• 제목/요약/키워드: Diagnosis Area

검색결과 1,761건 처리시간 0.034초

흰쥐의 족삼리 및 태충 전침자극에 따른 뇌대사활성의 변화 (Alterations of Cerebral Metabolic Activation Following Electro-Acupuncture Stimulation on ST36 and LR3 Acu-Points in Rats)

  • 손영주;정혁상;구자승;원란;김용석;박영배;손낙원
    • Journal of Acupuncture Research
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    • 제19권1호
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    • pp.159-174
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    • 2002
  • Objective : The meridian theory in oriental medicine explains that each acu-point has a characteristic functional effect. It will be supposed that an acupuncture stimulation on different acu-point evokes different activation on different areas in the central nervous system(CNS) according to the meridian theory. On this supposition, our group tried the semi-quantitative [14C]2-deoxyglucose([14C]2-DG) autoradiography on the acupuncture stimulation to the hindlimb acu-points of Sprague-Dawley rats. Methods : A venous catheter for the intravenous administration of isotope was equipped in the right external jugular vein on 3 days prior to the [14C]2-DG study. On the day of the study, two acupuncture needles were inserted into the ST36(Zusanli) or LR3(Taichong) on the left hindlimb. Electro-acupuncture stimulation (2 Hz, 5 ms, 1~3 mA, 15 minutes) started just before the i.v. injection of [14C]2-DG ($25{\mu}Ci/rat$). The brain and the spinal cord were removed and processed for the [14C] 2-DG autoradiography. Results : The EA stimulation on ST36 reveals over 120% metaboilc activation in Arcuate nucleus, Anterior pretectal nucleus, Dorsal cochlear nucleus, Interposed cerebellar nucleus, and Nucleus of Darkschewitsch. The EA stimulation on LR3 reveals over 120% metaboilc activation in Lateral habenula nucleus, Medial vestibular nucleus, Ventromedial thalamic nucleus, Anteroventral thalamic nucleus, Anterior cingulate cortex, Dentate gyrus, Antero cortical amygdaloid nucleus, Anterior pretectal nucleus, and Dorsal tegmental nucleus compared with the non EA stimulation control group. Conclusion : These results demonstrate that the different acu-points evoke the different activations in brain areas. And with this functional brain mapping study, a new scientific elucidation for the basis of the acupuncture-meridian theory in oriental medicine through differences of activated area in CNS according to the each acupuncture point.

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주의력결핍 과잉행동장애와 스마트폰 중독, 우울, 불안, 자존감 (Smart-Phone Addiction, Depression/Anxiety, and Self-Esteem with Attention-Deficit Hyperactivity Disorder in Korean Children)

  • 이효철;홍민하;오창근;심세훈;전연주;이석범;이경규;백기청;백혜순;임명호
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제26권3호
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    • pp.159-164
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    • 2015
  • Objectives : The current study investigated the risk of smartphone addiction among children and adolescents with or without attention-deficit hyperactivity disorder (ADHD), risk of depression, anxiety, and self-esteem using the Smartphone Addiction Scale Proneness, Kovac's Children's Depression Inventory, State-Trait Anxiety Inventory, and Rosenberg Self-Esteem Scale, commonly used in clinical medicine. Methods : Ninety five students with ADHD who visited psychiatry outpatient clinics completed the questionnaire. At the same time, 592 middle and high school students living in a similar area regardless of ADHD diagnosis, completed the questionnaire as control subjects. Results : Overall, 40.0% of 95 ADHD and 12.8% of 592 control subjects were classified as the smartphone addiction proneness group, 26.3% of the ADHD subjects and 8.3% of the control group were classified as the depression group, and 32.6% of the ADHD subjects and 16.2% of the control group were classified as the anxiety group. Significant differences were observed between the two groups. Conclusion : The results of this study suggest that ADHD subjects are more prone to smartphone addiction, becoming depressed or anxious than those in the control group. From this study, we could suggest that students with ADHD are more easily affected by smartphone addiction than normal control subjects. In addition, we might understand how some psychiatric problems like depression, anxiety, and low self-esteem are related to ADHD and smartphone addiction.

한국에서의 미만성 침윤성 폐질환의 원인별 분포 (The Etiology of the Diffuse Infiltrative Disease of the Lung in Korea)

  • 김준희;최수전;김동순;유지홍;강흥모;유세화;조동일;김재원;한성구;김건열;김영순;박춘식;김우성;김원동;장준;이원영;최병휘;허성호;신동호;이정희
    • Tuberculosis and Respiratory Diseases
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    • 제38권1호
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    • pp.1-7
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    • 1991
  • To study the frequency of the underlying disease of the diffuse pulmonary infiltrates in korea, we ansalyzed retrospectively 982 patients who were seen at nine university hospitals and one general hospital in Seoul area. The results are folloing: 1) Among the total 982 patients, 490 patients were male and 492 patients were female. The mean age was 44.3 years. 2) The most common etiology was milliary tuberculosis (38%), which was followed by, idopathic pulmonary fibrosis (27%), pulmonary fibrosis associated with collagen-vascular disease (15%), and diffuse pulmonary infiltrates by malignancy (10%). 3) Amon the connective tissue disease which was accompanied by the interstitial lung disease, rheumatoid arthritis was the most common disease (43%), systemic lupus erythematosus was the 2nd (28%), and progressive systemic sclerosis was the 3re (16%). 4) Among 101 cases of malignant disease, lung was the most frequent primary site (31%), which was followed by stomach (28%), thyroid (16%), and breast (6%). 5) For the diagnosis of the underlying disease of pulmonary infiltrates, the transbronchial lung biopsy was performed in 21% of the patients and open lung biopsy was done in 7%.

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계승치의 결손을 동반한 상, 하악 유구치의 다발성 유착에 대한 증례보고 (MULTIPLE ANKYLOSIS ON MAXILLARY AND MANDIBULAR PRIMARY MOLARS WITHOUT PERMANENT SUCCESSOR)

  • 정회훈;최형준;김성오;최병재;이제호
    • 대한소아치과학회지
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    • 제32권3호
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    • pp.403-408
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    • 2005
  • 치아유착은 치근의 상아질 또는 백악질이 치조골과 융합된 것으로 치아의 맹출이상을 야기하여 치조골 성장의 장애를 일으킨다. 본 6세 여아는 유구치의 유착과 영구 소구치의 결손을 주소로 본과에 의뢰되었으며 특이할 만한 의과적, 치과적 병력은 없었다. 구강 검진 소견상 상, 하악의 좌, 우측 유구치에서 저위교합이 관찰되었으며, 다수의 치아우식증이 존재하였다. 방사선 사진 검사 소견상 상악의 좌, 우측 영구 견치와 계승 소구치의 결손, 상악 유구치의 치근흡수와 하악 유구치의 치주인대공간의 소실 및 미약한 치근흡수가 관찰되었다. 계승 영구치의 결손을 동반한 유구치 유착시 치료목표는 적절한 치조골 성장과 유치의 유지이며, 유착의 발현 시기와 치근의 흡수 정도에 따라 관찰, 수복 또는 발치 등의 치료를 고려할 수 있다. 유착치아의 발치는 인접 치조골 성장에 문제가 없고 인접치의 경사가 일어나지 않도록 최대성장점(growth spurt)을 고려하여 그 시기를 결정해야 한다.

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Cone beam CT와 파노라마방사선사진을 이용한 매복 상악 견치의 3차원적 분석 (THREE-DIMENSIONAL EVALUATION OF IMPACTED MAXILLARY CANINES USING CONE BEAM COMPUTED TOMOGRAPHY AND PANORAMIC RADIOGRAPHS)

  • 전상윤;이난영;이상호
    • 대한소아치과학회지
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    • 제40권2호
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    • pp.106-117
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    • 2013
  • 견치의 맹출은 영구치열의 이행에 중요하다. 견치 매복의 원인으로 유치의 조기 상실 또는 만기 잔존, 신생물 등이 있으며 측절치 이상이 상악 견치 매복을 야기할 수 있다. 치료되지 않은 매복 견치는 부정교합, 낭종 등을 야기하고 교정치료를 복잡하게 한다. 이 연구의 목적은 매복된 상악 견치의 위치를 조사하여 치료 및 합병증과의 관계를 규명하는 것이다. 상악 견치 매복으로 진단된 89명의 파노라마사진과 전산화단층영상을 사용하여 견치의 위치를 평가하였다. 시행된 치료와 합병증과의 상관관계에 대해 조사하였다. 가장 흔한 매복 위치는 치열궁 영역이었고 협측과 구개측 순이었다. 교정적 견인이 가장 빈번히 선택되었으며 합병증으로는 인접치를 변위시키는 경우가 가장 흔했다. 협측에 매복 시 변위를 일으키는 경향이 높았고, 협측에 매복될수록 교정적 견인이 덜 시행되었다. 중절치 근심에 매복 시 치근 흡수를 일으키는 경향이 더 높았다. 그러므로 상악 견치에 대한 검진을 통해 조기 진단과 적절한 치료의 시행이 필요하다.

Study of Apparent Diffusion Coefficient Changes According to Spinal Disease in MR Diffusion-weighted Image

  • Heo, Yeong-Cheol;Cho, Jae-Hwan
    • Journal of Magnetics
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    • 제22권1호
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    • pp.146-149
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    • 2017
  • In this study, we compared the standardized value of each signal intensity, the apparent diffusion coefficient (ADC) that digitizes the diffusion of water molecules, and the signal to noise ratio (SNR) using b value 0 400, 1400 ($s/mm^2$). From March 2013 to December 2013, patients with suspicion of simple compound fracture and metastatic spine cancer were included in the MR readout. We used a 1.5 Tesla Achieva MRI system and a Syn-Spine Coil. Sequence is a DWI SE-EPI sagittal (diffusion weighted imaging spin echo-echo planar imaging sagittal) image with b-factor ($s/mm^2$) 0, 400, 1400 were used. Data analysis showed ROI (Region of Interest) in diseased area with high SI (signal intensity) in diffusion-weighted image b value 0 ($s/mm^2$) Using the MRIcro program, each SI was calculated with images of b-value 0, 400, and 1400 ($s/mm^2$), ADC map was obtained using Metlab Software with each image of b-value, The ADC is obtained by applying the ROI to the same position. The standardized values ($SI_{400}/SI_0$, $SI_{400}/SI_0$) of simple compression fractures were $0.47{\pm}0.04$ and $0.23{\pm}0.03$ and the standardized values ($SI_{400}/SI_0$, $SI_{400}/SI_0$) of the metastatic spine were $0.57{\pm}0.07$ and $0.32{\pm}0.08$ And the standardized values of the two diseases were statistically significant (p < 0.05). The ADC ($mm^2/s$) for b value 400 ($s/mm^2$) and 1400 ($s/mm^2$) of the simple compression fracture disease site were $1.70{\pm}0.16$ and $0.93{\pm}0.28$ and $1.24{\pm}0.21$ and $0.80{\pm}0.15$ for the metastatic spine. The ADC ($mm^2/s$) for b value 400($s/mm^2$) was statistically significant (p < 0.05) but the ADC ($mm^2/s$) for b value 1400 (p > 0.05). In conclusion, multi - b value recognition of signal changes in diffusion - weighted imaging is very important for the diagnosis of various spinal diseases.

사상인(四象人) 이목비구(耳目鼻口)의 형태학적(形態學的) 특징(特徵) 연구(硏究) (A Morphorlogical Study of Ear, Eye, Nose and Mouth according to the Sasang Constitution)

  • 홍석철;고병희;송일병
    • 사상체질의학회지
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    • 제10권2호
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    • pp.221-270
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    • 1998
  • Objective This research is a study about constitutional diagnosis through the external appearances as a basic principle, and it is for finding shape differences of the ear, eye, nose, mouth according to the Sasang constitution Method We have collected 209 cases of patients of the Sasang Constitutional Department, including employees of the Kyung-Hee Medical Center and took pictures of the frontal view, lateral view, oblique view of face and measured heights, deapth, breadths of ear, eye, nose, mouth with 'The Measurement of R. Martin'. We analyzed shape differences of the face according to the Sasang constitution with certain results Results We got the morphologic characteristics of ear, eye, nose and mouth according to the Sasang constitution as Table 3. -Table 10. Conclusion : 1. The morphologic characteristics of Ear according to the Sasang constitution (1) Morphologic ear length, Physiognomic ear length, Ear lobule length is longer in Taeumin than Soeumin. (2) Physiognomic ear breadth is wider in Taeumin than Soeumin. (3) Physiognomic ear length, lobule length ratio is higher in Taeumin than Soyangin. 2. The morphologic characteristics of Eye according to the Sasang constitution. (1) Inner Palpebral fissure width, 5th Palpebral fissure length, Bizygomatic breadth-Outercanthal distance is the longest in Taeumin (2) Palpebral fissure inclination is widest in Soeumin. (3) Palpebral fissure length is longer in Taeumin than Soeumin. (4) Pupillary diameter ratio is the lowest in Taeumin (5) Palpebral fissure length, width ratio is higher in Soeumin than Taeumin. (6)zygomatic breadth, Bizygomatic breadth-Outercanthal distance ratio is the higher in Taeumin than Soeumin. 3. The morphologic characteristics of Nose according to the Sasang constitution. (1) Nasion depth is deepest in Soyangin. (2) Nasion to pupillary depth is deeper Soyangin than Taeumin. (3) Nasal tip depth, Nostril to Nasalalar depth is deeper Soyangin than Taeumin. (4) Subnasale to Nasalalar depth is the shallowest in Taeumin (5) Nasalalar height is lowest in Soeumin. (6) Nasalalar to Nostril distance is deeper Taeumin than Soeumin. (7) Nasal tip depth, Nasal depth ratio is the highest in Taeumin (8) Nasal depth Nasalalar heightratio is lowest in Soeumin. (9) Midfaceheight, Nasal tip depth ratio is higher Soyangin than Taeumin. 4. The morphologic characteristics of mouth according to the Sasang constitution. (1) Lower mid lip height, Lower philtrum height, Lower quarter lip height, Total middle lip height, Total philtrum height, Total quarter lip height is the shottest in Soyangin. (2) Upper mid lip height, Upper philtrum height is longer in Taeumin than Soyangin (3) Lip inclination is higher in Soeumin than Soyangin. (4) Intercheilion breadth, total height ratio is lowest in Soyangin. (5) Total lip height, Upper philtrum height ratio is higher in Soyangin than Soeumin. (6) Lower lip height Lower quarter lip height ratio is higher in Soyangin than Taeumin. (8) Total lip area is wider in Taeumin than Soyangin.

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소아 천식을 통해서 본 의료보험 상병 자료의 완전성 추정 : Capture-Recapture 분석방법의 적용 (Completeness Estimation of the Korean Medical Insurance Data in Childhood Asthma : Using Capture-Recapture Method)

  • 하미나;권호장;강대희;조수헌;유근영;주영수;성주헌;강종원;김대성;이상일
    • Journal of Preventive Medicine and Public Health
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    • 제30권2호
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    • pp.428-436
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    • 1997
  • Objectives : The purpose of this paper is to estimate the completeness of the Korean Medical Insurance Data in childhood asthma. Methods : Capture-recapture method was used to estimate the prevalence of childhood asthma and case ascertainment rate(completeness) of Korean Medical Insurance Data using two source model, 'Korean Medical Insurance Committee Data (KMICD)' and 'Nationwide Study of Asthma and Allergies in Korean Children'. The asthma cases were restricted to those who were born from 1981 to 1989 and were identified by their Resident Register Number. Asthma cases in Korean Medical Insurance Data were defined as cases coded by ICD-9 493 and ICD-10 J45. In 'Nationwide Study of Asthma and Allergies in Korean Children', asthma cases were defined as the children who had been diagnosed asthma and had experienced symptoms of asthma during the past 12 months. The defined cases in two data sources were matched by 13 digits Resident Register Number. The numbers of matched patients in two data sources were 245 of 32,825 eligible total subjects. Chapman and Wittes' nearly unbiased estimation was used for capture-recapture analysis of two data sources. Results : Observed prevalence rate of childhood asthma was 5.3% and estimated prevalence rate by capture-recapture analysis was 11.6%. The highest prevalence rate was observed in 6-7 age group and the older the rate decreased. The completeness (the proportion of cases ascertained by KMICD to the total observed cases by two data sources) was 20.6%, and ranged form 10.8% to 28.8% by area. Conclusions : Invalid diagnosis of cases might overestimate the prevalence of child-hood asthma and might underestimate the completeness of Korean Medical Insurance Committee Data in this study.

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Evaluation of Visual Perception in Smoking Cessation Websites and Construction of Antismoking Website

  • Lee, Yoon-Hyeon;Shin, Soon-Ho
    • 보건교육건강증진학회지
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    • 제20권4호
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    • pp.95-109
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    • 2003
  • Tobacco use is the most readily preventable cause of premature death; it is a worldwide problem, with a significant impact on heath and well-being. In order to design an effective tobacco education program, it is important to understand smoking patterns and the underlying factors associated with smoking in different generations such as adults or young people. Despite a general decline in the prevalence of regular smoking among adults, recent surveys commissioned by the Ministry Heath & Welfare for the Republic of Korea have shown no evidence of any decline in smoking rates among young women and adolescents. The Republic of Korea has the highest adult male smoking percentage (65.1%) in the world and smoking in adolescents is still an increasing trend. Smoking in adolescents and young women is especially more dangerous, thus health education of anti-smoking directed at these groups is an important area that will benefit from using internet content that they can easily access. The purpose of this study is the evaluation of visual perception and effectiveness analysis in smoking cessation websites in promoting smoking cessation in adolescents and young women through Internet content. As a result of this project, at first we evaluated the Internet content of cyber smoking cessation programs by the evaluation criteria of web design interface. The Internet site of http://nosmokeguide.or.kr received the most superior evaluation in the domestic Internet content for smoking cessation and the Internet site of the National Center for Tobacco-Free Kids received the most superior evaluation in the foreign Internet content for smoking cessation. This evaluation was surveyed by an expert in Internet content and user. Secondly, we developed the Internet content for cyber smoking cessation program, namely, "Dr. Smoking" that contained several menus and a database regarding anti-smoking designed in accordance with the results of this evaluation. The domain address of Dr. Smoking is http://www.dmosmoking.com and our webpage has assorted kinds of news, information, self-diagnosis, prescription, consulting, a no-smoking mall etc. In conclusion, this project is designed to develop Internet content for the most effective smoking cessation program and to contribute to eliminating smoking from our society. We also will try to develop and upgrade this web-site in order to help a smoker who want to quit smoking and diminish the physical and socioeconomic harm from smoking.m smoking.

모바일 초음파 영상신호의 빔포밍 알고리즘을 위한 멀티코어 프로세서 구현 (Implementation of Multi-Core Processor for Beamforming Algorithm of Mobile Ultrasound Image Signals)

  • 최병국;김종면
    • 정보처리학회논문지A
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    • 제18A권2호
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    • pp.45-52
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    • 2011
  • 과거에는 환자가 초음파 영상진단장치가 설치되어 있는 방에 가서 진단을 받았지만, 현재는 의사가 초음파 영상 진단장치를 가지고 이동하면서 환자를 진단(모바일 초음파, handheld ultrasound)할 수 있는 시대가 왔다. 그러나 초음파 영상진단장치로서의 기본적인 기능만을 구현하였으며, 초음파 영상의 질을 결정하는 초음파 빔의 포커싱 알고리즘에서 요구되는 고성능을 만족하지 못하는 실정이다. 또한 모바일 기기의 경우 저전력의 요구조건도 만족하여야 한다. 이를 위해 본 논문에서는 모바일 초음파 영상신호의 포커싱을 위한 방법 중 대표적인 빔포밍 알고리즘(Beamforming Algorithm)을 고성능, 저전력으로 처리 가능한 단일 명령어 다중 데이터(Single Instruction Multiple Data, SIMD)기반의 멀티코어 프로세서를 제안한다. 제안한 SIMD기반 멀티코어 프로세서는 16개의 프로세싱 엘리먼트(Processing Element, PE)로 구성되어 있으며, 초음파의 에코 영상데이터에 내재한 무수한 데이터 레벨 병렬성을 활용하여 빔포밍 알고리즘에서 요구되는 고성능을 만족시킨다. 모의실험 결과, 제안한 멀티코어 프로세서는 현재 상용 고성능 프로세서인 TI DSP C6416보다 평균 15.8배의 성능, 6.9배의 에너지 효율 및 10배의 시스템 면적 효율을 보였다.