• Title/Summary/Keyword: clinical diagnostics

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Analysis of Cause and Effect Structure for Nogwonsang (노권상(勞倦傷)의 인과 구조 분석)

  • Yoon, Kyu-Jin;Lee, Sang-Chul;Kim, Min-Yong;Park, Young-Bae;Park, Young-Jae
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.14 no.1
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    • pp.1-14
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    • 2010
  • Backgrounds : Bojungikgitang is one of the most common herbal prescriptions in Oriental Medicine, and it is highly recommended prescription for Nogwonsang syndrome. The Author developed Nogwonsang questionnaire for quantitative evaluation. Nogwonsang questionnaire is consisted of causes that induce fatigue, symptoms that directly associated with fatigue, and secondary symptoms that is induced from fatigue. Purposes : This study aims to verify whether the Bojungikgitang Questionnaire has causality and meaningful path structure by path analysis. Methods : 242 patients from 12 OMD clinics participated in this study. The patients executed a question investigation in the object. Factor analysis was conducted for extraction of factor and abridgment of items. Path analysis was conducted to verify path structure. SPSS 15.0 for Windows and AMOS 7.0 were used for statistical analysis. Results : Overwork factor explains fatigue factor. Coefficient is 0.771. Fatigue factor explains digesting and cold factor. Individually coefficient is 0.632 and 0.465. Model fit is $X^2=61.395$(df=51), GFI=0.960, AGFI=0.939, NFI= 0.924, CFI=0.986, RMSEA=0.029. Path structure is proved to be significant. Conclusions : Further research is needed Gold standard of Nogwonsang. Establishment of Gold standard leads and the collection of data and the research which are objective are possible. Connection of the clinical indexes which are objective on the paperweight outside and leads and the development of the diagnosis tool which is fixed quantity is demanded.

Study on the distribution in major disease category and frequency of clinical usage of national health insurance herbal prescription based on analysis on KCD8 disease code of indications (적응증의 KCD8 상병코드 분석 결과를 기반으로 한 보험한약제제의 질병 대분류 분포 분석과 사용 빈도 연구)

  • Dong Woo Lim;Jung Yun Ahn;Ga Ram Yu;Jai Eun Kim;Won Hwan Park
    • The Journal of Korean Medicine
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    • v.44 no.1
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    • pp.1-15
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    • 2023
  • Objectives: National health insurance herbal prescription of Korean medicine has been serving important role in public healthcare in spite of continuous demand on revision of system. However, the categories of insurance herbal prescriptions are not equally distributed throughout the KCD-based major disease categories. We analyzed statistical database of claimed national health insurance classified as major disease categories by years. We classified all 56 herbal prescriptions as per their total medical indications into 22 major disease categories to analyze their distribution. Significant increase of M and S-T code claims were found, whereas decrease of U code claims by years. We figured out that the 56 prescriptions were unequally distributed along with enrichment of certain codes such as K and J. Meanwhile, the insurance claim of each prescription was positively correlated with number of code types of their indications. As a result, we believe that the reform of national health insurance herbal prescription list is necessary to promote use of it in clinic.

Clinical study of Slim Cushion on the decrease effect of the girth of the lower half of body (슬림 큐션의 하반신 둘레 감소에 대한 임상적인 연구)

  • Kim Gyeang Cheal;Hwang Won Deuk
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.18 no.3
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    • pp.854-856
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    • 2004
  • The purpose of this study was to investigate the effects of Slim Cushion on the decrease of the girth of the lower half of body. We used Slim Cushion for health appliance of woman's hypogastrium. We collected 30 woman patients with obesity and then expremented Slim Cushion 15 mintues × 3 times I day, during 12 weeks. We checked the weight of body, the girth of navel and pelvis and thigh for every week. The results were as follows: The decrease of weight was not significant. The decrease of navel girth was significant change 3, 4, 5, 6, 7, 8 week times (p<0.05) and very significant 9, 10, 11, 12 week times. The decrease of pelvis girth was significant change 4, 5, 6, 7, 8 week times (p<0.05) and very significant 9, 10, 11, 12 week times(p<0.01). The decrease of thigh girth was significant change 6, 7, 8, 9, 10, 11 week times (p<0.05) and very significant 12 week times(p<0.01).

Reliability of Two Electrodermal Meridian Measurement Systems: EAV and Newly Developed MIR-1 (경락노선상 피부전기 측정기 (EAV, MIR-1) 의 신뢰도 연구)

  • Yin, Chang-Shik;Hoe, Ik-Beom;Lee, Yoo-Jeong;Sakong, Sug-Chin;Koh, Hyeong-Gyun;Park, Young-Bae;Lee, Woo-Cheol
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.9 no.1
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    • pp.125-130
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    • 2005
  • Background and purpose: We evaluated the reliability of two electrodermal measurement devices on meridian skin areas; Electro Acupuncture according to Dr. Voll (EAV) method and newly developed MIR-1. Methods: Eighteen volunteers were tested repeatedly on the same condition with each device. To explore the intra-rater, inter-rater, and test-retest reliabilities, one rater tested each subject twice in succession, then the other rater tested the subject in a row. Finally, retests on the subjects with each device were performed 1 week later. The reliability was determined by Pearson correlation and intraclass correlation statistics. Results: EAV method showed poor reliability, while MIR-1 showed good reliability. Conclusion: It is suggested that further research on the reliability and useful device in both fields of clinical practice and biomedical research.

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Development of questionnaires for Yol Patternization (열변증설문지 개발)

  • Bae, No-Soo;Yang, Dong-Hoon;Park, Young-Jae;Lee, Sang-Chul;Oh, Hwan-Sup;Park, Young-Bae
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.10 no.1
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    • pp.98-108
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    • 2006
  • Background and Purpose: The Han(cold)-Yol(heat) patternization is one of the most usually used diagnostic methods in oriental medicine. This is studies for compensating questionnaries for Han-Yol that were made by Sook-Kyeng Kim. Methods: Questionnaries for Yol should be useful for clinical examination. So symptoms being chosen for questionnaries are based on Donguibogam that is clifnical textbook and 46 items are developed. By delphi panel and statistical analysis Items of questionnaries are choosen. Resultset: By delphi panel and statistical analysis 8 Items of questionnaries are choosen. Conclusion: Further research is necessary for improvement reliabilities and validities of the questionnaires for Yol pattemization.

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A Case Report of the Effects of Jia Wei Si Wu Tang (Augmented Four-Substance Decoction) On A Menopausal Disorder Patient (갱년기 증상 여성에 가미사물탕 효과에 대한 증례 보고)

  • Cho, Katherine Hyun-Sook;Kim, Brian Han-Gyu;Ahn, Scott Seung K.;Yoo, Gi-Na
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.15 no.2
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    • pp.215-222
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    • 2011
  • Objectives: The purpose of this study is to report the effect of Kamisamul-tang / Jia Wei Si Wu Tang / Augmented Four - Substance Decoction on a Menopausal Disorder Patient. This is a clinical report about a 49 year old female patient with a Menopausal Disorder treated by herb medicine, Kamisamul-tang / Jia Wei Si Wu Tang / Augmented Four-Substance Decoction without any other medicine or treatment. Methods: The patient was treated by herb medicine, Kamisamul-tang / Jia Wei Si Wu Tang / Augmented Four - Substance Decoction. The improvement of the patient was judged by Visual Analog Scale. Results The symptoms were gradually reduced and VAS became 1 after 8weeks of treatments, since then the symptoms were not reappearing for 3 months. Conclusions: Herb medicine, Kamisamul-tang / Jia Wei Si Wu Tang / Augmented Four - Substance Decoction is effective to improve a Menopausal Disorder Patient's symptoms. It is necessary to have more observation and many cases of patients with a Menopausal Disorder.

Study of The Diagnostic Indicators of Yin-Deficiency Pattern Using by AHP (AHP 분석을 이용한 음허 설문항목의 중요도 부여)

  • Kim, Kitae;Ko, Heung;Shin, Seonmi;Jung, Jinhwa
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.18 no.3
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    • pp.175-186
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    • 2014
  • The purpose of this study is to give priority in Yin-deficient questionnaire items. if adequate priority is given, clinical judgment and questionnaire of the results is expected to be similar. The AHP is a systematic procedure for analyzing the elements of any problem hierarchically. Based on survey of expertise, as series of pairwise comparison judgements is performed to evaluate the various elements in the hierarchy. We are expected to use the AHP analysis that would apply to oriental doctor's diagnostic process analysis. In this study, korean medical doctors experienced over 5 years was included. Results given the importance to Yin-deficient questionnaire items, Results given the importance to the questionnaire items, the most important item was Irritable fever on the five Hearts, the second was tidal fever.

CAD Scheme To Detect Brain Tumour In MR Images using Active Contour Models and Tree Classifiers

  • Helen, R.;Kamaraj, N.
    • Journal of Electrical Engineering and Technology
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    • v.10 no.2
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    • pp.670-675
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    • 2015
  • Medical imaging is one of the most powerful tools for gaining information about internal organs and tissues. It is a challenging task to develop sophisticated image analysis methods in order to improve the accuracy of diagnosis. The objective of this paper is to develop a Computer Aided Diagnostics (CAD) scheme for Brain Tumour detection from Magnetic Resonance Image (MRI) using active contour models and to investigate with several approaches for improving CAD performances. The problem in clinical medicine is the automatic detection of brain Tumours with maximum accuracy and in less time. This work involves the following steps: i) Segmentation performed by Fuzzy Clustering with Level Set Method (FCMLSM) and performance is compared with snake models based on Balloon force and Gradient Vector Force (GVF), Distance Regularized Level Set Method (DRLSE). ii) Feature extraction done by Shape and Texture based features. iii) Brain Tumour detection performed by various tree classifiers. Based on investigation FCMLSM is well suited segmentation method and Random Forest is the most optimum classifier for this problem. This method gives accuracy of 97% and with minimum classification error. The time taken to detect Tumour is approximately 2 mins for an examination (30 slices).

A Study on the Forehead Temperature Distribution Palpation, so called 'Emaizhenduan' (이마의 온도 분포 진단법, 소위 액맥진단(額脈診斷)에 관한 고찰)

  • Jeong, Seunghan;Kim, Kiwang
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.19 no.2
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    • pp.65-74
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    • 2015
  • Objectives As a method of body temperature distribution diagnosis, palpation of infants' forehead had been widely introduced in ancient East Asian medical classics. However, few attention have been paid to this diagnostic method - so called 'emaizhenduan (額脈診斷)'. So we studied the history of emaizhenduan and it's implication in modern clinical field. Materials and methods: To search the medical classic that contains any contents of emaizhenduan, we mainly used the electronic texts of Zhonghuayidian (中華醫典). To search modern study article on emaizhenduan, we used China National Knowledge Infrastructure (www.cnki.net), National Digital Science Library (ndsl.kr) etc. Results 20 kinds of East Asian medical classics were found to contain contents on emaizhenduan. The oldest one was Huoyoukouyi (活幼口議) which was written in Yuan dynasty of China. Only one modern TCM book was found to have comments on emaizhenduan, while some textbooks of pediatrics in Korean Medicine was found to have relatively sound introduction on emaizhenduan. Conclusion It is shown in ancient East Asian medical classics that infants' forehead temperature palpation was introduced as early as late 13th century in China, and have continuously been referred in many East Asian medical classics before modern era.

A Clinical Study of Knee Joint Osteoarthritis Patients on the Effect of Korean Traditional Medicine Treatment with Acupuncture, Cupping, Physical Therapy and Ganghwalijetong-yeum(Qianghuochutong-yin): Case Series (퇴행성 슬관절염 환자에 대한 침, 부항, 물리치료, 강활제통음의 한방 복합 치료 효과: 사례군 연구(예비연구))

  • Jung, Hae-chang;Jeong, Su-Hyeon
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.19 no.2
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    • pp.125-132
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    • 2015
  • Objective This study investigated the effect of Korean Traditional medicine treatment with Acupuncture, Cupping, Physical Therapy and Ganghwalijetong-yeum(Qianghuochutong-yin) on Knee joint Osteoarthritis patients. Methods 5 Knee joint Osteoarthritis patients were treated with Ganghwalijetong-yeum(Qianghuochutong-yin), acupunture, cupping, physical therapy and exercise for Knee joint Osteoarthritis. K-WOMAC(Western Ontario and McMasters Universitis) Index, VAS(Visual Analogue Scale) were checked to evaluate the effectiveness of the treatment. Results K-WOMAC of patients treated with Ganghwalijetong-yeum(Qianghuochutong-yin) is improved from $67.00{\pm}24.41$ to $44.80{\pm}21.18$ and there was statistical significance(p<0.05). VAS of patients treated with Ganghwalijetong-yeum(Qianghuochutong-yin) is also improved from $4.20{\pm}1.79$ to $2.30{\pm}1.10$ but there was no statistical significance(p>0.05). Conclusions According to the study, Korean Traditional complex therapy with Ganghwalijetong-yeum(Qianghuochutong-yin) might improve Knee joint Osteoarthritis.