCs occupy 2.0% (124 million USD), and 98.0% are contributed to PCs (6.21 billion USD). The estimated economic losses of PCs due to PHCs are summarized as follow; the maximum potential loss is estimated at 198 million USD in total and 7,099 USD per clinic when we include all patient types; the minimum loss is estimated at 71 million USD in total and 2,540 USD per clinic where Medical Aid recipients and the elderly (aged 65 and over) are excluded. Our results confirm the potential economic effect on PCs due to PHCs providing outpatient services. PCs and PHCs are the most important players providing primary care in Korea. Unnecessary competition between PCs and PHCs is not desirable. Health authorities should carefully examine the healthcare services currently provided by PHCs and their impacts on PCs.

• 대한예방한의학회지
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• 제14권3호
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• pp.63-75
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• 2010

Vascular dementia(VaD) is currently considered to be the second most common type of dementia. VaD is not a single diagnostic entity, but a heterogeneous syndrome which encompasses several clinicopathological forms of dementia resulting from cerebrovascular diseases. A common form of VaD is subcortical VaD which is characterized by lacunar infarcts and deep white matter changes, leading to a progressive decline in memory and cognitive function. The neuropsychological and cognitive profiles of subcortical VaD have been reported relatively homogeneous. At present, subcortical vascular dementia is regarded as the most important subtype of VaD with getting the attention of vascular dementia. The aims of this study are to discuss the concept of subcortical VaD and its importance focusing on diagnosis, prevention and treatment with a case report.

• 대한의용생체공학회:의공학회지
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• 제25권6호
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• pp.545-550
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• 2004

디지털 내시경 영상에서 식도염 등의 이상부위를 검출하기 위하여 임상 영상의 색상과 텍스쳐 인자에 대한 정보를 얻은 후 판별분석에 의해 영상의 이상부위론 인식하 수 있는 영상처리 알고리즘을 개발하였다. 이 알고리즘을 개발하기 위하여 여러 가지 영상처리 인자들 중에서 어떠한 인자들이 정상과 이상 부위를 구별할 수 있는 중요한 특징 인자가 되는지를 구명하였다. 이 특징 인자들을 이용하여 식도염의 중요한 진단기준이라 할 수 있는 미란 및 궤양에 대한 검출을 수행하였다. 이를 검증하기 위하여 20개의 영상 이미지를 사용하였으며 판별분석의 알고리즘을 사용할 때 보정단계와 검증단계의 성공률은 각각 92.8%와 92.4%를 나타내었다.

• 정보처리학회논문지A
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• 제19A권3호
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• pp.147-154
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• 2012

창의력이나 문제해결력과 같은 고차원적인 사고 능력은 주어진 문제의 정 오답만으로는 진단이 어려우며, 진단을 위해서는 교수자가 학습자의 문제 해결 과정을 지켜보거나 해결 과정에 대한 학습자의 보고 과정이 요구된다. 더구나 교수자의 학습자에 대한 관찰이 불가능한 온라인 학습이나 버추얼 클래스와 같은 환경에서는 학습자의 문제 해결 과정을 평가하거나 학습자 스스로 자신의 부족한 부분을 진단하는 것은 더욱 어려워진다. 이러한 문제를 해결하는 최선의 방법은 학습자가 문제를 해결하는 동안을 추적하여 그 과정을 보고해 주는 것이라 할 수 있다. 본 연구에서는 MS 오피스군의 소프트웨어를 활용하여 주어진 문제를 해결하는 동안 학습자의 작업 내역을 트레이싱하여 최종적으로 학습자에게 자신의 부족한 부분을 진단해 주고 자신의 능숙도와 소프트웨어를 응용하여 주어진 문제를 해결하는 과정에 대한 평가를 해주는 모듈을 개발하였으며, 본 진단 모듈의 효용성 평가를 위하여 실제 MOS 시험을 준비하는 학습자 81명에 대한 적용 및 만족도 조사를 통하여 통계적으로도 유의미한 효과가 있음을 확인하였다.

• The Korean Journal of Pain
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• 제33권1호
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• pp.48-53
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• 2020

Background: The aim of this study was to clarify the topographical relationship between the accessory nerve (AN) and transverse cervical artery (TCA) to provide safe and convenient injection points for AN blockade. Methods: This study included 21 and 30 shoulders of 14 embalmed Korean adult cadavers and 15 patients, respectively, for dissection and ultrasound (US) examination. Results: The courses of the TCA and AN in the scapular region were classified into four types based on their positional relationships. Type A indicated the nerve that was medial to the artery and ran parallel without changing its location (38%). In type B (38%), the nerve was lateral to the artery and ran parallel without changing its location. In type C (19%), the nerve or artery traversed each other only once during the whole course. In type D (5%), the nerve or artery traversed each other more than twice forming a twist. At the levels of lines I-IV, the nerve was relatively close to the artery (approximately 10 mm). TCAs were observed in all specimens around the superior angle of the scapula at the level of line II, whereas they were not found below line VI. In US images of the patients, the TCA was commonly observed at the level of line II (93.3%) where all ANs and TCAs were observed in cadaveric dissection. Conclusions: The results expand the current knowledge of the relation between the AN and TCA, and provide helpful information for selective diagnostic nerve blocks in the scapular region.

• The Korean Journal of Pain
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• 제33권3호
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• pp.267-274
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• 2020

Background: General anesthesia (GA) has been considered the anesthetic technique which most frequent leads to phantom limb pain (PLP) after a limb amputation. However, these prior reports were limited by small sample sizes. The aims of this study were to evaluate the incidence of PLP according to the various anesthetic techniques used for limb amputation and also to compare the occurrence of PLP according to amputation etiology using the Korean Health Insurance Review and Assessment Service for large-scale demographic information. Methods: The claims of patients who underwent limb amputation were reviewed by analyzing the codes used to classify standardized medical behaviors. The patients were categorized into three groups-GA, neuraxial anesthesia (NA), and peripheral nerve block (PNB)-in accordance with the anesthetic technique. The recorded diagnosis was confirmed using the diagnostic codes for PLP registered within one year after the limb amputation. Results: Finally, 7,613 individuals were analyzed. According to the recorded diagnoses, 362 patients (4.8%) developed PLP after amputation. Among the 2,992 patients exposed to GA, 191 (6.4%) were diagnosed with PLP, whereas 121 (4.3%) of the 2,840 patients anesthetized with NA, and 50 (2.8%) of the 1,781 patients anesthetized under PNB developed PLP. The relative risks were 0.67 (95% confidence interval [CI], 0.53-0.84; P < 0.001) for NA and 0.43 (95% CI, 0.32-0.59; P < 0.001) for PNB. Conclusions: In this retrospective cohort study, using large-scale population-based databases, the incidence rates of PLP after limb amputations were, in the order of frequency, GA, NA, and PNB.

• 대한한의진단학회지
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• 제9권2호
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• pp.110-122
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• 2005

Background: The basic concept of thermographic interpretation is the thermologic equality of both side in normal person. But both sides diseases were limited diagnostic values by thermographic interpretation, and this interpretation does not apply to the case in thermal temperature of each part of body. Nevertheless, the measurement conditions are not standardized. So, for its clinical applications are extended, we think that the measurement conditions are considered the individual variations. Objectives: The purpose of this study is to examine the optimum conditions thermal temperature of the time period and region are not effected by internal and external variables. Methods: After the subjects took off their clothes, the filming were repeatedly five times made on duration of 5minutes during 20minutes. We selected nine regions around acupoints including Yin dang[印堂, HN1], Sugu[水溝, GV26], Ch’ondol[天突, CV22], Chonjung[CV17], Chung-wan[中脘, CV12], Ch’onch'u[天樞 S25], No-gung[勞宮, P8], and calculated based on the utility of R.O.I.(Region of Integer) in our system these points temperature. We measured the optimal time period and region that has little variation of thermal temperature. Results: The results shows that the optimal time period is 20minutes after undressed, and the optimal region is the region around acupoints including Sugu[水溝, GV26]. Conclusions: we obtained the measurement conditions were considered the individual variations. And also, this study offers basic sources for that the measurement conditions would be standardized. Furthermore, based on this results, we expect that clinical applications using thermography would be extended.

• 대한한의진단학회지
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• 제9권2호
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• pp.145-151
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• 2005

Background and purpose: The cold-heat patternization is one of the most frequently use for diagnostic method in oriental medicine. But it is still an unclear scientific mechanism and the objective index. the aim of this study is to search the objective index of the cold-heat patternization, comparing with ordinary health test. Method: The study group comprised 101 Korean, male:female ratio 51:50, with a mean age of 49.74 years. The results of the questionnaires for cold-heat patternization were compared with the western health test that it consist of height, weight, muscle mass, body fat, WBC, Hb, ALT, AST, TG, Total cholesterol, glucose, HDL-cholesterol, free-T4 and TSH, measured in the health promotion center of the hospital of Chungnam university Result: The cold patternization were significantly higher in the women than the man. The somothing of the questionmaires for the heat patternization were positive correlated with TG, TSH, glucose, Hb, free T4, weight, musle mass(p<0.05). But there were no correlation in the gross. The somothing of the questionnaires for the cold patternization were negative correlated with the weight, musle mass, body fat, glucose, Hb and ALT(p<0.05), Especially there were strong negative correlation with the weight and muscle mass(p<0,01). Conclusion: The present study shows there is no definitive index for the cold-heat patternization in the ordinary health test. But the weight and muscle mass can be useful index of the cold patternization.

• 정보과학회 컴퓨팅의 실제 논문지
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• 제21권7호
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• pp.464-469
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• 2015

모바일 기기를 활용한 홀터 모니터링으로 환자의 개인별 심전도 신호의 장주기 수집이 가능해졌다. 하지만 이에 따른 의사 결정 지원 도구 및 응용에 대한 연구는 미흡한 실정이다. 본 논문에서는 장주기로 수집된 심전도 신호의 대표패턴을 추출하기 위한 축약 알고리즘을 제안한다. 그리고 추출된 대표패턴을 이용하여 유사한 환자의 목록을 제공하는 검색기를 소개한다. 사례분석을 통해 제안한 유사환자 검색기가 대표패턴을 통해 전문가의 임상활동을 간소화 하며, 유사한 환자의 목록을 제공하여 축적 데이터의 높은 활용 가능성을 제고함을 보였다. 또한, MIT-BIH 부정맥 데이터베이스를 이용한 평가에서, 축약 알고리즘이 64%의 레코드에 대해 단순화된 대표패턴을 제공하며, 부정맥 분류 결과를 평균 98% 축소함을 보였다.