• Title/Summary/Keyword: ICD-10

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The study on Development and characteristic of ultrasound biopsy training phantom of breast (유방 초음파 팬텀의 제작과 특성에 관한 연구)

  • Ma, Sang-Chull;Kong, Young-Kun;Ahn, Young-Man
    • Journal of radiological science and technology
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    • v.26 no.3
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    • pp.19-24
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    • 2003
  • We carried out studies on development and characteristic of ultrasound brast training biopsy phantom. the major finding were of follow ; (1) C type TMM was shown good homogeneity, brightness and attenuation as like human soft tissue. (2) $TiO_2$ 4.10%w/v TMM was shown good homogeneous echo texture and propagated speed as like the human Tissue. (3) $TiO_2$ type TMM was appeared lower brightness and higher penetration rate than C type TMM. Therefor, Breast TM phantom and target material TMM will be useful $TiO_2$ 4.10 %w/v TMM and C 2.09 %w/v TMM.

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Competitive Effects of Carrier Pre-selection in U.K. (영국의 사업자사전선택제 영향 및 시사점)

  • KIm, B.W.
    • Electronics and Telecommunications Trends
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    • v.19 no.4 s.88
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    • pp.127-134
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    • 2004
  • OFTEL은 1998년 7월 유럽위원회(EC)의 수정상호접속지침(amended ICD, 97/33/EC)에 의거 유선망의 지배적사업자인 BT, 그리고 Kingston Communications사를 제공의무사업자로 결정하고 사업자사전선택제를 도입하기로 결정하여, 2000년 4월부터 임시적 사업자사전선택제를 도입한 후 단계적으로 유선시장 전화서비스에 대해 multi-basket 유형으로 사업자사전선택제를 시행하고 있으며, 사업자들은 수시영업(marketing) 방식으로 가입자를 확보하고 있다.

Development of Construction Model of Disease Classification on Clinical Diagnosis in Ophthalmology (임상진단명에 따른 질병분류체계 구축모형 개발 - 안과를 대상으로 -)

  • Suh, Jin-Sook;Shin, Hee-Young;Kee, Chang-Won
    • Quality Improvement in Health Care
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    • v.10 no.2
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    • pp.204-215
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    • 2003
  • Background : ICD-10 Classification, which is used domestically as well as internationally, has limited use in the clinical practice since it is developed for at disease statistics and epidemiology. Therefore, the purposes of this study were to improve the quality of diagnosis by constructing a new disease classification based on the diagnoses doctors currently make in the clinical setting and connecting this classification with OCS and EMR, and to meet the demands of doctors for high quality medical study data in medical research. Methods : The specialists in each ophthalmic subfield collected clinical diagnoses and abbreviations based on the ophthalmology textbooks and confirmed the classifications. Total number of clinical diagnoses collected was totaled 672, for which ideal diagnoses had been selected and a new model of disease classification model in connection with ICD-10 was constructed. The constructed classification of clinical diagnoses consisted of six steps: the first step was the classification by ophthalmic subspecialty field; the second to fifth steps were the detailed classification by each specialty field; the sixth step was the classification by site. Results : After introducing the new disease classification, research on the use and a pre-post comparison was conducted. The result from the research on the use of the clinical diagnoses in inpatient and outpatient care has shown a gradually increasing tendency. From the pre-post comparison of EMR discharge summary diagnoses, the result demonstrated that the diagnosis was stated correctly and in detail. Since the diagnosis was stated correctly, code classification became correct as well, which makes it possible to construct high quality medical DB. Conclusion : This construction of clinical diagnoses provides the medical team with high quality medical information. It is also expected to increase the accuracy and efficiency of service in the department of medical record and department of insurance investigation. In the future, if hospitals wish to construct a classification of clinical diagnosis and a standard proposal of clinical diagnosis is presented by a medical society, the standardization of diagnosis seems to be possible.

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ASPERGER'S SYNDROME - THE LINKAGE WITH AUTISM AND CHILDHOOD SCHIZOID PD - (Asperger씨 증후군 - 자폐증, 분열성 인격장애와의 연계성 -)

  • Lee, Young-Sik;Cho, In-Hee
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.5 no.1
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    • pp.41-53
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    • 1994
  • In 1944 Hans Asperger reported odd bizzare 400 children who showed autism like clinical symptoms but had higher intelligence and relatively intact speech function. He named these child 'autistic psychopathy'. Since them there were many controversial views about this syndrome. Some regards Asperger syndrome as the high functioning autism variant or preschizophrenic childhood condition or childhood form of schizoid personality disorder. Though there were still many controversy, recently ICD-10, DSM-IV accepted Asperger's syndrome as a distinct subtype of pervasive developmental disorder. The authors reviewed the history and conceptual changes of Asperger syndrome and summarized the interesting recent research findings. In addition, the authors argue that this syndrome has some linkage with autism and schizoid personality disorder and proposed that these is disorders do have common defect in social instinctual development.

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Changing Trends in Daegu and Gyeongbuk-based Patients' Use of Health Facilities in Seoul (대구.경북 거주환자의 서울지역 의료이용 변화추이)

  • Lee, Sang-Ju;Park, Jae-Yong
    • Health Policy and Management
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    • v.20 no.4
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    • pp.19-44
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    • 2010
  • This study was conducted to investigate the changes in patterns of Daegu- and Gyeongbuk-based patients' use of medical care facilities located in Seoul. The 'Patient Survey' data issued by the Ministry of Health and Welfare for 2002, 2005, and 2008 were used. Among all discharged patients residing in Daegu and Gyeongbuk, 133,456 who used medical facilities in Daegu, Gyeongbuk, and Seoul were selected. Among patients residing in Daegu, 2.2% used medical facilities in Seoul in 2002, 3.7% in 2005, and 3.5% in 2008. The corresponding rates among patients living in Gyeongbuk were 5.6%(2002), 7.1%(2005), and 7.3%(2008). Regarding the ICD-10 disease groups, the use of medical facilities in Seoul by patients residing in either Daegu or Gyeongbuk increased in 2005 right after the introduction of the KTX high-speed train service, covering various disease groups, but decreased again in 2008. 'Neoplasm' cases, however, showed a progressive rising trend during the years studied. Multivariate data analysis for the three years showed that sex, age, payment type, hospital type, residence, year, and disease groups were all significantly associated with the utilization of medical facilities in Seoul. The major results are : First, use of medical facilities in Seoul by Gyeongbuk patients was 2.4-fold higher than that by Daegu patients, but with respect to 2005 and 2008 vs. 2002, use of medical facilities in Seoul by Daegu resident patients' showed a larger increase than that by Gyeongbuk's patients. Second, for patients residing in the two regions, use of medical facilities in Seoul was highest for 'congenital malformations, deformations and chromosomal abnormalities', followed by 'neoplasms'. Third, for patients residing in the two regions, general hospitals comprise the primary factor in the use of medical facilities in Seoul. The study shows that local medical facilities should individually exert more efforts to improve the quality of their medical services. Relevant authorities should likewise help these facilities develop their own unique services and respective specialization.

A CASE OF THE CHILDHOOD DISINTEGRATIVE DISORDER (소아기 붕괴성 장애 1례)

  • Kang, Byung-Goo;Cho, Soo-Churl;Hong, Kang-E
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.7 no.1
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    • pp.110-119
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    • 1996
  • Heller recognized the children exhibiting developmental regression after normal period of development and proposed the term 'dementia' infanilis for the condition and reported it 1908. But the foolowing studies were insufficient, the diagnostic concept was not definded, and various names such as dementia infantilis, Heller's syndrome, disintegrative psychosis and childhood disintegrative disorder have been used for that condition. Recently the term childhood disintegrative disorder fir that condition was proposed as independent disease entity by DSM-IV and ICD-10, and the interset in that condition is increasing now. But because of insufficient previous studies on that condition, the definite concept, the characteristics, the relationship with autism or other similar conditions, the treatment and prognosis of that condition are not clear by this time, therefore we have not seen the official report on the condition in our country. These authors experienced a case considered as childhood disintegrative disorder and report it with the review of literatures.

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Incidence of Female Breast Cancer in a Defined Area in Korea (한국인 여성 유방암 발생률 추정에 관한 역학적 연구 -충북지역을 대상으로-)

  • Yoo, Keun-Young;Park, Sue-Kyung;Sung, Joo-Hun;Noh, Dong-Young;Choe, Kuk-Jin
    • Journal of Preventive Medicine and Public Health
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    • v.31 no.4 s.63
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    • pp.592-603
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    • 1998
  • This study was conducted to estimate incidence rate of female breast cancer in a defined area of Chungchongbuk-do in Korea. The presumptive breast cancer cases were selected from two different sources, i.e., medical utilization database of the National Health Insurance Corporation and the database from the National Cancer Registry. Medical students visited each hospital where the presumptive cases had been treated as a breast cancer patient, and made a dictation of medical record of each patient based on the claims stored in the Insurance Corporation from January to December 1995. The diagnoses in the claims included one of the following diagnostic codes; ICD-9 174-175(malignant neoplasms of the breast), 233(carcinoma in situ of the breast and genito-urinary system)or ICD-10 C50(malignant neoplasms of the breast), D05(carcinoma in situ of the breast and genito-urinary system). Each case has been confirmed as having a breast cancer by a breast surgeon through a medical record review. Age-standardized incidence rate of female breast cancer to the Korean population was estimated to be 10.5(95%confidence interval : 8.1-12.9)per 100,000 persons in 1995. Age-standardized rate to the world population was 9.8 per 100,000 persons, and the truncated rate for ages 35-64 was 27.2 per 100,000 persons. Validity of these estimates is discussing in comparison with previous methods of incidence estimation in Korea.

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A CASE OF CONDUCT DISORDER CONFINED TO FAMILY CONTEXT (가정에 국한된 품행장애 1례)

  • Chung, Sun-Ju;Cho, Soo-Churl
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.8 no.2
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    • pp.287-297
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    • 1997
  • Conduct disorder has been subclassified by the symptom characteristics of socialization, aggression, or age of onset. In ICD-10, ‘Conduct disorder confined to family context’ has been developed as a distinct subtype. Which delineates the conduct problems which take place only in the family and related situation. These authors experienced a case which presents a child who shows aggressive and violent behavior to his parent and brother, severe tamper tantrum and destructiveness only in family. By through history taking, observation and treatment after admission, we could find that insecure and ambivalent attachment between parent and child due to chronic neglect and abuse, and inconsistent parental behavior contribute to many behavioral and emotional problems of this child. We reviewed the relationship between conduct disorder and family pathology and treatment strategy for conduct disorder with family problems.

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Verification of a Relationship between Ultraviolet Radiation and Initial Microalgal Cell Density Using a Floating Marine Photobioreactor (부유형 해양 광생물반응기를 이용한 자외선과 초기 미세조류 접종 농도와의 상관관계 규명)

  • Kim, Z-Hun;Park, Hanwool;Jung, Seong-Gyun;Kim, Su-Kwon;Kim, Hee-Yun;Park, Yong Sung;Hong, Han Ma Roo;Lee, Choul-Gyun
    • Journal of Marine Bioscience and Biotechnology
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    • v.7 no.2
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    • pp.52-57
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    • 2015
  • The purpose of this study was to investigate a relationship between ultraviolet radiation and initial cell density (ICD) of microalgae using a floating marine photobioreactor (PBR). To examine the effect of ultraviolet (UV) radiation in sunlight on biomass productivity as a function of ICD, 0.5-L floating PBRs covered with or without UV cut-off film were placed in an outdoor rectangular tank containing 200 L of water. At the lower ICDs, 0.01 and 0.05 g/L, biomass productivities in the PBRs without UV cut-off film decreased by $278{\pm}21%$ and $222{\pm}3%$ compared with those with the film, respectively. In contrast, the presence of UV cut-off film did not have a significant effect on biomass productivities at the higher ICDs, 0.25 and 1.25 g/L. When the differences in biomass productivity made by the UV cut-off film were plotted against the sum of cell projection area per light receiving area of the PBR, the results revealed that the inhibitory effect of UV on biomass productivity can be negligible when the sum of cell projection area is equal to the light receiving area of the PBR. These results show that photoinhibition caused by UV radiation could be eliminated via operating the PBR with a proper ICD.

An analysis of Deconcentration Tendencies and Shifting -Share Situations of ICDs: Focused on the Southern Vietnam (내륙 컨테이너 기지의 탈 집중화 및 전이할당 현상 분석: 베트남 남부지역을 중심으로)

  • Phan, Minh Tien;Yeo, Gi-Tae
    • Journal of Digital Convergence
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    • v.18 no.6
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    • pp.143-156
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    • 2020
  • In Southern Vietnam, the competition among Inland Clearance Depot (ICD) has resulted in deconcentration tendencies and shifting share situations. However, related research on Southern Vietnam ICDs in particular and ICDs in Vietnam in general has been extremely limited. Hence, In this study, empirical research is conducted on ICDs located in southern Vietnam from 2010 to 2017. The throughput volume data of ICDs is analyzed by concentration indicators, namely the concentration ratio (CR), the Herfindahl-Hirschman Index (HHI), the Gini coefficient, the Lorenz curve, and the shift share analysis (SSA). The results of adopting all the methodologies indicate that deconcentration was the mainstream trend for ICDs in Southern Vietnam during the period of 2010-2017. The findings provide insights into the process of container terminal development and have academic and managerial implications. The strengthening of the competitiveness of Vietnamese container ports and ICDs could affect the competing Southeast Asian neighbors by facilitating the port of more shipping companies.