• 제목/요약/키워드: Diagnostic Tool

검색결과 991건 처리시간 0.035초

Conservative treatment of cytomegalovirus colitis with bowel perforation in an immunocompetent patient: case report and review of literature

  • Nam, Kyoung Sik;Park, Hee Ug;Park, Min Gi;Park, Su Ho;Hwang, Ji Yeon;Kim, Dong Kyu;Kim, Sung Jun
    • Journal of Yeungnam Medical Science
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    • 제34권1호
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    • pp.75-79
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    • 2017
  • Cytomegalovirus (CMV) colitis, which is rare in an immunocompetent patient, was encountered in a 67-year-old man who was admitted due to persistent diarrhea. The first diagnostic tool was colonoscopy, which showed multiple ulcers from cecum to rectum. The secondary tool was CMV polymerase chain reaction, and CMV colitis was diagnosed. Intravenous ganciclovir therapy was administered, which resulted in improvement of diarrhea and ulcers throughout the colon were healed. Asymptomatic colon perforation was detected during diagnostic testing, which improved over the conventional treatment. CMV colitis is rare in immunocompetent patients, but it is essential for the differential diagnosis.

국내 기업개인정보보호 측정항목과 관리모형 개발에 관한 연구 (Development of a New Instrument to Measuring Concerns for Corporate Information Privacy Management)

  • 이성중;이영재
    • Journal of Information Technology Applications and Management
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    • 제16권4호
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    • pp.79-92
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    • 2009
  • With the rising reliance on market estimation through customer analysis in customer-centered marketing, there is a rapid increase in the amount of personal data owned by corporations. There has been a corresponding rise in the customers' interest in personal information protection, and the problem of personal information leakage has risen as a serious issue. The purpose of this research is to develop a diagnosis model for personal information protection that is suited to our country's corporate environment, and on this basis, to present diagnostic instruments that can be applied to domestic corporations. This diagnosis model is a structural equation model that schematizes the degree of synthetic effect that administration factors and estimation items have on the protection of personal information owned by corporations. We develop the model- consisting of the administration factors for personal information protection and the measurement items of each factor- using the development method of standardized structural equation model. We then present a tool through which the administration factors and estimation items verified through this model can be used in the diagnosis for personal information protection in corporations. This diagnostic tool can be utilized as a useful instrument to prevent in advance the leakage of personal information in corporations.

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Performance Evaluation of CT Using Visible Scintillation Light

  • Kodama, Kiyoyuki;Hashimoto, Masatoshi;Hanada, Takashi;Suzuki, Tamotsu;Ide, Tatsuya;Maruyama, Koichi
    • 한국의학물리학회:학술대회논문집
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    • 한국의학물리학회 2002년도 Proceedings
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    • pp.464-467
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    • 2002
  • We propose the use of visible scintillation light for monitoring the X-ray CT in the gantry of a diagnostic CT for its performance test and maintenance works. We placed a disk of bare plastic scintillator disk in the gantry opening area of a helical X-ray CT. When we operated the CT, we could observe the emission of blue scintillation light from the scintillator in a dark room. Visible light was identified under all scanning conditions of diagnostic uses. As a result, we observed the direction and the spread of the incident X-ray in the scintillator. We also observed the change of the part of the scintillator where visible light was generated, and the move that took place associating with the rotation of the X-ray tube during one CT scan. On the basis of the observation, we examined the usefulness of the visible scintillation light as a convenient performance-evaluating tool as well as a maintenance tool of the CT.

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점액 유두상 상의세포종의 압착도말 세포학적 소견 - 1예 보고 - (Crush Cytologic Findings of Myxopapillary Ependymoma in Spinal Cord - A Case Report -)

  • 정수진;양영일
    • 대한세포병리학회지
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    • 제10권1호
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    • pp.73-78
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    • 1999
  • Myxopapillary ependymoma generally arise in the conus medullaris and filum terminale of adult spinal cord. These tumors are readily recognized due to unique histopathologic features, however, their cytologic features are not well described. When only a tiny sample is obtained, cytologic examination using crush preparation may be a useful diagnostic tool to help appropriate intraoperative diagnosis. We present the crush cytologic features of myxopapillary ependymoma arising in thoracic and lumbar spinal cord of a 13-year-old boy. The patient had complained of paraparesis and back pain for 1 month. The MRI image revealed a relatively well demarcated intramedullary mass in T11-L1 levels. Crush preparation for cytology were peformed by biopsy material. Crush cytologic findings revealed high cellularity and small sized branching papillary clusters on fibrillary or mucinous background. The tumor cells had uniform round or elongated nuclei. The cytoplasmic process of tumor cells were attached to the vascular wall. Between the tumor cells and vascular walls, the perivascular collar of globoid acellular stroma with metachromatic reaction on toluidin blue stain was noted. The crush preparation of myxopapillary ependymoma is considered as a simple and highly accurate diagnostic tool for differentiation from other intramedullary neoplasms of central nervous system.

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Dilemmas of Oral Cancer Screening: An Update

  • Kujan, Omar;Sloan, Philip
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권5호
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    • pp.3369-3373
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    • 2013
  • Oral cancer is a global health burden with high mortality and morbidity. Advances in treatment have failed to improve the relatively poor survival rate due to late-stage diagnosis. Early detection and screening have been shown to be effective in reducing mortality and morbidity of most common cancers. Several studies have evaluated the effectiveness of oral cancer screening programs but clear results were not obtained. This narrative commentary aimed to give a critical insight into the dilemma of oral cancer screening and to suggest recommendations for future trends. Conventional oral examination still constitutes the gold standard screening tool for potentially malignant oral lesions and cancer. Interestingly, the findings of the most lasting (15-year) randomized controlled trial on oral cancer screening using visual examination (Kerala) supported the introduction of a screening program in high-risk individuals. Several screening adjuncts exist but are still not at the introduction stage. Further research to find an appropriate adjunct reliable tool for oral cancer screening is needed. In conclusion, oral cancer fulfills most of the essential principles of cancer screening but still many points need to be clarified. Therefore, there is a striking need to establish a global consortium on oral cancer screening that will oversee research and provide recommendations for health authorities at regular intervals.

체질진단설문지 정확률 연구의 연구방법론 고찰 (The Methodological Review on the Accuracy Study of Questionnaire for Sasang Constitution Diagnosis)

  • 김상혁;장은수;고병희
    • 사상체질의학회지
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    • 제24권3호
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    • pp.1-16
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    • 2012
  • Objectives For the methodological review on the accuracy study of questionnaire for Sasang constitution diagnosis, we searched the various diagnostic accuracy study of the questionnaires for Sasang constitution. Methods We searched MEDLINE, the Cochrane Library, KISS, and DBPIA. Additionally, We hand-searched the main oriental medical journals. All articles were independently reviewed and selected by two evaluators. And selected articles were assessed by "Quality Assessment of Diagnostic Accuracy Studies Tool"(QUADAS Tool) for the methodological review. Results The twenty eight studies initially identified studies were included in the methodological review. The part of "Acceptable reference standard", "Uninterpretable results reported" and "Withdrawals explained" was very weak in the risk of bias. The part of "Representative spectrum", "Acceptable delay between tests", "Incorporation avoided", "Reference standard results blinded", "Index test results blinded" was unclear in the description. Conclusions For the further study on the accuracy study of Sasang constitution diagnosis, we have to improve the aforementioned errors. Additionally, the checklist for the description of study might be needed.

청소년 코칭을 위한 에니어그램 성격 유형 검사 개발 (The Development of Enneagram Personality Type Inventory of the coaching for young people)

  • 김미화;김환영
    • 대한안전경영과학회지
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    • 제13권4호
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    • pp.263-271
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    • 2011
  • This study aims to develop a diagnostic tool that can measure nine personality types of the enneagram types based on the theoretical content of enneagram to measure personality as a human factor among various factors that affect to performance for maximizing organization and individual's performance. We have develeped measure items to figure out 9 enneagram types. Since first of September of to 30th August 2011, we had a preliminary survey with total 842 students in zed the data. Based on the results of the analysis of preliminary invmiddle and high school and analyestigation, we made a Enneagram Personality Type Inventory for Young People with a total of 144 selected questions. 4,008 middle and high students across the country were surveyed and had statistical analysis with the data. The data shows Cronbach's ${\alpha}$ was from .77 to .86 for the 9 types. This diagnostic tool developed with this study will help students can understand, develop and grow themselves, also this can be useful in coaching and counseling areas like Personality, career, academic, career and leadership development.

췌장 병변에 대한 수술시 세침흡인 검사의 유용성 (Usefulness of Intraoperative Fine Needle Aspiration of Pancreatic Lesions)

  • 박영년;김명욱;이광길
    • 대한세포병리학회지
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    • 제4권1호
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    • pp.9-15
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    • 1993
  • The aim of the present study is to demonstrate the usefulness of intraoperative fine needle aspiration (FNA) of pancreatic lesions in 30 patients. A conclusive diagnosis was done in 27 patients and the diagnoses of three patients were deferred. No complications followed the procedure. Based on histologic findings of the resected specimens in 20 cases and of cell blocks in 10 cases, the final diagnoses were adenocarcinoma in 19 cases, chronic pancreatitis in nine cases and tuberculosis in two cases. The sensitivity, specificity and diagnostic accuracy were 95%, 100% and 96% resepectively and there were no false positives. The smear of aspirate was stained with toluidine blue and examined by light microscope. The presence of there-dimensional clusters of disoriented cells and the increased nuclear/cytoplasmic ratio with large prominent nucleoli were the most helpful criteria for a diagnosis of malignancy in the pancreas. The intraoperative FNA of pancreatic lesions was considered as a simple, safe, and highly specific and sensitive tool in differentiating benign from malignant lesions. The intraoperative FNA can be recommended as the first tool of choice of intraoperative diagnostic procedure in lesions of the pancreas.

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Expression of Microsatellite Instability (MSI) from Colorectal Carcinoma Patients

  • Lee, Jae Sik
    • 대한임상검사과학회지
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    • 제46권2호
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    • pp.59-63
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    • 2014
  • The death toll of Colorectal Carcinoma in Korea was 1,826 and 7,721 in the years 1992 and 2011, respectively. This rate of increase was shown to be more than 4.23 times higher than that of any other form of cancer. Therefore, Colorectal Carcinoma requires various diagnostic methods, and Microsatellite Instability (MSI) was applied as a new diagnostic tool. From this study with several microsatellite markers, only marker #13 was detected and observed D13S160 13% (4/30), D13S292 13% (4/30), D13S153 10% (3/30) in order. From the results of amplication with microsatellite marker, D13S292 37% (11/30), D13S153 33% (10/30), D13S160 33% (10/30) in order were shown. The appearance of a genetic mutation, which depends on the loci of Colorectal Carcinoma, was shown amplication from rectal cancer (3.77) which was higher than that of right Colorectal Carcinoma (2.08) (p<0.018). The genetic mutation with lymph node (4.13) appeared higher than normal (1.93) (p<0.001). There were no great differences in the genetic mutation dependent on disease, histological classification and increased group of serum CEA. Accordingly, it is suggested that the correct primers, which can evaluate MSI well from colorectal carcinoma, should be chosen and that MSI be considered a good prognosis and quality control tool.

중풍 변증 모델에 의한 진단 정확률과 예측률 비교 (Comparison of Diagnostic Accuracy and Prediction Rate for between two Syndrome Differentiation Diagnosis Models)

  • 강병갑;차민호;이정섭;김노수;최선미;오달석;김소연;고미미;김정철;방옥선
    • 동의생리병리학회지
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    • 제23권5호
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    • pp.938-941
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    • 2009
  • In spite of abundant clinical resources of stroke patients, the objective and logical data analyses or diagnostic systems were not established in oriental medicine. In the present study we tried to develop the statistical diagnostic tool discriminating the subtypes of oriental medicine diagnostic system, syndrome differentiation (SD). Discriminant analysis was carried out using clinical data collected from 1,478 stroke patients with the same subtypes diagnosed identically by two clinical experts with more than 3 year experiences. Numerical discriminant models were constructed using important 61 symptom and syndrome indices. Diagnostic accuracy and prediction rate of 5 SD subtypes: The overall diagnostic accuracy of 5 SD subtypes using 61 indices was 74.22%. According to subtypes, the diagnostic accuracy of "phlegm-dampness" was highest (82.84%), and followed by "qi-deficiency", "fire/heat", "static blood", and "yin-deficiency". On the other hand, the overall prediction rate was 67.12% and that of qi-deficiency was highest (73.75%). Diagnostic accuracy and prediction rate of 4 SD subtypes: The overall diagnostic accuracy and prediction rate of 4 SD subtypes except "static blood" were 75.06% and 71.63%, respectively. According to subtypes, the diagnostic accuracy and prediction rate was highest in the "phlegm-dampness" (82.84%) and qi-deficiency (81.69%), respectively. The statistical discriminant model of constructed using 4 SD subtypes, and 61 indices can be used in the field of oriental medicine contributing to the objectification of SD.