• 제목/요약/키워드: Diagnosis department

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경미한 외상을 받은 소아.청소년 환자의 지연 진단에 대한 고찰 (Analysis of Delayed Diagnosis of Pediatric and Adolescent Patients Injured by Minor Trauma)

  • 최지안;박원빈;김진주;조진성;김재광;임용수;현성열;정호성;양혁준;이근
    • Journal of Trauma and Injury
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    • 제22권2호
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    • pp.212-217
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    • 2009
  • Purpose: To analyze delayed diagnosis, we collected date on pediatric and adolescent patients who had been admitted to the Emergency Department with injuries due to minor trauma Methods: We retrospectively analyzed the age distribution, trauma mechanism, time interval for each affected body region at delayed diagnosis, hospital stay, and outcome for 161 pediatric and adolescent patients who had been admitted to the Emergent Department of Gachon University Gil Hospital from January 2006 to September 2008. Results: The incidence of delayed diagnosis in pediatric and adolescent trauma was 11.8% in our retrospective review of 161 pediatric and adolescent patients. Lengths of hospitalization were longer in patients with delayed diagnosis (p<0.05). Patients with delayed diagnosis were more often transferred to other hospitals than patients with non-delayed diagnosis (p<0.05). The time intervals for each different affected body regions at delayed diagnosis were significantly different, but the hospital stays were not. There were no statistical significance to age on affected body region. Conclusion: From this study, we found that admission result and hospital stay were statistically significant differences between the delayed-diagnosis patient group and the non-delayed-diagnosis patient group. Finally, we must follow up pediatric and adolescent patients with minor trauma, closely considering missed injuries.

설진에 대한 국내의 연구동향 (Research Trends for Tongue Diagnosis in Korea)

  • 김빛나라;국길호;양동민;이규원;오민석
    • 혜화의학회지
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    • 제21권1호
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    • pp.143-150
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    • 2012
  • Objectives : This study was aimed to review the trend of tongue diagnosis studies in Korean Medicine on various aspect and to suggest better studies. Method : We collected papers on tongue diagnosis studies in the internet site 'nanet, riss, dbpia, society' using the keyword 'tongue diagnosis' between 2002 and 2012. Then we analyzed them. Results : There were 33 study papers that related in tongue diagnosis between 2002 and 2012. Conclusions : To make a reproducibility and a objectivity of tongue diagnosis, it needs to have a unification of the system. So it is is necessary that having a discussion about the standard of tongue diagnosis.

무균성 뇌막염에서 증상발현부터 진단까지 걸린 시간에 따른 시기별 유병기간의 검토 (A Comparative Study according to Diagnostic Time on Meningitis)

  • 김탁수;허지연;박영희;정민구;김성원
    • Pediatric Infection and Vaccine
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    • 제3권2호
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    • pp.168-174
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    • 1996
  • Purpose : Aseptic meningitis is relatively frequent in children and caused mostly by enterovirus. The aim of the present study was to determine the effect of early diagnosis (spinal tapping) on symptom duration of childhood aseptic meningitis. Methods : One hundred fifty-three children who were hospitalized due to aseptic menigitis in the Department of Pediatrics St. Benedict Hospital from July 1996 through October 1996 were included in this study. Patients were divided to two groups according to the duration from first symptom onset to diagnosis. Early diagnosis group is diagnosed within 3 days from first symptom onset. Later diagnosis group is diagnosed after 4 days from first symptom onset. Results : 1) The average age of these patients was 4.3 years old in early diagnosis group and 4.1 years old in later diagnosis group. The sex ratio(male: female) was 2.04:1 in early diagnosis group and 2.5:1 in later diagnosis group. 2) The mean duration of diagnosis of this study was 2.04 day in early diagnosis group and 5.12 day in later diagnosis group. 3) The percentage of symptom and sign of the early diagnosis group were fever(100%), headache(88.4%), vomiting(86.9%), abdominal pain(39%), neck stiffness(36.2%), skin rash(18.8%), diarrhea(16.9%) and that of later diagosis group were fever(100%), headache(83.3), vomiting(80.9%), abdominal pain(47.6%), neck stiffness(41.6%), skin rash(29.7%), diarrhea(16.6%). 4) Initial CSF findings revealed leukocyte $146.8{\pm}386.3/mm^3$ with PMNL 38%, protein 32.47mg/dl, sugar 66.23mg/dl in early diagnosis group and leukocyte $458.1{\pm}663.2/mm^3$, protein 31.22mg/dl, sugar 64.21 mg/dl in later diagnosis group. 5) There was no statistically significant differance in the peripheral blood findings between early diagnosis group and later diagnosis group. 6) The duration of disappearance of symptom after spinal tap were 2.3 days in early diagnosis group and 2.24 days in later diagnosis group. Total symptom duration was 4.34 days in early diagnosis group and 7.36 days in later diagnosis group. Conclusions : Our results demonstrate that early diagnosis(early spinal tap) shortened duration of clinical symptoms.

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Aggressive unicystic ameloblastoma affecting the posterior mandible: late diagnosis during orthodontic treatment

  • Lopes, Sergio Lucio Pereira de Castro;Flores, Isadora Luana;Gamba, Thiago de Oliveira;Ferreira-Santos, Rivea Ines;Moraes, Mari Eli Leonelli de;Cabello, Aline Alvarez;Moutinho, Paula Nascimento
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제43권2호
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    • pp.115-119
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    • 2017
  • Maxillofacial images must be examined to find pathologies not identified during clinical examination. Unicystic ameloblastoma (UA) extending to the mandibular body and ramus was neglected on initial panoramic radiographic examination. After orthodontic therapy, a huge lesion was observed clinically and through imaging exams. After the conservative surgery, no recurrence was observed during five years of follow-up. This case emphasized the need for careful evaluation of patient images focusing on the oral diagnosis before any dental treatment planning, including orthodontic therapy.

고대(古代) 경맥진단법(經脈診斷法) 중 삼부구후진(三部九候診)에 관(關)한 연구(硏究) (A study on three bu(部) nine hu(候) pulse diagnosis(三部九候診))

  • 허금범;윤종화;김갑성
    • Journal of Acupuncture Research
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    • 제19권3호
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    • pp.1-13
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    • 2002
  • Objective : The purpose of this study is a investigation about alteration and meaning of three bu(部) nine hu(候) pulse diagnosis(三部九候診) Methods : We refered to prescriptions from anciant to modern such as Naekyung(內經) and Nankyung(難經) Results and Conclusion : 1. Three bu(部) nine hu(候) pulse diagnosis(三部九候診) is more important pulse diagnosis method than any other method in Naekyung(內經) 2. Three bu(部) nine hu(候) pulse diagnosis(三部九候診) is a simplized twlve meridian pulse diagnosis method based on Samjae philsophy(三才思想) 3. Three bu(部) nine hu(候) pulse diagnosis(三部九候診) is useful for venesection theraphy based on Naekyung(內經) and it is demolished with the progress of Chon-gu pulse diagnosis method(寸口脈診法)

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Influence of CBCT parameters on image quality and the diagnosis of vertical root fractures in teeth with metallic posts: an ex vivo study

  • Larissa Pereira Lagos de Melo;Polyane Mazucatto Queiroz;Larissa Moreira-Souza;Mariana Rocha Nadaes;Gustavo Machado Santaella;Matheus Lima Oliveira;Deborah Queiroz Freitas
    • Restorative Dentistry and Endodontics
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    • 제48권2호
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    • pp.16.1-16.11
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    • 2023
  • Objectives: The aim of this study was to evaluate the influence of peak kilovoltage (kVp) and a metal artifact reduction (MAR) tool on image quality and the diagnosis of vertical root fracture (VRF) in cone-beam computed tomography (CBCT). Materials and Methods: Twenty single-rooted human teeth filled with an intracanal metal post were divided into 2 groups: control (n = 10) and VRF (n = 10). Each tooth was placed into the socket of a dry mandible, and CBCT scans were acquired using a Picasso Trio varying the kVp (70, 80, 90, or 99), and the use of MAR (with or without). The examinations were assessed by 5 examiners for the diagnosis of VRF using a 5-point scale. A subjective evaluation of the expression of artifacts was done by comparing random axial images of the studied protocols. The results of the diagnoses were analyzed using 2-way analysis of variance and the Tukey post hoc test, the subjective evaluations were compared using the Friedman test, and intra-examiner reproducibility was evaluated using the weighted kappa test (α = 5%). Results: The kVp and MAR did not influence the diagnosis of VRF (p > 0.05). According to the subjective classification, the 99 kVp protocol with MAR demonstrated the least expression of artifacts, while the 70 kVp protocol without MAR led to the most artifacts. Conclusions: Protocols with higher kVp combined with MAR improved the image quality of CBCT examinations. However, those factors did not lead to an improvement in the diagnosis of VRF.

Expert System for Fault Diagnosis of Transformer

  • Kim, Jae-Chul;Jeon, Hee-Jong;Kong, Seong-Gon;Yoon, Yong-Han;Choi, Do-Hyuk;Jeon, Young-Jae
    • 한국지능시스템학회논문지
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    • 제7권1호
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    • pp.45-53
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    • 1997
  • This paper presents hybrid expert system for diagnosis of electric power transformer faults. The expert system diagnose and detect faults in oil-filled power transformers based on dissolved gas analysis. As the preprocessing stage, fuzzy information theory is used to manage the uncertainty in transformer fault diagnosis using dissolved gas analysis. The Kohonen neural network takes the interim results by applying fuzzy informations theory as inputs, and performs the transformer fault diagnosis. The Proposed system tested gas records of power transformers from Korea Electric Power Corporation to verify the diagnosis performance of transformer faults.

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Problems in the Pathologic Diagnosis of Suspected Lung Cancer

  • Soo Han Kim;Mi-Hyun Kim;Min Ki Lee;Jung Seop Eom
    • Tuberculosis and Respiratory Diseases
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    • 제86권3호
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    • pp.176-182
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    • 2023
  • Since the introduction of low-dose computed tomography (CT) screening for patients at high risk of lung cancer, the detection rate of suspicious lung cancer has increased. In addition, there have been many advances in therapeutics targeting oncogenic drivers in non-small cell lung cancer. Therefore, accurate pathological diagnosis of lung cancer, including molecular diagnosis, is increasingly important. This review examines the problems in the pathological diagnosis of suspected lung cancer. For successful pathological diagnosis of lung cancer, clinicians should determine the appropriate modality of the diagnostic procedure, considering individual patient characteristics, CT findings, and the possibility of complications. Furthermore, clinicians should make efforts to obtain a sufficient amount of tissue sample using non- or less-invasive procedures for pathological diagnosis and biomarker analysis.