• 동의신경정신과학회지
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• 제30권1호
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• pp.31-38
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• 2019

Objectives: To identify the cost effectiveness of early dementia diagnosis using the 2014 Health Insurance Review & Assessment Service-National Patients Sample (HIRA-NPS). Methods: The medical costs of dementia between Western medical care and Korean medical care were compared through the reimbursement and non-reimbursement item code for dementia examination. In addition, the medical expenses of patients with dementia and mild cognitive impairment were compared and analyzed with respect to Western and Korean medical care. Results: There were 87,434 claims, of which 16,101 patients were diagnosed with dementia and 38,680,789,560 won was found to be the medical expenses. 12,881 patients (80.0%) with dementia, 3,144 patients (19.5%) with mild cognitive impairment, and 76 patients (0.5%) progressing from mild cognitive impairment to dementia. The proportion of medical expenses was 97.6% for dementia patients, 2.3% for mild cognitive impairment, and 1% for patients progressing from mild cognitive impairment to dementia. 86,070 claims (98.4%) were from Western medical care, with16,824 patients (98.2%), and the medical expenses was 38,546,895,400 won (99.7%). 1,361 claims (1.6%) were from Korean medical care, with 303 patients (1.8%), and the medical expenses was 133,894,160 won (0.3%). Conclusions: This study compared and analyzed the medical costs of dementia patients and the diagnosis of both Korean and Western medical care. The results of this study are expected to be used as basic research data for investigating cost effectiveness of developing early diagnosis of dementia.

• Journal of Genetic Medicine
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• 제10권2호
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• pp.104-108
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• 2013

Purpose: This study was designed to confirm whether the paracentric inversions of fetuses and parents may be harmless. Materials and methods: We report 10 cases (0.14%) with paracentric inversions among 7,181 prenatal cases observed during prenatal diagnosis performed at Cheil General Hospital between January 2009 and June 2013. We used cytogenetic GTL- and RBG-banding techniques. Results: Of the 10 cases, nine cases were transmitted from each of the parents, and one case was de novo. Nine cases were phenotypically normal up to one month of age after birth. One case was lost to follow-up. We present prenatal diagnosis and follow-up examination of the fetuses with paracentric inversion. Conclusion: Based on our cases, most paracentric inversions are considered to be harmless. The precise identification of paracentric inversions might be clinically important and helpful for genetic counseling.

• 대한예방한의학회지
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• 제15권1호
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• pp.71-87
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• 2011

Objective : The present study is aimed at providing basic data to help oriental medical hospitals devise efficient operational plans by analyzing the medical expenses of in-patients in an oriental medical hospital and the factors affecting such expenses. Methods : PASW 18.0 was used to analyze the medical insurance program data of 929 patients who were discharged from a university oriental medical hospital(with 105 sick-beds) during the period from January 1 to December 31, 2010 after treatment under the coverage of health insurance and medical aid. Results : 1) Of all the patients hospitalized, 63.3% were females, their mean age was 52.73 years old, and 87.7% was covered by the health insurance program. The biggest number or 31.2% of the patients were treated by the department of acupuncture, 31.5% suffered mainly from the diseases of musculoskeletal system and connective tissues, and the average length of stay at the hospital was 19.49 days. 2) There were statistically significant differences in total medical expenses by age, clinical department in charge, principal diagnosis, and number of days hospitalized while daily average medical expenses differed depending on age, type of medical security, clinical department, principal diagnosis, and number of days staying at the hospital. 3) Total medical expenses were found significantly influenced by age, type of medical security, clinical department, principal diagnosis, and number of days hospitalized(explanatory power : 95.9%), whereas type of medical security, clinical department and principal diagnosis turned out to exercise significant influence on the daily average medical expenses(explanatory power : 26.9%). Conclusion : Oriental medical hospitals are suggested to make efforts to ensure geographical and economical accessibility for their main clients, the elderly and middle-aged, as well as to improve satisfaction of the clients with the medical service provided. They are also encouraged to work out systems to specialize in treatment with a focus on chronic degenerative and adult diseases. In addition, they are expected to try to enhance people's awareness of oriental medicine in an attempt to diversify the brackets of clients and increase frequency of their utilization.

• Journal of the Korean Data and Information Science Society
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• 제23권2호
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• pp.227-234
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• 2012

의학진단을 위해 여러 증상과 질병 사이의 거리를 이용하는 연구가 많이 진행되고 있다. 그러나 거리들이 비슷한 값을 가지는 경우가 많이 발생하며, 이들 거리의 차이값은 정규분포 또는 카이제곱분포 등과 같은 일반적인 통계분포를 따르지 않는다. 본 연구에서는 의학진단에 사용되는 해밍 거리들의 차이값에 대한 분포적 특성에 대해 살펴보고, 이 차이값의 유의성 검정에 대해 탐색해보고자 한다.

• 간호행정학회지
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• 제9권2호
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• pp.183-191
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• 2003

Purpose : to survey about satisfaction of nurses of NANDA nursing diagnosis and NIC nursing interventions and system's usefulness of information system forusing 10 medical diagnosis. Method : nurses learned about this system and used this system for 4 or 8 weeks. After that survey about satisfaction and usefulness of this system. Result : The good points of the nursing diagnosis systems are a rapid selection, accuracy, convenience of the using system. The good points of the nursing intervention system are same as the nursing diagnosis system. About the good points of the general system are easiness, improvement of nursing knowledge, convenience, etc. However, further studies for pilot operations of the system are mandatory. Conclusion : We expect this system can be used in many hospitals efficiently in the future after pilot operations are completed in some hospitals. After verifying the usefulness of the system through pilot operations, the further analysis on the relationship between medical diagnosis and NANDA nursing diagnosis is also necessary for the generalization.

• 대한한의학원전학회지
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• 제33권4호
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• pp.83-105
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• 2020

Objectives : This paper aims to examine the system, principle, and fundamentals of the great principle of pulse diagnosis in the 『Nanjing』. Methods : The system, principle, and fundamentals of pulse diagnosis in the 『Nanjing』 were examined within the book's description framework and logical structure in light of its relationship to the 『Huangdineijing』. Previous studies that follow pulse diagnosis of 『Nanjing』 and 『Wangshuhe Maijue』 were referenced. Results & Conclusions : The structure of pulse diagnosis in the 『Nanjing』 is systematically organized under the principle of the three positions and nine indicators as the great principle to which the yinyang and five viscera pulse theories are included. The great principle of the three positions and nine indicators is consisted of a system that allows for a multiple and comprehensive interpretation wherein the theories of yinyang and five elements are interweaved within the pulse diagnosis system, which is comprised of a great principle and particular principles. The theory follows that of the three yin three yang theory of the five circuits and six qi, its principles manifesting as the three positions and nine indicators and integration of pulse and symptoms.

• 대한한의학원전학회지
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• 제33권1호
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• pp.89-101
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• 2020

Objectives : The purpose of this study is to research the Left-Renying and Right-Qikou pulse diagnosis. Methods : We set up locations of the Renying pulse(人迎脈) and the Qikou pulse(氣口脈) on left hand and right hand. On the basis of the medical texts and papers, we researched the relations between the Left-Renying and Right-Qikou pulse diagnosis and the etiological factors(病因), background of appearance of the Left-Renying and Right-Qikou pulse diagnosis, and practical use of medical practitioners of many generations to the Left-Renying and Right-Qikou pulse diagnosis. Results & Conclusions : The Left-Renying and Right-Qikou pulse diagnosis is a method to diagnosis the etiological factors, while it could also be assumed as a tool to apply herbal medicine. This assumption could be made based on the seventh volume of 『Maijing(脈經)』 of Wang Shuhe(王叔和). Chen Wuze(陳無擇) emphasized its function to distinguish etiological factors in 『Sanyinjiyibingzhengfanglun(三因極一病證方論)』, as did Li Dongyuan(李東垣) in 『Neiwaishangbianhuolun(內外傷辨惑論)』. Meanwhile, the connection between Left-Renying and Right-Qikou pulse diagnosis and Zangfu(臟腑) seems to have first been made in 『Maiyu(脈語)』 of Wu Kun(吳昆), while 『Zhenjiazhengyan(診家正眼)』 of Li Zhongzi(李中梓) shows traces of progress since the 『Maiyu』.

• 대한한의학원전학회지
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• 제32권1호
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• pp.1-27
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• 2019

Objectives : By studying the contents of Zhang Yuansu's "Zhenmairushijie", which are introductory remarks of "Chandobangronmaekkyulgipseong", this study attempts to clarify the academic meaning expressed in it and consider his real significance. Methods : First, based on previous studies on Zhang Yuansu and "Wangshuhemaijue", this study divides the contents of "Zhenmairushijie" into 4 chapters and read out the original text. Next, based on Zhang Yuansu's notes and other writings on the original text, this study examines contents in detail. Finally, based on the discussion, this study examines the current significance of academic thoughts expressed in Zhang Yuansu's "Zhenmairushijie". Results ＆ Conclusions : "Zhenmairushijie" emphasizes the combination of nervation and Byeonggi in the process of feeling the pulse for diagnosis, the combination of Byeonggi and Yongyak to declare that the feeling of the pulse for diagnosis is the principle of differential diagnosis. The combination principle of nervation-Byeonggi can be found in comprehensive pulse methods of "Nanjing", and the combination of Byeonggi-Yongyak should follow Ohaeng's Bubuheoshilsajeongbosa principle. Pulse methods of "Wangshuhemaijue" integrated Byeonggi expressed in Uigyeong and Byeonggi in Gyeongbang in the process of the feeling of the pulse for diagnosis to present the principle of diagnosis to perform Byeongjeungronchi. Therefore, "feeling the pulse for diagnosis ipsik" is not only an introductory remark of feeling the pulse for diagnosis, but an comprehensive remark of whole diagnosis as well. It is an introductory remark of the entire medical field due to the nature of oriental medicine which emphasizes diagnosis.

• Parasites, Hosts and Diseases
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• 제59권3호
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• pp.257-263
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• 2021

Human gnathostomiasis is a parasitic disease caused by Gnathostoma nematode infection. A rapid, reliable, and practical immunoassay, named dot immuno-gold filtration assay (DIGFA), was developed to supporting clinical diagnosis of gnathostomiasis. The practical tool detected anti-Gnathostoma-specific IgG4 in human serum using crude extract of third-stage larvae as antigen. The result of the test was shown by anti-human IgG4 monoclonal antibody conjugated colloidal gold. The sensitivity and specificity of the test were both 100% for detection in human sera from patients with gnathostomiasis (13/13) and from healthy negative controls (50/50), respectively. Cross-reactivity with heterogonous serum samples from patients with other helminthiases ranged from 0 (trichinosis, paragonimiasis, clonorchiasis, schistosomiasis, and cysticercosis) to 25.0% (sparganosis), with an average of 6.3% (7/112). Moreover, specific IgG4 antibodies diminished at 6 months after treatment. This study showed that DIGFA for the detection of specific IgG4 in human sera could be a promising tool for the diagnosis of gnathostomiasis and useful for evaluating therapeutic effects.

• Journal of Korean Neurosurgical Society
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• 제59권6호
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• pp.590-596
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• 2016

Objective : Rheumatoid arthritis (RA) is a systemic disease that can affect the cervical spine, especially the atlantoaxial region. The present study evaluated the risk factors for atlantoaxial subluxation (AAS) development and progression in patients who have undergone surgical treatment. Methods : We retrospectively analyzed the data of 62 patients with RA and surgically treated AAS between 2002 and 2015. Additionally, we identified 62 patients as controls using propensity score matching of sex and age among 12667 RA patients from a rheumatology registry between 2007 and 2015. We extracted patient data, including sex, age at diagnosis, age at surgery, disease duration, radiographic hand joint changes, and history of methotrexate use, and laboratory data, including presence of rheumatoid factor and the C-reactive protein (CRP) level. Results : The mean patient age at diagnosis was 38.0 years. The mean time interval between RA diagnosis and AAS surgery was $13.6{\pm}7.0$ years. The risk factors for surgically treated AAS development were the serum CRP level (p=0.005) and radiographic hand joint erosion (p=0.009). The risk factors for AAS progression were a short time interval between RA diagnosis and radiographic hand joint erosion (p<0.001) and young age at RA diagnosis (p=0.04). Conclusion : The CRP level at RA diagnosis and a short time interval between RA diagnosis and radiographic hand joint erosion might be risk factors for surgically treated AAS development in RA patients. Additionally, a short time interval between RA diagnosis and radiographic hand joint erosion and young age at RA diagnosis might be risk factors for AAS progression.