• Title/Summary/Keyword: Diagnostic Evaluation

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Korean Medicine for Carpal Tunnel Syndrome: a Systematic Review of Literature Published in Korea (수근관 증후군의 한의학적 치료에 대한 논문 고찰 -국내 학술지를 중심으로-)

  • Lee, Jong Ho
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.29 no.1
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    • pp.79-84
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    • 2015
  • The aim of this review is to investigate studies of Korean medical treatment of carpal tunnel syndrome published in Korea and the evidence of it's effects in order to suggest a better research method in the future. Four Korean web databases were searched by using key words such as 'carpal', and checked relevant Korean journals. The papers were classified into the field of study, publish date, diagnostic methods, evaluation methods and analysed the study tendency. There are 9 case studies, 4 controlled studies. The paper was published almost every year more than once. Acupucture, pharmacopuncture, acupotomy, warm needle acupuncture, taping, etc. were used as treatment tools. The two most commonly used diagnostic method for carpal tunnel syndrome are Phalen's test and Tinel's sign. The two most commonly used evaluation method are VAS(Visual Analog Scale) and subjective symptoms. Korean medical treatment of carpal tunnel syndrome was effective in all studies. Korean medical treatment of carpal tunnel syndrome was effective in all studies. So it is possible that Korean medical treatment of carpal tunnel syndrome is useful as therapeutic medicine, but there are not sufficient evidence based papers, so there should be further studies.

Diagnostic Approaches for Idiopathic Pulmonary Fibrosis

  • Jae Ha Lee;Jin Woo Song
    • Tuberculosis and Respiratory Diseases
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    • v.87 no.1
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    • pp.40-51
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    • 2024
  • Idiopathic pulmonary fibrosis (IPF) is a chronic, progressive, fibrosing interstitial pneumonia with a very poor prognosis. Accurate diagnosis of IPF is essential for good outcomes but remains a major medical challenge due to variability in clinical presentation and the shortcomings of existing diagnostic tests. Medical history collection is the first and most important step in the IPF diagnosis process; the clinical probability of IPF is high if the suspected patient is 60 years or older, male, and has a history of cigarette smoking. Systemic assessment for connective tissue disease is essential in the initial evaluation of patients with suspected IPF to identify potential causes of interstitial lung disease (ILD). Radiologic examination using high-resolution computed tomography plays a pivotal role in the evaluation of patients with ILD, and prone and expiratory computed tomography images can be considered. If additional tests such as surgical lung biopsy or transbronchial lung cryobiopsy are needed, transbronchial lung cryobiopsy should be considered as an alternative to surgical lung biopsy in medical centers with experience performing this procedure. Diagnosis through multidisciplinary discussion (MDD) is strongly recommended as MDD has become the cornerstone for diagnosis of IPF, and the scope of MDD has expanded to monitoring of disease progression and suggestion of appropriate treatment options.

A deep neural network to automatically calculate the safety grade of a deteriorating building

  • Seungho Kim;Jae-Min Lee;Moonyoung Choi;Sangyong Kim
    • Smart Structures and Systems
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    • v.33 no.4
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    • pp.313-323
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    • 2024
  • Deterioration of buildings is one of the biggest problems in modern society, and the importance of a safety diagnosis for old buildings is increasing. Therefore, most countries have legal maintenance and safety diagnosis regulations. However, the reliability of the existing safety diagnostic processes is reduced because they involve subjective judgments in the data collection. In addition, unstructured tasks increase rework rates, which are time-consuming and not cost-effective. Therefore, This paper proposed the method that can calculate the safety grade of deterioration automatically. For this, a DNN structure is generated by using existing precision inspection data and precision safety diagnostic data, and an objective building safety grade is calculated by applying status evaluation data obtained with a UAV, a laser scanner, and reverse engineering 3D models. This automated process is applied to 20 old buildings, taking about 40% less time than needed for a safety diagnosis from the existing manual operation based on the same building area. Subsequently, this study compares the resulting value for the safety grade with the already existing value to verify the accuracy of the grade calculation process, constructing the DNN with high accuracy at about 90%. This is expected to improve the reliability of aging buildings in the future, saving money and time compared to existing technologies, improving economic efficiency.

Evaluation of the Reproducibility of Radiation Output from Diagnostic X-ray Equipment(Standards Based on IEC 60601-2-54) (진단용 X선 장치에서 방사선출력의 재현성 평가(IEC 60601-2-54 표준규격을 기반으로))

  • Han, Beom-Hee;Jung, Hong-Ryang;Lim, Cheong-Hwan;Kim, Chong-Yeal;Lee, Sang-Ho;Han, Sang-Hyun;Hong, Dong-Hee;Kim, Chang-Gyu;You, In-Gyu;Mo, Eun-Hee
    • Journal of Digital Convergence
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    • v.12 no.2
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    • pp.555-561
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    • 2014
  • For five diagnostic X-ray generators (DR), four units turned out to be appropriate in tests on the reproducibility of radiation output suggested in the IEC 60601-2-54 standard, but in one unit of the X-ray equipment, an item measured in a combination of 50% of the highest tube voltage of the diagnostic X-ray equipment, the test setting of Group C with authorized output doses between $1{\mu}Gy$ and $5{\mu}Gy$ of mAs turned out to be inappropriate. As a result, the radiation dose to the IEC 60601-2-54 standard for quantification standards proposed by the radiation output from diagnostic X-ray imaging device reproducibility of performance management should be aware that an important evaluation factor.

Evaluation of the Malaria Rapid Diagnostic Kit in Ganghwa County (강화군에서 시행한 말라리아 신속진단킷트의 유용성 평가)

  • Kweon, Su-Jung;Kweon, Oh-Jun;Youn, Sung-Tae;Yim, Jun;Im, Jeong-Soo
    • Journal of agricultural medicine and community health
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    • v.31 no.2
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    • pp.157-164
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    • 2006
  • Objectives: Early diagnosis and treatment is the most important strategy to control malaria effectively. Microscopic examination of blood films is a traditional and standard method for diagnosing malaria, which takes a long time and needs expertise, Therefore, the alternative method, rapid diagnostic kit has been used for quick diagnosis in some counties, a highly infectious region by P. vivax. The purpose of this study was to evaluate the utility of malaria rapid diagnostic kit in Ganghwa county. Methods: The utility was evaluated by mean diagnosis time and sensitivity and specificity. For monitoring mean diagnosis time, 942 cases which were diagnosed for P. vivax were collected between 1998 and 2005, And for calculating sensitivity and specificity, 434 whole bloods in EDTA which were presented for P. vivax by microscopy and rapid diagnostic kit were collected between 2004 and 2005. Results: After malaria rapid diagnostic kit was used in 2003, mean diagnosis time has decreased to 3.36-3.14 day. The sensitivity and specificity of the rapid diagnostic kit was 98.2% and 98,5% and comparable to that of microscopic examination. Conclusions: The malaria rapid diagnostic kit is useful tool in a highly infectious region like Ganghwa county.

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Feasibility of Three-Dimensional Balanced Steady-State Free Precession Cine Magnetic Resonance Imaging Combined with an Image Denoising Technique to Evaluate Cardiac Function in Children with Repaired Tetralogy of Fallot

  • YaFeng Peng;XinYu Su;LiWei Hu;Qian Wang;RongZhen Ouyang;AiMin Sun;Chen Guo;XiaoFen Yao;Yong Zhang;LiJia Wang;YuMin Zhong
    • Korean Journal of Radiology
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    • v.22 no.9
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    • pp.1525-1536
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    • 2021
  • Objective: To investigate the feasibility of cine three-dimensional (3D) balanced steady-state free precession (b-SSFP) imaging combined with a non-local means (NLM) algorithm for image denoising in evaluating cardiac function in children with repaired tetralogy of Fallot (rTOF). Materials and Methods: Thirty-five patients with rTOF (mean age, 12 years; range, 7-18 years) were enrolled to undergo cardiac cine image acquisition, including two-dimensional (2D) b-SSFP, 3D b-SSFP, and 3D b-SSFP combined with NLM. End-diastolic volume (EDV), end-systolic volume (ESV), stroke volume (SV), and ejection fraction (EF) of the two ventricles were measured and indexed by body surface index. Acquisition time and image quality were recorded and compared among the three imaging sequences. Results: 3D b-SSFP with denoising vs. 2D b-SSFP had high correlation coefficients for EDV, ESV, SV, and EF of the left (0.959-0.991; p < 0.001) as well as right (0.755-0.965; p < 0.001) ventricular metrics. The image acquisition time ± standard deviation (SD) was 25.1 ± 2.4 seconds for 3D b-SSFP compared with 277.6 ± 0.7 seconds for 2D b-SSFP, indicating a significantly shorter time with the 3D than the 2D sequence (p < 0.001). Image quality score was better with 3D b-SSFP combined with denoising than with 3D b-SSFP (mean ± SD, 3.8 ± 0.6 vs. 3.5 ± 0.6; p = 0.005). Signal-to-noise ratios for blood and myocardium as well as contrast between blood and myocardium were higher for 3D b-SSFP combined with denoising than for 3D b-SSFP (p < 0.05 for all but septal myocardium). Conclusion: The 3D b-SSFP sequence can significantly reduce acquisition time compared to the 2D b-SSFP sequence for cine imaging in the evaluation of ventricular function in children with rTOF, and its quality can be further improved by combining it with an NLM denoising method.

Transcranial Doppler Study in Stroke (뇌졸중에서의 경두개 초음파 검사)

  • Lee, Te Gyu
    • Annals of Clinical Neurophysiology
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    • v.1 no.1
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    • pp.60-63
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    • 1999
  • Transcranial Doppler(TCD) is an important diagnostic tool for evaluating the patients with stroke. It has some advantages and unique role when compared with other neuroimaging modalities. Recent development of transcranial color-coded Doppler(TCD) improves the limitation and pitfalls of TCD. The current indications of TCD are as follows: 1. Screening and evaluation of the intracranial major vessels 2. early detection and follow-up of vasospasm due to SAH 3. emboli detection (high-imtensity transient signals, HITs) 4. dignosis and follow-up of subclavian steal 5. evaluation of intracranial collaterals when the extracranial ICA has severe stenosis or occlusion 6. evaluation of cerebral perfusion pressure (intracranial pressure) 7. evaluation of arteriovenous malformation 8. diagnosis and follow-up of arterial dissenction 9. diagnosis and follow-up of venous sinus thrombosis (experimental).

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A Study of Korean Standard Speech Evaluation(kSNAP test) for Cleft Palate speaker (구개열 언어 평가의 표준화 연구 : kSNAP 테스트를 중심으로)

  • Shin Hyo-Keun
    • Korean Journal of Cleft Lip And Palate
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    • v.5 no.1
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    • pp.1-9
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    • 2002
  • Some children with Cleft Palate have shown a speech disorders after repaired surgical operation. A diagnostic evaluation of speech in children with cleft palates is important in preventing speech disorders. However, standard speech evaluation form for children with cleft palates has not yet developed in Korea. The purpose of this study is to make the standard speech evaluation form for children with cleft palates. Thirty control children group and ten children with cleft palate participated in this experiment. The test words are composed of meaningless two syllabic words containing the three different types of korean stop consonants,

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Update of Diagnostic Evaluation of Craniosynostosis with a Focus on Pediatric Systematic Evaluation and Genetic Studies

  • Hwang, Su-Kyeong;Park, Ki-Su;Park, Seong-Hyun;Hwang, Sung Kyoo
    • Journal of Korean Neurosurgical Society
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    • v.59 no.3
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    • pp.214-218
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    • 2016
  • Most craniosynostoses are sporadic, but may have an underlying genetic basis. Secondary and syndromic craniosynostosis accompanies various systemic diseases or associated anomalies. Early detection of an associated disease may facilitate the interdisciplinary management of patients and improve outcomes. For that reason, systematic evaluation of craniosynostosis is mandatory. The authors reviewed systematic evaluation of craniosynostosis with an emphasis on genetic analysis.

Open Lung Biopsy for Diffuse Infiltrative Lung Disease (미만성 폐질환에 대한 폐생검의 의의)

  • 김해균
    • Journal of Chest Surgery
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    • v.24 no.9
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    • pp.903-906
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    • 1991
  • Retrospective review of 26 patients undergoing open lung biopsy at the Yonsei University during 10 years period was conducted to evaluate open lung biopsy for DILD. From January 1980 to August 1990, open lung biopsy was performed in 26 patients through a limited thoracotomy incision[a limited anterior or a posterolateral thoracotomy]. Open lung biopsy was indicated for diffuse interstitial pulmonary diseases undiagnosed by indirect clinical and radiological diagnostic methods. The types of incision were limited anterior[11] and limited posterolateral[15]. Preoperative evaluation of the lung disease included sputum culture[26], sputum cytology [19], bronchoscopy[9] and TBLB[7]. In 23 patients the histologic appearances after open lung biopsy were sufficiently specific histologic pictures to confirm diagnosis. The results of the biopsies changed usual therapeutic plan in 17 patients among them. The complications were resp. insufficiency[3], pulmonary ed6ma[3], sepsis[2], and others[3] in 6 patients. Diagnosis from the open lung biopsy was included respiratory pneumonia[7], fibrosis[7], infection[5], malignancy[2], others[5]. 4 patients died of respiratory insufficiency. The causes of the other three death were not due to direct result of the biopsy itself. Open lung biopsy in the patient with a diffuse infiltrative lung disease is an one of the accurate diagnostic method and frequently leads to change of the therapeutic plans. So we conclude that open lung biopsy remains our diagnostic method of choice in diffuse infiltrative lung disease undetermined etiology.

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