• 제목/요약/키워드: Diagnostic evaluation methods

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턱관절균형의학의 기본 진단검사법 (Diagnostic Evaluation Methods in TMJ Balancing Medicine)

  • 이영준;인창식
    • 턱관절균형의학회지
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    • 제3권1호
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    • pp.27-30
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    • 2013
  • Diagnostic evaluation methods frequently adopted in Temporomandibular Balancing Medicine (TBM) are briefly reviewed as to their basic concepts and procedures. TBM diagnostic evaluation methods may be classified into direct and indirect ones. Indirect methods are to observe any change in the manifestations with regard to the (1) posture, (2) pain, (3) muscle strength, and (4) stretching. Direct methods are to evaluate through (1) cervical palpation test, (2) restricted cervical rotation test, and (3) lateral cervical tension test. These methods may provide clinicians valuable information on the current yinyang balance and potential therapeutic factors in relation with the temporomandibular joint, a meridian system, and the whole body.

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화병 임상진료지침 III. (화병의 진단과 평가) (Clinical Guidelines for Hwabyung III. (Diagnosis and Assessment of Hwabyung))

  • 정인철;최우창;이상룡
    • 동의신경정신과학회지
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    • 제24권spc1호
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    • pp.23-36
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    • 2013
  • Objectives : The purpose of this guideline is to show the evidence-based guidelines of diagnosis and evaluation of Hwabyung by the synthesis and organization of existing research contents. Methods : We investigated the existing research on the concept of Hwabyung. Further, we investigated the diagnostic tools, self-diagnostic method, symptoms assessment tools, oriental medical diagnostic methods, treatment evaluation tools and other testing methods of Hwabyung. Results : There was a Hwabyung diagnostic interview schedule (HIBDS) in the standardized measure for the diagnosis of Hwabyung. In the symptoms assessment tools of Hwabyung, there was a self-report measurement tool of Hwabyung and measurement tool of Hwabyung to be evaluated by the interviewer. In the oriental medical diagnostic method, there was an instrument of pattern identification for Hwabyung. In the treatment assessment tool, there was an instrument of oriental medical evaluation for Hwabyung. In addition, MMPI, SCL-90R, Zung's self-rating anxiety scale (SAS), Zung's self-rating depression scale (SDS), State-Trait Anger Expression Inventory (STAXI) and etc. can be used for the diagnosis and assessment of Hwabyung. Conclusions : We expect 'Clinical Guidelines for the Treatment of Hwabyung' to be useful for the diagnosis and assessment of Hwabyung.

사상체질 진단검사 타당성 분석에 대한 연구 (Multi-facet Analysis on Validity of Sasang Type Diagnostic Test)

  • 이수진;김명근;채한
    • 대한한의학회지
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    • 제29권1호
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    • pp.7-14
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    • 2008
  • Purpose : The purpose of study was to develop generalized validity evaluation methods and terms for Sasang type diagnostic tests. Methods : A generalized statistical evaluation model for Sasang typology was suggested and generalized validity evaluation indices were proposed with this model. Results : The usefulness of validity evaluations, such as sensitivity and specificity values, were confirmed by the systematic review of the data from previously reported studies. Conclusion :Major obstacles in the multi-facet analysis and systematic review for Sasang type diagnostic tests were discussed with this test validity study.

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간호과오책임 예방을 위한 웹기반 진단평가 프로그램 개발 (Development of a Web-based Diagnostic Evaluation Program for Prevention of Nurse Malpractice Liability)

  • 김기경
    • 간호행정학회지
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    • 제17권1호
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    • pp.33-43
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    • 2011
  • Purpose: This study was done to develop a web-based diagnostic evaluation program for nurses to prevent malpractice liability. Methods: A comprehensive review of the literature and 9 specialist interviews were used to search for learning goals and content for protection for nurses from malpractice. Data on needs for learning goals were collected from 56 hospital nurses who agreed to complete a self-report questionnaire. The diagnostic program was evaluated between September 2008 and August 2009 by 35 new hospital nurses using an application of the web-based program evaluation tools by Chung (2000). Results: A comprehensive review of the literature and interviews were used to search for learning goals and content. The evaluation program was composed of the 73 questions for diagnostic evaluation under 23 learning goals and 6 grand learning goals which included the principles of law, patient's rights, legal responsibility, patient's safety, regulation on nursing practice and patient's rights protection. Evaluation of the program showed that the mean for program evaluation was 3.43 (SD=.37). Conclusion: This diagnostic evaluation program could be an efficient method for teachers and learners to improve nurses' behavior in protecting the patient's rights and preventing malpractice claims.

Suggestion for Objective Evaluation of Comparative Pulse Diagnosis

  • Jun-Sang Yu
    • 대한약침학회지
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    • 제27권1호
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    • pp.21-26
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    • 2024
  • Objectives: Pulse is a method of Korean medicine diagnosis and is an important clue to detect the organs, nature, and progress of the disease. Pulse examination is included in the basic examination of Korean medicine doctors, but there is no standardized method for diagnosing pulse although the types and methods of the pulse taking are briefly described in the literature, making it difficult to spread the examination method. In this regard, I would like to propose an objective evaluation method. Methods: Although the importance of pulse examination and the method of pulse examination are known in the literature, it is difficult for undergraduate students or inexperienced Korean medicine doctors to access it, so in this paper a method of marking the size of the pulse power in the blank space for objective evaluation was devised and presented. Results: The size of the pulse power should be indicated using the 1-cell, 3-cell, or 5-cell method according to the left and right wrists and the cun, guan and chi on both sides. Conclusion: The method of pulse diagnosis is an important diagnostic method as a verification process for making a Korean medical diagnosis. The remaining Korean medicine diagnostic methods, including pulse diagnosis, also need to undergo objectification. It is believed that the objectification of these diagnostic methods will lead to an improvement in the treatment rate of Korean medicine.

Comparison the Diagnostic Value of Dilatation and Curettage Versus Endometrial Biopsy by Pipelle - a Clinical Trial

  • Sanam, Moradan;Majid, Mir Mohammad Khani
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권12호
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    • pp.4971-4975
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    • 2015
  • Background: Several methods have been presented for the evaluation of the endometrium in patients with abnormal uterine bleeding, which include minimal invasive and invasive approaches such as diagnostic curettage or endometrial biopsy by Pipelle. Many studies have been performed in order to compare two methods; diagnostic curettage and outpatient endometrial biopsy. This investigation compared sampling adequacy, endometrial histopathology, failure rates, duration and costs between diagnostic curettage in a hospital and endometrial biopsy. Materials and Methods: This single blind clinical trial was performed on 130 patients older than 35 years who was referred to Amir training hospital in 2013 for elective diagnostic curettage because of abnormal uterine bleeding. For all patients eligible for the study, an endometrial sample by Pipelle was taken without anesthesia or dilatation. Then under general anesthesia diagnostic curettage was performed by sharp curette. Sampling duration was calculated and both samples were sent to the same pathologist. The diagnostic values of two methods in the diagnosis of normal endometrium, endometrial hyperplasia and carcinoma were compared. The costs of these two methods were also compared. Data analysis was performed by SPSS (version 16.0) software. Chi-Square, Fisher, and Pearson tests were used and were considered statistically significant at P values less than 0.05. Results: Two methods were agreed upon 88% of sampling adequacy and 94% of pathological results. Specificity of 100% and sensitivity of 90% for detection of proliferative endometrium, secretory endometrium, simple hyperplasia without atypia and 100% for cancer were recorded. Pipelle diagnostic accuracy in comparison with curettage, have been reported over 97%, so the failure rate in this study was below 5%. Sensitivity of Pipelle for detection of atrophic endometrium was reported below 50%. Duration and cost was lower in Pipelle versus curettage. Conclusions: It is concluded that due to high agreement and cohesion coefficient between curettage and Pipelle on the issue of sampling adequacy, histopathology finding (except atrophic endometrium), low failure rate, duration of sampling and cost, Pipelle can be introduced as a suitable alternative of diagnostic curettage.

Development of an Objective Structured Clinical Examination Checklist and a Post-Education Questionnaire for Musculoskeletal Ultrasound Training Focusing on Volar Wrist and Carpal Tunnel Syndrome

  • Cho, Eunbyul;Han, Young-Min;Kang, Yeonseok;Kim, Jae-Hyo;Shin, Min-Seop;Oh, Myungjin;Jung, Hyun-Jong;Jeon, Hyesoo;Cho, Nam Geun;Leem, Jungtae
    • Journal of Acupuncture Research
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    • 제39권2호
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    • pp.105-114
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    • 2022
  • Background: The objective structured clinical examination (OSCE) is used in the colleges of Korean Medicine, but few studies have validated the OSCE evaluation criteria or post-education questionnaires. Diagnostic ultrasound is used in Korean medicine treatment including acupuncture, acupotomy, and pharmacopuncture to increase the safety and efficacy of treatment. We aimed to develop and validate a OSCE checklist and questionnaire for diagnostic musculoskeletal ultrasound training. Methods: A OSCE checklist and rubric for diagnostic ultrasound training, and questionnaire was developed using literature research. Eight expert panelists verified each draft item in a single-round survey. Items with a content validity ratio (CVR) < 0.75 were excluded or modified to reflect the experts' opinions. Results: The OSCE checklist and rubric for diagnostic ultrasound training focusing on volar wrist and carpal tunnel syndrome included: 15 items revised according to CVR and expert opinions, the pre-examination procedure, structures to be identified by ultrasound, scans with 2 diagnostic criteria for carpal tunnel syndrome, an explanation of the exam results, and the post exam procedure. The questionnaire consisted of 15 items, including the overall evaluation of training, the effect of the OSCE, and the perception of the ultrasound. All 6 self-evaluation items were not revised, as they had a CVR of ≥ 0.75. Conclusion: An ultrasound OSCE for scanning the volar wrist and diagnosing carpal tunnel syndrome was developed using 15 validated tasks, 15 survey questions about ultrasound training, and 6 questions for self-evaluation. These results may be used in the future for education in diagnostic ultrasound.

A Survey of Satisfaction of Physical Therapy Course according to Teaching Ways after COVID-19

  • Lee, Han Do;Lee, Ji Hong;Kwon, Hyeok Gyu
    • The Journal of Korean Physical Therapy
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    • 제34권4호
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    • pp.135-139
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    • 2022
  • Purpose: We investigated the satisfaction of physical therapy course according to teaching ways after COVID-19. Methods: 336 students in major of physical therapy were recruited in this study. Based on the classification of subjects in the national examination, the questionnaire was divided into 6 subjects in the basic field of physical therapy, 2 subjects in the field of physical therapy diagnostic evaluation, 8 subjects in the field of physical therapy intervention, and 3 subjects in other fields. The Likert scale was used. Results: In the basic field of physical therapy, all subjects were shown the high score of the satisfactory in face-to-face classes except for the public health and medical law compared to the non-face-to-face classes and mixed classes. Regarding the field of physical therapy diagnostic evaluation, the principle of diagnostic evaluation was shown the high score of the satisfactory in face-to-face classes compared to the non-face-to-face classes and mixed classes. In the field of physical therapy intervention, all subjects were shown the high score of the satisfactory in face-to-face classes compared to the non-face-to-face classes and mixed classes. Conclusion: We found that the face-to-face classes in most of subjects was shown the high score of satisfactory. We believed that our results can be used as basic data for physical therapy major learning methods.

공기구동밸브 성능 진단 장비 개발 (Development of the Diagnostic System for the Performance of Air-Operated Valves)

  • 김윤철;강성기;박성근;김대웅;채장범
    • 한국소음진동공학회:학술대회논문집
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    • 한국소음진동공학회 2008년도 춘계학술대회논문집
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    • pp.416-419
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    • 2008
  • In order to ensure the safety, the performance evaluation of the safety-related components in a nuclear power plant such as air-operated valves. In this paper, the diagnostic system(MOVIDS $A^+$) for the performance of air-operated valves was developed. For this purpose, the characteristics of their operation and the methods of the diagnostic tests were reviewed. The setup and diagnostic functions of the system were mentioned. Its applicability was validated through the diagnostic tests of air-operated valves in nuclear power plants. This diagnostic system is now applied in nuclear power plants for performance tests.

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국소간의 자기공명영상에서 Mn-DPDP의 유용성과 적합한 MR Sequence에 관한 비교, 고찰 (Mn-DPDP enhanced MR imaging in Detection of Focal Hepatic lesion: Evaluation of the Efficacy & Optimization of Pulse Sequence)

  • 김은성;김대현;이현근;오근택;이순노;이우식
    • 대한방사선협회지
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    • 제27권2호
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    • pp.104-114
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    • 2001
  • Ⅰ. Purpose : To evaluate the diagnostic value of Mn-DPDP for the detection of focal hepatic lesions on MR images and to determine the optimal pulse sequence to maximize its effect. Ⅱ. Material and Methods : Twenty-eight patients(6 women and 22 men, aged f

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