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Application of Text-Classification Based Machine Learning in Predicting Psychiatric Diagnosis (텍스트 분류 기반 기계학습의 정신과 진단 예측 적용)

  • Pak, Doohyun;Hwang, Mingyu;Lee, Minji;Woo, Sung-Il;Hahn, Sang-Woo;Lee, Yeon Jung;Hwang, Jaeuk
    • Korean Journal of Biological Psychiatry
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    • v.27 no.1
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    • pp.18-26
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    • 2020
  • Objectives The aim was to find effective vectorization and classification models to predict a psychiatric diagnosis from text-based medical records. Methods Electronic medical records (n = 494) of present illness were collected retrospectively in inpatient admission notes with three diagnoses of major depressive disorder, type 1 bipolar disorder, and schizophrenia. Data were split into 400 training data and 94 independent validation data. Data were vectorized by two different models such as term frequency-inverse document frequency (TF-IDF) and Doc2vec. Machine learning models for classification including stochastic gradient descent, logistic regression, support vector classification, and deep learning (DL) were applied to predict three psychiatric diagnoses. Five-fold cross-validation was used to find an effective model. Metrics such as accuracy, precision, recall, and F1-score were measured for comparison between the models. Results Five-fold cross-validation in training data showed DL model with Doc2vec was the most effective model to predict the diagnosis (accuracy = 0.87, F1-score = 0.87). However, these metrics have been reduced in independent test data set with final working DL models (accuracy = 0.79, F1-score = 0.79), while the model of logistic regression and support vector machine with Doc2vec showed slightly better performance (accuracy = 0.80, F1-score = 0.80) than the DL models with Doc2vec and others with TF-IDF. Conclusions The current results suggest that the vectorization may have more impact on the performance of classification than the machine learning model. However, data set had a number of limitations including small sample size, imbalance among the category, and its generalizability. With this regard, the need for research with multi-sites and large samples is suggested to improve the machine learning models.

Comparative Study on the Stress Response of Nurses Working on Pscychiatric Wards to that of Nurses Working on General Wards (정신과 병동 간호사와 일반병동 간호사의 스트레스 반응양상에 대한 비교연구)

  • 김영자
    • Journal of Korean Academy of Nursing
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    • v.25 no.3
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    • pp.399-418
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    • 1995
  • The purpose of this study was to investigate the stress response of nurses working on psychiatric wards (psychiatric nurses) compared with that of nurses working on general wards (general nurses) in order to provide assessment data for intervention of the stress response. The Symptoms of Stress Inventory was used to measure the stress response. Data were collected by a direct survey method using a questionnaire and were collected from March first to March 30, 1995. A sample of 200 nurses working in three psychiatric hospitals and psychiatric wards in four university hospitals in Seoul and Kangwon province were selected and 200 nurses working on general wards from two general hospitals in Seoul were also selected for a total sample of 400 nurses. Nurses who had experienced more than one of the major life events in the last two years were excluded from the total number in the samples, so the final sample was 161 psychiatric nurses, and 169 general nurses. The Scores for the total stress response, scores of the SOS subscales, stress response by sociodemographic characteristics of the nurses working on the psychiatric wards were compared with those of nurses working on the general ward. The results of this investigation are as follows 1. The mean total SOS score for the psychiatric nurse was 0.81 (SD=0.48) and that of the general nurses was 0.90(SD=0.53). 2. The Mean score for peripheral manifestation, con tral-neurological symptoms, gastrointestinal symptoms, muscle tension, habitual patterns, de-pression, anxiety, anger and cognitive disorganization for the general nurses showed a tendency to be higher than those of the psychiatric nurses. Mean score for cardiopulmonary symptoms for the general nurses was significantly higher than that of the psychiatric nurses. 3. The mean scores for the sixteen SOS items for the general nurses was significantly higher than for the psychiatric nurses. The 16 items were flushing of the face, sweating excessively even in cold weather, thumping of the heart, rapid breathing, dry mouth, a choking lump in the throat, hoarseness, muscle tension in hands or arm, muscle tension in leg, working tiring one out completely, severe aches a핀 Pain make it diffi-cult to do the work, severe nervous exhaustion, worrying about health, feeling weak and faint, so upset that one wants to hit something, unable to keep thoughts from running through one's mind. The mean score of only 505 item were significantly higher for the psychiatric nurses. 4. Stress responses between psychiatric nurses and general nurses were significantly different according to the following demographic characteristics : marriage, duration of work, position, accommodation, planning to move into another working site, working ward, education in psychiatric nursing.

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Critical Thinking Disposition and Problem-Solving Ability of Dental Hygiene Students (치위생과 학생의 비판적 사고 성향과 문제해결능력)

  • Kim, Ji-Hee;Sung, Hee-Kyung;Kim, Hye-Jin
    • Journal of dental hygiene science
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    • v.14 no.3
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    • pp.356-363
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    • 2014
  • This study attempts to measure the critical thinking disposition and problem-solving ability levels of dental hygiene students and to investigate their correlation. A self-administered survey was conducted with respect to dental hygiene students from three-year colleges in Busan, Ulsan and the Gyeongsangbuk-do region between April 2013 and May 2013. A total of 649 surveys were subject to a final analysis. Critical thinking disposition of the dental hygiene students resulted in a score of 3.20 out of a total of 5.0. Freshmen, students with high academic performance results, students with good interpersonal relations, students with a high level of satisfaction regarding major subject and clinical training and students with no clinical training experience showed a high score for critical thinking disposition. Problem-solving ability of the dental hygiene students resulted in a score of 3.06 out of a total of 5.0. Students with high academic performance results, students with good interpersonal relations and students with a high level of satisfaction regarding major subject and clinical training showed a high score for problem-solving ability. It was found that critical thinking disposition and problem-solving ability had a pure correlation. The critical thinking disposition appeared to problem solving, interpersonal relations, major factors affect satisfaction, was a critical thinking disposition, academic factors affect the ability to problem solve. Regarding education for dental hygiene students, the reinforcement of training to increase critical thinking and problem-solving abilities is necessary and the development of an educational curriculum and change in educational environment that can increase interpersonal skills and communication skills is necessary.

Conservative and Early Arthroscopic Treatment of Calcific Tendinitis (석회화 건염의 보존적 치료와 조기 관절경적 치료 결과)

  • Kim, Myung-Ku;Bae, Joo-Han;Jeon, Yoon-Sang
    • Journal of the Korean Arthroscopy Society
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    • v.13 no.2
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    • pp.149-154
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    • 2009
  • Purpose: We evaluated the level of pain and clinical presentation of calcific tendinitis after treatment with conservative and early arthroscopic operation. Materials and Methods: We reviewed 30 patients with calcific tendinitis with the minimum of 6 months of follow up period, treated from February 2002 to May 2008. We implemented Constant-Murley score to evaluate the pain of calcification and improvement of range of motion at the 2nd week, 12th week and 24th week with the patients who had treatment with steroid injection in 15 cases and operation in the other 15 cases. Results: Evaluating the level of pain using Constant-Murley score, we found that conservative treatment group had the scale of 3.2 before treatment and 13.6, 14.5 and 14.7 at 2nd, 12th, and 24th week, respectively since started treatment. The operation group, on the other hand, had the scale of 3.3 preoperatively and 10.2, 13.0, and 14.3 at 2nd, 12th and 24th week postoperatively. The range of motion in the conservative treatment group showed 14.3 on average before the treatment and 21.7, 31.3 and 35.7 at 2nd, 12th and 24th week after treatment. The operation group had 14.4 on average preoperatively, and 33.1, 35.8 and 36.4 at 2nd, 12th and 24th week postoperatively. The operation group had statistically significant improvement compared to the conservative group at the 2nd and 24th week, but showed no difference between the two groups at the final follow up. Conclusion: Early arthroscopic treatment of calcific tendinitis seems to be an excellent option that can increase the level of satisfaction of the patients and an efficient way of putting the patients back to their normal life promptly.

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Analysis of Environmental Effects for Linear Type Traits and Scoring Traits on Holstein Cows (Holstein 젖소의 선형심사형질과 등급형질에 대한 환경효과 분석)

  • 이득환;김은길
    • Journal of Animal Science and Technology
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    • v.48 no.6
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    • pp.767-776
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    • 2006
  • Corresponding author:Deukhwan Lee, Department of Animal Life Resources, Hankyong National Univ. Seokjeong-dong Anseong-si Gyeonggi-do, Rep. of Korea 456-749Tel: 031-670-5091, Fax: 031-676-5091, E-mail : dhlee@hknu.ac.krGeneral performance with including environmental and management effects on linear type traits in Holstein cows were investigated. 115,646 valid records measured from cows over 1 yrs of age by Korean Animal Improvement Association from 2000 to 2004 were used for this study. Farm, appraisal year-month, appraisal person should affect linear type and scoring traits. Most of type traits and scoring traits would be significantly affected by parity and lactation stage after absorbing farm-appraisal year-month-person effects. Otherwise, some traits such as traits related to udder would be affected by registration criteria. However, interval of appraisal time and milking time would not affect these traits. The scores related to udder, teat placement and foot angle would be positively related to parity. Final score would be optimized at cows of 2nd and 3rd parities. Dairy form, front teat placement, rear udder height, rear udder width and final score would show similar to pattern of lactation curve at lactation stage. Dairy capacity composite index would also show similar to lactation curve. This result would be indicated that more concise standardizing system for linear type scoring rules would be needed. Furthermore, correcting system for parity and lactation stage would be needed because this factor should affect physiological status, specially, udder status.

A Study on Empowerment and Critical Thinking of the 1st Emergency Medical Technician (1급 응급구조사의 임파워먼트와 비판적 사고성향에 관한 연구)

  • Park, Dae-Sung;Kim, Eun-Ju
    • The Korean Journal of Emergency Medical Services
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    • v.10 no.3
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    • pp.5-20
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    • 2006
  • Purpose: This study examines the degree of empowerment recognized by the 1st paramedics and the trend of their critical thinking, analyzes correlations between empowerment and critical thinking to reveal whether there is statistically significant difference between them and then is to provide basic materials necessary for research on empowerment and critical thinking. Method: This study distributes 105 structured self-report questionnaires to the 1st emergency medical technicians working at fire fighting police boxes, general hospitals, clinics and emergency medical information centers in G Metropolitan City and J province from April 29 to May 28, 2006, collects their responses directly and analyzes results with t-test, F-test(ANOVA) and Pearson's Correlation Coefficient. Result: 1. First, average score of empowerment of subjects was 4.68 out of 6 and according to scores by area, capacity 5.98 was highest, followed by significance 5.41, self- determination 4.44 and effectiveness 3.79. 2. degree of empowerment according to general characteristics of subjects showed statistically significant differences in final education(F=2.714, p= .049), level of salary (F=3.298, p= .014) and satisfaction of current job (F=5.399, p= .001). 3. average score of critical thinking of subjects was 3.28 out of 7 and according to areas, no bias 3.95 was highest, followed by maturity 3.68, structure 3.35, inquisitiveness 3.11, pursuit of truth 3.07, critical thinking and self-confidence 3.00, analyticity 2.98. 4. degree of critical thinking by general characteristics of subjects showed statistically significant differences in age(F=2.577, p= .041), final education (F=7.877, p= .000), current workplace (F=3.513, p= .018), level of salary(F=4.628, p= .002), satisfaction with current job(F=6.879, p= .000) and intention to transfer current job(t=15.21, p=.000). 5. as a result of correlations between empowerment and critical thinking of subjects, Pearson correlation coefficients between whole empowerment and critical thinking were r= .21, p=.013. Conclusion: It is considered that the 1st paramedic managers must seek how to keep and manage empowerment and development of education and training program which can enhance critical thinking is needed. Further, emergency educators must develop educational program based on the concept of empowerment to establish early awareness of a desirable organization culture and increase understanding of empowerment in the process of education.

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The Results of Treatment of Lateral Meniscus Tear in Tibial Plateau Fracture (경골과 골절과 동반된 외측 반월상 연골 파열의 치료 결과)

  • Kim, Jung-Man;Kwon, Yong-Jin;Choi, Kwang-Chun;Choi, Seong-Pil;Yoo, Ju-Seok
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.5 no.2
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    • pp.155-160
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    • 2006
  • Purpose: To evaluate the results of meniscal repair and partial meniscectomy of lateral meniscus injury associated with tibial plateau fracture. Materials and Methods: Between February 1993 and August 2004, 24 cases (23 patients) of lateral meniscus tear with tibial plateau fracture were evaluated retrospectively. The most frequent type of tear was the longitudinal tear of the meniscocapsular junction (14 cases, 66.7%). All fractures were reduced under the control of arthroscopic and image intensifier. Arthroscopic repair of the longitudinal tear of the lateral meniscus or arthroscopic partial meniscectomy was performed. The final results were evaluated with the Ikeuchi criteria and Lysholm score. Results: At the final follow-up, the outcome was excellent in 12 cases (85.7%), good in 1 case (7.1%) and fair in 1 case (7.1%) among 14 cases of meniscal repair, and the excellent in 4 cases (66.7%) and good in 2 cases (33.3%) among 6 cases of partial meniscectomy according to the Ikeuchi criteria, There was a significant improvement of Lysholm score after surgery, 92.3 postoperatively compared with 56.6 preoperatively (p<0.0001, paired t-test). Conclusion: The fracture of the lateral tibial plateau did not seem to affect on the healing of the meniscus repair and partial meniscectomy.

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Analysis of Image of Meister High School Students by Industrial HR Managers (마이스터고 학생에 대한 산업체 HR 담당자의 이미지 분석)

  • Jo, Han-Jin;Wi, Seon-Bok;Lee, Dong-Ho;Kim, Min-woong;Kim, Tae-Hoon
    • Journal of vocational education research
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    • v.36 no.2
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    • pp.68-94
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    • 2017
  • The purpose of this study is to provide basic data for the development of school education and employment policy by analyzing the differences between image of meister high school students anticipated by industrial HR managers and image actually perceived. For this, semantic differential method developed by Osgood (1957) was selected as the study tool. To find out images of meister high school students, validity of 50 adjectives suggested by Osgood and 21 additional adjectives used in previous studies was reviewed by 10 experts. Final 20 adjectives were selected by excluding adjectives that fail to satisfy validity of contents. Proportional sampling in metropolitan and non-metropolitan areas was done to select 350 final survey samples. A total of 600 surveys were distributed and 230 were returned. Return rate was 38.3%. The results of this study are as follows. First, image of meister high school students anticipated by industrial HR managers showed average score of 2.49, which indicates a positive image. In addition, factor analysis was performed to classify adjectives into groups, and they were divided into three factors including external factor, way of thinking factor, and internal (personality) factor. Second, image of meister high school students currently perceived by industrial HR managers showed average score of 3.24, which indicates a positive image. Third, image of meister high school students currently perceived by industrial HR managers was not as positive as image they anticipate.

Study for Prediction System of Learning Achievements of Cyber University Students using Deep Learning based on Autoencoder (오토인코더에 기반한 딥러닝을 이용한 사이버대학교 학생의 학업 성취도 예측 분석 시스템 연구)

  • Lee, Hyun-Jin
    • Journal of Digital Contents Society
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    • v.19 no.6
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    • pp.1115-1121
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    • 2018
  • In this paper, we have studied a data analysis method by deep learning to predict learning achievements based on accumulated data in cyber university learning management system. By predicting learner's academic achievement, it can be used as a tool to enhance learner's learning and improve the quality of education. In order to improve the accuracy of prediction of learning achievements, the autoencoder based attendance prediction method is developed to improve the prediction performance and deep learning algorithm with ongoing evaluation metrics and predicted attendance are used to predict the final score. In order to verify the prediction results of the proposed method, the final grade was predicted by using the evaluation factor attendance data of the learning process. The experimental result showed that we can predict the learning achievements in the middle of semester.

The Value and Limitation of the Modified Mau Osteotomy (30 Cases Follow Up Report) (변형 마우 절골 술기의 유용성과 한계점 (30예 추시 보고))

  • Bae, Su-Young;Kim, Byoung-Min;Nam, Hee-Tae;Choi, Hee-Joon
    • Journal of Korean Foot and Ankle Society
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    • v.12 no.1
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    • pp.1-8
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    • 2008
  • Purpose: To evaluate the value and limitation of modified Mau osteotomy through the review of 30 feet treated by this procedure. Materials and Methods: We retrospectively analyzed 30 cases treated with modified Mau osteotomy since 2002. The mean duration of follow-up was 10 months. We reviewed medical records to describe each case and select several clinical factors which related with surgical procedure and could influence on final results. We measured radiographic parameters such as hallux valgus angle (HVA), intermetatarsal angle (IMA), distal metatarsal articular angle (DMAA), sesamoid position and also assessed clinical outcomes by AOFAS score and satisfaction degrees. Results: The mean preoperative HVA and IMA were $40.4^{\circ}$, $17.4^{\circ}$ and the mean amounts of correction were $31.2^{\circ}$ and $11.5^{\circ}$. Amounts of delayed loss of correction were 16.8% in HVA and 19.2% in IMA. Initial HVA, rotational angle and translation distance of the distal fragment, stability of fixation, first ray instability were revealed as significant factors for the final result from this procedure. DMAA was increased by rotation of the distal fragment and decreased by adding translation on the rotation. Conclusion: Modified Mau osteotomy is an effective procedure to get enough correction. But, it is important to try to avoid excessive rotation of the distal fragment because it may worse joint congruity. It may be worthwhile to pay close attention to the direction of saw and stability of fixation.

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