• Title/Summary/Keyword: Diagnosis Instrument

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Arthroscopic Findings of the Canine Stifle Joint (정상견 무릎의 관절경 검사소견)

  • 정순욱;정월순
    • Journal of Veterinary Clinics
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    • v.16 no.2
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    • pp.300-308
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    • 1999
  • Arthroscopy is a valuable diagnostic and operative tool in equine and human orthopedics. The arthroscope is a difficult instrument to use and requires patience, practice, and persistence in order to obtain good results. This technique was found to be less traumatic than arthrotomy, invasiveness, rapid recovery and the feasibility of surgically correcting many arthropathies. The use of the arthroscope in the dog provides a new dimension in the study and diagnosis of joint derangements. The purpose of this report is to introduce the use of the arthroscope in the dog-more specifically, in the stifle of the dog. A diameter 2.7 mm fore-oblique viewing arthroscope, cold light source, video and video printer are used. With the fore-oblique viewing type it is possible to view directly as well as slightly to the side and the range of viewing can be increased by rotating the arthroscope around the object The scope is connected with a cold light source by means of a fiber-optic light guide. The stifle joint was flexed to 20~30$^{\circ}$. The joint were lavaged with lactated Ringer's solution during arthroscopic examination. Arthroscopy of the stifle was performed prior to arthrotomy in 1 dead dog and 4 healthy dogs, and other 3 dogs was performed only arthroscopic examination. In this study only the conventional approaches were used and in most cases it was possible to view all the intra-articular structures via the lateral infrapatellar approach. In the stifle joint, endoscopic observation was performed to find lateral femoral condyle, patella, medial femoral condyle, trochlear groove, tibia, fat, cranial cruciate ligament, caudal cruciate ligament lateral meniscus, tendon of long digital extensor muscle, medial meniscus, and medial collateral ligament Post-arthroscopic examination, the lameness had disappeared within 12~24 hours. Pain and swelling in the stifle joint had disappeared within 24~36 hours. Post-arthroscopic secondary infection was never encountered in the dogs. In conclusion, arthroscopic insertion technique in canine stifle joint using a diameter 2.7 mm 30$^{\circ}$ arthroscope was established and arthroscopical views of all anatomical structures in the normal stilfe joint were obtained through lateral infrapatellar portal.

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The Validity and Reliability of Reflux Symptom(RSI) Index and Reflux Finding Score(RFS) (역류증상지수와 역류소견점수의 타당성과 신뢰도)

  • Lee, Byung-Joo;Wang, Soo-Geun;Lee, Jin-Choon
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.18 no.2
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    • pp.96-101
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    • 2007
  • Laryngopharyngeal reflux (LPR) is the retrograde movement of gastric contents into the larynx, pharynx, and upper aero-digestive tract. LPR differs from gastroesophageal reflux in that it is often not associated with heartburn and regurgitation symptoms. Otolaryngological manifestations of acid reflux include a wide range of pharyngeal and laryngeal symptoms. Belafsky et al. developed a useful self-administered tool, the reflux symptom index (RSI), for assessing the degree of LPR symptoms. Patients are asked to use a 0 to 5 point scale to grade the following symptoms: 1) hoarseness or voice problems; 2) throat clearing; 3) excess throat mucus or postnasal drip ; 4) difficulty swallowing; 5) coughing after eating or lying down; 6) breathing difficulties ; 7) troublesome or annoying cough; 8) sensation of something sticking or a lump in the throat; 9) heartburn, chest pain, indigestion or stomach acid coming up. A RSI score greater than 13 is considered abnormal. As there is no validated instrument to document the physical findings and severity of LPR, Belafsky et al. developed an eight-item clinical severity scale for judging laryngoscopic finding, the reflux finding score (RFS). They rated eight LPR-associated findings on a scale from 0 to 4 : subglottic edema, ventricular obliteration, erythema/hyperemia, vocal-fold edema, diffuse laryngeal edema, posterior commissure hypertrophy, granuloma/granulation tissue, and thick endolaryngeal mucus. A RFS score of greater than 7 was found to suggest LPR-associated laryngitis. Although both indices (RSI and RFS) are widely used, there is some controversy about their validity (sensitivity and specificity) and reliability (intra-rater and inter-rater) in LPR diagnosis and treatment. We discuss the validity and reliability of RSI and RFS with literature review.

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Relation between Mammographic Parenchymal Patterns and Breast Cancer Risk: Considering BMI, Compressed Breast Thickness and Age of Women in Tabriz, Iran

  • Mehnati, Parinaz;Alizadeh, Hamed;Hoda, Haleh
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.4
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    • pp.2259-2263
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    • 2016
  • Background: Mammographic density determined according paranchymal patterns is a risk factor for breast cancer and its relationships with body and other breast characteristics of women is important. The purpose of the present study was to correlate breast parenchymal patterns and mammography abnormality findings with women's BMI, compressed breast thickness (CBT) and age in Tabriz city, Iran. Materials and Methods: From 1,100 mammograms interpreted by radiologists, breast parenchymal was classified into four categories from Types 1 (mostly fatty) through 4 (mostly fibroglandular tissue). Age, BMI, and CBT were recorded and their relation with risk for the development of breast abnormalities in mammograms was analyzed. Results: In women with a mean age of $45.8{\pm}8.63years$ 17.7% were in the high density group (Type 3 and 4). A comparison of four types of breast paranchymal with BMI, CBT and age showed inverse relations to breast density. Abnormal mammographic findings were 25.8% of all reported mammograms with a circular mass (12.7%) as the most common abnormality. About 21% abnormal cases were in less than 40 years. Increasing of BMI had significant relation with breast abnormality but in CBT was not observed. Conclusions: Measurement of women's body characteristics is useful for assistance in mammography diagnosis as well as selection of imaging instrument by high sensitivity for following patient in future. The effects of age, CBT and BMI groups on the breast paranchymal were significant.

Development and Application of the Constipation Assessment Tool for Patients with Terminal Cancers (말기 암환자의 변비 사정도구 개발 및 적용)

  • Kim, Myung Ok;Park, Myung Hee;Rye, Min Ae
    • Journal of Korean Clinical Nursing Research
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    • v.18 no.2
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    • pp.205-214
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    • 2012
  • Purpose: The purposes of this study were to develop the constipation assessment tool for identifying their bowel movement patterns, and to provide basic information for the assessment and intervention protocol on constipation for patients with terminal cancers. Methods: The study followed the steps: the first step was to build a conceptual framework based on literature review; the second step was to develop a tentative instrument by analyzing the conceptual framework and existing instruments; the third step was to test content validity and reliability; and the final step was to apply the tool to patients with terminal cancers (N=112). Results: The constipation assessment tool was consisted of total nine items; under the categories of subjective and objective data for diagnosis had 4 items, and under the initial assessment category which includes stool type, physical examination, and abdomen X-ray had 5 items. Conclusion: The constipation assessment tool developed in this study is very easy to use and useful in nursing practice, especially in hospice and palliative care setting. Particularly this tool has items on patient assessment which would be considered as an evidence for choosing nursing interventions. Based on the constipation assessment tool, the development and application of intervention protocol on constipation for patients with terminal cancers is warranted in future research.

Development and Validation of the Expectations of Aesthetic Rhinoplasty Scale

  • Naraghi, Mohsen;Atari, Mohammad
    • Archives of Plastic Surgery
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    • v.43 no.4
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    • pp.365-370
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    • 2016
  • Background There is a growing concern in the field of aesthetic surgery about the need to measure patients' expectations preoperatively. The present study was designed to develop and validate the Expectations of Aesthetic Rhinoplasty Scale (EARS), and to compare expectations between rhinoplasty patients with and without body dysmorphic disorder (BDD). Methods In total, 162 college students and 20 rhinoplasty candidates were recruited. The measures included the newly developed EARS, a measure of psychopathology, and demographics. The DSM-IV structured clinical interview for BDD was used to confirm the diagnosis in rhinoplasty patients. Results The EARS was constructed of six items based on their significant content validity. In the scale development phase, Cronbach's alpha was 0.87. The test-retest reliability coefficient of the scale was satisfactory (intraclass correlation coefficient, 0.94; 95% confidence interval, 0.82-0.98) over a four-week period. Scores on the EARS were significantly positively correlated with psychopathological symptoms (r=0.16; P<0.05). Moreover, comparison of EARS scores between BDD (M=25.90, standard deviation [SD]=6.91) and non-BDD rhinoplastic patients (M=15.70, SD=5.27) suggested that BDD patients held significantly higher expectations (P<0.01). Conclusions The expectations of aesthetic rhinoplasty patients toward surgery may play a crucial role in their postoperative satisfaction. While the value of patients' expectations is clinically recognized, no empirical study has measured these expectations in a psychometrically sound manner. The current study developed and validated the EARS. It may be easily used as a valid and reliable instrument in clinical and research settings.

The subjective recognition of oral malodor and oral malodor self test (일부지역의 주관적인 구취에 대한 인식 및 구취 자가진단에 관한 연구)

  • Chun, Ju-Yeon;Lee, Kyeong-Hee
    • Journal of Korean society of Dental Hygiene
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    • v.14 no.6
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    • pp.871-879
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    • 2014
  • Objectives: The purpose of the study was to investigate the appropriate management and implementation of the oral malodor prevention for the general people. Methods: A self-reported questionnaire was filled out by 420 subjects in Seoul and Gyeonggi Province from March to October, 2013. Except 19 copies, 401 copies were analyzed. The instrument of subjective oral malodor awareness and status was adapted from Yoon and Youn and partly modified. The questionnaire consisted of general characteristics(4 questions), oral malodor awareness(3 questions), oral malodor related characteristics(3 questions), self-diagnostic test of oral malodor(5 questions), and subjective oral malodor and health status(3 questions). Self-diagnostic test of oral malodor was score as yes(1 point) and no(0 point). The subjective oral malodor and health status scoring was done by Likert 5 scale. Cronbach alpha was 0.713 in the self-diagnostic test of oral malodor. Results: The self-recognition rate of oral malodor was 0.8%. When the level of oral malodor increased to 1 point, the self-test of oral malodor increased as the rate of 0.033(p<0.05). Conclusions: There existed no close correlation between subjective recognition of oral malodor and oral malodor self-test. Therefore, oral malodor should be measured by an expert counseling to make an accurate diagnosis. It is important to establish the appropriate oral malodor prevention program for the general people.

A Study on the Development of the Questionnaire for Pattern Identification of Liver-qi Stagnation Infertility (간울형 불임 변증 설문지 개발 연구)

  • Lee, Ji-Yeon;Baek, Seon-Eun;Park, Eun-Ji;Ahn, Soo-Yeon;Lee, Da-Hee;Ha, Ki-Tae;Yoo, Jeong-Eun
    • The Journal of Korean Obstetrics and Gynecology
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    • v.31 no.2
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    • pp.68-79
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    • 2018
  • Objectives: The aim of this study is the development of the questionnaire for pattern identification of Liver-qi stagnation infertility. Methods: We conducted a literature review and retrieved the symptoms and diagnosis from Korean and Chinese literatures which mentioned pattern identification of Liver-qi stagnation infertility. Based on the findings, We conducted three times expert Delphi surveys on selection of question items and determination of weight. Results: 12 questionnaire items for subjects and 4 questionnaire items for researchers were selected from 19 references. From expert delphi surveys, we finally determined 14 questionnaire items (10 items for subjects, 4 items for researchers) which are clinically significant and obtained weight of question items. Conclusions: Questionnaire for pattern identification of Liver-qi stagnation infertility was developed through experts' discussion. Further study is required to identify the validity and reliability of this pattern identification instrument for Liver-qi stagnation infertility.

A Study of Evaluation Certification on Electronic Power u-IT Convergence Equipment (전력 u-IT 융복합화 기기의 평가와 인증 연구)

  • Yi, Jeong-Hoon;Park, Dea-Woo;Bae, Suk-Myong;Kim, Eung-Sik;Kim, Hong
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2009.10a
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    • pp.499-502
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    • 2009
  • Supply of electric power and electricity safety for whole system and network are essential element. Electricity safety technology need rating for product and research about certification as product development that is done cotton flannel mixed with development of u-IT technology consists. Study on serve to develop electricity safety integration supervision system to apply product to u-City electric power appliance and cotton flannel mixed of u-IT appliance, Connection badness sensing instrument made device built-in electric power IT cotton flannel mixed in outlet that is used most in electric power appliance terminal. Using sensor on ZigBee, RFID performance estimation of communication and module for remote safety check of electricity safety integration supervision system. A performance experiment and estimation in PD, Arc detection diagnosis system and certification KS, electricity safety about product that get fitness finding.

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Development of Thermal Power Boiler System Simulator Using Neural Network Algorithm (신경망 알고리즘을 이용한 화력발전 보일러 시스템 시뮬레이터 개발)

  • Lee, Jung Hoon
    • Journal of the Korea Society for Simulation
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    • v.29 no.3
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    • pp.9-18
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    • 2020
  • The development of a large-scale thermal power plant control simulator consists of water/steam systems, air/combustion systems, pulverizer systems and turbine/generator systems. Modeling is possible for all systems except mechanical turbines/generators. Currently, there have been attempts to develop neural network simulators for some systems of a boiler, but the development of simulator for the whole system has never been completed. In particular, autoTuning, one of the key technology developments of all power generation companies, is a technology that can be achieved only when modeling for all systems with high accuracy is completed. The simulation results show accuracy of 95 to 99% or more of the actual boiler system, so if the field PID controller is fitted to this simulator, it will be available for fault diagnosis or auto-tuning.

Associations Between Parental Depression and Early Childhood Development in Indonesia: A Cross-sectional Study

  • Saptarini, Ika;Rizkianti, Anissa;Arfines, Prisca Petty;Suparmi, Suparmi;Maisya, Iram Barida
    • Journal of Preventive Medicine and Public Health
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    • v.54 no.6
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    • pp.451-460
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    • 2021
  • Objectives: This study aimed to determine the associations between parental depression and early childhood development among children aged 36 months to 59 months in Indonesia. Methods: From Indonesia's Basic Health Survey (RISKESDAS) 2018, this study included 6433 children aged 36 months to 59 months and their parents. Maternal and paternal depression was examined using the Mini International Neuropsychiatric Interview survey instrument, which was previously translated into Indonesian. The study also used the Early Child Development Index to measure child development and its 4 domains (cognitive, physical, socio-emotional, and learning). Multivariate logistic regression analysis was performed to determine the association between parental depression and early childhood development. Results: Overall, 10.3% of children aged 36 months to 59 months were off-track for development. After adjusting for biological, parental, and social characteristics, children born to parents with depression were found to be 4.72 times more likely to be off-track for development (95% confidence interval, 1.83 to 12.15). Conclusions: Children of depressed parents were more likely to be off-track for development. The findings highlight the need for early diagnosis and timely intervention for parental depression to promote early childhood development.