• Title/Summary/Keyword: diagnosis system of oriental medicine

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Two Clinical Cases of Vertigo (현훈(眩暈) 치험(治驗) 2례(例))

  • Kim, Keoo-Seok;Yun, Hui-Sung;Park, Owe-Suk;Kim, Hee-Jeong;Kim, Yoon-Bum
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.18 no.3
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    • pp.148-157
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    • 2005
  • Damum(痰飮) is a kind of pathologic secretion products that excessive water is accumulated in a part of body. Damhun(痰暈) is the vertigo induved by Damum(痰飮). We experienced two clinical cases treated vertigo by orietal medicine(herbal medication, acupuncture). 33-years old male and 63-years old female patients had Damhun(痰暈), vertigo by Damum(痰飮). We administered Banhabaechulcheoma-tang(Pansiabaichutienma-tang) and Yeonggyechulgam-tang(Lingguishugna-tang) to each Patient, and two Patients improved vertigo and referred symptoms. In other words, this study is that We did not limited peripheral vertigo to vestibular system, made a diagnosis of Damum(痰飮) and treated vertigo by orietal medicine(herbal medication, acupuncture) referred to many medical practitioner of many generations. We suggest that digestive sypmtom(related to Damum(痰飮), abdominal examination and stool frequency are closely associated with vertigo and could be estimated prognosis of vertigo.

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Extended Reality Training System Designing for People with MCI (Extended Reality 기반 고령자 대상 인지·운동 기능 훈련 콘텐츠 설계 제안)

  • Kim, Taehong;Kim, Joong Il;Seo, Jeong-Woo;Do, Jun-Hyeong
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2022.05a
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    • pp.12-14
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    • 2022
  • One of the most negative social changes of the last decade is population aging which leads to 19 times more patients with Mild Cognitive Disorder(MCI). It is well established that MCI is the most important state that can prevent dementia with early diagnosis and intervention. However, the social security system for patients with dementia is not working properly due to the coronavirus pandemic and the limited human power. This article proposes design principles for dementia training programs of extended reality devices. and The findings in this study provide a guide for considering the cognitive and physical and social functions of patients.

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A Study on the Severity Classification in the KDRG-KM (Korean Diagnosis-Related Groups - Korean Medicine) (한의 입원환자분류체계의 중증도 분류방안 연구)

  • Ryu, Jiseon;Kim, Dongsu;Lee, Byungwook;Kim, Changhoon;Lim, Byungmook
    • The Journal of Korean Medicine
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    • v.38 no.3
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    • pp.185-196
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    • 2017
  • Backgrounds: Inpatient Classification System for Korean Medicine (KDRG-KM) was developed and has been applied for monitoring the costs of KM hospitals. Yet severity of patients' condition is not applied in the KDRG-KM. Objectives: This study aimed to develop the severity classification methods for KDRG-KM and assessed the explanation powers of severity adjusted KDRG-KM. Methods: Clinical experts panel was organized based on the recommendations from 12 clinical societies of Korean Medicine. Two expert panel workshops were held to develop the severity classification options, and the Delphi survey was performed to measure CCL(Complexity and Comorbidity Level) scores. Explanation powers were calculated using the inpatient EDI claim data issued by hospitals and clinics in 2012. Results: Two options for severity classification were deduced based on the severity classification principle in the domestic and foreign DRG systems. The option one is to classify severity groups using CCL and PCCL(Patient Clinical Complexity Level) scores, and the option two is to form a severity group with patients who belonged principal diagnosis-secondary diagnosis combinations which prolonged length of stay. All two options enhanced explanation powers less than 1%. For third option, patients who received certain treatments for severe conditions were grouped into severity group. The treatment expense of the severity group was significantly higher than that of other patients groups. Conclusions: Applying the severity classifications using principal diagnosis and secondary diagnoses can advance the KDRG-KM for genuine KM hospitalization. More practically, including patients with procedures for severe conditions in a severity group needs to be considered.

Comparative Study of Normal Group and Depression Group(pulmonary Function is Below Expected Value) by DSOM (폐기능검사상 기능저하군과 정상군의 한방변증 비교분석)

  • Kim, Jin-Young;Shin, Woo-Jin;Sim, Sung-Heum;Baek, Sang-In;Lee, Byung-Guon;Park, Dong-Il
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.23 no.3
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    • pp.723-733
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    • 2009
  • The purpose of this study is to evaluate the difference about pathogenesis of normal group and depression group(who' pulmonary function is below expected value). Author used DSOM to investigate oriental pathogenesis. Depression group is consisted of people who's FVC%(forced vital capacity)is below 80% or $FEV_1$/FVC%(Forced Expiratory Volume in 1sec/FVC) is below 70%, and they don't have history of lung disease(Athma, tuberculosis, COPD, suchlike). Normal group is consisted of people who's FVC%(Forced Vital Capacity) is in 80-120% and $FEV_1$/FVC%(Forced Expiratory Volume in 1sec/FVC) is above 70%. they also don't have history of lung disease. Author carried out each group's PFT(pulmonary function test) by ATS(American Thoracic Society) method. DSOM was used for oriental pathogenesis investigation of two groups. There was significant difference between normal group and depression group in Kidney(p<0.05). In depression group comparison of sex, there was significant difference between male and female in stagnation of qi, cold, heat, spleen, phlegm(p<0.05). In Normal group there was significant difference between male and female in stagnation of qi, blood stasis, cold, heat, spleen(p<0.05). In depression group comparison of smoke, there was no significant difference between smoker and non-smoker(p<0.05). In Normal group comparison of smoke, there was significant difference between smoker and non-smoker in heat(p<0.05). This result showed difference of the pathogenesis between Depression group and Normal group.

Automatic segmentation of a tongue area and oriental medicine tongue diagnosis system using the learning of the area features (영역 특징 학습을 이용한 혀의 자동 영역 분리 및 한의학적 설진 시스템)

  • Lee, Min-taek;Lee, Kyu-won
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.20 no.4
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    • pp.826-832
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    • 2016
  • In this paper, we propose a tongue diagnosis system for determining the presence of specific taste crack area as a first step in the digital tongue diagnosis system that anyone can use easily without special equipment and expensive digital tongue diagnosis equipment. Training DB was developed by the Haar-like feature, Adaboost learning on the basis of 261 pictures which was collected in Oriental medicine. Tongue candidate regions were detected from the input image by the learning results and calculated the average value of the HUE component to separate only the tongue area in the detected candidate regions. A tongue area is separated through the Connected Component Labeling from the contour of tongue detected. The palate regions were divided by the relative width and height of the tongue regions separated. Image on the taste area is converted to gray image and binarized with each of the average brightness values. A crack in the presence or absence was determined via Connected Component Labeling with binary images.

A Study on Neuropsychiatric Symptoms and Signs of Disease Pattern in Korean Medicine (한의병증에 대한 신경정신과적 증상 기술 연구)

  • Jang, Jae-Soon;Kim, Ka-Na;Cho, Seung-Hun
    • Journal of Oriental Neuropsychiatry
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    • v.27 no.4
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    • pp.249-259
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    • 2016
  • Objectives: This study aimed to develop a standard understanding of neuropsychiatric symptoms and signs of Disease Pattern Identification/syndrome in Korean Medicine. Methods: We investigated various published articles, and the proposals are based on a comparative analysis between Korean medicine literature and DSM5, ICD-10. To improve our understanding, we engaged in a consultation through discussions with the advisory committee. Results: We describe the physical and neuropsychiatric symptoms in a modern sense of the major disease Pattern in Korean Medicine. We also proposed a profound understanding of the neuropsychiatric symptoms and signs of Disease Pattern Identification/syndrome in Korean Medicine. Conclusions: Compared with DSM5, ICD-10, the system of neuropsychiatric diagnosis in Korean medicine, could be profoundly organized into a system in a modern sense. It would be helpful to apply this understanding to clinical practices. There are several points of consideration in this study. The system of neuropsychiatric diagnosis in Korean medicine cannot be a perfect match for DSM5 or ICD-10. In addition, we could not reach a complete consensus on the disease pattern. Although there are some limitations to this study, it is meaningful to have an understanding of the neuropsychiatric symptoms and signs in Korean medicine through discussions with the advisory committee. This trial is expected to be applicable to related research in the future.

Review on Bioelectrical Impedance Analysis in Traditional East Asian Medicine (생체 전기 임피던스 분석의 한의학적 적용을 위한 연구동향)

  • Bae, Jang Han;Kim, Young Min;Kim, Keun Ho;Kim, Jaeuk
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.27 no.6
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    • pp.717-729
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    • 2013
  • Bioelectrical Impedance Analysis (BIA) is a non-invasive and low-cost technique that estimates body composition based on the distribution of water and electrolytes in the body by analyzing body's electrical responses to source voltages. In this work, we carried out a systematic literature review on BIA researches in traditional East Asian medicine (TEAM). For comparison, firstly we introduced the concept and principle of BIA, and offered a general overview of research trends in western medical perspectives. We searched through the databases of Oriental Medicine Advanced Searching Integrated System and DataBase Periodical Information Academic for the articles published between 1994 and 2013, with keywords such as 'BIA', 'bioelectrical impedance' and 'impedance'. Among the rough-searched 274 articles, we finally selected 21 articles appropriate to the intended research field. The selected articles were categorized into diagnosis in Sasang medicine, impedance analysis in meridian system, and change of body composition after taking herbal medicine. We found that most of BIA researches in TEAM were preliminary and remained in the peripheral levels which is far behind the western medical research activities. Therefore, more efforts are needed to study BIA in association with major subjects such as pattern identification or physiological/pathological phenomena. In addition, methodological breakthrough of BIA is possible by applying the diagnostic concepts of the TEAM in relation to the balance of Qi and Blood.

The mutation research which with problem of the Spleen and the Stomach appears in skin care ("내경(內經)" 중심으로 경락(經絡)과 피부(皮膚)에 관한 연구(硏究))

  • Kim, Myung-Ju;Jeon, Hyun-Jeong
    • Journal of the Korean Institute of Oriental Medical Informatics
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    • v.14 no.2
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    • pp.11-20
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    • 2008
  • This thesis' "Hwang Jae Nai Kyung(黃帝內經)", it is one among Uihak5kyung(醫學五經), is originally total of 18 volumes, the first half of 9 volumes are Somun(素問) and the latter half of the others are Youngchu(靈樞). Also, it is best of old book and literature integrating process of Chinese's medicine. Somun(素問) is comprehensive and extensive principles from fundamental problem of medical science related etiology, pathology, physiology to such parts of preventive medicine as regimen, recuperation. Moreover, therapeutic part of diagnosis and remedy, practice of acupuncture and moxibustion is recorded to Youngchu(靈樞). In the "Hwang Jae Nai Kyung(黃帝內經)", basic system takes precautions and medical cure for disease by approaching not method analyzing body but fundamentals of oriental medicine observed as organizing relation. For the purpose of mixing up beauty based on Buddhism of books, we shall pursuit notion of beauty treatment to method improving health because period flowing is changed to real well-being culture chasing outside beauty and healthy life. Then, to come close for part of oriental medicine and cosmetology, we shall present method of meridian pathways and understand device for cosmetic improvement by analyzing relation to 12 of pathways, the five viscera and the six entrails & skin.

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Fluorescence of Tongue Coat - Mechanism of Tongue Coat Fluorescence and Suggestions on Development of Digital Tongue Diagnosis System - (설태의 형광특성 - 설태 형광현상의 발현기전 소개 및 제안 -)

  • Kim, Ji-Hye;Nam, Dong-Hyun
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.15 no.1
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    • pp.47-54
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    • 2011
  • In traditional Korean medicine, inspection of the tongue is an important method of making medical diagnoses and determining prognosis. We surveyed the fluorescence characteristics of the tongue coat in the ultraviolet light. The tongue coat comprises micro-organisms, blood metabolites, leukocytes from periodontal pockets, large amounts of desquamated epithelial cells released from the oral mucosa and different nutrients. In the ultraviolet light tissues of the oral cavity generally emit weak red or green fluorescence, which is not easily seen by the human eye, but is readily detected. This fluorescence has been proved to be due to the production of porphyrins by oral micro-organisms. While the composition of motile micro-organisms on the dorsum of the tongue is not constant, variations also occur persistingly in the fluorescence characteristics of the tongue coat. But because live bacteria contain a variety of intracellular biomolecules that have specific excitation and emission wavelength spectra characterizing their intrinsic fluorescence, the tongue coat emits fluorescence. the tongue itself, on the other hand, emits very weak or not fluorescence. In conclusion, we suggests that the uncoated tongue area be eliminated from the coated tongue area with the difference between the fluorescence characteristics of the tongue and that of the tongue coat.

A Study about Reliability of Sasang Constitutional Voice Diagnosis according to Operator Presence (전문조작원 유무에 따른 사상체질 음성진단의 신뢰성 분석)

  • Park, Hyun Jun;Kim, Jong-Yeol;Jang, Jun-Su
    • Journal of Sasang Constitutional Medicine
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    • v.28 no.4
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    • pp.309-319
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    • 2016
  • Objectives This study was aimed to analyze the reliability of vocal features and probabilities for being in Sasang constitutional types calculated from Sasang constitutional voice diagnosis system according to operator presence. Methods We acquired 96 voice recordings from one male and one female for 4 days. For the first 2 days, the subjects recorded their voice by themselves. For the last 2 days, they recorded according to the instruction of an operator following the standard operating procedure. We analyze the standard deviations of vocal features, probabilities for being three constitutional types, Tae-Eum (TE), So-Yang (SY), and So-Eum (SE) Results In the case of the female, coefficients of variations of the voice variables and the probabilities for being each constitutional type were all within 20%. In the case of the male, coefficients of variations were all within 20% except one variable. Even if there was no instruction from the operator, standard deviations of the probability did not increase for both genders. When recorded without the operator, for male, the probability for being SE decreased by 3.2%. For female, the probability for being TE increased by 5.438%, and that of SE decreased by 3.057%, and that of SY decreased by 2.394%. Conclusions When recorded without operators, for men, there was a significant difference in the probability for being SE. And for women, there were significant differences in the probabilities for all constitutional types.