• Title/Summary/Keyword: Skin Diagnosis

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Categorization of Nursing Diagnosis and Nursing Interventions Used in Home Care (가정간호에서 사용된 간호진단과 간호중재 분류)

  • Suh, Mi-Hae;Hur, Hae-Kung
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.5
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    • pp.47-60
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    • 1998
  • This study was done to identify basic information in classifying nursing diagnoses and nursing interventions needed for the further development of computerized nursing care plans. Data were collected by reviewing charts of 123 home care clients who had active disease, for whom at least one nursing diagnosis was on the chart, and who had been discharged. Data included demographics, medical orders, nursing diagnoses and nursing interventions. The results of the study, which found the most frequent medical diagnoses to be cancer (40.7%) and brain injury (26.8%), showed that 'Impaired Skin Integrity'(18.3%), 'Risk for Infection'(15.0%), 'Altered Nutrition, Less than Body Requirements'(13.8%), and 'Risk for Impaired Skin Integ rity'(9.9%) were the most frequent nursing diagnoses. 'Pressure Ulcer Care'(28.4%) was the most frequent intervention for 'Impaired Skin Integrity', 'Infection Protection'(16.0%) for 'Risk of Infection', 'Nutrition Counseling'(26.8%) for 'Altered Nutrition' and 'Positioning'(22.0%) for 'Risk for Skin Integrity Impairment', Comparison of interventions with the Nursing Intervention Classification(NIC) showed that the most frequent interventions were in the domain 'Basic Physiological' (33.94%), followed by 'Behavioral'(27.8%), and 'Complex Physiological' (22.6%). Interventions related to teaching family to give care at home could not be classified in the NIC scheme. Examination of the frequency of NIC interventions showed that for the domain 'Activity & Exercise Management', 75% of the interventions were used, but for seven domains, none were used. For the domain 'Immobility Management', 93% of the times that an intervention was used, it was 'Positioning', for the domain 'Tissue Perfusion Management', 'IV Therapy' (59.1%) and for the domain 'Elimination Management', 'Tube Care: Urinary'(54.0%). The nursing diagnoses 'Altered Urinary Elimination' and 'Im paired Physical Mobility' were both used with these clients, but neither 'Fluid Volume Deficit' nor 'Risk of Fluid Volume Deficit' were used rather 'IV Therapy' was an intervention for 'Altered Nutrition, Less than Body Requirements', A comparison of clients with cancer and those with brain injury showed that interventions for the nursing diagnosis 'Impaired Skin Integrity' were more frequent for the clients with cancer, interventions for 'Risk of Infection' were similar for the two groups but for clients with cancer there were more interventions for' Altered Nutrition'. Examination of the nursing diagnoses leading to the intervention 'Positioning' showed that for both groups, it was either 'Impaired Skin Integrity' or 'Risk for Skin Integrity Impairment'. This study identified a need for further refinement in the classification of nursing interventions to include those unique to home care and that for the purposes of computerization identification of the nursing activities to be included in each intervention needs to be done.

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Comparison of the Diagnostic Validity of Real and Absolute Skin Temperature Differences for Complex Regional Pain Syndrome (복합부위통증증후군 진단 시 좌우 체온 차이의 실제값과 절대값의 진단적 타당도 비교)

  • Nahm, Francis Sahngun;Lee, Pyung Bok;Park, Soo Young;Kim, Yong Chul;Lee, Sang Chul
    • The Korean Journal of Pain
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    • v.22 no.2
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    • pp.146-150
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    • 2009
  • Background: A skin temperature difference is one of the variables used in the diagnosis of complex regional pain syndrome. However, there have been no reports as to whether the real (${\Delta}T$) or absolute value ($|{\Delta}T|$) of skin temperature differences should be used in the diagnosis of complex regional pain syndrome. This study was conducted to compare the diagnostic validity of ${\Delta}T$ with $|{\Delta}T|$ for complex regional pain syndrome using receiver operating characteristic curves (ROC). Methods: Infrared thermographic images were obtained from the 144 patients who were suspected to have CRPS in a unilateral limb. After ${\Delta}T$ and $|{\Delta}T|$ calculation from the thermographic image, ROCs of ${\Delta}T$ and $|{\Delta}T|$ were developed, and the areas under the curve (AUC) for the ROC curves were compared. Results: AUCs of ${\Delta}T$ and $|{\Delta}T|$ were 0.520 and 0.746 respectively, this difference was statistically significant (P < 0.001). Conclusions: Absolute skin temperature difference shows greater validity in the diagnosis of CRPS than ${\Delta}T$. Therefore, $|{\Delta}T|$ is more useful when comparing the skin temperature of CRPS patients.

Measurement of Skin Dose Distribution for the Mobile X-ray Unit Collimator Shielding Device (이동형 X선 장치 차폐도구 제작을 통한 표면선량 분포 측정)

  • Hong, Sun-Suk;Kim, Deuk-Yong
    • Korean Journal of Digital Imaging in Medicine
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    • v.12 no.1
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    • pp.5-8
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    • 2010
  • Opened a court in February 10, 2006, a rule of safety management of the diagnosis radiation system was promulgated for safety of the radiation worker, patients and patients' family members. The purpose of this rule is to minimize the risk of being exposed to radiation during the process of handling X-ray. For this reason, we manufactured shielding device of mobile X-ray unit collimator for diminution of skin dose. Shielding device is made to a thickness of Pb 0.375mm. For portable chest radiography, we measured skin dose 50cm from center ray to 200cm at intervals of 20cm by Unfors Xi detector. As a result, a rule of safety management of the diagnosis radiation system has been strengthened. But there are exceptions, such as ER, OR, ICU to this rule. So shielding device could contribute to protect unnecessary radiation exposure and improve nation's health.

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Early congenital syphilis presenting with skin eruption alone: a case report

  • Kim, Hak-Young;Kim, Beom-Joon;Kim, Ji-Hyun;Yoo, Byoung-Hoon
    • Clinical and Experimental Pediatrics
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    • v.54 no.12
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    • pp.512-514
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    • 2011
  • Congenital syphilis is one of the most well-known congenital infections, yet it remains a worldwide public health problem. Congenital syphilis can involve any organ system and present with various symptoms. However, early diagnosis of congenital syphilis is difficult because more than half of the affected infants are asymptomatic, and the signs in symptomatic infants may be subtle and nonspecific. Here, we report a case of congenital syphilis with only a skin rash, which led to a delay in diagnosis. This case indicates that congenital syphilis should be considered throughout early childhood.

Solitary sclerotic fibroma on the thigh

  • Kim, Ji Hoon;Shin, Chi Ho;Kim, Dong Chul;Paik, So Ya;Lee, Chong Kun
    • Archives of Craniofacial Surgery
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    • v.21 no.5
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    • pp.323-325
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    • 2020
  • Sclerotic fibroma is a rare fibrous tumor of the skin associated with Cowden's disease. In 1989, Rapini described sclerotic fibroma without Cowden's disease as solitary sclerotic fibroma of the skin. It is a solid, well-circumscribed, slow-growing nodular tumor and it looks similar to a keloid scar. Consequently, it is extremely difficult to make a differential diagnosis of solitary sclerotic fibroma with keloid scar based on clinical findings only. The authors report a case of solitary sclerotic fibroma arising at the left lateral thigh of a 25-year-old man.

A Study on Personal Color Therapy practice to Skin Care (체질에 따른 컬러테라피의 피부관리 적용방법의 안(案))

  • Lyu, Ji-Hye;Sung, Kwang-Sook
    • Fashion & Textile Research Journal
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    • v.10 no.6
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    • pp.1014-1022
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    • 2008
  • This study focuses on practical appliance of color therapy to skin care. After visiting the notion of color therapy and skin care, this study considers the ideas and background theories for diagnosis of constitution and skin. Cosmic duals force five element theory developed in China was the first introduction; Ayurvedic medicine and seven chakra notion are examined. Cosmic duals force five element theory, an idea describing the composition and movement rule of the cosmic components, adopted five colors(white, yellow, red, blue, and black) for cure purposes. In future, mental effect of the color is examined in the latter part of this study. The practice of the color therapy assigns solarized cream treatment and photo therapy, simultaneously proposes the use of color therapy to the skin care. For the diagnosis of the constitution, cosmic duals force five element theory and ayurvedic medicine are followed in a sequence. Cosmic duals force five element theory introduces five colors. Constitution medicine considers four types, ayurvedic medicine adopts three types, and seven colors are mentioned as chakra colors. Such a variations lead to possible disagreement on constitution analysis and driven colors. This study adopts the above methodologies for selecting potential color therapy for skin care. Adopt of selected cases are purely a part of the proposal. Initially, examined theories serve as a pilot for selecting a representative hypothesis. Followed selection of constitution and matched color for the use of the skin care are the scope of this study. In summary, background methodologies are implemented for the calculation of color therapy.

Patent Analysis in the Clinical Diagnosis Sector : Before and After COVID-19 (COVID-19 전후 의료 진단 특허 출원 동향 분석)

  • Han, Yoojin;Park, Sunju
    • Journal of Society of Preventive Korean Medicine
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    • v.26 no.2
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    • pp.25-35
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    • 2022
  • Objectives : This study aims to analyze the patents filed in the clinical diagnosis sector where technologies have been actively developed since the advent of the 4th industrial revolution. Methods : The analysis has been conducted in two ways - the period from 2016 to 2021 and the time points before and after COVID-19 - by visualizing based on the word cloud method. Results : Over two thirds of patents has been filed in the A61B sector (71.8%) and cure, sensor, self diagnosis, control, and breakdown have been observed in the period above. During the overall period (2016~2021), 'ultrasound'(7.5%), 'image'(5.1%), 'skin'(4.0%), 'treatment'(3.4%), and 'artificial intelligence(2.5%)' were the frequently patent applications technologies. In addition, 'ultrasound'(6.2%), 'image'(5.5%), 'skin'(4.0%), 'treatment' (3.7%), and 'portable'(1.7%) appeared most frequently before COVID-19 whereas 'ultrasound(5.5%)', 'artificial intelligence(4.2%)', 'diagnostic device'(1.9%), 'dimentia'(1.6%), and 'diagnostic kit'(1.4%) emerged the most after COVID-19. Conclusion : This study is meaningful in that it showed the technological development trend in the digital diagnosis sector and it was found that the Korean medicine field should contribute to this field more actively in the future.

A Study on Intelligent Skin Image Identification From Social media big data

  • Kim, Hyung-Hoon;Cho, Jeong-Ran
    • Journal of the Korea Society of Computer and Information
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    • v.27 no.9
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    • pp.191-203
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    • 2022
  • In this paper, we developed a system that intelligently identifies skin image data from big data collected from social media Instagram and extracts standardized skin sample data for skin condition diagnosis and management. The system proposed in this paper consists of big data collection and analysis stage, skin image analysis stage, training data preparation stage, artificial neural network training stage, and skin image identification stage. In the big data collection and analysis stage, big data is collected from Instagram and image information for skin condition diagnosis and management is stored as an analysis result. In the skin image analysis stage, the evaluation and analysis results of the skin image are obtained using a traditional image processing technique. In the training data preparation stage, the training data were prepared by extracting the skin sample data from the skin image analysis result. And in the artificial neural network training stage, an artificial neural network AnnSampleSkin that intelligently predicts the skin image type using this training data was built up, and the model was completed through training. In the skin image identification step, skin samples are extracted from images collected from social media, and the image type prediction results of the trained artificial neural network AnnSampleSkin are integrated to intelligently identify the final skin image type. The skin image identification method proposed in this paper shows explain high skin image identification accuracy of about 92% or more, and can provide standardized skin sample image big data. The extracted skin sample set is expected to be used as standardized skin image data that is very efficient and useful for diagnosing and managing skin conditions.

Skin Pigment Recognition using Projective Hemoglobin- Melanin Coordinate Measurements

  • Yang, Liu;Lee, Suk-Hwan;Kwon, Seong-Geun;Song, Ha-Joo;Kwon, Ki-Ryong
    • Journal of Electrical Engineering and Technology
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    • v.11 no.6
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    • pp.1825-1838
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    • 2016
  • The detection of skin pigment is crucial in the diagnosis of skin diseases and in the evaluation of medical cosmetics and hairdressing. Accuracy in the detection is a basis for the prompt cure of skin diseases. This study presents a method to recognize and measure human skin pigment using Hemoglobin-Melanin (HM) coordinate. The proposed method extracts the skin area through a Gaussian skin-color model estimated from statistical analysis and decomposes the skin area into two pigments of hemoglobin and melanin using an Independent Component Analysis (ICA) algorithm. Then, we divide the two-dimensional (2D) HM coordinate into rectangular bins and compute the location histograms of hemoglobin and melanin for all the bins. We label the skin pigment of hemoglobin, melanin, and normal skin on all bins according to the Bayesian classifier. These bin-based HM projective histograms can quantify the skin pigment and compute the standard deviation on the total quantification of skin pigments surrounding normal skin. We tested our scheme using images taken under different illumination conditions. Several cosmetic coverings were used to test the performance of the proposed method. The experimental results show that the proposed method can detect skin pigments with more accuracy and evaluate cosmetic covering effects more effectively than conventional methods.

Histopathology of dermatitis verrucosa in holstein dairy cattle (홀스타인 젖소의 우상피부염 (dermatitis verrucosa) 의 병리조직)

  • Jean, Young-Hwa;Kim, Jae-Hoon;Jeong, Soon-Wuk;Yoon, Suk-Jung;Choi, Sang-Ho
    • Korean Journal of Veterinary Pathology
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    • v.3 no.1
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    • pp.65-68
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    • 1999
  • Clinically, three holstein dairy cattle showed the inappetence and decrease of milk production with severe lameness and pain. Grossly, strawberry-like proliferation of the skin between the heel bulbs were observed 4${\times}$5${\times}$1.5cm in size. Histopathologically, severe hyperplasia of epidermis, parakeratotic hyperkeratosis and multifocal ulceration of cornified cell layer, acanthosis, spongiosis of prickle cell layer and irregular arrangement of basal cell layer were seen. And focally observed the lesions of necrotic vasculitis, infiltration of inflammatory cells, congestion and hemorrhage. Spirochete bacteria were found in necrotic and outer proliferated epidermal cells by Levaditi's silver stain. Clinical and pathological findings were consistent with dermatitis verrucosa.

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