• Title/Summary/Keyword: 임상진단

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Diagnosis of Acetabular Labral Injury (고관절 비구순 손상의 진단)

  • Rhyu, Kee Hyung
    • Journal of the Korean Arthroscopy Society
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    • v.15 no.2
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    • pp.158-164
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    • 2011
  • As the instruments as well as techniques for hip arthroscopy have developed, the interests and understandings of acetabular labral tear have also increased. As a consequence, the diagnosis itself was increased. However, it is still difficult to be diagnosed accurately in an ordinary clinic. In this brief review, the clinical and radiological characteristics and diagnostic implications of acetabular labral lesions were described to help the surgeon to make a right decision.

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Clinical Characteristics of Misdiagnosed Delirium (오진된 섬망 환자의 임상적 특징)

  • Oh, Eugene;Baek, Sue-Hyun;Kim, Min-Hyuk;Min, Seongho;Park, Ki-Chang;Ahn, Jung-Sook
    • Korean Journal of Psychosomatic Medicine
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    • v.22 no.2
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    • pp.87-92
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    • 2014
  • Objectives : Delirium of hospitalized patients is common and it is significantly associated with increased mortality rate. Misdiagnosis rates of delirium are reported in a range of 36.7 to 63% in clinical setting. We aimed to identify the clinical features and symptomatic characteristics associated with misdiagnosis of delirium. Methods : Subjects were 256 inpatients who were referred for psychiatric consultation and diagnosed with delirium by a psychiatrist at a university hospital between January 1 and June 30, 2012. Clinical data were obtained with retrospective chart review. Patients were divided into misdiagnosed group and correct diagnosed group, after reviewing the reason which were described in the consultation request form. Results : Sixty nine(27%) subjects of the 256 patients were referred for other reasons(mood, substance, anxiety, dementia etc.) than "delirium/confusion" by clinician(misdiagnosed group). In misdiagnosed group, use of antipsychotics was more common. There were no differences between the two groups in age, gender, and department of referring clinician. Fluctuation score of DRS-R-98 was higher in the correct diagnosed group. Conclusions : In this study, the risk of misdiagnosis was higher when the patients have taken antipsychotics or less symptom fluctuation. Careful clinical attention is needed for diagnosis for delirium in these patients.

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자기 공명 진단 장치의 기술 동향과 국내 개발 방향

  • 이홍규
    • The Magazine of the IEIE
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    • v.23 no.6
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    • pp.17-26
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    • 1996
  • 첨단 영상 진단기기인 자기 공명 진단 장치는 복합적인 구성 기술 요소들이 필요하며 연구 개발을 거쳐 상용화 하는 데에는 충분한 임상 적용 뿐 아니라 충분한 시스템 기술이 필요하다. 먼저 국내외의 자기 공명 진단 장치 기술 발전 과정을 살펴 본 후, 각 구성 부분별로 최근 기술 동향을 정리하고, 자기 공명 진단 장치의 국내 개발 내용을 소개하였다.

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Development History of Pregnancy Test Technology (임신진단검사기술의 발전사)

  • Kwon, Young-Il
    • Korean Journal of Clinical Laboratory Science
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    • v.50 no.4
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    • pp.382-390
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    • 2018
  • The history of the pregnancy test started in ancient Egypt with a germination test using wheat and barley. Since then, unscientific methods have been used from the days of Hippocrates and Galen to the Middle Ages when uroscopy was used, even until the early 1800s. On the other hand, since the mid-1800s, scientific methods and evidence have begun to emerge, which led to scientific research on the physiological characteristics of pregnancy. The first attempt to utilize these scientific findings was initiated with the bioassay by Aschheim and Zondek using rats and mice in 1927, and then developed into experiments using rabbits and frogs. The immunoassay method, which started in the 1960s, contributed greatly to the generalization of the pregnancy tests while improving the problems of the bioassay. In 1976, a pregnancy test kit was introduced that can be used at home, contributing to the popularization of pregnancy tests. Since the 1980s, technological advances in diagnostic tests have also been applied to pregnancy tests to further improve the reliability of the diagnosis of pregnancy. In the 2000s, the accuracy and ease of use of the pregnancy test kits for home use have improved drastically. This study examined the history and scientific development of the pregnancy test.

Development of Korean Version of WHO-CIDI(Composite International Dignostic Interview)-Social Phobia : Its Validity and Reliability (한국어판 WHO-CIDI(Composite International Diagnostic Interview)-사회 공포증의 개발 : 타당도 및 신뢰도 검사)

  • Seo, Joo-Won;Oh, Kang-Seoh;Lee, Si-Hyung
    • Korean Journal of Psychosomatic Medicine
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    • v.8 no.2
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    • pp.191-200
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    • 2000
  • It is our purpose to evaluate the validity & interrater reliability of CIDI-social phobia, Korean Version. Method : CIDI-Social phobia Korean Version was evaluated by 50 Korean social phobia patients who met diagnostic criteria of DSM-IV. The authors calculated diagnostic concordance rate between clinical diagnosis & diagnosis by using the CIDI-social phobia Korean Version for evaluating validity. We also calculated the interrater diagnostic concordance of 20 social phobia patients for evaluating interrater reliability. Results : Validity of the CIDI-social phobia Korean Version was 0.74, & Interrater reliability(kappa) was 0.75. Conclusions : CIDI-Social phobia, Korean version had a good reliability & validity. That was proved a good instrument for diagnosing social phobia for general population and clinical patients

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Application of Receiver Operating Characteristics (ROC) Curves for Clinical Diagnostic Tests (임상진단 검사에서 ROC 곡선의 응용)

  • Pak, Son-Il;Koo, Hee-Seung;Hwang, Cheol-Yong;Youn, Hwa-Young
    • Journal of Veterinary Clinics
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    • v.19 no.3
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    • pp.312-315
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    • 2002
  • Diagnostic tests often require the determination of cut-off values that discriminate uninfected from infected individuals. The receiver operating characteristic (ROC) curve has been frequently used to attain this purpose and gives a representation of diagnostic accuracy (sensitivity and specificity) of a prediction model when varying the cut-point of a decision rule on a whole spectrum. We have written and tested a visual basic application program in EXCEL for maximum likelihood estimation of a binormal ROC curve, which also computes univariate statistics of a diagnostic test employed. Examples applying for computed tomographic images in radiology and methicillin-resistant Staphylococcus aureus research are given to illustrate this approach. This stand-alone module is available from the first author on request.

Data Mining Approach for Diagnosing Heart Disease (심장 질환 진단을 위한 데이터 마이닝 기법)

  • Noh, Ki-Yong;Ryu, Keun-Ho;Lee, Heon-Gyu
    • Science of Emotion and Sensibility
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    • v.10 no.2
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    • pp.147-154
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    • 2007
  • Electrocardiogram(ECG) being the recording of the heart's electrical activity provides valuable clinical information about heart's status. Many researches have been pursued for heart disease diagnosis using ECG so far. However, electrocardio-graph uses foreign diagnosis algorithm in the con due to inaccuracy of domestic diagnosis results for a heart disease. This paper proposes ST-segment extraction technique diagnosing heart disease parameter from raw ECG data. As the ST-segment is used for prediction of Coronary Artery Disease, we can predict heart disease using classification approach in data mining technique. We can also predict patient's clinical characterization from patient clinical data.

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Traumatic Rupture of the Right Hemidiaphragm: Scintigraphic Diagnosis (외상성 우측 횡경막 파열의 간신티그램 진단)

  • Park, Young-Ha;Lee, Myung-Hee;Chung, Soo-Kyo;Shinn, Kyung-Sub;Bahk, Yong-Whee
    • The Korean Journal of Nuclear Medicine
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    • v.21 no.1
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    • pp.69-73
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    • 1987
  • 외상에 의한 횡경막파열은 신속한 진단이 매우 어렵다. 이는 임상증상 및 일반적인 방사선학적 소견이 특이성이 없고, 많은 다른 외상이 동반되어 임상적으로나 방사선학적으로 진단하기 힘들기 때문이다. 더우기 외상성 청경막파열은 좌측에 비해 우측에서는 매우 드물다. 저자들은 임상경사와 단순 흉부-X선 사진상에서 진단이 어려웠던 우측 외상성 횡경막 파열등 3예에 매해서 간신티그램을 시행하여 몇가지 특징적 소견을 관찰할 수 있었다. 즉 간신티그램 상에서 관찰된 횡경막파열의 특징적인 소견은 1) 청경막 탈출에 의한 간우엽의 융기 2) 융기부 기저부의 예각형성 그리고 3) 횡경막교약에 의한 띠모양의 냉소이었다. 그러나 이들 3가지 소견은 반드시 모두가 나타나지 않을 뿐만 아니라 같은 환자에서도 신티영상의 촬영방향에 따라 나타나는 수도 있고 나타나지 않을 수도 있었다. 그러므로 우측 횡경막내 외상성파열로 인한 간 등의 허니아를 진단하기 위해서는 다각도로 신티영상 촬영을 하여야 할 것이다.

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Esophageal Dysmotility in a Young Adult Dog (식도운동성 저하에 대한 진단 및 치료)

  • Kim, Jae-Hoon;Park, Hyung-Jin;Song, Kun-Ho;Choi, Ho-Jung;Seo, Kyoung-Won
    • Journal of Veterinary Clinics
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    • v.30 no.3
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    • pp.193-195
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    • 2013
  • An 18-month-old intact male Cocker Spaniel dog weighing 7.7 kg was referred with a 2-week history of severe regurgitation. Based on the screening examination and fluoroscopy, this patient was diagnosed as having esophageal dysmotility. Treatment with mosapride and feeding small amounts of canned food frequently in an elevated position resulted in a successful outcome. The severe regurgitation improved, and the esophageal transit time improved from 18 sec to 8 sec. This is the first case report describing the diagnosis and clinical management of esophageal dysmotility in a young dog in Korea.

Cytopathologic Diagnosis of Bile Obtained by Percutaneous Biliary Drainage (담즙의 세포병리학적 진단에 관한 연구)

  • Park, In-Ae;Ham, Eui-Keun
    • The Korean Journal of Cytopathology
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    • v.3 no.1
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    • pp.1-11
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    • 1992
  • From the one hundred forty eight patients with evidence of biliary tract obstruction, 275 bile samples were obtained from percutaneously placed biliary drainage catheters. Of the 148 patients, ova of Clonorchis sinensis were demonstrated in 17 patients (11.5%), with the epithelial cells. Among them, one case also demonstrated coexisting adenocarcinoma. In 105 patients, the medical records were available for review and the clinical diagnoses were malignancy in 99 patients and benign lesion in 6 patients. Of the 99 patients in which clinico-radiologic diagnosis were malignant, cytologic results were positive in 23.2%. Dividing the patients Into two groups, the ones with tumor of bile duct origin (group I) and the others with tumors producing extrinsic compression of bile duct, such as periampullary carcinoma, pancreas head carcinoma or metastatic carcinoma in lymph nodes from tumors of adjacent organs (group II), the cytologic results were positive in 37% and 11.6%, respectively. In patients with histologic confirmation, the positive correlation was found in 50% and 20% in group I and group II, respectively, with remarkable difference between two groups. There were no false positives in cytologic diangosis. The overall concordance rate of cytologic diagnosis with diagnosis of clinical investigation in both benign and malignant lesions was 27.6% and the diagnostic specificity was 100%.

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