• Title/Summary/Keyword: diagnostic approach

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Therapeutic Approaches to the Patients Who were Referred for Psychiatric Consultation from Medical Departments - Psychopharmacotherapy in Medically Ill Patients - (정신과에 의뢰된 내과계 환자들에 대한 치료적 접근 - 정신약물치료 -)

  • Na, Chul
    • Korean Journal of Psychosomatic Medicine
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    • 제1권1호
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    • pp.92-97
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    • 1993
  • Successful management of mental symptoms requires proper diagnostic tools and comprehensive treatment including psychotherapy, physical therapy and psychopharmacotherapy. For this purpose. valid and reliable diagnostic instruments need to be developed. and the data regarding various treatment methods in medical and psychiatric comorbid conditions should be available. Because mental symptoms originate from various aspects of biological, psychological and social factors. each aspect may have slightly different therapeutic goal. Alterations in pharmacokinetics and pharmacodynamics of medically ill and/or old patients may complicate the treatment outcomes. Best psychopharmacological treatment needs to be elaborated in various states. Mental symptoms of the medically ill patients may be treated more effectively with an eclectic approach.

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Practical Approach of Rectal Bleeding in Children (진료실에서 유용한 혈변 환자에 대한 접근)

  • Kim, Jae Young
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제11권sup1호
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    • pp.15-22
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    • 2008
  • Rectal bleeding is a common and worrisome problem in pediatric practice. The condition is usually alarming to patient and children. Although most cases are benign and self-limited, sometimes serious pathology also present in this manner. And severe rectal bleeding necessitates prompt diagnostic notice and appropriate treatment. The etiologies of rectal bleeding are somewhat specific to certain age group in children. Accurate history and through physical examination are paramount importance to help differentiate of the diverse etiologies causing rectal bleeding in children. This review describes patterns of rectal bleeding, historical and physical aspect, differentiation of clinical characteristics of rectal bleeding according to etiology, and diagnostic investigations.

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A Case of Nasopharyngeal Angiofibroma (비인강 혈관섬유종 1례)

  • Song, Kei-Won;Yoon, Seok-Keun;Park, Young-Sik
    • Journal of Yeungnam Medical Science
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    • 제1권1호
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    • pp.191-197
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    • 1984
  • Nasopharyngeal angiofibroma is a relatively rare, but is a well known tumor that occurs almost in male, most frequently during the adolescent stage. Its character is histologically benign but clinically malignant because of locally invasive character to the adjascent structures, massive bleeding tendency during surgical procedure and high recurrence rate after treatment. Recently many advancements in diagnostic method and surgical technique has reached satisfactory result in treating this difficult tumor. The authors present a case of nasopharyngeal angiofibroma in 16 years old male patient, who was received surgical removal of the tumor through the transpalatal approach after full diagnostic evaluation and preoperative hormonal therapy.

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Obligatory Control and Coordinated Deletion as Korean Subject Diagnostics: An Experimental Approach

  • Kim, Ji-Hye;Lee, Yong-hun;Kim, Eunah
    • Language and Information
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    • 제19권1호
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    • pp.75-101
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    • 2015
  • This study investigated the distribution of subject properties in Korean. Based on the previous studies on so-called 'subjecthood diagnostics' in Korean Multiple Subject Constructions (MSCs), the current study investigates how different subject properties are distributed in single subject constructions (Non-MSCs) and MSCs. Focusing on two distinct subject properties - obligatory control (OC) of PRO and coordinated deletion (CD) - an empirical syntactic experiment was designed to test how these two subjecthood diagnostics behave in the Non-MSC and MSC environments. Seventy Korean native speakers were tested over magnitude estimation task, composed of 80 Korean sentences representing different subject properties in single or multiple subject constructions. Overall results showed (i) both OC and CD can be used as subjecthood diagnostic tests in the Non-MSC environments, but (ii) that only OC can be used as a subjecthood diagnostic test in the MSC environments.

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Diagnostic Value of Ultrasound-Guided Fine Needle Aspiration Biopsy in Malignant Thyroid Nodules: Utility for Micronodules

  • Unal, Betul;Sezer, Cem
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권20호
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    • pp.8613-8616
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    • 2014
  • Background: The diagnostic approach to thyroid nodules involves ultrasound-guided fine needle aspiration biopsy (US-FNAB). We especially aimed to evaluate the contribution and the place of US-FNAB in preoperative evaluation of the malignant cases and draw attention to discordant cases diagnosed with papillary thyroid microcarcinoma (PTMC). Materials and Methods: A total of 276 cases were retrospectively reviewed who were subsequently diagnosed with a malignancy and who underwent US-FNAB. Results: Some 45 were found to have previously undergone the US-FNAB procedure. Of the patients in whom the surgical specimen was diagnosed with a malignancy, 21 (46.7%) were diagnosed as malignant or suspicious for malignancy, and 24 (53.3%) were concluded as benign or insufficient for diagnosis. Patients with the diagnosis of PTMC outnumbering the others was a striking finding (11 cases, 24%). Conclusions: We suggest performing repeat aspiration biopsy considering sampling errors in cases where inconsistency exists between clinical findings and cytological results in thyroid nodules smaller than 10 mm in diameter and with suspicious findings on ultrasonography.

Ras Oncogene Mutations in Urine Sediments of Patients with Bladder Cancer

  • Buyru, Nur;Tigli, Hatice;Ozcan, Faruk;Dalay, Nejat
    • BMB Reports
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    • 제36권4호
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    • pp.399-402
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    • 2003
  • Early detection of bladder cancer is particularly important since it dramatically affects the survival rates. However, neither urinary cytology nor tumor markers that are currently used are sensitive enough for the early detection of bladder cancer or recurrent disease. The ras genes are frequently mutated in cancer. In this study, we investigated the diagnostic potential of ras mutation analysis in urinary sediments of patients with bladder cancer using a single-strand conformation polymorphism analysis and polymerase chain reaction. Mutation in codon 12 of the H-ras gene was observed in 39% of the patients. Our results indicate that this approach may significantly improve diagnostic sensitivity in detecting bladder tumors.

Study on a Self Diagnostic Monitoring System for an Air-Operated Valve: Development of a Fault Library

  • Chai Jangbom;Kim Yunchul;Kim Wooshik;Cho Hangduke
    • Nuclear Engineering and Technology
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    • 제36권3호
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    • pp.210-218
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    • 2004
  • In the interest of nuclear power plant safety, a self-diagnostic monitoring system (SDMS) is needed to monitor defects in safety-related components. An air-operated valve (AOV) is one of the components to be monitored since the failure of its operation could potentially have catastrophic consequences. In this paper, a model of the AOV is developed with the parameters that affect the operational characteristics. The model is useful for both understanding the operation and correlating parameters and defects. Various defects are introduced in the experiments to construct a fault library, which will be used in a pattern recognition approach. Finally, the validity of the fault library is examined.

Study on the Self Diagnostic Monitoring System for an Air-Operated Valve : Algorithm for Diagnosing Defects

  • Kim Wooshik;Chai Jangbom;Choi Hyunwoo
    • Nuclear Engineering and Technology
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    • 제36권3호
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    • pp.219-228
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    • 2004
  • [1] and [2] present an approach to diagnosing possible defects in the mechanical systems of a nuclear power plant. In this paper, by using a fault library as a database and training data, we develop a diagnostic algorithm 1) to decide whether an Air Operated Valve system is sound or not and 2) to identify the defect from which an Air-Operated Valve system suffers, if any. This algorithm is composed of three stages: a neural net stage, a non-neural net stage, and an integration stage. The neural net stage is a simple perceptron, a pattern-recognition module, using a neural net. The non-neural net stage is a simple pattern-matching algorithm, which translates the degree of matching into a corresponding number. The integration stage collects each output and makes a decision. We present a simulation result and confirm that the developed algorithm works accurately, if the input matches one in the database.

Diagnostic approach for genetic causes of intellectual disability

  • Yim, Shin-Young
    • Journal of Genetic Medicine
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    • 제12권1호
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    • pp.6-11
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    • 2015
  • Intellectual disability (ID) is the most common disability among people under the age of 20 years. In the absence of obvious non-genetic causes of ID, the majority of cases of severe ID are thought to have a genetic cause. The advent of technologies such as array comparative genomic hybridization, single nucleotide polymorphism genotyping arrays, and massively parallel sequencing has shown that de novo copy number variations and single nucleotide variations affecting coding regions are major causes of severe ID. This article reviews the genetic causes of ID along with diagnostic approaches for this disability.

Pattern Classification of Partial Discharge Data

  • Kim Sung-Ho;Bae Geum-Dong
    • International Journal of Fuzzy Logic and Intelligent Systems
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    • 제5권4호
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    • pp.347-352
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    • 2005
  • PD(Partial discharges) are small electrical sparks that occur within the electric insulation of cables, transformers and windings on motors. PD analysis is a proactive diagnostic approach that uses PD measurements to evaluate the integrity of this equipment. Recently, several diagnostic algorithms for classifying the type of PD and locating the defect position have been developed. In this work, a new PD recognition system is proposed, which utilizes approximate coefficients of wavelet transform as a feature vector, furthermore, introduces bank of Elman networks to recognize the various PD phenomena. In order to verify the performance of the proposed scheme, it is applied to the simulated PD data.