• Title/Summary/Keyword: 임상요인들

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Urethral Leiomyoma Complicated with Lower Urinary Tract Obstruction in a Dog (개에서 요도 평활근종에 의한 하부 비뇨기계 폐색 증례)

  • Hong, Kyung-Hwa;Kim, Ki-Sik;Lee, Hye-Yeon;Choi, Ji-Hye
    • Journal of Veterinary Clinics
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    • v.29 no.2
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    • pp.181-185
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    • 2012
  • An 11-year-old, intact female Shihtzu showing anuria was diagnosed as a urethral leiomyoma. The tumor occupied and obstructed the urethral lumen. In this report, the urethral tumor and secondary obstruction could be diagnosed via ultrasonography and contrast study such as excretory urography and voiding urethrography. Ultrasonography revealed a hypoechoic, demarcated urethral mass in proximal urethra. Contrast study confirmed the urethral obstruction and ruled out the expansion of the tumor into the urinary bladder. The clinical signs of the dog were completely resolved after removing the urethral mass and urethral anastomosis. Leiomyoma is a benign smooth muscle tumor, and rarely reported in lower urinary tract.

Different characteristic between Escherichea coli and non-Escherichea coli urinary tract infection (Escherichea coli 요로 감염과 non-Escherichea coli 요로 감염 사이의 차이점)

  • Jung, Hee Jin;Aum, Ji A;Jung, Soo Jin;Hur, Jae Won
    • Clinical and Experimental Pediatrics
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    • v.50 no.5
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    • pp.457-461
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    • 2007
  • Purpose : Urinary tract infection (UTI) is a common bacterial infectious disease in childhood. Especially UTI in infant and young children is associated with urinary tract anomalies such as hydronephrosis, vesicoureteral reflux. The aim of this study was to compare the clinical and laboratory characteristics, and uroradiologic findings of UTI caused by pathogens other than E. coli with UTI caused by E. coli in infant and young children. Methods : We retrospectively reviewed medical records of 170 infants and children, who had been admitted for UTI to Il Sin Christian Hospital from January 2003 to December 2005. All patients were divided into two groups; E. coli and non-E. coli UTI, and they were compared for demographic data, clinical data (degree and duration of fever, time to defervescence, and length of hospital stay), underlying urinary tract anomalies (by history and ultrasonography), recurrent infection (by history and past medical records), and laboratory data [urinalysis, white blood cells (WBC) count in peripheral blood, erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), and serum creatinine level]. Results : Of the 170 UTI patients, the number of non-E. coli UTI was 114 (67.1%) and E. coli UTI was 56 (32.9%). As compared to E. coli group, non-E. coli group was younger in age ($0.52{\pm}0.59years$ vs $0.84{\pm}1.39years$, P<0.05), had higher rates of urinary tract anomalies [n=46 (82.1%) vs n=53 (46.5%), P<0.001], higher recurrence rate, shorter time to defervescence, less peripheral blood WBC count, lower level of CRP, lower level of ESR. Conclusion : The characteristics of non-E. coli UTI compared to E. coli UTI was younger age, milder clinical symptoms and signs, higher rates of urinary tract anomalies and higher recurrence rate.

Comparison of Intelligent Color Classifier for Urine Analysis (요 분석을 위한 지능형 컬러 분류기 비교)

  • Eom Sang-Hoon;Kim Hyung-Il;Jeon Gye-Rok;Eom Sang-Hee
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.10 no.7
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    • pp.1319-1325
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    • 2006
  • Urine analysis is basic test in clinical medicine using visual examination by expert nurse. Recently, this test is measured by automatic urine analysis system. But, this system has different results by each instrument. So, a new classification algorithm is required for accurate classify and urine color collection. In this paper, a intelligent color classifier of urine analysis system was designed using neural network algorithm. The input parameters are three stimulus(RGB) after preprocessing using normalization. The fuzzy inference and neural network ware constructed for classify class according to 9 urine test items and $3{\sim}7$ classes. The experiment material to be used a standard sample of medicine. The possibility to adapt classifier designed for urine analysis system was verified as classifying measured standard samples and observing classified result. Of many test items, experimental results showed a satisfactory agreement with test results of reference system.

On Convergence Impact Influencing of Satisfaction Clinical Practice of Dental Hygienist students (치위생(학)과 학생들의 임상실습만족도에 영향을 미치는 융합 요인)

  • Jun, Mee-Jin;Yu, Mi-Sun;Kim, Hwa-Suk
    • Journal of Convergence for Information Technology
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    • v.8 no.3
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    • pp.127-136
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    • 2018
  • This study was to identify factors influencing satisfaction on clinical practice of dental hygienist students located in G, J region. The data was analyzed by t-test, Anova, Pearson correlation coefficient, and multiple regression using SPSS 21.0 program. There were significant in satisfaction of score(F=2.925, p<.05), perceive heath status(F=8.108, p<.001), satisfaction on department(F=8.198, p<.001). The relationship on peers with score(r=.277, p=.01) and perceive health status correlations with relationships on peers(r=.327, p=.01), The satisfaction on clinical practice had positive correlations with score(r=.127, p=.05), perceive health status(r=.226, p=.01), relationship on peers(r=.240, p=.01). The factors influencing satisfaction on clinical practice were satisfaction of relationship on peers, satisfaction of department, perceive health status. The results suggest that development of program to improve satisfaction on clinical practice of dental hygiene students.

Urinary tract infections in infants under six months of age (6개월 미만 영아의 요로 감염)

  • Kang, Min Joo;Shin, Hye Kyung;Yim, Hyung Eun;Je, Bo-Kyung;Eun, So Hee;Choi, Byung Min;Park, Jong-Tae;Eun, Baik Lin;Yoo, Kee Hwan
    • Clinical and Experimental Pediatrics
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    • v.49 no.3
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    • pp.278-286
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    • 2006
  • Purpose : Although suprapubic bladder aspiration(SBA) is the most reliable technique for identifying bacteriuria in young infant, no report has been published about the clinical manifestations of urinary tract infection(UTI) diagnosed by aspirated urine in Korea. This study was performed to examine clinical manifestations and related factors of UTI confirmed by a positive urine culture obtained by SBA in young infants. Methods : We reviewed medical records of 159 infants younger than six months of age, who had been admitted for UTI to Korea University Ansan Hospital from January 2002 to June 2005. Results : The male:female ratio was 5.1 : 1. The most common pathogen in urine culture was Escherichia coli(92.5 percent). Most of the gram-negative pathogens had high sensitivity to amikacin, or third generation cephalosporins and had low sensitivity to ampicillin, trimethoprim-sulfamethoxazole, or gentamicin. Hydronephrosis and vesicoureteral reflux(VUR) were present in 32.7 percent and 27.7 percent respectively. Renal cortical defects observed on DMSA scans were detected in 37.1 percent. Prolonged fever duration and hospital day, high erythrocyte sedimentation rate(ESR) and C-reactive protein(CRP) levels, hydronephrosis and VUR were related to the renal cortical defects(P<0.05). Rates of UTI-associated bacteremia and aseptic meningitis were 8.3 percent and 6.6 percent. Conclusion : Early differential diagnosis is very important in infants younger than 6 months of age with UTI because the clinical findings are non-specific and UTI-associated bacteremia and aseptic meningitis are concomitantly found. Because prolonged fever and higher ESR and CRP levels are risk factors of the renal cortical defects, radiologic evaluations and nephrologic follow-up were needed in identifying the predisposing congenital abnormalities and chronic renal scarring.

Dental hygiene students' stress during clinical practices (치위생과 재학생의 임상실습 스트레스 요인)

  • Oh, na-rae;Jeong, mi-ae
    • Proceedings of the Korea Contents Association Conference
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    • 2018.05a
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    • pp.395-396
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    • 2018
  • 본 연구는 치위생과 재학생들의 교외 임상실습과정에서 느끼는 스트레스를 파악하고 이를 관리하는 프로그램을 개발하는데 기초자료로 사용하고자 실시하였다. 대구 경북지역 치위생과 재학생을 대상으로 자기기입식 설문조사를 실시하여 전공만족도와 실습기관의 유형이 임상실습 스트레스에 영향을 미치는 것으로 나타났다. 향후 치과환경에 학생들의 스트레스를 대처할 수 있는 대처방안의 개발이 필요할 것이라 사료된다.

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Clinical Factors Associated with Comorbid Major Depressive Disorder in Patients with Panic Disorder (공황장애 환자에서 공존 주요 우울증과 연관된 임상요인들)

  • Chang, Hyun-Chae;Lim, Se-Won;Shin, Young-Chul;Shin, Dong-Won;Oh, Kang-Seob
    • Anxiety and mood
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    • v.10 no.1
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    • pp.17-23
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    • 2014
  • Objective : Panic disorders are frequently accompanied by major depressive disorder (MDD). There is insufficient information about which clinical factors in panic disorder are associated with comorbid MDD. The aim of this study is to identify clinical factors related with comorbid MDD in patients with panic disorder. Methods : Two experienced psychiatrists diagnosed panic disorder based on DSM-IV criteria. This diagnosis in the 275 subjects was confirmed again by Mini-International Neuropsychiatric Interview (MINI). Lifetime comorbid psychiatric diagnoses were examined by MINI. The Hamilton Depression Scale (HAMD), Hamilton Anxiety Scale (HAMA) and Panic Disorder Severity Scale (PDSS) were used to assess the severity of depressive, anxiety and panic symptoms. Results : The result of MINI showed that 95 patients (34%) with panic disorder satisfied the diagnosis of MDD. Multivariate logistic regression model showed that comorbid generalized anxiety disorder (GAD) and the symptom of "fear of losing control or going crazy" were associated with MDD in patients with panic disorder. In female patients, the "chills or hot flushes" symptom was also associated with comorbid MDD. Conclusion : These results showed that coexisting GAD and certain symptoms of panic are associated with comorbid MDD.

A Study of the Relationship between MMPI-A and Internet Addiction in Adolescence (MMPI-A 에서 나타난 청소년의 임상특징과 인터넷 중독과의 관련성)

  • Cho, kyoung-duk;Kye, sun-ho
    • Proceedings of the Korea Contents Association Conference
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    • 2013.05a
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    • pp.195-196
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    • 2013
  • 학생이 가지고 있는 학교폭력에 관계된 요인을 내부적인 요인(학교문제, 성적, 교우관계, 교사와의 관계)과 외부적인 요인(가족관계)으로 구분할 수 있다. MMPI(다면적인성검사)의 개정판인 MMPI-A검사를 중학교 2, 3학년 489명에 대하여 실시한 결과 소외, 품행문제, 낮은 포부 등 4가지 척도에서 연령이 높아질수록 소외요인(A-aln)은 높아졌고 낮은 포부요인(A-las)의 수치는 낮아지는 경향이 나타났다. 또한 상기한 4가지 척도와 기존의 10가지 임상척도에는 유의한 상관이 나타났다.

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