• Title/Summary/Keyword: 초음파 진단기

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A study of the high resolution Ultrasound Diagnostic system for Dermatology (피부학(Dermatology)을 위한 고해상도 초음파 진단 장치에 관한 연구)

  • Lew, Jeom-Soo;Lim, Chun-Sung;Kim, Young-Kil
    • Journal of the Korean Institute of Telematics and Electronics S
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    • v.35S no.6
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    • pp.66-71
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    • 1998
  • High spatial resolution ultrasonic imaging is necessary in several fields of investigation, in order to permit greater precision of clinical diagnosis in the dermatology, ophthalmology etc. We present a B-mode scan system using sector scanning probe of 20MHz center frequency. This developed system allow the high resolution image of 250${\mu}m$ in lateral and 80${\mu}m$ in axial, which of display the size of a $5mm {\times} 5mm$ image with 20 frames/sec. We have shown the images of various structural elements of the human skin and of the nail. We have compared the skin images obtained for each of the different age and we have shown in a general with the age, the atrophy of the skin thickness and the appearance of the abnormal hypoechogene band under epidermis (named SENEB : Sub Epidermal Non Echogene Band).

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A Case with Perinatal Hypophosphatasia Caused by the ALPL Mutations (ALPL 유전자의 돌연변이를 가진 양성 주산기 저인산증 1례)

  • Kim, Joonil;Kang, Eungu;Kim, Yoon-Myung;Lee, Beom Hee;Kim, Gu-Hwan;Yoo, Han-Wook
    • Journal of The Korean Society of Inherited Metabolic disease
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    • v.16 no.3
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    • pp.141-147
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    • 2016
  • Hypophosphatasia is caused by the mutations in ALPL, which encodes tissue-nonspecific alkaline phosphatase (TNSALP). It can be inherited either in an autosomal dominant or recessive manner. Clinically, hypophophosphatasia is characterized by skeletal findings similar to those in rickets or osteomalacia, but serum alkaline phosphatase levels are decreased in the affected patients. Hypophosphatasia can be classified into six clinical forms according to age at diagnosis and severity of symptoms: perinatal lethal, infantile, childhood, adult, odontohypophosphatasia, and perinatal benign. As being a very rare disease, only one case has been reported in Korean population. Here we describe a case with perinatal benign hypophosphatasia with recessive ALPL mutations. Bowing of lower legs was detected in prenatal period and low serum alkaline phosphatase level was noted after birth. During the follow-up evaluation for 4.5 years, bone mineralization and legs bowing were improved but the growth retardation was persistent. As the recombinant bone-targeted human TNSALP became available, the clinical improvement of the affected patients is expected including the case described here with this treatment. More efforts are needed to identify the cases affected by hypophosphatasia.

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Patterns of the Ultrasonic Signal caused by Partial Discharge in Transformer (변압기 부분방전에 의한 초음파 신호의 발생형태)

  • 권동진;최인혁;정길조;박찬영;나현석;박재준
    • Proceedings of the Korean Institute of Electrical and Electronic Material Engineers Conference
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    • 2000.07a
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    • pp.581-584
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    • 2000
  • Generally, it is known that many partial discharges are occurred in one voltage cycle. In this case, it is not easy to distinguish between ultrasonic signals caused by the partial discharge. We describes a pattern of the ultrasonic signal by the partial discharge in transformer. The test setup for ultrasonic signal measurement was to simulate a internal partial discharge by using a needle to plane electrodes. We compared the number of partial discharge and ultrasonic signal in one voltage cycle. The results showed that it was possible to distinguish between ultrasonic signals by analysing partial discharge detection method and ultrasonic signal on time domain.

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A Case of Concurrent Gallbladder Mucocele and Hypothyroidism in a Dog; Dermatologic, Serum Chemical and Ultrasonographic Changes (담낭점액종과 갑상선기능저하증이 병발한 개에서 피부, 혈청화학치 및 초음파상의 변화)

  • Cho, Sun-Hyung;An, Daegi;Kim, Ha-Jung;Kang, Ji-Houn;Chang, Dong-Woo;Jung, Dong-In;Lim, Ha-Young;Yang, Mhan-Pyo;Kang, Byeong-Teck
    • Journal of Veterinary Clinics
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    • v.30 no.6
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    • pp.464-467
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    • 2013
  • A 6-year-old, spayed female Cocker Spaniel was presented with generalized seborrhea sicca. Initially gallbladder mucocele (GM) was suggested by high liver enzyme activities and a stellate pattern in ultrasonography. There were no responses during 16 months of medical treatments for GM. Hormonal assay and histopathological findings were consistent with a diagnosis of hypothyroidism. Levothyroxine therapy led to rapid resolution of dermatologic, serum chemical and ultrasonographic abnormalities. This report describes serial changes of skin lesions, serum chemistry and ultrasonography in a dog with concurrent GM and hypothyroidism following treatment of hypothyroidism.

The Study of the Initial Presentations of Wilson Disease at Diagonosis (Wilson 병의 진단시 임상 발현 양상에 대한 고찰)

  • Yang, Tae-Jin;Ji, Geun-Ha;Song, Min-Seop;Hwang, Tae-Gyu
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.4 no.2
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    • pp.199-206
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    • 2001
  • Purpose: To review the clinical and laboratory features of patients with Wilson disease at diagnosis. Methods: In this retrospective study, records of all 20 patients, who were diagnosed as having Wilson disease at the Paik hospital in Busan from 1990 to 2000, were reviewed. Results: Out of 20 patients, 12 pateints (60%) have hepatic presentation alone, 2 patients (10%) have neurologic presentation, 4 patients (20%) have hepatic and neuropsychiatric presentation, and one patient (5%) has hematologic presentation at diagnosis. One patient (5%) has neither symptom nor laboratory finding of Wilson disease except very low serum ceruloplasmin level and positive family history. Family screening test revealed 3 cases of Wilson disease. 12 patients were revealed to be combined with liver cirrhosis at diagnosis. Conclusion: Early diagnosis and treatment is very important in patients with Wilson disease. Children or adolescents who manifest symptoms of hepatitis, who has prolonged elevation of liver enzymes, and has family history of hapatitis of unknown origin, with mild hematologic or urinary abnormalities must be suspected to have Wilson disease. Also, in adolescents with extrapyramidal symptoms or other neuropsychiatric symptoms, liver function test should be done.

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The Usefulness of Ultrasound-Guided Fine Needle Aspiration Cytology of Impalpable Neck Nodes in Patients with Lung Cancer (폐암 환자에서 촉진되지 않는 경부 림프절에 대한 초음파 유도 하 세침흡인 세포검사의 유용성)

  • Kim, Hee Kyoo;Ha, Seung In;Kim, Yu Ri;Park, Chan Bog;Oak, Chul Ho;Jang, Tae Won;Jung, Maan Hong;Oh, Kyung Seung;Chun, Bong Kwon;Lee, Min Ki;Park, Soon Kew
    • Tuberculosis and Respiratory Diseases
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    • v.56 no.5
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    • pp.505-513
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    • 2004
  • Background : In lung cancer patients, the presence of metastatic neck nodes is a crucial indicator of inoperabilty. So thorough physical examination of neck is always mandatory, but sometimes those are hardly palpable even by the skillful hand. Ultrasonography is a useful diagnostic method in detection of small impalpable lymph nodes and in guidance of fine needle aspiration biopsy. In this study we evaluated the clinical usefulness of ultrasonography(USG) and ultrasound-guided fine needle aspiration cytology(US-FNA) in lung cancer patients without palpable neck nodes. Methods and Materials : From Sep 2002 to Sep 2003, 36 non-small cell lung cancer patients (20 adenocarcinoma, 16 squamous cell cancer) and 10 small cell lung cancer patients without palpable neck nodes on physical examiation were enrolled. patients who had contralateral mediastinal nodal enlargement(>1cm) on chest CT were excluded. After the routine check of USG on the neck, US-FNA was done in cases with enlarged neck nodes (${\geq}5mm$ in the short axis). The presence of enlarged lymph node on USG, and of malignant cells on cytology were evaluated by the histological type and the patients' clinical stage of lung cancer. Results : Among 36 non-small lung cell cancer patients, 14 (38.8%) had enlarged neck nodes on USG, and 5 of 10 small cell lung carcinoma patients. The mean diameter of the neck nodes was 9.8 mm (range, 7-12 mm). US-FNA of 14 non-small cell lung cancer patients revealed tumor cells in eight patients (57.1%). In 5 small cell lung cancer pateints, tumor cells were found in all cases. By the result of US-FNA, the clinical stage of 8 out of 36 (22.2%) non-small cell lung cancer patients had changed, including two cases of shift from the operable IIIa to the inoperable IIIb. In small cell lung cancer patients their clinical stage was not changed after US-FNA, but their pathological diagnosis was easily done in two cases, in whom endobronchial lesions were not found on bronchoscopy. Conclusions : USG and US-FNA of neck node seem to be safe, sensitive and cost-effective diagnostic tools in the evaluation of lung cancer patients without palpable neck nodes.

Outcome of Prenatally Diagnosed Hydronephrosis - One Center Experience - (산전 진단된 수신증의 임상 경과 - 단일 기관의 경험 -)

  • Kim Yeun-Hee;Kim Byoung-Ju;Park Moon-Sung;Yang Jung-In;Kim Haeng-Soo;Kim Pyung-Kil;Pai Ki-Soo
    • Childhood Kidney Diseases
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    • v.6 no.2
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    • pp.178-187
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    • 2002
  • Purpose : The detection of hydronephrosis(HN) with antenatal ultrasonography was first reported in the 1970s. Prenatal HN is diagnosed with an incidence of 1:100 to 1:500 on antenatal screening. Recently, the purpose of antenatal screening has changed from simple detection to selection for specific diagnosis-based management. this study is to evaluate the usefulness of antenatal sonography for HN and to investigate the differential causes of HN and their clinical outcomes. Patients and methods : 11,783 live neonates with prenatal ultrasonographic examination at Ajou University School of Medicine, from Sep. 1994 to Aug. 2001 were analyzed. Results and conclusion : Hydronephrosis (>10 mm) was detected in 119 (1.0%) cases antenatally and among these, 91 were proved to have HN postnatally Males were three times more affected than females. Additional imaging studies revealed that ureteropelvic junction obstruction was the most common postnatal diagnosis (47%), followed by multicystic dysplastic kidney, vesicoureteral junction obstruction and vesicoureteral reflux. During 20 months' follow-up(3 to 72 months), 58(48%) renal units showed spontaneous resolution and surgical interventions were necessary in 10 (7.4%) of postnatally confirmed hydronephrotic renal units.

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MUN 수준이 번식에 미치는 영향에 관한 연구

  • 정영채;김창근;이호준;윤종택
    • Proceedings of the KSAR Conference
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    • 2001.03a
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    • pp.81-81
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    • 2001
  • 최근 적절한 사양관리를 위해서 유중 요소태질소 수준(MUN)과 유단백을 이용하여 사료 내 에너지와 단백질의 균형을 평가하는 지표로 활용하고 있으며 요소태질소 수준이 정상보다 크게 높거나 낮았을 때 번식능력이 저하되기 때문에 번식효율의 지표로서 활용되고 있다. 따라서 본 연구에서는 우유내 요소태질소 수준이 번식장애에 미치는 영향을 조사하여 요소태질소 수준을 번식장애의 진단지표로 활용하고자 실시하였다. 본 실험에 공시된 우유시료는 경기도 안성시와 이천시에 소재한 낙농목장에서 사육중인 조사두수를 대상으로 개체당 약 30~50$m\ell$의 우유를 채유하고 냉장보관하여 실험실로 운반하였다. 우유의 분석은 유성분분석기(Fosscomb : 4000, Fossmatic 5000, Denmark)를 이용하여 우유의 일반성분인 유지방, 유당, 유단백, 무지고형분, 총고형분, 빙점, 유중요소태질소, 구연산과 체세포를 동시에 분석하였다. 번식장애우의 진단은 낙농가가 번식장애우로 분류한 개체를 대상으로 직장검사 및 초음파 진단기를 이용하여 진단하였다. MUN준에 따른 공태일수의 조사 결과 MUN수준이 7이하 군의 공태일수가 88.98$\pm$120.68로 7-16의 92.20$\pm$105.39와 16이상의 94.42$\pm$87.51보다 다소 낮은 결과를 나타냈다. 또한 번식장애우의 발생빈도와 유성분 분석결과를 살펴보면 낙농가가 번식장애우로 분류한 68두를 진단한 결과 발정발견을 하지 못하여 번식장애우로 분류된 두수가 30두(44.1%)와 비정상두수 38두(55.9%)로 나타났으며 비정상 두수 중 난포난종이 19두(27.9%)로 영구항체6두(8.8%), 자궁내막염(10.3%), 자궁축농증 6두(8.8%)보다 많은 것으로 나타났다. 번식장애우의 유성분 분석결과 자궁축농증이 있는 개체의 유단백 평균이 3.43$\pm$0.35로 다른군에 비해 높았으며 영구항체가 있는 개체군의 MUN수준이 7.73$\pm$8.58로 다른군의 10.84$\pm$4.92, 10.89$\pm$7.38와 10.61$\pm$5.52에 비해 낮게 나타났다.

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Comparative study on the effect of back massage to body heat by tools (도구에 따른 등마사지가 체열에 미치는 영향의 비교연구)

  • Ahn, Kyung-Min;Hong, Kyung-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.6
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    • pp.2648-2654
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    • 2012
  • This study aims to examine the effects of massages using various tools being frequently applied in skin care centers. It suggests the most effective method based on the comparative analysis on the body heat changes before and after the massages and also provides foundational data to develop back treatment programs. This research conducted manual, ultrasonic device, and also suction massages from July 3rd till 10th, 2011 to women at the age of 35 to 45 living in Gwangju, Jeonnam. And five of them were arranged for each tool. The body heat changes before the massages and after the 20-minute massages were measured with the body heat diagnostic device of thermograph DITI IRIS-XP. The collected data went through the t-test using SPSS 18.0. According to the result, the body temperature increased significantly before and after the manual massage from $30.82{\pm}0.52$ to $35.06{\pm}0.36$ (p<.001). The body temperature also increased significantly before and after the ultrasonic massage from $30.66{\pm}0.53$ to $35.14{\pm}0.39$ (p<.001). And the body temperature increased significantly before and after the suction massage from $30.93{\pm}0.47$ to $39.25{\pm}0.19$ (p<.001). The hand, ultrasonic device, and also suction were all effective as massage tools in terms of increasing body temperature, and the suction massage was shown to have the greatest effect in body temperature increase. Thus, the suction was analyzed as the most effective tool to be used to develop back treatment programs.

Effects of skin temperature change, cold pain and muscle activity by Cold Air Application type on the induced delayed onset muscle soreness (지연성 근육통 유발 후 냉기 적용 방법이 피부온도의 변화, 냉각 통과 근육 기능에 미치는 효과)

  • Choi, Yoorim;Jung, Bongjae;Hwang, Byeongjun
    • Journal of the Korean Society of Radiology
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    • v.7 no.1
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    • pp.99-106
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    • 2013
  • The purpose of this study was to after induced delayed onset muscle soreness, the purpose of this study is to present the effective way on skin temperature changes and cold pain for 14 subjects during to applied with only Cold-jet stream and Cold-jet stream with infra red. 14 healthy men and women who delayed onset muscle soreness eccentric contractions induced by exercise and then the biceps alone was applied to the Cold-jet stream. We measured the time that skin temperature fall from room temperature to $10^{\circ}C$(first period), the time rewarmed from $10^{\circ}C$ to $20^{\circ}C$(second period), the time fall again to $10^{\circ}C$(third period) and the time rewarmed again to $20^{\circ}C$(fourth period). Cold-jet stream with infrared combination therapy was performed with the same method. Results of this study were 1st and 2nd experimental cooling experiments in the to fall to $10^{\circ}C$ Cold-jet stream with infrared combination therapy than in the Cold-jet stream was longer(p<.05). At second period, It took longer in Cold-jet stream with infrared rewarmed than Cold-jet stream to rewarm skin(p<.05). Cold-jet stream with infrared combination therapy than Cold-jet stream had less incidence of cold pain(p<.05). Thickness of biceps brachii were found significant difference related measurment each group was consistent. In this study, Cold-jet stream with infrared combination therapy more effective than Cold-jet stream in reduced cold pain and lowering skin temperature. This work was supported by education capacity building project fund of Taegu Science University, 2012.