• Title/Summary/Keyword: Diagnostic Possibility

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Shanghanlun Diagnostic System : Exploring Value as Narrative Medicine by Analyzing Cases (사례분석을 통한 『상한론(傷寒論)』 변병진단체계(辨病診斷體系)의 서사의학적 가치의 탐색)

  • Kim, Jin-A;Lee, Sung-Jun
    • 대한상한금궤의학회지
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    • v.6 no.1
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    • pp.1-25
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    • 2014
  • Objective : The purpose of this study is exploring value of Shanghanlun six diagnostic system as Narrative Medicine by analyzing cases. Methods : In the article, we examined the theory of narrative medicine and current studies. And then key elements of narrative medicine was defined. On the basis of these, two medical cases were analyzed by reordering in accordance with time sequences and causality for confirming narrative factors. Results : The narrative approach to analyzing cases shows us that different diseases could be the result of same pathological patterns based on Shanghanlun. This tells us following four aspects. [1] Shanghanlun is the causes-oriented records and the text includes narrative factors. [2] Shanghanlun six diagnostic system is a process of constructing plot of medical case history through the clinical interpretation of contextual meaning of patient's life. [3] In the process of diagnosis, Schemata and script are engaged in assuming and confirming six patterns diseases. [4] The subjective factors of an individual can be applied universally through the provision of Shanghanlun. Conclusions : Narrative factors of Shanghanlun six diagnostic system suggest the possibility and value of Shanghan Medicine as Narrative Medicine in terms of Medical Humanities, essence of medical diagnosis and therapeutic action.

Remote Measurement for ECU Self Diagnostic Signal by RF Module (RF 모듈을 이용한 ECU 자기진단 신호의 원격 계측)

  • 정진호;이영춘;윤여흥;권대규;이우열;이성철
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2001.04a
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    • pp.231-234
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    • 2001
  • OBD-II regulations are already effective in many countries. The California Air Resources Board(CARB) first issued regulations in 1985 for the 1988 model year, known as OBD-I, and required the vehicle's engine management computer to warn the driver by means of a dash-mounted light if a malfunction occurred in either the oxygen sensor, the exhaust gas recirculation(EGR) valve or the evaporative emission system purge solenoid, and to store information on troubles that have no recurrent characteristics. This paper presents two methods of wireless monitoring OBD signal, which is one of the ECU output for self diagnostic measurement. RF module is used to monitor ECU's Self diagnostic signal remotely. Two kinds of measurement systems which are based on micro-controller(80C196KC) for portable detection and PC for sever are considered for receiving the RF signal. Therefore, possibility of real-time monitoring of ECU's self diagnostic signal remotely is verified on this paper.

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Design of a composite diagnostic DC test apparatus for high voltage power cable (고압전력케이블 현장진단시험용 종합 직류시험설비의 검토)

  • Ryoo, Hee-Suk;Kang, Dong-Sik;Sim, Jong-Tae;Lee, Ho-Jin
    • Proceedings of the KIEE Conference
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    • 1999.07e
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    • pp.2326-2328
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    • 1999
  • Developments of effective and economic diagnostic apparatus for industrial plastic insulated high voltage power cables are in discontented condition still. Some report told that DC high voltage was damaged plastic insulation of a partially aged power cable to lead breakdown easily. But now, we have no alternative tools of DC diagnostic apparatus, and we try to reduce a possibility of hazard DC diagnosis. DC diagnostic apparatus still have many advantages to field cable engineer like low price, portability easy applications and sufficient data. Main hazard of DC diagnosis is excessive hight of applied voltage Recent developments for DC diagnosis use considerably low voltage. But new test methods need special measuring device and manipulator, like high input impedance voltmeter, low leakage current high voltage switches, etc. So that reason, new DC diagnostic devices are normally very expensive and have low efficiency, economically. We try to design a composite test device for 3$\sim$4 newly developed method, have economical benefit th industrial engineer.

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THE STUDY ABOUT THE DIAGNOSTIC PARAMETERS OF OPSTEOPOROSIS ON PANORAMIC RADIOGRAPH (골다공증의 파노라마방사선사진상 진단학적 매개변수에 관한 연구)

  • Lee, Yong Gyoo
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.20 no.4
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    • pp.279-283
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    • 1998
  • The osteoporosis is a disease that represents a reduction in the volume of bony tissue relative to whole bone volume. And mandible also may be affected. Such porotic mandible may influence the result of the surgery like dental implant surgery relating mandible. So, the author examed the panoramic view of 89 persons for finding the possibility of useful diagnostic parameters of osteoporosis. To know the correlationship between the condition of vertebra and mandible, bone marrow density of lumbar spine from 2nd to 4th, and the number of residual tooth, panoramic mandibular index (PMI), angular cortical bone thickness (ACT) and ramus cortical bone thickness (RCT) were compared. The result is that PMI and ACT have similar relative weak linear correlationship, RCT have very weak linear correlationship, the number of residual tooth have not linear correlationship.

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Diagnostic Test of XLPE Ultra High Voltage Electric Power Cable (XLPE 특고압 전력케이블의 절연 진단)

  • Byun, Doo-Gyoon;Hong, Jin-Woong
    • Proceedings of the Korean Institute of Electrical and Electronic Material Engineers Conference
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    • 2002.05c
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    • pp.122-126
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    • 2002
  • A diagnostic test of 15.4kV cross-linked polyethylene(XLPE) ultra high voltage power cables from generator in the Soyanggang hydro electric power plant was conducted over 3 months, beginning April 2001. According to the results, in the case of the power cables from generator 1, there was little possibility of proceeding rapid1y to failure or defect because the data from diagnosis doesn't indicate any failure, deterioration or partial discharge. However, in the case of the power cables from generator 2, the. polarization index show a slight abnormal condition of the insulator that is not severe, and the deterioration was also identified as not severe. However, the partial discharge had an abnormal condition which was severe.

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Robust Damage Diagnostic Method Using Short Time Fourier Transform and Beating (단시간 푸리에 변환과 맥놀이를 이용한 강건한 결함 진단법)

  • Lee, Ho-Cheol
    • Transactions of the Korean Society for Noise and Vibration Engineering
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    • v.15 no.9 s.102
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    • pp.1108-1117
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    • 2005
  • A robust damage detection method using short-time Fourier transform and beating phenomena is presented as an estimating tool of the healthiness of large structures. The present technique makes use of beating phenomena that manifest themselves when two signals of similar frequencies are added or subtracted. Unlike most existing methods based on vibration signals, the present approach does not require an analytic model for target structures. Furthermore, the main advantage of the proposed method compared to the competing diagnostic method using vibration data is its robustness. The proposed method is not affected by the amplitude of exciting signals and the location of exciting points. From a measuring view point. the location of sensing point have no influence on the performance of the present method. With a view to verifying the effectiveness of this method. a series of experiments are made and the results show its possibility as a robust damage diagnostic method.

The Role of Core Needle Biopsy for the Evaluation of Thyroid Nodules with Suspicious Ultrasound Features

  • Sae Rom Chung;Jung Hwan Baek;Young Jun Choi;Tae-Yon Sung;Dong Eun Song;Tae Yong Kim;Jeong Hyun Lee
    • Korean Journal of Radiology
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    • v.20 no.1
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    • pp.158-165
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    • 2019
  • Objective: Recent studies demonstrated that core needle biopsy (CNB) can effectively reduce the possibility of inconclusive results and prevent unnecessary diagnostic surgery. However, the effectiveness of CNB in patients with suspicious thyroid nodules has not been fully evaluated. This prospective study aimed to determine the potential of CNB to assess thyroid nodules with suspicious ultrasound (US) features. Materials and Methods: Patients undergoing CNB for thyroid nodules with suspicious features on US were enrolled between May and August 2016. Diagnostic performance and the incidence of non-diagnostic results, inconclusive results, conclusive results, malignancy, unnecessary surgery, and complications were analyzed. Subgroup analysis according to nodule size was performed. The risk factors associated with inconclusive results were evaluated using multivariate logistic regression analysis. Results: A total of 93 patients (102 thyroid nodules) were evaluated. All samples obtained from CNB were adequate for diagnosis. Inconclusive results were seen in 12.7% of cases. The diagnostic accuracy, sensitivity, specificity, positive predictive value, and negative predictive value for diagnosis of malignancy were 93.8%, 100%, 100%, 78.9%, and 95%, respectively. None of the patients underwent unnecessary surgery. The diagnostic performance was not significantly different according to nodule size. On multivariate logistic regression analysis, larger nodule size and shorter needle length were independent risk factors associated with inconclusive results. Conclusion: Samples obtained by CNB were sufficient for diagnosis in all cases and resulted in high diagnostic values and conclusive results in the evaluation of suspicious thyroid nodules. These findings indicated that CNB is a promising diagnostic tool for suspicious thyroid nodules.

Basal cell carcinoma misdiagnosed as trichoepithelioma

  • Wee, Sung Jae;Park, Myong Chul;Chung, Chan Min
    • Archives of Craniofacial Surgery
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    • v.21 no.3
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    • pp.202-205
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    • 2020
  • Trichoepithelioma is a benign hair follicle tumor that can undergo malignant transformation into basal cell carcinoma in rare cases. Due to the similar clinical and histological features of trichoepithelioma and basal cell carcinoma, distinguishing between these types of tumors can be a diagnostic challenge. Punch biopsy obtains only a small sample of the entire lesion, and thus inherently involves a risk of misdiagnosis between histologically similar diseases. Therefore, if the possibility of misdiagnosis can reasonably be suspected, clinicians should conduct an excisional biopsy or immunohistochemical staining (e.g., CD10 and Bcl-2) to ensure an exact diagnosis. Although trichoepithelioma is benign, the surgical excision of solitary trichoepithelioma should be considered in order to avoid the possibility of malignant transformation, which has occasionally been documented for multiple familial trichoepitheliomas. Herein, we report a case that was initially misdiagnosed as trichoepithelioma before ultimately being diagnosed as basal cell carcinoma through excision and immunohistochemical staining.

A Case Report of Contact Dermatitis treated by Mahwang-tang based on Shanghanlun Provisions (『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 마황탕(麻黃湯) 투여 후 호전된 접촉성피부염 1례)

  • Yun, Hyo-Joong;Ha, Hyun-yee;Rho, Yeong-Beom
    • 대한상한금궤의학회지
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    • v.8 no.1
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    • pp.53-65
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    • 2016
  • Objective : The purpose of this paper is to report the improved contact dermatitis(CD) treated with the herbal medication based on Shanghanlun disease pattern identification diagnostic system. The level V steroid ointments were no use to the patient 3weeks before the treatment. Methods : In this case, the patient was diagnosed according to 'Disease Pattern Identification Diagnostic System based on Shanghanlun Provisions' and took Mahwang-tang for 36days since the final diagnosis was Taeyang-byung, number 46 provision. The photographs of patient's hands were taken to observe the process of the skin status and the discomfort from CD was measured with DLQI(Dermatologic Life Quality Index) and NRS(Numeric Rating Scale). Results : The DLQI score changed from 24 to 7 and NRS of itching changed form 8 to under 4. Conclusions : This case report shows that the herbal medication through the diagnostic system could be a remedy on CD, dealing with the skin status with no use of the level V steroid ointments. It is needed proving an alternative possibility of Korean Medicine, on other skin diseases, with later studies since there are many reports on the side-effects after some long-term steroid treatments.

Possibility of non-invasive diagnostic method for Kudoa septempunctata using a hyperspectral camera

  • Eung Jun Lee;Lyu Jin Jun;Young Juhn Lee;Yeong Eun Oh;Sung Hyun Kim;Heung-soe Kim;Ye Ji Kim;Joon Bum Jeong
    • Journal of fish pathology
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    • v.37 no.1
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    • pp.89-96
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    • 2024
  • Kudoa septempunctata, a myxozoan parasite, usually presents without any signs and primarily infects adult fish. The invasive diagnostic methods, such as tissue biopsy, can identify pathogens, but cause economic losses because they require killing the fish. In this study, we conducted a monitoring of four fish farms located on Jeju Island, to investigate the potential for non-invasive diagnosis of K. septempunctata using hyperspectral cameras. It provides spectral information from R000_B000_G000 to R255_B255_G255 for a total of 3,282 olive flounder (Paralichthys olivaceus). Each object is imaged with 2,000 data points, allowing comprehensive spectral analysis by comparing images obtained from negative control objects to positive control objects. Noticeable differences were observed in the brightness or pallor of the positive control images. This suggests the potential utility of hyperspectral imaging as a non-invasive diagnostic tool for detecting K. septempunctata infections in fish populations.