• Title/Summary/Keyword: Rapid Diagnosis

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Usefulness about Computerized Nursing Process(Nursing Diagnosis and Nursing Intervention Linkage) System (전산화된 간호과정시스템(진단-중재연계시스템)에 대한 유용성 조사연구)

  • Park, Sung-Ae;Park, Jung-Ho;Jung, Myun-Suk;Joo, Mee-Kyoung;Lee, Hiye-Ja
    • Journal of Korean Academy of Nursing Administration
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    • v.9 no.2
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    • pp.183-191
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    • 2003
  • Purpose : to survey about satisfaction of nurses of NANDA nursing diagnosis and NIC nursing interventions and system's usefulness of information system forusing 10 medical diagnosis. Method : nurses learned about this system and used this system for 4 or 8 weeks. After that survey about satisfaction and usefulness of this system. Result : The good points of the nursing diagnosis systems are a rapid selection, accuracy, convenience of the using system. The good points of the nursing intervention system are same as the nursing diagnosis system. About the good points of the general system are easiness, improvement of nursing knowledge, convenience, etc. However, further studies for pilot operations of the system are mandatory. Conclusion : We expect this system can be used in many hospitals efficiently in the future after pilot operations are completed in some hospitals. After verifying the usefulness of the system through pilot operations, the further analysis on the relationship between medical diagnosis and NANDA nursing diagnosis is also necessary for the generalization.

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Alarm Diagnosis of RCP Monitoring System using Self Dynamic Neural Networks (자기 동적 신경망을 이용한 RCP 감시 시스템의 경보진단)

  • Yu, Dong-Wan;Kim, Dong-Hun;Seong, Seung-Hwan;Gu, In-Su;Park, Seong-Uk;Seo, Bo-Hyeok
    • The Transactions of the Korean Institute of Electrical Engineers D
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    • v.49 no.9
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    • pp.512-519
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    • 2000
  • A Neural networks has been used for a expert system and fault diagnosis system. It is possible to nonlinear function mapping and parallel processing. Therefore It has been developing for a Diagnosis system of nuclear plower plant. In general Neural Networks is a static mapping but Dynamic Neural Network(DNN) is dynamic mapping.쪼두 a fault occur in system a state of system is changed with transient state. Because of a previous state signal is considered as a information DNN is better suited for diagnosis systems than static neural network. But a DNN has many weights so a real time implementation of diagnosis system is in need of a rapid network architecture. This paper presents a algorithm for RCP monitoring Alarm diagnosis system using Self Dynamic Neural Network(SDNN). SDNN has considerably fewer weights than a general DNN. Since there is no interlink among the hidden layer. The effectiveness of Alarm diagnosis system using the proposed algorithm is demonstrated by applying to RCP monitoring in Nuclear power plant.

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Enzyme-Linked Immunosorbent Assay(ELISA) for the Rapid Detection of the Flacherie Virus Disease (효소항체법에 의한 누에 바이러스성 무름병의 진단)

  • Gang, Seok-U;Kim, Gwon-Yeong;Gang, Seok-Gwon
    • Journal of Sericultural and Entomological Science
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    • v.34 no.1
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    • pp.35-40
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    • 1992
  • An enzyme-linked immunosorbent assay (ELISA) was studied for the rapid diagnosis of the flacherie virus (FV) of the silkworm, Bombyx mori. The optimised concentration of rabbit anti-FV IgG and enzyme conjugate for the this technique were 15$\mu\textrm{g}$/$m\ell$ and 1:100 dilution, respectively. In ELISA, the detectable concentation of purified FV was 15ng/$m\ell$, and the flacherie viral antigens in the larval extracts were detected as early as 24 hours after the experimental infection. The results indicated that ELISA technique proved to be applicable for the rapid diagnosis of flacherie virus disease.

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Application of Near Infrared Reflectance Spectroscopy as a Rapid Leaf Analysis Method to Evaluate Nutritional Diagnosis in Apple (Malus Domestica Borkh, Fuji) and grape(Vitis Labrusca, Campbell Early) (영양진단을 위한 신속한 엽분석 방법으로서 근적외분광분석기의 이용)

  • Seo, Young-Jin;Park, Man;Kim, Chang-Bae;Kim, Jong-Su;Yoon, Jae-Tak;Cho, Rae-Kwang
    • Korean Journal of Soil Science and Fertilizer
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    • v.33 no.4
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    • pp.242-246
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    • 2000
  • The Near Infrared Reflectance Spectroscopy(NIR) was used to evaluate nutritional diagnosis for rapid leaf analysis method, 177 'Fuji' apple and 130 'Campbell Early' grape leaves were measured by Near Infrared reflectance spectra in the NIR region(1,100~2.500nm). Total nitrogen content was measured by kjelldhal distillation, after salycilic acid-sulfuric acid digestion. An empirical equation to predict total nitrogen content from its spectral signature was developed by adapting the Near Infrared Reflectance Spectroscopy analysis(NIRa) technique and the results were apple-0.965(R). 0.086(SEC), grape-0.926(R), 0.152(SEC). Standard Error of Prediction(SEP) of NIRa for predicting the total nitrogen of apple and grape leaves was 0.360 and 0.210, respectively. It was concluded that Near infrared reflectance spectroscopy analysis is promising method for rapid analysis of apple and grape leaves.

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Clinical Utility of CT-Based Bronchial Aspirate TB-PCR for the Rapid Diagnosis of Pleural Tuberculosis

  • Lee, Jaehee;Lee, So Yeon;Choi, Keum Ju;Lim, Jae Kwang;Yoo, Seung Soo;Lee, Shin Yup;Cha, Seung Ick;Park, Jae Yong;Kim, Chang Ho
    • Tuberculosis and Respiratory Diseases
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    • v.75 no.4
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    • pp.150-156
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    • 2013
  • Background: Thoracoscopic pleural biopsy is often required for rapid and confirmative diagnosis in patients with suspected pleural tuberculosis (PL-TB). However, this method is more invasive and costly than its alternatives. Therefore, we evaluated the clinical utility of the chest computed tomography (CT)-based bronchial aspirate (BA) TB-polymerase chain reaction (PCR) test in such patients. Methods: Bronchoscopic evaluation was performed in 54 patients with presumptive PL-TB through diagnostic thoracentesis but without a positive result of sputum acid-fast bacilli (AFB) smear, pleural fluid AFB smear, or pleural fluid TB-PCR test. Diagnostic yields of BA were evaluated according to the characteristics of parenchymal lesions on chest CT. Results: Chest radiograph and CT revealed parenchymal lesions in 25 (46%) and 40 (74%) of 54 patients, respectively. In cases with an absence of parenchymal lesions on chest CT, the bronchoscopic approach had no diagnostic benefit. BA TB-PCR test was positive in 21 out of 22 (95%) patients with early-positive results. Among BA results from 20 (37%) patients with patchy consolidative CT findings, eight (40%) were AFB smear-positive, 18 (90%) were TB-PCR-positive, and 19 (95%) were culture-positive. Conclusion: The BA TB-PCR test seems to be a satisfactory diagnostic modality in patients with suspected PL-TB and patchy consolidative CT findings. For rapid and confirmative diagnosis in these patients, the bronchoscopic approach with TB-PCR may be preferable to the thoracoscopy.

Evaluation of Rapid Diagnostics for Plasmodium falciparum and P. vivax in Mae Sot Malaria Endemic Area, Thailand

  • Chaijaroenkul, Wanna;Wongchai, Thanee;Ruangweerayut, Ronnatrai;Na-Bangchang, Kesara
    • Parasites, Hosts and Diseases
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    • v.49 no.1
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    • pp.33-38
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    • 2011
  • Prompt and accurate diagnosis of malaria is the key to prevent disease morbidity and mortality. This study was carried out to evaluate diagnostic performance of 3 commercial rapid detection tests (RDTs), i.e., Malaria Antigen Pf/Pan$^{TM}$, Malaria Ag-Pf$^{TM}$, and Malaria Ag-Pv$^{TM}$ tests, in comparison with the microscopic and PCR methods. A total of 460 blood samples microscopically positive for Plasmodium falciparum (211 samples), P. vivax (218), mixed with P. falciparum and P. vivax (30), or P. ovale (1), and 124 samples of healthy subjects or patients with other fever-related infections, were collected. The sensitivities of Malaria Ag-Pf$^{TM}$ and Malaria Antigen Pf/Pan$^{TM}$ compared with the microscopic method for P. falciparum or P. vivax detection were 97.6% and 99.0%, or 98.6% and 99.0%, respectively. The specificities of Malaria Ag-Pf$^{TM}$, Malaria Ag-Pv$^{TM}$, and Malaria Antigen Pf/Pan$^{TM}$ were 93.3%,98.8%, and 94.4%, respectively. The sensitivities of Malaria Ag-Pf$^{TM}$, Malaria Antigen Pf/Pan$^{TM}$, and microscopic method, when PCR was used as a reference method for P. falciparum or P. vivax detection were 91.8%, 100%, and 96.7%, or 91.9%,92.6%, and 97.3%, respectively. The specificities of Malaria Ag-Pf$^{TM}$, Malaria Ag-Pv$^{TM}$, Malaria Antigen Pf/Pan$^{TM}$, and microscopic method were 66.2%, 92.7%, 73.9%, and 78.2%, respectively. Results indicated that the diagnostic performances of all the commercial RDTs are satisfactory for application to malaria diagnosis.

Rapid progression from trochlear nerve palsy to orbital apex syndrome as an initial presentation of advanced gastric cancer

  • Kong, Eunjung;Koh, Sung Ae;Kim, Won Jae
    • Journal of Yeungnam Medical Science
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    • v.36 no.2
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    • pp.159-162
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    • 2019
  • The most cases with orbital metastases have been reported in patients with a prior established diagnosis of cancer and widespread systemic involvement. However, ocular symptoms can be developed as an initial presentation of cancer in patients without cancer history. We report a case of rapid progression from trochlear nerve palsy to orbital apex syndrome as an initial presentation of advanced gastric cancer.

Thoracic Actinomycosis Causing Spinal Cord Compression

  • Kim, In-Soo
    • Journal of Korean Neurosurgical Society
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    • v.40 no.4
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    • pp.289-292
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    • 2006
  • Thoracic spinal actinomycosis causing epidural abscess and significant spinal cord compression is very rare. A case is presented of a 56-year-old woman with rapid progressive upper back pain and weakness in both legs without evidence of systemic infection. Magnetic resonance imaging revealed a thoracic epidural enhancing lesion at the T1-T5 level. After decompression by laminectomy, precise diagnosis was accomplished using specific histopathological studies of the surgical specimens. A histopathologic findings showing typical Actinomyces sulfur granules surrounded by acute inflammatory cells. The clinical radiological findings of spinal actinomycosis closely resemble metastatic tumors and other infectious processes. Delay in diagnosis and treatment can significantly worsen the condition of patient.

Clinical Course of Suspected Diagnosis of Pulmonary Tumor Thrombotic Microangiopathy: A 10-Year Experience of Rapid Progressive Right Ventricular Failure Syndrome in Advanced Cancer Patients

  • Minjung Bak;Minyeong Kim;Boram Lee;Eun Kyoung Kim;Taek Kyu Park;Jeong Hoon Yang;Duk-Kyung Kim;Sung-A Chang
    • Korean Circulation Journal
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    • v.53 no.3
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    • pp.170-184
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    • 2023
  • Background and Objectives: Several cases involving severe right ventricular (RV) failure in advanced cancer patients have been found to be pulmonary tumor thrombotic microangiopathies (PTTMs). This study aimed to discover the nature of rapid RV failure syndrome with a suspected diagnosis of PTTM for better diagnosis, treatment, and prognosis prediction in clinical practice. Methods: From 2011 to 2021, all patients with clinically suspected PTTM were derived from the one tertiary cancer hospital with more than 2000 in-hospital bed. Results: A total of 28 cases of clinically suspected PTTM with one biopsy confirmed case were included. The most common cancer types were breast (9/28, 32%) and the most common tissue type was adenocarcinoma (22/26, 85%). The time interval from dyspnea New York Heart Association (NYHA) Grade 2, 3, 4 to death, thrombocytopenia to death, desaturation to death, admission to death, RV failure to death, cardiogenic shock to death were 33.5 days, 14.5 days, 7.4 days, 6.4 days, 6.1 days, 6.0 days, 3.8 days and 1.2 days, respectively. The NYHA Grade 4 to death time was 7 days longer in those who received chemotherapy (7.1 days vs. 13.8 days, p value=0.030). However, anticoagulation, vasopressors or intensive care could not change clinical course. Conclusions: Rapid RV failure syndrome with a suspected diagnosis of PTTM showed a rapid progressive course from symptom onset to death. Although chemotherapy was effective, increased life survival was negligible, and treatments other than chemotherapy did not help to improve the patient's prognosis.

Study on the Practical 3D Facial Diagnosis using Kinect Sensors (키넥트 센서를 이용한 실용적인 3차원 안면 진단기 연구)

  • Jang, Jun-Su;Do, Jun-Hyeong;Kim, Jang-Woong;Nam, Jiho
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.29 no.3
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    • pp.218-222
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    • 2015
  • Facial diagnosis based on quantitative facial features has been studied in many Korean medicine fields, especially in Sasang constitutional medicine. By the rapid growing of 3D measuring technology, generic and cheap 3D sensors, such as Microsoft Kinect, is popular in many research fields. In this study, the possibility of using Kinect in facial diagnosis is examined. We introduce the development of facial feature extraction system and verify its accuracy and repeatability of measurement. Furthermore, we compare Sasang constitution diagnosis results between DSLR-based system and the developed Kinect-based system. A Sasang constitution diagnosis algorithm applied in the experiment was previously developed by a huge database containing 2D facial images acquired by DSLR cameras. Interrater reliability analysis result shows almost perfect agreement (Kappa = 0.818) between the two systems. This means that Kinect can be utilized to the diagnosis algorithm, even though it was originally derived from 2D facial image data. We conclude that Kinect can be successfully applicable to practical facial diagnosis.