• 제목/요약/키워드: Diagnostic Tool

검색결과 987건 처리시간 0.028초

골다공증 진단방법에 관한 기초연구 (Preliminary Study of a Diagnostic Tool for Osteoporosis)

  • 양경희;박금숙;이정란;정헌영
    • 동의생리병리학회지
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    • 제23권5호
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    • pp.933-937
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    • 2009
  • The purpose of this study is to develop a diagnostic screening tool for the early detection of osteoporosis in persons with a predisposition for this condition and to facilitate effective management of the disease. Data are collected using questionnaires. The subjects are 120 women in a small city OB-GY clinic in South Korea, who are 6 months or more post menopausal and who have been examined for BMD. Two items in general syndrome of kidney vacuity(Shin Hur) : hears noises like streaming water or the sound of shrill chirrups of a cicada (OR=3.34, p<0.1), feels twinges in the back and knee(OR=4.10, p<0.05), one item in kidney yin vacuity: feels thirst and gets sore throat(OR=8.5, p<0.01) were proven as statistically significant risk factors in the identification of osteoporosis (Odds Ratio). The predictability score was 86.36%, and ROC curve was 0.84. This study attempted to identify risk factors in female osteoporosis so as to develop a screening tool for the purposes of early diagnosis, the effective management of osteoporosis patients and to modify the progress of their disease. Further studies are needed to elaborate this tool's ability to identify contributing factors in osteoporosis as defined by diagnostic evidence predicted by Oriental Medicine Theory.

갱년기장애 및 폐경기증후군 변증진단 도구의 진단결과 도출을 위한 변증별 절단점 연구 (A Clinical Study on the Pattern-Specific Cut-Point for the Pattern Identification Diagnostic Tool for Climacteric and Postmenopausal Syndrome)

  • 이인선;김종원;전수형;지규용;강창완
    • 대한한방부인과학회지
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    • 제32권2호
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    • pp.29-49
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    • 2019
  • Objectives: This study was a methodological study to verify the reliability and validity and to make a diagnosis of a diagnostic tool for climacteric and postmenopausal syndrome pattern identification (CaPSPI). Methods: This study was conducted from June 1, 2018 to October 18, 2018 with ${{\bigcirc}{\bigcirc}}$ University Korean Medicine Hospital IRB's approval (2018-3). To make a diagnosis using CaPSPI, we decided the cut-points for the tool. Three professors of ${{\bigcirc}{\bigcirc}}$Korean Medical University conducted pattern identification diagnosis. The result is marked from 0 to 3, 0 is 'No', 1 is 'Slightly Yes', 2 is 'Yes' and 3 is 'Very Yes'. And if two or more professors' diagnoses are the same, we took the diagnoses as a diagnostic criteria. The decision of pattern by three experts converted to 0-1 scores in two ways. In "method 1", if the diagnosis was zero points, the score was 0 (have no such identification), and the rest was 1 (have such identification). In "method 2", if the diagnosis was zero or 1 point, the score was 0, and the rest was 1. After that, intraclass correlation was calculated for experts agreement. And logistic regression was conducted. A response variable was the results of the experts' diagnosis and an explanatory variable was the results of the pattern identification diagnostic tool. Results: The diagnosis of the three experts showed excellent concordance of more than 0.794 and showed a significant correlation with the diagnostic tool. Both 'Method 1' and 'Method 2' showed statistically significant effects with the diagnosis of 3 experts and the results of the diagnostic tool. The frequency of cumulative pattern identification diagnosis in 'Method 1' and 'Method 2' were found to be 578 occasions and 203 occasions, respectively. The average number of pattern held by participants in 'Method 1' and 'Method 2' were found to be 5.26 and 1.85, respectively. In both "Method 1" and "Method 2," the yield frequency of liver qi depression was the highest, and the frequency of kidney yin deficiency and liver-kidney yin deficiency was relatively high. Conclusions: Based on the above results, it is thought that, in diagnosis using CaPSPI of menopausal women, 'method 1' could be used for the health diagnosis and prevention, 'method 2' could be used for the pattern diagnosis. On the conclusion, CaPSPI is thought to be available for pattern diagnosis of menopause women.

Fatigue Risk Management Systems Diagnostic Tool: Validation of an Organizational Assessment Tool for Shift Work Organizations

  • Gemma Maisey;Marcus Cattani;Amanda Devine;Ian C. Dunican
    • Safety and Health at Work
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    • 제13권4호
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    • pp.408-414
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    • 2022
  • Background: This study aimed to determine and define the elements of an Fatigue Risk Management System (FRMS) diagnostic tool to assist an organization in systematically assessing its level of implementation of an FRMS. Methods: A modified Delphi process was used involving 16 participants with expertise in sleep science, chronobiology, and fatigue risk management within occupational settings. The study was undertaken in two stages 1) review of elements and definitions; 2) review of statements for each element. Each stage involved an iterative process, and a consensus rule of ≥ 60% was applied to arrive at a final list of elements, definitions, and statements. Results: Stage 1: a review of elements (n = 12) and definitions resulted in a final list of 14 elements and definitions with a consensus of ≥ 60% achieved after 2 Delphi rounds. Stage 2: a review of statements (n = 131) resulted in a final list of 119 statements with a consensus of ≥ 60% achieved after 2 Delphi rounds. Conclusion: The final FRMS diagnostic tool will enable an organization to systematically assess the level of implementation of their current FRMS and identify gaps and opportunities to reduce risk.

교회 건강성 측정도구 개발에 관한 연구: 한국침례교회를 중심으로 (The Study of Developing a Diagnostic Assessment Tool for Church Health Through The Korean Baptist Church)

  • 김난예;유제호
    • 기독교교육논총
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    • 제63권
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    • pp.151-182
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    • 2020
  • 본 연구는 침례교단의 교회 건강성을 측정할 수 있는 진단도구 개발에 관한 것이다. 이를 위해 건강한 침례교회의 정의와 건강성 요인을 살펴보고, 건강성 요인별 진단문항을 개발했다. 연구방법으로는 문헌고찰과 전문가 델파이 조사를 하였다. 이어서 쿼터 샘플링한 표본 390여 명을 대상으로 본검사를 하여 이를 기초로 탐색적 요인분석과 확인적 요인분석을 했다. 연구결과 건강한 침례교회는 그리스도의 몸 된 지체로서 교회의 본질적 특성과 침례교회 정체성을 지니고 교회의 기능을 충실히 수행하여 하나님을 영화롭게 하는 신자들의 공동체로 정의 되었다. 침례교회 건강성 요인은 공동체성, 기능의 충실성, 침례교회 정체성, 교회의 본질적 특성 등이다. 이들의 하위 요인으로 믿음의 공동체, 예배, 전 신자 제사장, 사도성 등 17개 요인으로 확인되었다. 침례교회 건강성 측정도구는 119개 진단문항이 되며, 53개 또는 23개의 축약된 진단문항으로도 측정될 수 있다.

한중일 어혈증 감별진단을 위한 도구의 비교 (Comparison among diagnostic tools used for differential diagnosis of blood stasis pattern in Korea, China and Japan)

  • 김지원;남동현
    • 대한한의진단학회지
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    • 제22권1호
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    • pp.1-10
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    • 2018
  • Objectives The purpose of this study is to compare the representative differential diagnosis methods of blood stasis pattern used in Korea, China and Japan, and then to characterize each diagnostic method. Methods Through the journal databases, we have selected representative tools that were developed for differential diagnosis of blood stasis pattern in Korea, China and Japan. In order to characterize the selected check-lists or questionnaires, we investigated the number of items, contents, score calculation method, internal consistency, and accuracy of each selected tool. Results A total of four diagnostic tools were finally selected; quantitative diagnosis scale of blood stasis syndrome (QDSBSS), diagnostic criteria for blood stasis (DCBS), blood stasis questionnaire (BSQ), and blood stasis syndrome questionnaire (BSSQ). The key points in the differential diagnosis for blood stasis were different for each of the diagnostic tool. The key point was oral mucosa (including tongue) status in the QDSBSS. Meanwhile it was abdominal pain/resistance in the DCBS, and general pain in the BSQ. Accuracy of the QDSBSS, the BSQ and the BSSQ were powerful but all of them was not generalized. Conclusions Therefore, it is desirable to select and apply a plurality of appropriate tools according to the characteristics of the blood stasis patients.

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Space Charge Measurement as a Diagnostic Tool to Monitor Ageing in Polymeric Materials

  • Chen, George
    • Transactions on Electrical and Electronic Materials
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    • 제7권5호
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    • pp.235-239
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    • 2006
  • Charge dynamics in polymeric materials after aged under ac electric field using the pulsed electroacoustic (PEA) technique is reported. The emphasis is placed on charge decay. The charge dynamics of the ac aged additive free low density polyethylene (LDPE) samples under dc bias differ from the sample without ac ageing, indicating changes brought in by ac ageing. It is believed that a slow decay rate of charge in the ac aged sample is related to the formation of deep traps in the material. However, chemical analysis by infrared spectroscope (FTIR) and Raman microscope reveals no significant chemical changes taken place in the bulk of the material after ac ageing. Further experiments on irradiated LDPE have revealed a similar behaviour, i.e. the charge decay is slower in irradiated samples than that of fresh sample. The findings presented clearly indicate that space charge measurement can be used as a diagnostic tool to monitor ageing in polymeric materials.

초음파진단기의 Beam Simulation (Beam Simulation in Diagnostic Ultrasound)

  • 배무호;이승우
    • 대한의용생체공학회:학술대회논문집
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    • 대한의용생체공학회 1996년도 추계학술대회
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    • pp.289-292
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    • 1996
  • The 2-way beam simulation for the diagnostic ultrasound is performed with simplified computation by approximating the transducer and the system. The results show that the simulation program can be used as a good system design tool.

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요로 종양의 세포병리 (Cytopathology of Urinary Tract Neoplasms)

  • 홍은경
    • 대한세포병리학회지
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    • 제17권1호
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    • pp.1-17
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    • 2006
  • Urine cytology is the most useful technique for detecting either primary or recurrent neoplasms in the urinary tract. Although urine cytology is the traditional method of detecting these neoplasms, its diagnostic accuracy has been underevaluated because of low sensitivity. The cytologic interpretation of urinary samples is not an easy task, even with some expertise in this area, for many reasons. In low-grade urothelial carcinoma, no reliable or reproducible diagnostic cytologic criteria can be provided because of the lack of obvious cytologic features of malignancy, which is one of the main factors lowering its diagnostic accuracy. Many diagnostic markers have been developed recently to enhance its diagnostic yield, but the results have not been satisfactory. However, urine cytology plays a role in detecting high-grade urothelial carcinoma or its precursor lesions. It still shows higher specificity than any of the newly developed urine markers. Understanding the nature of urine samples and the nature of neoplasms of the urinary tract, recognizing their cytologic features fully, and using cytologic findings under appropriate conditions in conjunction with a detailed clinical history would make urine cytology a very valuable diagnostic tool.