• Proceedings of the Korean Information Science Society Conference
• /
• 2011.06c
• /
• pp.443-446
• /
• 2011

본 연구는 컴퓨터 단층촬영 영상 (CT, Computed Tomography Image)에서 치열궁 (Dental Arch)을 자동으로 검출하는 기법을 제안한다. 제안된 기법에서는 3차원 컴퓨터 단층촬영 영상을 입력 받고 영역 확장법을 이용하여 하악을 분할 한 후 하악의 단면에서 전체적인 치아의 영역을 분할을 한다. 치아의 영역에서 세선화 작업을 거친 후 곡선 정합법을 이용하여 최종 치열궁을 검출한다. 실험 데이터로 두개골 컴퓨터 단층 촬영 데이터를 사용하였다. 본 연구는 치과 영상 데이터로부터 파노라마 영상을 얻는데 이용 될 수 있고 치과 분야의 질병 진단 및 진찰에 이용될 것으로 기대된다.

• The Korean Journal of Food And Nutrition
• /
• v.11 no.2
• /
• pp.171-178
• /
• 1998

K14 patient with chronic dyspnea, who is senile female, early had suffered from radical mastectomy, radiotherapy, autoplastic transplantation, and knee arthritis. Abnormalities of cardiopulmonary function such as obesita, hypertension, mild left ventricular hypertrophy, and chronic pulmonary disease were found from K14 patient's clinical datas, which based on medical history and diagnosis, as well as evaluation of blood pressure, obesity, clinical diagnosis, chest PA, electrocardiogram, ultrasonocardiograph, and spirometery test. Diagnostic results were exactly analyzed, also long-term cares of K14 patient were discussed with related to the clinical literatures.

• Parasites, Hosts and Diseases
• /
• v.23 no.2
• /
• pp.324-326
• /
• 1985

1984년 8월에 양안의 결막염 때문에 안과 진찰을 받은 36세 한국인 여자의 양쪽 결막낭에서 횐색 실 모양의 충체 4마리를 적출하였다. 환자는 경기도 의정부시에 거주하고 있었다. 그 중 2마리를 기생충학적으로 관찰한 바, 각각 길이 7.3mm, 폭 0.36mm와 길이 5.7mrn, 폭 0.31mm의 선충으로 모두 교미침을 가지고 있었다. 표피의 가로 주름이 1mm당 297.6개이었고, 미부 유두의 경우 항문 전후로 관찰할 수 있었으나, 그 수를 완전히 파악할 수는 없었다. 이상의 소견으로 이 두 마리 충체를 Thelazia callipaeda로 동정하였고, 이 예를 국내 제 12번째의 동양안충증례로 기록하고자 한다.

• Proceedings of the Korea Information Processing Society Conference
• /
• 2015.04a
• /
• pp.494-496
• /
• 2015

개인의 의료 정보는 개인의 프라이버시에 관련되므로 민감하게 취급되어야 하는 정보이다. 이러한 개인정보 유출은 유출된 정보의 해당 당사자의 사회적 고립과 정보의 질에 따라 당사자의 생명도 위협하게 되므로 철저한 판리가 필요하다. 따라서 의사, 간호사, 환자, 일반인 등의 사용자 식별을 통해 병원 기록의 접근 통제 및 사용 권한에 따른 정보의 암호화 수준과 해당 정보에 특화된 역할기반 접근제어(Role-Based Access Control)를 제정해야 한다. 환자 자신이 자신의 의료정보를 특정한 사람에게 접근 권한을 주어 확인할 수도 있게 하고 그 외의 다른 부분들도 제어 할 수 있게 권한을 부여 할 수 있어야 한다. 본 논문은 현재 의료 및 진찰 정보 관리를 위해 RBAC모델을 기반으로 의료정보보호를 위한 접근제어 방법을 분석하고 각 정보의 객체들과 사용자 간의 효율적인 역할 분담과 한계를 통해 의료 정보의 보호방안을 고찰한다.

• Clinical and Experimental Pediatrics
• /
• v.45 no.11
• /
• pp.1389-1396
• /
• 2002

Purpose : This study was done to analyze the changes in the clinical conditions and the diagnosis of hypertrophic pyloric stenosis. Methods : We report a retrospective clinical analysis of 39 patients with hypertrophic pyloric stenosis from Jan. 1992 to Aug. 2001. The age and sex distribution, family and birth history, clinical symptoms, the ultrasonographic and the operative sizes of pyloric canals were compared. Results : The body weight was below the 3 percentile at admission in eight cases(20.5%). "Olive like mass" in right upper quadrant was palpated during physical examination in 23 cases(59%) and gastric peristaltic wave observed in six cases(15%). The ultrasonographic measurements showed that the pyloric muscle thickness to be $4.95{\pm}0.99mm$($mean{\pm}SD$), pyloric diameter $14.42{\pm}2.64mm$, and pyloric length $20.17{\pm}3.92mm$. Fredet-Ramstedt pyloromyotomy was employed in all cases. The operative measurements of the pyloric muscle thickness was $5.11{\pm}1.01mm$, pyloric diameter $15.01{\pm}2.47mm$, and pyloric length $22.32{\pm}3.43mm$. Conclusion : There was no significant difference between the ultrasonographic and operative measurements. Currently, the hypertrophic pyloric stenosis patients showed lesser clinical hallmarks of the disease. The earlier diagnosis using imaging studies before development of significant metabolic abnormalities is becoming an important factor that change the future outcomes of hypertrophic pyloric stenosis.

• Pediatric Infection and Vaccine
• /
• v.7 no.2
• /
• pp.218-224
• /
• 2000

Purpose : In Korea, vivax malaria has been reemerged since 1993 after being abscent for more than 10 years. There are several possibilities of casuality of recent epidemic, although it is still unclear. The epidemiologic studies including case analysis and entomological reseach have been undertaken for a successful control measure. But, unfortunately those studies have been rarely dealt with cases of children. Therefore, this study was designed to figure out the characteristics of epidemiolgic and clinical features in children with indigenous vivax malaria. Methods : The study 21 cases below 15 years of age, who were diagnosed as vivax malaria and resided in kyounggi-do province area during 1998. 9~1999. 8. We retrospectively analyzed epidemiologic data concernig with occurrence of vivax, and clinical manifestations, abnormal laboratory findings and outcomes including therapeutic responses. Results : All cases were inhabitants of the endemic areas for vivax malaria in northwestern part of Kyonggi-do or western Kangwon-do, and Paju-gun was the most prevalent. Indigenous malaria cases of this study were more prevalent in children above 10 years old age, and in male. Seasonally, vivax malaria in children occurred throughout the year except January, March and November, and the incidence was the highest in July. Clinical manifestations revealed that 48 hour cyclic fever pattern was the major fever pattern, and other symptoms such as headache, vomiting, poor appetites, chilling, abdominal pain and diarrhea were concomitantly developed. And splenomegaly revealed the main abnormal findings on physical examination, and anemia was the most frequent abnormal finding in laboratory examinations. Young trophozoite was frequently observed on peripheral blood smears. The therapeutic responses of chlorquine were very good in all cases, and no recurrence developed in follow up cases. Conclusion : Geographical and seasonal occurrence distributions of indigenous vivax malaria cases in children were very similar to those of adults as followings; Inhabitants of the endemic region, more prevalent in male, and more common during the summer season. Clinically, 48 hour cyclic fever pattern, splenomegaly and anemia were most frequent and important manifestations in children cases, and clinical courses were not serious. On blood smears, young trophozoite was most dominantly examined in children. Generally, the therapeutic outcomes were excellent, and recurrences were not observed.

• Pediatric Gastroenterology, Hepatology & Nutrition
• /
• v.5 no.2
• /
• pp.158-165
• /
• 2002

Purpose: We designed this retrospective study to establish the incidence of diagnosic delay in children diagnosed with acute appendicitis and to identify associated factors with delayed diagnosis and its impact on the clinical course. Methods: All cases of children under 15 years of age who underwent appendectomy from 1996 to 2001 at Gangneung Asan Hospital were reviewed. We reviewed signs and symptoms, type of health professional first contacted, the advice given by the health professional and a history of appendicitis in first degree relatives. Diagnostic period is the time elapsed between first complaints and definitive diagnosis. Delay was defined as diagnostic period exceeded the 48 hours. Postoperative course and complications were also reviewed. Results: Incidence of diagnostic delay differed by whether diarrhea and fecalith on X-ray were present. Also children whose parents were advised to observe them at home were more likely to have a diagnostic delay. In almost half of the cases in delayed group, initial diagnosis was not acute appendicitis but gastroenteritis. The perforation rate in non-delayed group was 22%, whereas 87% in delayed group. The delayed group showed a higher number of postoperative complication and a longer hospitalization period. Conclusions: Diarrhea with abdominal pain and fever in children should not be dismissed as gastroenteritis, respiratory infections or other common disorders. Our study suggests that physicians have a responsibility to prevent diagnostic delay and resultant perforation of acute appendicitis in children by having a high index of suspicion about acute appendicitis.

• Pediatric Infection and Vaccine
• /
• v.21 no.1
• /
• pp.65-70
• /
• 2014

Although congenital syphilis can be prevented with prenatal screening, the disease remains problematic. Currently, there are no cases that describe hematuria and pneumonia related to congenital syphilis. We report a case of congenital syphilis that involved nephrotic syndrome and pneumonia alba in a 22-day-old male infant whose mother did not receive adequate prenatal care. The congenital syphilis diagnosis was confirmed with a serologic test and the patient recovered with penicillin treatment. Clinical findings may be subtle in neonates and delayed recognition occurs frequently, thus complete prenatal screening is critical for congenital syphilis prevention. Immediate serologic testing should be performed to obtain a differential diagnosis if an infant is delivered by a mother that has not received appropriate prenatal examinations.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
• /
• v.11 no.1
• /
• pp.87-97
• /
• 2000

One week survey to investigate the prevalence rate and clinical characteristics of laryngopharyngeal reflux symptoms in Korea. The subject(n=7,704 patients) was newly enrolled patients at the out patient clinic in 90 ENT departments of resident training hospitals and 11 local clinics, which were voluntarily participated in the study 1) Twenty five percent of all enrolled patients has LPR-related symptoms or clinical findings from the examination by ENT specialists. 2) Among e name of LPR-related diagnosis, globus syndrome was e most common, and follows by reflux laryngitis, and chronic laryngitis. 3) Women was more prevalent than men, and it is common in 5th, 6th, and 7th decades, which seems to be related with aging process. 4) Most popular symtoms of LPR. were globus sensation, conic throat clearing, and hoarseness of unknown origin. 5) Aggravating factors of LPR-related symptoms were tiredness, mental stress, drink alcohol, cigarettes smoking, spicy food, and drinking coffee. 6) LPR-related symptoms were more common in professional voice users. 7) In past medical history, diseases of stomach and tonsillitis were most common.

• Journal of Yeungnam Medical Science
• /
• v.15 no.1
• /
• pp.135-142
• /
• 1998

Maternal weight gain during pregnancy has been consistently associated with infant birth weight and pregnancy outcome. Our purpose was to determine the relationship between maternal weight gain pattern and birth weight. Consequently, maternal weight gain is monitored carefully and is encouraged during prenatal care in order to improve pregnancy outcome. Our study group included both 424 uncomplicated women and infant delivered at the Yeungnam University Hospital between 1993-1996. All recorded prenatal weight gain measurements were used to estimate maternal trimester weight gain, pattern of gain (based on low versus not-low gain at each trimester), and total gain at delivery. Multiple linear regression analysis was used to assess the relationship between these weight gain measurements and fetal birth weight. Each kilogram of maternal gain in the first, second, and third trimesters was associated with statistically related to the increase in fetal birth weight by 31.3, 19.0, and 24.5g, respectively. When compaired with the pattern of gain that was not low in any trimester, patterns with low gain in the first trimesters were associated with significant decreases in birth weight, but no important change in birth weight was seen for the group whose gains were not low in the first trimester. The results suggest that specific patterns of maternal weight gain, particularly weight gain during the first trimester, are related to fetal birth weight.