• Title/Summary/Keyword: disease(疾病)

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An Analysis of the Disagreement in Disease Coding in South Korean Medical Institutions: Focusing on the Health Insurance Claim Data of Outpatients (우리나라 의료기관의 질병 코딩 불일치성 분석 : 외래환자 건강보험 청구 자료를 중심으로)

  • Jeon, Yun-Hee;Kang, Gil-Won
    • Journal of Digital Convergence
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    • v.16 no.12
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    • pp.533-540
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    • 2018
  • The purpose of this study was to use the data from the Health Insurance Review and Assessment Service to analyze the disagreement in disease coding given by different medical institutions on the same disease of the same patient and provide basic data that could help improve the quality of national public health statistics. 9,976,826 patients' data records from the Health Insurance Review and Assessment Service-National Patient Sample (HIRA-NPS) of 2014 were analyzed. The disagreement in disease coding differed by movement paths for medical institutions; the disagreement rate tended to increase when moving from a medical institution other than public health centers to a public health center and decrease remarkably when moving from a specialized general hospital to another. Therefore, this analysis of disagreement in disease coding among medical institutions suggests the need to supplement the system so that domestic medical institutions can realize consistent disease coding.

Self-Diagnosing Disease Classification System for Oriental Medical Science with Refined Fuzzy ART Algorithm (Refined Fuzzy ART 알고리즘을 이용한 한방 자가 질병 분류 시스템)

  • Kim, Kwang-Baek
    • The Journal of the Korea Contents Association
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    • v.9 no.7
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    • pp.1-8
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    • 2009
  • In this paper, we propose a home medical system that integrates a self-diagnosing disease classification system and a tele-consulting system by communication technology. The proposed disease classification system supports to self-diagnose the health condition based on oriental medical science using fuzzy neural network algorithm. The prepared database includes 72 different diseases and their associated symptoms based on a famous medical science book "Dong-eui-bo-gam". The proposed system extracts three most prospective diseases from user's symptoms by analyzing disease database with fuzzy neural network technology. Technically, user's symptoms are used as an input vector and the clustering algorithm based upon a fuzzy neural network is performed. The degree of fuzzy membership is computed for each probable cluster and the system infers the three most prospective diseases with their degree of membership. Such information should be sent to medical doctors via our tele-consulting system module. Finally a user can take an appropriate consultation via video images by a medical doctor. Oriental medical doctors verified the accuracy of disease diagnosing ability and the efficacy of overall system's plausibility in the real world.

Current Situation of Poultry Diseases in Bores (한국의 가금질병 현황)

  • Kim, Ki-Seuk
    • Korean Journal of Poultry Science
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    • v.19 no.3
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    • pp.137-150
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    • 1992
  • Poultry production in korea is a very complex situation. Large modernized farms and old styles of small farming coexist with one another. This gives rise to a tangled epidemiological situation in terms of infectious diseases. The main poultry diseases of economic importance are colibacillosis, pullorum diseases, Mycoplasma gallisepticum infection, infectious coryza, infectious synovitis, Newcasyle disease, fowl pox, Marek's disease, avian encephalomyelitis, infectious bursal disease, infectious laryngotracheitis, infectious bronchitis and coccidiosis. Avian influenza, fowl cholera and fowl typhoid have not been reported for a few decades, and these are rated as exotic diseases.

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Data resource profile: oral examination of the Korea National Health and Nutrition Examination Survey (국민건강영양조사 구강검사 개요)

  • Woo, Gyeong-Ji;Lee, Hye-Rin;Kim, Yoonjung;Kim, Hye-Jin;Park, Deok-Young;Kim, Jin-Bom;Oh, Kyung-Won;Choi, Youn-Hee
    • Journal of Korean Academy of Oral Health
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    • v.42 no.4
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    • pp.101-108
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    • 2018
  • Objectives: The Korea National Health and Nutrition Examination Survey (KNHANES) is a national surveillance system that has been assessing the health and nutritional status of Koreans since 1998. Based on the National Health Promotion Act, the surveys have been conducted by the Korea Centers for Disease Control and Prevention (KCDC). Methods: An oral examination as part of The National Health and Nutrition Examination was proposed to calculate the sample design and survey participation. The surveying system was presented by classifying the measurement environment, screening, and survey items by year, and the merits and limitations of using the data were suggested by examining the status of survey quality management and the process of disclosing raw data. Results: This nationally representative cross-sectional survey samples approximately 10,000 individuals each year and collects information on oral examinations and oral health interviews. Data for the oral health component of KNHANES was obtained to assess the oral health status of Koreans and determine the prevalence of dental caries and periodontitis. The oral health data quality control of KNHANES was composed of three parts: "Education Program" and "Field Training Program" for quality control of oral health examiners (dentists) by the professional academy, and "Data management" by the KCDC. After completion of the three-step data check, the indicators of dental caries, periodontal disease, and oral health behavior were published in the National Health Statistics. Conclusions: To achieve the goals of oral health indicators, we will continue to monitor so that we can use it as basic data for oral policies and carry out various linkage analyses related to oral diseases.

Virulence factors and antimicrobial resistance patterns of pathogenic Escherichia coli isolated from fecal samples of piglets (자돈 분변 유래 병원성 대장균의 병원성 인자 및 항생제 내성 양상)

  • Hyun Sook Shin;Keun-Ho Kim;Jin Sung Seo;Young Wook Kim;Suk-Kyung Lim;Byeong Yeal Jung
    • Korean Journal of Veterinary Service
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    • v.46 no.1
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    • pp.35-45
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    • 2023
  • Pathogenic Escherichia coli is the cause of a wide range of diseases in pigs, including diarrhea, edema disease, and septicemia. Diarrhea caused E. coli may result in significant economic losses, making pathogenic E. coli an important pathogen for the swine industry. This study investigated the prevalence of virulence factor genes, antimicrobial resistance phenotypes, and resistance genes in E. coli isolated from feces of piglets in Korea between 2017 and 2020. As a result, 119 pathogenic E. coli isolates were obtained from 601 fecal samples. The F4 adhesin gene and the STb enterotoxin gene were commonly present in E. coli isolated from diarrhea samples. The dominant virulotypes of isolates from diarrhea samples were STb, Stx2e, and F4:LT:STb. More than 80% of the screened isolates were resistant to ampicillin, sulfisoxazole, chloramphenicol, or tetracycline. To confirm the resistance mechanisms for β-lactam or quinolone, we investigated the genotypic factors of resistance. Each of the ceftiofur-resistant E. coli produced an extended-spectrum β-lactamase encoded by blaCTX-M-14, blaCTX-M-27, and blaCTX-M-55. And all ciprofloxacin-resistant E. coli harbored mutations in quinoloneresistance-determining-regions. In addition, some of the ciprofloxacin-resistant E. coli contained the plasmid-mediated-quinolone-resistance genes such as qepA, qnrB1, or qnrD. This study has confirmed that the F4 fimbria and the STb enterotoxin are the most predominant in pathogenic E. coli isolated from piglets with diarrhea in Korea and there is a great need for responsible and prudent use of antimicrobials to treat colibacillosis.

Status of Medical use of Elderly Inpatients in Nursing Hospitals According to Disease Groups: Using HIRA-APS (질병군에 따른 요양병원 노인 입원환자의 의료이용 현황: 건강보험심사평가원 고령환자데이터셋(HIRA-APS)을 이용하여)

  • Yun-Jeong Chang;Cho-Yeol Park
    • Journal of the Health Care and Life Science
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    • v.11 no.2
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    • pp.351-360
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    • 2023
  • 2018 aged patient dataset (HIRA-APS), 33,821 patients admitted to long-term care hospitals were classified by major disease groups to identify the characteristics of medical use and provide effective policy data. First, it is necessary to operate specialized long-term care hospitals such as dementia, rehabilitation, hospice, and recovery specialization tailored to the characteristics of the patient's disease group. Second, the paralysis group, cerebrovascular disease group, and dementia group were the longest LOS and the cognitive impairment group is the longest by patient classification group, requiring medical demand and quality management for long-term patients. Third, the musculoskeletal disease group was the highest normal discharge, and support for the post-discharge home program is required in paralysis and cerebrovascular disease.

질병관리 효율화를 위한 중앙정부조직 개편방향

  • 최용준
    • Proceedings of the Korean Society of Health Policy and Administration Conference
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    • 2004.05a
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    • pp.89-104
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    • 2004
  • 최근 들어 국가질병관리체계 현대화가 세계 각국 정부의 중요한 과제가 되고 있다. 캐나다 연방정부는 감염병과 만성질환을 관리하고 생물테러 등 응급상황에 효과적으로 대처하기 위하여 새로운 질병관리조직인 Public Health Agency를 창설하기로 결정하였다. 연방정부는 앞으로 2년간 1,412억원을 투입하여 Agency를 설립하고 사업기반을 확충해 나갈 예정이다(Health Canada, 2004). 또 EU 집행위원회도 지난 3월 European Center for Disease Prevention and Control 설립계획을 최종 승인하고 ECDC가 발족하는 내년 한 해에만 71억원을 투입할 예정이다(Bosch, 2004). 이렇듯 새로운 질병관리조직들이 만들어지고 있는 직접적인 계기는, 중증급성호흡기증후군(이하 SARS) 사태로 대변되는 신종 및 재출현 전염병의 폭발적 발생(outbreak)이다. 전염병의 만연 사태가 일어나면서 각국 정부는 국민건강 보호의 중요성을 재확인하는 한편, 질병으로 인한 경제적 손실을 현실적 문제로 인식하게 되었다. 비전염성질환과 손상으로 인한 질병부담도 세계 각국의 골칫거리다. 서구 여러 나라에서는 비전염성질환과 손상의 질병부담이 이미 매우 큰 상태이며, 저개발 국가들은 전염병과 비전염성질환으로 인한 "이중의 질병부담(double burden of disease)"을 안고 있다고 한다. (중략)고 한다. (중략)

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An Outbreak of Ibaraki Disease in Korea (한국(韓國)에서의 이바라기 병(病)(Ibaraki disease)의 발생)

  • Bak, Ung-Bok;Cheong, Chang-Kook;Choi, Hee-In;Lee, Chang-Woo;Oh, Hyo-Sung;Rhee, Young-Ok;Cho, Myung-Rae;Lim, Young-Il
    • Korean Journal of Veterinary Research
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    • v.23 no.1
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    • pp.81-89
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    • 1983
  • Epizootics and sporadic outbreaks of the cattle disease characterized by fever, stomatitis and dysphagia were observed in Korea in September through November, 1982. The number of cattle showed typical symptoms of the disease was estimated to 73 and these animals were concentrated in Gyongido province, the central district of Korea. In other districts around Gyongido province the disease tended to be sporadic occurrence. The main lesions of the disease were defined as edema, hemorrhage, degeneration and necrosis of the oral mucosa and musculatures of the esophagus and laryngopharyngeal area, and abomasum. Of these lesions hyaline degeneration and hemorrhage of the striated muscle of the esophagus and laryngopharyngeal area were the most striking changes of the disease and rated to be the lesion of diagnostic significance. The serum samples of the cattle with typical symptoms showed significant positive titer of the antibodies against Ibaraki virus. On these clinical, epidemiological, pathological and serological findings of the disease it was diagnosed as Ibaraki disease presenting the only report on the epizootics in the countries other than Japan.

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Spatial Autocorrelation of Disease Prevalence in South Korea Using 2012 Community Health Survey Data (2012년 전국 지역사회 건강조사 자료를 이용한 시·군·구 단위 질병 유병률의 공간 자기상관도에 관한 연구)

  • Oh, Won Seob;Nguyen, Cong Hieu;Kim, Sang Min;Sohn, Jung Woo;Heo, Joon
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.34 no.3
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    • pp.253-262
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    • 2016
  • As a basic research to investigate geographical variations of diseases, this study analyzes and compares spatial patterns of 24 different diseases in South Korea using prevalence rate data provided by Community Health Survey in 2012. Descriptive statistical analysis, global Moran’s I computation, and disease mapping were conducted to examine spatial associations and patterns of each disease. After the unique spatial patterns and distinctive spatial associations of each disease were observed, we concluded that 12 diseases displayed statistically significant spatial autocorrelation while the other 12 showed no spatial associations. This study suggests that diseases are caused by different risk factors and possess different etiological mechanisms. Furthermore, the study may lay foundation for future studies of geographical variations of disease prevalence in South Korea.

A study of epidemic model using SEIR model (SEIR 모형을 이용한 전염병 모형 예측 연구)

  • Do, Mijin;Kim, Jongtae;Choi, Boseung
    • Journal of the Korean Data and Information Science Society
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    • v.28 no.2
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    • pp.297-307
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    • 2017
  • The epidemic model is used to model the spread of disease and to control the disease. In this research, we utilize SEIR model which is one of applications the SIR model that incorporates Exposed step to the model. The SEIR model assumes that a people in the susceptible contacted infected moves to the exposed period. After staying in the period, the infectee tends to sequentially proceed to the status of infected, recovered, and removed. This type of infection can be used for research in cases where there is a latency period after infectious disease. In this research, we collected respiratory infectious disease data for the Middle East Respiratory Syndrome Coronavirus (MERSCoV). Assuming that the spread of disease follows a stochastic process rather than a deterministic one, we utilized the Poisson process for the variation of infection and applied epidemic model to the stochastic chemical reaction model. Using observed pandemic data, we estimated three parameters in the SIER model; exposed rate, transmission rate, and recovery rate. After estimating the model, we applied the fitted model to the explanation of spread disease. Additionally, we include a process for generating the Exposed trajectory during the model estimation process due to the lack of the information of exact trajectory of Exposed.