• 제목/요약/키워드: Case-finding

검색결과 1,756건 처리시간 0.03초

관상동맥 우회술 치험 1 (Aorto-Coronary Bypass Graft - A Case Report -)

  • 이신영
    • Journal of Chest Surgery
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    • 제20권2호
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    • pp.384-392
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    • 1987
  • The occlusive coronary artery disease presents a potential threat to a significant population in the United State. According to many case reports, the increasing incidence of coronary artery disease due to atherosclerosis is noted in Korean, recently. We experienced one case of coronary artery disease. He was a 68 year old male who had been suffered from hypertension since 1 5 years ago, and had intermittent conservative treatment at local clinic. He had been afflicted with severe chest pain on exertion, but this symptom was relieved on rest. Pre-operative EKG finding revealed no any other ischemic sign. Significant S-T segment depression was noted at lead II, aVF, V3, V4, and V5, and inverted T wave in V5 and V6 after Master`s test. Simple chest X-ray finding showed emphysematous field, bilaterally. Final pre-operative diagnosis was made by coronary angiogram, which showed almost 90% degree of occlusive lesion in the proximal part of left main coronary artery above the origin LAD artery. He was treated successfully by aorta-coronary saphenous vein graft under extra-corporeal circulation in May, 1987. He has been followed up with uneventful course.

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Multiple intraosseous cervical pneumatocysts: A case report of a rare incidental finding on cone-beam computed tomography

  • Jadhav, Aniket B.;Sarah, Sangeetha Gajendran;Cederberg, Robert;Wagh, Aditya;Kiat-amnuay, Sudarat
    • Imaging Science in Dentistry
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    • 제48권3호
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    • pp.223-226
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    • 2018
  • This report presents a case of cervical pneumatocysts as an incidental finding on cone-beam computed tomography. Pneumatocysts are gas-containing lesions of unknown etiology. They usually present in the ilium or sacrum, adjacent to the sacroiliac joint. In the literature, 21 case reports have described cervical pneumatocysts. Cervical pneumatocysts should be differentiated from other lesions, such as osteomyelitis, osteonecrosis, and neoplasms, as well as post-traumatic and post-surgical cases. Computed tomography, cone-beam computed tomography, and magnetic resonance imaging are appropriate tools to diagnose cervical pneumatocysts.

병원건축 길찾기 요소의 중요도 분석에 관한 연구 -'A'종합병원 외래진료부를 중심으로- (A Study on the Analysis of Factors Affecting Patients' Way-Finding in the Hospital - Focused on a Case of 'A' General Hospital -)

  • 윤지선;박재승
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제14권3호
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    • pp.43-54
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    • 2008
  • Upon reviewing the tendency of the large-scale hospital buildings constructed so far, we may well know that the architectural space of the hospital buildings has been designed for users' conveniences in terms of functional elements fulfilled, efficiency, uniform colors and lighting, which means that patients may well feel difficult to find their ways in the hospital. The result may be that the patients who are weak mentally and physically feel uneasy or tensed when they wander in the hospital, which may lead to their increased physical fatigue, higher blood pressure or other harmful effects. Thus, patients' way-finding emerges as a new design challenge for the hospital building. The purpose of this study was to define the environmental variables and factors affecting patients' way-finding in the hospital and thereby, determine the correlations between the variables/factors and way-finding to provide for some framework of analysis useful to solutions of patients' way-finding problems, while identifying the causes for difficulty of their way-finding due to differences of perception between hospital building designer and user groups.

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동일 특성 노드 제거를 통한 추상 그래프 기반의 경로 탐색 알고리즘 (A Path Finding Algorithm based on an Abstract Graph Created by Homogeneous Node Elimination Technique)

  • 김지수;이지완;조대수
    • 한국공간정보시스템학회 논문지
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    • 제11권4호
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    • pp.39-46
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    • 2009
  • 일반적으로 휴리스틱을 이용한 알고리즘에서는 탐색 비용이 증가하는 문제가 발생할 수 있다. 휴리스틱에 의해 결정된 추정 경로에 실제 경로가 존재하지 않을 경우, 휴리스틱 가중치 값이 비슷한 2 가지 이상의 경로가 존재할 경우 탐색 비용이 증가한다. 이 논문에서는 탐색 비용 증가 문제점을 해결하기 위해 추상 그래프를 제안한다. 추상 그래프는 실제 도로를 단순화한 그래프로서, 전체 지도를 고정된 크기의 그리드 셀로 나누고, 셀과 도로 정보를 기반으로 생성된다. 경로 탐색은 추상 그래프 탐색, 실제 도로 네트워크 탐색 순으로 2단계로 수행된다. 106,254개의 간선으로 이루어진 실제 도로 네트워크 데이터에 대해서 성능 평가 실험을 수행한 결과와 탐색 비용 측면에서 그리드 셀 크기에 따라 그리드 기반 A* 알고리즘에 비해 최소 3%에서 최대 35% 좋은 성능을 보였다. 반면에 유효 셀을 제외한 영역에 대한 탐색이 이루어지지 않기 때문에, 생성된 경로의 이동 비용은 1.5~6.6% 증가하였다.

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Low-VHF 대역 방향탐지용 소형 안테나의 탱크 장착 위치에 따른 방사특성 연구 (A Study on Radiation Char acter istics of Electr ically Small Antenna for Low-VHF Band Direction Finding according to Tank Mounting Position)

  • 문상만;우종명
    • 한국인터넷방송통신학회논문지
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    • 제14권2호
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    • pp.127-134
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    • 2014
  • 본 논문은 방향탐지용 Low-VHF 대역 소형 안테나의 탱크 장착 위치에 따른 방사특성에 관한 연구이다. 먼저, 안테나를 평면 접지면상 장착시, 다음으로 탱크 위 장착시 방사특성에 대하여 각각 시뮬레이션(40MHz)과 1/10 축소된 모델에 대하여 제작 측정(400MHz)으로 확인하였다. 평면 접지면상 장착시 급전점이 ${\phi}=0^{\circ}$, $180^{\circ}$(xz-면)에 위치할 경우, yz-면 성분(H-면)과 xz-면 $E_{\theta}$ 성분(E-면) 방사패턴이 좁은 접지면의 영향으로 상반구상 무지향성 방사 특성을 유지함을 확인 하였다. 다음으로 탱크 장착시에도 평면 접지면상 장착시 방사특성과 동일하게 상반구상에서 yz-면 $E_{\phi}$ 성분(H-면)과 xz-면 $E_{\theta}$ 성분(E-면) 방사패턴 모두 장착위치에 거의 영향이 없는 상반구상 무지향성 방사 특성을 나타내었다. 이로써, 제안된 방향탐지용 소형 안테나를 탱크에 장착 할 경우, 급전점을 접지면이 좁은 xz-면(E-면)에 위치시킨다면, 방향탐지용 안테나로써 보다 안정적인 방사특성을 유지함을 확인 할 수 있었다.

Feasibility Study of Case-Finding for Breast Cancer by Community Health Workers in Rural Bangladesh

  • Chowdhury, Touhidul Imran;Love, Richard Reed;Chowdhury, Mohammad Touhidul Imran;Artif, Abu Saeem;Ahsan, Hasib;Mamun, Anwarul;Khanam, Tahmina;Woods, James;Salim, Reza
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권17호
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    • pp.7853-7857
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    • 2015
  • Background: Mortality from breast cancer is high in low- and middle-income countries, in part because most patients have advanced stage disease when first diagnosed. Case-finding may be one approach to changing this situation. Materials and Methods: We conducted a pilot study to explore the feasibility of population-based case finding for breast cancer by community health workers (CHWs) using different data collection methods and approaches to management of women found to have breast abnormalities. After training 8 CHWs in breast problem recognition, manual paper data collection and operation of a cell-phone software platform for reporting demographic, history and physical finding information, these CHWs visited 3150 women >age 18 and over they could find-- from 2356 households in 8 villages in rural Bangladesh. By 4 random assignments of villages, data were collected manually (Group 1), or with the cell-phone program alone (Group 2) or with management algorithms (Groups 3 and 4), and women adjudged to have a serious breast problem were shown a motivational video (Group 3), or navigated/accompanied to a breast problem center for evaluation (Group 4). Results: Only three visited women refused evaluation. The manual data acquisition group (1) had missing data in 80% of cases, and took an average of 5 minutes longer to acquire, versus no missing data in the cell phone-reporting groups (2,3 and 4). One woman was identified with stage III breast cancer, and was appropriately treated. Conclusions: Among very poor rural Bangladeshi women, there was very limited reluctance to undergo breast evaluation. The estimated rarity of clinical breast cancer is supported by these population-based findings. The feasibility and efficient use of mobile technology in this setting is supported. Successor studies may most appropriately be trials focusing on improving the suggested benefits of motivation and navigation, on increasing the numbers of cases found, and on stage of disease at diagnosis as the primary endpoint.

천포창 환자에 대한 치과치료 1예 (A Case of Pemphigus Bulgaris in Buccal Mucosa)

  • San Kim
    • Journal of Oral Medicine and Pain
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    • 제20권1호
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    • pp.67-77
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    • 1995
  • A Case of pemphigus bulgaris in buccal mucosa of 48 years old Korean female was reported. Final diagnosis was determined by evaluation of clinical and histopathological finding. The patient could be treated successfully by administration of prednisolone, injection of bethametasone, application of oramedy and irradiation of soft laser.

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유방의 기질형성 암종의 세침흡인 세포학적 소견 - 1예 보고 - (Fine Needle Aspiration Cytology of Matrix Producing Carcinoma of the Breast - A Case Report -)

  • 김현정;박아영;김동원;이동화;권귀향
    • 대한세포병리학회지
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    • 제8권2호
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    • pp.174-178
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    • 1997
  • Matrix producing carcinoma of the breast is a variant of heterologous metaplastic carcinoma which is defined as "overt carcinoma with direct transition to a cartilaoenous and/or osseous stromal matrix without an intervening spindle cell zone or osteoclastic cells". This tumor is very rare, occuring in less than 0.2% of total breast carcinoma, but the prognosis is better than other metaplastic carcinoma. We experienced a case of fine needle aspiration(FNA) cytologic finding of matrix producing carcinoma of the breast. A 75-year old woman, who presented a right huge breast mass$(9{\times}8cm)$ during 10months, was examined. Mammography reveals right lateral mass with even density without calcification. Breast ultrasonography shows multifocal hypoechogenic cystic change in the huge mass, suggesting resolving hematoma or carcinoma or sarcoma with necrosis. On cytologic finding of FNA, myxoid matrix was the dominant feature and the rest of the material was composed of scanty isolated atypical cells with large irregular nuclei. The histologic finding was moderately differentiated adenocarcinoma with abundant cartilagenous matrix and focal squamous metaplasia.

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공정 데이터를 이용한 조업 조건 결정 절차와 사례연구 (The Procedure of Finding Operating Conditions Minimizing Quality Loss and Case Study)

  • 정일교;전치혁
    • 한국경영과학회:학술대회논문집
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    • 한국경영과학회/대한산업공학회 2003년도 춘계공동학술대회
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    • pp.76-80
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    • 2003
  • The procedure of finding operating conditions minimizing qualify loss is proposed with a real industry example. The procedure consists or major two parts - the selection or process variables critical to the response and He determination or operating conditions. The coefficients or ridge regression and the and stores or partial least squares are applied to select important process variables. Functional approach and Non-functional approach are used to find proper operating conditions of important process variables.

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Incidental finding of an extensive oropharyngeal mass in magnetic resonance imaging of a patient with temporomandibular disorder: A case report

  • Omolehinwa, Temitope T.;Mupparapu, Mel;Akintoye, Sunday O.
    • Imaging Science in Dentistry
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    • 제46권4호
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    • pp.285-290
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    • 2016
  • In this report, we describe the incidental finding of an oropharyngeal mass in a patient who presented with a chief complaint of temporomandibular pain. The patient was initially evaluated by an otorhinolaryngologist for complaints of headaches, earache, and sinus congestion. Due to worsening headaches and trismus, he was further referred for the management of temporomandibular disorder. The clinical evaluation was uneventful except for limited mouth opening (trismus). An advanced radiological evaluation using magnetic resonance imaging revealed a mass in the nasopharyngeal/oropharyngeal region. The mass occupied the masticatory space and extended superioinferiorly from the skull base to the mandible. A diagnostic biopsy of the lesion revealed a long­standing human papilloma virus (HPV­16)­positive squamous cell carcinoma of the oropharynx. This case illustrates the need for the timely radiological evaluation of seemingly innocuous orofacial pain.