• Title/Summary/Keyword: 특별진단

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Ultrasound-guided Core Needle Biopsy in Diagnosis of Soft Tissue Masses (연부조직 종물의 진단에서 초음파 유도하 중심부 침생검)

  • Kim, Jeung-Il;Youn, Myung-Soo;Cheon, Sang-Jin;Choi, Gyung-Un;Lee, Tae-Hong
    • The Journal of the Korean bone and joint tumor society
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    • v.10 no.2
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    • pp.113-119
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    • 2004
  • Purpose: To determine the utility of sonographically guided percutaneous core needle biopsy to diagnose musculoskeletal soft tissue masses. Methods: A prospective study was performed in 55 patients referred for image-guided needle biopsy of primary or recurrent soft tissue masses and bone lesion or suspected solitary metastasis with extraosseous masses. Tissue samples were obtained with a 14-gauge or 18-gauge cutting needle coupled to an automated biopsy device under local anesthesia and sonographic guidance. Statistical analysis was based on 49 biopsies confirmed by successful clinical treatment (11 cases) or surgical resection (38 cases). Results: An accurate diagnosis was obtained in 47 (97%) of 49 biopsies; sensitivity was 95%, and specificity was 100%. The method did not yield sufficient tissue to establish a diagnosis in 6 cases. Considering all 55 biopsies, high-quality specimens were obtained in 87%. There were no serious complications. Conclusions: Sonographically guided core needle biopsy is accurate and safe, in soft tissue masses and bone tumors with extraosseous masses in the appendicular skeleton. In such patients, the sonographically guided procedure is the most prompt and effective method for obtaining tissue samples.

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Convenient Virion Capture (VC)/PCR for Tomato yellow leaf curl geminivirus Occurring on Tomato in Korea (우리나라 토마토에 발생한 토마토황화잎말림바이러스(Tomato yellow leaf curl geminivirus)의 초간편 Virion Capture(VC)/PCR 진단법)

  • Cho, Jeom-Deog;Kim, Tae-Seong;Kim, Ju-Hee;Choi, Gug-Seoun;Chung, Bong-Nam;Choi, Hong-Soo;Kim, Jeong-Soo
    • Research in Plant Disease
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    • v.14 no.3
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    • pp.233-237
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    • 2008
  • Tomato yellow leaf curl virus (TYLCV), a newly reported Geminivirus from tomato, generated recently large economic losses in Korea. Development of a fast and precise genetic diagnosis technique for detecting TYLCV which Agricultural research and extension services can utilize easy and handy is very important to prevent yield losses. Virion Capture (VC)/PCR is a simple, accurate and economical genetic detection method without any works or commercial kits for the extraction of the nucleic acid from the infected plants. Primers of twenty two for detection of TYLCV were designed and tested with extracted total DNA or crude sap from tomato leaf infected with TYLCV and healthy plant. Nine primers for total DNA using conventional PCR and another 9 primers for VC/PCR were selected eventually. Primers of six having same specificity were selected from the two methods and tested with other Geminivirus, Tobacco leaf curl virus (TLCV) by VC/PCR. Finally specific primers of four were selected for detection of TYLCV using VC/PCR, and Deng (540, 541), a degenerate primer for Geminivirus reported in 1996, was also developed for VC/PCR.

Necessity and Introduction Plan for Agrochemical Pharmacist System to Strengthen Expertise in Pest Diagnosis and Prescription (병해충 진단 및 처방의 전문성 강화를 위한 식물의약사(식물위생전문가) 제도의 필요성과 도입방안)

  • Jae Su Kim;Deok Ho Kwon;Se Jin Lee;Sueyeon Lee
    • Korean journal of applied entomology
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    • v.62 no.2
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    • pp.69-78
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    • 2023
  • The currently implemented Positive List System, sales manager training, and pesticide sales record systems focus on the safety of determined pesticide use, but the proposed agrochemical pharmacist (AP) system aims accurate diagnosis and reasonable prescription. In this study, 81% of famers claimed expert assistance for purchasing and applying pesticides, and 42~86% of sales managers insisted on the strengthening expertise in diagnosis and prescription. In the institutionalization of AP, a special implementation guideline is essential to embrace the present sales managers with long experience. Sales managers of commercial and agricultural cooperatives recognize the qualifications of agrochemical pharmacists as a strategy to differentiate themselves from competitors, and increase sales through market positioning of "pesticides prescribed by trustworthy agrochemical pharmacists", not sales managers anymore.

Diagnostic Values of Abdominal Ultrasonography in Patients with Fever and Abdominal Symptoms (발열과 복부 증상을 주소로 하는 환아에서 복부 초음파 검사의 진단적 의의에 관한 연구)

  • Lee, Mi-Kyung;Im, Chang-Sung;Ahn, Sun-Mi;Kim, Chang-Hi;Lee, Dong-Jin;Kwan, Joong-Hyuck;Park, Yong-Hoon
    • Journal of Yeungnam Medical Science
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    • v.12 no.2
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    • pp.191-202
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    • 1995
  • Purpose: Acute febrile illness in children frequently accompanies with abdominal symptoms such as vomiting, diarrhea, and abdominal pain, even if its etiology is not occured from the gastrointestinal tract. If the etiology of fever was unknown and the fever was accompanied with abdominal symptoms, we should be concerned about whether the etiology of fever was originated from the gastrointestinal tract or interpretated from the abnormality in the gastrointestinal tract. This study was performed to evaluate the diagnostic value of abdominal ultrasonography in patients with fever and abdominal symptoms. Methods: We reviewed retrospectively the medical records of abdominal ultrasonographic (US) findings of 60 cases of acute febrile illness with abdominal symptoms at department of Pediatrics, Ulsan Dongang General Hospital during the period from January 1994 to June 1995. Results: The abnormal abdominal US findings obtained were as follows. 1) The abnormal US findings were seen in 56 cases (93.3%). 2) The most common abnormal US finding was the enlarged mesenteric lymph nodes in 52 cases (86.7%) 3) The enlarged mesenteric lymph nodes with or without intra-abdominal fluid were seen in 30 cases (50.0%) of a wide variety of illnesses, so their diagnostic values were absent. 4) The enlarged mesenteric lymph nodes and splenomegaly with or without ileocecitis were seen in 7 cases. Among them, 4 cases (6.7%) were confirmed as typhoid fever. 5) The US findings in 6 cases of typhoid fever were the enlarged mesenteric lymph nodes in all cases (100%), splenomegaly in 4 cases (66.7%), ileocecitis in 1 case (16.7%), enlarged mesenteric lymph nodes and splenomegaly in 4 cases (66.7%), enlarged mesenteric lymph nodes, splenomegaly and ileocecitis in 1 cases (16.7%). 6) The enlarged mesenteric lymph nodes and the abnormalities around the appendix were seen in 7 cases (11.7%), which were confirmed as appendicitis all. 7) The thickening of wall in urinary bladder was seen in 2 cases (3.3%) of acute cystitis and acute hemorrhagic cystitis. 8) The subtle thickening of wall in colon was seen in 1 cases (1.7%) of shigellosis. Conclusions: The enlarged mesenteric lymph nodes, splenomegaly and ileocolitis on the abdominal ultrasonography in patients with fever and abdominal symptoms aree suggestive findings of typhoid fever. The enlarged mesenteric lymph nodes and the abnormalities around the appendix on abdominal ultrasonography make the rapid diagnosis of acute appendicitis and its complications, when physical examination is difficult in small children and diagnosis of their illnesses is obscure in patients with fever and abdominal pain.

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Terms Standardization between the Rules of Diagnosis Radiation Equipment Safety Management and Atomic Energy Law : Problems and Suggestions (진단용 방사선발생장치의 안전관리에 관한 규칙과 원자력법의 용어통일 개선 방향)

  • Kim, Hwa-Gon;Kang, Se-Sik;Kim, Chang-Soo;Park, Cheol-Seo
    • Journal of radiological science and technology
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    • v.29 no.1
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    • pp.39-46
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    • 2006
  • The rules and terms are described different meaning, in this results the research is accomplished for preventing practical workers from confusion. Atomic law are kept up modification and development in our situation by the ICRP's recommendation, on the other hand, the rules of diagnosis radiation equipment safety managements are modified partial, then resulted in confusion. The study was comparison between the rules of diagnosis radiation equipment safety management and atomic energy law, and the modification items obtained were as follows. 1. With each other different the terms and units are used. With the exception of special terms for affairs usage, it is needless to say that common term uniformity is standardized. The standardization of rules and guidance have not need to confusion radiological practical workers. 2. The following is omitted. 1) The radiation protection against tile patient and the hospital visitor. 2) Radiation dose limit of the woman patient who is in the process of becoming pregnant. 3) Radiation dose limit of the person who is not regarded as madical madical exposure. 4) The control of the exposure of pregnant of women at work.

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Surgical Treatment of a Posttraumatic Pseudoaneurysm of the Left Subclavian Artery Mimicking a Mediastinal Tumor - A case report - (종격동 종양으로 오인한 외상 후 좌 쇄골하 동맥 가성동맥류의 수술적 치험 - 1예 보고 -)

  • Choi, Won-Suk;Lee, Yang-Haeng;Han, Il-Yong;Yoon, Young-Chul;Hwang, Youn-Ho;Cho, Kwang-Hyun
    • Journal of Chest Surgery
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    • v.41 no.5
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    • pp.651-654
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    • 2008
  • Posttraumatic psoudoaneurysrns of the subclavian artery are very rare. A 49-year-old woman who had been involved in a car accident ten years before presentation was initially diagnosed with a mediastinal tumor at a local clinic. Exploratory thoracotomy was performed for evaluation and treatment. During the operation, a hematoma was evacuated, and primary repair was undertaken to stop massive bleeding. Computed tomography angiography revealed a pseudoaneurysm of the left subclavian artery. The patient was treated with aneurysmectomy and end-to-end anastomosis. The postoperative course was uneventful.

Exposure to Styrene in the Lamination Processes with Fiberglass-Reinforced Plastics: Health Diagnosis Case Report (유리섬유강화 플라스틱을 이용한 적층공정 근로자들의 스티렌 노출 평가: 보건진단 사례)

  • Choi, Sangjun;Jeong, Yeonhee
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.25 no.2
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    • pp.126-133
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    • 2015
  • 연구목적: 이 연구는 노동부의 보건진단 명령에 의해 유리섬유 강화플라스틱(FRP)을 이용한 이중벽 탱크 제조 사업장의 적층 공정 근로자들을 대상으로 스티렌 노출 특성을 평가하기 위해 수행되었다. 연구방법: 스티렌의 주요발생원 파악을 위해 불포화 폴리에스테르 수지(UPR), 경화제, 조색제, 세척액 등의 원료 내 스티렌 함유량을 가스크로마토그래피 질량분석기(GC-MS)를 이용하여 분석하였다. FRP 적층 공정에 근무하는 작업자들을 대상으로 NIOSH 1501 공정시험법에 의해 공기 중 스티렌 노출 농도에 대한 개인노출 평가를 실시하였고, 생물학적 노출 지표로 뇨 중 만델릭산을 채취한 후 고성능액체크로마토그래피(HPLC)로 분석하였다. 또한 각 직무 특성과 단위작업 중심으로 스티렌에 대한 단시간 노출평가를 수행하였다. 연구결과: 스티렌의 함유량이 가장 많은 주요 원료는 중량비율로37%의 스티렌이 함유된 UPR이었다. 적층 공정의 FRP분무 작업자와 보조 작업자들 모두 스티렌의 8시간 가중평균 노출기준(20 ppm)을 초과하였다. 단시간 노출평가 결과 FRP분무 작업자의 경우 45.9 ppm에서 86.1 ppm 수준으로 FRP를 사용하지 않는 작업보다 통계적으로 유의하게 높은 수준이었다(P<0.01). 가장 높은 수준의 스티렌에 노출되는 단위작업은 FRP를 이용하여 1차 코팅 하는 작업으로 특별한 관리가 필요하였다. 결론: 보건진단을 위해 실시한 이중벽 탱크 제조 사업장의FRP 적층 공정 작업자의 스티렌 노출수준은 노출기준을 초과할 정도로 높은 수준이었다. 그러나 탱크를 천장에 매달고 돌리면서 적층작업을 수행하기 때문에 적절한 국소환기 시스템을 구축하는데 어려움이 있다. 따라서 적절한 방독마스크 착용으로 스티렌 노출 예방이 필요하였다.

Chest Pain due to Rapidly Developed Metastatic Spinal Tumor - A case report - (급속도로 진행된 전이성 척추종양에 의한 흉통)

  • Lee, Jun-Hak;Kim, Hyung-Tae;Mun, Cheol-Sin;Heo, Hyeon-Eon;Kwon, Young-Eun
    • Journal of Hospice and Palliative Care
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    • v.12 no.2
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    • pp.88-94
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    • 2009
  • Chest pain is a symptom observed commonly in outpatients and emergency room patients, and its causes are variable. Because treatment and prognosis of chest pain are different depending on its cause, it is more important than anything else to accurately diagnose the cause of chest pain. Most of patients complaining of chest pain undergo basic tests at a private local clinic or at the Internal medicine or chest surgery department of a general hospital and, they are referred to the pain clinic, with a note stating no particular finding. However, if they have sustained severe neuropathic pain in spite of nerve block, accurate diagnosis for chest pain is essential. We experienced rapidly developing spine breakdown and cord compression caused by metastatic spinal tumor in an inpatient who was being treated for chest pain, and thus, we report here in the case with literature review.

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A Case of Lambert-Eaton Myasthenic Syndrome with Positive VGCC Antibodies Diagnosed in Small Cell Lung Cancer (소세포폐암환자에서 진단된 VGCC 항체 양성인 Lambert-Eaton 근무력 증후군 1예)

  • Kim, So Young;Oh, Hyo Jeong;Hwang, Ki Eun;Jung, Jong Hoon;Kim, Hak Ryul;Yang, Sei Hoon;Cho, Kwang Ho;Jeong, Eun Taik
    • Tuberculosis and Respiratory Diseases
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    • v.59 no.4
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    • pp.427-431
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    • 2005
  • Lambert-Eaton myasthenic syndrome (LEMS), a rare autoimmune neurological syndrome, is caused by defects in the secretion of acetylcholine from the presynaptic membrane, and is associated with the destruction of voltage gated calcium channels (VGCC) in the neuromuscular junction. LEMS can be confirmed by repetitive nerve stimulation and by the clinical symptoms, which are characterized by proximal muscle weakness in the lower extremities, decreased deep tendon reflexes and autonomic dysfunctions. In about 60% of patients with this disorder, underlying cancer-small cell lung cancer may be detected. Clinical symptoms may precede the diagnosis of malignancy, with the early diagnosis and treatment of the underlying malignancy being possible through the diagnosis of LEMS. A case of LEMS, with positive VGCC antibodies, in a 48-year-old man, which improved after chemotherapy of the underlying small cell lung cancer, is reported.

An Improvement of the State Assessment for Concrete Floor Slab by Damage Type Breakdown (손상유형 분할에 의한 콘크리트 바닥판의 상태평가 개선)

  • Hwang, Jin Ha;An, Seoung Su
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.12 no.2
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    • pp.139-148
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    • 2008
  • The direct inspection of the outward aspects by field engineers is the important and critical part for structural safety assessment according to the related reports. This study presents an improved method of the state assessment for concrete floor slab by separating and evaluating the individual damage types. First, the various types of damage symptoms are separated, which have been included and dealt in a group. Secondly, they are weighted and scored independently based on the present guide and references. Overall procedures other than the above are retained as same as possible to avoid the confusion. The proposed method is applied and tested to a performed assessment project for a bridge for validation. The result shows that it is reasonable and applicable in respect that it is able to make up for the controversial points of the present guide revealed in practices. Careful check of excessively deteriorated parts in addition to the reasonable assessment of system by this method grants the structural repair and reinforcement propriety and economy, and assures of more safety. Twofold appraisal of this approach expands the applicable areas of value engineering to the structural maintenance.