• Title/Summary/Keyword: standard of diagnosis

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Diagnostic value of two modes of cone-beam computed tomography in evaluation of simulated external root resorption: an in vitro study

  • Dalili, Zahra;Taramsari, Mehran;Mehr, Seyed Zoheir Mousavi;Salamat, Fatemeh
    • Imaging Science in Dentistry
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    • v.42 no.1
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    • pp.19-24
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    • 2012
  • Purpose : Field of view and voxel resolution of cone beam computed tomography (CBCT) might affect the diagnostic capability. This study was performed to compare between the standard and HiRes zoom modes in the diagnosis of external root resorption (ERR) using CBCT. Materials and Methods : Sixty three small cavities (0.25 mm depth and 0.5 mm diameter) were simulated on the buccal, lingual, and proximal surfaces at three different levels of 16 roots of teeth. After covering the root with nail varnish, the roots were inserted in the sockets and the model was placed in a water-containing lacuna. CBCT scans were taken in both standard and HiRes zoom modes using NewTom VG (QR srl Company, Verona, Italy). Then, an observer assessed the images to determine the presence or absence of the cavities. This process was repeated by increasing the size and depth of cavities to 0.5 mm depth and 1 mm diameter. Data were analyzed by McNemar test. The sensitivity, specificity, positive predictive value, negative predictive value, and likelihood ratio in evaluation of the simulated cavities were calculated. Results : There was a significant difference between the two imaging modes in diagnosing the shallow cavities (p=0.02).The sensitivity of the standard zoom in detecting the shallow cavities was lower than that of the HiRes zoom. The likelihood ratio of the HiRes zoom was higher in the diagnosis of both cavity types. Conclusion : This study suggested that a smaller voxel size in the HiRes zoom mode of CBCT is preferred for diagnosis of ERR.

Development of the Standard Model of a Stated Period Check and Precise Safety Diagnosis in the Research Lab for Prevention to Electrical Accidents (전기사고방지를 위한 연구실험실 정기점검/정밀안전진단 표준모델개발)

  • Lee, Dong-Yoon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.2
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    • pp.858-864
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    • 2011
  • There is no standard model for a Stated Period Check and a Precise Safety Diagnosis to remove electric fire and shock in the university Lab and institute. Especially, the research for the Stated Period Check and the Precise Safety Diagnosis of the Lab related to electrical field is very weak currently, and it is very necessary to build a detail safety plan. This paper informs the specific standard guideline of the safety check list, method and equipment and it shows the way to evaluate safety grade too. This paper also provides the information of R&D process through the analysis of electrical safety check list of ordinary R&D Lab. It shows a new detail guideline to R&D Lab, and the new guideline removes existing problem and deliver the effective standard model to each R&D Lab. The standard model developed in this research adopts the clear guideline of each check list for the electrical environment of current R&D Lab. This standard model can be applied for every R&D Lab to detect routine safety check and detail safety check immediately. This Research will generally improve not only the effective safety check, but also the safety level for R&D Lab to prevent the electrical accidents.

Impact of the spatial orientation of the patient's head, metal artifact reduction, and tube current on cone-beam computed tomography artifact expression adjacent to a dental implant: A laboratory study using a simulated surgical guide

  • Matheus Barros-Costa;Julia Ramos Barros-Candido;Matheus Sampaio-Oliveira;Deborah Queiroz Freitas;Alexander Tadeu Sverzut;Matheus L Oliveira
    • Imaging Science in Dentistry
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    • v.54 no.2
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    • pp.191-199
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    • 2024
  • Purpose: The aim of this study was to evaluate image artifacts in the vicinity of dental implants in cone-beam computed tomography (CBCT) scans obtained with different spatial orientations, tube current levels, and metal artifact reduction algorithm (MAR) conditions. Materials and Methods: One dental implant and 2 tubes filled with a radiopaque solution were placed in the posterior region of a mandible using a surgical guide to ensure parallel alignment. CBCT scans were acquired with the mandible in 2 spatial orientations in relation to the X-ray projection plane (standard and modified) at 3 tube current levels: 5, 8, and 11 mA. CBCT scans were repeated without the implant and were reconstructed with and without MAR. The mean voxel and noise values of each tube were obtained and compared using multi-way analysis of variance and the Tukey test(α=0.05). Results: Mean voxel values were significantly higher and noise values were significantly lower in the modified orientation than in the standard orientation (P<0.05). MAR activation and tube current levels did not show significant differences in most cases of the modified spatial orientation and in the absence of the dental implant (P>0.05). Conclusion: Modifying the spatial orientation of the head increased brightness and reduced spatial orientation noise in adjacent regions of a dental implant, with no influence from the tube current level and MAR.

A Study on Standard for State Assessment of Tunnel Structures (터널 구조물의 상태평가 기준에 관한 연구)

  • Oh, Hyuk-Hee;Shin, Yung-Suk;Lee, Jong-Woo;Park, Nam-Seo;Kim, Young-Geun
    • Journal of Korean Tunnelling and Underground Space Association
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    • v.3 no.4
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    • pp.35-55
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    • 2001
  • Recently, as tunnel structures are getting older and decrepit, many tunnel inspections are carried out for evaluating the tunnel state and safety. But, because there is no exact standard for tunnel state and safety, depending on subjective decision, the new standard to assess the tunnel state is required. The existing standard including mainly the assessment of the state of tunnel lining is not considered the characteristics of tunnel as underground structures. Also, the item of assessment and process of grading and classifying the state of tunnel is not objective and systemetic. In this study, new standard for assessment of tunnel state is presented for improving the problems in evaluating the tunnel state and safety. In the new standard, the new items of assessment including geotechnical condition were selected and graded, the process in classifying the tunnel state is quantitative for objective assessment for tunnel state. This new standard and method is practically used in effective safety inspection and diagnosis and tunnel maintenance.

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Comparison of high-resolution and standard zoom imaging modes in cone beam computed tomography for detection of longitudinal root fracture: An in vitro study

  • Taramsari, Mehran;Kajan, Zahra Dalili;Bashirzadeh, Parinaz;Salamat, Fatemeh
    • Imaging Science in Dentistry
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    • v.43 no.3
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    • pp.171-177
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    • 2013
  • Purpose: The purpose of this study was to compare the efficacy of two imaging modes in a cone beam computed tomography (CBCT) system in detecting root fracture in endodontically-treated teeth with fiber posts or screw posts by selecting two fields of view. Materials and Methods: In this study, 78 endodontically-treated single canal premolars were included. A post space was created in all of them. Then the teeth were randomly set in one of 6 artificial dental arches. In 39 of the 78 teeth set in the 6 dental arches, a root fracture was intentionally created. Next, a fiber post and a screw post were cemented into 26 teeth having equal the root fractures. High resolution (HiRes) and standard zoom images were provided by a CBCT device. Upon considering the reconstructed images, two observers in agreement with each other confirmed the presence or absence of root fracture. A McNemar test was used for comparing the results of the two modes. Results: The frequency of making a correct diagnosis using the HiRes zoom imaging mode was 71.8% and in standard zoom was 59%. The overall sensitivity and specificity in diagnosing root fracture in the HiRes mode were 71.79% and 46.15% and in the standard zoom modes were 58.97% and 33.33%, respectively. Conclusion: There were no significant differences between the diagnostic values of the two imaging modes used in the diagnosis of root fracture or in the presence of root canal restorations. In both modes, the most true-positive results were reported in the post space group.

Inquiry into the Laboratory Diagnostic Tests in Larygopharyngeal Reflux Disease (인후두역류질환의 실험실 검사의 재평가)

  • Kim, Han-Su
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.18 no.2
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    • pp.102-107
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    • 2007
  • Laryngopharyngeal reflux disease (LPRD) is the result of retrograde flow of gastric contents to the laryngopharynx. Laryngoscopic findings and special questionnaires are first step of diagnosis of LPRD. Empiric trials of Proton pump inhibitor' test (PPI test) is recommended as treatment and diagnosis. However confirmation of reflux is then recommended primarily in patients with persistent symptoms despite acid-suppressive therapy. The 24 hour ambulatory double pH monitoring has been a gold standard method in diagnosis of LPRD even though it has some limitation. The combined multichannel intraluminal impedance and pH monitoring is a new-rising test tool. It can detect acid/non-acid, liquid/gaseous reflux and clearance of refluxate. The water siphon test is also used for diagnosis of LPRD.

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A study on Radial pulse diagnosis of the korean medicine (한방 맥 진단에 관한 연구)

  • Lee, H.J.;Kim, J.W.;Huh, W.
    • Proceedings of the KOSOMBE Conference
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    • v.1992 no.05
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    • pp.71-74
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    • 1992
  • This paper describes research about the realization of computerized radial pulse diagnosis system in order to remove the subjectivity of a diagnostician, when diagnostician diagnoses a sickness using tactile percept ion in korean traditional medicine. Using radial pulse wave detection system, we effectively measured pressure radial pulse rave and after analyzing it, we detected the characteristic parameters and also quantified it and then we objectified more or less the judgement standard of radial pulse diagnosis by the aids of a clinical expert. on this base, we confirmed the possibility for realizing of automatic radial pulse diagnosis by radial pulse diagnosis system.

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Clinical Practice Guidelines for Acute Pancreatitis (급성 췌장염 진료 권고안)

  • Koh, Dong Hee
    • The Korean Journal of Gastroenterology
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    • v.72 no.6
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    • pp.281-285
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    • 2018
  • Acute pancreatitis is a common gastrointestinal disease that is associated with significant morbidity and consumes enormous health care resources. As such, it requires up-to-date evidence-based diagnosis and standard treatment guidelines with broad support from the clinician. Korean Pancreatobiliary Association has developed clinical practice guidelines for the diagnosis and treatment of acute pancreatitis to provide a framework for clinicians to manage acute pancreatitis and to improve national health care. The guidelines were divided into four parts: the diagnosis of acute pancreatitis, the assessment of the severity, the initial management, and the treatment of necrotizing pancreatitis and local complications of acute pancreatitis. In this article, we summarize and present the diagnosis and treatment guidelines for acute pancreatitis established in Korea.

A study on The Characteristic of Traditional Pediatric Pulse Diagnosis (소아맥진(小兒脈診)의 특성(特性)에 대한 소고(小考))

  • Baik, You-Sang
    • Journal of Korean Medical classics
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    • v.27 no.1
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    • pp.111-122
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    • 2014
  • Objective : The region, observation period, figuration of pulse, pulse frequency, process of diagnosis and related diagnostic methods in traditional pediatric pulse diagnosis were studied in this article. Method : The articles related to traditional pediatric pulse diagnosis in Traditional medical classics, and analysis to the characteristics of it was done, then lastly, the principle of pulse manifestation and the meaning of application to modern times were considered. Result & Conclusion : It is difficult to catch the figuration of pediatric pulse because of dynamic change of body conditions, fast heartbeat and narrow region of pulse. Therefore, the pulse diagnosis appropriated for children have been developed and combined with the special diagnosis methods, for example, palpation of forehead and observation of index finger. The traditional pediatric pulse diagnosis is done with just one finger palpation in the period of 3 to 5 years old to identify the speed, length, size and height of pulse. The standard average of pulse frequency is 7~8 par breath in the period of 3 to 5 years old according to traditional medical classic.

Meaning of "an auxiliary method of diagnosis" in the judgment of unlicensed medical practice by Korean medical doctors - Supreme Court Decision 2016Du51405 on August 18, 2023 - (한의사의 면허 외 행위 판단 기준에서 "진단의 보조 수단"의 의미 - 대법원 2023. 8. 18. 선고 2016두51405 판결 -)

  • Choi, Hyug Yong
    • The Korean Society of Law and Medicine
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    • v.24 no.3
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    • pp.125-153
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    • 2023
  • The Supreme Court's en banc decision on December 12, 2022 (docket number 2016Do21314) presented a new standard for determining whether the use of diagnostic medical devices by Korean medical doctors constitutes oriental medical doctors constitutes unlicensed medical practice. Based on this standard, it was determined that the use of ultrasound by Korean medical doctors was not an unlicensed medical practice. Supreme Court's Decision 2016Du51405 on August 18, 2023, is the first case in which a new standard was applied to determine that an Korean medical doctor's use of electroencephalography to diagnose Parkinson's disease and dementia was not an unlicensed medical practice. The Supreme Court abolished the previous standard that Western medical knowledge and technology should not be required for Korean medical doctors to use medical devices. However, it was unclear whether Western medical diagnosis of Korean medical doctors using diagnostic medical devices would be viewed as an an auxiliary method of diagnosis. Parkinson's disease and dementia are Western medical diagnoses. The Supreme Court judged that the Western medical diagnosis of Korean medical doctors was not an unlicensed medical practice. This clearly explains what an auxiliary method of diagnosis means. In addition, the Supreme Court excluded the principles of development and production of electroencephalography from its judgment criteria. Automatic extraction and automatic reading of test results were also excluded. The criminal court's view that the meaning of oriental medical practice should be clearly and strictly interpreted from the perspective of an oriental doctor, and it was clarified that diagnostic medical devices were excluded from criminal punishment unless it was clear that they were not related to the principle of oriental medical practice. As a result, the Supreme Court made it clear that the use of diagnostic medical devices is excluded from criminal punishment unless it is clear that they are not related to the principles of Korean medicine.