• 제목/요약/키워드: Diagnosis differential

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A Proposal of Multimedia Intelligent Database for Medical Diagnosis

  • MODEGI, Toshio;IISAKU, Shun-ichi
    • 한국방송∙미디어공학회:학술대회논문집
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    • 한국방송공학회 1997년도 Proceedings International Workshop on New Video Media Technology
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    • pp.61-66
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    • 1997
  • For constructing an intelligent multimedia database system for medical diagnosis, we are focusing on two technological points. One is a retrieval algorithm of databases, and the other is a coding algorithm of multimedia contents. For the first, previously we proposed a front-end database preprocessor called“keyword-network”, and in this paper we present its extended model providing an intelligent logical AND searching function especially for medical differential diagnosis. For the second, we present examples of multimedia intellectual coding methods for cardiovascular examination records.

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Is it really a seizure? The challenge of paroxysmal nonepileptic events in young infants

  • Jung, Seung Yeon;Kang, Joon Won
    • Clinical and Experimental Pediatrics
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    • 제64권8호
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    • pp.384-392
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    • 2021
  • Paroxysmal nonepileptic events (PNE) comprise of a variety of nonepileptic behaviors and are divided into various types. A more accurate diagnosis is possible by examining the video clip provided by the caregiver. In infants, physiologic PNE accounts for the majority of the PNE. It is important to exclude epilepsy, for which blood tests, electroencephalography, and imaging tests can facilitate differential diagnosis. Since most PNE have a benign progress, symptoms often improve with age and without special treatment. Therefore, it is important to reassure the caregivers after making an accurate diagnosis.

Massive cerebral venous sinus thrombosis secondary to Graves' disease

  • Son, Hye-Min
    • Journal of Yeungnam Medical Science
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    • 제36권3호
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    • pp.273-280
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    • 2019
  • Cerebral venous sinus thrombosis (CVT) is a rare cerebrovascular condition accounting for 0.5-1% of all types of strokes in the general population. Hyperthyroidism is associated with procoagulant and antifibrinolytic activity, thereby precipitating a hypercoagulable state that predisposes to CVT. We report the case of a 31-year-old Korean man with massive CVT and diagnosis of concomitant Graves' disease at admission. Early diagnosis and prompt treatment of CVT are important to improve prognosis; therefore, CVT should be considered in the differential diagnosis in all patients with hyperthyroidism presenting with neurological symptoms.

수부의 신경초종: 감별진단과 미세수술의 중요성 (Schwannoma of the Hand: Importance of Differential Diagnosis & Microsurgical Dissection)

  • 탁관철;구현국
    • Archives of Plastic Surgery
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    • 제37권4호
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    • pp.452-456
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    • 2010
  • Purpose: The schwannoma is a benign peripheral nerve tumor arising from the Schwann cell of the nerve sheath. Only 2-8% of schwannomas arise in the hand and wrist. Misdiagnosis is frequent such as ganglion and neurofibroma. This article documents and clarifies the clinical features of schwannomas arising in the hand and wrist, and emphasizes importance of differential diagnosis and meticulous surgical extirpation under magnification. Methods: The author reviewed clinical features of 15 patients with pathologic final diagnosis of schwannoma developed in hand and wrist during the last 12 years from 1998 through 2009. The review included the sex, age of onset, duration, preoperative diagnosis, location, involved nerve, preoperative symptoms and. Postoperative sequelae after surgical extirpation of the lesion with magnification, or without magnification of the surgical fields. Results: The chief complaints were slow growing firm mass in all patients, and followed by pain in 40%, and paresthesia in 40% respectively. The lesions were developed solitarily in 14 patients (93%). The postoperative pathologic diagnosis and preoperative diagnosis were coincided with only in 6 patients (40%). Other preoperative diagnosis were soft tissue tumor in 4 patient (26.6%), and ganglion in 3 patients (20%), and neurofibroma in 2 patients (13%). In all patients who were undergone surgical excision under the fields of magnification, all symptoms were subsided without any sequelae. Meanwhile muscle weakness, paresthesia, hypoesthesia and /or accidental nerve resection developed after surgical excision with naked eye. Conclusion: Schwannoma in hand most commonly appears as a slow growing solitary mass with pain or paresthesia. The chance of preoperative misdiagnosis was 60% in this series. To provide good prognosis and less sequelae, careful and elaborate diagnostic efforts and meticulous surgical excision under the magnification are necessary in management of schwannoma.

『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거한 불임 환자 3례의 임상 보고 (3 Cases of Infertility Patients based on Shanghanlun Six Differential Diagnostic System)

  • 윤수민
    • 대한상한금궤의학회지
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    • 제6권1호
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    • pp.37-54
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    • 2014
  • Objective : The purpose of this paper is to report the effect of three different herb medication based on Shanghanlun(傷寒論) six differential diagnostic system. Methods : According to six differential diagnostic system based on Shanghanlun provisions, they were diagnosed with Taiyang-byung(大陽病), Yangmyung-byung(陽明病), Gwoleum-byung(厥陰病). They took different herb medications more than 6weeks according to their diagnosis. This paper evaluated the results of treatment by pregnancy test result with improvement of symptoms. Results : The symptoms of three patients were improved and became pregnant. Conclusions : This case study suggests that herb medication based on Shanghanlun(傷寒論) six differential diagnostic system have effectiveness on unexplained infertility. And we need to have a diversified and new perspectives in women's position about pregnancy with this system.

차압을 이용한 터빈유량계 성능 진단 (Diagnosis on performance of turbine flowmeter using differential pressure in the meter)

  • 하영철;허재영
    • 유체기계공업학회:학술대회논문집
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    • 유체기계공업학회 2004년도 유체기계 연구개발 발표회 논문집
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    • pp.153-159
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    • 2004
  • We have investigated the feasibility of using differential pressure(pressure drop) of gas turbine meter to diagnose turbine performance degradation caused by mechanical wearing damage and/or dirt buildup or erosion. If the differential pressure between the upstream piping and the throat of a turine meter can be correlated to meter flow rate over the operating range of the meter, then a relatively simple differential pressure measurement in the filed might be used to detect meter performance changes. To test this method, we have conducted two experimental simulation on Straightener Integrated Type(SIT) turbine meter. One is fur dirt buildup on turbine blade, the other is for eccentricity of the blade. Results show that this method provide a reliable measure of performance degradation and is useful maintenance indicator.

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음낭 질환의 초음파 및 씬티그라피에 관한 방사선학적 연구 (Correlation of Ultrasound and Scintigraphic Findings in Scrotal Disease)

  • 신경자;이정식
    • 대한핵의학회지
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    • 제24권1호
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    • pp.62-73
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    • 1990
  • Recently ultrasound and scintigraphic study are most useful modality for diagnosis of scrotal diseases. They are able to determine the nature, anatomic extent of the lesion, and possible to differential diagnosis of the scrotal lesion. The ultrasound and scintigraphic findings were analyses in 59 patients of confirmed scrotal disease at Seoul Red Cross Hospital from June 1986 to Aug. 1989. The results were as follows. 1) Most patients were below the 30 years old age (69.4%), and most prevalent age was $11\sim30$ Yrs. in trauma, $31\sim40$ Yrs. in inflammation, and $51\sim60$ Yrs. in mass lesion of scrotum. 2) The diagnostic accuracy of scrotal disease was 94.9% in ultrasound and 72% in scintigraphic study. The ultrasound study showed high accuracy in all kind of scrotat disease, but scintigraphy showed only high detection rate in inflammatory disease. 3) Scrotal ultrasound is first choice of study for the diagnosis of scrotal lesion, and useful determine the cystic or solid lesion and anatomic extent of disease. However it can't be differentiate the acute epididymitis with acute testicular torsion. 4) Scrotal scintigraphy is useful study for the diagnosis of acute painful scrotal disease, and showed specific findings in acute epididymitis and acute torsion for differential diagnosis. 5) In consideration of age, history and clinical findings of patient, appropriate study will be chosen firstly in ultrasound and scintigraphy, and combined all of findings of these studies will be helpful for the accurate diagnosis and adequate treatment of scrotal disease.

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한의학에서 음성 진단의 현황과 전망에 관한 연구 (A review of the voice diagnosis studies in Oriental medicine)

  • 조신웅;박영배;박영재
    • 대한한의진단학회지
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    • 제12권2호
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    • pp.18-26
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    • 2008
  • Purpose : To review studies about voice diagnosis in orieltal medicine Method : The papers reviewed in this study were searched through internet search engines. For chinese studies, China National Knowledge Infrastructure(www.cnki.net) was the main source of the information and the key words for Voice diagnosis studies were "(語聲)", "(聲診)", and (TCM). Conclusions : In Oriental Medicine, There are two ways to research about voices. One way is to research through philological consideration with subjectical and experimental diagnosis & studies as human bowel related in traditional studies. The other way is to research through Computerized Speech Lab(CSL), differential diagnosis for Sasang constitution and disease.

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응급실로 내원한 외상성 화농성 근염 환자의 분석 (Clinical Analysis of Traumatic Pyomyositis in Emergency Patients)

  • 나지웅;송형곤
    • Journal of Trauma and Injury
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    • 제19권1호
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    • pp.81-88
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    • 2006
  • Purpose: Pyomyositis is a rare disease in temperature climate region. The diagnosis of pyomyositis is often delayed, and pyomyositis is often misdiagnosed in the emergency department. Methods: The medical records of 11 patients who were diagnosed as having traumatic pyomyositis in the emergency department at Samsung Medical Center in Seoul, Korea, between 2000 and 2006 were reviewed. Their clinical features, such as history, symptoms, clinical findings, duration from onset of symptoms to diagnosis, medical history, laboratory data, results of imaging studies and clinical course were collected. Results: The psoas muscles were most commonly involved. Computer tomography and magnetic resonance imaging aided in accurate diagnosis of the infection and of the extent of involvement. Incision, drainage, and antibiotics therapy eradicated the infectioin in all patients Conclusion: Pyomyositis should be a part of the differential diagnosis for patients with traumatic muscle pain. Radiologic evaluation, such as computer tomography and magnetic resonance imaging, must be considered in the diagnosis of traumatic pyomyositis.

한의진단명과 진단요건의 표준화 연구II (표준화 실례) - 2차년도 연구결과 중간 보고- (Standardization and unification of the terms and conditions used for diagnosis in oriental medicine. II)

  • 양기상;최승훈;최선미;박경모;정우열;안규석;엄현섭;김성훈;전병훈;김정범;권영규;박중현;김동희;장혜옥;김성우;신상우;고현
    • 한국한의학연구원논문집
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    • 제2권1호
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    • pp.381-401
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    • 1996
  • The diagnostic requirements were suggested and explained regarding the systems of differentiation of syptoms and signs in the second year study of standardization and unification of the terms and conditions used for diagnosis in oriental medicine. The systems were as follows : -differential diagnosis according to condition of body fluid, differentiation of syndromes according to the state of qi and blood, differential diagnosis according to reletive excessiveness or deficiency of yin and yang(氣血陰陽津液辨證) -differentiation of diseases according to pathological changes of the viscera and their interrelation(臟腑辨證) -analysing and differentiating of febrile diseases in accordance with the theory of the six channels(傷寒辨證) The individual diagnosis pattern was arranged by the diagnostic requirements in the following odor : another name(異名), notion of diagnosis parrern(證候槪念), index of differentiation of syptoms and sings(辨證指標), the main point of diagnosis(診斷要點), analysis of diagnosis pattern(證候分析), discrimination of diagnosis pattern(證候鑑別), a wayof curing a diseases(治法), prescription(處方) , herbs in common use(常用藥物), dieases appearing the diagnosis pattern(常見疾病), documents(文獻調査). This study was carried out on the basis of the Chinese documents and references.

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