• 제목/요약/키워드: Initial diagnosis

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구조안전진단에서의 3D 레이저 스캐너 투입 성과 분석 (Analysis of 3D Laser Scanner Input Performance in Structual Safety Diagnosis)

  • 성도윤;백인수;김재준;함남혁
    • 한국BIM학회 논문집
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    • 제11권3호
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    • pp.34-44
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    • 2021
  • This study quantitatively analyzes the work performance of the structural safety diagnosis team that diagnoses pipe racks. To this end, a method for evaluating the performance of the structural safety diagnosis team using the queuing model was proposed. For verification, the case of applying the existing method and the method of introducing a 3D laser scanner for one site was used. The period, number of people, and initial investment cost of each project were collected through interviews with case project experts. As a result of analyzing the performance of the structural safety diagnosis team using the queuing model, it was possible to confirm the probability of delay in the work of each project and the amount of delayed work. Through this, the cost (standby cost) when the project was delayed was analyzed. Finally, economic analysis was conducted in consideration of the waiting cost, labor cost, and initial investment cost. The results of this study can be used to decide whether to introduce 3D laser scanners.

급성림프모구성 백혈병의 조기진단 시 구강병변 양상을 통한 감별의 중요성 (Differential Diagnosis of Oral Lesions for the Initial Diagnosis of Acute Lymphoblastic Leukemia)

  • 서미현;하지영;허경회;조영아;김성민;최진영
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제35권2호
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    • pp.107-111
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    • 2013
  • Careful examination of the oral cavity may reveal findings indicative of an underlying systemic condition, and allow for early diagnosis and treatment. Examination should include evaluation for mucosal changes, periodontal inflammation and bleeding, and general condition of the teeth. A 12-year-old man visited for molar pain during 3 months. He was diagnosed with having a possibility of hematopoietic malignancy, showing the loss of lamina dura, destruction of bony crypt, and high attenuation in the bone marrow. He was referred to department of pediatrics, additional study, including peripheral cell morphology and bone marrow exam, were performed, and diagnosed as acute lymphoblastic anemia. Despite chemotherapy to cure leukemia, he was expired 8 months after initial diagnosis. The purpose of this report is to promote and evoke the awareness regarding an initial examination of the dentist to make an effort to acquire accurate knowledge and information about life-threatening disease in usual dental practice.

전력용 기기의 예방진단을 위한 부분방전측정 (The measurement of partial discharge for preventive diagnosis in power machinery)

  • 김태성;구할본;임장섭;정우성
    • E2M - 전기 전자와 첨단 소재
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    • 제7권1호
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    • pp.42-48
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    • 1994
  • The preventive diagnosis technique for power system is being highlighted as a research area for deterioration of insulation in machinery because of high-voltage power system. We make efforts to develop not only diagnosis of aging state but also detection of defects in the initial stage from preventive diagnosis technique. Especially, partial discharge is actively studied as a non-destructive diagnosis technique and very useful because partial discharge measurement reduces damage than conventional diagnosis technique. The loaded stress during this test is smaller than that of other diagnosis techniques. But the continuous research for various complicated analysis method is required because partial discharge has very small signals and its signals have complex forms. In this paper, the measurement of partial discharge was investigated and studied on many specimens with void. We made samples having artificial voids and measured partial discharge. In order to use as a practical diagnosis technique, we studied ways of measurement, measured illustrations and types of partial discharge which could be used in order to diagnose defects of power machinery.

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잠행 고관절 골절의 진단 지연의 결과 (The Consequence of Delayed Diagnosis of an Occult Hip Fracture)

  • 제상봉;김혜진;류석용;조석진;오성찬;강태경;최승운
    • Journal of Trauma and Injury
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    • 제28권3호
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    • pp.91-97
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    • 2015
  • Purpose: Occult hip fracture is not evident on radiographs and the diagnosis is often missed or delayed. This study was undertaken in order to identify the clinical characteristics and complications of patients with a delayed diagnosis of an occult hip fracture. Methods: We retrospectively reviewed patients with occult hip fracture who had normal findings on initial radiographs, the diagnosis was made on additional studies between August 2006 and February 2012. Patients who were diagnosed as having occult hip fractures at the first visit were categorized as non-delayed group and those who were not diagnosed at the first visit were categorized as delayed group. Results: Non-delayed group included 43 patients (86%). In the remaining 7 patients (delayed group), the diagnosis was delayed by a mean of 9.6 days (range 3~19 days). Patients who were diagnosed with an occult fracture on the initial visit presented later than those with a delayed diagnosis (41/43 .vs. 3/7, p=0.002). Other clinical features were no difference between the two groups. Patients in the delayed diagnosis group were more likely to have fracture displacement (4/7 .vs. 0/43)15patients in non-delayed group (34.9%) needed operative treatment, whereas all delayed patients (100%) needed operative treatment. Conclusion: A delayed diagnosis of occult hip fractures was associated with increased rate of displacement and operation. In patients suspected of having occult hip fractures, additional studies should be recommended.

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소아의 구토에 대한 방사선학적 진단 (Radiological Diagnosis of vomitting in infant and children)

  • 김인원
    • 한국건강관리협회지
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    • 제1권1호
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    • pp.21-25
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    • 2003
  • Vomiting in pediatric patient is frequently encountered problem in emergency room or outpatient clinic. In differential diagnosis, age of the patient or accompanying symptoms should be considered in the differential diagnosis. Accurate diagnosis is very important because surgical treatment is necessary in some of the conditions. Imaging diagnosis of conservative modality such as upper gastrointestinal series or colon study is still important radiological examination in the initial differential diagnosis, but recently ultrasonography offers accurate diagnosis in many situations. The cause of vomiting in pediatric are diverse according to the age group :neonatal sepsis, necrotizing enterocolitis, or hypertrophic pyloric stenosis in neonates : gastroesophageal reflux, viral enteritis, or intussusception in infant: midgut volvulus, appendicitis, metabolic disorders, or increased intracranial pressure also an be the cause. knowledge of radiological findings of normal gastrointestinal tract is important to recognize abnormalities. A discussion of radiological findings in variable surgical conditions to present as vomiting in pediatric patients is offered.

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고압회전기 절연진단 및 수명평가 기술현황 (A technology State of Life Estimation and Insulation Diagnosis for High Voltage Rotating Machine)

  • 최영찬;왕종배;김기준
    • 한국전기전자재료학회:학술대회논문집
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    • 한국전기전자재료학회 2000년도 제2회 학술대회 논문집 일렉트렛트 및 응용기술전문연구회
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    • pp.31-35
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    • 2000
  • We worried about the technology difference between our company and the advanced company at present motor market and are asked to set up the independent coil insulation system to accumulate insulation technology data. And to export our products at oversee market, we are asked to the evaluation of insulation performance to show our product excellence. In this study, we evaluated the insulation system of our motor, and studied the insulation diagnosis technology systematically to do site diagnosis. We are now accumulating the measured data. And also to reduce the initial insulation failure, we performed the insulation characteristic test and acquired the data to evaluate the initial soundness. We are doing the improvement of the insulation system. And also these data were used to new product development as very useful data, also will be used in the insulation deterioration diagnosis to estimate the remained life time which is very important data for the maintenance management. As the result, we were able to get our product reliability.

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가철성 국소의치의 진단 및 치료계획: 진단모형 분석과 지대치 선정 (Diagnosis and treatment planning for removable partial denture: diagnostic cast analysis and abutment teeth selection)

  • 손미경
    • 구강회복응용과학지
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    • 제30권1호
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    • pp.45-52
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    • 2014
  • 진단과 치료계획의 수립은 건강한 구강조직을 유지하고 구강 내에서 잘 기능하는 국소의치 제작을 위한 치료의 시작이며 치료예후를 좌우하는 매우 중요한 요소이다. 국소의치 환자들은 잔존치아의 수나 결손부의 위치, 교합상태, 구강조직의 건강 상태 등 여러 요소에 의해 환자마다 다양한 구강 조건을 가지고 있으므로, 각각의 환자에 맞는 국소의치 제작을 위해서는 진단과 치료계획을 수립하는 단계에서 충분한 정보를 취득하는 과정이 필요하다. 특히, 방사선 사진이나 진단모형의 분석을 통해 국소의치의 지대치를 선정하고 모형의 써베잉을 시행하여 구강형성여부와 보철물의 생역학적 설계를 결정하는 것은 성공적인 국소의치 치료를 위한 필수요건이므로 이러한 과정을 이해하고 임상적으로 적용할 수 있어야 한다.

복부 둔상 및 유강장기 손상에 있어서 초기 나선형 복부전산화 단층촬영의 진단적 가치 (Impact of Initial Helical Abdominal Computed Tomography on the Diagnosis of Hollow Viscus Injury and Blunt Abdominal Traumare)

  • 조영덕;홍윤식;이성우;최성혁;윤영훈;임성익;장익진;백승원
    • Journal of Trauma and Injury
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    • 제21권1호
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    • pp.28-35
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    • 2008
  • Purpose: This study was conducted to examine the clinical significance IV-contrasted helical abdomen computed tomography (CT) as a diagnostic screening tool to evaluate hollow viscus injury in blunt abdominal trauma patients. Methods: This is a retrospective study encompassing 108 patients, presenting to Korea University Medical Center (KUMC) Emergency Department (ED) from January 2007 to December 2007, with an initial CT finding suggestive of intra-abdominal injury. An initial non-enhanced abdomen CT was taken, followed by an enhanced CT with intravenous contrast. Patients' demographic data, as well as the mechanisms of injury, were inquired upon and obtained, initial diagnosis, as dictated by specialized radiologists, were added to post-operational (post-OP) findings and to additional CT findings acquired during their hospital stays, and all were combined to arrive at final diagnosis. Initial CT findings were further compared with the final diagnosis, yielding values for sensitivity, specificity, and accuracy, as well as positive and negative predictive values. Patients were further divided into two groups, namely, those that underwent operational intervention and those that did not. The initial CT findings of each group were subsequently compared and analyzed. Results: Initial CT scans revealed abnormal findings in a total of 212 cases - solid organ injuries being the most common finding, as was observed in 97 cases. Free fluid accumulation was evident in another 69 cases. Based on the CT findings, 77 cases (71.3%) were initially diagnosed as having a solid organ injury, 20 cases (18.5%) as having a combined (solid organ + hollow viscus) injury, and 11 cases (10.2%), as having an isolated hollow viscus injury. The final diagnosis however, were somewhat different, with only 67 cases (62.0%) attributed to solid organ injury, 31 cases (28.7%) to combined injury (solid + hollow), and 10 cases (9.3%) to hollow viscus injury. The sensitivity (CI 95%) of the initial helical CT in diagnosing hollow viscus injury was 75.6%, and its specificity was 100%. The accuracy in diagnosing hollow viscus injury was also meaningfully lower compared to that in diagnosis of solid organ injury. Among patients initially diagnosed with solid organ injuries, 10 patients (2 from follow-up CT and 8 from post-OP finding) turned out to have combined injuries. A total of 38 patients underwent an operation, and the proportion of initial CT findings suggesting free air, mesenteric hematoma or bowel wall thickening turned out to be significantly higher in the operation group. Conclusion: Abdominal CT was a meaningful screening test for hollow viscus injury, but the sensitivity of abdominal CT was significantly lower in detecting hollow viscus injury as compared to solid organ injury. This calls for special consideration and careful observation by the ED physicians when dealing with cases of blunt abdominal trauma.

사상체질병증(四象體質病症)과 맥진(脈診)의 상관성(相關性)에 대(對)한 문헌적(文獻的) 고찰(考察) (A Bibliographical Research of the Correlation Among Sasang Constitutional Disease(사상체질병증) and the Pulse Diagnosis(맥진))

  • 김동준;김정렬;김달래
    • 대한약침학회지
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    • 제6권3호
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    • pp.23-37
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    • 2003
  • The purpose of this research was to investigate the correlation Among Sasang Constitutional Disease and Examination of the pulse. I have gone over literatures of mainly ${\ulcorner}$Dongyi Soose Bowon${\lrcorner}$ and the others Oriental Medical book was studied about the Pulse Diagnosis. And then I came to get some conclusion as follows. 1. Soeumin(소음인) the initial-stage symptoms of wulkwang disease(울광증) ; when the Superficial Pulse and the Superficial+ Moderate Pulse is made a diagnosis, Ceongunggyegitang(천궁계지탕) and Gunggyuhyangsosan(궁귀향소산) can be used. 2. Soeumin(소음인) the initial-stage blood disease symptoms of wulkwang disease(울광증) ; when the Minute+deep Pulse is made a diagnosis, Palmulgnnjatang(팔물군자탕) and Guakhyanggeonggisan(곽향정기산) can be used. 3. Soeumin(소음인) the initial-stage symptoms of mangyang disease(망양증) ; when the Yang region Superficial Pulse and the Yin region Weak Pulse is made a diagnosis, Hwanggigyegitang(황기계지탕), Bojungikgitang(보증익기탕) and Sengyangikgitang(승양익기탕) can be used. 4. Soeumin(소음인) the symptoms of taeum disease(태음증) ; when the Minute Pulse and Deep+Thin Pulse is made a diagnosis, Sasang Prescription can be used. 5. Soeumin(소음인) the symptoms of soeum disease(소음증) ; when the Minute+Thin Pulse, Deep Pulse and Thin+Deep+Rapid Pulse is made a diagnosis, Sasang Prescription can be used. 6. Soyangin(소양인) Wind of soyang disease(소양상풍증) ; when the Superficial+Tight Pulse is made a diagnosis, Hungbangpaedogsan(형방패독산) can be used. And when the Deep+Full with strong power Pulse is made a diagnosis, Hyungbangdojeoksan(형방도적산) can be used. 7. Soyangin(소양인) the symptoms of mangyeum disease(망음증) ; when the Superficial+Large+Rapid Pulse and Flood+Large Pulse is made a diagnosis, Hungbangsabaeksan(형방사백산) can be used. And when the Wiry+Thin Pulse is made a diagnosis, Hungbanggiwhangtang(형방지황탕) can be used. 8. Soyangin(소양인) the chest-phrenic fever syndrome(흉격열증) ; when the Superficial Pulse, Flood+Full+Rapid Pulse and Flood+Large Pulse is made a diagnosis, Sasang Prescription can be used. 9. Soyangin(소양인) the after fever syndrome(음허오열증) ; when the Empty+Soft+Rapid Pulse is made a diagnosis, Sasang Prescription can be used. 10. Taeumin(태음인) the upper neck exterior disease caused by Cold(배추표병) ; when the Superficial and Superficial+Tight Pulse is made a diagnosis, Mawhangbalpoytang(마황발표탕) can be used, And when the Superficial and Superficial+Tight with strong power on left hand Pulse is made a diagnosis, Ungdamsan(웅담산) and Handayulsotang(한다열소탕) can be used. 11. Taeumin(태음인) the Coldness syndrome in esophagus(위완한증) ; when the Superficial+Tight Pulse with weak power on left hand Pulse is made a diagnosis, Taeumjowetang(태음조위탕) can be used. 12. Taeumin(태음인) the Dryness-Heat syndrome(조열증) ; when the Flood+Large Pulse, Long Pulse and Long+Large Pulse is made a diagnosis, Galgeunhaegitang(갈근해기탕) can be used. And when the Tight+Full+Rapid Pulse with deep region is made a diagnosis, Yuldahansotang(열다한소탕) can be used. And when the Superficial+Slippery Pulse is made a diagnosis, Chungsimyunjatang(청심연자탕) can be used. 13. Taeumin(태음인) the symptoms of Yin-blood Exhaustion(음혈모갈증) ; when the Superficial with weak power Pulse is made a diagnosis, Nokyongdaebotang(녹용대보탕) can be used. And when the Deep with weak power Pulse is made a diagnosis, Gongjinheukwondan(공진흑원단) can be used. 14. Taeyangin(태양인) a slight Lumbar vertebrae disease(외감경증) ; when the Superficial+Hollow Pulse is made a diagnosis, Gunshitang(건시탕) can be used. 15. Taeyangin(태양인) the Generalized and Fatigue syndrome(해역증) ; when the Moderate+Choppy Pulse with left hand chi region(척맥) is made a diagnosis, Ogapijangchuktang(오가피장척탕) can be used. 16. Taeyangin(태양인) a slight Small Intestine disease(내촉경증)

Delayed Diagnosis of Tuberculous Spondylitis Masked by Concomitant Methicillin Resistant Staphylococcus Aureus Infection

  • Kim, Yong-Min;Cha, Jae-Hun
    • Journal of Korean Neurosurgical Society
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    • 제47권3호
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    • pp.235-238
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    • 2010
  • We present a case of tuberculous spondylitis in which diagnosis was masked by a concomitant pyogenic infection. The patient had undergone percutaneous needle aspiration of an abscess in the cavity of the psoas muscle. Early results from the culture regimen showed isolation of methicillin-resistant Staphylococcus aureus. After eight weeks, mycobacterium tuberculosis was grown at regimen which was cultured at the same site. Initial isolation of pyogenic bacteria, considered to be highly virulent organisms, led to delayed diagnosis and treatment of the tuberculosis.