• Title/Summary/Keyword: 특별진단

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A Clinical Study of Renal Abscesses in Children (소아 신농양의 임상적 고찰)

  • Hwang You-Sik;Rhie Young-Jun;Ahn Sun-Young;Han Sang-Won;Lee Jae-Seung
    • Childhood Kidney Diseases
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    • v.9 no.1
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    • pp.64-68
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    • 2005
  • Purpose : Renal abscess is very rare in children and its diagnosis is difficult because symptoms are often nonspecific. In previous studies, on]y 15% to 25% of patients were reported to be diagnosed at the time of admission. Early diagnosis and treatment are important be cause mortality rate correlates positively with the time of diagnosis. The purpose of this study is to clarify the clinical features of children with renal abscess and to investigate the possible indicators of this disease for early diagnosis and Proper treatment. Methods : Twelve children diagnosed with renal abscess from Jan. 1996 to Jul. 2004 were included. The age of patients ranged from S months to 15 years. We retrospectively analyzed the demographics of patients, their symptoms, predisposing factors, diagnostic methods and causative organisms and the treatment modalities. Results : Fever was the most common manifestation, Five children(42%) had vesicoureteral reflux. Renal ultrasonography and computerized tornography were the most frequently used imaging tools to detect renal abscess. Gram negative bacteria were isolated in 7 patients and Staphylococcus aureus grew in 2 patients. All patients received intravenous antibiotics and 4 patients underwent aspiration or drainage of renal abscess. The average admission duration was 30 days. Conclusion : Renal abscess should be included in the differential diagnosis of prolonged fever in children, especially when flank pain is combined. For early diagnosis and a better prognosis, patients should be promptly investigated with ultrasonography or computerized tomography.

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Effects of Home-Visit Program with Cognitive-Stimulating Activities on Cognitive Function and Memory Self-efficacy of an Elderly with Dementia Special Rating : Single Subject (가정방문 인지자극 활동이 치매특별등급(5등급) 노인의 인지기능 및 기억 자기효능감에 미치는 효과 : 개별대상연구)

  • Son, Bo-Young;Bang, Yo-Soon
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.5
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    • pp.247-262
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    • 2019
  • This study involved the effects of home-visit program with cognitive-stimulating activities on cognitive function and memory self-efficacy of an elderly with dementia special rating(5rates). The study was conducted from February 11 to April 26, 2019 using a 65-year old woman residing in G Metropolitan City. The individual subject study used an A-B-A design. The subject performed activities that required thinking and resolving in order to stimulate both her body and cognition. The activities chosen were easily accessible to those having a form of mild dementia, rates 5 dementia special rating, and repetitively stimulated the subject's intellectual capacity in an attempt to increase her degraded cognitive functioning. Specifically, the activities exercised both short-term memory and recollection using familiar letters, numbers, and bodily movements frequently encountered in daily life. The program positively affected the subject's memory and concentration. In addition, the program was found to be feasible for home use by those with mild dementia, obviating the need to travel to a location like a welfare center. The author presents specific activities for stimulating cognition that can effectively intervene to positively influence the cognitive functioning and memory of those with rates 5 dementia special rating.

Diagnosis Model for Closed Organizations based on Social Network Analysis (소셜 네트워크 분석 기반 통제 조직 진단 모델)

  • Park, Dongwook;Lee, Sanghoon
    • KIISE Transactions on Computing Practices
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    • v.21 no.6
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    • pp.393-402
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    • 2015
  • Human resources are one of the most essential elements of an organization. In particular, the more closed a group is, the higher the value each member has. Previous studies have focused on personal attributes of individual, such as medical history, and have depended upon self-diagnosis to manage structures. However, this method has weak points, such as the timeconsuming process required, the potential for concealment, and non-disclosure of participants' mental states, as this method depends on self-diagnosis through extensive questionnaires or interviews, which is solved in an interactive way. It also suffers from another problem in that relations among people are difficult to express. In this paper, we propose a multi-faced diagnosis model based on social network analysis which overcomes former weaknesses. Our approach has the following steps : First, we reveal the states of those in a social network through 9 questions. Next, we diagnose the social network to find out specific individuals such as victims or leaders using the proposed algorithm. Experimental results demonstrated our model achieved 0.62 precision rate and identified specific people who are not revealed by the existing methods.

ST Segment Shape Classification Algorithm for Making Diagnosis of Myocardial Ischemia (심근허혈 진단을 위한 ST세그먼트 형태 분류 알고리즘)

  • Cho, Ik-Sung;Kwon, Hyeog-Soong
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.15 no.10
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    • pp.2223-2230
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    • 2011
  • ECG is used to diagnose heart diseases such as myocardial ischemia, arrhythmia and myocardial infarction. Particularly, myocardial ischemia causes the shape change of the ST segment, this change is transient and may occur without symptoms. So it is important to detect the transient change of ST segment through long term monitoring. ST segment classification algorithm for making diagnosis myocardial ischemia is presented in this paper. The first step in the ST segment shape classification process is to detect R wave point and feature points based adaptive threshold and window. And then, the suggested algorithm detects the ST level change, To classify the ST segment shape, the suggested algorithm uses the slope values of the four points between the S and T wave. The ECG data in the European ST-T database were used to verify the performance of the developed algorithm. The best correct rate was 99.40% and the worst correct rate was 68.48%.

Necrotizing Fasciitis in a 7-day-old Term Healthy Neonate

  • Koo, Soo-Hyun;Chung, Mi-Lim;Park, Kun-Bo
    • Neonatal Medicine
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    • v.18 no.1
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    • pp.148-152
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    • 2011
  • Necrotizing fasciitis is a rare, but life-threatening infection. Prompt diagnosis and early aggressive intervention is required for survival. However, there has been frequently occurred in delays of diagnosis and treatment due to its non-specific nature. Therefore, a high index of suspicion is needed to ensure timely intervention. We report a case of necrotizing fasciitis in a 7-day-old term healthy neonate.

Discoid Medial Meniscus in the Knee - A case report - (슬관절 내측 원판형 연골 - 1례 보고 -)

  • Kyung, Hee-Soo;Kim, Kyung-Hoon;Oh, Chang-Wug
    • Journal of the Korean Arthroscopy Society
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    • v.13 no.1
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    • pp.58-62
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    • 2009
  • A discoid medial meniscus is a relatively rare pathology of the knee joint, and we recently encountered a patient with discoid medial meniscus, and this report is a case of therapeutic experience in this patient. The patient was twenty years old man who had a persistent dull pain for several years without specific trauma history. He was presumptively diagnosed as discoid medial meniscus by MRI, and arthroscopic examination confirmed the presence of the complete type of discoid medial meniscus with horizontal tear. We performed arthroscopic partial meniscectomy, and the patient could get free from symptom.

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Adhesive Shear Strength of Carbon Fiber Sheet (탄소섬유시트의 전단부착강도에 관한 연구)

  • Kim, Yoon-Chil
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.12 no.1
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    • pp.109-116
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    • 2008
  • In order to test the adhesive capacity of carbon fiber sheet, a static loading method for bending-behavior-type beam specimens, cut in half was developed and test was conducted with compressive strength of concrete set as the test parameter. The tests were performed to prescribe adhesive shear strength based upon the result of shear failure as well as verification of testing method. First of all, the test method proved to be reliable in determining the adhesive shear strength. The test result also exhibited two types of variations in adhesive shear strength. Among two types of variations, average and minimum values for adhesive shear strength, relatively stable results, 3.41MPa and 2.11MPa, respectively. Particularity in the adhesive shear strength with respect to compressive shear strength was not found.

Penetration of De-icing Salt in Bare Concrete Bridge Decks in Highways (고속도로 콘크리트 노출 바닥판에서의 제설 염화물의 침투 특성)

  • Suh, Jin Won;Ku, Bon Sung;Rhee, Ji Young
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.11 no.2
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    • pp.85-92
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    • 2007
  • In 1980s, a number of bridges with bare concrete deck were constructed on the Korea highway. After 20 years service, many bare concrete decks are still in good condition without special maintenance activity. Therefore, the application of the bare concrete deck is being reestimated from the view of construction and maintenance. As a part of the program, the characteristic of penetration(surface chloride and apparent diffusion coefficient) of de-icing salt into bare concrete bridge deck was analyzed in order to predict the service life of bridge on Korea highway.

Prenatal Genetic Test (산전 유전자 검사)

  • Han, You-Jung;Ryu, Hyun-Mee
    • Journal of Genetic Medicine
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    • v.8 no.2
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    • pp.100-104
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    • 2011
  • Genetic testing has been generalized for the diagnosis of diseases and is an important method of research with advances in the life sciences. In particular, we should give better attention to the genetic test for a fetus. Because the fetus has no autonomy, ethical and social issues can arise. Therefore, appropriate genetic counseling is needed for parents to be informed with the characteristics, natural progress, and possible treatment of a genetic disease, prior to the prenatal genetic test. Physicians should also inform parents how a particular genetic risk factor relates with the likelihood of a disease, in order to assist the parents in making the best decision. Furthermore, the current law for prenatal genetic testing should be approached rationally.

Simple Method of Analysis for Reinforced Concrete Slab Bridges (간단한 방법에 의한 철근콘크리트 슬래브 교량의 해석)

  • Han, Bong-Koo;Kim, Duk-Hyun
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.7 no.4
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    • pp.81-89
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    • 2003
  • The simple supported reinforced concrete slab bridges are analyzed by the specially orthotropic laminates theory. This method, however, may be too difficult for some practising engineers. In this paper, the result of analysis for such plate by means of the beam theory with unit width is reported. By using the "correction factor", the accurate solution for the plate can be obtained by the beam theory. The result of this paper can be used for reinforced concrete slab bridges analysis by the engineers with undergraduate study in near future.