• Title/Summary/Keyword: 진단 주기

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Clinical Findings and Therapy of Ureteral Duplication in 61 Children (소아에서의 중복요관에 관한 임상적 고찰)

  • Yook Jin Won;Kim Ji Hong;Kim Pyung Kil;Han Sang Won
    • Childhood Kidney Diseases
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    • v.2 no.2
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    • pp.169-177
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    • 1998
  • Purpose : Renal duplication is a common occurrence, and the range of ureteral and renal anomalies draining the two poles of the duplex kidney leads to a variety of clinical presentations. Method : A series of 61 children with duplicated systems was studied retrospectively who were admitted during last 12years. Results : Of the children $60.6\%$ were accompanied with urologic anomalies that required surgical treatment, and most children initially were presented with urinary tract infection. $42.6\%$ of children were either diagnosed incidentally during evaluation of other non-urologic disease or during follow-up evaluation of abnormal antenatal renal sonogram. Conclusion : From our point view, children with history of abnormal antenatal renal sonogram, or with symptoms such as urinary tract infection, hematuria, abdominal pain should be evaluated radiologially fully to confirm further abnormality and accompanied complications. And routine follow-up using abdominal ultrasonogram, VCUG, and urine culture should be used to prevent and detect early treatable complications.

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Comparison of Quantitative Relationship between Real-Time PCR and Acid Fast Bacilli Staining for Diagnosis of Pulmonary Tuberculosis (폐결핵 진단을 위한 실시간중합효소연쇄반응과 AFB 염색진단검사의 정량적 연관성 비교)

  • Jung, Taewon;Kim, Sang-Ha;Kim, Sunghyun;Choi, Jae-Sun;Kim, Young-Kwon
    • Korean Journal of Clinical Laboratory Science
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    • v.52 no.4
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    • pp.335-341
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    • 2020
  • This study investigates the association of the AFB stain with the cycle threshold (Ct) value of the Cobas TaqMan MTB test (CTM test, Roche Diagnostics, Basel, Switzerland), and it establishes the base data for semi-quantitative identification of M. tuberculosis by the Ct value. CTM test were simultaneously conducted on 8,389 specimens submitted to the Samsung Medical Center from January 2015 to December 2015, and the results were analyzed and compared retrospectively investigates the association of the AFB stain with the Ct value of the CTM test, and it establishes the base data for semi-quantitative identification of M. tuberculosis by the Ct value. The Ct values for 135 positive specimens of the CTM were inversely correlated with the AFB stain (rs=-0.545, P<0.01). When the Ct value of the CTM test and the time to positivity (TTP) of the mycobacteria cultures were verified based on the AFB stain, they were found to have a positive correlation (rs=0.136, P<0.01). The negative correlation between the CTM test and the AFB stain grade was demonstrated. The clinical significance was verified by applying these criteria to the clinical results. The semi-quantitative criteria of this study can be used to facilitate the rapid isolation of patients with active tuberculosis and infection control in the hospital.

Evaluation of Bone Metastasis by $^{99m}Tc-MDP$ Scan in Stomach Cancer Patients (위암환자에서 $^{99m}Tc-MDP$ 스캔에 의한 골전이 평가)

  • Choi, Chang-Woon;Kim, Sang-Eun;Lee, Dong-Soo;Lyeo, Jung-Seok;Ahn, Cu-Rie;Chung, Jung-Key;Lee, Myung-Chul;Kim, Noe-Kyung;Koh, Chang-Soon
    • The Korean Journal of Nuclear Medicine
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    • v.25 no.2
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    • pp.211-218
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    • 1991
  • 1983년 1월부터 1991년 2월까지 서울대학교 병원에서 진단된 위 암환자를 대상으로 시행한 359예의 골스캔을 후향적으로 재검토하여 골전이 빈도와 양상을 관찰하였으며 환자들의 의무기록을 검토하여 위암의 임상상과 비교하였다. 그 결과는 다음과 같았다. 1) 359예의 골스캔 중에서 골전이에 부합되는 이상소견은 167예(46.5%)이었다. 2) 관찰된 167예의 이상소견 빈도는 척추(66%)에 가장 많이 관찰되었고, 늑골(58%), 골반부(43%), 대퇴골(31%), 두개골(22%)순이었다. 3) 척추전이에서 흉추(65.6%)와 요추(64.5%)의 전이빈도는 거의 비슷하였고, 경추(23.6%)는 낮았다. 4) 골전이 빈도는 임상적 병기 3기 환자에서 진단후 1년 이내에 급격히 증가되었고 그 이후는 증가되지 않았다. 5) 골전이는 임상적 병기가 증가됨에 따라 증가되었으나, 조직학적 세포형태와는 무관하였다. 6) 혈청 alkaline phosphatase 치와 골스캔 상의 골전이 유무와 통제적으로 유의 한 상관관계가 관찰되었다. 이상의 결과로 위암환자의 상당 수에서 골전이가 진단되었으며 위 암환자, 특히 진행암 환자에서 골전이에 대한 주기적인 추적 검사가 필요할 것으로 생각된다.

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Endoscopic Diagnosis of Bronchomalacia in a Pointer Dog (포인터견에서 기관지연화증의 내시경적 진단)

  • Noh, Sung-Jun;Cho, Kyu-Deok;Kang, Ji-Houn;Chang, Jin-Hwa;Chang, Dong-Woo;Na, Ki-Jeong;Yang, Mhan-Pyo
    • Journal of Veterinary Clinics
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    • v.29 no.1
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    • pp.78-81
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    • 2012
  • A 5-year-old male Pointer dog weighing 24 kg was referred because of a chronic cough. The dog was routinely vaccinated and treated monthly with medications to prevent heartworm and endoparasites. Blood analyses revealed no abnormalities. Chest radiographs showed interstitial and bronchial patterns in the caudal lung fields. Bronchoscopic imaging identified a collapse of the left bronchus with a mucopurulent discharge, indicating the onset of bronchomalacia. Computed tomography also showed bronchial collapse and a tapering angle in the left caudal bronchus. This case study describes the diagnosis of bronchomalacia in a Pointer dog with a chronic cough, and suggests that bronchoscopic examination is a valuable tool for identifying of the onset of bronchomalacia in dogs presenting with an uncontrolled cough.

Evaluation of the Railroad Track Life Cycle Based on the Metro Rail Wear Data Regression Analysis (지하철 마모 데이터 회귀분석을 통한 궤도 수명 평가)

  • Jeong, Min-Chul;Kim, Jung-Hoon;Lee, Jee-Ha;Kang, Yun-Suk;Kong, Jung-Sik
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.14 no.4
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    • pp.86-93
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    • 2010
  • The wear of railway track affects loss of rough ride, noise or vibration of train and traveling safety. Moreover as the track is worn away, this promotes destruction of structural mechanism of rail track which can bring about increasing of rail track maintenance cost drastically. For this reason, it is very important and interested research subject to design railway track structure and to analyse train movement mechanism based on systematic analysis of the reasons causing rail wear possible in real field. In this research, for the efficient maintenance, Life Cycle Performance of rail track and maintenance characteristics are computed considering some track components such as track type, contracting type, sleeper type and roadbed type. Time - Wear probabilistic distribution relationship as well as multiple regression analysis based on time, curvature and wear data are computed to predict the service life remainder of railway track and to be adapted to safety assessment.

Design and Implementation of Mobile ]Respiration Detection Diagnostic System using Ultrasound Sensing Method fficient Multicasting Environment (초음파 센싱 방식을 이용한 이동형 호흡량 측정 진단기의 설계 및 구현)

  • 김동학;김영길
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.8 no.2
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    • pp.509-515
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    • 2004
  • Pulmonary function tests are widely used to diagnose and determine patients' therapy in clinic. And it was also applied in the research of the physiology and dynamics for lung disease. Among the pulmonary function tests, spirometry is the most easy and economic test. Spirometers are medical instruments that measure the instantaneous rate of volume flow of respired Bas. The mechanical spirometer was mostly used in the past. Up to the present, the most popular method of spirometer is the differential pressure technique with which change in the volume of flow are transferred to change in pressure. This kind of instrument suffers from several limitations, pressure drop, difficulty in maintenance and short period of calibration. Therefore, this study has begun to implement ultrasound spirometer, which is free of pressure loss and has wide range, focusing on the flow measurement technique and diagnostic algorithm.

Analysis of Bascule Bridge Behavior Based on Measurement Data (실측자료에 근거한 도개교량의 거동 분석)

  • Kong, Byung-Seung;Noh, Dong-Oh;Kyung, Kab-Soo
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.20 no.2
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    • pp.18-25
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    • 2016
  • Bascule bridge, with its use to help vessels ply, has a several examples overseas of being serviced for more than decades years by careful maintenance, admitted its significance as landmarks for its rareness. Yeongdo Bridge, the sole bascule bridge in Korea was reconstructed in 2013 after being demolished because of its corrosion and aging, and now operates once in a day. Recently, safety inspections are executed thanks to demands getting higher for maintenance and safety of bridges, but measurement and analysis about bascule bridges are scarce. This study includes the analysis of the bascule bridge's behavior such as stress, vibration and reaction in normal condition and while it lifts up, based on measurement. We expect that this study will be used as an initial data to compare and confirm bridge's changes as service year and the number of operation increase.

A Study on the Vulnerable Ranking of Hydrological Safety on Existing Dams (기존댐 수문학적 안전성 취약 순위 도출에 관한 연구)

  • Park, Jiyeon;Kim, Tae Hyung;Kwon, Ji-Hye
    • Proceedings of the Korea Water Resources Association Conference
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    • 2016.05a
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    • pp.322-322
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    • 2016
  • 국내 1, 2종 댐 시설물은 "시설물의 안전관리에 관한 특별법(이하 시특법)" 제7조에 의해 주기적으로 정밀안전진단을 실시하여 상태평가 및 안전성평가에 의한 종합평가 등급을 부여하고 있다. 정밀안전진단 중 안전성 평가의 수문학적 안전성 평가는 댐의 구조형식과 현장진단 결과에 의한 댐의 상태평가에 따라 1차적으로 수행된다. 여유고 부족 또는 월류 발생 등의 1차적인 조건을 만족시키지 못할 경우 그에 따른 댐체의 구조적 안전을 검토(콘크리트댐)하고, 최종적으로 댐 붕괴 발생 시 하류에 미치는 인적, 경제적 위험요인 등을 기준으로 평가하는 3단계 평가가 수행된다. 본 논문에서는 위 단계적 평가가 수행된 기존댐의 수문학적 안전성 평가 및 상태평가 결과를 사용하여, 1종 기존댐에 대한 수문학적 안전성 취약 순위를 선정하고자 한다. 취약 순위를 선정하기 위하여 다기준의사결정기법(Multi-Criteria Decision Making: 이하 MCDM)을 적용하였고, MC DM의 Payoff Matrix 설정을 위하여 수문학적 안전성 평가 지표를 기준으로 설정하였으며, 이 외의 기준으로는 대상 댐의 연최대 강수량 값을 사용하였다. 연최대강수량값을 산정하기 위하여 기상관측소별 연최대 강수량 30년치의 평균값을 kriging 기법에 적용하여 대상댐에 대한 연최대강수량 값을 도출하여 수문학적 안전성 평가 지표 및 기존댐의 기상 관측값에 따른 댐별 수문학적 안전성 취약 순위 선정에 관한 연구를 수행하였다. 위 결과를 활용하여 수문학적 안전성 평가등급에 대한 검토 및 기후변화 적응 댐 수문학적 안전성 평가 프레임워크 개발을 위한 기초 자료로 활용될 것으로 기대된다.

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A Study on Web Vulnerability Risk Assessment Model Based on Attack Results: Focused on Cyber Kill Chain (공격 결과 기반의 웹 취약점 위험도 평가 모델 연구: 사이버 킬체인 중심으로)

  • Jin, Hui Hun;Kim, Huy Kang
    • Journal of the Korea Institute of Information Security & Cryptology
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    • v.31 no.4
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    • pp.779-791
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    • 2021
  • Common web services have been continuously targeted by hackers due to an access control policy that must be allowed to an unspecified number of people. In order to cope with this situation, companies regularly check web vulnerabilities and take measures according to the risk of discovered vulnerabilities. The risk of these web vulnerabilities is calculated through preliminary statistics and self-evaluation of domestic and foreign related organizations. However, unlike static diagnosis such as security setting and source code, web vulnerability check is performed through dynamic diagnosis. Even with the same vulnerability item, various attack results can be derived, and the degree of risk may vary depending on the subject of diagnosis and the environment. In this respect, the predefined risk level may be different from that of the actual vulnerability. In this paper, to improve this point, we present a web vulnerability risk assessment model based on the attack result centering on the cyber kill chain.

Fault Diagnosis of High-Speed Rotating Machinery With Control Moment Gyro for Medium and Large Satellite Using Envelope Spectrum Analysis (포락선 스펙트럼 분석을 이용한 중대형 위성용 제어모멘트자이로의 고속회전체 고장진단)

  • Kang, Jeong-Min;Song, Tae-Seong;Lee, Jong-Kuk;Song, Deok-Ki;Kwon, Jun-Beom;Lee, Il;Seo, Joong-Bo
    • Journal of the Korean Society for Aeronautical & Space Sciences
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    • v.50 no.6
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    • pp.413-422
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    • 2022
  • In this paper, the fault analysis of the momentum wheel, which is a high-speed rotary machinery of 'Control Moment Gyro' for medium and large satellite, was described. For fault diagnosis, envelope spectrum analysis was performed using Hilbert transformation method and signal demodulation method to find the impact signals periodically generated from amplitude modulated signals. Through this, the fault of the momentum wheel was diagnosed by analyzing whether there was a harmonic component of the rotational frequency and a bearing fault frequency in a specific frequency band with a high peak.