• Title/Summary/Keyword: Cause Diagnosis

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Antibiotics for bacterial pneumonia in children (세균성 폐렴과 항생제 선택)

  • Yum, Hye-yung
    • Clinical and Experimental Pediatrics
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    • v.52 no.3
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    • pp.283-288
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    • 2009
  • Pneumonia remains the leading cause of mortality in children. Diagnosis depends on a combination of factors, including clinical assessment, radiological and laboratory findings. Although Streptococcus pneumoniae remains the most important cause of childhood bacterial pneumonia, the great majority of cases of community-acquired pneumonia (CAP) are of viral etiology. A new, rapid, and inexpensive test that differentiates viral from bacterial pneumonia is needed to decide empiric antibiotic treatment. Antibiotics effective against the expected bacterial pathogens should be instituted where necessary. The role of emerging pathogens and the effect of pneumococcal resistance and heptavalent conjugate pneumococcal vaccines are to be considered in practice. There are reports supporting the valid and highly efficacious use of penicillin as a first-line drug for treating CAP. This review raises the issue of the overuse of unnecessary antibiotics in viral CAPs and the use of second or third-line antibiotics for non-complicated pneumonias in most clinical settings.

Multiple idiopathic external and internal resorption: Case report with cone-beam computed tomography findings

  • Celikten, Berkan;Uzuntas, Ceren Feriha;Kurt, Hakan
    • Imaging Science in Dentistry
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    • v.44 no.4
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    • pp.315-320
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    • 2014
  • Root resorption is loss of dental hard tissue as a result of clastic activities. The dental hard tissue of permanent teeth does not normally undergo resorption, except in cases of inflammation or trauma. However, there are rare cases of tooth resorption of an unknown cause, known as "idiopathic root resorption". This report would discuss a rare case of multiple idiopathic resorption in the permanent maxillary and mandibular teeth of an otherwise healthy 36-year-old male patient. In addition to a clinical examination, the patient was imaged using conventional radiography and cone-beam computed tomography (CBCT). The examinations revealed multiple external and internal resorption of the teeth in all four quadrants of the jaws with an unknown cause. Multiple root resorption is a rare clinical phenomenon that should be examined using different radiographic modalities. Cross-sectional CBCT is useful in the diagnosis and examination of such lesions.

A Clinical study on Two Hoarse Patients (소음인(少陰人) 음아(音啞) 환자(患者) 2례(例)에 대한 증례보고(症例報告))

  • Kim, Seok-Woo;Song, Jeong-Mo;Shin, Dong-Yoon
    • Journal of Sasang Constitutional Medicine
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    • v.17 no.1
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    • pp.142-145
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    • 2005
  • 1. Objectives Hoarseness is most common symptoms of URI. Acute laryngitis, chronic laryngitis, vocal nodules, laryngeal cancer can be the cause of hoarseness, but laryngitis is most common cause. this hoarseness is called as 'Um-a' in Korean medicine and other disease, 'Um-a' can be treated by Sasang constitutional medical diagnosis and treatment. 2. Methods There is two case-reports of the patients who were hoarse and they were treated with Sasang constitutional medicine, Samgyepalmul-tang. 3. Results The patients had shown remarkable clinical effects, when Sasang constitutional medical treatment was practiced. 4. Conclusions Thus we report the healing process and result of this two hoarse patients.

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Fault Train Construction Based on Shallow Reasoning Strategy (경험기반추론 전략을 이용한 고장트레인 구축)

  • Bae, Yong-Hwan
    • Journal of the Korean Society of Safety
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    • v.20 no.3 s.71
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    • pp.19-26
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    • 2005
  • There are three reasoning method in fault diagnosis process. The shallow reasoning is based on the experiential knowledge and deep reasoning is based on physical model. Hybrid reasoning is mixing two type reasoning. This study describes about fault train embodiment of screw type air compressor that is used widely in industrial facilities by using various experimental method and shallow reasoning. We investigate macroscopic failure cause of air compressor through naked eye observation and then microscopic failure cause by various experimental method. We composed fault train with fault knowledge based on empirical data and scientific data that is acquired through several experiments. It is possible to analysis system reliability and failure rate with these fault train.

Pitfalls in the Diagnosis of Vertigo (현훈 진단에 있어 함정)

  • Kim, Hyun Ah;Lee, Hyung
    • Journal of the Korean neurological association
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    • v.36 no.4
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    • pp.280-288
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    • 2018
  • Vertigo/dizziness is a common complaint in patients who are seeking a primary health clinic. Vertigo is traditionally attributed to damage of the vestibular system. Many peripheral and central vestibular disorders are usually presented with vertigo. However, patients with benign paroxysmal positional vertigo (BPPV), a leading cause of vertigo, may present with postural lightheadedness, near faint, imbalance rather than true vertigo. On the contrary, patients with orthostatic hypotension may present with true spinning vertigo, not dizziness. Persistent postural perceptual dizziness, a second most common cause of dizziness (after BPPV), is mainly occurred after organic vestibular disorders such as BPPV or vestibular neuritis, and classified as a chronic functional vestibular disorder. This article describes non-vestibular disorders presenting dizziness and/or vertigos, which conditions may be misdiagnosed as structural vestibular disorders.

Importance of Differential Diagnosis of a Possible Brain Tumor in Patients with Cervical Radiculopathy

  • So, Jin-Shup;Kim, Young-Jin;Lee, Sang-Koo;Cho, Chun-Sung
    • Journal of Korean Neurosurgical Society
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    • v.65 no.1
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    • pp.145-150
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    • 2022
  • Lesions occurring simultaneously in the somatosensory or motor cortex of the brain and the cervical spine are rare. Brain tumors can cause similar symptoms to cervical lesions which can lead to confusion in treatment priorities. Moreover, if cervical disease is noticeably observed in radiologic findings of a patient complaining of cervical radiculopathy with non-specific electromyography results, it is common to no longer perform further evaluation. Here we introduce two cases where the cause of cervical radiculopathy was first considered to be the result of a degenerative cervical disease but was later discovered to be a result of a brain tumor.

Diagnosis of Lateral Ankle Ligament Injury in the Evaluation of Chronic Lateral Ankle Instability (만성 외측 발목 불안정과 발목 인대 손상의 진단)

  • Ji Young Jeon
    • Journal of the Korean Society of Radiology
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    • v.82 no.6
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    • pp.1402-1412
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    • 2021
  • Chronic lateral ankle instability (CLAI) is a major complication of acute ankle sprain that can cause discomfort in both daily and sports activities and may lead to degenerative changes in the ankle joint as the long-term sequelae. The precise cause of CLAI remains debatable and is most probably multifactorial. However, identifying chronic lateral ankle ligament injury is critical in determining the primary etiology and formulating an appropriate treatment plan. This review discusses the features and effectiveness of various imaging techniques in diagnosing chronic lateral ankle ligament injury.

Korean Clinical Guideline for Autism Spectrum Disorder - Clinical Features, Course, Epidemiology, and Cause

  • Jun-Won Hwang;Jeong-Seop Lee
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.35 no.1
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    • pp.8-14
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    • 2024
  • Autism spectrum disorder (ASD) is a heterogeneous developmental disorder characterized by impairments in two core areas: 1) social communication and interaction and 2) restricted and repetitive patterns of behaviors and interests. In general, ASD is known to be a lifelong disorder. Follow-up studies from childhood to adulthood have reported that the severity of the key symptoms ASD decreases over time. However, chronic health problems including mental health occur in many patients with ASD. The prevalence of ASD has increased from around 0.04% in the 1970s to 2.8% at present. The average age of diagnosis in developed countries is 38-120 months of age. Recent evidence suggests that biological factors which include genetic, congenital, immunological, neuroanatomical, biochemical, and environmental ones are important in causing autism. Until now, early signs and various risk factors of ASD have been suggested.

NIPAH Virus - "A Bane to Mankind"

  • Jaiganeshan Muttiah Velmurugan;Lakshmi Krishnasamy
    • Microbiology and Biotechnology Letters
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    • v.52 no.3
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    • pp.221-232
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    • 2024
  • Zoonotic diseases are rare but the transmission of disease to humans may cause serious illness. Nipah virus (NiV) is a bat-borne zoonotic pathogen, which can cause severe encephalitis and respiratory distress. The transmission of Nipah virus from bats to humans was first reported in Malaysia in 1998. Different strains of NiV show different epidemiological and clinical features. Few of the strains are highly lethal and can spread to the community resulting in a global threat. However, the availability of effective management or prophylactic measures are only limited. Thus, it is essential to contain such outbreaks by implementing proper infection control and surveillance measures. Many serological and molecular diagnostic techniques have been developed for diagnosis of this infection. This review mainly focuses on the epidemiology, transmission of Nipah virus, pathogenesis and management of NiV infection. The review also throws light on the immune response of NiV in humans and the role of One Health approach in prevention and control of NiV infection.

Case Study of Intermittent Poor Acceleration Fault Diagnosis by Brake Switch Fault (브레이크 스위치 결함에 의한 간헐적인 가속불량 현상의 고장진단 사례연구)

  • Kim, Sung Mo;Jo, Haeng Deug
    • Journal of the Korean Society of Manufacturing Technology Engineers
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    • v.24 no.2
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    • pp.203-210
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    • 2015
  • This paper investigates the failure of a car with a 2.5-liter CRDi engine of the Hyundai Company. The failure is caused by intermittent poor acceleration while driving. To analyze the cause, we investigated the air intake volume, the fuel injection, and the air-fuel ratio, which were determined to be normal. The brake switch signal error was discovered while analyzing the function that limits the output of the engine. While investigating the cause, we discovered the corrosion of the pins on the connector of the brake switch. We determined that it was generated by soapy water flowing in the solar film. Therefore, the cause of the failure was the brake switch signal errors. Additionally, we determined that ECM was the normal fail-safe mode that implemented the override device for safety during normal acceleration. Based on these results, further solar film experiments must be conducted to fully elucidate the causes.