• Title/Summary/Keyword: Systematic diagnosis

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Development and Validation of Questionnaire for Chronic Fatigue Syndrome (CFS) Diagnosis Based on Systemic Exertion Intolerance Disease (SEID) Criteria (전신성 활동불능증(Systemic Exertion Intolerance Disease) 진단 기준을 바탕으로 한 만성 피로 증후군(Chronic Fatigue Syndrome) 진단 설문지 개발 및 신뢰도 평가)

  • Lim, Eun-jin;Son, Chang-gue;Jang, Eun-su
    • The Journal of Internal Korean Medicine
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    • v.41 no.3
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    • pp.293-305
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    • 2020
  • Purpose: This study aimed to develop a questionnaire for the diagnosis of chronic fatigue syndrome (CFS) designed based on the systematic exertion intolerance disorder (SEID) criteria, and to validate the reliability of the questionnaire. Methods: A literature search on questionnaires for CFS diagnosis was conducted to develop a SEID questionnaire (SEID-Q27), followed by a pilot survey to identify the reliability of the questionnaire. Adults (Daejeon university personnel) with a Chalder fatigue scale (CFQ) score ≥15 were invited for the survey. We commenced the survey in November 2019 with a two weeks of interval for the test and retest method. The reliability of the questionnaire was investigated in three angles: 1. Cronbach's α, 2. correlations (r) of the questions, numerical rating scale (NRS), and visual analog scale (VAS), and 3. kappa (k) analysis. Results: Among the total 275 adults registered, 55 (20%) participants with a CFQ score ≥15 were invited, and 31 (11%) [15 male, 16 female] completed the questionnaire. The total Cronbach's α was 0.944 for the test and 0.949 for the retest. The reliability (r) of questions by CFQ score (≥15, ≥18, ≥20) ranged from 0.533-0.928 (p <0.05), and the r score of the NRS and VAS were the highest in CFQ scores ≥20, at 0.933 (p<0.001). The agreement rate of the SEID-Q27 between the test and retest was 87% (kappa k=0.743). Conclusions: The SEID-Q27 seems to be reliable. Further studies are needed to measure the validity of the tool and the cutoff point.

Treatment for Urinary Tract Infection of Children in Korea (우리나라 어린이 요로 감염의 치료 행태)

  • Kang, Hee-Gyung;Kim, Kwang-Myung;Cheong, Hae-Il;Choi, Hwang;Choi, Yong
    • Childhood Kidney Diseases
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    • v.5 no.1
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    • pp.15-21
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    • 2001
  • Purpose : Urinary tract infections (UTIs) of children require prompt and correct diagnosis and treatment to reduce the risk of renal damage. As a first step to improve the outcome of UTI in Korea, we investigated the practical variations in the methods of diagnosis, treatment, and evaluation of children with UTI and UTI prevention. Method :A questionnaire related to the individual policy on UTI diagnosis. treatment, imaging test, and prevention was submitted to 26 experts. Result Majority of the experts used bag-collected urine specimen for infants and mid-stream urine specimen for children for urinary culture. With a negative result of culture study, they diagnosed UTI when there was pyuria, positive results of the nitrite test, or bacteriuria. 80 $\%$ of experts prescribed prophylactic antibiotics after upper tract UTI. Operative treatment of vesicoureteral reflux (VUR) was indicated for children older than one or two years old with high-grade VUR, refractory breakthrough infections, or recurrent UTIs. Most of them performed kidney ultrasonography on the diagnosis of UTI and more than half of them evaluated children treated of UTI with vesicocystourethrogram and/or DMSA scintigraphy. Majority did not recommend circumcision. Half of the experts were screening siblings of VUR patients. Conclusion : Considering the variations exposed through this study systematic guidelines for management of children with UTI in Korean would be necessary. (J. Korean Soc Pediatr Nephrol 5 : 15-21, 2001)

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A Basic Study for Development of Clinical Practice Guidelines of Korean Medicine in Autism Spectrum Disorder -Based on Pre-existing Clinical Practice Guidelines of Autism Specturm Disorder- (자폐스펙트럼장애의 치료에 대한 한의 임상 가이드라인 개발을 위한 기초연구 -기존에 개발된 자폐스펙트럼장애 가이드라인을 중심으로-)

  • Kim, Sang Min;Lee, Jin Yong;Lee, Sun Haeng;Chang, Gyu Tae
    • The Journal of Pediatrics of Korean Medicine
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    • v.31 no.1
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    • pp.52-62
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    • 2017
  • Objectives The purpose of this study is to review pre-existing clinical practice guidelines for autism spectrum disorders, and refer those in developing a new practice guideline. Methods A total of 9 existing clinical practice guidelines for autism spectrum disorder developed from 2010 to 2016 were searched by Google scholar and Pubmed, and were reviewed those literatures in three parts: general, diagnosis & evaluation, and intervention. Results There were no consistency in the recommendation methods of 9 clinical care guidelines (such as the method of rating and recommendation intensity for diagnosis, evaluation, and treatment). However, in the diagnosis and evaluation section, frequently used evaluation and diagnostic tools are mentioned in most clinical practice guidelines, and the types of pharmacologic and non-pharmacological treatments that are mainly recommended in treatment are equally mentioned in most clinical practice guidelines could confirm. Conclusions 1. Some guideline recommendations are graded according to each criterion. Recommendations presented in various databases were based on systematic reviews or other literatures. The most utilized database were PsycINFO, CINAHL, Cochrane. 2. DSM-5 and ICD-10 were the most common used diagnostic criteria, and DSM-IV was used as a diagnostic standard in the guideline published before 2013. The tools used for diagnosis and evaluation were also varied. However, most recommended ones were ADI-R, ADOS-G, and DISCO. 3. Treatment was largely divided into pharmacological intervention and non-pharmacological intervention. In some guideline, the interventions were divided into pediatric and adult. Most of the pharmacological interventions were not recommended due to lack of evidence, but in cases in which specific symptoms were aimed, they recommended to seek professional help. 4. In addition to interventions, each guideline referred to supportive interventions that may be helpful in the daily life of patients with ASD, which may need to be addressed in future clinical guidelines.

Two New Records of Ennominae Species (Lepidoptera: Geometridae) from Korea

  • Choi, Sei-Woong;An, Jeong-Seop;Kim, Sung-Soo
    • Animal Systematics, Evolution and Diversity
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    • v.29 no.1
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    • pp.92-95
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    • 2013
  • Two ennomine species, Amblychia angeronaria Guen$\acute{e}$e and Peratostega deletaria (Moore), are reported for the first time from Korea. Amblychia angeronaria was collected from Isl. Gageo-do, in the south west of Korea. The species is distinguished by the large wingspan, the ochreous forewing with a row of large white dots on the postmedian and a grayish apical dot, and the grayish or dark ochreous hindwing with undulating postmedial line and dark grayish subterminal line. Peratostega deleraia was collected from Isl. Jeju-do, and can be distinguished by the dark brown forewing with a blackish dentate postmedian and a light brown apical dot, and the dark brown hindwing with the light brown subtermen and angulate termen. Diagnosis and description of the species are given along with figures of the male and female genitalia.

A New Report of Odontosia sieversii (Lepidoptera: Notodontidae) from Korea

  • Choi, Sei-Woong;Kim, Sung-Soo
    • Animal Systematics, Evolution and Diversity
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    • v.29 no.4
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    • pp.316-319
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    • 2013
  • In Korea, 104 species of Notodontidae have been recorded. The genus Odontosia H$\ddot{u}$bner is characterized by the elongate and serrate margin of its forewing and the prominent harpe of valva and many spinular cornuti on the vesica of the male genitalia and the robust ductus bursae and large, ovate and sclerotized corpus bursae of the female genitalia. Only one species of Odontosia, O. patricia Stichel, 1918, has been reported from Korea. In this paper, Odontosia sieversii ($M\acute{e}n\acute{e}tri\grave{e}s$, 1856) is newly added to the Korean fauna based on three male specimens collected at Mt. Bangtaesan, Gangwon-do, Korea. Diagnosis for the species and photographs of adult and genitalia of the genus Odontosia are provided.

A New Record of Roeselia triangulalis (Lepidoptera: Nolidae) from Korea

  • Choi, Sei-Woong
    • Animal Systematics, Evolution and Diversity
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    • v.27 no.3
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    • pp.274-276
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    • 2011
  • A nolid species, Roeselia triangulalis (Leech) is reported for the first time from Korea. Two males were collected from Jeju Island, South Korea. Roeselia triangulalis can be distinguished by the bipectinate male antennae, broad frons, long labial palpi, costally dark brownish spot and the rounded dark brownish postmedial line of forewing. In the male genitalia, the long saccus, the slender valve with distally expanded and spine-like harpe and long spinular cornutus of vesica are distinguishing characters. In the female genitalia, the simple sterigma, the long ductus bursae and the large ovate corpus bursae with a lip-shaped signum are distinguishing characters. Diagnosis and description of the species are given with the figures of the male genitalia.

Nanocrystals and Their Biomedical Applications

  • Jun, Young-wook;Jang, Jung-tak;Cheon, Jin-woo
    • Bulletin of the Korean Chemical Society
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    • v.27 no.7
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    • pp.961-971
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    • 2006
  • Shape controlled synthesis of inorganic nanocrystals is one of the important issues in materials chemistry due to their novel shape dependent properties. Although various shapes of nanocrystals have been developed, a systematic account on the shape control of these nanocrystals still remains an important subject in materials chemistry. In this article, we will overview the recent developments in the geometrical shape evolution of semiconductor and metal oxide nanocrystals obtained by nonhydrolytic synthetic methods. Many structurally unprecedented motifs have appeared as zero-dimesional (D) polyhedrons, one-D rods and wires, two-D plates and prisms, and other advanced shapes such as branched rods, stars, and inorganic dendrites. Important parameters which determine the geometrical shapes of nanocrystals are also illustrated. In addition, as a possible application of such nanocrystals for biomedical sciences, we further describe their utilizations for cancer diagnosis through nanocrystal-assisted magnetic resonance imaging (MRI).

How to approach feeding difficulties in young children

  • Yang, Hye Ran
    • Clinical and Experimental Pediatrics
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    • v.60 no.12
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    • pp.379-384
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    • 2017
  • Feeding is an interaction between a child and caregiver, and feeding difficulty is an umbrella term encompassing all feeding problems, regardless of etiology, severity, or consequences, while feeding disorder refers to an inability or refusal to eat sufficient quantities or variety of food to maintain adequate nutritional status, leading to substantial consequences, including malnutrition, impaired growth, and possible neurocognitive dysfunction. There are 6 representative feeding disorder subtypes in young children: infantile anorexia, sensory food aversion, reciprocity, posttraumatic type, state regulation, and feeding disorders associated with concurrent medical conditions. Most feeding difficulties are nonorganic and without any underlying medical condition, but organic causes should also be excluded from the beginning, through thorough history taking and physical examination, based on red-flag symptoms and signs. Age-appropriate feeding principles may support effective treatment of feeding difficulties in practice, and systematic approaches for feeding difficulties in young children, based on each subtype, may be beneficial.

A New Record of Species of the Microplitis (Hymenoptera: Braconidae: Microgastrinae) in Korea

  • Choi, Subin;Kim, Hyojoong
    • Animal Systematics, Evolution and Diversity
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    • v.34 no.3
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    • pp.159-161
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    • 2018
  • The genus Microplitis (Braconidae: Microgastrinae) is reported for the first time from Korea. The Microplitis has often quite small hypopygium, very short ovipositor and rugose propodeum with large aleola. The genus contains 190 described species, among them 19 speceis were recorded in Korea. Microplitis varicolor was established by Viereck in 1917. The species is found as new to Korea in this study. Microplitis varicolor is endoparasitoid, especially attacking species of Noctuidae (Insecta: Lepidoptera) including pests of leguminous crop. In this study, diagnosis, photographs and host lists are included.

Study on the Discrimination of Constitution Using Pulse Wave (맥상파를 이용한 체질 판별방법에 관한 연구)

  • Shin, Sang-Hoon;Kim, Jong-Yeol
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.22 no.6
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    • pp.1403-1409
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    • 2008
  • The purpose of this study is to develop the systematic process on the discrimination of Sasang constitution with the pulse diagnosis apparatus. The pulse waves were acquired at the right and the left Guan point with 1420 people who were apparently healthy. In order to minimize the effect of aging on the shape of pulse wave, the age groups of 30s, 40s, and 50s were used. Taeum group was the best to classify, Soyang group was the worst. With the same group size, the sensitivity of Soyang group was increased. Input variables were selected with the consideration of the floating-sink ratio, tests of equality of group means, multiple comparison, multicollinearity, and structure matrix. To increase the sensitivity of Soyang, the variables which could tell the difference between Soyang and Soeum were selected.