• 제목/요약/키워드: Medical treatment

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SVM을 이용한 건강검진정보 기반 진료과목 예측 (Health Examination Data Based Medical Treatment Prediction by Using SVM)

  • ;변정용
    • 정보처리학회논문지:소프트웨어 및 데이터공학
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    • 제6권6호
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    • pp.303-308
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    • 2017
  • 생활 수준의 향상 및 소비자들의 건강에 대한 관심의 증가로 인해 자신의 건강에 대해서 스스로 결정하고자 하는 요구가 점차 증가하고 있다. 이로 인해 개인 맞춤형 의료에 대한 요구가 높아지고 있으며 각종 의료 정보를 기반으로 하는 질병 진단에 대한 연구가 많이 진행되고 있다. 하지만 기존의 연구들은 특정 질환과 관련된 데이터를 이용한 특정 질환 예측을 위한 것으로 진료과목을 예측한 연구는 없었다. 본 논문에서는 국민건강정보데이터를 이용하여 진료과목 예측에 관한 연구를 진행하였다. 실험 결과에서 보여주다시피 일반 건강검진 데이터를 이용하여 진료과목을 예측한 결과 평균 80% 이상의 정확도를 보여 주고 있으며 SVM은 다른 예측 알고리즘들보다 뛰어난 성능을 보여 주었다.

의료행위와 대리승낙 (A Review on Consent to the Medical Treatment in the case of Foreign Determination)

  • 이석배
    • 의료법학
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    • 제15권1호
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    • pp.303-333
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    • 2014
  • The right to self-determination in regard to one's body is a key element of human dignity, privacy and freedom. It is constitutionally enshrined in the guarantee of human dignity, in the general right of personality and, most concretely of all, in the right to physical integrity. In principle No-one may trespass another person's body against his will, whether this act improves his physical condition or not. This right of self-determination applies equally to healthy and to sick people. Hence everyone has the right either to permit or to refuse a medical treatment, unless he can not make a rational decision. If the person does not consent himself, for whatever reason, another one must do for him as guardian. Representation in consent to medical treatment is therefore the exception of self-determination rule. This article explored, 1. who can consent to the medical treatment in the case of the mentally incapacitated adult and the infant, 2. what kind of consent to the medical treatment can the deputy determinate for the mentally incapacitated adult and the infant, 3. when the deputy can not determinate without permission of the court, and 4. what can the doctor do in the case of conflict between minors and guardians.

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청리자감탕(淸離滋坎湯)으로 호전된 갱년기 여성의 상열감(上熱感)과 복부냉증(腹部冷症)에 대한 DITI를 이용한 평가 (A Clinical Case Study to Evaluate the Hot flush and Abdominal Cold Hypersensitivity Relief Efficacy of Cheonglijagamtang in Climacteric Women by DITI)

  • 이미주;김은경;황덕상;이창훈;이경섭
    • 대한한방체열의학회지
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    • 제8권1호
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    • pp.26-32
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    • 2010
  • Purpose : To quantitative analyse the hot flush and abdominal cold hypersensitivity relief efficacy of Cheonglijagamtang in climacteric women by DITI. Methods : The patients was a 59-year-old climacteric woman who was suffered by hot flush and abdominal cold hypersensitivity. The patient was treated by herb medicine, acupuncture treatment, moxa treatment and physical treatment. The progress of symptoms was evaluated by checking the change of VAS, and inspecting the DITI. Results : Visual analog scale of hot flush and abdominal cold hypersensitivity in this climacteric women have decreased after treatment. The temperature of two abdominal site(RN12.RN4) after treatment get higher than those before treatment. Difference of acupoint-Indang and other abdominal site(RN12.RN4)'s temperature have decreased after treatment. Conclusion : The result suggest that DITI can be used for the diagnosis of hot flush and coldness relief efficacy in climacteric women.

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환자표본자료를 이용한 간세포암종 환자의 의료이용 특성 및 치료별 의료비용 분석 (Analysis of Medical Use and Treatment Costs of Hepatocellular Carcinoma Patients Using National Patient Sample Data)

  • 오병찬;조정연;권순홍;이의경;김혜린
    • 한국임상약학회지
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    • 제31권2호
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    • pp.153-159
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    • 2021
  • Background: With increasing economic evaluation studies on the treatment of or screening tools for liver diseases that cause hepatocellular carcinoma (HCC), interest in the analysis of the medical utilization and costs of HCC treatment is increasing. Therefore, we aimed to estimate the medical utilization and costs of HCC patients, and calculate the cost of main procedures for HCC treatment, including liver transplant (LT), hepatic resection (HR), radiofrequency ablation (RFA), and transarterial chemoembolization (TACE). Methods: We analyzed claim data from January to December 2018 from the Health Insurance and Review and Assessment Service-National Patient Sample (HIRA-NPS-2018) dataset, including data of patients diagnosed with HCC (Korean Standard Classification of Diseases code C22.0) who had at least one inpatient claim for HCC. Results: A total of 715 HCC patients were identified. In 2018, the yearly average medical cost per HCC patient was ₩18,460K (thousand), of which ₩14,870K was attributed to HCC. Among the total medical costs of HCC patients, the inpatient cost accounted for the largest portion of both the total medical and HCC-related costs. The major procedures of HCC treatment occurred most frequently in the order of TACE, RFA, HR, and LT. The average medical cost per treatment episode was the highest for LT (₩87,280K), followed by HR (₩10,026K), TACE (₩4,047K), and RFA (₩2,927K). Conclusion: By identifying the medical costs of HCC patients and the costs of the main procedures of HCC treatment, our results provide basic information that could be utilized for cost estimation in liver disease-related economic evaluation studies.

척추전방전위증 환자에 대한 공간척추도인안교법을 포함한 한방치료 치험 3예 (Korean Medical Treatment Including Space Spinal Conduction Exercise and Manipulation Treatment for Spondylolisthesis: Three Case Reports)

  • 이한솔;박진영;정원석
    • 한방재활의학과학회지
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    • 제30권1호
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    • pp.125-135
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    • 2020
  • To report the effect of an Korean medical treatment, including Space spinal conduction exercise and manipulation treatment for a patient suffering with spondylolisthesis. Three patients were treated by oriental medical treatment including acupuncture, oriental medicine, Space spinal conduction exercise and manipulation treatment and the results were assessed with a numerical rating scale (NRS), walking condition, and back pain, sciatica. After treatment, the NRS changed from 8~9 to 1~2 and walking condition get better. The patient's back pain and sciatica have improved. In this study, oriental medical treatment, including Space spinal conduction exercise and manipulation treatment was an effective treatment for patients with spondylolisthesis. However, additional studies are needed, as are more and observations of these patients.

Long-term stability after multidisciplinary treatment involving maxillary distraction osteogenesis, and sagittal split ramus osteotomy for unilateral cleft lip and palate with severe occlusal collapse and gingival recession: A case report

  • Kokai, Satoshi;Fukuyama, Eiji;Omura, Susumu;Kimizuka, Sachiko;Yonemitsu, Ikuo;Fujita, Koichi;Ono, Takashi
    • 대한치과교정학회지
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    • 제49권1호
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    • pp.59-69
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    • 2019
  • In this report, we describe a case involving a 34-year-old woman who showed good treatment outcomes with long-term stability after multidisciplinary treatment for unilateral cleft lip and palate (CLP), maxillary hypoplasia, severe maxillary arch constriction, severe occlusal collapse, and gingival recession. A comprehensive treatment approach was developed with maximum consideration of strong scar constriction and gingival recession; it included minimum maxillary arch expansion, maxillary advancement by distraction osteogenesis using an internal distraction device, and mandibular setback using sagittal split ramus osteotomy. Her post-treatment records demonstrated a balanced facial profile and occlusion with improved facial symmetry. The patient's profile was dramatically improved, with reduced upper lip retrusion and lower lip protrusion as a result of the maxillary advancement and mandibular setback, respectively. Although gingival recession showed a slight increase, tooth mobility was within the normal physiological range. No tooth hyperesthesia was observed after treatment. There was negligible osseous relapse, and the occlusion remained stable after 5 years of post-treatment retention. Our findings suggest that such multidisciplinary approaches for the treatment of CLP with gingival recession and occlusal collapse help in improving occlusion and facial esthetics without the need for prostheses such as dental implants or bridges; in addition, the results show long-term post-treatment stability.

ADHD에 대한 한방치료의 효과에 대한 후향적 관찰 연구 (Effects of Oriental Medical Treatment on ADHD - A retrospective clinical survey -)

  • 변기원;김주호;김종우;정선용
    • 대한한의학회지
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    • 제32권4호
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    • pp.75-82
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    • 2011
  • Objectives: This case report aimed to evaluate whether oriental medical treatment was effective on ADHD through a records review of a local oriental medical clinic. Methods: We reviewed clinical charts of a local oriental medical clinic between December 2007 and September 2010 to select ADHD patients. Among those patients, for comparison before and after treatment, we selected cases which had at least twice Stroop test results and 2 months of treatment. Baseline, 3-month and 6-month Stroop test results were compared. Oriental medical treatment consisted of 2 months' herbal medicine, periodic acupuncture and exercise. Results: 1. 3-month data showed that subjects were 12 and improved word score and word-color score of Stroop test. 2. 6-month data showed that subjects were 20 and improved word score, color score, and word-color score of Stroop test. Conclusions: 1. Relatively short term herbal medication and exercise are effective on the word score and word-color score of the Stroop test. 2. After short term herbal medication, continuous exercise maintained the effects of short term oriental medical treatment. 3. We need to consider the balance of left and right as an important point of exercise, but further study is needed.

자궁근종 및 자궁선근증을 동반한 불임환자 증례보고 (A Case Report of One Patient with Infertility Accompanied by Adenomyosis and Uterine Myoma)

  • 이정임;남은영;김형준;이동녕
    • 대한한방부인과학회지
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    • 제28권1호
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    • pp.158-166
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    • 2015
  • Objectives: Adenomyosis is the disease caused by ingrowth of lining tissue into the uterine muscle. Final treatment of the disease is hysterectomy. But if a patient want to get pregnant, there is a tendency to avoid surgical treatment. This paper introduces the potential of oriental medical treatment for infertility caused by adenomyosis through a case study. Methods: A 34-year-old female patient, who wants to get pregnant, was diagnosed with adenomyosis. She wants to take oriental medical treatment in the ${\bigcirc}{\bigcirc}$ Oriental Hospital. We applied herb-medication, acupuncture and moxibustion. Results: Overall condition including the symptoms was relieved and succeeded in pregnancy after oriental medical treatment. Conclusions: Oriental medical treatment has an effect infertility caused by adenomyosis.

내병외치약물(內病外治藥物)에 관한 문헌적(文獻的) 연구(硏究) (A Study on the External Treatment of Internal Diseases in Medical Classics)

  • 이석재;맹학영;금경수;정헌영;조은희;이시형
    • 대한한의학원전학회지
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    • 제22권2호
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    • pp.139-199
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    • 2009
  • The external treatment of internal diseases was first recorded in Hwangjenaegyeong(黃帝內經), and two hundred and fifty odd cases were found in the Bonchogangmok(本草綱目) and Oechisusebang(外治壽世方). Bonchogangmok(本草綱目) is a technical book devoted to explaining materia media as well as the external treatment of internal diseases. Oechisusebang(外治壽世方) is also a technical book, which make 36 references to the disease patterns of internal medicine. The medicinals employed as external treatment of internal diseases are grouped into 300 classes. These medicinals do not set limits to trees and plants but also uses birds and beasts, reptiles, grains, feces and urine, soil, stone etc., applied to various disease patterns. This study researched the medical texts in order to treat the disease patterns of internal medicine.

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관원(關元)(CV4)에 온통구(溫筒灸)를 시술한 야뇨(夜尿) 환아(患兒) 5례 보고 (The Five Cases Report about Enuretic Children with Moxa Bucket Moxibustion on Gwanwon(CV4))

  • 김지영;임해원;김지현;권강;김종화
    • 대한한방소아과학회지
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    • 제24권2호
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    • pp.159-168
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    • 2010
  • Objectives This study to investigate the effect of oriental medical treatment including moxa bucket moxibustion on children with nocturnal enuresis. Methods We treated five cases of enuretic children with oriental medical treatment like moxa bucket moxibustion on Gwanwon(CV4) at every cases and acupuncture, TDP, herbal medicine at some cases. To investigate relapse, we followed up by telephone at least about 3 months after the end of the therapy. Results After the treatment, the number of enuresis before and after the treatment were compared. The number was decreased by 67% or more all cases. Conclusions According to the result, oriental medical treatment including moxa bucket moxibustion is considered to be effective on the nocturnal enuresis and further study is needed with more cases.