• 제목/요약/키워드: Condition diagnosis

검색결과 1,818건 처리시간 0.031초

개에 있어서 전신성 홍반성 낭창 일례 (A Case of Systemic Lupus Erythematosus in a Dog)

  • 김주향;김기홍;고인경;이금종;나기정;양만표
    • 한국임상수의학회지
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    • 제17권2호
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    • pp.443-449
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    • 2000
  • A three-year-old male jindo with generalized skin lesions (including seborrhea, hyperk- eratosis, alopecia, papules, and ecchymoses), pruritus lymph node enlargement, and fever was brought to Veterinary Teaching Hospital, College of Veterinary Medicine, Chungbuk National Uni- versity. There were no laboratory findings for parasites and fungi in the hair and skin But, the com- plete blood counts (CBC) showed leukocytosis and severe cosinophilia, It was suspected to be an inflammatory and allergic dermatitis. Thus, prednisoIone (0.5 mg/kg PO, BID for 1 week) and ampi- cillin (10 mg/kg PO, BID for 1 week given. One week later, pruritus and ecchymoses were reduced. These treatments were repeated for 7 day again. Three months later, the dog was presented again due to the relapse and exacerbation of the clinical signs. The signs were as follows; severe pru- ritus, vesicobullous skin lesions, anorexia, emaciation, lameness, and welling of carpal joints that showed inflammatory skin lesion and draining of synovia-like fluid. The values of WBC counts were returned to normal ranges. In contrast, eosinophilia was still observed. Coombs test for patient RBC and serum were negative. Hypoalbuminemia (2.5g/dl) was shown by serum chemistry. The uri- nalysis revealed and presence of leukocytes. Luxation finding of right radial carpal joint by polyarthritis was shown in radiography of affected joints.Lupus eryhematosus(LE) cells also appeared in peripheral blood and synovial fluid of affected joints. Definitely, antinuclear antibody (ANA) of patient serum using feline peripheral blood mononuclear cells was detected by all immu- nofluorescence. Based on these findings such as sedum ANA-Positive. major signs (skin disease, non- erosive polyarthritis with soft tissue swelling. and proteinuria), minor signs (fever), and LE cell-pos- itive, a diagnosis of systemic lupus crythematosus (SLE) was mad\ulcorner in this dog. The dog with SLE was administered with Pre(2.0 mg/kg PO, BID for first 4 week and then QOD) to inhibit the production of autoantibodies and with ampicillin (10 mg/kg PO, BID for first 4 weeks and then QOD) to prevent the secondary infection. The condition of this dog was monitored every 2 weeks by physical examinations, radiography, CBC, serum chemistry and urinalyais. At 8th week of treat- ment, the state of SLE evaluated by physical examinations and laboratory findings was markedly improved except for proteinura.

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피부사상균 감염개에서 Ketoconazole 경구투여시의 간독성에 관한 연구 (Hepatotoxicity in treatment of canine dermatophytosis with ketoconazole)

  • 배성수;김철호;김태융;강정부
    • 대한수의학회지
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    • 제45권2호
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    • pp.255-261
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    • 2005
  • The purpose of this study is to compare hepatotoxicity of each treatment for dermatophytosis; one is the administration of the ketoconazole only and the other, ketoconazole with diphenyl-dimeththyl-dicarboxylate. Have chosen the range of 14-24 months of healthy dogs divided by two groups (group 1 and group 2) for the experiment of which test proved positive in dermatophytosis diagnosis and showed normal reaction in terms of physical examination, blood chemistry and especially of liver function. Group 1 was administrated ketoconazole orally at 10 mg/kg/day and of same dose of ketoconazole with diphenyl-dimethyl-dicarboxylate for group 2. After administering, we have tested two groups by blood collecting every one week in order to check the differences of hepatotoxicity state through AST, ALT and r-GTP, the barometers of liver function which lasted for 12 weeks. Moreover, tested Indocyanine Green (ICG), known as susceptible gauge of function of excretion before starting the experiment and tested ICG as well after 12 weeks. The experiment of result the value of group 1 in AST, ALT and r-GTP has been highly rised after administering ketoconazole for 10 weeks meanwhile, of group 2 has shown a steady state troughout the whole experiment. For ICG test, we injected 0.5 mg/kg of ICG into a vein for both groups and tested the retention rate at regular interval of 15, 30, 45 minutes. The results of retention rate in two groups were similar to before the drug administration. However, after 12 weeks the retention rate of group 1 has been delayed, on the other hand, retention rate of group 2 were a steady state. In conclusion, the administration of ketoconazole only for a long period of time induced hepatotoxicity where as, the administration of ketoconazole with diphenyl-dimethyl-dicarboxylate didn't induce hepatotoxicity. Therefore, when doctors prescribes for a dog with dermatophytosis should not administrate ketoconnazole itself but with diphenyl-dimethyl-dicarboxylate and one who has abnormal condition of liver function should not be prescribed ketoconazole treatment. If there is a case needed to prescribe ketoconazole treatment, the regular monitoring should be accompanied by at the same time.

경주 분황사 모전석탁의 암석학적 풍화와 보존과학적 훼손도 진단 (Weathering and Deterioration Diagnosis for Conservation Sciences of Stone Pagoda in the Bunhwangsa Temple,Gyeongju, Korea)

  • 이정은;이찬희;이명성;김영택
    • 한국문화재보존과학회:학술대회논문집
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    • 한국문화재보존과학회 2004년도 제20회 발표논문집
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    • pp.92-100
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    • 2004
  • The host rocks of brick-shaped stone pagoda in the Bunhwangsa temple are lots of kinds andesitic rocks, which has gone through mechanical and chemical weathering. As the overall observation, the pagoda is serious damages by air pollutants, and the northeast parts show the much advanced state of turning white, while the southeast parts are heavily cracked in the materials. The rocks of brick-shaped pagoda body are in a relatively stable condition of weathering and damage except for the abrasion and cracks of the corners. The rocks of the pagoda roof suffer from more symptoms including multiple peel-offs, exfoliation, cracks forming round lines, and falling off stone pieces. The pagoda roof rocks are dominated by the thriving leafy lichens and mosses, especially, there are higher plants (selaginella involvens, dandelions) taking root actively between the brick stones and content mortar. There are even light gray precipitates like stalactites between the rocks of the body, In particular, the 1st and 2nd floor in the east side and the body parts in the north side are the most serious. Their major minerals are calcite, gypsum and clay minerals. The rocks of the stylobate and the tabernacle in all the four directions are composed mainly of granitic rocks. The materials consisting of the tabernacles show the severe splits and distortion, which causes the structural instability. The stylobate rocks are heavily contaminated by some weeds with the often marks of inorganic contamination by secondary hydroxides. The central part of the east stylobate has been sinking, while that of the 1st floor west stylobate is protruded nesting a line of cracks. Accordingly, the inside of the tabernacle is always humid with the constant introduction of rainwater. The stone lion standing in the southeast and northeast side are alkali granite, while that in the southwest and northwest lithic tuff. Each of the stone lion also coated with various colored lichens, mosses, algae, bacteria and bryophyte. The external materials of the pagoda have deteriorated the functions of the rocks and made the loss, falling off, and biological contamination even worse due to the surface weathering. Thus it's urgent to come up with scientific restoration and conservation measures through clinical tests.

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형질변형성장인자가 손상골 재생능에 미치는 영향에 관한 실험적 연구 (THE EFFECTS OF TGF-$\beta$1 ON THE BONE REGENERATION IN GUINEA PIG MANDIBLE)

  • 이병도;황의환;이상래;홍정표
    • 치과방사선
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    • 제25권2호
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    • pp.423-435
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    • 1995
  • The purpose of this study was to observe the effect of TGF-βl, which promotes differentiation and proliferation of osteoblasts, on bone regeneration. Experimental bone defects that measured 3 mm in diameter were created on the mandibles of guinea pig by removal of bone with the use of trephine burs. In one side of mandibular body, the experimental groups, bone defects were grafted with Biogran(Orthovita Co., U.S.A) and TGF-β1(R&D System Co., U.SA). In the remaining side of the mandiblar body, the control groups, bone defects were grafted with only Biogran. Guinea pigs in the control and experimental groups were serially terminated by fours on the 3 days, the 1 week, the 2 weeks, the 3 weeks, and the 4 weeks after experiment, and both sides of the mandibular bodies were removed and fixed with 10% neutral formalin. They were decalcified and embedded in paraffin as using the usual method. The specimen sectioned and stained with hematoxylin and eosin. Also, they were radiographed with a soft X -ray apparatus. The obtained results were as follows; 1. Hemorrhagic condition, observed in the granulation tissues, disappeared on the 1 week after experiment in both groups, and more prominent in the experimental group. The granulation tissues of the experimental group had larger number of cells than those of the control group. 2. Osteoblastic differentiation in the margin of grafted material and adjacent bone was observed on the 1 week after experiment in both groups. Also, bone formation was observed in immature form on the 1 week after experiment. and more prominent in the experimental group. 3. In the polarizing microscopic examination, bone matrix was very loose on the 1 week after experiment, but increase in density with time, and more prominent in the experimental group. 4. In the microradiographic examination, newly formed bone was observed in the experimental group on the 2 weeks after experiment, and this was observed earlier than in the control group. Newly formed bone was increased with time and defected area was markedly decreased on the 4 weeks after experiment.

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뇌경색 환자에게 실행한 한방음악치료 전후(前後)의 Ink foot print analysis 1례 (The Effectiveness of Ink Foot Print Analysis by Using Pre-post Oriental Medicine Music Therapy on Patient One Case with Cerebral Infarction)

  • 이승현;박경수;신현대
    • 한방재활의학과학회지
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    • 제18권3호
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    • pp.147-156
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    • 2008
  • Objectives : Oriental Medicine Music Therapy is a new way of treating and preventing various diseases and promoting health by means of music specially picked and designed to produce Qi(氣) fitting to an individual person in the areas of the structure of human body, physiological function, pathological change, diagnosis and treatment. Therefore, it can facilitate the efficiency of the treatment much better and faster than only with herb or acupuncture. Equilibrium between body and mind is its originality. Methods : A 38-year old man came to hospital suffering from left side weakness, dysarthria because of cerebral infarction. After one week's medication in the part of neurology, he was sent to the oriental medicine music therapy center, and he took ten times' medical treatments once a day. Before and after the treatments, implementing 'Ink foot print analysis', as for the movement capacity and walking of left side weakness, these results are acquired. Results and Conclusions : 1. Before the oriental medicine music therapy, except the acceleration and deceleration section, within three meters, a right foot's step was measured 30.55 cm and a left foot was measured 15.2 cm, and the step distance was 15.2 cm. After the 10 times treatments, the right foot's step was 112.6 cm, the left foot's step was 113 cm, and the step distance improved to 51.8 cm. 2. The normal person's average step is about 38 cm, and it could be decreased owing to a decreptitude, pain, fatigue, and the weakness of the legs. In spite of all, from the increased 50 cm step measurement with the patient's body condition, it means that his movement capacity is recovered. 3. In the measurement of walking time, before 10 times treatments, it took 46.35 seconds within 6M, but after the treatments, it increased to 7.47 seconds as same as a normal person's walking speed. 4. In insomnia, and the abnormality of a facial muscle, it shows lots of improvement, and even the accuracy of a pronunciation, but despite of the 10 times treatments, the 'ㄹ(r)' sound placed under a vowel is unclear. 5. Before the 10 times' treatments, he can move the left side shoulder with pain and cannot move below the left elbow. After the treatments, the pain was disappeared, and he was able to move over 60 cm without pain. And improving of the movement of fingers, he can beat over 8 times with a drumstick.

블루투스를 이용한 웹으로의 원격 의료정보 전송 시스템 (The Transmission of Tele-Information System using BlueTooth)

  • 채희영;강형원;김영길
    • 한국정보통신학회:학술대회논문집
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    • 한국해양정보통신학회 2002년도 춘계종합학술대회
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    • pp.130-133
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    • 2002
  • 사회의 발전에 따라 고령화 현상과 예전에 없던 많은 병들이 생겨나고 있다. 특히 고령환자의 경우는 건강 상태가 언제 악화될지 모르기 때문에 지속적인 관찰의 필요성에 원격 의료정보 시스템 연구가 활발히 이루어지고 있다. 생체 전위 신호의 일종인 심전도 신호는 심장 질환 보유 환자의 일상적 임상 진단 수단으로 의료 정보 시스템에 널리 사용되고 있다. 블루투스란 2.4GHz 대의 무선 주파수를 사용하는 근거리 무선 통신 기술로서 저전력 특성과 고속의 주파수 호핑 방식에 따른 높은 신뢰성 및 자체 에러 정정 기술을 지니고 있다. 이는 기존의 무선모뎀보다 데이터 전송에 있어서 높은 신뢰성을 얻을 수 있게 해준다. 또한 무선 모델은 무선 단말기 소형화에 따른 제약을 받고 있으나 블루투스를 사용함으로써 저전력 특성과 더불어 휴대용으로의 기능에 부합시킬 수 있으며, 모듈의 원칩화가 진행됨에 따라 자은 크기로의 가능성이 제시된다. 이에 따라 블루투스를 이용한 작업 중 외부로부터 입력되는 의료 정보를 블루투스 모듈이 호스트 PC에 연결된 불루투스 모듈에 무선으로 전송하고, 호스트 PC는 연결된 블루투스 모듈로부터 받은 의료 정보를 인터넷 망으로 전송하는 시스템이 구현된 바 있다. 본 연구는 기존의 시스템에서 더 나아가 호스트 PC를 임베디드화하고, Tcp/Ip 프로토콜 스택을 추가하여 의료 정보를 모두 임베디드화된 환경 하에서 웹으로 전송 할 수 있게 해준다.

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질환성 심정지 발생의 지역별 변이에 관한 연구 (A Study on Regional Variations for Disease-specific Cardiac Arrest)

  • 박일수;김은주;김유미;홍성옥;김영택;강성홍
    • 디지털융복합연구
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    • 제13권1호
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    • pp.353-366
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    • 2015
  • 본 연구의 목적은 심정지 발생의 지역별 변이요인을 규명하는 것이다. 분석을 위하여 244개 행정구역별로 건강상태 및 심정지발생에 관한 지표를 수집하여 분석용 데이터 셋을 구축하였다. 지표 선정을 위해 질병관리본부의 2010년 심정지 조사자료와 지역사회 건강조사자료를 이용하였다. 자료 분석은 다중회귀분석, 지리적 가중회귀분석, 의사결정나무분석 기법을 이용하였다. 의사결정나무를 이용하여 심정지 발생의 지역별 변이를 설명하는 최종 모형을 설정하였다. 최종 모형인 의사결정나무에 근거한 지역별 변이요인은 인구밀도, 고혈압 평생의사 경험진단율, 스트레스 인지율, 고지혈증 평생의사 경험진단율, 우울증 경험률, 건강검진 수검율, 고위험음주율, 현재 흡연율로 나타났다. 심정지 발생을 감소시키기 위한 지역별 보건정책의 수립은 지역의 건강상태, 건강행위 및 사회경제적 요인 등에 근거하여 이루어질 필요가 있다.

도자기 표면의 문양을 역동적으로 움직이는 효과를 갖는 광응용 시스템연구 (Research on Light Application System for the Dynamic Moving Effect of The Design on Porcelain)

  • 유희수
    • 전자공학회논문지
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    • 제51권11호
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    • pp.205-210
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    • 2014
  • 본 연구는 도자기의 표면에 무늬, 모양, 그림, 글씨 등의 문양을 움직이는 효과를 갖는 광응용 시스템에 관한 것으로, 도자기 표면 문양에 부착된 광섬유에 의한 LED광신호를 이용하여 문양의 움직임 효과를 실시간으로 표출하고, 도자기가 있는 장소의 조도와 회전판의 움직임을 수집하여 큐레이터가 응급조치를 취하고 문양의 표출효과를 관리하기 위한 광응용 시스템에 관한 것이다. 이와 같은 본 연구에 의하면, 도자기가 놓여져 있는 장소의 조도를 측정하여 문양의 표출효과를 큐레이터 및 응용프로그램이 실시간 관리할 수 있음과 동시에, 이상 발생 시에 자동으로 신호를 발생하여 조치할 수 있게한다. 또한, 본 연구은 일정기간 동안 광신호 전송데이터를 메모리에 저장하였다가, 데이터베이스화하여, 표출효과를 분석 후, 최적의 표출효과를 갖도록 적절한 조치를 취할 수 있도록 한다. 도자기가 있는 장소의 조도 상태를 감지 및 전달하고, 적정한 판단을 내릴 수 있는 일정한 조도수치를 데이터베이스화하고, 적절한 조건에 의거 문양 표출관련 광섬유 색체, 표출간격과 밝기에 대한 신호 데이터가 강제 혹은 의도에 의한 전달이 이루어지게 한다. 따라서 본 연구의 목적은 관제센터의 응용프로그램과 LED제어모듈에 의해 발생되는 광송출신호를 생성하여 색채, 조도, 표출간격을 측정하고 전송할 수 있는 문양을 움직이는 효과를 갖는 광응용시스템을 연구하였다.

정보 엔트로피에 의한 RC 교량 상판의 상태속성 및 등급 영향 구조 분석 (The State Attribute and Grade Influence Structure for the RC Bridge Deck Slabs by Information Entropy)

  • 황진하;박종회;안승수
    • 한국전산구조공학회논문집
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    • 제23권1호
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    • pp.61-71
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    • 2010
  • 기 수행된 1, 2종 교량에 관한 정밀안전진단 등의 많은 사례를 분석해 보면, 실제로 많은 경우 외관상태가 교량의 대표등급 결정에 지배적인 요인이 되는 것을 볼 수 있다. 본 연구는 기 시행된 점검 및 진단 자료를 학습사례집합으로 인공지능 분야의 귀납적 학습법을 활용하여 철근 콘크리트 교량 바닥판의 상태평가를 지배하는 상태속성들의 교량등급에 대한 계층적 영향도와 구조적 연관성을 분석하였다. 이는 세부적으로 목표속성은 평가등급으로, 평가속성은 1방향균열, 2방향균열, 백태, 박락 및 층분리, 재료분리 등 7가지로 구성하고, 엔트로피 분석을 통해 주요 속성의 정보량, 정보기대값 및 정보 이득을 산정하고 범주별 상태 등급 분포를 분석하였다. 이를 위해 본 논문은 먼저 6개 교량에 대한 안전진단보고서를 토대로 상태등급 평가 과정에서 각 속성이 미치는 간접적 영향을 개관하고 정보공학적 분석의 동기를 부여하였다. 아울러 본 연구는 정보 변별력에 대한 순서로 평가를 지배하는 주 속성 및 조건별 하위 속성 연관성을 의사결정트리 형태로 나타내어 계층적 영향 및 속성간의 구조적 연관성을 보임으로써 손상에 대한 이해도를 높이고 차후 상태평가를 위한 합리적 접근을 지원할 수 있도록 하였다.

폐와 중추신경계를 침범한 효모균증(Cryptococcosis) 1예 (A Case of Cryptococcosis involving Lung and CNS without Underlying Disease)

  • 이민수;박상선;고영일;장안수;임성철;양주열;박형관;나현주;김영철;최인선;박경옥
    • Tuberculosis and Respiratory Diseases
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    • 제42권4호
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    • pp.618-623
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    • 1995
  • 저자들은 내원 3개월 전부터 발생한 두통을 주소로 내원하여 검사결과 폐와 중추신경계를 동시에 침범한 효모균증으로 진단된 56세 여자환자에서 amphotericin B로 6주간 치료한 후 fluconazole 200mg/day로 전환하여 3개월간 경구 투여하여, 증상 및 흉부 방사선 소견의 호전과 함께 뇌척수액 추적 검사상 호전되고 두부 전산화 단층촬영상 특이 소견은 발견하지 못한 1례를 경험하였기에 문헌고찰과 함께 이에 보고한다.

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