• Title/Summary/Keyword: clinical measurement

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Emerging Machine Learning in Wearable Healthcare Sensors

  • Gandha Satria Adi;Inkyu Park
    • Journal of Sensor Science and Technology
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    • v.32 no.6
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    • pp.378-385
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    • 2023
  • Human biosignals provide essential information for diagnosing diseases such as dementia and Parkinson's disease. Owing to the shortcomings of current clinical assessments, noninvasive solutions are required. Machine learning (ML) on wearable sensor data is a promising method for the real-time monitoring and early detection of abnormalities. ML facilitates disease identification, severity measurement, and remote rehabilitation by providing continuous feedback. In the context of wearable sensor technology, ML involves training on observed data for tasks such as classification and regression with applications in clinical metrics. Although supervised ML presents challenges in clinical settings, unsupervised learning, which focuses on tasks such as cluster identification and anomaly detection, has emerged as a useful alternative. This review examines and discusses a variety of ML algorithms such as Support Vector Machines (SVM), Random Forests (RF), Decision Trees (DT), Neural Networks (NN), and Deep Learning for the analysis of complex clinical data.

Correlation of the 3D-Surface Topography and Cobb's Angle in Scoliotic Patient's (측만증 환자에서 3차원 체표면 영상분석과 Cobb 각의 상관관계)

  • Choi, Eun-Jung;Kim, Tae-Youl
    • Journal of the Korean Academy of Clinical Electrophysiology
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    • v.3 no.1
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    • pp.61-70
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    • 2005
  • The purpose of study correlation between 3D-surface topography and Cobb angle in scoliotic patients. It would be recognizing possibility of clinical application with 3D-surface topography with scoliosis assessment and correlation analysis of obtained Cobb angle through measured results of surface topography and took X-ray of subjects with scoliosis, which used to 3D-surface topography of laser scan method. A scoliosis subjects 16(males 4, females 12) agreed for study's purport volunteer our study that diagnose the scoliosis through 3D-surface topography and X-ray. The results were as follow: It was shown that the relation of Cobb angle of scoliosis and itemized 3D-surface topography measurement in horizontal view(p<0.01). top difference of cervicothoracic and lumbar in anterior-posterior view(p<0.05), the top difference of thoracic, thoracolumbar(p<0.01). These results suggest that an itemized 3D-surface topography measurement was highly correlated with Cobb angle. It would be a useful diagnosis method and assessment of physical therapy plan.

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Measurement and Clinical Analysis of Carotid Intima, Media and Intima-Media Thickness

  • Kim, Wuon-Shik;Jeong, Hwan-Taek;Bae, Jang-Ho
    • International Journal of Vascular Biomedical Engineering
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    • v.3 no.1
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    • pp.6-13
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    • 2005
  • Individual clinical significance of each layer of CCA (common carotid artery) has not been well studied. We intended to measure the intima thickness (IT), media thickness (MT), and intima-media thickness (IMT) of CCA separately and tried to analyze the clinical significance. One hundred fifty one consecutive patients (mean age: $57{\pm}15$ years; 77 males, 74 females) underwent CCA scanning using high-resolution ultrasound. The images were off-line analyzed using B-mode ultrasound image processing, devised for individual measurement of IT and MT as well as IMT. The mean coefficients of variation of new method measuring IT, MT, and IMT separately were 0.16% for IMT and 0.21% for both IT and MT. The IT (p < 0.01), MT (p < 0.01) as well as IMT (p < 0.001) of patients with atherosclerotic disease were significantly thicker than that of the patients without atherosclerotic disease. Patients with hypertension showed significantly thicker IT (p < 0.01), MT (p < 0.001), and IMT (p < 0.001) than that of the patients without hypertension. However, only IT was thicker in patients with smoking (p<0.01) than that of the patients without smoking.

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Clinical Guidelines for Hwabyung III. (Diagnosis and Assessment of Hwabyung) (화병 임상진료지침 III. (화병의 진단과 평가))

  • Jung, In Chul;Choi, Woo Chang;Lee, Sang Ryong
    • Journal of Oriental Neuropsychiatry
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    • v.24 no.spc1
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    • pp.23-36
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    • 2013
  • Objectives : The purpose of this guideline is to show the evidence-based guidelines of diagnosis and evaluation of Hwabyung by the synthesis and organization of existing research contents. Methods : We investigated the existing research on the concept of Hwabyung. Further, we investigated the diagnostic tools, self-diagnostic method, symptoms assessment tools, oriental medical diagnostic methods, treatment evaluation tools and other testing methods of Hwabyung. Results : There was a Hwabyung diagnostic interview schedule (HIBDS) in the standardized measure for the diagnosis of Hwabyung. In the symptoms assessment tools of Hwabyung, there was a self-report measurement tool of Hwabyung and measurement tool of Hwabyung to be evaluated by the interviewer. In the oriental medical diagnostic method, there was an instrument of pattern identification for Hwabyung. In the treatment assessment tool, there was an instrument of oriental medical evaluation for Hwabyung. In addition, MMPI, SCL-90R, Zung's self-rating anxiety scale (SAS), Zung's self-rating depression scale (SDS), State-Trait Anger Expression Inventory (STAXI) and etc. can be used for the diagnosis and assessment of Hwabyung. Conclusions : We expect 'Clinical Guidelines for the Treatment of Hwabyung' to be useful for the diagnosis and assessment of Hwabyung.

Critical Thinking in Nursing Science: A Literature Review (간호학적 비판적 사고능력에 대한 문헌고찰)

  • Shin, Su-Jin;Jung, Duk-Yoo
    • Korean Journal of Adult Nursing
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    • v.21 no.1
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    • pp.117-128
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    • 2009
  • Purpose: The purposes of this study were as follows; 1) To review the definitions of critical thinking from various perspectives, 2) To examine the critical thinking measurements throughout nursing research, and 3) To review the nursing studies with regard to critical thinking. Methods: This study was a literature review with regard to the critical thinking in nursing in aspects of conceptual meaning, measurements, and research. Results: The definition of critical thinking in nursing included decision making in clinical setting, inference with logical construct to increase nursing quality, interpretation in the context, and evaluation. The critical thinking was a core concept, which meant not only simple nursing process, but included decision making ability. The critical thinking has been conceptualized by both critical thinking disposition and skill. However, there was no nursing specified critical thinking measurement. Critical thinking research has been conducted to describe critical thinking disposition and critical thinking, to determine relationships between critical thinking and clinical competency, and to evaluate the effectiveness of educational programs. Conclusion: The instruments for measuring critical thinking disposition and skill that contain cultural difference and clinical specificity need to be developed to measure critical thinking and increase it.

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A Relationship of Tone, Consonant, and Speech Perception in Audiological Diagnosis

  • Han, Woo-Jae;Allen, Jont B.
    • The Journal of the Acoustical Society of Korea
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    • v.31 no.5
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    • pp.298-308
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    • 2012
  • This study was designed to examine the phoneme recognition errors of hearing-impaired (HI) listeners on a consonant-by-consonant basis, to show (1) how each HI ear perceives individual consonants differently and (2) how standard clinical measurements (i.e., using a tone and word) fail to predict these differences. Sixteen English consonant-vowel (CV) syllables of six signal-to-noise ratios in speech-weighted noise were presented at the most comfortable level for ears with mild-to-moderate sensorineural hearing loss. The findings were as follows: (1) individual HI listeners with a symmetrical pure-tone threshold showed different consonant-loss profiles (CLPs) (i.e., over a set of the 16 English consonants, the likelihood of misperceiving each consonant) in right and left ears. (2) A similar result was found across subjects. Paired ears of different HI individuals with identical pure-tone threshold presented different CLPs in one ear to the other. (3) Paired HI ears having the same averaged consonant score demonstrated completely different CLPs. We conclude that the standard clinical measurements are limited in their ability to predict the extent to which speech perception is degraded in HI ears, and thus they are a necessary, but not a sufficient measurement for HI speech perception. This suggests that the CV measurement would be a useful clinical tool.

Clinical Validity of Tooth Size Measurements Obtained via Digital Methods with Intraoral Scanning

  • Mohammed, Alnefaie;Sun-Hyung, Park;Jung-Yul, Cha;Sung-Hwan, Choi
    • Journal of Korean Dental Science
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    • v.15 no.2
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    • pp.132-140
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    • 2022
  • Purpose: Dental diagnostic records derived from study models are a popular method of obtaining reliable and vital information. Conventional plaster models are the most common method, however, they are being gradually replaced by digital impressions as technology advances. Moreover, three-dimensional dental models are becoming increasingly common in dental offices, and various methods are available for obtaining them. This study aimed to evaluate the accuracy of the measurement of dental digital models by comparing them with conventional plaster and to determine their clinical validity. Materials and Methods: The study was conducted on 16 patients' maxillary and mandibular dental models. Tooth size (TS), intercanine width (ICW), intermolar width (IMW), and Bolton analysis were taken by using a digital caliper on a plaster model obtained from each patient, while intraoral scans were manually measured using two digital analysis software. A one-way analysis of variance test was used to compare the dental measurements of the three methods. Result: No significant differences were reported between the TS, the ICW and IMW, and the Bolton analysis through the conventional and two digital groups. Conclusion: Measurements of TS, arch width, and Bolton analysis produced from digital models have shown acceptable clinical validity. No significant differences were observed between the three dental measurement techniques.

Nerve length measurement method in a radial motor nerve conduction study

  • Kim, Jae-Gyum;Kim, Yoohwan;Seok, Hung Youl;Kim, Byung-Jo
    • Annals of Clinical Neurophysiology
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    • v.19 no.1
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    • pp.28-33
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    • 2017
  • Background: Previous studies of radial nerve conduction study (NCS) did not present how to measure the length of the radial nerve across the elbow, and did not even mention how to manage the spiral course of the nerve. This study aimed to applicate the most reliable method to measure the length of the radial nerve during NCS. Methods: Three points (A, B, and C) were determined along the relatively straight course of the radial nerve. The distance was measured using three different methods: L1) straight distance corresponding to the A-C distance, L2) sum of the distances corresponding to the A-B-C distance, L3) based on the L2, but the elbow is flexed at a $45^{\circ}$ angle. We compared the three methods of distance measurement and the calculated nerve conduction velocities (V1, V2, and V3) in normal healthy subjects. Results: 19 normal participants were enrolled. The mean value for method L1, L2 and L3 were $22.5{\pm}1.8cm$, $24.0{\pm}2.1cm$, and $23.2{\pm}2.1cm$ (p < 0.001). Calculated conduction velocities using those distance measurement methods as follows (p < 0.001): V1 ($60.9{\pm}2.7m/s$), V2 ($64.6{\pm}3.3m/s$), and V3 ($63.4{\pm}3.9m/s$). V2 was significantly greater than V1 and V3 (p < 0.001, p = 0.010, respectively). Conclusions: The distance measurement using a stopover point near the lateral epicondyle between two stimulus points in position of a fully extended elbow with forearm pronation is the most appropriate posture for radial motor NCS.

A Basic Study on the Analysis Method of Thermography (Thermography의 분석방법에 관한 기초연구)

  • Lee, Hyuk-Jae;Park, Young-Jae;Oh, Hwan-Sup;Lee, Sang-Chul;Park, Young-Bae
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.9 no.2
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    • pp.110-122
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    • 2005
  • Background: The basic concept of thermographic interpretation is the thermologic equality of both side in normal person. But both sides diseases were limited diagnostic values by thermographic interpretation, and this interpretation does not apply to the case in thermal temperature of each part of body. Nevertheless, the measurement conditions are not standardized. So, for its clinical applications are extended, we think that the measurement conditions are considered the individual variations. Objectives: The purpose of this study is to examine the optimum conditions thermal temperature of the time period and region are not effected by internal and external variables. Methods: After the subjects took off their clothes, the filming were repeatedly five times made on duration of 5minutes during 20minutes. We selected nine regions around acupoints including Yin dang[印堂, HN1], Sugu[水溝, GV26], Ch’ondol[天突, CV22], Chonjung[CV17], Chung-wan[中脘, CV12], Ch’onch'u[天樞 S25], No-gung[勞宮, P8], and calculated based on the utility of R.O.I.(Region of Integer) in our system these points temperature. We measured the optimal time period and region that has little variation of thermal temperature. Results: The results shows that the optimal time period is 20minutes after undressed, and the optimal region is the region around acupoints including Sugu[水溝, GV26]. Conclusions: we obtained the measurement conditions were considered the individual variations. And also, this study offers basic sources for that the measurement conditions would be standardized. Furthermore, based on this results, we expect that clinical applications using thermography would be extended.

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A Study on Relationship between Stress of Clinical Practice and Clinical Competency in Nursing Students (간호학생의 임상실습 스트레스와 임상수행능력과의 관계 연구)

  • Kim Hye Suk
    • Journal of Korean Public Health Nursing
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    • v.16 no.1
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    • pp.64-76
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    • 2002
  • This study was performed to identify the level of stress of clinical practice and clinical competency and the relationships between stress of clinical practice and clinical competency in nursing students. The subjects of this study were 379 senior nursing students in 2 nursing colleges in M city. The data were collected from November 5th to 24th, 2000, using questionnaire. The instruments used were the Stress of Clinical Practice Scale and the Clinical Competency Measurement Tool. The data were analyzed using frequency, percentage, t-test, ANOVA, and Pearson's Correlation Coefficient, using the SPSS program. The results of the study were as follows : 1. The mean score for the level of stress of clinical practice was 3.83 points. The stress of clinical practice were classified into six dimensions and their order of getting score was nurse(3.99), relationship between nursing theory and practice(3.94), human relationship (3.92), clinical education and evaluation by professors(3.87), environment(3.70), and patient(3.59). 2. The mean score for the level of clinical competency was 3.91 points. The clinical competency were classified into five dimensions and their order of getting score was professional development (4.08), skills (4.06) , interpersonal relationship/communication(3.95), teaching/coordinating(3.81), and nursing process(3.70), 3. The stress of clinical practice showed significant difference in the score of grade(t=-2.82, p=.005), interpersonal relationship(t=1.97, p=.049) and satisfaction of major(F=3.38, p=.035) of nursing students. 4. The clinical competency showed significant difference in the score of grade(t=-5.97, p=.000). interpersonal relationship(t=3.64, p=.000) and satisfaction of major(F=8.73, p=.000) of nursing students. 5. The data showed the positive correlations between stress of clinical practice and clinical competency(r=.209, p=.000). In conclusion. this study found that the stress of clinical practice was significantly related to clinical competency in nursing students. Therefore further study is needed to examine the efficient coping strategies about stress of clinical practice in nursing students.

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