• Title/Summary/Keyword: standard of diagnosis

Search Result 1,205, Processing Time 0.03 seconds

An Analysis of the Management Performance of GCM Farm in Chonnam based on the Multifaceted Approach (다면적 접근방법을 이용한 전남지역 GCM 실천농가의 경영성과 분석)

  • Seo, Jeong-Won;Jian, Jun;Kim, In-Seck
    • Korean Journal of Organic Agriculture
    • /
    • v.26 no.1
    • /
    • pp.1-17
    • /
    • 2018
  • This study analyzes the management performance of environmentally-friendly rice farms using GCM method based on the multifaceted approach. This approach compares the management performance of GCM farms before and after the introduction of GCM, as well as the performance of GCM farms with the performance of conventional farms. It also compares the technical and managerial competence level of surveyed GCM farms with that of conventional farms based on the standard diagnosis table developed by Rural Development Adminstration. Results showed that average income has increased after the introduction of the GCM method and the average income of GCM farms was higher than that of conventional farms, while the level of rice production in farms using GCM method was lower than that of conventional farms. In addition, the technical and managerial competence score of surveyed farms using GCM method was higher than that of conventional farms. These results implies that the higher management performance of GCM farms compared to the conventional farms is attributed to not only the GCM method but also the competence level of farms using GCM method.

Diagnosis of Malignant Biliary Strictures: Conventional or Negative Pressure Brush Cytology?

  • Abbasi, Mohammad Reza;Mirsaeed, Seyedeh Masoumeh Ghazi;Alizadeh, Amir Houshang Mohammad
    • Asian Pacific Journal of Cancer Prevention
    • /
    • v.17 no.10
    • /
    • pp.4563-4566
    • /
    • 2016
  • Background/Objective: The aim of this study was to perform a comparative evaluation of the yields of conventional brush cytology and brush cytology with negative pressure in the diagnosis of malignant biliary strictures. Methods: A total of 132 consecutive patients undergoing endoscopic were identified. Of these, 88.0 had brush cytology after ERCP and 44 were Brush cytology with negative pressure. Retrograde cholangiopancreatography (ERCP) including brush cytology and brush cytology with negative pressure in patients with biliary strictures between 2012-2015. Endoscopic retrograde cholangiography was performed with a standard videoduodenoscope Olympus TFJ 160-R (Olympus, Hamburg, Germany) and brush cytology with a Cook medical Double Lumen Biliary BrushTM (Cytology). Means and standard frequencies were used to calculate variables. Results: Positive results for malignancy were obtained in 22 of 88 patients (25%) by brush cytology and 31 of 44 patients (70.4 %) by brush cytology with negative pressure. Conclusions: Sensitivity of cytology sampling could be maximized by negative pressure during ERCP.

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
    • /
    • v.31 no.5
    • /
    • pp.298-308
    • /
    • 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.

A study on the application of the IEC61850 based eCMD convergence structure in Digital Substation (IEC61850 기반 디지털 변전시스템에서의 eCMD 융합화구조 적용에 관한 연구)

  • Lee, D.C.;Kim, H.S.;Bae, U.L.;Min, B.W.
    • Proceedings of the KIEE Conference
    • /
    • 2006.07e
    • /
    • pp.19-22
    • /
    • 2006
  • The CMD(Condition Monitoring & Diagnosis) System is used to monitor and analyze the PD(Partial Discharge), Arc, Temperature, Pressure, Gas in Oil and so on for reliability and availability of the substation. Although this system comes into the spotlight as the forecast and management of the failure and fault, there are some problems. For example, the unified standard was not defined, and the effective management of the layed communication network does not performed, limitation of physical space, etc. To resolve above problems, this paper suggests the IEC61850 compatible eCMD system architecture for monitoring and analyzing the CMD factor in substations. The suggested eCMD system consists of CMD-LU(Condition Monitoring & Diagnosis-Local Unit), IED(Intelligent Electronic Device), and engineering centers. The IEC61850 is the international standard that defines communication networks and system in substation.

  • PDF

Analysis of Standard Nursing Statements Recorded in an Electronic Nursing Record System and User Satisfaction (전자간호기록에 사용된 표준간호진술문 활용실태와 시스템 사용자 만족도)

  • Jung, Joo Hee;Myung, Geun Hee;Kang, Kyung Hyun;Park, Eun Hee
    • Perspectives in Nursing Science
    • /
    • v.9 no.2
    • /
    • pp.146-153
    • /
    • 2012
  • Purpose: The aims of this study were to analyze the frequency of standard nursing statements used in the Electronic Nursing Record (ENR) and to evaluate the degree of satisfaction by users of the ENR system. Methods: We retrospectively reviewed the ENR of 1914 patients who were admitted to our center between 1 May 2011 and 31 May 2011. Additionally, we collected questionnaires from 100 doctors and 300 nurses to evaluate the satisfaction of the users. Results: The frequency of use for the following standard nursing statements was investigated: standard nursing assessment statements (43.6%), standard nursing diagnosis statements (61.8%), standard nursing plan statements (46.7%), standard nursing intervention statements (56.9%), and standard nursing evaluation statements (41.7%). The mean satisfaction score was 3.03 out of 5 in the nurse's group, and 3.11 in the doctor's group. The nurses said the advantages of the ENR system were as follows: easy to access, informative, and standardized terms. However 75.7% of the nurse answered that they cannot express actual nursing situations exactly with the currently limited standard nursing statements. Conclusion: Development of various standard nursing statements is needed to meet the demands of the users. As a result, the use of the ENR system would become easier and more efficient for its users.

  • PDF

A Study on Standardized Healthcare System based on HL7 (HL7 기반 표준화된 헬스케어시스템에 관한 연구)

  • Oh, Am-Suk
    • Journal of the Korea Institute of Information and Communication Engineering
    • /
    • v.17 no.3
    • /
    • pp.656-664
    • /
    • 2013
  • U-healthcare system supports healthcare service of prevention, diagnosis, medical treatment and currently various medical service systems. Therefore, utilization of medical information thru hospitals, medical agencies is unevitable in this society. However, the standard draft of HL7 which is a standard of medical information does not support specification of medical information being used currently. Thus, in this paper, we study standard HL7 message system to analyze and adjust the medical information and it will help to utilize efficient medical information and the method is verified to be sufficiently effective.

Dental students' ability to detect maxillary sinus abnormalities: A comparison between panoramic radiography and cone-beam computed tomography

  • Rosado, Lucas de Paula Lopes;Barbosa, Izabele Sales;de Aquino, Sibele Nascimento;Junqueira, Rafael Binato;Verner, Francielle Silvestre
    • Imaging Science in Dentistry
    • /
    • v.49 no.3
    • /
    • pp.191-199
    • /
    • 2019
  • Purpose: To compare the diagnostic ability of undergraduate dental students to detect maxillary sinus abnormalities in panoramic radiographs(PR) and cone-beam computed tomography (CBCT). Materials and Methods: This was a retrospective study based on the evaluation of PR and CBCT images. A pilot study was conducted to determine the number of students eligible to participate in the study. The images were evaluated by 2 students, and 280 maxillary sinuses were assessed using the following categories: normal, mucosal thickening, sinus polyp, antral pseudocyst, nonspecific opacification, periostitis, antrolith, and antrolith associated with mucosal thickening. The reference standard was established by the consensus of 2 oral radiologists based on the CBCT images. The kappa test, receiver operating characteristic curves, and 1-way analysis of variance with the Tukey-Kramer post-hoc test were employed. Results: Intraobserver and interobserver reliability showed agreement ranging from substantial (0.809) to almost perfect (0.922). The agreement between the students' evaluations and the reference standard was reasonable (0.258) for PR and substantial(0.692) for CBCT. Comparisons of values of sensitivity, specificity, and accuracy showed that CBCT was significantly better(P<0.05). Conclusion: CBCT was better than PR for the detection of maxillary sinus abnormalities by dental students. However, CBCT should only be requested after a careful analysis of PR by students and more experienced professionals.

Which factors related to apical radiolucency may influence its radiographic detection? A study using CBCT as reference standard

  • Rocharles Cavalcante Fontenele;Eduarda Helena Leandro Nascimento;Hugo Gaeta-Araujo;Lais Oliveira de Araujo Cardelli;Deborah Queiroz Freitas
    • Restorative Dentistry and Endodontics
    • /
    • v.46 no.3
    • /
    • pp.43.1-43.9
    • /
    • 2021
  • Objectives: This study aimed to evaluate the detection rate of apical radiolucencies in 2-dimensional images using cone-beam computed tomography (CBCT) as the reference standard, and to determine which factors related to the apical radiolucencies and the teeth could influence its detection. Materials and Methods: The sample consisted of exams of patients who had panoramic (PAN) and/or periapical (PERI) radiography and CBCT. The exams were assessed by 2 oral radiologists and divided into PAN+CBCT (227 teeth-285 roots) and PERI+CBCT (94 teeth-115 roots). Radiographic images were evaluated for the presence of apical radiolucency, while CBCT images were assessed for presence, size, location, and involvement of the cortical bone (thinning, expansion, and destruction). Diagnostic values were obtained for PERI and PAN. Results: PERI and PAN presented high accuracy (0.83 and 0.77, respectively) and specificity (0.89 and 0.91, respectively), but low sensitivity, especially for PAN (0.40 vs. 0.65 of PERI). The size of the apical radiolucency was positively correlated with its detection in PERI and PAN (p < 0.001). For PAN, apical radiolucencies were 3.93 times more frequently detected when related to single-rooted teeth (p = 0.038). The other factors did not influence apical radiolucency detection (p > 0.05). Conclusions: PERI presents slightly better accuracy than PAN for the detection of apical radiolucency. The size is the only factor related to radiolucency that influences its detection, for both radiographic exams. For PAN, apical radiolucency is most often detected in single-rooted teeth.

Synthesis of T2-weighted images from proton density images using a generative adversarial network in a temporomandibular joint magnetic resonance imaging protocol

  • Chena, Lee;Eun-Gyu, Ha;Yoon Joo, Choi;Kug Jin, Jeon;Sang-Sun, Han
    • Imaging Science in Dentistry
    • /
    • v.52 no.4
    • /
    • pp.393-398
    • /
    • 2022
  • Purpose: This study proposed a generative adversarial network (GAN) model for T2-weighted image (WI) synthesis from proton density (PD)-WI in a temporomandibular joint(TMJ) magnetic resonance imaging (MRI) protocol. Materials and Methods: From January to November 2019, MRI scans for TMJ were reviewed and 308 imaging sets were collected. For training, 277 pairs of PD- and T2-WI sagittal TMJ images were used. Transfer learning of the pix2pix GAN model was utilized to generate T2-WI from PD-WI. Model performance was evaluated with the structural similarity index map (SSIM) and peak signal-to-noise ratio (PSNR) indices for 31 predicted T2-WI (pT2). The disc position was clinically diagnosed as anterior disc displacement with or without reduction, and joint effusion as present or absent. The true T2-WI-based diagnosis was regarded as the gold standard, to which pT2-based diagnoses were compared using Cohen's ĸ coefficient. Results: The mean SSIM and PSNR values were 0.4781(±0.0522) and 21.30(±1.51) dB, respectively. The pT2 protocol showed almost perfect agreement(ĸ=0.81) with the gold standard for disc position. The number of discordant cases was higher for normal disc position (17%) than for anterior displacement with reduction (2%) or without reduction (10%). The effusion diagnosis also showed almost perfect agreement(ĸ=0.88), with higher concordance for the presence (85%) than for the absence (77%) of effusion. Conclusion: The application of pT2 images for a TMJ MRI protocol useful for diagnosis, although the image quality of pT2 was not fully satisfactory. Further research is expected to enhance pT2 quality.

Morphometric Analysis for Cytological Diagnosis of Thyroid Papillary Carcinoma (갑상샘 유두암종의 세포진단에서 형태학적 계측의 분석)

  • Kim, Jong-Ok;Yang, Bo-Seong;Kim, Hye-Soo;Lee, Jong-Min;Lee, Dong-Ho;Shin, So-Young;Kang, Chang-Suk;Lee, Hye-Kyung
    • The Korean Journal of Cytopathology
    • /
    • v.17 no.2
    • /
    • pp.116-119
    • /
    • 2006
  • The diagnosis of papillary thyroid cancer is generally based on the findings of intranuclear cytoplasmic inclusions and nuclear grooves. Although anisokaryosis and poikilokaryosis, in papillary thyroid cancer, are not distinct when compared to other cancers, cytological examination can provide useful preoperative information. Our study evaluated the diagnostic role of computer-assisted image analysis for the pre-surgical assessment of papillary thyroid carcinoma. Thyroid aspirates from twenty female patients who were histologically confirmed to have both papillary carcinoma and benign nodules were studied. Different populations of 50 benign cells and 50 malignant cells were analyzed. Five morphometric parameters were selected for analysis: nuclear area, perimeter, maximum length, maximum width and intensity standard variation. The values obtained for papillary carcinomas were higher than the surrounding benign nodules as follows: nuclear area 63.5 vs. 36.1 (p=0.000), nuclear perimeter were 29.4 vs. 22.0 (p=0.000), maximum length 9.6 vs. 7.1 (p=0.000), maximum width 8.2 vs. 6.3 (p=0.000), the ratio between maximal length and maximal width 1.16 vs. 1.13 (p=0.000), the standard variation of intensity 14.9 vs. 15.9 (p=0.101) respectively. Therefore, morphometric information can be helpful for the differential cytological diagnosis of papillary thyroid carcinoma.