• 제목/요약/키워드: Dynamic diagnosis

검색결과 362건 처리시간 0.03초

슬링(sling) 시스템을 이용한 요부 안정화 운동 (Lumbar stabilization exercises using the sling system)

  • 김선엽;권재확
    • 대한정형도수물리치료학회지
    • /
    • 제7권2호
    • /
    • pp.23-39
    • /
    • 2001
  • Dysfunction of the anterior and dorsal muscles of the trunk have been studied in relation to low back pain of many years. Many muscles of the trunk are capable of contributing to the stabilization and protection of the lumbar spine, recent evidence has suggested that transversus abdominis may be critically involved and has been the focus of rehabilitation. The delay in onset of contraction of trunk muscles associated with movement of the upper or lower limb in patients with low back pain indicates a significant deficit in the automatic motor command for control of disturbance to the spine. The function of transversus abdominis has been largely ignored in the evaluation of spinal stabilization and protection. The most essential stabilizing muscles for the lumbar column are the transversus abdominis and the multifidus. Sling exercise therapy(SET) concept consists of a system of diagnosis and treatment. The system of diagnosis involves testing the muscle's tolerance through progressive loading in open and close kinetic chains. The SET system contains elements such as relaxation, increasing the range of movement, traction, training the stabilizing musculature, sensorimotor exercises, training in open and close kinetic chains, dynamic training of the mobilizing musculature, cardiovasc+ular exercises, group exercise, personal exercise at home. Sensorimotor training is an essential element of the SET concept. The emphasis is on closed kinetic chain exercises on an unstable surface, thereby achieving optimum stimulation of the sensorimotor apparatus.

  • PDF

New Era of Management Concept on Pulmonary Fibrosis with Revisiting Framework of Interstitial Lung Diseases

  • Azuma, Arata;Richeldi, Luca
    • Tuberculosis and Respiratory Diseases
    • /
    • 제83권3호
    • /
    • pp.195-200
    • /
    • 2020
  • The disease concept of interstitial lung disease with idiopathic pulmonary fibrosis at its core has been relied on for many years depending on morphological classification. The separation of non-specific interstitial pneumonia with a relatively good prognosis from usual interstitial pneumonia is also based on the perception that morphology enables predict the prognosis. Beginning with dust-exposed lungs, initially, interstitial pneumonia is classified by anatomical pathology. Diagnostic imaging has dramatically improved the diagnostic technology for surviving patients through the introduction of high-resolution computed tomography scan. And now, with the introduction of therapeutics, the direction of diagnosis is turning. It can be broadly classified into to make known the importance of early diagnosis, and to understand the importance of predicting the speed of progression/deterioration of pathological conditions. For this reason, the insight of "early lesions" has been discussed. There are reports that the presence or absence of interstitial lung abnormalities affects the prognosis. Searching for a biomarker is another prognostic indicator search. However, as is the case with many chronic diseases, pathological conditions that progress linearly are extremely rare. Rather, it progresses while changing in response to environmental factors. In interstitial lung disease, deterioration of respiratory functions most closely reflect prognosis. Treatment is determined by combining dynamic indicators as faithful indicators of restrictive impairments. Reconsidering the history being classified under the disease concept, the need to reorganize treatment targets based on common pathological phenotype is under discussed. What is the disease concept? That aspect changes with the discussion of improving prognosis.

메타-인퍼런스와 퍼지추론을 이용한 송변전 설비의 통합 고장진단 전문가 시스템 (An Integrated Fault Diagnosis System for Power System Devices using Meta-inference and Fuzzy Reasoning)

  • 이흥재;임찬호;김광원
    • 조명전기설비학회논문지
    • /
    • 제12권2호
    • /
    • pp.38-44
    • /
    • 1998
  • 본 논문에서는 변전설비 운용의 자동화를 실현하기 위하여 변전설비에서 발생하는 다양한 사고를 판정할 수 있고, 변전설비 사고가 송전설비로 확산되는 경우에 대비하기 위하여 송전설비의 진단기능을 부가시킨 지역급전분소의 운전자 지원을 위한 지능적 통합 고장진단 시스템을 개발하였다. 본 논문에서 제안한 전문가 시스템은 변전설비와 송전설비에서 발생하는 다양한 사고를 진단할 수 있으며, 데이터 이중화 장치를 통하여 감시제어 시스템의 데이터 베이스를 공유하게 함으로서 최소한의 부담으로 기존의 감시제어 시스템에 설치할 수 있도록 하였다. 또한 지식에 포함된 불확실성을 처리하기 위하여 퍼지추론을 수행하였고, 모듈라 프로그래밍 기법과 메타-인퍼런스 기법을 사용하고 있으며, 저가의 개인용 컴퓨터로 구현하였다.

  • PDF

Host Blood Transcriptional Signatures as Candidate Biomarkers for Predicting Progression to Active Tuberculosis

  • Chang Ho Kim;Gahye Choi;Jaehee Lee
    • Tuberculosis and Respiratory Diseases
    • /
    • 제86권2호
    • /
    • pp.94-101
    • /
    • 2023
  • A recent understanding of the dynamic continuous spectrum of Mycobacterium tuberculosis infection has led to the recognition of incipient tuberculosis, which refers to the latent infection state that has begun to progress to active tuberculosis. The importance of early detection of these individuals with a high-risk of progression to active tuberculosis is emphasized to efficiently implement targeted tuberculosis preventive therapy. However, the tuberculin skin test or interferon-γ release assay, which is currently used for the diagnosis of latent tuberculosis infection, does not aid in the prediction of the risk of progression to active tuberculosis. Thus, a novel test is urgently needed. Recently, simultaneous and systematic analysis of differentially expressed genes using a high-throughput platform has enabled the discovery of key genes that may serve potential biomarkers for the diagnosis or prognosis of diseases. This host transcriptional investigation has been extended to the field of tuberculosis, providing promising results. The present review focuses on recent progress and challenges in the field of blood transcriptional signatures to predict progression to active tuberculosis.

치과위생사의 치주병환자 구강보건교육 실태 및 전략 수립에 관한 연구 (The status and strategy of oral health education of dental hygienist on periodontal patients)

  • 문애은;문하영
    • 한국치위생학회지
    • /
    • 제11권2호
    • /
    • pp.149-158
    • /
    • 2011
  • Objectives : The objective of this study was to analyze cognition and status of oral health education of dental hygienists who manage the patients visiting dental clinics and to utilize the findings as continuous study data required for development of systematic oral health education program for management of peridontal disease of adults. Methods : Survey was carried out for 261 dental hygienists working in dental clinics who are performing oral health education of patients with peridontal disease living. Results : 1. In the socio-dynamic diagnosis, it was analyzed that, the younger the age is and the lower the career is, the more the work is centered around assisting medical treatment job and, the older the age is and the higher the career is, the work is centered around oral health education job. 2. In the behavioral diagnosis, it was analyzed that, as to source of knowledge acquisition, guide of dentists and senior dental hygienists was the highest and, as to education media, visual education and demonstration education were mainly used. 3. In educational diagnosis, as to the degree of knowledge about oral health education and the degree of practice, it showed that the degree of knowledge was lower than the degree of practice in peridontal disease process and oral prophylaxis as well as scaling part. 4. In both the cases of independent practice and group practice, it showed that the most frequent obstacle was insufficient educational materials and tools and it was analyzed that acquisition of new knowledge and technology is required as a matter to be improved. Conclusions : It seems to be required for the dental hygienists to develop detailed knowledge and professional technology in order to induce actions and motive of patients during oral health education of peridontal patients and to develop and produce data for efficient education of peridontal patients.

The Difference of the Changes of Images on Ultrasound Scanner Setting Parameters

  • Kang, Hae-Kyung;Kim, Youn-Min;Kim, Hyun-Soo;Lee, Sung-Hee;Cho, Se-Youn;Lyu, Young-Eun;Jung, In-A
    • 대한디지털의료영상학회논문지
    • /
    • 제12권2호
    • /
    • pp.81-87
    • /
    • 2010
  • The setting parameters of ultrasound scanner give influences to change of image. Sonographers have used a Matlab program to make Low Contrast Sensitivity(LCS) value and compared original images in order to evaluate the use of the supersonic diagnosis machinery. We confirmed the change of image in Grayscale values using Photoshop program. Experiment equipment of our research used A Medison Accuvix V10, A Multi-Tissue Ultrasound Phantom(040 GSE) of CHRIS Company, A Adobe Photoshop CS4 Program, A Convex Probe, A USB memory stick, A Probe Fixation Equipment. The method used Gain, Dynamic Range(DR) of the setting parameters of ultrasound scanner and researched Gain and DR was set to 10 dB. We changed the different settings to see the changes of images using Grayscale values of a Photoshop program about tissue images of a phantom. This study evaluated DR and Gain whether it is an image controller to get the optimum contrast to produce an image to see the how effect on the images. We did not use Gateway in supersonic diagnosis machinery. We can easily open to open the files through Photoshop program before we get Digital Imaging and Communications in Medicine(DICOM) files use USB memory stick in supersonic diagnosis machinery. When we diagnosed the lesion of the patient with ultrasound, the contrast and the Gray scale value of image are very important. In this research, we determined the optimum setting parameters that provided useful information to diagnose disease and evaluated the change of improved images.

  • PDF

Cone-beam computed tomography-based diagnosis and treatment simulation for a patient with a protrusive profile and a gummy smile

  • Uesugi, Shunsuke;Imamura, Toshihiro;Kokai, Satoshi;Ono, Takashi
    • 대한치과교정학회지
    • /
    • 제48권3호
    • /
    • pp.189-199
    • /
    • 2018
  • For patients with bimaxillary protrusion, significant retraction and intrusion of the anterior teeth are sometimes essential to improve the facial profile. However, severe root resorption of the maxillary incisors occasionally occurs after treatment because of various factors. For instance, it has been reported that approximation or invasion of the incisive canal by the anterior tooth roots during retraction may cause apical root damage. Thus, determination of the position of the maxillary incisors is key for orthodontic diagnosis and treatment planning in such cases. Cone-beam computed tomography (CBCT) may be useful for simulating the post-treatment position of the maxillary incisors and surrounding structures in order to ensure safe teeth movement. Here, we present a case of Class II malocclusion with bimaxillary protrusion, wherein apical root damage due to treatment was minimized by pretreatment evaluation of the anatomical structures and simulation of the maxillary central incisor movement using CBCT. Considerable retraction and intrusion of the maxillary incisors, which resulted in a significant improvement in the facial profile and smile, were achieved without severe root resorption. Our findings suggest that CBCT-based diagnosis and treatment simulation may facilitate safe and dynamic orthodontic tooth movement, particularly in patients requiring maximum anterior tooth retraction.

상관차원에 의한 비선형 뇌파 분석과 기질성격척도(TCI) 요인간의 상관분석 (Correlation over Nonlinear Analysis of EEG and TCI Factor)

  • 박진성;박영배;박영재;허영
    • 대한한의진단학회지
    • /
    • 제11권2호
    • /
    • pp.96-115
    • /
    • 2007
  • Background and Purpose: Electroencephalogram(EEG) is a multi-scaled signal consisting of several components of time series with different origins. Recently, because of the absence of an identified metric which quantifies the complex amount of information, there are many limitations in using such a linear method. According to chaos theory, irregular signals of EEG can also result from low dimensional deterministic chaos. Chaotic nonlinear dynamics in the EEG can be studied by calculating the correlation dimension. The aim of this study is to analyze correlation between the correlation dimension of EEG and psychological Test (TCI). Methods: Before and after moxibustion treatment, EEG raw data were measured by moving windows during 15 minutes. The correlation dimension(D2) was calculated from stabilized 40 seconds in 15 minutes data. 8 channels EEG study on the Fp, F, T, P was carried out in 30 subjects. Results: Correlation analysis of TCI test is calculated with deterministic non-linear data and stochastic non-linear data. 1. Novelty seeking in temperament is positive correlated with D2 of EEG on Fp. 2. reward dependence in temperament is positive correlated with D2 of EEG on T3,T4 and negative correlated with D2 of EEG on P3,P4. 3. self directedness in character is positive correlated with D2 of EEG on F4, P3. 4. Harm avoidance is negative correlated with D2 of EEG on Fp2, T3, P3. Conclusion: These results suggest that nonlinear analysis of EEG can quantify dynamic state of brain abolut psychological Test (TCI).

  • PDF

공격 결과 기반의 웹 취약점 위험도 평가 모델 연구: 사이버 킬체인 중심으로 (A Study on Web Vulnerability Risk Assessment Model Based on Attack Results: Focused on Cyber Kill Chain)

  • 진희훈;김휘강
    • 정보보호학회논문지
    • /
    • 제31권4호
    • /
    • pp.779-791
    • /
    • 2021
  • 보통의 웹 서비스는 불특정 다수에게 허용을 해야하는 접근 통제 정책으로 인하여, 지속적으로 해커들의 공격 대상이 되어 왔다. 이러한 상황에 대응하고자 기업들은 주기적으로 웹 취약점 점검을 실시하고, 발견된 취약점의 위험도에 따라 조치를 취하고 있다. 이러한 웹 취약점 위험도는 국내외 유관기관의 사전 통계 및 자체적인 평가를 통해 산정되어 있다. 하지만 웹 취약점 점검은 보안설정 및 소스코드 등의 정적 진단과는 달리 동적 진단으로 이루어진다. 동일한 취약점 항목일지라도 다양한 공격 결과를 도출할 수 있으며, 진단 대상 및 환경에 따라 위험도가 달라질 수 있다. 이러한 점에서 사전 정의된 위험도는 실제 존재하는 취약점의 위험도와는 상이할 수 있다. 본 논문에서는 이러한 점을 개선하고자 사이버 킬체인 중심으로 공격 결과 기반의 웹 취약점 위험도 평가 모델을 제시한다.

제체 상태 평가를 위한 동적 콘 관입시험과 평판재하시험 결과의 상관관계 분석 (The Correlation Analysis between Dynamic Cone Penetration Test and Plate Loading Test Results for Evaluation of Dam Conditions)

  • 정영훈;김성민;임정열
    • 한국지반환경공학회 논문집
    • /
    • 제19권4호
    • /
    • pp.33-38
    • /
    • 2018
  • 제체 재료의 다짐 불량에 의한 내부 침식은 국내 제방의 주요 붕괴 원인으로, 제방의 안전진단에 있어서 제체의 다짐 상태 평가는 매우 중요한 점검 사항이다. 본 연구에서는 제체의 다짐상태 평가 시 동적 콘 관입시험의 현장 적용성을 검증하기 위해 대표적인 다짐평가 기법인 평판재하시험에 대해 상관관계를 분석하였다. 시험 부지의 지반 특성 및 토층 심도를 파악하기 위해 표준관입시험을 6회 수행하였다. 평판재하시험 15회, 동적 콘 관입시험 47회 수행 후 크리깅(Kriging) 기법으로 공간분포를 얻었다. 평판재하시험의 공간분포와 일정 관입깊이에서의 동적 콘 관입시험 공간분포 간의 피어슨 상관 계수를 계산하였다. 평판재하시험의 지지력과 관입 깊이 5cm, 10cm, 15cm에서의 동적 콘 관입시험의 타격횟수는 약한 양의 상관관계를 갖는 것으로 나타났다.