• Title/Summary/Keyword: 진단 지연

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A Case of Cogenital Esophageal Hiatal Hernia Simulating Chest Mass (흉부 종괴로 오인된 선천성 식도열공 탈장 1례)

  • Rhou, Hye-Mi;Moon, Eun-Kyung;Lee, Dong-Chul;Im, Hye-Kyung;Yu, Jae-Hong;Sul, Ji-Young;Kim, Jong-Chul
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.2 no.2
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    • pp.211-216
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    • 1999
  • The esophageal hiatal hernia is a herniation of an abdominal organ, usually the stomach, through the esophageal hiatus into thoracic cavity. It is a rare disease, usually congenital and frequently associated with gastroesophageal reflux and other congenital malformations in children. It is classified according to their anatomic characteristics as type I (sliding hiatal hernia), type II (paraesophageal hiatal hernia), type III (combined hiatal hernia) and type IV (multiorgan hiatal hernia). We experienced a case of type III congenital esophageal hiatal hernia simulating chest mass on simple chest x-ray because of right intrathoracic stomach secondary to congenital esophageal hiatal hernia and organoaxial rotation in 10 months male. After the operation, he showed an improved general condition and was discharged at the 14th hospital day. We report the case with the brief review of the related literatures.

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Late-Onset Group B Streptococcal Meningitis Complicated with Extensive Cerebral Infarction (광범위한 뇌경색증이 합병된 지발형 B군 사슬알균에 의한 수막염 증례)

  • Cho, Min Su;Kim, Yongmin;Cho, Hye-Kyung;Choi, Soo-Han
    • Pediatric Infection and Vaccine
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    • v.25 no.1
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    • pp.45-49
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    • 2018
  • Group B streptococcus (GBS) is the leading cause of neonatal morbidity and mortality. Late-onset GBS disease commonly manifests as occult bacteremia or meningitis. Approximately 50% of survivors of late-onset meningitis have long-term neurologic sequelae. Cerebrovascular complications are often associated with unfavorable clinical outcomes of GBS meningitis. There have been a few reports of cerebral infarction accompanied by GBS meningitis. We report a 29-day-old girl with severe, widespread cerebral infarction due to late-onset GBS meningitis. Isolated GBS strain from this patient was serotype III, ST-19. Currently, she has cortical blindness and significant developmental delay.

A Study on the Establishment of Hydrological Safety Evaluation System Considering the Climate Change Effects Factors (기후변화에 따른 기후영향인자를 고려한 수문학적 안전성 평가 체계 구축에 관한 연구)

  • park, Jiyeon;Jung, ilwon;Kim, Mina;Kwon, Jihye
    • Proceedings of the Korea Water Resources Association Conference
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    • 2018.05a
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    • pp.460-460
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    • 2018
  • 댐 수문학적 안전성평가는 "시설물의 안전 및 유지관리에 관한 특별벌(이하 시특법)"에 따른 댐시설물의 정밀안전진단의 안전성평가 중 가장 중요한 평가 항목으로 댐 시설물을 평가 수행 시 주요한 평가 항목이다. 기존의 수문학적 안전성평가는 가능최대강수량 발생 시 댐의 월류 및 여유고 확보여부에 대한 평가 여부만 판단하고 있으나, 본 연구에서는 기후변화를 고려하는 장기적 관점의 추가 평가항목을 도출하고자 한다. 현재 가능최대강수량으로 event적 평가를 수행하는 수문학적 안전성 평가에서 기존평가항목 뿐만 아니라, 기후변화 장기적 관점의 추가적인 기후영향인자를 도출하고 이를 함께 적용할 수 있는 평가 체계를 구축하고자한다. 장기적 관점의 기후영향인자라 함은 기상청에서 제공하는 기후변화 시나리오 결과에서 30년동안 장기적인 관점에서 대상 댐의 운영에 부담을 야기할 것으로 판단되는 인자를 말하는 것이며, 이때 기후변화 시나리오의 일자료를 활용하여 기후인자의 장기적 변동성을 추정하고자 하며, 이때 활용한 지표로는 월최대강수량, 연강우강도 및 댐 상태에 영향을 미칠 수 있는 최소기온을 사용하였다. 기후변화 시나리오의 불확실성을 최소화하기 위하여 월최대 강수량값을 산출하였고, 1년 동안 발생한 강우의 일수 및 강수량에 대한 영향을 고려하기 위하여 연강우강도값을 산출하였다. 또한 댐의 월류 및 여유고 확보여부 평가 시 댐 상태에 대하여 고려하기 때문에 댐의 외부상태에 영향을 주는 최소기온을 활용하여 댐별 평가를 수행하였다. 이때 2011~2040년(S1), 2041년~2070년(S2), 2071년~2100년(S3)기간으로 나누어 장기간 기후에 대한 영향 평가를 수행하여 1종 댐 시설물의 기후영향인자 값을 도출하였다. 도출된 기후영향인자를 기존 수문학적 안전성평가 항목과 함께 평가 될 수 있도록 AHP분석기법을 활용하여 각 인자에 대한 가중치를 재산출하였고, 기후영향인자를 고려하는 수문학적 안전성평가 체계를 구축하였다.

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Analysis of EEG Signals for Attention Training Game Contents (주의력 훈련 게임 콘텐츠에 대한 EEG 신호 분석)

  • Kang, Sung-Ho;Park, Jung-Hyun;Shin, Sung-Wook;Chung, Sung-Taek
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.19 no.3
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    • pp.83-90
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    • 2019
  • Recently, the need to prevent or treat cognitive impairment in older adults has been arising. In particular, they tried to diagnose MCI as an early stage of Alzheimer's disease and to delay the progression to dementia through training cognitive function. Most of cognitive function training have been manufactured to game contents which related to several cognitive function, and it needs to be verified quantitatively whether subjects are paying attention to cognitive function training. Thus in this study, we measured and analyzed EEG signals while performing attention training game contents. As an analysis method, we utilized CI, which shows how much they are focusing on, and RI, which shows how stable they are. The result of this study can be seen that all the subjects' CI were increased, which means that the subjects performed game contents with concentration.

Effects of Myofunctional Appliance in Children with Sleep-Disordered Breathing: Two Case Reports (수면호흡장애 어린이의 근기능 장치 효과 증례 보고)

  • Shim, Hojin;Jeong, Taesung;Kim, Shin;Kim, Jiyeon
    • Journal of the korean academy of Pediatric Dentistry
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    • v.46 no.1
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    • pp.119-126
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    • 2019
  • Sleep-disordered breathing (SDB) induces dysfunction of the orofacial muscles, leading to morphologic alteration of the face and dental malalignment. Early diagnosis and treatment of SDB is required in pediatric patients to ensure normal facial growth. Myofunctional therapy (MFT) is a modality for the treatment of SDB and prefabricated appliances can be used. Herein 2 cases of malocclusion with SDB, in which MFT with a prefabricated appliance was used for orthodontic treatment, have been described. SDB was diagnosed based on clinical symptoms taken by interview and home respiratory polygraphy. In both cases, SDB was improved using prefabricated appliance for MFT. However, resolution of crowding depended on the degree of crowding.

Hepatic Pseudolymphoma Mimicking a Hypervascular Tumor: A Case Report (과혈관성 종양으로 오인된 간의 가성림프종: 증례보고)

  • Im, Bora;Jang, Suk Ki;Yeon, Jae Woo;Paik, So Ya;Park, Sang Jong;Kim, Hyuk Jung
    • Journal of the Korean Society of Radiology
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    • v.79 no.6
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    • pp.348-353
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    • 2018
  • Hepatic pseudolymphoma is a rare benign liver mass that is characterized by proliferation of non-neoplastic lymphocytes extranodally. To the best of our knowledge, only 46 cases have been reported in the English literature. We described the case of a 75-year-old woman with hepatic pseudolymphoma mimicking a hypervascular tumor. After the histological confirmation of the rectal neuroendocrine tumor, CT scan revealed a 1.0 cm-sized, poorly-defined and low-density nodule in the liver. On MRI, the hepatic nodule showed an arterial enhancement and a low-signal intensity on the hepatobiliary phase. On diffusion-weighted imaging, the hepatic nodule showed a high signal intensity on a high b-value. On fluorodeoxyglucose (FDG) positron emission tomography (PET)/CT, it revealed a high standardized uptake value nodule. The US showed the hypoechoic nodule and the US-guided biopsy confirmed the hepatic pseudolymphoma.

Exploring the Direction of Digital Platform Government by Text Mining Technique: Lessons from the Fourth Industrial Revolution Agenda (텍스트마이닝을 통한 디지털플랫폼정부의 방향 모색: 4차산업혁명시대 담론으로부터의 교훈)

  • Park, Soo-Kyung;Cho, Ji-Yeon;Lee, Bong-Gyou
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.22 no.5
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    • pp.139-146
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    • 2022
  • Recently, solving industrial and social problems and creating new values based on big data and AI is being discussed as the main policy goal. The new government also set the digital platform government as a national task in order to achieve new value creation based on big data and AI. However, studies that summarize and diagnose discussions over the past five years are insufficient. Therefore, this study diagnoses the discussions over the past 5 years using the 4th industrial revolution as a keyword. After collecting news editorials from 2017 to 2022 by applying the text mining technique, 9 major topics were discovered. In conclusion, this study provided implications for the government's task to prepare for the future society.

Suppression of side lobe and grating lobe in ultrasound medical imaging system (의료용 초음파 영상 시스템에서 부엽과 격자엽의 억제)

  • Jeong, Mok Kun
    • The Journal of the Acoustical Society of Korea
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    • v.41 no.5
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    • pp.525-533
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    • 2022
  • We propose an effective method for suppressing both side and grating lobes by applying 2-dimensional Fourier Transform to the received channel data during the receive focusing process of an ultrasound imaging system. When the signal from the image point is focused, the channel signals have the same DC value across the channels. However, even after echoes from outside an imaging point are focused, they are manifested as having different spatial frequencies depending on their incident angles. Therefore, after the receive focusing delay time is applied, 2-D Fourier Transform is performed on the time-channel data to separate the DC component and other frequency components in the spectral domain, and the weighting value is defined using the ratio of the two values. The side lobe and grating lobe were suppressed by multiplying the ultrasound image by a weighting value. Ultrasound images with a frequency of 5 MHz were simulated in a 64-channel linear array. The grating lobe appearing in the ultrasound image was completely removed by applying the proposed method. In addition, the side lobe was reduced and the lateral resolution was greatly increased. Results of computer simulation on a human organ mimicking image show that the proposed method can aid in better lesion diagnosis by increasing the image contrast.

Clinical Management and Micro-Computed Tomography Analysis of Supernumerary Teeth in Infancy: A Case Report (영유아기 과잉치의 임상적 처치 및 micro-computed tomography 분석: 증례 보고)

  • Chaehyun, Na;Hana, Lee;Hansung, Kim;Jihun, Kim
    • Journal of the korean academy of Pediatric Dentistry
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    • v.49 no.3
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    • pp.348-356
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    • 2022
  • Supernumerary teeth develop from excessive proliferation and development of the dental lamina. Supernumerary teeth can cause several problems, including ectopic eruption, delayed eruption, root resorption of adjacent teeth, and diastema. Supernumerary teeth in infancy are rare and have rarely been reported. Case of a 2-day-old infant with 3 supernumerary teeth is presented here and the patient was followed up for 21 months. The erupted supernumerary tooth in the primary dentition was extracted under moderate sedation at the age of 14 months. Microcomputed tomography analysis of the extracted tooth confirmed microscopic root malformation. After extraction, the midline diastema was reduced and oral hygiene improved. Early diagnosis and prompt treatment can prevent complications of supernumerary teeth.

Automated Maintenance Unmanned Monitoring System Using Intelligent Power Control System (지능형 전원제어장치를 이용한 자동화 유지보수 무인감시시스템)

  • Cha, Min-Uk;Lee, Choong Ho
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2021.05a
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    • pp.237-239
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    • 2021
  • Failure and malfunction of the unmanned surveillance facility cost can lead to delays occurring until the person in charge arrives at the unmanned surveillance facility, and theft, damage, and information leakage damage caused by intruders. In addition, due to equipment failure and malfunction, additional costs are incurred due to constant inspection by the manager. In this paper, in order to compensate for the malfunction of unmanned facility costs, we propose a system that diagnoses the monitoring facility in real time, displays the contents of the problem, automatically restores the facility power, and informs the person in charge of the situation by text message. The proposed system is a surveillance facility consisting of main facilities such as video equipment (CCTV), sound equipment, floodlights, etc. And SMS server that can send text messages in real time. Through experiments, the effectiveness of the proposed system was verified.

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