• 제목/요약/키워드: Regional Diagnostic

검색결과 186건 처리시간 0.026초

3상 골신티그램을 이용한 급성 일과성 활막염의 진단 (Three-Phase Bone Scintigraphic Diagnosis of Acute Transient Synovitis)

  • 정수교;이명희;김춘열;박용휘
    • 대한핵의학회지
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    • 제19권1호
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    • pp.73-75
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    • 1985
  • Acute transient synovitis of the hip presents clinically pain and limping. But in the majority of the cases, definite positive findings are not manifest in roentgenogram in its early phase. However radionuclide bone imaging combines with the assessment of vascularization and bone tracer uptake is of great value in solving this diagnostic problem. The materials for this study consisted of 29 children with acute transient synovitis of the hip, characterized by symptoms and physical signs of an arthritis, negative X-ray findings and disappearance of all symptoms and signs within a short period of time. They were twenty males and 9 females and age ranged from 1 to 12 years. We took pelvic reontgenogram in AP and frog-leg views. After intravenous bolus injection of 10 to 15 mCi of $^{99m}Tc-methylene$ diphosphonate, 24 sequential image of the pelvis was taken at 2-second interval for blood flow study. The scintigrams were made using a gamma camera with high resolution parallel hole collimator. Blood pool imaging was obtained at 2 minutes after tracer administration. After 3 hours, static images were taken and then closeup image of the hip using pin-hole collimator was followed. The results were as follows: 1) Bone scintigram was much more sensitive than conventional roentgenogram in diagnosis of acute transient synovitis of the hip. 2) Three-phase imagings showed increased vascular activities in blood pool scintigrams in 96%. 3) Pin-hole imaging showed increased tracer uptake in the regional bones of the hip, par ticularly in the medial aspect of femoral head and acetabulum. 4) We confirmed that three-phase imaging reinforced with pin-hole technique were very useful in diagnose of acute transient synovitis of the hip.

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Disability Evaluation of the Pain : The Present and Prospect in Korea

  • Lee, Kyeong-Seok;Shim, Jai-Joon;Yoon, Seok-Mann;Doh, Jae-Won;Yun, Il-Gyu;Bae, Hack-Gun
    • Journal of Korean Neurosurgical Society
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    • 제45권5호
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    • pp.293-296
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    • 2009
  • Objective : Pain has long been regarded as a subjective symptom. Recently, however, some regard a type of intractable chronic pain as a disease. Furthermore, chronic persistent pain becomes a cause of permanent impairment (PI) In 6th edition, the American Medical Association (AMA) Guides has rated the pain as a PI. In Korea, pain has been already been rated as a PI. Here, we examined the present status and the prospect of disability evaluation for the pain in Korea. Methods : Pain can be rated as a PI by the Workmen's Compensation Insurance Act (WCIA) and Patriots and Veterans Welfare Corporation Act (PVWCA) in Korea. We examined the definition, diagnostic criteria and grades of the pain related disability (PRD) in these two acts. We also examined legal judgments, which were made in 2005 for patients with severe pain. We also compared the acts and the judgments to the criteria of the 6th AMA Guides. Results : The PRD can berated as one of the 4 grades according to the WCIA. The provisions of the law do not limit the pain only for the complex regional pain syndrome (CRPS). The PRD can berated as one of the 3 grades by the PVWCA. If there were objective signs such as osteoporosis, joint contracture and muscle atrophy corresponding to the CRPS, the grade is rated as 6. When the pain always interferes with one's job except easy work,the grade is rated as high as 5. In Korea, judicial precedents dealt the pain a sa permanent disability in 2005. Conclusion : Although there were no objective criteria for evaluation of the PRD, pain has been already rated as a PI by the laws or judicial precedents, in Korea. Thus, we should regulate the Korean criteria of PRD like the AMA 6th edition. We also should develop the objective tools for evaluation of the PRD near in future.

심장 자기공명영상 (Cardiac MRI)

  • 이종민
    • Investigative Magnetic Resonance Imaging
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    • 제11권1호
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    • pp.1-9
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    • 2007
  • 심장의 영상화에 장애가 되는 요인은 심장 운동, 호흡, 심장 내 혈류 등에 의한 인공물(artifact) 과 심장 조직의 용적이 작음으로 인한 낮은 신호 대 잡음비 등이 있다. 심장 운동에 의한 화질 저하를 막기 위해 신속영상기법(fast imaging technique) 을 이용하여 심장 운동의 특정 위상(phase) 에서만 영상을 얻는 심장동기(cardiac gating) 방법을 이용하고 있다. MRI를 이용한 심장의 검사는 심장의 형태, 심실 기능, 심근 관류, 심근 대사, 관상동맥 영상 등을 대상으로 한다. 심장의 형태적 진단에 있어서 심근내 수분의 정도와 지방조직을 보기 위해 이중(double) 혹은 삼중역전회복기법(triple inversion recovery technique) 을 사용한다. 심근관류검사를 위해서는 조영증강신속경사에코법(contrast-enhanced fast gradient echo technique)을 사용하여 일차통과조영증강(first-pass enhancement) 을 검사한다. 또한 10-15분 지연영상을 얻어 심근내 조영제의 재분포를 검사하여 만성심근경색 등의 심근파괴부위를 확인한다. 심실기능 평가를 위해서는 신속경사에 코법을 이용한 영화영상(cine image) 이 사용되며 심실의 국소적 운동이상 및 심실기능의 정량적 검사가 가능하다. MRI는 관상동맥영상을 제외한 포괄적 심장검사에 실용성이 있다. 특히 지연영상은 다른 검사장비에선 얻을수 없는 유용한 정보이다.

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제주지역(濟州地域) 도축우(屠畜牛)의 주육포자충(住肉胞子蟲) 감염실태조사(感染實態調査) (Prevalence of Sarcocystis infections in the slaughtered cattle in Cheju)

  • 양재현;강영배;위성환;이승택;김공식
    • 대한수의학회지
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    • 제30권4호
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    • pp.507-510
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    • 1990
  • A preliminary survey of Sarcocystis species in the slaughtered cattle in Cheju was undertaken during May through October 1989, using digested diagnostic technique for the heart, the esophagus and the dorsal muscles of the neck specimens digested in 0.5% trypsin solution. The results obtained were summarized as follows. 1. The overall infection rate of Sarcocystis in a total of 218 slaughtered cattle was as high as 36.7% with the highest frequencies in the esophagus muscles(21. 6%), followed by in the dorsal muscles of the neck(19.1%) and in the heart rnuscles(17.9%). 2. Age difference was noticed as 64.3% in the cattle older than five years in comparison with 41.7%, 34.4%, in the group of two to four years and in the group of younger than two years respectively. 3. It was also noticed that the prevalence in the Brahman cross breed was higher(40.0%) than in any other breeds. 4. Regional distribution of Sarcocystis infections was observed as 75.0% in south-east area, 50.0% 44.7%, 35.0%, 32.0% and 20.6% in the areas of Seogwipo city, north-west, south-west, Cheju city and northeast area respectively. 5. According to the type of rearing the infection rate in the ranch type farm was noticed with and in the stock farms(36.2%).

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Beyond SARS-CoV-2: Lessons That African Governments Can Apply in Preparation for Possible Future Epidemics

  • Oboh, Mary Aigbiremo;Omoleke, Semeeh Akinwale;Imafidon, Christian Eseigbe;Ajibola, Olumide;Oriero, Eniyou Cheryll;Amambua-Ngwa, Alfred
    • Journal of Preventive Medicine and Public Health
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    • 제53권5호
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    • pp.307-310
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    • 2020
  • Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has placed unprecedented pressure on healthcare systems, even in advanced economies. While the number of cases of SARS-CoV-2 in Africa compared to other continents has so far been low, there are concerns about under-reporting, inadequate diagnostic tools, and insufficient treatment facilities. Moreover, proactiveness on the part of African governments has been under scrutiny. For instance, issues have emerged regarding the responsiveness of African countries in closing international borders to limit trans-continental transmission of the virus. Overdependence on imported products and outsourced services could have contributed to African governments' hesitation to shut down international air and seaports. In this era of emerging and re-emerging pathogens, we recommend that African nations should consider self-sufficiency in the health sector as an urgent priority, as this will not be the last outbreak to occur. In addition to the Regional Disease Surveillance Systems Enhancement fund (US$600 million) provided by the World Bank for strengthening health systems and disease surveillance, each country should further establish an epidemic emergency fund for epidemic preparedness and response. We also recommend that epidemic surveillance units should create a secure database of previous and ongoing pandemics in terms of aetiology, spread, and treatment, as well as financial management records. Strategic collection and analysis of data should also be a central focus of these units to facilitate studies of disease trends and to estimate the scale of requirements in preparation and response to any future pandemic or epidemic.

동남지역 주요 배출지역의 PM2.5 기여도 분석 (PM2.5 Source Apportionment Analysis to Investigate Contributions of the Major Source Areas in the Southeastern Region of South Korea)

  • 주혜지;배창한;김병욱;김현철;유철;김순태
    • 한국대기환경학회지
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    • 제34권4호
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    • pp.517-533
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    • 2018
  • We utilize the CAMx (Comprehensive Air Quality Model with eXtensions) system and the PSAT (Particulate Source Apportionment Technology) diagnostic tool to determine the $PM_{2.5}$ concentration and to perform its source apportionment in the southeastern region of South Korea. For a year-long simulation, eight local authorities in the region such as Pohang, Daegu, Gyeongju, Ulsan, Busan-Gimhae, Gosung-Changwon, Hadong, and all remaining areas in Gyeongsangnam-do, are selected as source areas based on the emission rates of $NO_x$, $SO_x$, VOC, and primary PM in CAPSS (Clean Air Policy Support System) 2013 emissions inventory. The CAMx-PSAT simulation shows that Pohang has the highest $PM_{2.5}$ self-contribution rate (25%), followed by Hadong (15%) and Busan-Gimhae (14%). With the exception of Pohang, which has intense fugitive dust emissions, other authorities are strongly affected by emissions from their neighboring areas. This may be measured as much as 1 to 2 times higher than that of the self-contribution rate. Based on these estimations, we conclude that the efficiency of emission reduction measures to mitigate $PM_{2.5}$ concentrations in the southeastern region of South Korea can be maximized when the efforts of local or regional emission controls are combined with those from neighboring regions. A comprehensive control policy planning based on the collaboration between neighboring jurisdictional boundaries is required.

Andean potato latent virus 검출을 위한 PCR 기반 진단시스템 개발 (Development of PCR-base Diagnostic System for the Detection of Andean potato latent virus)

  • 이진영;김진호;김은실;이시원
    • 농업과학연구
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    • 제42권2호
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    • pp.105-109
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    • 2015
  • Andean potato latent virus (APLV)는 Group IV (+) sense ssRNA viruses, Tymovirus속으로 분류되는 식물 병원성 바이러스로, 주로 감자에 감염되며 국내 관리급 검역바이러스로 지정되어 있다. 본 연구에서는 검역현장에서 APLV를 신속 정확하게 진단할 수 있는 2개의 RT-PCR 프라이머 조합[조합 2 (404 bp)와 23 (501 bp)]과 각각의 nested PCR 조합($404{\rightarrow}259bp$$501{\rightarrow}349bp$)을 선발하였다. 또한, 진단에 양성대조군으로 활용할 수 있는 유전자변형 양성대조구를 개발하여 실험실 오염에 대한 검증이 가능하도록 하였다. 본 연구에서 개발한 PCR 기반 진단시스템은 향후 검역 현장에서 APLV를 검출하여 우리나라 식물검역에 기여할 것이라고 기대된다.

Validation of a new three-dimensional imaging system using comparative craniofacial anthropometry

  • Naini, Farhad B.;Akram, Sarah;Kepinska, Julia;Garagiola, Umberto;McDonald, Fraser;Wertheim, David
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제39권
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    • pp.23.1-23.8
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    • 2017
  • Background: The aim of this study is to validate a new three-dimensional craniofacial stereophotogrammetry imaging system (3dMDface) through comparison with manual facial surface anthropometry. The null hypothesis was that there is no difference between craniofacial measurements using anthropometry vs. the 3dMDface system. Methods: Facial images using the new 3dMDface system were taken from six randomly selected subjects, sitting in natural head position, on six separate occasions each 1 week apart, repeated twice at each sitting. Exclusion criteria were excess facial hair, facial piercings and undergoing current dentofacial treatment. 3dMDvultus software allowed facial landmarks to be marked and measurements recorded. The same measurements were taken using manual anthropometry, using soluble eyeliner to pinpoint landmarks, and sliding and spreading callipers and measuring tape to measure distances. The setting for the investigation was a dental teaching hospital and regional (secondary and tertiary care) cleft centre. The main outcome measure was comparison of the craniofacial measurements using the two aforementioned techniques. Results: The results showed good agreement between craniofacial measurements using the 3dMDface system compared with manual anthropometry. For all measurements, except chin height and labial fissure width, there was a greater variability with the manual method compared to 3D assessment. Overall, there was a significantly greater variability in manual compared with 3D assessments (p < 0.02). Conclusions: The 3dMDface system is validated for craniofacial measurements.

영주저반의 관입상과 화성과정 (Intrusive Phases and Igneous Pricesses in the Yeongju Batholith)

  • 황상구
    • 자원환경지질
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    • 제32권6호
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    • pp.669-688
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    • 1999
  • The Yeongju granitoid batholith is a plutonic complex of huge area (1180km2) intruding the metamorphic rocks of the Yeongnam massif. The batholith, which is divided into fivelithofacies, consists of three separate plutons. The oldest Buseok pluton comprises four lithofacies: hornblende biotite tonalite, porphyrotoc biotite granodiorite, equigranular biotite grandiorite and biotite granite. The middle Chunyang pluton has been called as Chunyang granite that ranges in compostion from granodiorite to granite. The youngest Jangsu pluton is intrusions that has lithofacies of two mica granite. The contact between Buseok pluton and the rest two plutons shows obvious intrusive relations, but relation between the Chunyang and the Jangsu pluton is far away, so gives no indication of relative ages. Changes in nextures and micristructures, as well as in the mineral contents, take place between rock types og the plutons. only the Buseok pluton shows faliations of two type: magmatic foliation and regional mylonal foliation. K-Ar age deteminations fall into 171.7$\pm$3.2~162.3$\pm$3.1 Ma in the Buseok pluton, 153.9$\pm$2.9 Ma in the Chunyang pluton and 145.3$\pm$2.7 Ma in the jangsu Pluton. The batholith presents three separate intrusive phases which range in composition from tonalite to granite to granite. Each intrusive phase apperars to have been intruded in a pulse from an underlying, differentiating magma. The petrochemical data showthat three plutons are within the diagnostic range for continental arc orogenic tectonic setting, whereas Jangsu pluton approaches postorogenic setting. The data suggest that three plutons are calc-aclkalline series, and that temporal compositional variations change progerssively from tonalite through grandiorite to granite between the intrusive phases. so we consider that the magmas for all the phases were probably derived from a differentiation by fractional crystallization of a parental magma. The tonalite magma of the Buseok phase was tapped was tapped from a chamber deep in the crust, and then would have to rise at a rapid rate to its final level of emplacement. The tonalite magma in the chamber was gradually enolved through granodiorite magma into granite magma by fractional crystallization. The magmas of the younger phases were respectively tapped with temporal interval from a evolved magma of the chamber that rose into a shallower lever in the crust, and rose to their present level of emplacement.

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Preoperative Assessment of Cystic Brain Lesion : Significance of Diffusion-Weighted Image and ADC (Apparent Diffusion Coefficiency) Values

  • Choi, Hyun-Chul;Lee, Sang-Won;Ji, Cheol
    • Journal of Korean Neurosurgical Society
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    • 제41권6호
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    • pp.371-376
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    • 2007
  • Objective : The aim of this study was to investigate the usefulness of diffusion-weighted imaging [DWI] and apparent diffusion coefficiency [ADC] in distinguishing brain abscesses from cystic or necrotic brain tumors, which are difficult to be differentiated by conventional magnetic resonance imaging techniques. Methods : Seven patients with brain abscesses and ten patients with cystic brain tumors were studied from September 2003 to October 2005. Abscess, subdural empyema and ventriculitis were categorized to the abscess group and cystic or necrotic brain gliomas or metastatic brain tumors into the tumor group. Preoperative magnetic resonance images were performed in all patients and diffusion-weighted images and apparent diffusion coefficiency values of lesions were calculated directly from software of 1.5 tesla MRI [General Electrics, USA]. The ratio of the ADC of the lesion to contralateral regional ADC was also measured [relative ADC, rADC]. Results : The average ADC value of pyogenic abscesses group was $0.82+/-0.14{\times}10^{-3}\;[mean+/-S.D.]\;mm^2/s$ and mean rADC was 0.75. Cystic or necrotic areas had high ADC values [$2.49+/-0.79{\times}10^{-3}\;mm^2/s$, mean rADC=2.14]. ADC and rADC values of abscesses group showed about three times lower values than those of cystic or necrotic tumor group. Conclusion : This study results based on numerical comparison of signal intensities and quantitative analysis to distinguish between brain abscess and cystic or necrotic tumor, DWI and ADC mapping are thought to be very useful diagnostic tools.