• 제목/요약/키워드: Systematic diagnosis

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추나치료에 적용된 골반변위 진단법에 대한 체계적 문헌고찰 (Systematic Review of the Diagnosis of Pelvic Deviation for Chuna Manual Therapy)

  • 이준석;박경원;김현태;박선영;신병철
    • 한방재활의학과학회지
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    • 제32권2호
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    • pp.83-94
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    • 2022
  • Objectives This systematic review aimed to analyze research about pelvic deviation diagnosis for Chuna manual therapy (CMT) and to review the diagnosis methods, indices, and results of diagnosis. Methods Ten electronic databases were systematically searched up to January 4th 2022. Clinical studies and reviews containing pelvic deviation diagnosis for CMT or using CMT as a treatment of pelvic deviation were selected and evaluated. CMT diagnosis in clinical studies and reviews were isolated and analyzed by 2 independent reviewers. Results Thirteen clinical studies and three reviews were included in the evaluation. X-ray analysis and manual testing were the two main methods used in CMT diagnosis of pelvic deviation. For manual testing in clinical studies, leg length insufficiency testing was the most frequently used measurement index and the most common diagnostic results were anterior and posterior rotation. In the X-ray analysis, Obturator foramen and femur head line were the most frequently used measurement index and the most common diagnostic results were anterior rotation and posterior rotation. Conclusions The systematic review found that manual testing and X-ray analysis were mainly used for the diagnosis of pelvic deviation in CMT among clincial and review articles. As there was little research about diagnosing pelvic deviation in CMT and any existing research presented only low standards of evidence, further research should be updated with using a more standardized approach.

Pathological Investigation of Vertebral Tumor Metastasis from Unknown Primaries - a Systematic Analysis

  • Zhang, Yan;Cai, Feng;Liu, Liang;Liu, Xiao-Dong
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권3호
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    • pp.1047-1049
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    • 2015
  • Background: This systematic analysis was conducted to investigate pathological diagnosis of vertebral tumor metastasis with unknown primaries. Methods: Clinical studies conducted to pathologically investigate vertebral tumor metastasis were identified using a predefined search strategy. Pooled diagnosis (PD) of each pathological confirmation was calculated. Results: For vertebral tumor metastasis, 5 clinical studies which included 762 patients were considered eligible for inclusion. Systematic analysis suggested that, for all patients with vertebral tumor metastasis, dominant PD was pathologically confirmed with lung cancer in 21.7% (165/762), with breast cancer in 26.6% (203/762) and with prostate cancer in 19.2% (146/762). Other diagnosis that could be confirmed included lymphoma, multiple myeloma, renal cancer, for example, in this cohort of patients. Conclusions: This systemic analysis suggested that breast, lung and prostate lesions could be the most common pathological types of cancer for vertebral tumor metastasis formunknown primaries, and other common diagnoses could include lymphoma, multiple myeloma, renal cancer.

Trichinosis Imitating an Inflammatory Systematic Disease

  • Kosmidou, Maria;Papamichail, Georgios;Klouras, Eleftherios;Tsamis, Konstantinos;Sarmas, Ioannis;Rapti, Iro;Milionis, Haralampos
    • Parasites, Hosts and Diseases
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    • 제59권5호
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    • pp.497-499
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    • 2021
  • Trichinellosis (trichinosis) is a parasitic infection caused by nematodes of the genus Trichinella. Pigs are the most common source of human infection. We describe a case of a 47-year-old woman presented with a wide range of intermittent symptoms including prolonged fever, dry cough, diarrhea, rash, myalgias and arthralgias. The patient was attended by physicians with various medical specialties such as dermatologists, rheumatologists and allergiologists, but they did not establish a certain diagnosis because of the gradual onset of symptoms, raising the suspicion of a systematic disease. After extensive work up, the diagnosis of trichinosis was established with femoral muscle biopsy compatible with inflammatory myopathy of parasitic etiology with trichinosis to be the predominant diagnosis. Despite the significant delay of diagnosis for almost three months, patient was treated successfully with no further complications. Trichinellosis is a food-borne treatable infection. Preventive measures include community education especially in zones where parasite prevalence is increased, improvement of farming and cooking techniques.

한국 성인의 정상 보행데이터를 이용한 보행진단 지원 시스템의 개발 (Development of a Gait Diagnosis Supporting System using Korean Normal Gait Data)

  • 김동진;유태범;권세만;최화순;정민근
    • 대한산업공학회지
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    • 제33권4호
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    • pp.480-486
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    • 2007
  • A gait diagnosis supporting system is necessary to evaluate the characteristics of abnormal gait of a patient in a systematic and efficient manner. The present study developed a gait diagnosis supporting system which compares abnormal gait of a patient with a reference gait data and presents abnormal gait characteristics in an organized form. Three types of diagnosis modules were developed for the spatio-temporal, kinematic and kinetic gait parameters, and a gait data for Korean normal adults was used for the reference data of the system. The system was applied to evaluate the gait pattern of three arthritis patients and the abnormal gait characteristics of them could be easily identified with a systematic and graphical presentation.

사상체질과 맥진기 검사 결과와의 상관성에 대한 연구 - 국내 논문에 대한 체계적 고찰 - (Study on the Correlation between Sasang Constitution and the Data of Pulse Diagnosis Device - A Systematic Review in Korean Articles -)

  • 이혜윤;정아람;손한범;황만석;이정원;김경철;윤영주
    • 동의생리병리학회지
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    • 제26권5호
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    • pp.621-629
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    • 2012
  • This study aimed to examine the possibility of data from pulse diagnosis device to be used for diagnosis of Sasang constitution. Systematic searches of 5 major Korean medical database were conducted for articles published up to May 2012. Searching key word was "Sasang" or "Constitution". Studies dealt with correlation between Sasang constitution and the pulse wave data from pulse diagnosis machine were included. Totally 2886 studies are searched and 3 studies are added from references of evaluated articles. Among them, 12 studies were met our inclusion criteria (2 Xishu Mac, 2 Self-made pulse diagnosis machine, 8 3D-Mac). Three of the eight 3D-Mac studies intended to develop a formula of constitutional differential diagnosis, 2 studies compared variables by Sasang constitution in healthy group and 3 studies compared variables by Sasang constitution in healthy group and special disease group. They all reported some significant variables, however results are not consistent between studies. The accuracy of the formula of constitutional differential diagnosis using 3D-Mac pulse diagnosis devices is 46.0% by now. Improvements in measuring pulse are required to achieve more accurate result and be used for diagnosis of Sasang constitution. Compensating B.M.I. among Sasang constitutional groups and separating constitutional pulse factors from acquired characteristics are also needed in further study.

전립선 암 진단 및 치료를 위한 로봇기술 응용 현황 (A Survey of Robotic Technologies for Diagnosis and Treatment of Prostate Cancer)

  • 안범모;박기한;이효상;김정
    • 제어로봇시스템학회논문지
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    • 제16권9호
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    • pp.852-859
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    • 2010
  • Robotic techniques can be one of the promised solutions to address the prostate cancer which is one of the most important public health problems in medical fields. Despite several past and on-going dedicated researches, the systematic techniques and completed theories have not been established well. Therefore we review the state-of-the-art literature on the applications of engineering technologies with particular focus on diagnosis and treatment of prostate cancer. The current status of the elastography and systematic DRE are presented as novel diagnostic tools, and an overview of the applied technologies to address the limits of the treatment (radical prostectomy and brachytherapy) is reviewed.

컴퓨터 고장 예측 및 진단 퍼지 전문가 시스템 (The Computer Fault Prediction and Diagnosis Fuzzy Expert System)

  • 최성운
    • 산업경영시스템학회지
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    • 제23권54호
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    • pp.155-165
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    • 2000
  • The fault diagnosis is a systematic and unified method to find based on the observing data resulting in noises. This paper presents the fault prediction and diagnosis using fuzzy expert system technique to manipulate the uncertainties efficiently in predictive perspective. We apply a fuzzy event tree analysis to the computer system, and build up the fault prediction and diagnosis using fuzzy expert system that predicts and diagnoses the error of the system in the advance of error.

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신생아기의 유전성대사이상질환의 체계적 접근방법 (Systematic Approach for the Diagnosis of IEM in the Neonatal Period)

  • 이홍진
    • 대한유전성대사질환학회지
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    • 제14권1호
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    • pp.10-18
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    • 2014
  • Recent advances in the diagnosis and treatment of inborn errors of metabolism have improved substantially the prognosis of many of these diseases, if diagnosed early enough before irreversible damage occurs. This makes it essential that the practicing pediatrician, especially neonatologists be familliar with the clinical presentations and systematic approaches of these disorders. Characteristic clinical presentations, methods of systematic approach and typing of various disorders is discussed in this review. The signs of neurological dysfunctions of many IEMs manifesting in the neonatal period is very nonspecific, such as poor feeding, poor sucking, apnea or tachypnea, vomiting, hypertonia, hypotonia, seizure, letharginess, consciousness change and coma. Many other non-metabolic severe disorders of neonatal period such as neonatal sepsis and intracerebral hemorrhage share these nonspecific symptoms. Hyperammonemia, metabolic acidosis, ketosis and hyperlatic acidemia are observed in many of these conditions but there are exceptions in which conditions all basal laboratory tests are normal, such as NKH, sulfite oxidase deficiency and peroxisomal disorders. According to the results of basal laboratory tests, IEMs in the neonatal period can be categorized in to 6 types. Grouping of IEMs into 6 types will make confirmatory tests and early emergency treatment more efficient.

설진 유효 영역 추출의 시스템적 접근 방법 (Systematic Approach to The Extraction of Effective Region for Tongue Diagnosis)

  • 김근호;도준형;유현희;김종열
    • 전자공학회논문지SC
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    • 제45권6호
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    • pp.123-131
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    • 2008
  • 한의학에서 혀의 상태는 인체 내부의 생리적 병리적 변화와 같은 건강 상태를 진단하는 중요한 지표로 활용된다. 혀의 상태를 진단하는 방법(설진)은 편리할 뿐 아니라 비침습적이므로, 한의학에서 널리 활용되고 있다. 하지만, 설진은 광원이나 환자의 자세, 의사의 건강 조건과 같은 검사 환경에 따라 많은 영향을 받는다. 객관적이고 표준화된 진단을 위한 자동 설진 시스템을 개발하기 위하여 촬영된 얼굴 영상으로부터 혀를 영역분할하고 설태를 분류하는 것은 필수적이지만 혀와 입술, 입 근처의 피부색이 서로 유사하므로 쉽지 않은 일이다. 제안된 방법은 전처리 과정과 영역분할, 혀의 구조로부터 발생하는 음영 영역의 지역 최소값 위치 검색, 지역 최소값의 교정, 컬러의 차이를 최대로 하는 위치를 찾는 컬러 경계면 탐색, 척의 기하적인 특성에 일치하는 경계면 선택, 경계면 평활화로 구성되어 있으며, 여기서 전처리 과정은 계산량의 감소를 위한 부 표본화, 히스토그램 평활화, 경계면 강화를 수행한다. 이러한 시스템적인 과정을 거치면, 영역분할된 혀를 획득할 수 있게 된다. 제안된 방법으로 분할된 영역은 초과적으로 혀가 아닌 영역을 제외해 낼 뿐 아니라 정확한 진단을 위해 중요한 정보를 제공함을 한의사의 진단 유효도 평가점수를 통해 확인할 수 있었다. 제안된 방법은 진단의 객관화와 표준화에 기여할 뿐만 아니라 u-Healthcare 시스템에도 활용 가능하다.

Treatment of Cow's Milk Protein Allergy

  • Vandenplas, Yvan;De Greef, Elisabeth;Devreker, Thierry
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제17권1호
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    • pp.1-5
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    • 2014
  • The diagnosis and treatment of cow's milk protein allergy (CMPA) is still a challenge. A systematic literature search was performed using Embase, Medline, The Cochrane Database of Systematic Reviews and Cochrane Central Register of Controlled Clinical Trials for the diagnosis and treatment of cow's milk allergy (CMA). Since none of the symptoms of CMPA is specific and since there is no sensitive diagnostic test (except a challenge test), the diagnosis of CMPA remains difficult. A "symptom-based score" is useful in children with symptoms involving different organ systems. The recommended dietary treatment is an extensive cow milk based hydrolysate. Amino acid based formula is recommended in the most severe cases. However, soy infant formula and hydrolysates from other protein sources (rice) are gaining popularity, as they taste better and are cheaper than the extensive cow's milk based hydrolysates. Recent meta-analyses confirmed the safety of soy and estimate that not more than 10-15% of CMPA-infants become allergic to soy. An accurate diagnosis of CMA is still difficult. The revival of soy and the development of rice hydrolysates challenge the extensive cow's milk based extensive hydrolysates as first option and amino acid formula.