• Title/Summary/Keyword: Diagnostic block

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Design of a Privacy-based Confirmed Case Contact Notification System in the With-Corona Era (With-Corona 시대에 프라이버시 보호 기반의 확진자 접촉 여부 알림 시스템 설계)

  • Mun, Hyung-Jin
    • Journal of Convergence for Information Technology
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    • v.11 no.10
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    • pp.138-143
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    • 2021
  • As of this moment, we are tracing people who are closed contact with Covid-19 patients and trying to block the spread of Covid-19 through diagnostic tests. However, the incubation period of the confirmed case is two weeks, and it takes a lot of human resources, time, and money to trace the routes of the confirmed case. In particular, as the number of confirmed cases have been increasing, the cost for finding closed contacts and blocking them in advance exponentially have almost reached the limitation of the budget. In finding closed contacts, all citizens must record an electronic access list every time they visit an amenities such as a store or a restaurant. This is likely the invasion of the privacy of personal location information. In this study, we designed a system that keeps one's location in real time, it will download the movement information of the confirmed case which is collected by KDCA, and it will notify the user when there is an overlap. Moreover, then guide for diagnostic test in advance will be used. The proposed method can solve the difficulty of recording in an electronic access list when visiting a store, and it can block infringement of privacy without providing personal information from KDCA.

Non-surgical treatment and retention of open bite in adult patients with orthodontic mini-implants (성인 환자에서 구치부 압하를 통한 개방교합의 치료와 유지)

  • Moon, Cheol-Hyun;Lee, Joo-Sin;Lee, Hyun-Sun;Choi, Jin-Hugh
    • The korean journal of orthodontics
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    • v.39 no.6
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    • pp.402-419
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    • 2009
  • Successful treatment of the non-growing patient with an open bite of either dental skeletal pattern often presents a difficult challenge. The morphologic pattern in anterior open bite is characterized by longer vertical dimensions, an increase in development of the maxillary posterior dento-alveolar structure and a steep mandibular plane. In such cases, molar intrusion would be a good remedy for treatment. This article reports the successful treatment and retention of two anterior open-bite cases. We used orthodontic mini-implants for treatment and a circumferential retainer with posterior bite block or skeletal fixed retainer for retention. The diagnostic criteria and mechanics for appropriate treatment are discussed. Our results suggest that open bite can be reduced successfully with intrusion of molars using orthodontic mini-implants (OMI) without orthognathic surgery, and that circumferential retainer with posterior bite block and skeletal fixed retainer are effective for retention.

Bacterial Meningitis during Continuous Epidural Block (지속적 경막외 차단중 발생한 세균성 뇌막염)

  • Lee, Jung-Koo;Chung, Jung-Gil
    • The Korean Journal of Pain
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    • v.7 no.1
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    • pp.113-115
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    • 1994
  • Bacterial meningitis is a rare complication of epidural block. As epidural abscess, subarachnoid infection associated with epidural catheters are related to the treatment of pain in diabetic patient whose immune responses have been impaired. A 51-year-old male with non-insulin dependent diabetes came to the pain clinic with neuropathic gain on right thigh and amputated stump of right leg. Treatment consisted of continuous epidural block and subcutaneous tunnelling and epidural morphine with bupivacaine was given on an outpatient basis. Two months later, the patient noted a diffuse frontal headache, projectile vomiting and stiffness neck. These symptoms became more aggrevated over the following 24 h and temperature went up to $38.4^{\circ}C$. A diagnostic lumbar puncture revealed CSF total protein of 747 mg/dl, glucose of 43 mg/dl, and $4320\;WBC/mm^3$. Cultures of epidural catheter tip grew hemolytic staphylococcus epidermidis. A chest x-ray and brain CT scan were negative. Antibiotic therapy with penicillin G and chloramphenicol was given for 15 days. Recovery was uneventful.

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Considerations for Fluoroscopic Guided Intervention in Lumbar Spine (방사선 투시장치를 이용한 요추 중재술 시 고려점)

  • Kim, Dong-Hyun;Song, Kwang-Sup
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.3
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    • pp.210-221
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    • 2020
  • Spinal block procedures are useful methods that reduce the need for surgical treatment. In addition to their therapeutic aspects of pain relief, in many patients, they are also used for diagnostic purposes to distinguish from symptoms originating from extra-spinal areas. Therefore, these procedures are the most basic technique for orthopedic surgeons dealing with diseases from limbs and spine. On the other hand, despite the simplicity of the instruments and drugs used, the overall understanding of them and the lack of knowledge of the possible side effects and complications can cause serious harm to the patient at the beginning of the trial. Therefore, it is necessary to understand the types of drugs used in the spinal block procedures, pharmacokinetic properties, and the side effects of each drug. In addition, efforts should be made to identify their indications, as well as advantages and disadvantages of each procedure to avoid possible complications. The purpose of this review was to provide basic knowledge and skills necessary for lumbar spinal block procedures as well as provide the reader with the ability to perform themselves.

Value of Bone Scintigraphy and Single Photon Emission Computed Tomography (SPECT) in Lumbar Facet Disease and Prediction of Short-term Outcome of Ultrasound Guided Medial Branch Block with Bone SPECT

  • Koh, Won-Uk;Kim, Sung-Hoon;Hwang, Bo-Young;Choi, Woo-Jong;Song, Jun-Gul;Suh, Jeong-Hun;Leem, Jeong-Gill;Shin, Jin-Woo
    • The Korean Journal of Pain
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    • v.24 no.2
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    • pp.81-86
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    • 2011
  • Background: Facet joint disease plays a major role in axial low-back pain. Few diagnostic tests and imaging methods for identifying this condition exist. Single photon emission computed tomography (SPECT) is reported that it has a high sensitivity and specificity in diagnosing facet disease. We prospectively evaluated the use of bone scintigraphy with SPECT for the identification of patients with low back pain who would benefit from medial branch block. Methods: SPECT was performed on 33 patients clinically suspected of facet joint disease. After SPECT, an ultrasound guided medial branch block was performed on all patients. On 28 SPECT-positive patients, medial branch block was performed based on the SPECT findings. On 5 negative patients, medial branch block was performed based on clinical findings. For one month, we evaluated the patients using the visual analogue scale (VAS) and Oswestry disability index. SigmaStat and paired t-tests were used to analyze patient data and compare results. Results: Of the 33 patients, the ones who showed more than 50% reduction in VAS score were assigned 'responders'. SPECT positive patients showed a better response to medial branch blocks than negative patients, but no changes in the Oswestry disability index were seen. Conclusions: SPECT is a sensitive tool for the identification of facet joint disease and predicting the response to medial branch block.

Electron Microscopic Study on Fine Needle Aspiration Cytology of Metastatic Malignant Melanoma (세침흡인 검체의 전자현미경 검색으로 진단된 전이성 악성 흑색종 1예)

  • Lee, Dong-Wha;Jin, So-Young;Kwon, Kye-Hyun
    • The Korean Journal of Cytopathology
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    • v.3 no.2
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    • pp.82-89
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    • 1992
  • Electron microscopy (EM) can provide a valuable contribution to light microscopy (LM) In the Interpretation of fine needle aspiration cytology (FNAC) specimen, especially in the diagnosis of the tumor. However, considerable care in processing the specimen is mandatory to recover the cells and avoid altering the fine structures. We experienced a case of malignant melanoma in 33-yrs-old female, diagnosed by EM study of FNAC specimen from the axillary mass, who was initially thought as disseminated carcinomatosis on LM study. The technique of EM study on FNAC specimen consisted of washing the needle and syringe in 2.5% glutaraldehyde after a rapid stain (Diff-Quik), which was used to obtain a preliminary diagnostic impression and to assure the adequacy of the EM specimen. After centrifugation in the steps of fixation and dehydration, the sediment was made into an epon block and examined. The whole processing time of EM study can be shortened within 7 or 8 hours, and results can be available within 48 to 72 hours. Our experience suggests the EM study on FNAC can be a useful diagnostic method in the diagnosis of difficult FNAC cases.

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Measurement of Depth Dose Distribution Using Plastic Scintillator

  • Hashimoto, Masatoshi;Kodama, Kiyoyuki;Hanada, Takashi;Ide, Tatsuya;Tsukahara, Tomoko;Maruyama, Koichi
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 2002.09a
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    • pp.244-247
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    • 2002
  • We examined a possibility to use inorganic plastic scintillator, which has the effective atomic number close to that of human soft tissue, for the measurement of dose distributions in a shorter time period. The method was to irradiate a block of plastic scintillator as a phantom, and to measure the distribution of the scintillation light by a wave length analyzer through a thread of plastic optical fiber. By irradiating the diagnostic x-ray, we observed the emission spectrum of the scintillation light from the scintillator. It showed a peak at around 420nm with a full width of 140 nm. The emission spectrum was integrated to determine the total number of photons. The dependences of the amount of photons on the irradiated dose were measured. The results of the experiment show that the amount of emission light is in proportional to the irradiated dose. From this fact, we conclude that the present method can be used for the measurement of the depth dose distribution of the diagnostic x-rays.

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Cytologic Features of Endodermal Sinus Tumor of Ovary in the Ascitic Fluid - Report of a Case - (난소에서 발생한 내배엽동 종양의 복수의 세포학적 소견 - 1례 보고 -)

  • Jeong, Eun-Sun;Kim, Young-Shin;Kang, Chang-Suk;Shim, Sang-In
    • The Korean Journal of Cytopathology
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    • v.6 no.2
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    • pp.204-208
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    • 1995
  • The cytologic findings of endodermal sinus tumor of the ovary are reported. The cytologic preperations were obtained from ascitic specimens. The findings on Papanicolaou-stained smears included a clean background and poorly preserved atypical cells loosely arranged in irregular or papillary groups. At high magnification, the cells had ill-defined and microvacuolated cytoplasms, with an increased nuclear-cytoplasmic ratio and prominent nucleoli. Hyaline globules characteristic of the alpha-fetoprotein (AFP)-synthesizing cells of endodermal sinus tumor were observed within the cells with periodic-acid-Schiff(PAS) stain. The presence of PAS-positive hyaline globules can be regarded, therefore, as a diagnostic clue to endodermal sinus tumor in an appropriate clinical setting and in the presence of AFP production. The cytologic findings in a cell block is important, in addition to smears, to obtain more diagnostic clues. A preliminary cytomorphologic diagnosis of this highly malignant tumor is valuable as a guide in planning further immunocytochemical and serologic studies.

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Does CO2 and Its Possible Determinants are Playing Their Role in the Environmental Degradation in Turkey. Environment Kuznets Curve Does Exist in Turkey.

  • RAHMAN, Zia Ur
    • Journal of Wellbeing Management and Applied Psychology
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    • v.2 no.2
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    • pp.19-37
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    • 2019
  • Over the last few decades, the atmospheric carbon dioxide emission has been amplified to a great extent in Turkey. This amplification may cause global warming, climate change and environmental degradation in Turkey. Consequently, ecological condition and human life may suffer in the near future from these indicated threats. Therefore, an attempt was made to test the relationship among a number of expected factors and carbon dioxide emissions in the case of Turkey. The study covers the time series data over the period of 1970-2017. We employed the modern econometric techniques such as Johansen co-integration, ARDL bound testing approach and the block exogeneity. The results of the Johansen co-integration test show that there is a significant long-run relationship between carbon dioxide emissions and expected factors. The long-run elasticities of the ARDL model show that a 1% increase in the GDP per capita, electric consumption, fiscal development and trade openness will increase carbon dioxide emissions by 0.14, 0.52, 0.09 and 0.20% respectively. Further, our findings reveal that the environmental Kuznets curve (EKC) hypothesis and inverted U-shaped relationship between carbon dioxide emission and economic growth prevails. Therefore, the EKC hypothesis is valid and prevailing in the Turkish economy. The diagnostic test results show that the parameters of the ARDL model are credible, sTable and reliable in the current form. Finally, Block exogeneity analysis displays that all the expected factors are contributing significantly to carbon dioxide emissions in the Turkish economy.

Reliability software design techniques of the Train Control and Monitoring System(TCMS) for the Standard type K-EMU (한국형 표준전동차 종합제어장치(TCMS)의 신뢰성 소프트웨어 개발 기술)

  • 한성호;안태기;이수길;이관섭;최규형
    • Journal of the Korean Society for Railway
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    • v.3 no.3
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    • pp.147-153
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    • 2000
  • The train control and monitoring system (TCMS) is an on board computer system in railway vehicles performing the control, supervisory and diagnostic functions of the complete train system. This system replaces a lot of hard-wired relays and minimizes the necessary vehicle wiring thus increasing the reliability of the train. It is also one of more important equipment on vehicle to implement much higher safety and reliability train system. We studied a software design technique of TCMS using a CASE tool that is a kind of safety critical software engineering tool (SCADE). This tool has mainly four functions such as the graphical editor, the document maker, tile automatically code generator, and the test simulator. The several functions of TCMS are implemented in this software easily programmed using a functional block diagram and a graphic programming language. We applied to automatically generated TCMS modules on the SCADE each functional block for the Standard type EMU in Korea. We performed the combination test using TCMS simulator and the running test in Seoul subway 7 Line. We proved that this technique is more useful for the software design of TCMS in urban transit

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