• 제목/요약/키워드: Pathogenesis questionnaire

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의사결정나무법을 이이용한 병인(病因)분류에 관한 연구 (A Study of Pathogenesis Classification using Decision Tree Method)

  • 이혁재;김민용;오환섭;박영배
    • 대한한의진단학회지
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    • 제12권2호
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    • pp.27-40
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    • 2008
  • Background : In spite of the predominant of the theory of Pathogenesis, the method of Pathogenesis classification is depending on the doctor's clinical trials because od the lack of the objective test criteria. Methods and Results : This study is trying to improve the objectiveness of classification using a new statistical method, decision tree. Decision tree method -a classification technique in the statistical analysis- was used to analyze the result of pathogenesis questionnaire instead of using discriminant analysis. As a result, 10 among 38 pathogenesis questionnaire was selected as important questions and 12 terminal nodes was built to classify the pathogenesis. Conclusions : Using only 10 questions shown in the result of decision tree, we can classify and interpret the pathogenesis easily and effectively.

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평위산증(平胃散證)의 병인논적(病因論的) 분석(分析)을 위한 설문문항(說問問項) 개발(開發) (Developing Questionnaire for Pathogenesis Analysis of Pyungweesan Symptom)

  • 임준성;박영배;이상철;오환섭
    • 대한한의진단학회지
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    • 제11권1호
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    • pp.72-81
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    • 2007
  • Background & Objective: Pathogenesis treats cause of disease. pyungweesan is pathogenesis prescription of indigestion. prescription has been determined subjectively because there is no standardized prescription. so this study developed questionnaire for a objective and standardized prescription. Method: To determine objective pyungweesan prescription, 24 items of questionnaire are researched two times by delphi method. The questionnaire is selected through 5 reference book and opinions of korean medical doctor. Result: By delphi method and average value, 20 items of questionnaire are chosen. Conclusions: This study becomes basic data for a profound research henceforth. The questionnaire will be developed through being verified by korean medical doctor clinically.

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설문지 분석법에 의한 담 혈어 한 열 습 조 병기의 표준 증상 및 남녀차이 연구 (Study on Standard Symptoms and Gender Differences of Phlegm, Blood Stasis, Cold, Heat, Dryness Pathogenesis on Questionnaire Analysis)

  • 오명택;엄현섭;김종원;이인선;지규용
    • 동의생리병리학회지
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    • 제21권2호
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    • pp.532-538
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    • 2007
  • In order to establish the standard symptoms in men and women and highly frequent symptoms(HFS) of Phlegm(痰) Blood Stasis(血於) Cold(寒) Heat(熱) Dryness(濕) pathogenesis(病機), 969 questionnaires were analyzed through Cronbach alpha value and Pearson's correlative efficient. The Cronbach ${\alpha}$ value of each pathogensesis was Phlegm(0.83500)${\cdot}$Cold(0.823272)${\cdot}$Heat(0.816344)${\cdot}$Dampness(0.760292)${\cdot}$Blood Stasis(0.692551)${\cdot}$Dryness(0.672783) respectively. Through this study of frequency number of symptoms, followings were found that the physiological differences of men and women made some differences of main symptoms in each pathogenesis, and the differences of several clinical symptoms in a pathogenesis were resulted from the difference of specimens between textbook and this study.

병인론적(病因論的) 분석(分析)에 의한 평위산변증설문지(平胃散辨證設問紙)의 신뢰도(信賴度) 타당도(妥當度) 연구(硏究) (A Study on Reliability and Validity of the Pyungweesan Patternization Questionnaire by the Pathogenesis Analysis)

  • 임준성;박영배;박영재;이상철;오환섭
    • 대한한의진단학회지
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    • 제11권2호
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    • pp.59-67
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    • 2007
  • Objectives: Pathogenesis treats cause of disease. Pyungweesan is pathogenic prescription of indigestion. This study researched for developing questionnaire of prescribing pyungweesan. Methods: Korean medical doctor classified the patients into two group, pyungweesan symptom group and non pyungweesan symptom group. After that, each group responsed to the questionnaire. We tested for both the reliability and validity of the questionnaire. For validity test, we compared the sum, average and standard deviation of 20 items of pyungweesan symptom group with those of non-pyungweesan symptom group through independent sample t-test, For reliability test, we computerized crohnbach's a value of the items. Results: The developed questionnaire showed remarkable reliability. (Cronbach's ${\alpha}$ =0.854) There were a significant differences on the sum of the 20 items and each 19 item's average and standard deviation, except 1 item; Do you have an irregular discharge from the womb? Conclusions: Based on the results of the above analysis, the korean medical doctor will make an effort to apply the pyungweesan questionnaire clinically. In the future, the additional research is needed.

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보중익기탕증(補中益氣湯證)의 병인론적(病因論的) 분석을 위한 설문문항(說問問項) 개발(開發)( II ) (Development of Questionnaires for Pathogenesis Analysis of Bojungikgitang Symptom( II ))

  • 윤태득;박영재;이상철;박영배;오환섭
    • 대한한의진단학회지
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    • 제11권2호
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    • pp.45-58
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    • 2007
  • Background and purpose: We previously developed questionnaire of Bojungikgitang systom on the Delphi method through the pathogenesis analysis. But developed a questionnaire was not verified in the clinical. So, to ensure objectivity, quantification and validity, verification is needed for questionnaire items before applying a clinical. On this study, we looked at whether questionnaire items had been validity in the clinical. Methods: Surveys conducted about 191 patients at 12 oriental medicine hospitals. Among them, patients with Bojungikgitang systom(group I) were 95, and patients with no Bojungikgitang systom(group II) were 96. We calculated that the sum of each item in the survey and then the sum was reviewed statistically significant difference through Independent samples T test between group I and II. Results: Between group I and II, the total sum survey of the percent difference is meaningful (P<0.05). Conclusions: Reliability analysis of the Bojungikgitang systom survey research is needed in the future. Also I think that research should proceed about a lot of people.

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한방부인과 진단용 설문지의 병기 연구 (Pathogenesis Study of Oriental OB & GY Questionnaires)

  • 이인선;전란희;조혜숙;배경미;김미진;이용태;지규용;김종원
    • 동의생리병리학회지
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    • 제18권2호
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    • pp.401-407
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    • 2004
  • Purpose : This study investigated reliability of Oriental DB & GY(obstetrics & gynecology) Questionnaires's items which was used by Dong-Eui OB & GY through analysis of oriental OB & GY books. Method : This study investigated differentiation of syndrome through analysis of oriental OB & GY book's. Result: This study investigated differentiation of syndrome through analysis of oriental OB & GY disease and pathogenesis. This study's pathogenesis was such that deficiency of Ki, deficiency of blood, stagnation of Ki, stagnated blood, deficiency of Yang, deficiency of Um, cold syndrome, heat syndrome, dampness, dryness, phlegm, kidney, liver, heart, spleen, wind, lung. We except lung from Questionnaires's pathogenesis because it is stuck for importance. We except wind from Questionnaires's pathogenesis because it is stuck for preguence. Oriental OB & GY Questionnaires's pathogenesis consist of 15 items such that deficiency of Ki, deficiency of blood, stagnation of Ki, stagnated blood, deficiency of Yang, deficiency of Um, cold syndrome, heat syndrome, dampness, dryness, phlegm, kidney, liver, heart, spleen. Oriental OB & GY Questionnaires construct pathogenesis's question and guide post through we examined it's reasonableness.

육미지황탕증(六味地黃湯證)의 병인논(病因論)적 분석을 위한 설문문항(說問問項) 개발(開發) (Development of Questionnaires for Pathogenesis Analysis of Yukmijiwhang-tang Symptom)

  • 조상원;박영재;김민용;오환섭;박영배
    • 대한한의진단학회지
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    • 제12권2호
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    • pp.61-73
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    • 2008
  • Background: Yukmijiwhang-tang is one of the most common herbal formulas in Oriental Medicine. Yukmijiwhang-tang has been widely used as a herbal medicine to replenish Yin and tonify the kidneys for hundred years in Asian countries. Because of insufficiency in data, objective judgements about remedial effects have been difficult. In order to make objectivity diagnostic data, this research is developed. Purpose: The aim of the research is to make a pilot questionnaire for clinical use of Yukmijiwhang-tang. Methods: The questionnaire which includes symptoms and signs for Yukmijiwhang-tang is studied by the Delphi method. Results: By the Delphi method and score evaluation, 30 items of the initial copy of questionnaire are chosen for the research. Conclusions: By the Delphic survey among clinicians, a reference questionnaire for Yukmijiwhang-tang applications was suggested. Further research is necessary for modification of questionnaire by statistics and certification by clinical trial. research.

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귀비탕변증설문지(歸脾湯辨證設問紙)의 신뢰도(信賴度) 타당도(妥當度) 연구(硏究) (A Study on Reliability and Validity of the Guibi-tang Patternization Questionnaire)

  • 이병희;박영배;박영재;오환섭;김민용
    • 대한한의진단학회지
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    • 제13권1호
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    • pp.45-53
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    • 2009
  • Background and purpose : We previously developed questionnaire of Guibi-tang symtom on the Delphi method through the pathogenesis analysis. But developed a questionnaire was not verified in the clinical. So, to ensure objectivity, quantification and validity, verification is needed for questionnaire items before applying a clinical. On this study, we looked at whether questionnaire items had been validity in the clinical. Methods : Participants of this study were outpatients in eleven clinics. The resources were collected from 200 patients. SPSS 15.0 for Windows was used for statistical analysis : reliability analysis, factor analysis were used to verify the results Results and Conclusions : 16 items were selected through reliability analysis perforfed on about 22 items. After factor analysis, we have four component. Veryfy research of the Guibi-tang Patternization Questionnaire is needed in the future. Also I think that research should proceed about a lot of people.

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악관절 질환 환자에 대한 초기치료의 효과: 상담 및 투약

  • 김영균;김현태;김인수
    • 대한치과의사협회지
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    • 제38권6호통권373호
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    • pp.549-557
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    • 2000
  • ㆍPurpose: This study was performed to investigate the initial conservative treatment for TMD patients using careful counselling and medication prospectively. ㆍMaterials and Methods: Careful counselling and medication were performed in 51 TMD patients and 27 patients had follow-up check 2 months or more. Diagnosis of TMD was based on medical history and, physical and radiographic examination. TMD included masticatory disorder, internal derangement, degenerative joint disease, inflammatory joint disorder. and problems resulting from extrinsic trauma. All patients had chief complaints of TMJ pain, mouth-opening limitation. joint noise, and/or referred pain. We counselled and explained to the patient about the pathogenesis, etiologic factors, diagnosis and treatment plan for abut 10 minutes. We prescribed nonsteroidal anti-inflammatorv analgesic(Somalgen) and amitriptyline 10mg per day for 2 weeks. We informed the patient of the attention sheet and taught self-exercise of jaw. The patient were assessed by answering the questionnaire of subjective evaluation of TMD & maxillofacial pain. Questionnaire of an activity limitation. Questionnaire of a jaw function, and Questionnaire for the evaluation of TMD. ㆍResults: In questionnaire for the evaluation of TMD, 88.5% of 26 patients answered that the treatment was efficacious. 71.4% of 21 patients answered no problem in everyday life. There were significant differences between pretreatment and final follow-up in the evaluation of the subjective pain in the following sections: opening widely, chewing, resting, morning, masticatory muscle, and temporal portion(SAS program, paired T-test, P = 0.05). ㆍConclusions: Considerate counselling and proper medication could be significantly effectve in the initial treatment of TMD.

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보중익기탕증(補中益氣湯證)의 병인논(病因論)적 분석을 위한 설문문항(說問問項) 개발(開發) (Development of Questionnaires for Pathogenesis Analysis of Bojungikgitang Symptom)

  • 윤태득;박영재;박영배;이상철;오환섭
    • 대한한의진단학회지
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    • 제11권1호
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    • pp.61-71
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    • 2007
  • Background: Bojungikgitang is one of the most common herbs in oriental medicine. Principally, this medicine heals illness from overwork and stress. Therefore, it is frequently used in the ancient community. Because of insufficiency in data, objective judgements are difficult in remedial effects by Bojungikgitang. In order to make objectivity diagnose data, this research is developed. Purpose: The aim of the research is to make questionnaire for the medicine and the objective is to sell to the public from the local clinic. Methods: The questionnaire which includes symptoms and signs for diagnose of Bojungikgitang is studied by the Delphi method and average value. Results: By the Delphi method and average value, 25 Items of questionnaires are choosen for the research. Conclusions: Further research is necessary for modification of questionnaire by statistics and certification by clinical trial. The statistics and verification by clinical trial is necessary with modification for further research.

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