• Title/Summary/Keyword: 진단 지연

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Memory Impairment in Dementing Patients (치매환자의 기억장애)

  • Han, Il-Woo;Seo, Sang-Hun
    • Sleep Medicine and Psychophysiology
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    • v.4 no.1
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    • pp.29-38
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    • 1997
  • Dementia is defined as a syndrome which is characterized by various impairments in cognitive functions, especially memory function. Most of the diagnostic criteria for dementia include memory impairment as on essential feature. Memory decline can be present as a consequence of the aging process. But it does not cause significant distress or impairment in social and occupational functionings while dementiadoes. Depression may also be associated with memory impairment. However, unlike dementia, depression dose not cause decrease in delayed verbal learning and recognition memory. In dementia, different features of memory impairment may be present depending on the involved area. Memory impairment in cortical dementia is affected by the disturbance of encoding of information and memory consolidation, while memory imparnene in subcortical denentiy is affected by the disturbance of retrieval in subcortical dementia.

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Pseudoaneurysm of Tibioperoneal Trunk of Tibial Artery Caused by Minor Blunt Trauma (경한 둔상에 의하여 발생한 경골 동맥의 경골비골동체의 가성동맥류)

  • Suh, Seung-Pyo;Hwang, Seok-Ha;Hong, Sung-Ha;Kim, Jae-Nam
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.5
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    • pp.431-435
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    • 2020
  • Pseudoaneurysm which is usually caused by high energy trauma or penetrating injury results in serious complications if the diagnosis is delayed. The authors experienced a 63-year-old patient who slipped on the stairs with simple contusion and skin laceration. But, he was finally diagnosed with pseudoaneurysm of tibioperoneal trunk of tibial artery on magnetic resonance imaging and 3-dimensional computed tomography angiogram performed in two weeks due to aggravation of the symptoms. To the best of my knowledge, pseudoaneurysm of tibio-peroneal trunk caused by minor blunt trauma has not been reported till now in Korea. So we report this case with a review of the relevant literature.

SoC Design of Self-Diagnosing Speaker Connection System (자동 고장진단이 가능한 스피커 연결 시스템의 SoC 설계)

  • Song, Moon-Vin;Kwon, Oh-Kyun;Song, The-Hoon;Chung, Yun-Mo
    • The Journal of the Acoustical Society of Korea
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    • v.26 no.6
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    • pp.269-275
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    • 2007
  • Pervasive Multi-channel audio systems are being realized due to advances in digital technology. This paper proposes an efficient system that serially connects individual speakers with bidirectional digital communication capability by means of SoC design. In particular, each speaker can identify the bit stream assigned to the speaker and convert it into analog audio. Furthermore, the speaker can self-diagnose the speaker functionality by utilizing the designed capability to measure frequencies of various square wave test signals. The proposed system running on 200MHz clock yielded restoration of analog output signal with latency of only $500{\mu}s$ compared to directly driving the speakers in a traditional way.

Applicability of High-strength Mass Concrete through Setting Time and Horizontally-divided Placement (응결시간제어용 배합과 수평분할을 고려한 고강도 매스콘크리트의 적용성 평가)

  • Cho, Seung-Ho;Paik, In-Kwan;Lee, Dong-Ha;Roh, Young-Sook
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.21 no.2
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    • pp.103-113
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    • 2017
  • In the current study, retarding type and standard type admixture design of concrete have been proposed to control the generation of hydration heat for foundation members that use high strengths concrete. Finite element analysis also has been conducted to understand the rational placing heights of concrete. In addition, real-size structures have experimented and their results were compared to the analytical results to evaluate the reducing effect of thermal stress. For a large $6.5m{\times}6.5m{\times}3.5m$ member with retarding and standard type horizontal partition placement of concrete showed the manageable possibility of temperature difference within 25-degree Celcius between the middle and surface portion while the maximum temperature was 77-degree Celcius. Also, temperature cracking index from the finite element analysis appeared to be 1.49 that predicts no formation of cracking due to the effects of temperature. Finally, it appeared that horizontal partition placement of retarding and standard type concrete has the significant effect of reducing the thermal stress that generated by the hydration heat in the high strengths mass concrete.

Corrosion-Resisting Performance Evaluation of Concrete Mixed with Fly-Ash (플라이애시 혼합 콘크리트의 철근 부식 저항성능 평가)

  • Park, Sang-Soon
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.21 no.1
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    • pp.117-125
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    • 2017
  • The role of fly ash in concrete become impotent with finding the characteristics of fly ash in which it is used as cement replacement material. In this paper, corrosion test results obtained by two test methods such as the long-term exposure corrosion test and the accelerated corrosion test method, were compared to investigated the corrosion resistance between fly ash concrete and normal concrete. Corrosion initiation time was measured in two types of concrete, i.e., one mixed with fly ash(FA) and the other without admixture(OPC). The accelerated corrosion test was carried out by four case, i.e., two samples is a cyclic drying-wetting method combined without carbonation(case 1) and combined with carbonation(case 2), and the other two samples is a artificial seawater ponding test method combined without carbonation(case 3) and combined with carbonation(case 4). Whether corrosion occurs, it was measures using half-cell potential method. The ponding test combined without carbonation was most effective in accelerating corrosion time of steel bars. The results indicated that the corrosion of rebar embedded in concrete occurred according to the order of OPC, FA. The delay relative ratio of corrosion obtained by corrosion initiation time between FA and OPC is 1.04 to 1.27. Consequently, fly ash concrete as the age increases its corrosion resistance was improved compared with OPC concrete.

Comparison of Cervical-lymph-node-first Presentation of Kawasaki Disease and Typical Kawasaki Disease (전형적인 가와사키병 환아와 경부 림프절종대를 주소로 내원하여 가와사키병으로 진단된 환아의 비교)

  • Yun, Hye-Won;Lee, Jun-Yeol;Yang, Song-I;Yu, Hee-Joon;Kang, Min-Jae;Lee, So-Yeon;Lee, Hae-Ran;Kim, Kwang-Nam;Kim, Sung-Hye
    • Pediatric Infection and Vaccine
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    • v.23 no.1
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    • pp.10-17
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    • 2016
  • Purpose: The diagnosis of Kawasaki disease depends on clinical symptoms, which makes it difficult to diagnose early in patients with only cervical lymphadenopathy. The purpose of this study is to understand the clinical characteristics of cervical-lymph-node-first presentation of Kawasaki disease and compare them with those of typical Kawasaki disease. Methods: We surveyed 283 patients who were admitted to Hallym Sacred Heart Hospital and were diagnosed with Kawasaki disease from January 2012 to December 2014. The patients were divided into two groups: cervical-lymph-node-first presentation of Kawasaki disease (LKD, N=24) and typical Kawasaki disease (KD, N=259). The medical records were retrospectively reviewed. Results: The mean age of the LKD group was higher than that of the KD group (P=0.04). At admission, the LKD patients had on average 1.62 out of 5 symptoms, whereas the KD patients had 3.47. The time from fever to diagnosis and administration of IV immunoglobulin was longer in the LKD group than in the KD group (P<0.001). The mean C-reactive protein of the LKD group was higher than that of the KD group (P=0.01). There were no statistical differences in the presence of coronary artery complications between the two groups at two weeks or at two months after diagnosis (P=0.52, P=0.08). Conclusions: The Kawasaki disease patients with fever and cervical lymphadenopathy usually do not present obvious clinical symptoms, which makes it hard to diagnose in the early phase of disease. Clinician must pay attention when examining these patients.

Diagnostic Role of Tc-99m MIBI Scintimammography in Suspected Breast Cancer Patients: Results of Unicenter Trial (유방암이 의심되는 환자에서 Tc-99m MIBI 유방스캔의 진단적 역할: 단일기관의 결과)

  • Kim, Seong-Jang;Kim, In-Ju;Kim, Yong-Ki;Bae, Young-Tae
    • The Korean Journal of Nuclear Medicine
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    • v.34 no.3
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    • pp.234-242
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    • 2000
  • Purpose: Tc-99m MIBI scintimammography has been validated as an useful non-invasive diagnostic tool for the primary breast cancer. But most studies have included small population of patients. We have experienced a large study population and investigated the diagnostic usefulness of Tc-99m MIBI scintimammography in detection of primary breast cancer and axillary lymph node metastasis. Materials and Methods: This study included 305 patients who underwent scintimammogtaphy for palpable breast masses or abnormal radiologic findings. Tc-99m MIBI scintimammography was performed 10 minutes after intravenous injection of 925 MBq of Tc-99m MIBI. If the early image revealed abnormal finding, 3 hour delayed image was also acquired. We calculated early and delayed lesion to non-lesion ratios (L/N). The pathologic diagnosis was obtained from surgical operation or FNAB and compared with the results of Tc-99m MIBI scintimammography. Results: Malignant breast diseases were 155 and benign ones were 150. Tc-99m MIBI scintimammography revealed 132 true positive, 23 false negative, 10 false positive, and 140 true negative cases. The sensitivity, specificity, positive predictive value and negative predictive value for the primary breast cancer detection were 85.2%, 93.4%, 92.9%, and 85.9%, respectively. The sensitivity, specificity, positive predictive and negative predictive values of Tc-99m MIBI scintimammography in detecting metastatic axillary lymph node involvement were 22%, 90.4%, 61.9% and 62.3%, respectively. Early L/N of malignant breast disease was significantly higher than that of benign one ($2.44{\pm}0.97\;vs\;1.94{\pm}0.78$, p=0.01). Delayed L/N had no significant difference between malignant and benign breast diseases ($1.94{\pm}0.52\;vs\;1.91{\pm}0.73$, p=0.43). Conclusion: Our study revealed that Tc-99m MIBI scintimammography was an useful diagnostic tool for the diagnosis of breast cancer. And early L/N ratio might provide complementary role in the detection of breast cancer. But the Tc-99m MIBI scintimammography had limited value in the detection of small breast cancer (less than 1 cm) and axillary lymph node metastasis.

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Ultrasonographic Guidance in Acute Achilles Tendon Rupture (급성 아킬레스 건 파열에서의 초음파 이용)

  • Lee, Tae-Hoon;Lee, Hee-Dong;Kim, Hak-Jun
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.8 no.1
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    • pp.26-30
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    • 2015
  • There are many traumatic foot and ankle problems in orthopaedic fields. Though it is not life-threatening problems, a delay in accurate diagnosis and treatments can danger limb function and therefore correct diagnosis can prevent long-term complications. Achilles tendon rupture is relatively common injury for active sports people. Ultrasonography is cost-effective, irradiation -free, effective for evaluation of soft tissues and dynamic analysis. It has been growing importance in Achilles tendon rupture. Ultrasonography is a diagnostic tool in Achilles tendon rupture. Physical examination and patient history is needed to diagnose Achilles tendon without image, but it is missed up by 20% in private clinic. Discontinuity of normal fibrillar architecture seen on an ultrasonographic image is diagnostic for Achilles tendon rupture, and can be accentuated by the performance of dorsi-flexion and plantar flexion, while observing in real time. And ultrasonography is a reliable method for serial observation after surgical treatment or conservative treatment.

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Relationship Between Prevalence of Allergic Diseases and Recognition of Food Nutrition Labeling (알레르기 질환 진단 경험과 식품 영양표시 인지의 관련성)

  • Han, Yun-su;Jung, Woo-young;Hwang, Yun-tae;Kim, Ji-yeon;Lee, Yejin;Kwon, Ohwi;Noh, Jin-won
    • The Journal of the Korea Contents Association
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    • v.19 no.11
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    • pp.434-444
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    • 2019
  • Prevalence of allergic diseases is influenced by environment and dietary life. It is key to improve daily food life to relieve them. Food nutrition labeling is useful to do it by offering nutrition information. The purpose of the study is to find relationship between experience of diagnosis of allergic diseases and recognition of food nutrition labeling. The data of 4,928 people with experience on diagnosis allergic rhinitis, asthma, atopic dermatitis of 2016 Korea National Health and Nutrition Survey was used. According to the result of binary logistic regression analysis, those who had experience in being diagnosed with an allergy showed high awareness in food labels. There were differences between allergy diagnosis groups and allergy non-diagnosis in affecting factors of residence, income level, subjective health status and body-shape perception. Support measures are needed to enhance access and convenience to nutrition education and nutrition labeling to support nutrition labeling utilization.

Integration of Application Program for Dementia Diagnosis using Biometric Sensor and Oxygen Chamber (치매의 진단, 예방 및 완화를 위한 스마트폰용 게임 애플리케이션 개발)

  • Yun, Seong-Min;Choi, Hyo Sun;Cho, Myeon-Gyun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.5
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    • pp.2953-2961
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    • 2014
  • Dementia once occurred is known to be mostly irreversible but can be treated only if it is detected early; especially vascular Dementia. Thus, in this paper we have developed Dementia diagnosis and care application through inter-working between biometric sensors and smart phone. With developing serious game for the demented elderly, we proposed ons-stop solution for Dementia; smart-phone application with diagnosis, prevention and mitigation of Dementia. Since the proposed game for mitigating Dementia requires sense of space and balance using both arms instead of operating simple arrow button, a treatment effect for Dementia will be doubled. If we tried to forestall, ease and cure Dementia with the proposed application. the social losses from Dementia would be minimized as a result.