• Title/Summary/Keyword: 정기적 진단

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Maternal and Child Factors Associated with Early Detection of Cerebral Palsy (뇌성마비아 조기발견과 관련된 모자인자)

  • Bae, Sung-Soo;Park, Jung-Han
    • Journal of Preventive Medicine and Public Health
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    • v.20 no.2 s.22
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    • pp.312-321
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    • 1987
  • To investigate the maternal and child factors associated with early detection of cerebral palsy, 74 mothers of cerebral palsy children who were born since January 1, 1980 and being treated at Taegu Rehabilitation Center for the Handicapped, Rehabilitiation Center of Taegu University, St. Paul Children's House and Pusan Welfare Association of Cerebral Palsy Children were interviewed from February to April 1987. There is no association between age of child when parents noticed the child's abnormality and educational level of father but it tend to be detected earlier when education level of mother is college or above compared with high school or under. There is a trend of earlier detection of child's abnormality although statistically not significant in case father is professional or managerial worker, monthly income of father is over \610,000, child is first-born, age of the parents is 34 years or under, child is a boy, and child has periodic well-baby check-up. The child's abnormality is detected earlier when mothers had 7 prenatal visits or more compared with those who had 6 visits or less (p<0.05). Parents noticed the child's abnormality first in 85.1% of the cases whereas doctors detected it first in 2.7% and this percentage was not different whether the child had periodic well-baby check-up or not. The first physician's diagnosis of the children was cerebral palsy in 36.5% and the rest was normal, need for observation, uncertain, etc. Parents took the child to doctor for diagnosis 2-3 months after they noticed the child's abnormality and after the child was diagnosed as cerebral palsy parents either took no therapeutic measure or brought the child to physiotherapy or acupuncture or gave herb medicine before they started specific rehabilitative therapy. For early detection of the cerebral palsy children, teaching of evaluation method for child development should be reinforced both in medical school and clinical training course and should train the specialist for diagnosis and treatment of crippling conditions. Also, public education is needed for the importance of early detection of crippling conditions and currently available methods for diagnosis and treatment.

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Arterial blood pressure measurement using pulse transit time (맥파전달시간을 이용한 동맥혈 혈압측정)

  • Hwang, Dae-Seok;Lee, Young-Woo
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2007.10a
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    • pp.265-267
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    • 2007
  • 고혈압을 진단하고 치료함에 있어 정기적인 혈압의 측정 및 관리는 매우 중요하다. 본 논문에서는 요골 동맥혈에서 혈압 측정을 하기 위한 심전도 측정기와 광용적맥파 측정기를 설계하여 구성하였으며, 이를 이용한 맥파 전달 시간 측정을 LA(Left Arm), RA(Right Arm)에서 심전도와 요골동맥에서 광 용적맥파 신호를 측정하였다.

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플라즈마 임피던스를 이용한 RPS내 아노다이징 코팅진단 및 수명예측에 대한 연구

  • Kim, Dae-Uk;An, Yeong-O;Im, Eun-Seok;Lee, Han-Yong;Wi, Sun-Im;Choe, Dae-Gyu;Choe, Sang-Don
    • Proceedings of the Korean Vacuum Society Conference
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    • 2015.08a
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    • pp.141.2-141.2
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    • 2015
  • 교류임피던스 측정기법을 이용하여 전기화학적으로 외부환경에서 소재 금속까지 물질 및 전하이동에 관한 임피던스 측정이 가능하며 도막의 부식 및 노화정도 및 내식성의 평가가 가능하여 산업체에서 널리 이용되고 있다. RPCS(Remote Plasma Cleaning Source)는 패널 및 반도체 제조공정에서 CVD 증착공정 후 챔버 내부에 입혀지는 Si(실리콘)을 화학적으로 세정하기 위한 F(불소) Radical을 공급하는 원격 고밀도 플라즈마를 발생시키는 제품이다. RPCS의 바디는 알루미늄을 사용하고 절연 및 플라즈마에 대한 내구성을 확보하기 위해 아노다이징 코팅을 한다. 반응기 내벽의 표면이 공정 플라즈마에 노출될 때 소재는 화학적으로 매우 활성이 높은 라디칼과의 반응뿐만 아니라 이온의 충격을 동시에 받게 되며 이 과정에서 다량의 불소 (Fluorine) 라디칼과 전계에 반응한 이온의 운동에 노출되면서 아노다이징 코팅이 손상되는데 이는 기기의 수명 단축 및 파티클을 발생시키며, Arc의 원인이 되기도 한다. 실제 사용 환경에서는 기기의 분해 없이 아노다이징의 상태를 주기적으로 모니터링 하기가 대단히 어려워, 정기적으로 교체하고 있는 실정이다. 본 연구에서는 RPCS내 발생된 플라즈마 현상을 컨덕터로 활용하여 고주파 리액턴스를 임피던스로 환산하여 아노다이징 코팅의 손상 정도를 진단 및 모니터링하였다. 아노다이징이 손상된 내부 블럭과 정상상태인 내부 블럭의 임피던스를 비교하였고, 아노다이징 두께별 임피던스를 측정하였다. 그 결과 아노다이징 절연막이 손상된 블록의 임피던스가 정상 블록에 비해 낮았으며 두께별 임피던스도 비례함을 알 수 있었다. 향후에는 장기간 현장에서 축척되어진 시험데이터를 바탕으로 아노다이징 코팅의 수명예측진단 시스템을 구축하고자 한다.

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최신 압입시험기를 이용한 산업설비의 비파괴 안전진단

  • Lee, Yoon-Hee;An, Jung-Hoon;Choi, Yeol;Son, Dong-Il;Jang, Jae-Il;Kwon, Dong-Il
    • Proceedings of the Korean Institute of Industrial Safety Conference
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    • 2000.11a
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    • pp.9-16
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    • 2000
  • 1970년대의 급격한 경제 성장시기에 건설된 구조물들은 30년 이상의 사용으로 인해 노후화가 심각하며 대형 산업재해의 가능성을 가지고 있다. 따라서 노후 설비들의 안전 한 사용을 위해서는 소재 물성의 정기적인 진단을 통한 정확한 수명예측이 필요하다. 그러나 기존의 소재 물성평가를 위한 표준 방법인 일축인장 및 파괴역학 시험의 경우, 변형 및 파괴 거동에 대한 많은 정보를 제공하고 있지만, Bulk 형태의 표준시편이 필요하여 시편을 채취하는 과정에서 설비와 구조물에 노치에 의한 손상이 가해질 수 있어 구조물의 안전성을 오히려 해치는 결과를 초래할 수 있다. 또한 채취 중의 응력완화 및 손상에 의해 표준시편도 본래 현장 구조물과 다른 물성을 가질 수 있다.(중략)

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A Study on the Present Condition and Improvement of Cultural Heritage Management in Seoul - Based on the Results of Regular Surveys (2016~2018) - (서울특별시 지정문화재 관리 현황 진단 및 개선방안 연구 - 정기조사(2016~2018) 결과를 중심으로 -)

  • Cho, Hong-seok;Suh, Hyun-jung;Kim, Ye-rin;Kim, Dong-cheon
    • Korean Journal of Heritage: History & Science
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    • v.52 no.2
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    • pp.80-105
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    • 2019
  • With the increasing complexity and irregularity of disaster types, the need for cultural asset preservation and management from a proactive perspective has increased as a number of cultural properties have been destroyed and damaged by various natural and humanistic factors. In consideration of these circumstances, the Cultural Heritage Administration enacted an Act in December 2005 to enforce the regular commission of surveys for the systematic preservation and management of cultural assets, and through a recent revision of this Act, the investigation cycle has been reduced from five to three years, and the object of regular inspections has been expanded to cover registered cultural properties. According to the ordinance, a periodic survey of city- or province-designated heritage is to be carried out mainly by metropolitan and provincial governments. The Seoul Metropolitan Government prepared a legal basis for commissioning regular surveys under the Seoul Special City Cultural Properties Protection Ordinance 2008 and, in recognition of the importance of preventive management due to the large number of cultural assets located in the city center and the high demand for visits, conducted regular surveys of the entire city-designated cultural assets from 2016 to 2018. Upon the first survey being completed, it was considered necessary to review the policy effectiveness of the system and to conduct a comprehensive review of the results of the regular surveys that had been carried out to enhance the management of cultural assets. Therefore, the present study examined the comprehensive management status of the cultural assets designated by the Seoul Metropolitan Government for three years (2016-2018), assessing the performance and identifying limitations. Additionally, ways to improve it were sought, and a DB establishment plan for the establishment of an integrated management system under the auspices of the Seoul Metropolitan Government was proposed. Specifically, survey forms were administered under the Guidelines for the Operation of Periodic Surveys of National Designated Cultural Assets; however, the types of survey forms were reclassified and further subdivided in consideration of the characteristics of the designated cultural assets, and manuals were developed for consistent and specific information technologies in respect of the scope and manner of the survey. Based on this analysis, it was confirmed that 401 cases (77.0%) out of 521 cases were generally well preserved; however, 102 cases (19.6%) were found to require special measures such as attention, precision diagnosis, and repair. Meanwhile, there were 18 cases (3.4%) of unsurveyed cultural assets. These were inaccessible to the investigation at this time due to reasons such as unknown location or closure to the public. Regarding the specific types of cultural assets, among a total of 171 cultural real estate properties, 63 cases (36.8%) of structural damage were caused by the failure and elimination of members, and 73 cases (42.7%) of surface area damage were the result of biological damage. Almost all plants and geological earth and scenic spots were well preserved. In the case of movable cultural assets, 25 cases (7.1%) among 350 cases were found to have changed location, and structural damage and surface area damage was found according to specific material properties, excluding ceramics. In particular, papers, textiles, and leather goods, with material properties that are vulnerable to damage, were found to have greater damage than those of other materials because they were owned and managed by individuals and temples. Thus, it has been confirmed that more proactive management is needed. Accordingly, an action plan for the comprehensive preservation and management status check shall be developed according to management status and urgency, and the project promotion plan and the focus management target should be selected and managed first. In particular, concerning movable cultural assets, there have been some cases in which new locations have gone unreported after changes in ownership (management); therefore, a new system is required to strengthen the obligation to report changes in ownership (management) or location. Based on the current status diagnosis and improvement measures, it is expected that the foundation of a proactive and efficient cultural asset management system can be realized through the establishment of an effective mid- to long-term database of the integrated management system pursued by the Seoul Metropolitan Government.

The Utilization of Nondestructive Testing and Defects Diagnosis using Infrared Thermography (적외선 열화상을 이용한 비파괴시험 활용 및 결함 진단)

  • Choi, Man-Yong;Kim, Won-Tae
    • Journal of the Korean Society for Nondestructive Testing
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    • v.24 no.5
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    • pp.525-531
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    • 2004
  • In this paper, the concept of infrared thermography(IRT), the principle of measurement of IRT and how to set up the IR camera for the nondestructive testing are described in detail. Also, its utilization and non-destructive testing(NDT) diagnosis are reviewed. By performing the periodic non-touched WDT through the estimation of thermal patterns related with the temperature for the surface targeted, IRT can be applied to the early prevention of the device failure. For the diagnosis utilization, thermal imaging patterns obtained from IRT for heated blocks with internal defects were estimated through the lion-destructive method and discussed the way of IRT estimation from the analysis of characteristics between material defects and thermal imaging patterns.

A Study Examining the Measurement of Construction Working Environment and the Target Analysis of Special Health Check for Site Workers - Based on the Analysis of Harmful Factors at Work Site - (건축공사의 공종별 유해요인 분석에 따른 작업환경측정 및 특수건강 진단 대상 분석에 관한 연구)

  • Son, Seo-Hyeong
    • Journal of the Society of Disaster Information
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    • v.18 no.2
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    • pp.386-394
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    • 2022
  • Purpose: This thesis is to measure construction working environment and to improve health protection of site workers, who are required to take special health check, by analyzing harmful factors that are occurred by each site operation. Method: This thesis explicates the analysis of harmful factors per the operation at construction site, the target of working environment measurement with examined harmful factors, and the variables of special health check. Result: This thesis figures out the target of working environment measurement and the variables of special health check through the analysis of harmful factors per the operation from 12 construction projects. Conclusion: This This thesis is expected to be an instrument for preventing construction site workers from occupational disease, by regular execution of measuring working environment via harmful factors of each operation as well as of special health check.

A Base Study on the Constancy Quality Control Test and Clause of Diagnosis Radiation Equipment (진단용 방사선 발생장치의 수시 정도관리 항목 및 기준에 관한 기초 연구)

  • Heo, Yeji;Kim, Kyotae;Noh, Sicheul;Nam, Sanghee;Park, Jikoon
    • Journal of the Korean Society of Radiology
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    • v.8 no.3
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    • pp.105-110
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    • 2014
  • Diagnostic radiation equipment diagnosis and treatment of disease of recent plays a central role, but this is based on the assumption of an appropriate balance of benefits and risks of diagnostic. If balance is not maintained has the potential to give an adverse effect on the health of the public. In the case of an overseas, the importance of (QA) quality assurance of medical equipment is growing, but evaluation criteria of quality assurance has not been clearly presented in domestic. Therefore, the modernization of medical equipment from the point at which the degree of cycle-by-cycle management system of foreign national to be suitable for diagnostic radiation generator entry and quality control standards by introducing a tailoring is necessary. In this study the most frequently used diagnostic radiation generator X-ray imaging apparatus of the general three-year periodic inspections at any time between the periodic inspection items and quality control methods and standards for the establishment of the United States, Canada and abroad, and international electronic literature search Technical Committee (International Electro-technical Commission, IEC) were compared with the provisions of item. Based on the national quality control items when opening frequent inspection items and standards presented as a basis for setting up study.

Leukoencephalopathy after CNS Prophylactic Therapy in Pediatric Hematologic Malignancy (소아 혈액종양 환자에서 중추신경계 예방적 치료 후 발생한 백질뇌병증)

  • Lee, Jun Hwa;Lee, Sun Min;Choi, Eun Jin;Lee, Kun Soo
    • Clinical and Experimental Pediatrics
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    • v.46 no.6
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    • pp.566-571
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    • 2003
  • Purpose : Leukoencephalopathy(LE) is one of the most serious complications in children with hematologic malignancies during the course of treatment. Early recognition is important to reduce the impact and sequelae from LE. We therefore investigated the clinical features of LE following central nervous system(CNS) prophylaxis in children with hematologic malignancies and evaluated the significance of regular check-ups of brain MRI. Methods : We retrospectively reviewed children with hematologic malignancies who had CNS prophylaxis including intrathecal(IT) methotrexate(MTX) and/or cranial irradiation at the Department of Pediatrics, Kyungpook National University Hospital from Oct. 1995 to May 2002. Fifteen cases of acute leukemia and one case of lymphoma who experienced LE following CNS prophylaxis were included in the study. Clinical data were analyzed from the medical records and brain MRIs were reviewed by neuroradiologists. Results : The ages ranged from 1 to 13 years(median age=5.2 years), and the male to female ratio was 3 : 1. The time interval from the beginning of chemotherapy to the time of diagnosis of LE ranged from 2 to 17 months. They all had IT MTX two to 15 times and ten underwent cranial irradiation(1,800 rads). At the time of diagnosis, ten of them had neuropsychiatric symptoms including seizures, personality changes, headache, etc. After the change of treatment modality, four cases showed significant improvement on follow-up MRIs, six cases had no significant changes and two had worsening of LE. Four patients died of infection and bone marrow relapse. Conclusion : CNS prophylaxis with IT therapy and cranial irradiation may cause leukoencephalopathy during the course of treatment. As a result, regular brain MRI check-up is recommended for the early detection and reducing the incidence of LE, along with changes in the treatment modality.

Clinical features and results of recent total anomalous pulmonary venous connection : Experience in a university hospital (Clinical study of total anomalous pulmonary venous connection) (최근 총폐정맥 환류이상의 임상 경과 및 수술 결과 : 단일 대학병원에서의 경험(총폐정맥 환류이상의 최근 결과))

  • Chu, Mi Ae;Choi, Byung Ho;Choi, Hee Joung;Kim, Yeo Hyang;Kim, Gun Jik;Cho, Joon Yong;Hyeon, Myung Chul;Lee, Sang Bum
    • Clinical and Experimental Pediatrics
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    • v.52 no.2
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    • pp.194-198
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    • 2009
  • Purpose : Active perioperative intervention and improvement on surgical technique has decreased the mortality rate of total anomalous pulmonary venous connection (TAPVC); however, when complicated with pulmonary venous obstruction, operative mortality is still high. The purpose of this study was to investigate the clinical course of TAPVC. Methods : Twenty-seven patients who were diagnosed with TAPVC (without other complex heart anomalies) by echocardiogram at Kyungpook National University Hospital from January 1994 to February 2008 were included. Results : Mean age at diagnosis was $28.1{\pm}33.4$ days (1-126 days). Sites of drainage were supracardiac type (15), cardiac (6), infracardiac (5), and mixed (1). Seven patients had pulmonary venous obstruction: 5 with supracardiac type, 1 with cardiac, and 1 with infracardiac. Intraoperative trans-esophageal echocardiograms were performed in 14 patients (58.3%). The operative mortality was 16.7% (4 of 24) and overall hospital mortality (including deaths without operation) was 22.2% (6 of 27). There were 5 postoperative pulmonary venous obstructions. The sites of obstruction were anastomotic in 3 of 5 (60%) patients, and ostial pulmonary vein in the other 2 (40%) patients. Three patients who presented with anastomotic pulmonary venous obstruction underwent reoperation, but all the patients were found to have pulmonary venous anastomotic obstruction. The other 2 patients with ostial pulmonary vein obstruction who had no significant symptoms were diagnosed by routine echocardiographic examination during follow-up. Conclusion : In TAPVC patients, early diagnosis and aggressive surgical management will improve prognosis, and we must pay attention to early and late pulmonary vein restenosis through intraoperative trans-esophageal echocardiogram and peri- and post-operative echocardiographic follow-up examinations.