• 제목/요약/키워드: Systematic diagnosis

검색결과 452건 처리시간 0.028초

맥파 모델링을 통한 만성위염 분류 기법 (Classification method of chronic gastritis by modeling of pulse signal)

  • 최상호;신기영;신지태
    • 한국정보전자통신기술학회논문지
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    • 제5권3호
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    • pp.144-151
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    • 2012
  • 한국에서 만성위염은 10명당 한 명 꼴로 발생하는 질병이다. 서양의학에서는 만성위염을 진단하기 위해서 내시경 조사를 하지만 이는 환자에게 고통을 주고 비용이 비싸다는 단점을 가지고 있다. 반면 전통한방의학에 따르면, 오른쪽 손목의 '관' 위치는 위와 관련이 있다. 따라서 오른쪽 손목의 '관' 위치의 맥파를 측정하면 만성위염을 진단할 수 있을 것이다. 하지만 맥진은 한의사들의 지식과 경험에 의존하고 있다. 본 연구에서는 맥파를 분석하기 위한 체계적인 접근 방법을 제안한다. 처음에 맥파는 전처리 과정을 거친다. 그 다음 맥파에 가우시안 모델을 적용시킨 후, 맥파의 주요 인자들을 추출한다. 그리고 t-검증과 통계적 차이를 이용하여 질병에 민감한 파라미터들을 선택한다. 마지막으로 선택한 파라미터들은 분류를 위해서 Fuzzy C-Means (FCM) 알고리즘에 입력된다. 분류 결과 건강한 사람은 95% 만성위염 환자는 87% 분류하였다.

전신성 활동불능증(Systemic Exertion Intolerance Disease) 진단 기준을 바탕으로 한 만성 피로 증후군(Chronic Fatigue Syndrome) 진단 설문지 개발 및 신뢰도 평가 (Development and Validation of Questionnaire for Chronic Fatigue Syndrome (CFS) Diagnosis Based on Systemic Exertion Intolerance Disease (SEID) Criteria)

  • 임은진;손창규;장은수
    • 대한한방내과학회지
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    • 제41권3호
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    • pp.293-305
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    • 2020
  • Purpose: This study aimed to develop a questionnaire for the diagnosis of chronic fatigue syndrome (CFS) designed based on the systematic exertion intolerance disorder (SEID) criteria, and to validate the reliability of the questionnaire. Methods: A literature search on questionnaires for CFS diagnosis was conducted to develop a SEID questionnaire (SEID-Q27), followed by a pilot survey to identify the reliability of the questionnaire. Adults (Daejeon university personnel) with a Chalder fatigue scale (CFQ) score ≥15 were invited for the survey. We commenced the survey in November 2019 with a two weeks of interval for the test and retest method. The reliability of the questionnaire was investigated in three angles: 1. Cronbach's α, 2. correlations (r) of the questions, numerical rating scale (NRS), and visual analog scale (VAS), and 3. kappa (k) analysis. Results: Among the total 275 adults registered, 55 (20%) participants with a CFQ score ≥15 were invited, and 31 (11%) [15 male, 16 female] completed the questionnaire. The total Cronbach's α was 0.944 for the test and 0.949 for the retest. The reliability (r) of questions by CFQ score (≥15, ≥18, ≥20) ranged from 0.533-0.928 (p <0.05), and the r score of the NRS and VAS were the highest in CFQ scores ≥20, at 0.933 (p<0.001). The agreement rate of the SEID-Q27 between the test and retest was 87% (kappa k=0.743). Conclusions: The SEID-Q27 seems to be reliable. Further studies are needed to measure the validity of the tool and the cutoff point.

우리나라 어린이 요로 감염의 치료 행태 (Treatment for Urinary Tract Infection of Children in Korea)

  • 강희경;김광명;정해일;최황;최용
    • Childhood Kidney Diseases
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    • 제5권1호
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    • pp.15-21
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    • 2001
  • 목 적 : 요로감염은 어린이에서 중요한 신요로계 질환으로 빠르고 정확한 진단과 치료로 신장 손상의 위험을 줄이고 불필요한 검사와 치료를 피할 수 있다. 저자들은 우리나라 어린이 요로감염 치료의 개선을 도모하는 첫걸음으로 설문 조사를 통해 요로감염의 진단, 치료, 영상 검사와 예방에 관한 진료 행태를 알아보았다. 대상 및 방법 : 전국의 소아신장전문의와 비뇨기과 전문의를 대상으로 설문조사를 통하여 요로감염의 진단, 치료, 영상검사, 예방의 진료형태를 조사하였다. 결 과 : 응답자들은 대부분 신생아에서는 소변 채취용 백을, 이후에는 중간소변 채취를 이용하여 소변 배양 검사를 하였고, 소변 배양검사가 음성인 경우에는 농뇨, nitrite 양성, 세균뇨 등의 소견을 보일 때 요로감염이라고 판단하였다. 요로감염 후에는 80$\%$가 예방적 항생제를 사용하였다. 방광 요관 역류가 있는 환아에서는 1-2세 이상의 환아가 고도의 방광 요관 역류를 보이거나 예방 요법 중에도 요로감염이 발생할 때 수술로 치료하는 경우가 많았으나 그 기준에는 차이를 보였다. 대부분이 요로감염 진단시에 신장 초음파 검사를 시행하였고 과반수에서 각각 다양한 시기에 배뇨 방광 요도 조영 검사와 DMSA scintigraphy를 시행하였다. 포경 수술은 대개 권하지 않았으며 반수에서 방광 요관 역류 환아의 형제에 대한 선별 검사를 시행하였다. 결 론 : 이 보고에서 밝혀진 다양한 치료 행태로 보아, 어린이 요로감염 치료의 개선과 발전을 위해 체계적인 진료 방침의 고안이 필요할 것으로 보인다.

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자폐스펙트럼장애의 치료에 대한 한의 임상 가이드라인 개발을 위한 기초연구 -기존에 개발된 자폐스펙트럼장애 가이드라인을 중심으로- (A Basic Study for Development of Clinical Practice Guidelines of Korean Medicine in Autism Spectrum Disorder -Based on Pre-existing Clinical Practice Guidelines of Autism Specturm Disorder-)

  • 김상민;이진용;이선행;장규태
    • 대한한방소아과학회지
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    • 제31권1호
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    • pp.52-62
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    • 2017
  • Objectives The purpose of this study is to review pre-existing clinical practice guidelines for autism spectrum disorders, and refer those in developing a new practice guideline. Methods A total of 9 existing clinical practice guidelines for autism spectrum disorder developed from 2010 to 2016 were searched by Google scholar and Pubmed, and were reviewed those literatures in three parts: general, diagnosis & evaluation, and intervention. Results There were no consistency in the recommendation methods of 9 clinical care guidelines (such as the method of rating and recommendation intensity for diagnosis, evaluation, and treatment). However, in the diagnosis and evaluation section, frequently used evaluation and diagnostic tools are mentioned in most clinical practice guidelines, and the types of pharmacologic and non-pharmacological treatments that are mainly recommended in treatment are equally mentioned in most clinical practice guidelines could confirm. Conclusions 1. Some guideline recommendations are graded according to each criterion. Recommendations presented in various databases were based on systematic reviews or other literatures. The most utilized database were PsycINFO, CINAHL, Cochrane. 2. DSM-5 and ICD-10 were the most common used diagnostic criteria, and DSM-IV was used as a diagnostic standard in the guideline published before 2013. The tools used for diagnosis and evaluation were also varied. However, most recommended ones were ADI-R, ADOS-G, and DISCO. 3. Treatment was largely divided into pharmacological intervention and non-pharmacological intervention. In some guideline, the interventions were divided into pediatric and adult. Most of the pharmacological interventions were not recommended due to lack of evidence, but in cases in which specific symptoms were aimed, they recommended to seek professional help. 4. In addition to interventions, each guideline referred to supportive interventions that may be helpful in the daily life of patients with ASD, which may need to be addressed in future clinical guidelines.

Two New Records of Ennominae Species (Lepidoptera: Geometridae) from Korea

  • Choi, Sei-Woong;An, Jeong-Seop;Kim, Sung-Soo
    • Animal Systematics, Evolution and Diversity
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    • 제29권1호
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    • pp.92-95
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    • 2013
  • Two ennomine species, Amblychia angeronaria Guen$\acute{e}$e and Peratostega deletaria (Moore), are reported for the first time from Korea. Amblychia angeronaria was collected from Isl. Gageo-do, in the south west of Korea. The species is distinguished by the large wingspan, the ochreous forewing with a row of large white dots on the postmedian and a grayish apical dot, and the grayish or dark ochreous hindwing with undulating postmedial line and dark grayish subterminal line. Peratostega deleraia was collected from Isl. Jeju-do, and can be distinguished by the dark brown forewing with a blackish dentate postmedian and a light brown apical dot, and the dark brown hindwing with the light brown subtermen and angulate termen. Diagnosis and description of the species are given along with figures of the male and female genitalia.

A New Report of Odontosia sieversii (Lepidoptera: Notodontidae) from Korea

  • Choi, Sei-Woong;Kim, Sung-Soo
    • Animal Systematics, Evolution and Diversity
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    • 제29권4호
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    • pp.316-319
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    • 2013
  • In Korea, 104 species of Notodontidae have been recorded. The genus Odontosia H$\ddot{u}$bner is characterized by the elongate and serrate margin of its forewing and the prominent harpe of valva and many spinular cornuti on the vesica of the male genitalia and the robust ductus bursae and large, ovate and sclerotized corpus bursae of the female genitalia. Only one species of Odontosia, O. patricia Stichel, 1918, has been reported from Korea. In this paper, Odontosia sieversii ($M\acute{e}n\acute{e}tri\grave{e}s$, 1856) is newly added to the Korean fauna based on three male specimens collected at Mt. Bangtaesan, Gangwon-do, Korea. Diagnosis for the species and photographs of adult and genitalia of the genus Odontosia are provided.

A New Record of Roeselia triangulalis (Lepidoptera: Nolidae) from Korea

  • Choi, Sei-Woong
    • Animal Systematics, Evolution and Diversity
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    • 제27권3호
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    • pp.274-276
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    • 2011
  • A nolid species, Roeselia triangulalis (Leech) is reported for the first time from Korea. Two males were collected from Jeju Island, South Korea. Roeselia triangulalis can be distinguished by the bipectinate male antennae, broad frons, long labial palpi, costally dark brownish spot and the rounded dark brownish postmedial line of forewing. In the male genitalia, the long saccus, the slender valve with distally expanded and spine-like harpe and long spinular cornutus of vesica are distinguishing characters. In the female genitalia, the simple sterigma, the long ductus bursae and the large ovate corpus bursae with a lip-shaped signum are distinguishing characters. Diagnosis and description of the species are given with the figures of the male genitalia.

Nanocrystals and Their Biomedical Applications

  • Jun, Young-wook;Jang, Jung-tak;Cheon, Jin-woo
    • Bulletin of the Korean Chemical Society
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    • 제27권7호
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    • pp.961-971
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    • 2006
  • Shape controlled synthesis of inorganic nanocrystals is one of the important issues in materials chemistry due to their novel shape dependent properties. Although various shapes of nanocrystals have been developed, a systematic account on the shape control of these nanocrystals still remains an important subject in materials chemistry. In this article, we will overview the recent developments in the geometrical shape evolution of semiconductor and metal oxide nanocrystals obtained by nonhydrolytic synthetic methods. Many structurally unprecedented motifs have appeared as zero-dimesional (D) polyhedrons, one-D rods and wires, two-D plates and prisms, and other advanced shapes such as branched rods, stars, and inorganic dendrites. Important parameters which determine the geometrical shapes of nanocrystals are also illustrated. In addition, as a possible application of such nanocrystals for biomedical sciences, we further describe their utilizations for cancer diagnosis through nanocrystal-assisted magnetic resonance imaging (MRI).

How to approach feeding difficulties in young children

  • Yang, Hye Ran
    • Clinical and Experimental Pediatrics
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    • 제60권12호
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    • pp.379-384
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    • 2017
  • Feeding is an interaction between a child and caregiver, and feeding difficulty is an umbrella term encompassing all feeding problems, regardless of etiology, severity, or consequences, while feeding disorder refers to an inability or refusal to eat sufficient quantities or variety of food to maintain adequate nutritional status, leading to substantial consequences, including malnutrition, impaired growth, and possible neurocognitive dysfunction. There are 6 representative feeding disorder subtypes in young children: infantile anorexia, sensory food aversion, reciprocity, posttraumatic type, state regulation, and feeding disorders associated with concurrent medical conditions. Most feeding difficulties are nonorganic and without any underlying medical condition, but organic causes should also be excluded from the beginning, through thorough history taking and physical examination, based on red-flag symptoms and signs. Age-appropriate feeding principles may support effective treatment of feeding difficulties in practice, and systematic approaches for feeding difficulties in young children, based on each subtype, may be beneficial.

A New Record of Species of the Microplitis (Hymenoptera: Braconidae: Microgastrinae) in Korea

  • Choi, Subin;Kim, Hyojoong
    • Animal Systematics, Evolution and Diversity
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    • 제34권3호
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    • pp.159-161
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    • 2018
  • The genus Microplitis (Braconidae: Microgastrinae) is reported for the first time from Korea. The Microplitis has often quite small hypopygium, very short ovipositor and rugose propodeum with large aleola. The genus contains 190 described species, among them 19 speceis were recorded in Korea. Microplitis varicolor was established by Viereck in 1917. The species is found as new to Korea in this study. Microplitis varicolor is endoparasitoid, especially attacking species of Noctuidae (Insecta: Lepidoptera) including pests of leguminous crop. In this study, diagnosis, photographs and host lists are included.