• 제목/요약/키워드: Diagnostic approach

검색결과 597건 처리시간 0.025초

아동·청소년 문제행동평가척도를 이용한 반항성 도전장애의 선별 : 공격성 및 비행 하위척도의 역할 (Screening Oppositional Defiant Disorder with the Korean Child Behavior Checklist : The Role of the Subscales of Aggressive and Delinquent Behavior)

  • 이소영;박준호;임은지;정한용
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
    • /
    • 제22권2호
    • /
    • pp.95-102
    • /
    • 2011
  • Objectives : This present study examined the power of the Korean Child Behavior Checklist (K-CBCL) subscales to predict a DSM-IV diagnosis of oppositional defiant disorder (ODD). Methods : The sample included 37 children and adolescents with ODD and 46 normal controls. The participants and their parents were interviewed for clinical diagnosis using the Kiddie-Schedule for Affective Disorders and Schizophrenia-Present and Lifetime Version (K-SADS-PL) and the parents completed the K-CBCL. Logistic regression analysis was used to predict the diagnosis of ODD. Results : Among the CBCL subscales, Delinquent and Aggressive Behavior scales significantly predicted ODD diagnosis. The means of these CBCL subscales were significantly higher in the ODD group when compared to the controls. Conclusion:Two CBCL subscales (Deliquent and Aggressive Behavior) displayed good diagnostic efficiency for assessing ODD in children and adolescents. Through combining information from the CBCL, an empirical-quantitative approach to psychopathology in children and the DSM-IV diagnostic criteria, the results demonstrated that a clinical diagnostic approach is an effective diagnostic paradigm for children with ODD.

Clinical Utility of CT-Based Bronchial Aspirate TB-PCR for the Rapid Diagnosis of Pleural Tuberculosis

  • Lee, Jaehee;Lee, So Yeon;Choi, Keum Ju;Lim, Jae Kwang;Yoo, Seung Soo;Lee, Shin Yup;Cha, Seung Ick;Park, Jae Yong;Kim, Chang Ho
    • Tuberculosis and Respiratory Diseases
    • /
    • 제75권4호
    • /
    • pp.150-156
    • /
    • 2013
  • Background: Thoracoscopic pleural biopsy is often required for rapid and confirmative diagnosis in patients with suspected pleural tuberculosis (PL-TB). However, this method is more invasive and costly than its alternatives. Therefore, we evaluated the clinical utility of the chest computed tomography (CT)-based bronchial aspirate (BA) TB-polymerase chain reaction (PCR) test in such patients. Methods: Bronchoscopic evaluation was performed in 54 patients with presumptive PL-TB through diagnostic thoracentesis but without a positive result of sputum acid-fast bacilli (AFB) smear, pleural fluid AFB smear, or pleural fluid TB-PCR test. Diagnostic yields of BA were evaluated according to the characteristics of parenchymal lesions on chest CT. Results: Chest radiograph and CT revealed parenchymal lesions in 25 (46%) and 40 (74%) of 54 patients, respectively. In cases with an absence of parenchymal lesions on chest CT, the bronchoscopic approach had no diagnostic benefit. BA TB-PCR test was positive in 21 out of 22 (95%) patients with early-positive results. Among BA results from 20 (37%) patients with patchy consolidative CT findings, eight (40%) were AFB smear-positive, 18 (90%) were TB-PCR-positive, and 19 (95%) were culture-positive. Conclusion: The BA TB-PCR test seems to be a satisfactory diagnostic modality in patients with suspected PL-TB and patchy consolidative CT findings. For rapid and confirmative diagnosis in these patients, the bronchoscopic approach with TB-PCR may be preferable to the thoracoscopy.

A Study of Pre-service Chemistry Teacher's Understanding on Entropy

  • Seo, Young-Jin;Hong, Hun-Gi
    • 한국과학교육학회지
    • /
    • 제32권3호
    • /
    • pp.415-427
    • /
    • 2012
  • In this study, we conducted preliminary survey, diagnostic test and in-depth interview in order to study Korean pre-service chemistry teachers' understanding on entropy and investigate how Korean pre-service chemistry teachers deal with the natural phenomenon which is related to entropy conceptions. Firstly, as a result of the preliminary survey, it was found that pre-service chemistry teachers strongly recognized entropy as the degree of disorder. Secondly, the diagnostic test showed pre-service chemistry teachers were mostly confused about whether the entropy of the universe increases during a spontaneous change, and they had a tendency to interpret the natural phenomenon related to entropy change as the change of disorder. Finally, during in-depth interview, after we explained entropy change in all diagnostic test questions with the concept of microstate, pre-service chemistry teachers revealed a better understanding about entropy. Through this research, pre-service chemistry teachers had an opportunity to reflect on their deficiencies of entropy conceptions, which will ultimately help students to approach the concept of entropy more correctly.

새로운 진단적 접근법 : Research Domain Criteria(RDoC)의 소개 (Another Diagnostic Approach : An Introduction to Research Domain Criteria (RDoC))

  • 오대영
    • 생물정신의학
    • /
    • 제20권3호
    • /
    • pp.63-65
    • /
    • 2013
  • The new edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) is published by the American Psychiatric Association. The diagnostic systems for mental disorders have come under criticism for relying on presenting signs and symptoms with the result that they do not adequately reflect relevant neurobiological and behavioral systems. Finally, the National Institute of Mental Health (NIMH) in the United States has suggested the Research Domain Criteria (RDoC) to develop a research classification system based upon dimensions of neurobiology and behavioral aspect. The present review introduces the RDoC as a new reaseach framework.

만성 복통을 보이는 환자 어떤 순서로 접근을 해야 하나요? (Diagnostic Approaches to Chronic Abdominal Pain in Children)

  • 박재홍
    • Pediatric Gastroenterology, Hepatology & Nutrition
    • /
    • 제14권1호
    • /
    • pp.26-32
    • /
    • 2011
  • Chronic abdominal pain (CAP) is a common complaint encountered in pediatric clinics and a great concern for patients and their caretakers as well as health care professionals. A constant challenge is detecting individuals with organic diseases or psychosomatic disorders from the majority of patients who have a functional disorder including functional dyspepsia, irritable bowel syndrome, functional abdominal pain, and abdominal migraine. Beginning with a detailed history and physical examination, physicians must determine a differential diagnosis of CAP by applying the symptom-based Rome III criteria to positively identify a functional disorder. These findings should then be further analyzed based on diagnostic clues and red flags that indicate the presence of specific organic diseases and/or the need for further testing. Once a functional diagnosis has been made or an organic disease is suspected, physicians can initiate an empiric therapeutic trial. Since psychological distress accompanies both organic and non-organic abdominal pain in children, a cooperative diagnostic approach involving pediatricians and psychiatrists is recommended.

단시간 푸리에 변환과 맥놀이를 이용한 강건한 결함 진단법 (Robust Damage Diagnostic Method Using Short Time Fourier Transform and Beating)

  • 이호철
    • 한국소음진동공학회논문집
    • /
    • 제15권9호
    • /
    • pp.1108-1117
    • /
    • 2005
  • A robust damage detection method using short-time Fourier transform and beating phenomena is presented as an estimating tool of the healthiness of large structures. The present technique makes use of beating phenomena that manifest themselves when two signals of similar frequencies are added or subtracted. Unlike most existing methods based on vibration signals, the present approach does not require an analytic model for target structures. Furthermore, the main advantage of the proposed method compared to the competing diagnostic method using vibration data is its robustness. The proposed method is not affected by the amplitude of exciting signals and the location of exciting points. From a measuring view point. the location of sensing point have no influence on the performance of the present method. With a view to verifying the effectiveness of this method. a series of experiments are made and the results show its possibility as a robust damage diagnostic method.

진단적 후두근전도 (Diagnostic Laryngeal Electromyography)

  • 정성민
    • 대한후두음성언어의학회지
    • /
    • 제19권2호
    • /
    • pp.107-112
    • /
    • 2008
  • Diagnostic laryngeal electromyography (LEMG) relatively evaluates the electrophysiologic status of the larynx and provides critical clinical informations that no other tests can provide. However, LEMG is still not widely applied as a routine tool in clinical practice. One reason for this is the technical and interpretative difficulties of LEMG. But if LEMG is performed by a team approach consisting of an otolaryngologist and a neurologist, the technique and the interpretation of LEMG are not difficult to master. Another reason is that there is still not exact standard guideline for clinical application of LEMG. LEMG is an essential diagnostic test in evaluating patients with neuromuscular disorders, particulary vocal fold immobility, reduced mobility of vocal fold. The more we have used LEMG, the more we have found it useful in the evaluation and treatment of voice disorders, and the role of LEMG will be extended.

  • PDF

Hirschsprung's Disease의 임상 양상 및 진단 (Clinical Features and Diagnosis of Hirschsprung's Disease)

  • 박우현
    • Advances in pediatric surgery
    • /
    • 제8권1호
    • /
    • pp.48-53
    • /
    • 2002
  • Diagnosing Hirschprungs disease (HD) is a clinical challenge to pediatric surgeons. The cardinal symptoms are failure of passage of meconium within first 24 hours of life, abdominal distension, and vomiting. The severity of these symptoms and the degree of consitpation vary considerably between patients. HD is suspected on the basis of history and clinical findings and the diagnosis is established by radiological examination, anorectal manometry, and histochemical analysis of biopsy specimens. In this review, the advantages and pitfalls of each diagnostic modality are discussed. And a diagnostic approach utilizing these diagnostic modalities in children with suspicious HD is presented.

  • PDF

PCA-기반 고장 진단 시스템 설계에 관한 연구 (A study on the design of fault diagnostic system based on PCA)

  • 이영삼;김성호;이기상
    • 대한전기학회:학술대회논문집
    • /
    • 대한전기학회 2002년도 하계학술대회 논문집 D
    • /
    • pp.2272-2275
    • /
    • 2002
  • PCA(Principle Component Analysis) has emerged as a useful tool for process monitoring and fault diagnosis. The general approach requires the user to identify the root cause by interpreting the residual or principle components. This could be tedious and often impossible for a large process. In this paper, PCA scheme is combined with the FCM-based fault diagnostic algorithm to enhance the diagnosistic results. The implementation of the PCA-FCM based fault diagnostic system is done and its application is illustrated on the two-tank system.

  • PDF