• Title/Summary/Keyword: 진단율

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비파괴 검사기술을 이용한 원자력 발전설비 예방진단

  • 박상기;권오철
    • 전기의세계
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    • v.38 no.11
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    • pp.55-62
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    • 1989
  • 원자력 발전소의 건설 및 운전은 설계, 제작, 건설 및 운전등에 이르기까지 안전에 대한 고려가 치밀하게 이루어지고 있으며 그중에서도 원자력 부품의 제작, 설치시는 물론이고 원전의 건설후 사용전 및 사용중에 수시 또는 정기적으로 거의 모든 중요한 부품들에 대한 비파괴 검사는 필수적이며 제반 법규 및 규격도 원자력발전 설비에 대한 요건을 엄격하게 규정하고 있다. 국내에 운전중인 모든 원전에 대해서도 제반 법규 및 규격요건에 따른 제작/설치 검사와 가동전 및 가동중 검사를 첨단기술을 이용하여 엄격리 실시하여 발견될 주요결함은 수리조차하고 있으며 미세한 결함까지도 기록관리하며 가동중 검사에서 이들의 성장 뿐 아니라 새로운 결함의 생성들을 찾아냄으로써 원전의 안전성 확보와 가동율 향상이라는 소기의 목적을 위해 원전의 예방진단에 만전을 기하고 있다.

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개와 고양이의 당뇨병 진단과 치료

  • 김두
    • Journal of the korean veterinary medical association
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    • v.30 no.2
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    • pp.96-108
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    • 1994
  • 대부분의 당뇨병이 있는 개와 고양이는 쉽게 진단할 수 있고 초기에 적절한 식이관리와 중간형 또는 지속형 인슐린을 하루에 1회 또는 2회 투여함으로써 적절히 관리할 수 있다. 당뇨병의 장기간 관리는 체중, 물섭취량과 연속적인 혈당치의 감시에 의하여 적절히 수행할 수 있다. 연속적인 혈당치 측정은 인슐린 치료와 관련된 잠재적인 문제점(저혈당증, 인슐린 유발성 과혈당증, 인슐린 내성)을 확인하거나 피할 수 있는 가능성을 높여 주며, 혈당을 적절한 수준으로 유지시켜 만성 당뇨병의 합병증 발생율을 줄이거나 지연시킬 수 있게 해준다.

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선형 GPA 기법을 이웅한 터보프롭 엔진의 성능진단에 관한 연구

  • 공창덕;신현기;기자영
    • Proceedings of the Korean Society of Propulsion Engineers Conference
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    • 1999.10a
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    • pp.26-26
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    • 1999
  • 소·중형 산업용 항공기나 초등 훈련기용으로 많이 이용되고 있는 터보프롭 엔진의 성능진단을 위해 선형 GPA 기법을 적용하였다. 대기조건은 지상정지조건으로 하였으며 계측변수의 선정에 따른 오차율을 알아보기 위해 다양한 손상을 가정하였다. 가스터빈 엔진에서 가장 쉽게 발견될 수 있는 성능저하 원인인 압축기 오염과 터빈 부식이 발생하였을 경우를 가정하였다. 다중 손상일 경우 선형 GPA 기법의 신뢰성을 알아보기 위해 압축기에만 오염이 발생하였을 경우, 압축기와 압축기 터빈에 각각 오염과 부식이 발생하였을 경우, 압축기 터빈과 동력터빈에 동시에 부식이 발생하였을 경우, 압축기, 압축기 터빈, 동력터빈이 모두 오염과 부식이 발생하였을 경우를 가정하였다.

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Optimal Time to Localize Bleeding Focus and the Usefulness of Flexible Bronchoscopy in Hemoptysis (객혈에서 굴곡성 기관지경의 출혈부위 결정을 위한 적절한 시행시기 및 그 유용성)

  • Lee, Jae-Ho;Koh, Won-Joong;Lee, Chan-Ju;Chung, Hee-Soon
    • Tuberculosis and Respiratory Diseases
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    • v.49 no.3
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    • pp.353-364
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    • 2000
  • Background : Bronchoscopy is a useful diagnostic tool, for accurate localization of the bleeding site and the management of hemoptysis. However, there is some controversy about the optimal timing of bronchoscopy. Method : To determine the optimal timing of bronchoscopy in hemoptysis, we reviewed the medical records of 118 patients and analyzed the following relationships amongst simple chest PA findings, namely, the duration and amount of hemoptysis, and the timing of bronchoscopy retrospectively. Results : The major causes of hemoptysis were active tuberculosis(28.8%), inactive tuberculosis(10.2%), bronchiectasis(17.0%), lung cancer(7.6%), and aspergilloma(7.6%). Localization of the bleeding focus by bronchoscopy was possible in 87.5% (21/24 cases) during active bleeding, and it was possible in 40.4% after bleeding had stopped(p<0.05). The localization rate of bleeding focus was 59.8% when the chest PA showed certain abnormalities, but it decreased to 27.8% when the chest PA finding was normal(p<0.05). When chest PA showed diffuse abnormalities or its finding was normal, the localization rate of bleeding focus significantly increased if bronchoscopy was performed during bleeding or within 48 hours of the cessation of active bleeding. The localization rate was higher as the amount of hemoptysis became larger(p<0.05). The localization rate of early bronchoscopy(during bleeding or within 48 hours of the cessation of active bleeding) was significantly higher when the duration of hemoptysis was less than 1 week, but there was no advantage if the duration was 1 week or longer. Early bronchoscopy was also necessary to localize the bleeding focus for surgical resection in 4 patients, and the bronchoscopy itself was therapeutic in 1 patient whose bleeding was successfully managed with thrombin-application via bronchoscope. Conclusion : It is concluded that flexible bronchoscopy is useful at not only localizing the bleeding focus but also in preparing a therapeutic plan, and early bronchoscopy is more favorable in hemoptysis.

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Reliability Evaluation of Compressive Strength of Reinforced Concrete Members (철근 콘크리트 구조 부재의 압축강도 추정 신뢰도 평가)

  • Hong, Seong-Uk;Park, Chan-Woo;Lee, Yong-Taeg;Kim, Seung-Hun
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.23 no.6
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    • pp.132-140
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    • 2019
  • In this study, a specimen composed of columns, walls, beams, and slabs was fabricated to investigate the estimated reliability using nondestructive test method for the location of structural members of reinforced concrete single layer structures. And for accurate analysis in the comparison process with the existing estimation formula, we try to analyze the reliability through statistical approach by using error rate comparison and Confidence interval estimation. As a result, The average error rate of the core test was 18.8% compared with the result of estimating the compressive strength using the ultrasonic pulse velocity method. The average error rate of the core test results compared with the result of estimating the compressive strength using the rebound hardness method was 20.1%, confirming the field applicability. it is judged that the reliability of the compressive strength estimation can be derived from the wall member to make a quick and efficient structure safety diagnosis using the ultrasonic pulse velocity method. In addition, it is judged that the reliability of the compressive strength estimation can be derived from the beam member to make a quick and efficient structure safety diagnosis using the rebound hardness method.

Evaluation of the Automated Immunohematology Analyzer DAYMATE M (혈액은행 자동화 검사장비 DAYMATE M의 수행능 평가)

  • Yoo, Jaeeun;Yu, Hain;Choi, Hyunyu;Lee, Gyoo Whung;Song, Young-Sun;Lee, Seungok;Jekarl, Dong Wook;Kim, Yonggoo
    • Laboratory Medicine Online
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    • v.7 no.4
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    • pp.163-169
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    • 2017
  • Background: An automated immunohematology analyzer, DAYMATE M (DAY Medical, Switzerland), has been recently developed. The potential of this analyzer to improve test results has been evaluated. Methods: A total of 300 blood samples from Seoul St. Mary's hospital and Incheon St. Mary's hospital were tested for ABO and RhD typing. In addition, 336 antibody screening test (AST) samples and 82 patients treated with hematopoietic stem cell transplantation (HSCT) were included. AST results by DAYMATE M were compared with those obtained by a manual method using DS-Screening II (Bio-Rad Laboratories, Switzerland) and red blood cells from Selectogen (Ortho-Clinical diagnostics Inc., USA). Results: Of the 300 patients enrolled, 87, 73, 79, and 61 had type A, B, O, and AB blood, respectively. The concordance rate was 99.9% for cell typing and 97.0% for serum typing. One discordant case was classified as type B instead of AB, and six discordant serum-typing cases were type A, but classified as type AB. Among the 336 AST samples, the concordance rate was 93.2%. From 136 positive cases, six were discordant. Within the 82 HSCT-treated patients, the concordance rate for ABO blood typing was 92.2%. Among the six discordant cases, DAYMATE M typed four cases as donor type where the standard method typed them as the recipient blood type. Conclusions: The DAYMATE M automated immunohematology analyzer performs reliably for ABO and RhD typing, as well as for ASTs and on samples from patients treated with HSCT.

The Evaluation of Recovery Rate of Radioimmunoassay Using Certified Reference Material (CRM) (인증표준물질(CRM)을 이용한 방사면역측정법의 회수율 평가)

  • Choi, Sung Hee;Shin, Sun Young;Lim, So Hee;Hong, Mee Kyung;Noh, Gyeong Woon;Kim, Jin Eui
    • The Korean Journal of Nuclear Medicine Technology
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    • v.18 no.1
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    • pp.158-162
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    • 2014
  • Purpose: Reference material (RM) is defined as material that is safe and homogeneous enough about specified characteristic that is made with a purpose of using test of measurement or nominal characteristic. Certified reference material (CRM), which is issued by authorized organization, is defined as reference material that provides characteristic value, link uncertainty and retroactivity. The purpose of this paper was to evaluate recovery of radioimmunoassay by Certified Reference Material enclosed with a certificate and therefore to enhance reliability of test. Materials and Methods: WHO certified reference material is purchased from NIBSC (National Institute for Biological Standard and Control, United Kingdom) and made of 3 levels that are C-1 (low concentration), C-2 (medium concentration) and C-3 (high concentration) and measured for kit at the Seoul National University Hospital. Recovery rate is evaluated after measurement at four different days. Results: Recovery rate results using WHO certified reference material are T4 90%, Ferritin 88%, PSA 94%, Prolactin 99%, AFP 94% and TSH 93%. Conclusion: A procedure that appropriate accuracy, precision, specificity, sensitivity, reproducibility, and validate on the subject of kit for radioimmunoassay is essential. Recovery rate assay as extraction efficiency of analysis process is percent about already measuring results of analysis result after all measuring process. This is very important assessment standards of performance evaluation of immunoassay kit. Recovery rate results of 6 type used WHO CRM are satisfactory to 88~99%. This demonstrates that the radioimmunoassay is a very accurate measurement, which is very effectively utilized in clinical practice.

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The Study on Hypertension Cure Rate Management Centering around Wellness Local Community : With GwangJu as a Central Figure (웰니스 지역사회 중심의 고혈압 치료율 관리 방안에 관한 연구 : 광주광역시 중심으로)

  • Yang, Yu-Jeong;Park, Jong-Ho
    • Journal of Korea Entertainment Industry Association
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    • v.15 no.8
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    • pp.351-361
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    • 2021
  • This study was conducted to identify the factors of hypertension treatment in Gwangju and to establish a hypertension cure rate management plan by using local community health surveys to provide the hypertension cure rate management plan centering around the wellness local community. The research collected 13,714 Gwangju research data among a total of 685,820 local community health surveys of KDCA (Korea Disease Control and Prevention Agency) from 2017 to 2019. Among the data, 2,941 subjects, those with diagnosed hypertension aged over 30, were selected and analyzed through SAS 9.4, SAS Enterprise Miner 15.1. The results are as follows. The differences in hypertension diagnosis cure rate in Gwangju based on the subjects' socioeconomic characteristics were shown in gender, age, marital status, level of educational attainment, economic activity status, and monthly income. The significant differences in hypertension cure rate based on health behavior characteristics were shown in current smoking, monthly alcohol consumption, high-risk drinking, breakfast, recognition of good health level, diabetes and treatment, annual unmet medical needs, and annual health center use. As a result of the logistic regression analysis and interactive decision tree analysis to identify the factors affecting hypertension treatment, the research found that the factors that appear are age, marital status, diabetes and treatment, and annual unmet medical needs. Accordingly, to increase the recognition of the importance of hypertension treatment to people of young ages and not to develop complications, public health-educational effort in Gwangju is needed with an effective preparation plan.

The Study of Diagnostic Results Discordance Analysis on BMD Using DEXA (이중에너지 X선 흡수 계측법을 이용한 골밀도 검사 시 진단불일치에 대한 분석)

  • Park, Won-Kyu;Kang, Yeong-Han;Jo, Gwang-Ho
    • Journal of radiological science and technology
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    • v.31 no.1
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    • pp.25-31
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    • 2008
  • Purpose : This study was conducted to understand for the diagnostic discordance of bone mineral density(BMD) in DEXA(Dual Energy X-ray Absorptiometry). And the diagnostic difference between lumbar spine and femur neck, forearm was evaluated using T-score. Materials and Methods : We studied 220 females measured BMD on lumbar spine, and femur neck, forearm including ward's triangle and ultra digital(UD). We were distinguished T-score into normal, osteopenia, osteoporosis(WHO classification) and evaluated discordance rate according to age and degree of bone loss. Correlation analysis and chi-square test between L-spine, L-4, femur neck, Ward, Forearm, UD were carried out. Results : In the lumbar spine, the number of normal were in 57(25.9%), osteopenia in 86(39.1%), osteoporosis in 77(35.0%). In the L-4 and ward's triangle, the number of osteoporosis were in 78(35.5%), in 126(57.3%). There was significant correlation between lumbar, femur neck and forearm BMD in all cases. The discordance of BMD between lumbar and femur were 57%, lumbar and forearm 43%, forearm and femur 51%. The discordance rates of normal, osteopenic, osteoporotic groups were 39%, 64%, 43%, respectively, showing the highest discordance rate in osteopenia patients. In normal group of lumbar spine, the discordance rate was 25%, 23%, 11%, 65%, 86% in 30', 40', 50', 60', 70', respectively. In osteopenia, osteoporosis group of lumbar spine, the discordance rate was 62%, 55%, 36%, 20%, 9% in 30', 40', 50', 60', 70', respectively. Conclusion : It was different of the results of BMD with lumbar, femur and forearm site. The discordance rate was decreased with age in osteopenia, osteoporosis lumbar spine. In osteopenia group, the discordance rate was the highest. So, it is necessary that the BMD of lumbar, femur neck and forearm should be checked.

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A Study of Inter-observer Agreements of Spiral Chest Computed Tomography in Diagnosing Pulmonary Embolism (폐색전증에서 나선형 컴퓨터 전산화 단층촬영의 관찰자간의 일치도에 관한 연구)

  • Kim, Yang-Ki;Lee, Young Mok;Kim, Ki-up;Uh, Soo-taek;Kim, Yong Hoon;Park, Choon Sik;Hwang, Jung-Hwa;Kim, Dong Hun;Goo, Dong-Erk;Choi, Deuk-Lin
    • Tuberculosis and Respiratory Diseases
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    • v.59 no.5
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    • pp.473-479
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    • 2005
  • Background : A pulmonary embolism often presents with nonspecific symptoms and signs. However, a delayed diagnosis can result in catastrophic outcome. The majority of preventable deaths associated with a pulmonary embolism can be ascribed to a missed diagnosis rather than to the failure of existing treatments. Therefore, accurate and rapid diagnostic methods are essential for the management of a pulmonary embolism. The recent generation of multidetector-row spiral CT scanners appears to outperform other imaging modalities in detecting a central and peripheral pulmonary embolism. However, there are some variations in the interpretations of the findings between observers. This study examined the inter-observer differences of the diagnoses in patients with a pulmonary embolism. Method : 64 patients who were diagnosed with a pulmonary embolism either clinically or with spiral chest CT from 2002 to 2004, were included. Two thoracic radiologists interpreted the multidetector-row spiral CT in terms of the diagnosis of a pulmonary embolism and the location of the thrombus independently. Among 64 patients, 14 patients were excluded because there was no evidence of a pulmonary embolism or there was different interpretation of the pulmonary embolism between radiologists. A clinical diagnosis was based on "Rules for predicting the probability of embolism". Results : The mean score of the patients according to the Wells method was $3.91{\pm}0.30$ (0-9). The accordance of the radiologists was 95% in the main, 85% in the lobar, 91.2% in the segmental, and 96% in the sub-segmental pulmonary arteries. After excluding the negative interpretation from both radiologists, their agreement was 76.2%(${\kappa}.$ 0.83) in the main, 57.6%(${\kappa}.$ 0.63) in the lobar, 51.5%(${\kappa}.$ 0.63) in the segmental, and 34.6%(${\kappa}.$ 0.49) in the sub-segmental pulmonary arteries. Conclusion : Chest CT has been recently applied to patients suspected of having a pulmonary embolism. It was found that spiral CT is a rapid test for diagnosing a thrombus, and there was reliable accordance between the observers from the area of the large pulmonary arteries. However, there was a lack of agreement between the observers in diagnosing thrombi located distal to the sub-segmental arteries.