• Title/Summary/Keyword: Diagnostic Ability

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Auditory responses in neonates; a preliminary report (신생아에서 관찰할 수 있는 청성반응)

  • 황순재;노관택
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1977.06a
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    • pp.4.1-4
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    • 1977
  • A variety of diagnostic means for evaluating the hearing ability of neonates and infants have been studied so far, and some physical responses of neonates and infants to loud sound is still of much value. The author studied some normal responses of 100 neonates (male 54, female 46) in our neonatal room from Jan, 1977 to April, 1977. We took 90dB pure tone at 3, 000Hz by Beltone Audiometer model l0D (ANSI 1969) for a stimulus. The results are as follows: 1. The range of the examinees' age is between 2 and 3.5 hours (average 2.4 hours), and auropalpebral response is in 39% (eyelid blinking 10%, eyelid widening 29%), Moro reflex in 35%, sucking response in 14%, cessation of movement in 6%, head turning response in 2%, and no response in 4%. 2. The duration of response is between 2 and 5 Seconds (average 3.3 seconds).

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Diagnostic accuracy of a combination of salivary hemoglobin levels, self-report questionnaires, and age in periodontitis screening

  • Maeng, You-Jin;Kim, Bo-Ra;Jung, Hoi-In;Jung, Ui-Won;Kim, Hee Eun;Kim, Baek-Il
    • Journal of Periodontal and Implant Science
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    • v.46 no.1
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    • pp.10-21
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    • 2016
  • Purpose: This study evaluated the predictive performance of a combination of self-report questionnaires, salivary hemoglobin levels, and age as a non-invasive screening method for periodontitis. Methods: The periodontitis status of 202 adults was examined using salivary hemoglobin levels, responses to 10 questions on a self-report questionnaire, and the Community Periodontal Index (CPI). The ability of those two variables and the combination thereof with age to predict the presence of CPI scores of 3-4 and 4 was assessed using logistic regression and receiver operating characteristic (ROC) curve analysis. Results: CPI scores of 3-4 and 4 were present among 79.7% and 46.5% of the sample, respectively. The area under the ROC curves (AUROCs) of salivary hemoglobin levels for predicting prevalence of CPI scores of 3-4 and 4 were 0.63 and 0.67, respectively (with sensitivity values of 71% and 60% and specificity values of 56% and 72%, respectively). Two distinct sets of five questions were associated with CPI scores of 3-4 and 4, with AUROCs of 0.73 and 0.71, sensitivity values of 76% and 66%, and specificity values of 63% and 69%. The combined model incorporating both variables and age showed the best predictive performance, with AUROCs of 0.78 and 0.76, sensitivity values of 71% and 65%, and specificity values of 68% and 77% for CPI scores of 3-4 and 4, respectively. Conclusions: The combination of salivary hemoglobin levels and self-report questionnaires was shown to be a valuable screening method for detecting periodontitis.

The Study on In-situ Diagnosis of Chemical Vapor Deposition Processes (화학기상증착 진공공정의 실시간 진단연구)

  • Jeon, Ki-Moon;Shin, Jae-Soo;Lim, Sung-Kyu;Park, Sang-Hyun;Kang, Byoung-Koo;Yune, Jin-Uk;Yun, Ju-Young;Shin, Yong-Hyeon;Kang, Sang-Woo
    • Journal of the Korean Vacuum Society
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    • v.20 no.2
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    • pp.86-92
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    • 2011
  • The diagnosis studies of the process of chemical vapor deposition were carried out by using in-situ particle monitor (ISPM) and self-plasma optical emission spectroscopy (SPOES). We used the two kinds of equipments such as the silicon plasma enhanced chemical vapor deposition system with silane gas and the borophosphosilicate glass depositon system for monitoring. Using two sensors, we tried to verify the diagnostic and in-situ sensing ability of by-product gases and contaminant particles at the deposition and cleaning steps. The processes were controlled as a function of precess temperature, operating pressure, plasma power, etc. and two sensors were installed at the exhaust line and contiguous with each other. the correlation of data (by-product species and particles) measured by sensors were also investigated.

A Study on Reliability Analysis and Development of Fault Tolerant Digital Governor (내고장성 디지털 조속기의 신뢰도 평가 및 개발에 관한 연구)

  • 신명철;전일영;안병원;이성근;김윤식;진강규
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 1999.11a
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    • pp.467-474
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    • 1999
  • In this paper, Fault tolerant digital governor, using duplex I/O module and triplex CPU module and also 2 out of 3 voting algorithm and adding self diagnostic ability, is designed to realize ceaseless controlling and to improve the reliability of control system. The processor module of the system(SIDG-3000) is developed based on MC68EC040 32 Bit of Motorola, which guaranteed high quality of the module ,and SRAM for data also SRAM for command are separated. The process module also includes inter process communication function and power back up function (SRAM for back-up). System reliability is estimated by using the model of Markov process. The reliability of triplex system in mission time can be improved about 1.8 times in reliability 86%. 2.8 times in 95 %, 6 times in 99 % compared with a single control system. Designed digital governor system is applied after modelling of the steam turbine generator system of Buk-Cheju Thermal Power Plant. Simulation is carried out to prove the effectiveness of the designed digital governor system

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The Development of On-line Self-Test Module using Tracing Method (학습자 트레이싱을 통한 원격 교육용 자가 진단 모듈 개발)

  • Lee, Kyu-Su;Son, Cheol-Su;Park, Hong-Joon;Sim, Hyun;Oh, Jae-Chul
    • The KIPS Transactions:PartA
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    • v.19A no.3
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    • pp.147-154
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    • 2012
  • The higher thinking skills, such as creativity and problem-solving about a given problem, are difficult to assess and diagnose. For an accurate diagnosis of these higher thinking abilities, we need to fully observe learner's problem-solving process or learner's individual reports. However, in an online learning or virtual class environments, evaluation of learner's problem-solving process becomes more difficult to diagnose. The best way to solve this problem is through reporting by tracking learner's actions when he tries to solve a problem. In this study, we developed a module which can evaluate and diagnose student's problem-solving ability by tracking actions in MS-Office suite, which is used by students to solve a given problem. This module performs based on the learner's job history through user tracking. To evaluate the effectiveness of this diagnostic module, we conducted satisfaction survey from students who were preparing the actual MOS exams. As a result, eighty-one (81) of the participants were positive on the effectiveness of the learning system with the use of this module.

Effect of the Extracorporeal Circulation on Renal Function in Adult Open Heart Patients (개심술시 체외순환이 신장기능에 미치는 영향)

  • Lee, Jae-Won;Seo, Gyeong-Pil
    • Journal of Chest Surgery
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    • v.18 no.4
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    • pp.718-731
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    • 1985
  • Renal dysfunction is a common complication of open-heart surgery: a form of controlled hemorrhagic shock, and successful perioperative management of renal dysfunction depends on recognition of the risk factors and optimal management of factors influencing renal function, including cardiopulmonary bypass, and early detection of renal failure. Changes in renal functional parameters including Ccr, Cosm, CH2O, FENa, and RFI were observed prospectively in forty five patients operated on at Dept. of Thoracic and Cardiovascular Surgery, S.N.U.H., from April to June, 1985. They were 23 males and 22 females with 35 acquired and 10 congenital heart diseases and the mean age and body surface area of them were 38.010.3 years [22-63] and 1.5518 M2[1.151.92] respectively. Followings are the conclusion. 1. The Ccr, representative of renal function, is significantly improved from 90.231.3 ml/min/M2 preoperatively to 101.536.4 ml/min/M2 postoperative and day [P<0.05], and all patients were classified as postoperative renal functional class I of Abel, which representing adequate renal protection during our cardiopulmonary bypass. 2. The Cosm is significantly elevated at immediate postperfusion time and remained high at postoperative one day representing osmotic diuresis at that time, but CH2O shows no significant changes at immediate postperfusion period and is decreased significantly at postoperative one day, representing recovery of renal concentrating ability at that time with decreasing urine flow. 3. The absolute value and changing tendency in FENa and RFI during perioperative period shows no diagnostic reliability on these parameters, but those of CH2O appear to reveal future renal function more accurately than Ccr 4. The depth of hypothermia may be protective upon renal function against the ill effects of prolonged nonpulsatile cardiopulmonary bypass. 5. The depth of the hypothermia, pump time of more than 150 minutes, poor cardiac function, and intraoperative events such as embolism appear to be related with immediate postperfusion renal function. 6. Hemoglobinuria and hemolysis, poor preoperative renal function, history of cardiac surgery, and massive transfusion associated with bleeding appear not to be related with renal dysfunction.

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Diagnostic Value of Early Inflammatory Reaction in Postoperative Infection of the Lumbar Spine

  • Mun, Ji-Hun;Kim, Dong-Hyun;Ryu, Kyeong-Sik;Park, Chun-Kun;Kim, Moon-Chan
    • Journal of Korean Neurosurgical Society
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    • v.38 no.3
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    • pp.206-210
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    • 2005
  • Objective : Our aim is to evaluate the early changes of biologic markers such as white blood cell[WBC] count, erythrocyte sedimentation rate[ESR] and C-reactive protein[CRP] in early diagnosis of postoperative infection and to differentiate infection from inflammatory reaction in lumbar spine surgery. Methods : We reviewed 330patients who had undergone spinal operations between May 1999 and October 2001. For this study, the patients were classified into two groups, which include a group that underwent spinal decompressive surgery without instrumentation[SD], and the other group that underwent fusion surgery with spinal instrumentation[SI]. And each group was also subdivided into two groups respectively, one with infection and the other without infection. We retrospectively analyzed the WBC count, ESR and CRP preoperatively and postoperatively, according to their operation type and postoperative infection history. Results : Inflammatory indices were physiologically affected by instrumentation itself. But ESR and CRP elevations were more prolonged and sustained under infection. In SD patients without infection, ESR and CRP were stabilized 5 days after surgery. In SI patients without infection, CRP was stabilized about 7days after surgery, but ESR showed sustained and variously elevated. In both SD and SI groups, the stabilization of CRP was the most reliable behavior of surgery without infection. Conclusion : C-reactive protein is most sensitive parameter for postoperative spine infection. The knowledge of the inflammatory indices and their relatively uniform patterns with or without infection offers surgeons the ability to infer the state of surgical wound.

The Software Reliability Evaluation of a Nuclear Controller Software Using a Fault Detection Coverage Based on the Fault Weight (가중치 기반 고장감지 커버리지 방법을 이용한 원전 제어기기 소프트웨어 신뢰도 평가)

  • Lee, Young-Jun;Lee, Jang-Soo;Kim, Young-Kuk
    • KIPS Transactions on Computer and Communication Systems
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    • v.5 no.9
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    • pp.275-284
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    • 2016
  • The software used in the nuclear safety field has been ensured through the development, validation, safety analysis, and quality assurance activities throughout the entire process life cycle from the planning phase to the installation phase. However, this evaluation through the development and validation process needs a lot of time and money, and there are limitations to ensure that the quality is improved enough. Therefore, the effort to calculate the reliability of the software continues for a quantitative evaluation instead of a qualitative evaluation. In this paper, we propose a reliability evaluation method for the software to be used for a specific operation of the digital controller in a nuclear power plant. After injecting weighted faults in the internal space of a developed controller and calculating the ability to detect the injected faults using diagnostic software, we can evaluate the software reliability of a digital controller in a nuclear power plant.

Comorbid Obsessive Compulsive Disorder and Social Function in Stable Patients with Chronic Schizophrenia (안정화된 만성 정신분열병 환자에서 강박장애 동반과 사회적 기능)

  • Kang, Suk-Hoon;Seok, Jung-Ho;Kim, Chan-Hyung;Kim, Yoon-Joong;Kim, Hyoung-Ju;Choi, Jong-Hyuck
    • Anxiety and mood
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    • v.7 no.1
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    • pp.40-47
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    • 2011
  • Objective : This study aimed to investigate the prevalence of obsessive-compulsive disorder (OCD) in schizophrenia, and the relationship among OCD, severity of psychopathology, and social function in stable patients with chronic schizophrenia. Methods : We interviewed 138 symptom-stable inpatients who had been on a constant dose of antipsychotics for at least 1 month prior and diagnosed as chronic schizophrenia. Subsequently, patients were classified according to the existence of OCD as investigated using the Structured Clinical Interview for DSM-IV Axis I disorders (SCID-I) and the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV). Further, all clinical and demographic data was investigated. To investigate potential interrelationships, the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS), Korea-Positive and Negative Symptom Scale (K-PANSS), and the Korean Personal and Social Performance (K-PSP) were used. An independent ttest and Chi-square test were used to compare groups and a Pearson's correlation coefficient was used to assess the relationship between the Y-BOCS and other clinical rating scales. Results : The prevalence of OCD in schizophrenia patients was 18.1%. Patients with schizophrenia and OCD exhibited significantly earlier onset of schizophrenia, more severe psychiatric symptoms, and lower personal and social performance ability as compared to those without OCD. There was no significant relationship among Y-BOCS, K-PANSS, and K-PSP. Conclusion : We found that comorbid OCD was relatively more frequent in patients with schizophrenia. An investigation involving larger samples of schizophrenia patients with OCD with respect to social function and thus, the effect on quality of life is required.

Use of positron emission tomography-computed tomography to predict axillary metastasis in patients with triple-negative breast cancer

  • Youm, Jung Hyun;Chung, Yoona;Yang, You Jung;Han, Sang Ah;Song, Jeong Yoon
    • Korean Journal of Clinical Oncology
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    • v.14 no.2
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    • pp.135-141
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    • 2018
  • Purpose: Axillary lymph node dissection (ALND) and sentinel lymph node biopsy (SLNB) are important for staging of patients with node-positive breast cancer. However, these can be avoided in select micrometastatic diseases, preventing postoperative complications. The present study evaluated the ability of axillary lymph node maximum standardized uptake value (SUVmax) on positron emission tomography-computed tomography (PET-CT) to predict axillary metastasis of breast cancer. Methods: The records of invasive breast cancer patients who underwent pretreatment (surgery and/or chemotherapy) PET-CT between January 2006 and December 2014 were reviewed. ALNs were preoperatively evaluated by PET-CT. Lymph nodes were dissected by SLNB or ALND. SUVmax was measured in both the axillary lymph node and primary tumor. Student t-test and chi-square test were used to analyze sensitivity and specificity. Receiver operating characteristic (ROC) and area under the ROC curve (AUC) analyses were performed. Results: SUV-tumor (SUV-T) and SUV-lymph node (SUV-LN) were significantly higher in the triple-negative breast cancer (TNBC) group than in other groups (SUV-T: 5.99, P<0.01; SUV-LN: 1.29, P=0.014). The sensitivity (0.881) and accuracy (0.804) for initial ALN staging were higher in fine needle aspiration+PET-CT than in other methods. For PET-CT alone, the subtype with the highest sensitivity (0.870) and negative predictive value (0.917) was TNBC. The AUC for SUV-LN was greatest in TNBC (0.797). Conclusion: The characteristics of SUV-T and SUV-LN differed according to immunohistochemistry subtype. Compared to other subtypes, the true positivity of axillary metastasis on PET-CT was highest in TNBC. These findings could help tailor management for therapeutic and diagnostic purposes.