• Title/Summary/Keyword: Diagnostic Information

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DIAGNOSTIC CLASSIFICATION AND ASSESSMENT OF PSYCHIATRICALLY REFERRED CHILDREN WITH INATTENTION OR HYPERACTIVITY (주의산만 ${\cdot}$ 과잉운동을 주소로 소아정신과를 방문한 아동의 진단적 분류와 평가)

  • Hong, Kang-E;Kim, Jong-Heun;Shin, Min-Sup;Ahn, Dong-Hyun
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.7 no.2
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    • pp.190-202
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    • 1996
  • This study assessed psychiatrically referred 5-to 13-year-old children who presented inattention or hyperactivity as chief complaints. Demographic characteristics, primary diagnosis, and comorbid psychiatric conditions of them were identified, and they were assessed using questionnaires and neuropsychological tests. Primary diagnoses included ADHD, anxiety disorder, mental retardation, depression, oppositional defiant disorder, developmental language disorder and others. functional enuresis, conduct disorder, and developmental language disorder were among the secondarily diagnosed disorders. In patients diagnosed as ADHD, overall comorbidity rate was 55.3%. The disorders that frequently co-occured with ADHD were specific developmental disorder, conduct disorder, oppositional defiant disorder, anxiety disorder and other. ADHD groups with or without comorbidity differed in performance IQ and CPT scores. ADHD group differed from externalizing disorders group in the information subscore of IQ, MFFT, and CPT scores, and differed in teachers rating scales, the uncommunication factor of CBCL, and CPT card error compared with internalizing disorders group. The authors concluded that inattentive or hyperactive children should be assessed using various instruments to differentiate other disorders and to identify possible presence of comorbid conditions.

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Chronological Changes of C-Reactive Protein Levels Following Uncomplicated, Two-Staged, Bilateral Deep Brain Stimulation

  • Kim, Jae-hun;Ha, Sang-woo;Choi, Jin-gyu;Son, Byung-chul
    • Journal of Korean Neurosurgical Society
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    • v.58 no.4
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    • pp.368-372
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    • 2015
  • Objective : The occurrence of acute cerebral infection following deep brain stimulation (DBS) is currently being reported with elevation of C-reactive protein (CRP) level. The aim of the present study was to establish normal range of the magnitude and time-course of CRP increases following routine DBS procedures in the absence of clinical and laboratory signs of infection. Methods : A retrospective evaluation of serial changes of plasma CRP levels in 46 patients undergoing bilateral, two-staged DBS was performed. Because DBS was performed as a two-staged procedure involving; implantation of lead and internal pulse generator (IPG), CRP was measured preoperatively and postoperatively every 2 days until normalization of CRP (post-lead implantation day 2 and 4, post-IPG implantation day 2, 4, and 6). Results : Compared with preoperative CRP levels ($0.12{\pm}0.17mg/dL$, n=46), mean CRP levels were significantly elevated after lead insertion day 2 and 4 ($1.68{\pm}1.83mg/dL$, n=46 and $0.76{\pm}0.38mg/dL$, n=16, respectively, p<0.001). The mean CRP levels at post-lead implantation day 2 were further elevated at post-IPG implantation day 2 ($3.41{\pm}2.56mg/dL$, n=46, respectively, p<0.01). This elevation in post-IPG day 2 rapidly declined in day 4 ($1.24{\pm}1.29mg/dL$, n=46, p<0.05) and normalized to preoperative value at day 6 ($0.42{\pm}0.33mg/dL$, n=46, p>0.05). Mean CRP levels after IPG implantation were significantly higher in patients whose IPGs were implanted at post-lead day 3 than those at post-lead day 5-6 ($3.99{\pm}2.80mg/dL$, n=30, and $2.31{\pm}1.56mg/dL$, n=16, respectively, p<0.05). However, there was no difference in post-IPG day 2 and 4 between them (p>0.05). Conclusion : The mean postoperative CRP levels were highest on post-IPG insertion day 2 and decreased rapidly, returning to the normal range on post-IPG implantation day 6. The duration of post-lead implantation period influenced the magnitude of CRP elevation at post-IPG insertion day 2. Information about the normal response of CRP following DBS could help to avoid unnecessary diagnostic and therapeutic efforts.

An Architecture for Managing Faulty Sensing Data on Low Cost Sensing Devices over Manufacturing Equipments (전문 설비의 이상신호 처리를 위한 저비용 관제 시스템 구축)

  • Chae, Yuna;Kim, Changi;Ko, Haram;Kim, Woongsup
    • KIPS Transactions on Software and Data Engineering
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    • v.7 no.3
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    • pp.113-120
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    • 2018
  • In this study, we proposed a monitoring system for identifying and handling faulty sensing stream data on manufacturing equipments where low-cost sensors can be safely used. Low cost sensors will lessen the cost of implementing distributed monitoring system, but suffer from sensor noises and inaccurate sensed data. Therefore, a distributed monitoring system with low cost sensors should identify faulty signal data as either of sensor fault or machine fault, and filter out faulty signals from sensing fault. To this end, we adopted a fourier transform based diagnostic approach mixed with a weighed moving averaging method, in order to identify faulty signals. We measured how effective our approach is and found out our approach can filter out one-third faulty signals from our experimental environment. In addition, we attached wireless communication modules to reduce sensor and network installation cost. To handle massive sensor data efficiently, we employed unstructured data format with NoSQL based database.

The Diagnostic Role of HRCT in Simple Pneumoconiosis (단순진폐증에 대한 흉부 고해상 전산화 단층촬영의 진단적 의의)

  • Kim, Kyoung-Ah;Kim, Hi-Hong;Chang, Hwang-Sin;Ahn, Hyeong-Sook;Lim, Young;Yun, Im-Goung
    • Journal of Preventive Medicine and Public Health
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    • v.29 no.3 s.54
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    • pp.471-482
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    • 1996
  • Early recognition of coalescence in pneumoconiotic lesions is important because such coalescence is associated with the respiratory symptoms and deterioration of lung function. This complicated form of pneumoconiosis also has worse prognosis than does simple pneumoconiosis. High resolution computerized tomography(HRCT) provides significant additional information on the stage of the pneumoconiosis because it easily detects coalescence of nodules and emphysema that may not be apparent on the simple radiograph. The purpose of this study is to clarify the role of HRCT in detection of large opacity and the relationship of change between the coalescence of nodules or emphysema and lung function in dust exposed workers. 1. There was good correlation between the HRCT grade of pneumoconiosis and ILO category of profusion. 5(9.09%) in 55 study population had confluent nodule extending eve, two o, more cuts on HRCT. HRCT could identify the pneumoconiotic nodules which was not found by simple radiogrphy in 6 workers with category 0/0. 2. No significant difference was observed coalescence of nodules and emphysema by dust type. 3. There was no significant difference in pulmonary function according to ILO and HRCT classification. 4. HRCT could detect the significant reduction in $FEV_1,\;FEV_1/FVC$, PEFR, $FEF_{25},\;FEF_{50},\;and\;FEF_{75}$ and remarkable increase in RV and TLC in study persons with emphysema compared with non-emphysema group. 5. Emphysema was found more often in nodules-coalescence group than small opacity group by HRCT. We found that HRCT could easily detect areas of coalescence and complicated emphysema compared to plain chest X-ray. Also our data suggest that it is primarily the degree of emphysema rather than the degree of pneumoconiosis that determines the level of pulmonary function.

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Development of Yin-Deficiency Questionnaire and Examine the Reliability and Validity (음허증 측정도구의 개발 및 신뢰도 타당도 검정)

  • Lee Sang Jae;Park Jong Bae;Lee Song Shil;Kim Kwang Ho
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.18 no.2
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    • pp.376-380
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    • 2004
  • The purpose of this study is the develop a questionnaire for measuring Yin-Deficiency and examine the reliability and validity for its' value as a barometer for evaluating Yin-Deficiency. Questionnaire was developed according to the symptoms of Yin-Deficiency suggested in the 'Standardization of diagnostic terms and requirements of Korean Medicine', With and as a reference, each symptom has been worked on to be put on the questionnaire. Visual analogue scales(VAS) was used as a barometer for measuring frequency of manifestation of symptoms. A study was performed to measure validity and reliability of the final questionnaire for analysis. reliability of YinDQ was measured by Cronbach's alpha coefficient and test-retest method. This study utilized factor analysis and clinical validity for evaluation of validity. For the purpose of decreasing the amount of data-the number of factors, and at the same time minimize the loss of information factor analysis was performed Component factors were extracted using Principal Component Analysis. This study evaluated the clinical validity for examination of difference between the normal group and the patient group. Evaluation on the's internal consistency showed strong internal consistency with value of 0.8615. reliability from test-rest with three-week interval, followed by comparisons of the correlation coefficient and mean values of each item between the two. The Spearman correlation coefficient was 0.54-0.79. By factor analyse two factors with Eigen value of greater than 2.2 were selected. Factor 1 consists of items of 'irritable fever on the five Hearts', 'flushing of the zygomatic region in the afternoon', 'tidal fever', 'night sweats', and 'dryness on the mouth or the throat'. Factor two consists of items of 'emaciation', 'dizziness', 'insomnia', 'decreased amount of urine with yellowish color', and 'constipation'. The comparison between the patient group and the normal group showed significant differences for every ten questions. The results implies that YinDQ is a barometer with sufficient reliability and validity. The questionnaire for Yin-Deficiency may not be enough to replace the specific differential diagnosis by a doctor of Oriental medicine. Nevertheless, it can be effectively utilized as an assisting method in consultation or a method of measuring the degree of Yin-Deficiency in a group.

A Study of the Quantitative, Qualitative Analysis on Optimizing Diagnostic Imaging Device Selection in Nasopharynx MRI (비 인두 자기공명 검사 시 최적의 진단영상 장치 선택에 관한 정량, 정성적 평가에 관한 연구)

  • Goo, Eun-Hoe
    • Journal of the Korean Society of Radiology
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    • v.13 no.7
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    • pp.1035-1043
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    • 2019
  • The object of is this research is to find out the optimal Tesla by evaluating SNR and CNR, after testing 1.5 T and 3.0 T. The randomly selected patients tested by nasopharynx MRI transmitted in PACS were applied to the research. Two MRI units(1.5 T, 3.0 T) was used for analyzing the data. As a method of analysis, in T1W highlighting and T1 fat removal images, we set up a certain area of interest and evaluated the SNR and CNR on tongue, spinal cord, masseter muscle, fat, parotid gland, and tumor tissue. We evaluated the SNR and CNR by quantitative analysis of six tissue, measuring the quality of images for uniform fat removal, magnetic sensitivity artifact on a four-point scale by qualitative analysis. The statistical significance of this date analysis was based on independent sample verification and was accepted when the P value was less than 0.05. As a result of analysis of both devices, 3.0 T was high in the quantitative evaluation, while 1.5 T was high in the qualitative evaluation. Considering the advantages and disadvantages of each device, and if the device is selected complementarily and applied to patients, it is believed that it will provide the optimal information.

The utilization of antibiotics and the treatment of bacterial diseases in fish (항생제 사용과 세균성 어류질병의 치료)

  • Jeong, Hyun-Do;Chun, Seh-Kyu
    • Journal of fish pathology
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    • v.5 no.1
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    • pp.37-48
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    • 1992
  • Antibiotics are chemical substances produced by various species of microorganisms that suppress the growth of other microorganisms or may destroy them. Among the more than 4000 antibiotics that has been identified, about 20s are using as the therapy of infectious fish diseases. There are several methods used to classify and group antibiotics, and the most common classification has been based on chemical structure and proposed mechanism of action. The effect of antibiotics may be determined by the kind of fish pathogens and by the external environment surrounded the infected fish. It implies that the kind of antibiotics and its application method should be decided after the determination of the reasons of fish disease. The uncontrolled usages of antibiotics may induce the selection of resistant mutants appeared spontaneously and present in any group of bacteria. The epidemic spread of such antibiotic resistant strains of fish pathogenic bacteria already has been reported in various districts of japan. Importantly, transferable drug resistant(R) plasmids were detected in strains of most of fish pathogens. Based on those reports, the antimicrobial resistance appears to be a rapidly emerging problem in the fish industry on the country. The expanding literatures on the pharmacokinetics, clinical trials, withdrawal periods and efficacy of environmental effect for the commonly using antibiotics have met the needs of data for the practical application of antibiotics. However, the most important thing for the treatment of fish diseases would be the communication and exchanging of information between the site of aquaculture and the diagnostic laboratory.

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Pregnancy-Related Cytologic Changes In Cervicovaginal Smears (자궁경부 세포검사에서 임신과 관련된 세포학적 변화)

  • Chun, Yi-Kyeong;Jang, Hoi-Sook;Kim, Hye-Suu;Hong, Sung-Ran;Choi, Jong-Sun;Park, Ji-Young;Cho, Jung-Sook;Seong, Seok-Ju;Yang, Jae-Hyug;Kim, Hy-Sook
    • The Korean Journal of Cytopathology
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    • v.15 no.2
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    • pp.92-100
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    • 2004
  • Due to insufficient clinical information, most cervicovaginal smears from pregnant or postpartum women have been screened without regard to pregnancy-related cytological changes. Here, we have reviewed 116 abnormal cervicovaginal smears from 103 pregnant and postpartum women. Initial cytological diagnoses revealed the following: 9 cases of high-grade squamous intraepithelial lesions (HSIL), 8 cases of low-grade squamous intraepithelial lesions (LSIL), 85 cases of atypical squamous cells of undetermined significance (ASCUS), and 14 cases involving atypical glandular cells of undetermined significance (AGUS). 31 cases upon review, involved pregnancy-related cytological changes, comprising 25 cases of decidua cells, 4 cases of Arias-Stella reaction, and 2 cases of cedidual cells coupled with Arias-Stella reaction. Interpretation errors were detected in 14 cases: 13 cases of decidual cells interpreted as either ASCUS favor reactive or ASCUS ruled out HSIL, and one case of Arias-Stella reaction was interpreted as ASCUS ruled out HSIL. Decidual cells and degenerated glandular cells with Arias-Stella reaction can result in diagnostic mistakes. In order to avoid misdiagnosis and unnecessary surgeries, both clinicians and pathologists must be aware of the pregnancy-related cytological changes. The clinician should also always inform the pathologist on the pregnancy status of the patient.

A Study on the Generation of Ultrasonic Binary Image for Image Segmentation (Image segmentation을 위한 초음파 이진 영상 생성에 관한 연구)

  • Choe, Heung-Ho;Yuk, In-Su
    • Journal of Biomedical Engineering Research
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    • v.19 no.6
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    • pp.571-575
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    • 1998
  • One of the most significant features of diagnostic ultrasonic instruments is to provide real time information of the soft tissues movements. Echocardiogram has been widely used for diagnosis of heart diseases since it is able to show real time images of heart valves and walls. However, the currently used ultrasonic images are deteriorated due to presence of speckle noises and image dropout. Therefore, it is very important to develop a new technique which can enhance ultrasonic images. In this study, a technique which extracts enhanced binary images in echocardiograms was proposed. For this purpose, a digital moving image file was made from analog echocardiogram, then it was stored as 8-bit gray-level for each frame. For an efficient image processing, the region containing the heat septum and tricuspid valve was selected as the region of interest(ROI). Image enhancement filters and morphology filters were used to reduce speckle noises in the images. The proposed procedure in this paper resulted in binary images with enhanced contour compared to those form the conventional threshold technique and original image processing technique which can be further implemented for the quantitative analysis of the left ventricular wall motion in echocardiogram by easy detection of the heart wall contours.

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A Water Quality Modeling Study of Chunggye Stream during Combined Sewer OverFlow Period (합류식 하수관거 월류수 유입 기간 동안에 나타나는 청계천 수질 변화 모델 연구)

  • Yi, Hye-Suk;Park, Seok-Soon
    • Journal of Korean Society of Environmental Engineers
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    • v.27 no.12
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    • pp.1340-1346
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    • 2005
  • A water quality modeling study was performed for Chunggye stream during combined sewer overflow(CSO) period, utilizing the diagnostic system for water management in small watershed, CREEK-1(Cyber River for Environment and Economy in Korea). This system integrated geogaphic information system, data base, landscape ecological model(FRAGSTATS), watershed model(SWMM), water quality model (WASP5), and computer graphic. In this study, the watershed model and water quality model were extensively utilized so as to simulate water qualities and flow in Chunggye stream during wet periods. The Chunggye stream watershed was divided into 18 sub-basins in the watershed model and the stream reach into 11 segments in the water quality model. The watershed model was validated against field measurements of BOD, TN, TP, and flow at the downstream location, where the model results showed a reasonable agreement with the field measurements at all parameters. From this study, it was shown that the stream water quality would change along with elapsed time from rainfall start as well as rainfall intensity. The model results indicated that the water quality would significantly upgrade due to the first flush and high sewage ratio of CSO at the beginning of rainfall event, but become degraded along with the runoff increase due to dilution effect.