• Title/Summary/Keyword: Diagnostic indicators

Search Result 129, Processing Time 0.026 seconds

A Study on Physical Infrastructure and Indicator Development for the Realization of Community Care (지역사회 통합돌봄의 실현을 위한 물리적 인프라 및 지표개발 연구)

  • Kim, Hyunju;Lee, Seungji
    • Journal of The Korea Institute of Healthcare Architecture
    • /
    • v.26 no.4
    • /
    • pp.29-38
    • /
    • 2020
  • Purpose: The first thing to be done in promoting community care is local diagnosis. Therefore, this study attempted to derive the physical infrastructure to be diagnosed, and to develop diagnostic items and diagnostic indicators applicable to this. Methods:: First, the physical infrastructure related to the community care is derived. And the diagnosis items are derived using the checklist of 'community support and health services' in the WHO Guide for Global age-friendly cities. Next, by analyzing previous studies, we develop diagnostic indicators for each diagnostic item and explore their applicability. Results: As a result of deriving the physical infrastructure for each area of housing, health service, and nursing care for community care, 22 facilities were derived for 9 types. Diagnosis items for the facilities are 1)regional equity, 2)proximity between facilities, 3)transportation access, 4)regional use, 5)barrier-free design, 6)diversity of facilities, and a total of 14 diagnostic indicators was derived. We reviewed and suggested the applicability of diagnostic items and indicators by each physical infrastructure. Implications: For the realization of community care, local diagnosis should not be limited to sim- ply grasping the presence or absence of facilities and the total amount. Instead it should strengthen capabilities by conducting diagnosis to understand the performance of facilities.

Study on the Diagnostic Indicators of Fire-heat Pattern Identification in Stroke Patients (중풍환자의 화열변증 진단지표에 관한 연구)

  • Lee, Jung-Sup;Ko, Mi-Mi;Kang, Byoung-Kab;Kim, Jeong-Cheol;Kim, Bo-Young;Lee, In;Kim, Yun-Sik;Choi, Sun-Mi;Bang, Ok-Sun
    • Journal of Physiology & Pathology in Korean Medicine
    • /
    • v.23 no.2
    • /
    • pp.499-504
    • /
    • 2009
  • The purpose of this study was to evaluate the diagnostic indicators which are used for the identification of fire-heat pattern in stroke patients. For evaluation of diagnostic indicator, we analyzed the indicators which are composed of symptoms and signs collected from stroke patients based on the clinical records using case report form (CRF). Patients had a first-ever stroke within 1 month after the onset of stroke. Pattern identification was performed and decided by two independent physicians. Two patient groups that consist of fire-heat pattern and the other patterns were compared to isolate important indicators affecting the fire-heat pattern identification of stroke patients. The 8 indicators among 16 fire-heat pattern indicators were significantly more frequent compared with non fire-heat pattern group. Logistic regression analysis revealed that 5 indicators among fire-heat indicators were significantly sensitive indicators being capable of identification of fire-heat pattern. But two of them was from the indicators of dampness-phlegm pattern and yin deficiency pattern. Therefore, further studies are required for the development of Korean standard indicators of Fire-heat pattern identification.

A Study on the Development of Diagnostic Tools for Sasang Constitutional Patterns (사상체질병증 진단도구 개발 연구)

  • Lee, Hyeri;Lee, Jun-Hee
    • Journal of Sasang Constitutional Medicine
    • /
    • v.33 no.3
    • /
    • pp.95-126
    • /
    • 2021
  • Objectives The purpose of this study was to develop diagnostic tools for Sasang Constitutional patterns based on the middle classification of the Sasang Constitutional patterns. Methods Diagnosis and assessment indicators of Soeumin, Soyangin, Taeeumin, and Taeyangin patterns were extracted based on the 『Clinical Practice Guideline for Sasang Constitutional Medicine Symptomatology』 and 『Donguisusebowon』. An online survey was conducted on the 'importance of diagnosis and assessment indicators' by the Sasang Constitutional Medicine expert group. Results Based on the expert consultation results, the importance weight for each diagnosis and assessment indicators symptom was calculated, and the importance was ranked to develop diagnostic tools for Soeumin, Soyangin, Taeeumin, and Taeyangin patterns. Diagnostic tool consisted of 58 questions for Soeumin patterns, 68 questions for Soyangin patterns, 81 questions for Taeeumin patterns, and 42 questions for Taeyangin patterns. The final total score was calculated by reflecting each response score and the weight of each question. Conclusions The developed 'Diagnostic Tools for Sasang Constitutional patterns' can be used to make an effective and objective diagnosis in the clinical site. In the future, if the reliability and validity of these diagnostic tools are tested through clinical study, it will be possible to improve clinical applicability and contribute to standardization of diagnosis.

A literature review on diagnostic markers and subtype classification of children with speech sound disorders (원인을 모르는 말소리장애의 하위유형 분류 및 진단 표지에 관한 문헌 고찰)

  • Yi, Roo-Dah;Kim, Soo-Jin
    • Phonetics and Speech Sciences
    • /
    • v.14 no.2
    • /
    • pp.87-99
    • /
    • 2022
  • A review regarding indicators used in Korean research is needed to develop a diagnostic marker system for Korean children with speech sound disorders (SSD). This literature review examined the research conducted to reveal the characteristics of children with SSD of unknown origin in Korea. The researchers in Korea used diverse variables as indicators to identify the natures of children with SSD. These included indicators related to external characteristics of speech sound and comorbid features other than external aspects of speech sound. The attention has been focused on specific indicators so far. This result implies that some indicators may still require closer study in various aspects due to their influence, and some may require more attention due to the limited number of research. This article argues that more research is necessary to comprehensively describe the unique characteristics of children with SSD of unknown origin and suggests a direction for future research regarding diagnostic markers and subtype classification of SSD. It also proposes potential diagnostic markers and a set of assessments for the subtype classification of SSD.

Analysis of management status of oak mushroom management in Chungcheongnam-do

  • Oh, Do Kyo;Ji, Dong Hyun;Kim, Se Bin
    • Korean Journal of Agricultural Science
    • /
    • v.48 no.3
    • /
    • pp.483-492
    • /
    • 2021
  • This study attempted to estimate the degree of management of oak mushroom farms in Chungcheongnam-do and to provide information to establish oak mushroom cultivation-related policies. The oak mushroom management standard diagnostic table consists of three major categories, growing condition, inoculation management, cultivation management and management administration, along with 20 subcategories. Thus, 209 households of oak mushroom farms were surveyed from 2015 to 2018 in Gongju, Cheongyang, Buyeo and Seochun in Chungcheongnam-do. The average score for the 20 subcategories was 71.5 points (representing a significant level), indicating that these areas have excellent management conditions. The analysis of the management performance indicators revealed a high number of indicators with scores of five or above. The total score was higher, and the amount per bed log and the rate of top-grade products in the total output were also higher, indicating a significant correlation. These findings will provide consulting services to oak mushroom growers as they highlight the correlation between the higher scores of indicators in the oak mushroom management standard diagnostic table and the management performance of farmers. We found that the scores of the indicators for management administration, such as management record and analysis and fund plan were relatively lower than those of other indicators. It is assumed that the owners aging has led to negligence in recording the details on incomes, expenditures, and work and lowered the willingness to make substantial profits. Therefore, it is essential to overcome these problems for profitable oak mushroom farming.

Development of Diagnosis System about Services and Infrastructure for Rural Welfare and Culture (농촌 복지·문화 서비스 및 인프라 진단체계 개발)

  • Kim, Soo-Jin;Bae, Seung-Jong;Kim, Dae-Sik;Im, Sang-Bong
    • Journal of Korean Society of Rural Planning
    • /
    • v.25 no.1
    • /
    • pp.51-65
    • /
    • 2019
  • This study developed diagnostic system to understand the level of welfare cultural service and infrastructure in rural areas. The applicability was reviewed through the Delphi survey and the sample survey of 60 villages. The diagnostic indicators consist of three areas: the demand area, supply area, and delivery area. The demand area consists of 8 indicators, 25 indicators for welfare services and infrastructure (healthcare, social welfare) and 32 indicators for cultural services and infrastructure (culture, education, leisure sports). The service delivery area was divided into service supply area access and traffic accessibility (public transport use status and rural transport model status) by each indicator. A diagnostic system was applied to 60 villages. Services and infrastructure for rural welfare and culture were supplied more in the Si area than Gun area. The delivery area was easier to access the Gun area than Si area. In the case of traffic access, public transportation was more frequently used in the Si area than Gun area, and the rural transportation model was found to have a relatively large amount in the Gun area compared to Si area. The diagnosis system about services and infrastructure for rural welfare and culture will provide information necessary for establishment and decision making of regional development policy taking into account characteristics of rural areas in the future.

Effect of exercise interventions on sarcopenic obesity in middle-aged and older adults: a comprehensive review

  • Hye-Ryoung Kim
    • Journal of Korean Biological Nursing Science
    • /
    • v.25 no.4
    • /
    • pp.256-265
    • /
    • 2023
  • Purpose: This study examined the definitions, diagnostic criteria, and measurements of sarcopenic obesity and identified effective exercise interventions that improve cardiometabolic outcomes in middle-aged and older adults, in whom the prevalence of sarcopenic obesity is increasing. Methods: This comprehensive review followed the principles of literature search, data extraction, and review, as described in the PRISMA 2009 guidelines. Results: The 11 articles included in this study presented different concepts of sarcopenic obesity. Exercise interventions for sarcopenic obesity varied in their effects. Resistance exercise improved muscle mass and physical function, while aerobic exercise primarily impacted obesity and cardiometabolic indicators. Combined exercise had mixed results across indicators. Conclusion: This study addressed a pressing public health concern in the context of an aging population, acknowledged the unique challenges of sarcopenic obesity, and attempted to clarify definitions and assessment methods, while identifying effective exercise interventions to reduce cardiometabolic risk. Sarcopenic obesity is a multifaceted condition with varying definitions and diagnostic criteria. Its association with cardiometabolic risk underscores the need for comprehensive assessments considering both muscle and obesity indicators. While exercise interventions hold promise for managing sarcopenic obesity, further research is required to establish effective strategies.

Analysis of management status of chestnut cultivation in Chungcheongnam-do

  • Oh, Do Kyo;Ji, Dong Hyun;Kim, Se Bin
    • Korean Journal of Agricultural Science
    • /
    • v.48 no.3
    • /
    • pp.473-482
    • /
    • 2021
  • In this study, we attempted to estimate the degree of management of chestnut forestry households in Chungcheongnam-do and to provide information for establishing chestnut cultivation-related policies. The chestnut management standard diagnostic table consists of three major categories, namely, management base, management and sales capacity, and production technology levels, along with 19 subcategories. A survey of 309 chestnut forestry households was conducted from 2014 to 2019 in Gongju, Cheongyang, and Buyeo in Chungcheongnam-do. The average score for the 19 subcategories was 65.7 points, indicating that these areas have excellent management conditions. When the total score was higher, the output per hectare and the rate of top-grade products in the total output were also higher, indicating a significant correlation. These findings will be useful for providing consulting services to chestnut growers as they highlight the correlation between the higher scores of the indicators in the chestnut management standard diagnostic table and the management performance of the farmers. We found that the scores of the indicators for management and sale skill, such as management record and analysis, material purchase, and direct transaction with consumers, were relatively lower than those of the indicators for management base and production skill. It is assumed that the chestnut growers aging has led to negligence in recording details on incomes, expenditures, and work and lowered the willingness to make substantial profits. Therefore, it is essential to overcome these problems for profitable chestnut farming.

A diagnostic approach for concrete dam deformation monitoring

  • Hao Gu;Zihan Jiang;Meng Yang;Li Shi;Xi Lu;Wenhan Cao;Kun Zhou;Lei Tang
    • Steel and Composite Structures
    • /
    • v.49 no.6
    • /
    • pp.701-711
    • /
    • 2023
  • In order to fully reflect variation characteristics of composite concrete dam health state, the monitoring data is applied to diagnose composite concrete dam health state. Composite concrete dam lesion development to wreckage is a precursor, and its health status can be judged. The monitoring data are generally non-linear and unsteady time series, which contain chaotic information that cannot be characterized. Thus, it could generate huge influence for the construction of monitoring models and the formulation of corresponding health diagnostic indicators. This multi-scale diagnosis process is from point to whole. Chaotic characteristics are often contained in the monitoring data. If chaotic characteristics could be extracted for reflecting concrete dam health state and the corresponding diagnostic indicators will be formulated, the theory and method of diagnosing concrete dam health state can be huge improved. Therefore, the chaotic characteristics of monitoring data are considered. And, the extracting method of the chaotic components is studied from monitoring data based on fuzzy dynamic cross-correlation factor method. Finally, a method is proposed for formulating composite concrete dam health state indicators. This method can effectively distinguish chaotic systems from deterministic systems and reflect the health state of concrete dam in service.

Basic Tongue Diagnosis Indicators for Pattern Identification in Stroke Using a Decision Tree Method

  • Lee, Ju Ah;Lee, Jungsup;Ko, Mi Mi;Kang, Byoung-Kab;Lee, Myeong Soo
    • The Journal of Korean Medicine
    • /
    • v.33 no.4
    • /
    • pp.1-8
    • /
    • 2012
  • Objectives: The purpose of this study was to specify major tongue diagnostic indicators and evaluate their significance in discriminating pattern identification subtypes in stroke patients. Methods: This study used a community based multi-center observational design. Participants (n=1,502) were stroke patients admitted to 11 oriental medical university hospitals between December 2006 and February 2010. To determine which tongue indicator affected each pattern identification, a decision tree analysis of the chi-square automatic interaction detector (CHAID) algorithm was performed. The chi-squared test was used as the criterion in splitting data with a p-value less than 0.05 for division, which is the main procedure for developing a decision tree. The minimum sample size for each node was specified as n =10, and branching was limited to two levels. Results: From the 9 tongue diagnostic indicators, 6 major tongue indicators (red tongue, pale tongue, yellow fur, white fur, thick fur, and teeth-marked tongue) were identified through the decision tree analysis. Furthermore, each pattern identification was composed of specific combinations of the 6 major tongue indicators. Conclusions: This study suggests that the 6 tongue indicators identified through the decision tree analysis can be used to discriminate pattern identification subtypes in stroke patients. However, it is still necessary to re-evaluate other pattern identification indicators to further the objectivity and reliability of traditional Korean medicine.