• 제목/요약/키워드: Diagnostic study

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견관절 Superoinferior axial 검사 시 Tiltable standing detector의 유용성에 관한 고찰 (Study of the Usefulness of Tiltable standing detector in Testing Shoulder Joint Superoinferior axial)

  • 이동희;김병기;김기정;김민현;이민우;김순배;김경수
    • 대한디지털의료영상학회논문지
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    • 제11권1호
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    • pp.27-33
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    • 2009
  • In this study, we compared the alteration of test positions according to various test equipments when testing shoulder joint superoinferior axial to estimate the clinical usefulness of tiltable standing detector. Our objectives were patients who visited our hospital. Among them we chose patients who were prescribed to get a shoulder axial test, again we selected 30 patients whose abduction is more than 90 degree.(2008. Nov.$\sim$2009 Jan.) With the patients cooperation, we used CR(Agfa, Belgium), fixed-detector(Canon, japan), Tiltable-detector(Philips, Netherlands). Tested with only one equipment(tiltable detector), and posed with the other two. We surveyed 5 inspectors and 30 patients, asking them to rate the convenience of test position. Also, we checked how long it takes to have the image appear on screen after testing with the equipment We provided a standard for an assessment of the image to an expert in bone radiology, an orthopedist and a radiologist with 5 years experience. When the patients were asked about the convenience of the equipments, 15 people(50%) answered CR is convenient and 14 people(46.7%) answered the Tilting detector is convenient, showing not much difference. However, when the inspectors were asked the same question, 4people(80%) out of 5 answered that the Tilting detector is more convenient The time test showed that CR takes 2 minutes and 50 seconds, the Fixed detector 1minute and 48 seconds andor had no distortion showing the shoulder joint space. However, even though the Fixed detector showed ac the Tilting detector takes 1 minute and 43 seconds to bring the image to the screen after the position. The results of the value of image taken by each equipment, CR and the Tilting detectromion, coracoid process, due to the unstable pose, they were quite distorted and scored poor in observing glenoid fossa. By this study, we can see that testing the shoulder joint superoinferior axial projection with a detector that has a tilting device would be more convenient than testing it with a CR.

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한국어판 DISC-IV(Diagnostic Interview Schedule for Children Version IV)의 신뢰도 및 타당도 (The Reliability and Validity of Diagnostic Interview Schedule for Children Version IV-Korean Version(DISC-IV))

  • 조수철;김붕년;김재원;김효원;최현정;정선우;양영희;정동선;고복자;김봉석;신민섭;유한익;유희정
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제18권2호
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    • pp.138-144
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    • 2007
  • Objectives: The aim of this study was to evaluate the reliability and validity of the Korean Version of the Diagnostic Interview Schedule for Children Version IV(DISC-IV), a highly structured diagnostic interview used to assess more than 30 psychiatric disorders in children and adolescents. Methods: A total of 91 study subjects, including 67 subjects who visited the child and adolescent psychiatry outpatient clinic at our institution and 24 community-based subjects, were assessed using the Korean Version of the DISC-IV. Clinical diagnosis was used as a gold standard for the examination of the validity of the DISC-IV. Forty-four of the study subjects were randomly selected for test-retest reliability measurement. Results: The validity of the Korean Version of the DISC-IV showed kappa values ranging from 0.25 to 0.40 in the clinical sample and 0.65 to 1.00 in the community sample. The sensitivities varied according to the diagnostic categories, but the specificities were excellent for all diagnostic entities. Conclusion: The Korean Version of the DISC-IV showed good reliability and validity in Korean children and adolescents. The Korean Version of the DISC-IV might be a useful tool for assessing psychiatric disorders in children and adolescents.

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7구역진단기의 5구역 정보와 위내시경 소견의 상관성에 관한 연구 (Correlations between Gastroscopy Results and Zone-5 Data from the 7-zone-Diagnostic System)

  • 정다정;임정균;이형걸;육태한;김종욱
    • Journal of Acupuncture Research
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    • 제30권1호
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    • pp.1-11
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    • 2013
  • Objectives : The 7-zone-diagnostic system is a device for predetermining bodily locations by measuring the energy of the living body. The purpose of this study is to examine correlations between gastroscopy results and zone-5 data from the 7-zone-diagnostic system. Methods : This study was carried out with data from gastroscopy procedures. It involved 115 patients who had been diagnosed with gastritis, esophagitis, or gastric ulcers. These patients were divided into three groups according to the different patterns of zone-5 factors AA, FL2 and FL1. Group A was made up of patients for whom the red bar graph of zone-5 was higher than the normal range for factor AA. Group B was made up of patients for whom the red bar graph of zone-5 was within the normal range for factor AA. Group C was made up of patients for whom the red bar graph of zone-5 was lower than the normal range for factor AA. Group D E and F were made up of same way as group A B and C for factor FL2. Group G H and I were made up of same way as group A B and C for factor FL1. After the collection of gastroscopy results and data on zone-5 from the 7-zone-diagnostic system, the data was analyzed statistically. Results : 1. Group D had a higher ratio of medication than group E, and this result was statistically significant. 2. Group D G had a higher ratio of medication than group E G and group E H, and this result was statistically significant. 3. Group G had a higher ratio of esophagitis than group H, and this result was statistically significant. 4. A Group B H had a higher ratio of esophagitis than group B G, group C G, and group C H, and this result was statistically significant. 5. The medication group had a high score on the function index than the non-medication group, and this result was statistically significant. Conclusions : This study suggests that there is a slight correlation between gastroscopy results and zone-5 data from the 7-zone-diagnostic system. The research resulted in significant data that are helpful for diagnosing digestive system problems through the use of the 7-zone-diagnostic system.

대차 현가계 구성요소 진단방법에 관한 연구 (A Study on Diagnostic Method for Suspension Elements of Bogie)

  • 허현무;최경진
    • 한국철도학회:학술대회논문집
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    • 한국철도학회 2000년도 추계학술대회 논문집
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    • pp.476-483
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    • 2000
  • Like other vehicles, the suspension elements of railway rolling stock have influence on running stability and ride quality. Thus, faults detection for suspension elements is important to prevent an accidents of train and to ensure safety against derailment. This study was started to grasp the feasibility of diagnostic method for the suspension elements of bogie without disassembling. Through several tests by running test rig, we found that fault detection for suspension elements was possible. Here, we describe some results.

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20-40대 여성의 체질량지수에 따른 한방변증지표의 특성 연구 (A Study on Diagnostic Pattern Questionnaire Associated with Body Mass Index in 20-40's Women)

  • 박경선;유승연;박영재;이창훈;조정훈;장준복;이경섭;이진무
    • 한방비만학회지
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    • 제11권1호
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    • pp.25-34
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    • 2011
  • Objectives The purpose of this study was to examine the characteristics of diagnostic pattern questionnaire associated with Body Mass Index in premenopausal women. Methods We studied 41 patients visiting Gangdong Kyung Hee University Hospital from 1st April 2011 to 25th May 2011. The subjects were categorized in two groups, overweight & obesity group (n=12) and low weight & normal group (n=29). We studied the difference of diagnostic pattern questionnaire scores between two groups by Independent samples T-test and correlation between diagnostic pattern questionnaire scores of overweight & obesity group by Pearson's correlation coefficient test using SPSS for windows (version 13.0). Results Blood stasis, retention of undigested food, cold pattern scores of overweight & obesity group were non-significantly higher than low weight & normal group. Heat pattern score of overweight & obesity group was significantly higher than low weight & normal group. Cold-heat, phlegm-cold, blood stasis-cold, phlegm-blood stasis, phlegm-retention of undigested food significantly showed positive correlation coefficient in overweight & obesity group. Conclusions The results suggest that obese women tend to show heat pattern. It seems to be that multiple factors such as phlegm, blood stasis, retention of undigested food are causative of obesity.

절연파괴시험법을 이용한 3.3[kV] 유도전동기의 절연물 열화특성 분석 (Analysis of Aging Insulation Characteristics of 3.3[kV] Class Induction Motor with AC Breakdown Test)

  • 이주;김현일;김윤현;손영규
    • 조명전기설비학회논문지
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    • 제21권10호
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    • pp.141-149
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    • 2007
  • 본 논문은 유도전동기 고정자권선의 절연물에 대하여 비파괴 및 파괴시험을 실시하여 절연물의 비파괴특성과 내전압강도와의 상호관계를 비교, 평가, 분석함으로써, 향후 전동기의 절연상태 평가시 수명 및 절연진단의 신뢰성을 도모하고자 제안하였다. 본 논문에서는 비파괴시험과 파괴시험과의 상관관계를 평가하기위하여 비파괴시험으로 절연저항시험, 성극지수시험, 유전정접시험, 부분방전시험을 실시하였으며, 파괴시험은 60[kV] AC 내전압를 이용하여 실시하였다. 또한 장기간 사용된 전동기 권선의 절연물에 대한 연구결과로부터 기존 선진국의 진단방법 및 판정기준이 국내에서 제작된 전동기에 대한 절연특성 평가 및 분석에도 타당함을 증명하였으며, 향후 본 논문에서 제시한 자료들은 유사조건의 산업현장에서 운용중인 유도전동기의 수명 및 상태 평가를 위한 기초자료로 유용하게 사용될 수 있으리라 기대된다.

흉부 고관전압 촬영에 있어서의 늑골음영과 폐문리의 시각적 평가 (Visual Evaluation of Rib Shadow and Lung Marking during High-voltage Chest Radiography)

  • 최권규;이창엽;신동식;김창남;최기영;허준
    • 대한방사선기술학회지:방사선기술과학
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    • 제15권1호
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    • pp.99-105
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    • 1992
  • Visual evaluation of rib shadow and lung marking during high voltage chest radiography. The Purpose of this study is to improvement of visual discrimination of pulmonary structures on the conventional chest radiogram. The author prepared an artificial lung using an acryl plate, 8 cm in thickness, which is nearly equivalent to human lung, and 0.6 cm thickness of an aluminum plate for an artificial rib, and 0.5 cm of an acryl plate as a pulmonary vessel as well. And they were used as objects for experimental radiograms. This study performed with gradual increasing densities of film bases in the sequences of densities of 0.6, 0.9, 1.1 and 1.3. We made two combinations of images after multiple and regular cuts, with width of 1 cm, of 4 radiograms at the above mentioned densities of film bases. One image consisted of alternative combination of radiograms taken at densities of 0.6 and 1.3, and the other did at 0.9 and 1.1. The latter image provided better visual perception of pulmonary structures than the former. Experimental radiograms were also taken with 60 kV and 120 kV respectively. After careful evaluation and comparison to images taken on varieties of different densities with combinations and kV, the author had a conclusion that it is advisable to use a high kV X-ray which makes rib shadow subtle, for better visual delineation of pulmonary structures behind ribcage, eventhough contrast of pulmonary structures are decreased at high kV radiogram.

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기능성 소화불량 환자에서 설태후박 및 흉늑각 측정의 진단적 가치 (Diagnostic Values of Tongue Coating Thickness and Sterno-costal Angle in Functional Dyspepsia)

  • 손지영;김진성
    • 대한한방내과학회지
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    • 제35권2호
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    • pp.157-174
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    • 2014
  • Objectives : The aims of this study were to evaluate the diagnostic values of tongue coating thickness and sterno-costal angle as the quantitative diagnostic indicators in functional dyspepsia. Methods : We surveyed 60 functional dyspepsia patients recruited by the clinical trial, 'Clinical Trial for Evaluation on Availability of tongue diagnosis system (CTS-1000) : a Pilot study'. The patients were classified into three groups according to Rome III criteria for functional dyspepsia, and categorized into five groups according to Instrument of pattern identification for functional dyspepsia. Nepean dyspepsia index-Korean version (NDI-K) score, tongue coating thickness (percentage of tongue coating by tongue diagnosis system (CTS-1000), and weight of tongue coating by microbalance), sterno-costal angle, duration of illness and body mass index (BMI) were investigated. Results : Among the 5 types by instrument of pattern identification for functional dyspepsia, a significant difference of percentage of tongue coating was found. Percentage of tongue coating and weight of tongue coating showed significant correlation with total NDI-K score. Sterno-costal angle showed strong positive correlation with BMI and also showed significant difference between the non-overweight (BMI<23, n=32) and overweight ($BMI{\geq}23$, n=28) groups. Conclusions : Tongue coating thickness showed its potential as a new quantitative diagnostic indicator of functional dyspepsia. Further studies on the sterno-costal angle are anticipated to evaluate its potential as a new quantitative diagnostic indicator.

초·중학생 대상 웹기반 진단평가관리시스템 사용성 개선을 위한 휴리스틱스 개발 및 검증 (Development and validation of heuristics for usability improvements on web-based diagnostic assessment management system for primary-middle schoolers)

  • 차현진;황윤자
    • 정보교육학회논문지
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    • 제21권6호
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    • pp.675-690
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    • 2017
  • 4차 산업혁명 시대를 맞이하여 증거기반의 교육정책을 위해, 전국단위의 진단평가 데이터를 수집하기 위한 시스템을 구축 활용하고 있다. 본 연구는 이러한 전국 단위 초 중생이 활용하고 있는 진단평가관리시스템의 사용성 개선을 도울 수 있는 휴리스틱스 개발을 목적으로 하였다. 이를 위해 Nielsen의 기본 휴리스틱스를 비롯하여 교육적 목적에 종속적으로 개발된 휴리스틱스에 대한 선행연구를 기반으로 유사시스템인 진단 보정학습시스템의 사용성 문제를 분석함으로써 휴리스틱스 초안을 개발하였다. 이는 델파이 방법을 통해 15명의 전문가에 의해 2회의 타당화 과정을 수행함으로써 수정 보완되었고 최종안이 도출되었다. 본 연구는 교육 맥락에서 사용성 평가도구를 제공함으로써 전국단위의 관계자(교사 등)와 학생들이 활용하는 시스템의 사용성 개선을 위한 기반을 마련하였다는데 의의가 있다.

Optimum Image Compression Rate Maintaining Diagnostic Image Quality of Digital Intraoral Radiographs

  • Song Ju-Seop;Koh Kwang-Joon
    • Imaging Science in Dentistry
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    • 제30권4호
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    • pp.265-274
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    • 2000
  • Purpose: The aims of the present study are to determine the optimum compression rate in terms of file size reduction and diagnostic quality of the images after compression and evaluate the transmission speed of original or each compressed image. Materials and Methods: The material consisted of 24 extracted human premolars and molars. The occlusal surfaces and proximal surfaces of the teeth had a clinical disease spectrum that ranged from sound to varying degrees of fissure discoloration and cavitation. The images from Digora system were exported in TIFF and the images from conventional intraoral film were scanned and digitalized in TIFF by Nikon SF-200 scanner (Nikon, Japan). And six compression factors were chosen and applied on the basis of the results from a pilot study. The total number of images to be assessed were 336. Three radiologists assessed the occlusal and proximal surfaces of the teeth with 5-rank scale. Finally diagnosed as either sound or carious lesion by one expert oral pathologist. And sensitivity, specificity and k value for diagnostic agreement was calculated. Also the area (Az) values under the ROC curve were calculated and paired t-test and oneway ANOVA test was performed. Thereafter, transmission time of the image files of the each compression level was compared with that of the original image files. Results: No significant difference was found between original and the corresponding images up to 7% (1 : 14) compression ratio for both the occlusal and proximal caries (p<0.05). JPEG3 (1 : 14) image files are transmitted fast more than 10 times, maintained diagnostic information in image, compared with original image files. Conclusion: 1 : 14 compressed image file may be used instead of the original image and reduce storage needs and transmission time.

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