• Title/Summary/Keyword: Diagnostic error

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Estimation of Thickness of Concrete Structures using the Impact Echo Method and Ultrasonic Pulse Velocity Method

  • Hong, Seonguk;Lee, Yongtaeg;Kim, Seunghun;Lee, Changsik
    • Architectural research
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    • v.18 no.4
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    • pp.179-184
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    • 2016
  • The structure must be periodically checked and measures must be taken to prevent deterioration in building construction. From this point of view, a nondestructive test is essential to estimate whether the construction of buildings is proper, and whether the dimension of depositing concrete is consistent and without damage. This study estimated the thickness of the concrete component of construction framework using the ultrasonic velocity method and the impact echo method, in order to investigate reliability of the estimation of the thickness of normal strength concrete and high strength concrete, leading to the following conclusions. In the estimation of the thickness of the concrete structures, specimens of normal strength of 24MPa and specimens of high strength of 40MPa demonstrated an average error rate of 5.1% and 2.2%, respectively. The impact-echo method, one of the non-destructive tests, is verified as an efficient diagnostic technique. With this information, we will determine specific standards for the maintenance of structures, and the re-creation of lost building blueprints.

Perceptual, Acoustical, and Physiological Tools in Ataxic Dysarthria Management: A Case Report (운동실조형 마비성구음장애에 적용되는 지각적, 음향학적, 생리학적 도구에 관하여 - 환자사례를 중심으로 -)

  • Kim Hyang Hui
    • Proceedings of the KSPS conference
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    • 1996.02a
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    • pp.9-22
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    • 1996
  • Among the various dysarthric subtypes, diagnosis of ataxic dysarthria is rendered when the speech characteristics include imprecise and irregular articulatory breakdowns, marked degree of speech rate impairment, overall monopitch and monoloudness, and respiratory-articulatory incoordination. Traditionally, speech pathologists have relied only upon their ‘ears’ to describe and evaluate the dysarthric speech. A statement of percentage of correct words identified by a listener do not provide so much more than an index of severity. Within the same perceptual dimension, a carefully constructed speech intelligibility test can specify patterns of errors. The patterns can contain a diagnostic value as well as Provide strategies for remediation. The phonetically transcribed texts on single words and a standard passage, 'kail' produced by an ataxic dysarthria are presented in this report, with an emphasis of the articulatory error analysis. Furthermore,, acoustic tools [e.g., spectrography to measure formant transitions, segment durations, consonant spectra, etc.] are utilized to serve as basic measures that objectively document patients' speech intelligibility, Finally, the treatment methods [e.g., spectrography as a visual feedback, gestural reorganization using pacing method, DAF (Delayed Auditory Feedback)] to modify the dysarthric behaviors are presented.

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Accuracy of Bolton analysis measured in laser scanned digital models compared with plaster models (gold standard) and cone-beam computer tomography images

  • Kim, Jooseong;Lagravere, Manuel O.
    • The korean journal of orthodontics
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    • v.46 no.1
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    • pp.13-19
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    • 2016
  • Objective: The aim of this study was to compare the accuracy of Bolton analysis obtained from digital models scanned with the Ortho Insight three-dimensional (3D) laser scanner system to those obtained from cone-beam computed tomography (CBCT) images and traditional plaster models. Methods: CBCT scans and plaster models were obtained from 50 patients. Plaster models were scanned using the Ortho Insight 3D laser scanner; Bolton ratios were calculated with its software. CBCT scans were imported and analyzed using AVIZO software. Plaster models were measured with a digital caliper. Data were analyzed with descriptive statistics and the intraclass correlation coefficient (ICC). Results: Anterior and overall Bolton ratios obtained by the three different modalities exhibited excellent agreement (> 0.970). The mean differences between the scanned digital models and physical models and between the CBCT images and scanned digital models for overall Bolton ratios were $0.41{\pm}0.305%$ and $0.45{\pm}0.456%$, respectively; for anterior Bolton ratios, $0.59{\pm}0.520%$ and $1.01{\pm}0.780%$, respectively. ICC results showed that intraexaminer error reliability was generally excellent (> 0.858 for all three diagnostic modalities), with < 1.45% discrepancy in the Bolton analysis. Conclusions: Laser scanned digital models are highly accurate compared to physical models and CBCT scans for assessing the spatial relationships of dental arches for orthodontic diagnosis.

Demographic and Clinical Characteristics of Patients with Restless Legs Syndrome in Spine Clinic

  • Yang, Jin Seo;Cho, Yong Jun;Kang, Suk Hyung;Choi, Hyuk Jai
    • Journal of Korean Neurosurgical Society
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    • v.55 no.2
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    • pp.83-88
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    • 2014
  • Objective : The restless legs syndrome (RLS) is a common disorder affecting up to 5% to 15% of the general population, in which the incidence increases with age, and includes paresthesia in the legs. The purpose of this study is to investigate the incidence of RLS in spine center and to review clinical manifestations of this syndrome and its current treatments. Methods : Over a period of a year, retrospective medical record review and lumbar magnetic resonance images were performed on 32 patients with RLS in spine clinic who were diagnosed by National Institutes of Health criteria. Affected limbs were classified as five. Two grading systems were used in the evaluation of neural compromises. Results : The incidence of RLS was 5.00% (32/639). There were 16 males (50%) and 16 females (50%). The median age at diagnosis was 55.4 years (range, 25-93 years). There are no correlation between the affected limbs of RLS and neural compromises on the lumbar spine. Conclusion : The RLS is a clearly common neurologic disorder of the limbs, usually the legs. The awareness of this syndrome can help reduce diagnostic error; thereby, avoiding the morbidity and expense associated with unnecessary studies or inappropriate treatments in RLS patients.

Metabolic evaluation of children with global developmental delay

  • Eun, So-Hee;Hahn, Si Houn
    • Clinical and Experimental Pediatrics
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    • v.58 no.4
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    • pp.117-122
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    • 2015
  • Global developmental delay (GDD) is a relatively common early-onset chronic neurological condition, which may have prenatal, perinatal, postnatal, or undetermined causes. Family history, physical and neurological examinations, and detailed history of environmental risk factors might suggest a specific disease. However, diagnostic laboratory tests, brain imaging, and other evidence-based evaluations are necessary in most cases to elucidate the causes. Diagnosis of GDD has recently improved because of remarkable advances in genetic technology, but this is an exhaustive and expensive evaluation that may not lead to therapeutic benefits in the majority of GDD patients. Inborn metabolic errors are one of the main targets for the treatment of GDD, although only a small proportion of GDD patients have this type of error. Nevertheless, diagnosis is often challenging because the phenotypes of many genetic or metabolic diseases often overlap, and their clinical spectra are much broader than currently known. Appropriate and cost-effective strategies including up-to-date information for the early identification of the "treatable" causes of GDD are needed for the development of well-timed therapeutic applications with the potential to improve neurodevelopmental outcomes.

Chair side measuring instrument for quantification of the extent of a transverse maxillary occlusal plane cant

  • Naini, Farhad B.;Messiha, Ashraf;Gill, Daljit S.
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.41
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    • pp.21.1-21.3
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    • 2019
  • Background: Treatment planning the correction of a transverse maxillary occlusal plane cant often involves a degree of qualitative "eyeballing", with the attendant possibility of error in the estimated judgement. A simple chair side technique permits quantification of the extent of asymmetry and thereby quantitative measurements for the correction of the occlusal plane cant. Methods: A measuring instrument may be constructed by soldering the edge of a stainless steel dental ruler at 90° to the flat surface of a similar ruler. With the patient either standing in natural head position, or alternatively seated upright in the dental chair, and a dental photographic retractor in situ, the flat under-surface of the horizontal part of this measuring instrument is placed on a unilateral segment of a bilateral structure, e.g. the higher maxillary canine orthodontic bracket hook. The vertical ruler is held next to the contralateral canine tooth, and the vertical distance measured directly from the canine bracket to the flat under-surface of the horizontal part of the measuring instrument. Results: This vertical distance quantifies the overall extent of movement required to level the maxillary occlusal plane. Conclusions: This measuring instrument and simple chair side technique helps to quantify the overall extent of surgical levelling required and may be a useful additional technique in our clinical diagnostic armamentarium.

Measure of Bone Age through Greulich-Pyle Method, Tanner-Whitehouse Method and Ultrasound Transonic Velocity of Inferior Radiocarpal Joint (골연령의 측정에서 Greulich-Pyle법, Tanner-Whitehouse법, 완관절 초음파 통과속도를 이용한 골연령 측정법의 비교 연구)

  • Lee, Dong-Hyung;Lee, Jin-Yong;Kim, Deog-Gon
    • The Journal of Pediatrics of Korean Medicine
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    • v.22 no.2
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    • pp.69-80
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    • 2008
  • Objectives : The purpose of this study was to evaluate the correlation of 3 methods of bone age measurements. Methods : 102 children(49 boys, 53 girls) were involved in this study. We measured the height, weight and bone age based when they visited for the first time. We measured bone age using BoneAge of Sunlight Co.,Ltd. Two of the bone age measurement methods, Greulich-Pyle and Tanner-Whitehouse, were used to analyze the left dorsopalmar hand-wrist radiographs of 102 children who visited in Department of Pediatrics, O O University Oriental Hospital. This study was designed to investigate the correlation of the bone age between two methods. Results : The bone ages were related with age, height, weight and BMI according to this study(P<0.01). Each bone age assessment method had statistically significant correlation to each other(P<0.01). Conclusions : The ultrasound transonic velocity of inferior radiocarpal joint will become a sufficient diagnostic tool of bone age assessment if measurement error can be minimized by proper effort.

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Congenital heart disease in the newborn requiring early intervention

  • Yun, Sin-Weon
    • Clinical and Experimental Pediatrics
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    • v.54 no.5
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    • pp.183-191
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    • 2011
  • Although antenatal diagnostic technique has considerably improved, precise detection and proper management of the neonate with congenital heart disease (CHD) is always a great concern to pediatricians. Congenital cardiac malformations vary from benign to serious conditions such as complete transposition of the great arteries (TGA), critical pulmonary and aortic valvular stenosis/atresia, hypoplastic left heart syndrome (HLHS), obstructed total anomalous pulmonary venous return (TAPVR), which the baby needs immediate diagnosis and management for survival. Unfortunately, these life threatening heart diseases may not have obvious evidence early after birth, most of the clinical and physical findings are nonspecific and vague, which makes the diagnosis difficult. High index of suspicion and astute acumen are essential to decision making. When patent ductus arteriosus (PDA) is opened Widely, many serious malformations may not be noticed easily in the early life, but would progress as severe acidosis/shock/cyanosis or even death as PDA constricts after few hours to days. Ductus dependent congenital cardiac lesions can be divided into the ductus dependent systemic or pulmonary disease, but physiologically quite different from each other and treatment strategy has to be tailored to the clinical status and cardiac malformations. Inevitably early presentation is often regarded as a medical emergency. Differential diagnosis with inborn error metabolic disorders, neonatal sepsis, persistent pulmonary hypertension of the newborn (PPHN) and other pulmonary conditions are necessary. Urgent identification of the newborn at such high risk requires timely referral to a pediatric cardiologist, and timely intervention is the key in reducing mortality and morbidity. This following review deals with the clinical presentations, investigative modalities and approach to management of congenital cardiac malformations presenting in the early life.

Intra-Operative Frozen Sections: Experience at A Tertiary Care Centre

  • Preeti, Agarwal;Sameer, Gupta;Kulranjan, Singh;Abhinav, Sonkar Arun;Preeti, Rani;Sunita, Yadav;Mati, Goel Madhu
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.12
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    • pp.5057-5061
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    • 2016
  • The present study was conducted to assess error rates with diagnosis using intra-operative frozen sections, and to indicate ways to increase overall performance. Over a period of two years, 227 cases were biopsied intra-operatively. Errors were observed in 14 cases. Four of these were sampling errors, one by a pathologist and three by surgeons. In seven cases incorrect interpretations were made. Epithelial dysplasia was observed on definitive histology in two cases which was not reported intra-operatively. One case was of ectopic thyroid. In cases of oral cancer where sentinel lymph nodes were sampled, immunohistochemistry for cytokeratin was performed to facilitate identification of micrometastasis. Only single case displayed tumor deposits which was not evident morphologically. Resection margins were reported in seventy eight cases. Some 18% (14/50) benefited from revision of margins; overall sensitivity of intra-operative frozen sections for marginal status was 71.4%, with a specificity of 90.3%. Overall sensitivity was 75% and specificity was 97.5%. Careful observation, pathologist experience and knowledge of limitations help in improving the overall diagnostic outcome.

ECG Compression Structure Design Using of Multiple Wavelet Basis Functions (다중웨이브렛 기저함수를 이용한 심전도 압축구조설계)

  • Kim Tae-hyung;Kwon Chang-Young;Yoon Dong-Han
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.9 no.3
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    • pp.467-472
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    • 2005
  • ECG signals are recorded for diagnostic purposes in many clinical situations. Also, In order to permit good clinical interpretation, data is needed at high resolutions and sampling rates. Therefore In this paper, we designed to compression structure using multiple wavelet basis function(SWBF) and compared to single wavelet basis function(SWBF) and discrete cosine transform(DCT). For experience objectivity, Simulation was performed using the arrhythmia data with sampling frequency 360Hz, resolution lIbit at MIT-BIH database. An estimate of performance estimate evaluate the reconstruction error. Consequently compression structure using MWBF has high performance result.