• Title/Summary/Keyword: Re-diagnosis

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화재를 당한 콘크리트 구조물의 내구성 진단

  • Seo, Chi-Ho
    • Fire Protection Technology
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    • s.18
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    • pp.17-20
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    • 1995
  • A diagnosis the concrete structure suffered a fire has an end in the view of safe investigation of structures and judgement of the re-use for the existing facilities to close examination of structural resisting forces and the extent of damages. And then, in this report, it has an object of references needed to fit management of concrete struc-ture suffered a fire, with describing epitome of conerete crack examination, displacement strain investi-gation, stregth examination, steel bar probing & carbonation test.

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An Efficient Modeling Method for Open Cracked Beam Structures (열린 균열이 있는 보의 효율적 모델링 방법)

  • Kim, M. D.;Park, S. W.;S. W. Hong;Lee, C. W.
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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    • 2002.11a
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    • pp.372.2-372
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    • 2002
  • This paper presents an efficient modeling method fur open cracked beam structures. An equivalent bending spring model is introduced to represent the structural weakening effect in the presence of open cracks. The proposed method adopts the exact dynamic element method (EDEM) to avoid the difficulty and numerical errors in association with re-meshing the structure. The proposed method is rigorously compared with a commercial finite element code. (omitted)

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Early Detection and Gemcitabine/Cisplatin Combination Positively Effect Survival in Sarcomatoid Carcinoma of the Urinary Bladder

  • Baseskioglu, Barbaros;Duman, Berna Bozkurt;Kara, I. Oguz;Can, Cavit;Yildirim, Mustafa;Acikalin, Mustafa
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.11
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    • pp.5729-5733
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    • 2012
  • Background and Objectives: This study aimed to present the clinicopathological characteristics and treatment of patients with bladder carcinoma with sarcomatoid differentiation at our institution. Methods: Between 1995-2009, 950 patients were followed-up for bladder carcinoma. Among them, 14 patients with sarcomatoid carcinoma were retrospectively reviewed, and their clinical, pathological features and treatment were recorded. Results: Median age of the patients was 65 years (range: 41-86 years), 12 (86%) being male and 2 (14%) female. All the patients presented with hematuria and 11 (88%) had a history of smoking. The tumor growth pattern was solid in 10 patients, papillary in 2, and mixed in 2. In all, 5 of the patients had urothelial carcinoma with sarcomatoid differentiation and 9 were diagnosed with sarcomatoid carcinoma. Five patients underwent radical cystectomy with ileal conduit surgery, 2 patients refused cystectomy, and 8 patients underwent re-TUR. Following diagnosis, 12 of the patients died in mean 10.7 months (range: 1-48 months). Conclusion: Urothelial carcinomas with sarcomatoid features are aggressive and are usually at advanced stage at the time of diagnosis. The outcomes of multimodal treatment are not satisfactory. Significant findings of the present study are that early diagnosis positively affect survival and that gemcitabine and cisplatin in combination can positively affect survival.

A Study on Usefulness of Balloon Cholangiography in Operating ERCP (ERCP 시술중 Balloon Cholangiography의 유용성에 관한 고찰)

  • Son, Soon-Yong
    • Journal of radiological science and technology
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    • v.20 no.1
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    • pp.43-49
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    • 1997
  • Purpose of this paper is to extend help for clinical application in balloon cholangiography on patients who have undergone endoscopic sphincterotomy, impacted stones of intrahepatic duct, and missed bile duct because of other diseases in operating endoscopic retrograde cholangiopancreatography. This study was done for the patients who had clinical signs of biliary diseases from January to December In 1996. We studied 45 patients who had endoscopic sphincterotomy, re-examination after interventional treatment of the endoscopic retrograde cholangiopancreatography, and uncertain diagnosis due to common bile duct and intrahepatic duct those are not filled with contrast media. Balloon cholangiography was performed in case of uncertain diagnosis while operating endoscopic retrograde cholangiopancreatography. First of all, we insert balloon catheter Into the working channel of treatment jejunofiberscope and remove treatment Jejunofiberscope after ballooning, and lastly take biliary tract X-ray after Injection and changing position of patient. The results of this study were as follows. (1) In classification of diseases, stones of gall bladder, those of common bile duct, and those of intrahepatic duct were 30 cases, fistula was 1 case. (2) In total cases of 45, only diagnosis were 25 cases, interventional treatment were 20 cases. (3) In case of interventional treatment, endoscopic sphincterotomy and endoscopic nasobiliary drainage, and stone removal were about the same, 7, 7, 6 respectively. Balloon cholangiography will be useful to prevent patients from having repeated and unnecessary studies for the cases above explained. It is considered that this study will be useful for clinical application in terms of reducing medical expenses, pain while examination, and consultation hours.

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Cytologic Classification of Fibrocystic Disease of the Breast - A Proposal for Use of Cytologic Criteria Grading System - (유방 섬유낭성 질환의 세포학적 진단의 분류 - 세포학적 소견에 의한 등급점수표의 이용에 대한 제안 -)

  • Yoon, Hye-Kyoung;Kim, Chan-Hwan;Joo, Jong-Eun;Khang, Shin-Kwang
    • The Korean Journal of Cytopathology
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    • v.5 no.2
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    • pp.106-112
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    • 1994
  • Fine needle aspiration biopsy has been proved as a safe, accurate and cost-effective diagnostic modality in palpable breast lesions. Cytologically, fibrocystic disease can be classified into 3 categories as nonproliferative breast disease, proliferative breast disease without atypia, and proliferative breast disease with atypia. This terminology for fine needle aspirates is compatible with that of diagnostic histopathology. Cytologic differentiation of nonproliferative disease from proliferative breast disease is important, since the risk of cancer development in cases of atypical hyperplasia is 4-5 times higher than that of general population. Twenty five fine needle aspirates of fibrocystic disease confirmed by subsequent histopathology were re-evaluated and classified into 3 categories depending on their architectural and nuclear features. In addition, these aspirates were scored according to the cytologic grading system, devised by Masood et al. and based on six cytologic criteria. Concordance rates between cytomorpholgic diagnosis and cytologic diagnosis using the cytologic criteria grading system and histologic diagnosis were 88% and 92%, respectively.

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A Study on Comparison of responses to the questionnaire based on Sasang institution's differences-Questionnaire of Sasang Constitution Classification II (QSCCII) (QSCC II 설문지(設問紙) 문항(問項)에서의 체질별(體質別) 응답(應答) 차이(差異) 비교(比較) 분석(分析) 연구(硏究))

  • Park, Seong-Sik;Park, Eun-Kyung
    • Journal of Sasang Constitutional Medicine
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    • v.12 no.2
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    • pp.78-93
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    • 2000
  • The problem lies in 'Sasang Constitution Medicine' is a subjectiveness of diagnosis that the result of diagnosis varies according to the doctors. In order to supplement to this demerit, multiple approach has done to diagnose objectively. This study has focused on evaluating the effectiveness and accuracy of the questionnaire which considered as a basic data to identify constitution By analysing the tendency of the respondents who has defined constitution by clinical diagnosis and comparing of their answers, the result of their constitution analysis by our questionnaire were re-examined. The answer of each question to each constitution were tested how it is relevant to a scale of a constitution. As a result, we have found that there is limitation to find out constitution by the questionnaire we used, one we hope that suitable questionnaire will be developed for the research in the future

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Atypical Trigeminal Neuralgia : Case Report (비정형 삼차신경통의 치험례)

  • Lee, Dong-Sik;Hong, Jung-Pyo
    • Journal of Oral Medicine and Pain
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    • v.25 no.2
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    • pp.229-234
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    • 2000
  • The patient, 62-years-old woman, had a constant dull pain in the right mandible and an intermittent spontaneous burning sensation of the mouth. The pain began 6 months ago. About 5 years ago, a trauma in her right mandible which was so severe that kept her in the hospital for 2 days. This was followed by mouth opening disturbance with pain for about 2 years. However, she did not have a treatment for the temporomandibular disorder symptoms. After then, she experienced the trigeminal neuralgia characterized by an electrical pain which lasted about 30 minutes in her right face and head when touching the skin or hair. After taking a year course treatment of trigeminal neuralgia, the symptom disappeared. The pain was a constant dull pain and a intermittent burning pain which are contradictory. And the pain responded to various modalities such as physical therapy, anti-inflammatory drug, carbamazepine, and amitriptyline, among which carbamazepine was most effective. The diagnosis was clinically made as an atypical trigeminal neuralgia. The term 'atypical' is used when there is something unknown and the problem is not identified. It is thought that an atypical pain may be approached in the perspective of chronic pain, neuropathic pain, and myofascial pain, the mchanisms of which are poorly understood. As the knowledge of pain physiology improves, there needs to be modification and re-evaluation. Pain disorders must be classified on the basis of an understanding of the underlying mechanism and etiology.

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Alport syndrome: new advances in the last decade

  • Kim, Ji Hyun
    • Childhood Kidney Diseases
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    • v.26 no.1
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    • pp.31-39
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    • 2022
  • Alport syndrome (AS) is a progressive hereditary nephritis that is often accompanied by sensorineural hearing loss and ocular abnormalities. It is inherited in three modes of X-linked AS (XLAS), autosomal recessive AS (ARAS), and autosomal dominant AS (ADAS). XLAS is caused by pathogenic variants in COL4A5, while ARAS and ADAS are caused by those in COL4A3 or COL4A4. There is currently no curative treatment for AS; however, angiotensin-converting enzyme inhibitors (ACEi) can improve the outcome of AS. In the past decade, multiple studies have shown that early intervention with ACEi upon isolated microscopic hematuria or microalbuminuria could delay disease progression, and early diagnosis is crucial for early treatment. Therefore, a new classification of AS based on molecular diagnoses has been proposed, including the paradigm shift of re-classifying female "carriers" to "patients" and "thin basement membrane nephropathy" to "ADAS." In addition, with the detection of COL4A mutations in some patients with biopsy-confirmed IgA nephropathy, focal segmental glomerulosclerosis, and chronic kidney disease of unknown origin, it is suggested that the phenotype of AS should be expanded. In this review, we highlight the landmark studies and guidelines published over the past decade and introduce strategies for early diagnosis and treatment to improve the outcomes of AS.

Frequent Pattern Bayesian Classification for ECG Pattern Diagnosis (심전도 패턴 판별을 위한 빈발 패턴 베이지안 분류)

  • Noh, Gi-Yeong;Kim, Wuon-Shik;Lee, Hun-Gyu;Lee, Sang-Tae;Ryu, Keun-Ho
    • The KIPS Transactions:PartD
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    • v.11D no.5
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    • pp.1031-1040
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    • 2004
  • Electrocardiogram being the recording of the heart's electrical activity provides valuable clinical information about heart's status. Many re-searches have been pursued for heart disease diagnosis using ECG so far. However, electrocardio-graph uses foreign diagnosis algorithm due to inaccuracy of diagnosis results for a heart disease. This paper suggests ECG data collection, data preprocessing and heart disease pattern classification using data mining. This classification technique is the FB(Frequent pattern Bayesian) classifier and is a combination of two data mining problems, naive bayesian and frequent pattern mining. FB uses Product Approximation construction that uses the discovered frequent patterns. Therefore, this method overcomes weakness of naive bayesian which makes the assumption of class conditional independence.