• Title/Summary/Keyword: 이상치 진단

Search Result 492, Processing Time 0.037 seconds

A STUDY OF THE DEVELOPMENT AND STANDARDIZATION OF ADHD DIAGNOSTIC SYSTEM (전산화된 주의력장애 진단시스템의 개발 및 표준화 연구)

  • Cho, Sung-Zoon;Chun, Sun-Young;Hong, Kang-E;Shin, Min-Sup
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
    • /
    • v.11 no.1
    • /
    • pp.91-99
    • /
    • 2000
  • Objectives:Present study developed the computerized ADHD Diagnostic System(ADS) in order to diagnose ADHD and evaluate treatment effect of it, and conducted a standardization study for ADS. Methods:The normative group was composed of 847 children and adolescents between the age of 5 and 15(boy 429, girl 418) living in the areas of Seoul, Kyunggi-do, and Kangwon-do. 30 ADHD children with age ranged 7 to 9 years were participated present study to evaluate the validity of ADS. To establish the norms for diagnosing ADHD, the means and standard deviations of normative group were used to calculate T-scores for each age group. Results:The reliability coefficient of ADS(Cronbach's ${\alpha}$) was .85. There were significant differences in the measures of ADS except commission error between the normal and the ADHD groups. Three factors were extracted through factor analysis of ADS, which were labelled 'inattention', 'slow information processing' and 'impulsivity'. Discriminant analysis showed that ADS significantly discriminate the normal and the ADHD groups. Percentage of correct classification by ADS variables was 96.7%. Conclusion:These results put together strongly support the reliability and validity of ADS as a diagnostic instrument for ADHD.

  • PDF

Optimal Cutoff Points of Rate Pressure Product in Each Stage of Treadmill Exercise Test According to the Degree of Metabolic Syndrome in Korean Adults (한국성인의 대사증후군 예방을 위한 운동부하 검사시 각 단계별 심근부담률의 적정 임계점)

  • Shin, Kyung-A
    • Korean Journal of Clinical Laboratory Science
    • /
    • v.50 no.2
    • /
    • pp.136-143
    • /
    • 2018
  • The rate pressure product (RPP) is expressed as a product of the heart rate and systolic blood pressure as an index indirectly measuring the myocardial oxygen consumption, and it indicates the burden on the myocardium. The aim of this study was to determine the optimal level of RPP for preventing metabolic syndrome in a treadmill exercise test in Korean adults. Metabolic syndrome was the diagnosis of the third executive summary report on the National Cholesterol Education Program Adult Treatment Panel III (NCEP-ATP III) criteria. According to the criteria, the metabolic syndrome diagnosis group (MetS, N=25), pre-metabolic syndrome group (Pre-MetS, N=106), and non-risk factor group (Non-MetS, N=65) were classified. The exercise stress test was performed based on the Bruce protocol. The RPP was calculated as (heart rate${\times}$systolic blood pressure)${\div}1,000$. The results showed that the maximum systolic blood pressure was high despite the low daily dose reached in the diagnostic group of metabolic syndrome. The optimal threshold of the RPP at the time of the exercise treadmill test for a metabolic syndrome prediction was $12.56mmHg{\times}beats/min{\times}10^{-3}$ in the first stage of the exercise stress test. The second stage of the exercise test was $16.94mmHg{\times}beats/min{\times}10^{-3}$, and at the third stage of the exercise test was $21.11mmHg{\times}beats/min{\times}10^{-3}$.

Cystic Diseases of the Kidney in Children (소아의 낭포성 신질환)

  • Lee Ji-Suk;Rho Kwang-Sik;Kim Ji-Hong;Lee Jae-Seung;Kim Pyung-Kil
    • Childhood Kidney Diseases
    • /
    • v.1 no.2
    • /
    • pp.144-150
    • /
    • 1997
  • Purpose : The kidney is one of the most common sites of cyst formation. Cystic diseases of the kidney are a diverse group of clinicopathologic entities and variable prognosis. They span a wide range of both age of presentation and severity of the renal disease. And many of them are systemic disorders, sharing similar process of cyst formation in other organs. Recently, development of imaging studies has been contributing widely to the diagnosis of the diseases. Treatment, however, is not established satisfactorily. We performed this study to evaluate the occurrence and treatment of cystic diseases of the kidney. Methods : We reviewed retrospectively the medical records of 44 patients with cystic diseases of the kidney in the Department of Pediatrics, during last 11 years. Results : In the 44 patients with cystic diseases of the kidney, 31 patients(71%) had multicystic dysplastic kidney and 11(35%) of them received nephrectomy due to differentiation from neoplasms or severe abdominal distension. Seven patients(16%) had polycystic kidney disease, and all of them were infantile type. Five patients(11%) were diagnosed as having a simple renal cysts. Progression to renal failure was noted in none of the cases. In 14(32%) out of total 44 patients, the diagnosis was made in neonatal or infantile pelted. Conclusion : The incidence of cystic diseases of the kidney appeared very low, but further investigation on their pathogenesis, classification, and indication of treatment is needed.

  • PDF

Vslue of Squamous Cell Carcinoma Associated Antigen fTA-41 in Patients Iurith Invasive Carcinoma of the Uterine Cervix (침윤성 자궁경부암 환자에서 SCC Antigen (TA-4) 측정의 유용성)

  • Cho Moon-June;Kim Jae-Sung;Park Seoung-Ho;Nam Sang-Lyun
    • Radiation Oncology Journal
    • /
    • v.11 no.2
    • /
    • pp.397-401
    • /
    • 1993
  • We investigated the usefulness of tumor-associated antigen (TA-4) by a radioimmunoasay method in estimating the extent of disease and tracking the clinical course of disease in 58 patients with cervical cancer. According to our results and those of other authors, the normal range of serum TA-4 was arbitrarily taken to be less than 2 ng/ml. The proportion of the pretreatment positive serum TA-4 level of 48 squamous cell carcinoma patients was $60\%.$ And $40\%$ in 5 adenocarcinoma patients. Advanced disease group showed higher incidence of positive serum TA-4 level; $40\%,\;72\%,\;63\%,\;and\;100\%$ in stage I to IV, respectively. And the absolute values of TA-4 were higher in advanced disease. In patients treated with radiation, elevated serum TA-4 level usually declined after 3000 cGy and further dropped to normal range in $44\%$ after 5000 cGy. The positive rate in primary cervical cancer was $59\%,$ (32/54) and $100\%$ (4/4) in recurrent conical cancer. And 15 patients with recurrent or persistent disease during follow-up revealed $80\%$ positive serum TA-4 level. In conclusion, it would be suggested that serial serum TA-4 measurements may be helpful in tracking the clinical course during and after treatment.

  • PDF

CONSERVATIVE TREATMENT OF INTRA-ALVEOLAR ROOT FRACTURE OF PRIMARY INCISORS USING RESIN WIRE SPLINT : CASE REPORT (레진 강선 고정을 이용한 유전치 치근 파절의 보존적 치료 : 증례 보고)

  • Jung, Ji Hyun;Park, Jae-Hong;Kim, Kwang Chul;Choi, Yeong Chul;Choi, Sung Chul
    • Journal of the korean academy of Pediatric Dentistry
    • /
    • v.40 no.1
    • /
    • pp.53-59
    • /
    • 2013
  • In an intra-alveolar root fracture (IARF) of a primary tooth with severe mobility and displacement, extraction and periodic-follow-up is the choice of recommended treatments because of the fear of aspiration of the mobile tooth and the possibility of damage in the permanent succeeding tooth. However, repositioning and splinting are presented as a fresh proposal recently. In case of extracting a primary incisor, many problems occur; esthetic problems; functional problems such as pronunciation and mastication; space loss; and psychological and social problems. Therefore, the best treatment is conservation of the primary tooth. The aim of this report was to suggest the conservative treatment of an Intra-alveolar root fracture of the primary central incisors with severe mobility and displacement based on two cases that describe the diagnoses, treatments and follow-ups (mean period: 27-month). All cases have been treated by reduction and immobilization by resin wire splint (RWS) (mean period: 6-week). Both cases were followed up until the successors were erupted. There have been no complications such as pain, pulp necrosis, periapical lesion, displacement of permanent tooth germ, eruption disturbance and etc.

Influence of Dental Hygiene Students' Personality Types on Bioethical Perception (치위생(학)과 학생의 성격유형이 생명윤리의식에 미치는 영향)

  • Ahn, Yong-Soon;Han, Ji-Hyoung;Kim, Ki-Eun
    • Journal of dental hygiene science
    • /
    • v.13 no.3
    • /
    • pp.347-353
    • /
    • 2013
  • This study was conducted to provide dental hygiene students with an opportunity which let them learn and have responsibility on bioethical perception by carrying out a survey for bioethical perception by personality types targeting 519 dental hygiene students. The study results were as follows: 1. Generally, in personality types, gender affects friendliness. Also, significant difference was shown in conscientiousness by age and practical experience. From finance point of view, significant difference was shown in neuroticism, extroversion, conscientiousness and openness, however, they did not satisfy test for equality of variances. 2. Generally, in bioethical perception, gender affects embryos right to life significantly (p <0.001) and considerable difference was appeared in intrauterine insemination by age. Significant differences were shown in embryos right to life by grade and whether students have practical experiences or not was the key factor which lead considerable difference in abortion. 3. In correlation of variances for personality types and bioethical perception, only friendliness and embryos right to life had weak correlation of 0.119. 4. In personality types affecting bioethical perception, friendlier personality had strong influence on embryos right to life. From this study, it can be concluded that bioethical perception could be affected by five personality types although they are not conclusive indicators which provide all the information.

A Case of Eosinophilic Gastritis Mimicking Borrmann Type-4 Advanced Gastric Cancer (Borrmann 4형 진행위암과 같은 형태를 보인 호산구성 위염(Eosinophilic Gastritis) 1예)

  • Shin Hyun-Wook;Suh Byoung-Jo;Yu Hang-Jong;Lee Hye-Kyung;Kim Jin-Pok
    • Journal of Gastric Cancer
    • /
    • v.5 no.1
    • /
    • pp.47-51
    • /
    • 2005
  • Eosinophilic gastroenteritis is a rare clinicopathologic entity of unknown etiology with a variety of digestive symptoms. The pathogenesis is poorly understood. Diagnostic criteria include demonstration of eosinophilic infiltration of the affected bowel wall, lack of evidence of extraintestinal disease, and exclusion of various disorders that could mimic similar conditions. The disease might involve any area of the gastrointestinal tract from the esophagus to the rectum, but the stomach and the proximal small bowel are most commonly affected. The clinical features depend on which layer and site are involved. We report the case of a 59-year-old male patient with a 3-week history of post-prandial vomiting with malnutrition and weight loss. An abdominopelvic CT showed a gastric outlet obstruction with diffuse wall thickening, as with linitis plastica. Three gastrofiberscopic biopsies showed chronic gastritis. We carried out a radical total gastrectomy with D2 lymph node dissection. The pathologic report revealed a mural type eosinophilic gastritis with a marked hypertrophic scar formation at the proper muscle layer. We report this case with a brief review of the literature. (J Korean Gastric Cancer Assoc 2005;5:47-51)

  • PDF

EVALUATION OF ECTOPIC BONE FORMATION EFFECT BY DECALCIFIED DEGREE OF ALLOGRAFTS (동종이식골의 탈회정도가 이소성 골형성유도에 미치는 영향)

  • Yun, Hong-Sik;Chin, Byung-Rho;Shin, Hong-In
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • v.20 no.2
    • /
    • pp.139-147
    • /
    • 1998
  • This study has been performed to evaluate the relationship between the remained mineral components in a decalcified bone matrix and an ectopic bone formation efficiency. The freezed rat diaphyseal cortical bones measuring 0.5cm in length were demineralized in heated 0.6N HCl at $60^{\circ}C$ for 5, 10, 15, 20, 25, 30, 35, 40 minutes, respectively, using a controlled heat ultrasonic cleaner. Each 1cc of decalcifying solution taken during decalcification procedure was used to calculate calcium content using calcium dignostics kit under 600nm of spectrophotomer. After decalcification, each specimen was also weighed. Then each prepared specimen was implanted into the dorsal pouch of 24 Sprague-Dawley rats divided into 8 groups by time course. The implants were harvested at 1, 2, and 3 weeks and prepared for routine H-E stain specimens to evaluate osteogenic activity. The results are as follows: 1. There was statistical significant difference in change of calcium concentration up to demineralization of 30 minutes and each allogenic bones decalcifed up to 20 minutes revealed 99.65% of decalcification in average. 2. There was statistical significant difference in change of weight in demineralized allogenic bone up to 20 minutes treatment but, no significant change was noted after that time. 3. The histologic analysis revealed active ectopic bone formation in the implanted allografts demineralized for 20, 25, 30 minutes, respectively. However, the other groups of allografts showed relatively poor osteoinductive activity. These findings suggest that complete decalcification with a minimized degeneration of collagen matrix is necessary to induce maximal osteogenesis by decalcified bone allograft.

  • PDF

A Phenomenological Study on Experiences as a Dental Intermediary Manager (치과 중간관리자의 근무경험에 대한 현상학적 연구)

  • Moon, Hak-Jin;Lim, Soon-Ryun
    • Journal of dental hygiene science
    • /
    • v.16 no.4
    • /
    • pp.263-271
    • /
    • 2016
  • This study aimed at comprehending the duty, role, and difficulty of intermediary manager through in-depth investigation of dental hygienist intermediary managers experienced over 10 years working in a dental clinic. In-depth interviews were conducted with 10 dental intermediary managers and Giorgi's analysis method was used to analyze the data. Findings revealed that the work experience of the dental hygienist intermediary managers appeared in the range of "becoming an intermediary manager through various processes", "various duties that they experience as an intermediary manager", "difficulty as an intermediary manager", "ability that they perceive as necessary for being a dental intermediary manager", and "worthiness they feel as the intermediary manager". The dental intermediary managers complained of difficulties at work, and appeared to perform various tasks such as human resource management, clinic management support, and patient's management. Accordingly, the researcher considers that research on dental intermediary managers' capacity development necessary.

Liver function in Clonorchis sinensis-infected rabbits (간흡충을 감염시킨 토끼의 간기능 검사)

  • 홍성종;우호춘
    • Parasites, Hosts and Diseases
    • /
    • v.32 no.3
    • /
    • pp.177-184
    • /
    • 1994
  • Nine rabbits were fed with Clonorchis sinenis metacercariae (MC) and the blood samples chronologically obtained were analyzed biochemically. Rabbits Infected by less than 100 flukes were grouped into Group I, and by 100-250 flukes into Group II. The serum level of alanine amlnotransferase (ALT) was increased from 3 weeks after the Infection of the metacercariae (AIM) and showed a peak at 8 weeks, and decreased from 12 weeks ASM. The serum level of aspartate aminotransferase (AST) was raised to $92.3{\;}{\pm}{\;}65.4{\;}U/L$ at 3 weeks AIM and stayed high until 8 weeks, then lowered thereafter. The serum level of ${\gamma}-glutamyl$ transpeptidase (${\gamma}-GT$) was increased rapidly to the highest value ($18.9{\;}{\pm}{\;}14.6{\;}U/L$) at 16 weeks ASM, and decreased to the control level after 20 weeks. The serum level of alkaline phosphatase (ALP) was headed down from the early infection to 52 weeks AIM. The serum cholesterol level was increased from 8 weeks and reached at a peak 16 weeks AIM, and decreased thereafter to the control level. It is suggested that serum ALT, AST, ALP and ${\gamma}-GT$ tests be useful to diagnose the early infEction of C. sinensis.

  • PDF