• Title/Summary/Keyword: 진단 지연

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Application of nonlinear modelling scheme based on TDNN to Performance Test Equipment (TDNN 기반 비선형 모델링 기법의 성능 측정 장치에의 적용)

  • 배금동;이영삼;김성호
    • Proceedings of the Korean Institute of Intelligent Systems Conference
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    • 2004.10a
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    • pp.477-480
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    • 2004
  • 최근 생산 현장에 최종 제품의 성능 보장을 위해 사용될 소재의 특성을 검사하는 장비가 도입.운영되고 있다. 이들 장치 중 Rheotruder는 폴리머 소재의 품질 평가기준이 되는 점도를 측정하기 위해 제작되었으며 이는 지연시간 및 비선형적 특성을 갖게 되어 시스템의 분석이 용이하지 않다는 문제점을 갖는다. 본 연구에서는 비선형 특성을 갖는 측정 장치의 성능 평가를 용이하게 하기 위해 동적 시스템 모델링이 가능한 TDNN(Time Delay Neural Network)을 도입하여 실제 Rheotruder에 적용하여 봄으로써 그 유용성을 확인하고자 한다.

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Delayed Diagnosis of a Traumatic Diaphragmatic Injury (지연 진단된 외상성 횡격막 손상 1예)

  • Park, Seon-Wook;Kim, Cheol-Hong;Kim, Ji-Youn;Lee, Seung-Hwa;Kim, Young-Wook;Hyun, In-Gyu;Shin, Ho-Seung
    • Tuberculosis and Respiratory Diseases
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    • v.66 no.3
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    • pp.241-245
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    • 2009
  • Traumatic diaphragmatic rupture is uncommon, but requires a prompt diagnosis and repair. Diaphragmatic injury is most commonly associated with automobile accidents. The diagnosis is difficult and may be delayed because there are no specific symptoms, signs, or radiographic studies that are pathognomic for diaphragmatic injury. The most important factor in the diagnosis is a high suspicion and the use of proper diagnostic studies. We report a case involving the delayed presentation of diaphragmatic rupture in a 54 year old man, requiring surgical repair 12 days following multiple blunt trauma. It should be noted that early recognition for diaphragmatic injury is important in patients with multiple trauma to avoid the potential fatal complications.

Family Planning and Health Programes in China (중공의 가족계획 및 보건사업)

  • Hu, Ching-Li
    • Korea journal of population studies
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    • v.8 no.1
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    • pp.139-170
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    • 1985
  • 사망원인통계연보는 사망발생 당년에 신고된 사망 자료만 수록하고 있는데, 본 연구에서는 사망원인통계연보에 수록된 사망(당년신고, 또는 비지연신고)은 물론 수록되지 아니한 사망(지연신고)의 사인구조를 파악하고자 한다. 부차적으로, 사인구조를 평가하기 위해서 지연신고의 다양한 특성을 검토하고 있다. 1983년부터 1993년까지 신고된 모든 사망신고를 기초로, 지연신고와 당년신고라는 신고행태에 따라 사인별 사망구성비, 사망률, 사망률성비를 구하였다. 지연신고율이 지속적으로 감소하고 있지만, 지연신고율은 다른 집단보다 여성, 젊은층, 의사진단사망자, 병원사망자에게서 더 높다. 당년신고 사망자의 성별 사인구조와 비교해 볼 때, 지연신고 사망자의 주요 사인구조는 성별에 따라 달라지는데, 남성에게는 감염성질환, 순환기계질환, 호흡기계질환의 비중이 더 커지고, 여성에게는 감염성질환, 호흡기계질환 및 소화기계질환의 비중이 더 커진다. 1983~1993년 동안 신고된 모든 사망에 대한 주요 발견은 다음과 같다. 첫째, 순환기계질환, 악성 종양, 손상 및 중독이 남녀 모두에게 주요 3대 사인이다. 둘째, 만성 간질환, 각종 사고, 폐암, 자살은 남성에게 치명적인 사인으로서 남녀의 성별 사망력 차이를 넓혀주는 원인이다. 세째, 손상 및 중독, 특히 교통사고는 45세 이하의 젊은 층에게 중요한 사인이 되는데 반해, 순환기계질환, 악성 종양, 소화기계질환은 고령층에게 중요한 사인이 된다.

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Differences of Obstetric Complications and Clinical Characteristics between Autism Spectrum Disorder and Intellectual Disability (자폐스펙트럼장애와 지적 장애의 산과적 합병증 및 임상적 특성의 차이)

  • Lee, Seul Bee;Kim, Ji Yong;Chung, Hee Jung;Kim, Seong Woo;Im, Woo Young;Song, Jung-Eun
    • Korean Journal of Psychosomatic Medicine
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    • v.24 no.2
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    • pp.165-173
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    • 2016
  • Objectives : Since the awareness of autism spectrum disorders(ASD) is growing, as a result, it is increasing numbers of infants and toddlers being referred to specialized clinics for a differential diagnosis and the importance of early autism spectrum disorders detection is emphasized. This study is to know the difference between ASD and intellectual disability(ID) from comparison of the demographics, clinical characters and obstetric complications. Methods : The participants are 816 toddlers who visited the developmental delay clinic(DDC) in National Health Insurance Ilsan hospital. The number of toddlers diagnosed as ASD and ID was 324 and 492. 75 toddlers out of 114 who returned to DDC were diagnosed as ID at the first visit but 7 of them had changed diagnosis to ASD at the second visit. After compared ASD with ID from the first visit, we analyzed characters of toddlers who had the changed diagnosis to ASD at the second visit. Results : As a result, the comparison between ASD and ID at the first visit shows that the boys have higher ratio, lower obstetric complication and lower language assessment score in ASD. The toddlers who had the changed diagnosis at the second visit were all boys and they had more cases of family history of developmental delay and had lower score of receptive language developmental quotient. Conclusions : These findings suggest that sex, language characteristics and obstetric complication could be useful in the early detection of ASD.

개와 고양이의 당뇨병 진단과 치료

  • 김두
    • Journal of the korean veterinary medical association
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    • v.30 no.2
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    • pp.96-108
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    • 1994
  • 대부분의 당뇨병이 있는 개와 고양이는 쉽게 진단할 수 있고 초기에 적절한 식이관리와 중간형 또는 지속형 인슐린을 하루에 1회 또는 2회 투여함으로써 적절히 관리할 수 있다. 당뇨병의 장기간 관리는 체중, 물섭취량과 연속적인 혈당치의 감시에 의하여 적절히 수행할 수 있다. 연속적인 혈당치 측정은 인슐린 치료와 관련된 잠재적인 문제점(저혈당증, 인슐린 유발성 과혈당증, 인슐린 내성)을 확인하거나 피할 수 있는 가능성을 높여 주며, 혈당을 적절한 수준으로 유지시켜 만성 당뇨병의 합병증 발생율을 줄이거나 지연시킬 수 있게 해준다.

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Clinical Significance of Segmental Parenchymal Excretion Delay on Tc-99m DISIDA Hepatobiliary Scan (Tc-99m DISIDA 간담도 신티그라피에서 간 실질의 분절형 배설지연의 임상적 의의)

  • Kang, Do-Young;Ryu, Jin-Sook;Moon, Dae-Hyuk;Lee, Sung-Koo;Kim, Myung-Hwan;Lee, Hee-Kyung
    • The Korean Journal of Nuclear Medicine
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    • v.32 no.2
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    • pp.161-167
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    • 1998
  • Purpose: Segmental parenchymal excretion delay on Tc-99m DISIDA scan is caused by intrahepatic bile duct obstruction. However, the diagnostic value for intrahepatic bile duct obstruction is unknown. We conducted this study to assess the positive predictive value of segmental excretion delay for the diagnosis of intrahepatic bile duct obstruction, and additional benefit over other noninvasive radiologic studies. Materials and Methods: The study population consisted of 43 patients (48 scans) who showed segmental parenchymal excretion delay on Tc-99m DISIDA scan. The results of abdominal CT or ultrasonography, which was done within 1 month of Tc-99m DISIDA scan, were compared with scintigraphic findings. Results: The etiology of segmental parenchymal excretion delay was determined by ERC or PTC in 31 scans, and follow-up studies in 13 scans. No causes were identified in 4 scans. The positive predictive value of segmental parenchymal excretion delay for intrahepatic bile ductobstruction was 92% (44/48). On the other hand, 13% (5/38) of CT and 28% (5/18) of ultrasonography were normal. In 18% (7138) of CT and 17% (3/18) of ultrasonography, only intraheipatic bile duct dilatation was noted without any diagnostic findings of intrahepatic bile duct obstruction. Conclusion: Segmental parenchymal excretion delay on Tc-99m DISIDA scan had a high positive predictive value for the diagnosis of intrahepatic bile duct obstruction. Tc-99m DISIDA scan may be useful for the diagnosis of intrahepatic bile duct obstruction, especially in patients with nondiagnostic CT or ultrasonography. The diagnostic usefulness need to be confirmed by further prospective studies.

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THE DELAYED DEVELOPMENT OF MANDIBULAR SECOND PREMOLARS - A PITFALL FOR MISDIAGNOSIS OF CONGENITAL ABSENCE (선천 결손으로 오인될 수 있는 하악 제2소구치의 발육지연)

  • Woo, Youn-Sun;Jeong, Tae-Sung;Kim, Shin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.28 no.3
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    • pp.369-373
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    • 2001
  • The congenital missing of mandibular second premolars is among the common dental anomaly in children. When a second premolar is diagnosed as congenitally missed, we should consider many factors influencing the treatment plan such as patient's age, states of roots of 2nd primary molar, degree of crowding, skeletal growth pattern, facial profile, procumbency of the incisor and lower facial height, etc. The mineralization of the second premolars begins in the majority of cases at the age of $2\sim2\frac{1}{2}$ years, but this period varies more widely than those for other permanent teeth. Also, mandibular second premolars show the greatest variations in differentiation and calcification. For this reason, aplasia of this group of teeth cannot be diagnosed at early age and with the same degree of certainty. From the clinical studies with 2 cases and some literature review on late development of second premolars, it could be summarized as follows : 1. The 2 cases showed marked delay in the development of mandibular second premolars. 2. After the crypt formation, the speed of calcification seemed nearly normal, suggesting that the delay was due to differentiation rather than calcification. 3. When one is encountered with similar conditions, it would be desirable to consider the possibility of delayed tooth development.

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IEEE1149.1 Boundary Scan Design for the Detection of Delay Defects (지연고장 탐지를 위한 IEEE 1149.1 바운다리스캔 설계)

  • Kim, Tae-Hyeong;Park, Seong-Ju
    • Journal of KIISE:Computer Systems and Theory
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    • v.26 no.8
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    • pp.1024-1030
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    • 1999
  • IEEE 1149.1 바운다리스캔은 보드 수준에서 고장점검 및 진단을 위한 테스트 설계기술이다. 그러나, 바운다리스캔 제어기의 특성상 테스트 패턴의 주입에서 관측까지 2.5 TCK가 소요되므로, 연결선상의 지연고장을 점검할 수 없다. 본 논문에서는 UpdateDR 신호를 변경하여, 테스트 패턴 주입에서 관측까지 1 TCK가 소요되게 함으로써, 지연고장 점검을 가능하게 하는 기술을 소개한다. 나아가서, 정적인 고장점검을 위한 테스트 패턴을 개선해 지연고장 점검까지 가능하게 하는, N개의 net에 대한 2 log(n+2) 의 새로운 테스트패턴도 제안한다. 설계와 시뮬레이션을 통해 지연고장 점검이 가능함을 확인하였다.Abstract IEEE 1149.1 Boundary-Scan is a testable design technique for the detection and diagnosis of faults on a board. However, since it takes 2.5TCKs to observe data launched from an output boundary scan cell due to inherent characteristics of the TAP controller, it is impossible to test delay defects on the interconnect nets. This paper introduces a new technique that postpones the activation of UpdateDR signal by 1.5 TCKs while complying with IEEE 1149.1 standard. Furthermore we have developed 2 log(n+2) , where N is the number of nets, interconnect test patterns to test delay faults in addition to the static interconnect faults. The validness of our approach is verified through the design and simulation.

The Usefulness of Scintigraphy for the Detection of Gastroesophageal Reflux and Pulmonary Aspiration (위식도 역류와 폐 흡인 진단 방법으로서 위식도 역류 신티그래피의 유용성)

  • Kang, Sung-Kil;Hyun, In-Young;Lim, Dae-Hyun;Kim, Jeong-Hee;Son, Byong-Kwan
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.11 no.1
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    • pp.12-20
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    • 2008
  • Purpose: Chronic pulmonary disease may be caused by aspiration of gastric contents secondary to gastroesophageal reflux. At present, there is no gold standard for documenting pulmonary aspiration. The purpose of this study was to investigate the usefulness of radionuclide scintigraphy in the detection of gastroesophageal reflux and pulmonary aspiration. Methods: Thirty-five patients with suspected aspiration pneumonia, and five normal control subjects, were included in the study. All subjects underwent gastroesophageal reflux scintigraphy after the ingestion of a $^{99m}Tc$-tin colloid mixture. Dynamic images to detect gastroesophageal reflux were obtained for 1 hour. Additional static images of the chest, to detect lung aspiration, were obtained at 6 and 24 hours after oral ingestion of the tin colloid. In addition to visual analysis, pulmonary aspiration was quantitated by counting the number of pixels labeled with radioactive isotope in the region of interest (ROI) of both lung fields. Aspiration index (AI) was obtained by subtracting the pixel counts of the background from the pixel counts of the ROI. Results: Among 35 patients with suspected aspiration pneumonia, 23 proved to have gastroesophageal reflux by scintigraphy. One patient showed definite pulmonary accumulation of activity by visual analysis of the 6-hour image. Thirty of 35 (85.7%) patients showed higher AI beyond the upper limit of AI in the healthy controls. When we compared the reflux group with the non-reflux group, there was a significantly higher AI at 6 hours in the reflux group (p<0.05). Conclusion: The results suggest that radionuclide scintigraphy is useful in detecting small pulmonary aspiration in patients with suspected aspiration pneumonia secondary to reflux.

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A Case of Miliary Tuberculosis Misdiagnosed as Pneumonia and ARDS Due to the Transient Improvement after Intravenous Injection of Levofloxacin (폐렴, 급성호흡곤란증후군으로 오인되어 Levofloxacin 투여 후 호전되어 진단이 지연된 속립성 결핵 1예)

  • Lee, Go Eun;Cho, Young Jun;Cho, Hyun Min;Son, Ji Woong;Choi, Eu Gene;Na, Moon Jun;Kwon, Sun Jung
    • Tuberculosis and Respiratory Diseases
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    • v.66 no.3
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    • pp.236-240
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    • 2009
  • Miliary tuberculosis is quite a rare but serious cause of acute respiratory distress syndrome (ARDS). Therefore, the early detection of military tuberculosis as the underlying cause of ARDS is very important for the prognosis and survival of the patient. We report a case of military tuberculosis mimicking ARDS. A female patient was admitted due to repeated fever and dyspnea. The initial chest CT scan showed diffuse ground glass opacity, without a miliary pattern. The case was considered to be ARDS caused by pneumonia. She showed improvement after being treated with levofloxacin. However, she was re-admitted with fever seven days after discharge. The follow up chest CT scan showed micronodules in both lungs. An open lung biopsy confirmed the diagnosis of military tuberculosis.