• 제목/요약/키워드: Diagnosis Index

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중국의 중의학적 심조항도(心阻抗圖)연구 동향 (A Study of the Chinese Research Trend on Using Impedance Cardiography for Chinese Medicine)

  • 고영일;이현수;박영재;박영배
    • 대한한의진단학회지
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    • 제12권1호
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    • pp.1-12
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    • 2008
  • Object: The purpose of this study is to the review recent 20 years chinese achievements on the use of impedance cardiography for chinese medicine. Methods: From the China Journal Full Text Database we searched papers on the use of impedance cardiography for chinese medicine by the keyword "심조항도(心阻抗圖)". Results: The researches are summarized into 3 parts. (1) the researches on the relationship between the parameters of impedance cardiography and the chinese medical diagnoses; pulse diagnosis and tongue inspection. (2) the researches on the objective assessment using impedance cardiography for the effects of chinese medical therapy. (3) the researches on the objective evaluation index of Heart Deficiency Syndrome using impedance cardiography. Conclusion: The parameters of impedance cardiography has been established for its usefulness in various chinese medical researches.

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H-type 기관식도루 1례 (A Case of H-type Tracheoesophageal Fistula)

  • 박건;김영두;권종범;원용순;곽문섭
    • 대한기관식도과학회지
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    • 제6권1호
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    • pp.90-95
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    • 2000
  • Isolated(H-type) tracheoesophageal fistula without esophageal atresia occurs in approximately 4% of esophageal anomalies, and represents the least form of abnormal laryngotracheo-esophageal communication. Its symptoms such as coughing and choking The during the feeding, abdominal distension and recurrent pneumonitis usually start from birth. Diagnosis is made between 4 days to 4 years using the contrast esophagography and/or tracheoscopy. In case of diagnostic delay the postoperative mortality is not negligible and the most common cause of mortality is respitatory problems(infection, respiratory distress). So early diagnosis is essential in the newborn period with high index of suspicion. We report a case of H-type TEF in which operative repair was successful with references to recent literature.

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비선형 동역학적 방법을 통한 뇌파 복잡도와 임피던스 심장기록법(ICG) 지표와의 상관성 연구 (A Study on the Correlationship between EEG Complexity by Nonlinear Dynamics Analysis and Impedance Cardiography)

  • 유재민;박영배;박영재
    • 대한한의진단학회지
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    • 제11권2호
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    • pp.128-140
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    • 2007
  • Purpose: We performed this study to examine the correlationship between EEG complexity and impedance cardiography data using correlation analysis. Method: This study performed on 30 healthy subjects(16 males, 14 females). Before and after natural respiration, ICG data were recorded, and EEG raw data were measured by moving windows during 15 minutes. The correlation dimension(D2) was calculated from 15 minutes data. 8 channels EEG data were analysed with 9 index of ICG data by correlation analysis. Result: 1. ACI of impedance cardiography had significant correlationship with ch.4 of EEG complexity(p=0.03). 2. VI of impedance cardiography had significant correlationship with ch.3 of EEG complexity(p=0.034) and ch.4 of EEG complexity(p=0.017). 3. HR, TFC, PEP, LVET, STR of impedance cardiography had no significant correlationship with all of 8 channel EEG complexity. Conclusions: These results suggest that nonlinear analysis of EEG and impedance cardiography have some significant correlationship. And it can make out relationship between brain system and cardiovascular system. In the future, therefore, more study of these fields are necessary.

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Update on polycystic ovary syndrome

  • Kim, Jin Ju
    • Clinical and Experimental Reproductive Medicine
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    • 제48권3호
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    • pp.194-197
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    • 2021
  • Polycystic ovary syndrome (PCOS) is a common disorder in reproductive-age women. In 2018, an international evidence-based guideline announced recommendations spanning a wide range of issues on the assessment and management of PCOS. From the 166 recommendations, the present study reviews those that are of particular clinical relevance for daily practice and introduces other relevant studies that have been published since the global guideline. The 2018 guideline increased the antral follicle count cutoff for the diagnosis of PCOS from 12 to 20 when using a high-frequency probe. Hirsutism was defined as having a score of ≥4-6 based on a lower percentile of 85%-90% or cluster analysis, which was lower than the traditionally used 95th percentile-based cutoff. The diagnosis of PCOS in adolescents is challenging, and irregular menstruation was defined carefully according to years from menarche. The use of ultrasonography for the diagnosis of PCOS was restricted to those 8 years after menarche. As medication for non-fertility indications, combined oral contraceptives are the first-line drug. Metformin, in addition to lifestyle modifications, should be considered for adult patients with a body mass index ≥25 kg/m2 for the management of weight and metabolic outcomes. An aromatase inhibitor is the recommended first-line medication for ovulation induction, a subsequent individual patient data meta-analysis also reported the same conclusion. Whether the new global guideline will be fully adopted by many specialists and change clinical practice is open to question. Further studies are needed to better understand and manage PCOS patients well.

Intraoral HIV-associated Burkitt's lymphoma: a rare case report with special emphasis on differential diagnosis

  • Kamat, Mamata;Datar, Uma;Kanitkar, Sampada;Byakodi, Sanjay
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제45권4호
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    • pp.225-229
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    • 2019
  • Individuals with human immunodeficiency virus (HIV) infection present with unique intraoral manifestations of various neoplasms. Intraoral HIV-associated Burkitt's lymphoma is a rare presentation, especially in patients of Indian origin and may present as an initial sign of HIV. The objective of this paper is to report a rare case of Burkitt's lymphoma in an HIV-positive Indian patient along with a special emphasis on differential diagnosis. A 30-year-old Indian female presented with a solitary, well-defined, exophytic mass extending anteroposteriorly and buccolingually from the 35th to 38th regions with no evidence of intraosseous extension. An incisional biopsy was performed, and histopathology showed sheets of neoplastic lymphoid cells with numerous tingible body macrophages with clear cytoplasm, presenting a starry sky appearance, suggesting a diagnosis of BL. The tumor cells were positive for CD10, CD20, c-myc, and Epstein-Barr virus, with a nearly 100% Ki-67 proliferative index. The patient tested positive for HIV. This report indicates the importance of immunohistochemical analysis to differentiate Burkitt's lymphoma from other similar lesions like diffuse large B-cell lymphoma. Thorough knowledge of the clinical presentation, etiopathogenesis, histopathology, and immunoprofile of intraoral HIV-associated Burkitt's lymphoma is essential among clinicians and pathologists.

한국 표준 간호행위 분류 (The Classification of Standard Nursing Activities in Korea)

  • 박정호;성영희;송미숙;조정숙;심원희
    • 대한간호학회지
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    • 제30권6호
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    • pp.1411-1426
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    • 2000
  • A nursing activity classification for hospitalized patients was performed based on an article review regarding nursing definition and nursing activity classification system. The study was conducted as follows: 1) Taxonomy was developed by the research team through the Delphi process and review article. The taxonomy consists of four nursing processes, (assessment, diagnosis, intervention and evaluation) and twelve nursing activity domains space (resperation, nutrition, elimination, exercise/alignment maintenance, comfort, hygiene, safety, spiritual support, counseling/ education, medication, communication, patient and information management). 2) First, nursing activities of the intervention process were listed and then classified by the nursing process of assessment, diagnosis, intervention and evaluation. The list consists of twelve nursing activity domains and 136 nursing activities. 3) A pilot study was conducted in two hospitals to verify validity and appropriateness of nursing activities. 4) The content validity index, which was calculated by 6 clinical practice experts, was 0.95. Also, a nursing activity classification system should also be developed in the department of community nursing and home health care nursing.

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주리개념(腠理槪念)에 근거한 피부과 질병의 진단지표 기초연구 (Researches on Diagnostic Indices of Skin Diseases Based on Concepts of Interstices)

  • 지규용
    • 동의생리병리학회지
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    • 제27권2호
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    • pp.167-172
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    • 2013
  • In order to establish the diagnostic indices of skin diseases, some physiological and pathological concepts of interstices(腠理) were researched based on , and western dermatology with etymological analysis. As physiological indices for diagnosis of skin diseases, measurement of epidermis and dermis using ultrasonogram in the zhongwan and dachui's location. And for grading looseness and fineness of interstices with 3 unsound groups, measuring numbers and sizes of sweat pores in each point's 1 cm diameter circular area using comparative method and palpation assessment. Another index is superficial temperature. As pathological indices for diagnosis, validating volumes of dead skin cells and grading degrees of atrophy and degeneration of skin lesion. And as supplementary measures, absorptive degrees of cosmetics on face should be recorded according to 3 grades. These diagnostic indices can contribute to establishment of standard pattern identification and prescription of skin diseases through converting anatomical cognizance into classical concepts of interstices objectively.

Prevalence, Pathophysiology, Screening and Management of Osteoporosis in Gastric Cancer Patients

  • Lim, Jung-Sub;Lee, Jong-Inn
    • Journal of Gastric Cancer
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    • 제11권1호
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    • pp.7-15
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    • 2011
  • Osteoporosis in gastric cancer patients is often overlooked or even neglected despite its high prevalence in these patients. Considering that old age, malnutrition, chronic disease, chemotherapy, decreased body mass index and gastrectomy are independent risk factors for osteoporosis, it is reasonable that the prevalence of osteoporosis in gastric cancer patients would be high. Many surviving patients suffer from back pain and pathological fractures, which are related to osteoporosis. Fractures have obvious associated morbidities, negative impact on quality of life, and impose both direct and indirect costs. In the era of a >55.6% 5-year survival rate of gastric cancer and increased longevity in gastric cancer patients, it is very important to eliminate common sequelae such as osteoporosis. Fortunately, the diagnosis of osteoporosis is well established and many therapeutic agents have been shown to be effective and safe not only in postmenopausal females but also in elderly males. Recently, effective treatments of gastric cancer patients with osteoporosis using bisphosphonates, which are commonly used in postmenopausal woman, were reported.

고압전동기 고정자권선의 건조상태에 따른 절연특성 변화사례 고찰 (Example study of the insulation characteristic change according to the dryness condition in high voltage motor stator winding)

  • 공태식
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2008년도 제39회 하계학술대회
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    • pp.2056-2057
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    • 2008
  • This paper is purpose to understand the insulation properties of the high voltage motor stator winding according to the different dryness conditions. we carried out the three times insulation diagnosis test for the same motor stator winding. the first test object is the contaminated winding, second is the washed-out, and natural dried during the 24 hours, and the last is the heating dried in 110$^{\circ}C$ during the 48 hours. the insulation diagnosis tests are consist of the megger, the polarization index, the AC current test, the dissipation factor test and the partial discharge test, we analyzed and made a comparison of the three cases test result.

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상한론에 근거하여 오수유탕을 이용하여 호전된 건선 치험 1례 (A Case Report of Psoriasis Treated by Osuyu-tang Based on Shanghanlun)

  • 이성준;서희애;이숭인
    • 대한한의학방제학회지
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    • 제24권1호
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    • pp.53-61
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    • 2016
  • Objective The object of this case report is to evaluate the possibility of utilizing Osuyu-tang as a new therapy of psoriasis.Method Diagnosis and Psoriasis' progress was evaluated based on the patient's chart and picture. Diagnosis based on Sanghanlun was organized by graph. The severity of psoriasis' progress was evaluated by Psoriasis Area Severity Index(PASI) and visually analyzed through picture.Results On PASI and picture, we could confirm psoriasis’s area was decreased from hairline to middle of forehead and redness, thickness, scale of psoriasis also got better.Conclusion Osuyu-tang is efficient to patient of this case report as a treatment.