• Title/Summary/Keyword: Diagnosis Function

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Meralgia Paresthetica Treated with Acupuncture Plus Myofascial Release Technique: Case Report (대퇴신경지각이상증 환자에 대한 침치료 및 근막이완요법 병용 치험 1례)

  • Lee, Eun Ji;Kim, Shin Ae;Kwon, Min Gu;Kim, Sung Tae;Shin, Hyun Gwon;Cho, Hyun Jung;Yang, Tae Jun;Kim, Seon Wook;Jeong, Joo Yong;Chiang, Suo Yue
    • Korean Journal of Acupuncture
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    • v.33 no.2
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    • pp.89-93
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    • 2016
  • Objectives : The purpose of this case is to report the improvement after treatment about a patient with meralgia paresthetica. Methods : We treated the patient with acupucture therapy, cupping therapy, electroacupuncture therapy, percutaneous radiofrequency thermoablation and myofascial release technique by Turbo SASO from $26^{th}$ June 2015 to $3^{rd}$ July 2015 by evaluating femoral function with VAS score. Results : After 5 times of treatment, this patient achieved excellent outcome following the technique, showing that clinical symptom as able to walked and pain was disappeared, VAS changed from 10 to 3 and the result of patrick test came out negative. Conclusions : The various symptoms appear in the Meralgia paresthetica such as numbness, paresthesia, and pain in the anterolateral thigh, which may result from either an entrapment neuropathy or a neuroma of the lateral femoral cutaneous nerve(LFCN). Oriental medical treatment for meralgia paresthetica resulted in satisfactory results by diminishing the symptoms progressively during the five days of treatment. Differential diagnosis was based on careful physical examination. More research of meralgia paresthetica is needed.

Study protocol for clinical trial to Compare the Effectiveness of 'Individualized Acupuncture' with 'Standardized Acupuncture' in Korean patients with Knee Osteoarthritis

  • Lee, Seung-Deok;Seo, Jung-Chul;Lee, Sang-Hoon;Kim, Yong-Suk;Jang, Jun-Hyouk;Park, Hi-Joon;Choi, Sun-Mi;Park, Ji-Eun;Shin, Leem-Hee;Hahn, Seo-kyung;Norihito, Takahashi;Eiichi, Sumiya;Itoh, Kazunori;Toshiyuki, Shichidou;Kenji, Kawakita
    • Korean Journal of Acupuncture
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    • v.25 no.4
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    • pp.205-217
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    • 2008
  • Background : One of the characteristics of acupuncture, a popular modality for treating musculoskeletal pain, is a plurality in diagnosis and treatment that can profoundly influence the treatment outcome. This multiplicity in treatment modality has to be considered in any research on the effectiveness of acupuncture. Many practitioners stress the necessity for individualized patient treatment, including acupuncture point selection and manipulation technique. However, the importance of individualization in acupuncture treatment, compared with standardization, has received little attention in clinical trials. The aim of the future study described here is therefore to compare the effectiveness of individualized acupuncture for knee osteoarthritis with standardized acupuncture and no acupuncture in patients with knee osteoarthritis. Methods : A total of 195 patients aged 50 years and over with knee pain, will be randomly divided into three treatment groups: individualized acupuncture, standardized acupuncture, and waiting list. Outcome data will be collected through patient.completed questionnaires before randomization, and at 4, 8 and 12 weeks after randomization. The questionnaires will be investigated demographic details as well as information on pain, movement and function of the affected knee, general health and quality of life. Discussion : This paper presents details on the rationale, design, and methods of the trial.

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A Study on IoT Monitering Technology of Power Converter for E-Mobility (E-Mobility용 전력변환기의 IoT 모니터링 기술에 대한 연구)

  • Lee, In-Seok;Lee, Ju;Kang, Ja-Yoon
    • Journal of the Korea Convergence Society
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    • v.9 no.3
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    • pp.39-44
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    • 2018
  • In this paper, we propose a monitoring method of smartphone to integrate IoT technology to monitor the state of the vehicle for fault diagnosis of E-Mobility power converter. In China, EV regulations are being implemented to promote technological development and market changes in electric vehicles. To meet this trend, E-Mobility should study suitable monitoring technology. The OBD-II method used in existing automobiles is a wired / wireless communication method. In order to apply it to E-Mobility, additional interface and communication link are required. In this paper, we propose a technology to monitor the status information of power converter for E-Mobility by combining existing technology with IoT. This technology simplifies the existing network protocol and hardware interface, and confirms that the E-Mobility power converter and smartphone can be interworked for easy user monitoring. And we have done research to make high value product design from the aspect of function.

Two Children with Saethre-Chotzen Syndrome Confirmed by the TWIST1 Gene Analysis (TWIST1 유전자의 돌연변이가 확인된 Saethre-Chotzen 증후군 2례)

  • Ko, Jung-Min;Yang, Jung-Ah;Jeong, Seon-Yong;Yoon, Soo-Han
    • Journal of Genetic Medicine
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    • v.8 no.2
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    • pp.130-134
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    • 2011
  • Saethre-Chotzen syndrome is an autosomal dominant craniosynostosis syndrome, usually involving unior bilateral coronal synostosis and mild limb deformities, and is induced by loss-of-function mutations of the TWIST1 gene. Other clinical features of this syndrome include ptosis, low-set ears, hearing loss, hypertelorism, broad great toes, clinodactyly, and syndactyly. The authors of the present study report 2 children with clinical features of Saethre-Chotzen syndrome who showed mutations in the TWIST1 gene, and is the first molecular genetic confirmation of Saethre-Chotzen syndrome in Korea. The molecular genetic testing of the TWIST1 gene for patients with coronal synostoses is important to confirm the diagnosis and to provide adequate genetic counseling.

THE STUDY OF THE EFFECT OF DENTAL ARCH FORM ON CHEWING MOVEMENT III. THE RELATIONSHIP BETWEEN THE DENIAL ARCH FORM AND THE CHEWING MOVEMENT (저작운동에 미치는 치열궁형태의 영향에 관한 연구 III. 치열궁형태와 저작운동과의 관련성에 대하여)

  • Jo Byung-Woan;Kim Jong-Pil;Chang Heun-Soo;Aha Sang-Hun;Ahn Jae-Jin
    • The Journal of Korean Academy of Prosthodontics
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    • v.32 no.4
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    • pp.565-572
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    • 1994
  • According to the classification of dental arch form and the analysis of patterns of chewing movement, the patterns of chewing movement in each group were evaluated and compared with those of the normal group. Results were summarized as follows ; 1. Opening phase in chewing movement In the group which the maxillary second molar positionsbuccal side, the chewing patterns which have the Vertical Guide Openings in frontal plane, the Posterior Guide Openings in hjorizontal plane were observed. In the group which the maxillary premolars position lingual side, the chewing paterns which have the Protrusive Shift Openings in horizontal plane and sagittal plane were observed. 2. Closing phase in chewing movement. In each group except for the normal group, the chewing patterns which have the Concave Closure in frontal plane and in Horizontal plane were observed. In the group which the maxillary premolars position buccal side, the chewing patterns which have the Lateral Guide Closure in frontal plane and in horizontal plane, the Vertical Guide Closre in sagittal plane were observed: From the results, as the characteristics of the dental arch form have appeared in chewing movement, the close relationships were found between dental arch form and chewing movement. It is suggested that the evaluation of dental arch form is effective in the diagnosis of function of stomatognathic system.

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Recent Advances in Diagnosis of Gastrointestinal Disease (소화기질환 진단의 최신지견)

  • Choi, Ho-Seung;Kim, Jae-Kwan;Choi, Seo-Hyung
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.13 no.1
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    • pp.1-9
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    • 2009
  • Objectives : If patients notice a symptom indicating inveterate dyspepsia but they don't have any problem around gastroscope, they get diagnosed as a functional dyspepsia or an imaginary stomach disease, but to overcome the limitations of these diagnoses, we are analyzing them for the common feature and are looking for a new diagnostics for them. Methods : Based on our survey with 122 patients with inveterate dyspepsia, we analyzed the period of onset, eating habits, the main symptoms, and observations on the gastroscope. We also analyzed the function of the stomach and intestines by EAV examinations, and the outer walls of the stomach and intestines by subdividing the level of coagulation into six with abdominal palpation. Results : We figured out that people who appeals about inveterate dyspepsia have had long period of onset, and that they had bad eating habits, shoulder stiffness, neck stiffness, headache, dizziness, etc. These are all the similar symptoms beside dyspepsia, which indicates that it is a syndrome. From about 70%, they didn't had particular problem in gastroscope, and as to be seen from the result of EAV examination, their stomachs and intestines had become functionless. Also, we were able to feel a stiffened tissue through abdominal palpation. Conclusion : Through this investigation, we found out that what the gastroscope can not find so that gets diagnosed as a functional dyspepsia or an imaginary stomach disease can be diagnosed as a syndrome called damjeok by overcoming the limitation utilizing the survey, EAV examinations, and abdominal palpation. We can find a mighty significance from the fact that it can be diagnosed as a syndrome.

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Development of Automated Tools for Data Quality Diagnostics (데이터 품질진단을 위한 자동화도구 개발)

  • Ko, Jae-Hwan;Kim, Dong-Soo;Han, Ki-Joon
    • Journal of Information Technology Services
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    • v.11 no.4
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    • pp.153-170
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    • 2012
  • When companies or institutes manage data, in order to utilize it as useful resources for decision-making, it is essential to offer precise and reliable data. While most small and medium-sized enterprises and public institutes have been investing a great amount of money in management and maintenance of their data systems, the investment in data management has been inadequate. When public institutions establish their data systems, inspection has been constantly carried out on the data systems in order to improve safety and effectiveness. However, their capabilities in improving the quality of data have been insufficient. This study develops an automatic tool to diagnose the quality of data in a way to diagnose the data quality condition of the inspected institute quantitatively at the stage of design and closure by inspecting the data system and proves its practicality by applying the automatic tool to inspection. As a means to diagnose the quality, this study categorizes, in the aspect of quality characteristics, the items that may be improved through diagnosis at the stage of design, the early stage of establishing the data system and the measurement items by the quality index regarding measurable data values at the stage of establishment and operation. The study presents a way of quantitative measurement regarding the data structures and data values by concretizing the measurement items by quality index in a function of the automatic tool program. Also, the practicality of the tool is proved by applying the tool in the inspection field. As a result, the areas which the institute should improve are reported objectively through a complete enumeration survey on the diagnosed items and the indicators for quality improvement are presented quantitatively by presenting the quality condition quantitatively.

A Clinical Case Report on Guillain-Barre Syndrome with diplopia (복시(複視)(Diplopia)를 호소하는 Guillain-Barre Syndrome(GBS) 환자 치험 1례 증례보고)

  • Kang, Sung-Wook;Moon, Mi-Hyun;Hong, Suk-Hoon;Hwang, Chung-Yeon;Kang, Jeong-Ran;Park, Joon-Young
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.18 no.3
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    • pp.102-107
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    • 2005
  • Guillain-Barre Syndrome (GBS) is an acute inflammatory demyelinating polyneuropathy. It is disorder in which the body's immune system, attacks parts of the peripheral nervous system. It is characterized by the rapid onset of weakness, paralysis of the legs, arms, breathing muscles and face. But the analysis of CSF and electrical tests on nerve and muscle function can be performed to confirm the diagnosis. Most cases occur shortly after a viral infection. This is a clinical ease report on Cuillain-Barre Syndrome with diplopia. The patient, a 52-year-old man had a weakness in both legs and diplopia. His weakness and diplopia improved after oriental medical treatment, so this is reported as a potential treatment. Objective: This study was designed to evaluate the effects on oriental medicine therapy on Guillain-Barre Syndrome with diplopia. Methods & Result: The Clinical data was analyzed on a patient with Cuillain-Barre Syndrome whose main symptoms were diplopia. The patient was treated by acupuncture and oriental medicine. As a result, symptoms was improved remarkably. Conclusion: The patient showed weakness and diplopia. After acupuncture and oriental medicine treatment, weakness and diplopia was improved in 4weeks after visit to clinic. The study suggests that oriental medicine treatment is effective on Cuillain-Barre Syndrome.

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Clinical presentation and specific stabilizing exercise management in Lumbar segmental instability (요추분절의 불안정성에 대한 임상적 소개와 안정성 운동관리)

  • Jung Yeon-Woo;Bae Sung-Soo
    • The Journal of Korean Physical Therapy
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    • v.15 no.1
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    • pp.155-170
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    • 2003
  • Lumbar segmental instability is considered to represent a significant sub-group within the chronic low back pain population. This condition has a unique clinical presentation that displays its symptoms and movement dysfunction within the neutral zone of the motion segment. The loosening of the motion segment secondary to injury and associated dysfunction of the local muscle system renders it biomechanically vulnerable in the neutral zone. There in evidence of muscle dysfunction related to the control of the movement system. There is a clear link between reduced proprioceptive input, altered slow motor unit recruitment and the development of chronic pain states. Dysfunction in the global and local muscle systems in presented to support the development of a system of classification of muscle function and development of dysfunction related to musculoskeletal pain. The global muscles control range of movement and alignment, and evidence of dysfunction is presented in terms of imbalance in recruitment and length between the global stability muscles and the global mobility muscles. The local stability muscles demonstrate evidence of failure of aeequate segmental control in terms of allowing excessive uncontrolled translation or specific loss of cross-sectional area at the site of pathology Motor recruitment deficits present as altered timing and patterns of recruitment. The evidence of local and global dysfunction allows the development of an integrated model of movement dysfunction. The clinical diagnosis of this chronic low back pain condition is based on the report of pain and the observation of movement dysfunction within the neutral zone and the associated finding of excessive intervertebral motion at the symptomatic level. Four different clinical patterns are described based on the directional nature of the injury and the manifestation of the patient's symptoms and motor dysfunction. A specific stabilizing exercise intervention based on a motor learning model in proposed and evidence for the efficacy of the approach provided.

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Long-term outcomes of surgery and radiotherapy for secreting and non-secreting pituitary adenoma

  • Kim, Mi Young;Kim, Jin Hee;Oh, Young Kee;Kim, El
    • Radiation Oncology Journal
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    • v.34 no.2
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    • pp.121-127
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    • 2016
  • Purpose: To investigate treatment outcome and long term complication after surgery and radiotherapy (RT) for pituitary adenoma. Materials and Methods: From 1990 to 2009, 73 patients with surgery and RT for pituitary adenoma were analyzed in this study. Median age was 51 years (range, 25 to 71 years). Median tumor size was 3 cm (range, 1 to 5 cm) with suprasellar (n = 21), cavernous sinus extension (n = 14) or both (n = 5). Hormone secreting tumor was diagnosed in 29 patients; 16 patients with prolactin, 12 patients with growth hormone, and 1 patient with adrenocorticotrophic hormone. Impairment of visual acuity or visual field was presented in 33 patients at first diagnosis. Most patients (n = 64) received RT as postoperative adjuvant setting. Median RT dose was 45 Gy (range, 45 to 59.4 Gy). Results: Median follow-up duration was 8 years (range, 3 to 22 years). In secreting tumors, hormone normalization rate was 55% (16 of 29 patients). For 25 patients with evaluable visual field and visual acuity test, 21 patients (84%) showed improvement of visual disturbance after treatment. The 10-year tumor control rate for non-secreting and secreting adenoma was 100% and 58%, respectively (p < 0.001). Progression free survival rate at 10 years was 98%. Only 1 patient experienced endocrinological recurrence. Following surgery, 60% (n = 44) suffered from pituitary function deficit. Late complication associated with RT was only 1 patient, who developed cataract. Conclusion: Surgery and RT are very effective and safe in hormonal and tumor growth control for secreting and non-secreting pituitary adenoma.