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소장의 대량출혈을 유발한 공장게실 1예 (A Case of Jejunal Diverticula Which Caused Massive Small Bowel Bleeding)

  • 이호찬;장병익;박재현;김성준;박준석;정상훈
    • Journal of Yeungnam Medical Science
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    • 제26권2호
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    • pp.120-124
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    • 2009
  • Gastrointestinal bleeding is a common cause of hospitalization. Jejunal diverticula is a rare disease and it is an unusual cause of obscure gastrointestinal bleeding. After exclusion of the more common bleeding sources, small bowel diverticula should be considered as a possible rare cause of gastrointestinal bleeding. Jejunal diverticular bleeding is difficult to diagnose and treat because the bleeding site cannot be identified by routine endoscopy and radiologic studies. An exploratory operation is sometimes needed to diagnose and treat obscure gastrointestinal bleeding. If the bleeding site is certain, then surgical resection of the bleeding part of the bowel is the procedure of choice. We report here on a case of jejunal diverticular bleeding that was diagnosed by and treated with surgical resection.

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이중 포트 메모리를 위한 고장 진단 알고리듬 (Fault Diagnosis Algorithm for Dual Port Memories)

  • 박한원;강성호
    • 대한전자공학회논문지SD
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    • 제39권3호
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    • pp.20-33
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    • 2002
  • 현재 다양한 분야에서 이중 포트 메모리의 사용이 증가함에 따라서 이중 포트 메모리의 고장을 진단하기 위한 효율적인 고장 진단 알고리듬의 필_도성이 증대되고 있다. 따라서 본 논문에서는 이중 포트 메모리에서의 효율적인 고장 진단 알고리듬을 제시하여 이중 포트 메모리에서 발생하는 거의 모든 종류의 고장에 대한 진단을 가능하게 한다. 또한 진단 과정에서 착오를 일으키지 않고 다양한 고장 모델을 구별하며 고장과 관련된 위치를 정확하게 확인하는 것이 가능하다. 새로운 진단 알고리듬을 사용함으로서 이중 포트 메모리에서의 고장 진단과정은 효과적으로 수행될 수 있으며 이전의 다른 연구들과의 성능 평가를 통해 효율성을 확인할 수 있다.

Analysis of Semantic Relations Between Multimodal Medical Images Based on Coronary Anatomy for Acute Myocardial Infarction

  • Park, Yeseul;Lee, Meeyeon;Kim, Myung-Hee;Lee, Jung-Won
    • Journal of Information Processing Systems
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    • 제12권1호
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    • pp.129-148
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    • 2016
  • Acute myocardial infarction (AMI) is one of the three emergency diseases that require urgent diagnosis and treatment in the golden hour. It is important to identify the status of the coronary artery in AMI due to the nature of disease. Therefore, multi-modal medical images, which can effectively show the status of the coronary artery, have been widely used to diagnose AMI. However, the legacy system has provided multi-modal medical images with flat and unstructured data. It has a lack of semantic information between multi-modal images, which are distributed and stored individually. If we can see the status of the coronary artery all at once by integrating the core information extracted from multi-modal medical images, the time for diagnosis and treatment will be reduced. In this paper, we analyze semantic relations between multi-modal medical images based on coronary anatomy for AMI. First, we selected a coronary arteriogram, coronary angiography, and echocardiography as the representative medical images for AMI and extracted semantic features from them, respectively. We then analyzed the semantic relations between them and defined the convergence data model for AMI. As a result, we show that the data model can present core information from multi-modal medical images and enable to diagnose through the united view of AMI intuitively.

『황제내경』의 체열 분포 진단 방법 연구 (A study on the methods of regional body temperature palpation in Hwangdineijing)

  • 김기왕
    • 대한한의학원전학회지
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    • 제30권1호
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    • pp.51-55
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    • 2017
  • Objectives : Though regional body temperature palpation is one of well stylized diagnosis methods in Huangdineijing, it has not been thoroughly reconstructed. So I tried to find and reconstruct the methods in Huangdineijing to diagnose regional body temperature as a objective sign. Material and Methods : Huangdineijing(in Zhonghuayidian) was used for text search. "Heat(熱)", "Cold and Heat(寒熱)", "Cold and Warmth(寒溫)", "Root and Terminal(本末)" was used as searching keywords. By classifying and analysing searched sentences I reconstructed the original palpation methods. Results : Two types of regional temperature palpation method was found in Huangdineijing. One is the method palpating the Root(origin) points and Terminal points of the meridians, while the other method is that palpating the skin in anterior side of forearm. It was proved that they had been collaboratively used to diagnose the diseases related to meridians and it's collaterals. Conclusions :In the era of Huangdineijing, there was at least two types of regional temperature palpation method and their clinical usage was in complementary relations.

Classification of Genes Based on Age-Related Differential Expression in Breast Cancer

  • Lee, Gunhee;Lee, Minho
    • Genomics & Informatics
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    • 제15권4호
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    • pp.156-161
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    • 2017
  • Transcriptome analysis has been widely used to make biomarker panels to diagnose cancers. In breast cancer, the age of the patient has been known to be associated with clinical features. As clinical transcriptome data have accumulated significantly, we classified all human genes based on age-specific differential expression between normal and breast cancer cells using public data. We retrieved the values for gene expression levels in breast cancer and matched normal cells from The Cancer Genome Atlas. We divided genes into two classes by paired t test without considering age in the first classification. We carried out a secondary classification of genes for each class into eight groups, based on the patterns of the p-values, which were calculated for each of the three age groups we defined. Through this two-step classification, gene expression was eventually grouped into 16 classes. We showed that this classification method could be applied to establish a more accurate prediction model to diagnose breast cancer by comparing the performance of prediction models with different combinations of genes. We expect that our scheme of classification could be used for other types of cancer data.

유가사상(儒家思想)에 바탕을 둔 한의학에서의 의료윤리 (Medical Ethics based on Confucian Ideas in Eastern Medicine)

  • 김근우
    • 동의신경정신과학회지
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    • 제20권3호
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    • pp.149-168
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    • 2009
  • Objectives : This study aimed for attain to ideal aspects in medical ethics-clinical medicine, through researching doctor's ethics based on Confucian ideas, Methods : Research materials are datum of Confucian ideas included eastern medical books and the Confucian old books, Stand on above-mentioned, I investigate indispensable ethical condition clinical doctor must have in diagnose and treat. Results and Conclusions : 1. Combination of people-oriented ideas-Confucian and applicative learning-Eastern Medicine, doctor's principle mind is initiated and Confucian physician is the center of that. 2. For practice morality and ethics using the Confucianist's good character, Eastern medical doctor read and acquire the Confucian books. 3. Eastern medical doctor make an effort for application a kind love ideas(perfect religious scholarship ideas of Confucian), serve parents and country as for practice and sublimate into a kind love ideas through practice of integrity and the self-sacrifice. 4. Occasion to examine the female patient, emphasize good manners by Confucian ideas's sexual distinction 5. According to the doctor-doctor ethics, partnership is important due to Confucian faith and good manners 6. Confucian physician often effected by the people around patient and the protector of patient and criticize positive influence by these kind of peoples(傍人) when diagnose and treat. 7. Owing to Confucian's a notion of preferring a son to a daughter(男兒選好思想), come out the methods of convert a son into a daughter(轉女爲男法)-manipulation of sex distinction. this method is criticized aspect of medical ethics.

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초등수학의 개별학습을 위한 학습자 진단 시스템의 설계 및 구현 (A Design and Implementation of Learner Diagnosis System of mathematics for Elementary School Students Individualized Learning)

  • 허정원;김갑수
    • 정보교육학회논문지
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    • 제6권1호
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    • pp.1-12
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    • 2002
  • 본 논문은 초등학생의 수학과 학습능력을 진단하여서 결과에 따라 개별학습을 할 수 있는 LED 시스템 (LEarner Diagnosis system)을 설계 구현한 것이다. 수학과와 같이 위계적으로 학습이 이루어지는 교과는 선수학습을 제대로 성취하지 못하면 후속학습에 곤란을 겪는다. 이를 방지하기 위해 LED 시스템은 학습 전에 학습자의 선수 학습 능력을 진단한다. 진단 결과 학습 결손이 있을 때는 보충학습을 통해 결손을 보충하고 본 주제학습을 한다. 또한 매 학습이 완전학습이 되어 더 이상의 학습결손이 발생하지 않도록 학습 후에도 진단평가를 실시하여 완전학습이 이루어졌을때만 후속학습을 할 수 있도록 한다. LED 시스템을 이용하면 학습자는 학습결손을 방지할 수 있고 완전학습을 하기 때문에 궁극적으로 학습 목표에 도달 할 수 있게 된다.

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음향방출기법을 이용한 극저온 환경하에서 초전도 계자코일의 퀀칭탐지 적용에 관한 연구 (Application of Acoustic Emission Technique for On-Line Monitoring of Quench in Racetrack Superconducting Coil at Cryogenic Environment)

  • 이민래;권영길;이준현;손명환
    • 대한기계학회논문집A
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    • 제24권4호
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    • pp.858-865
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    • 2000
  • It is well recently recognized that quench is one of the serious problems for the integrity of superconducting magnets, which is mainly attribute to the rapid temperature rising in the magnet due to some extrinsic factors such as conductor motion, crack initiation etc. In order to apply acoustic emission(AE)echnique effectively to monitor and diagnose superconducting magnets, it is essential to identify the sources of acoustic emission. In this paper, an acoustic emission technique has been used to monitor and diagnose quenching phenomenon in racetrack shaped superconducting magnets at cryogenic environment of 4.2K. For these purposes special attention was paid to detect AE signals associated with the quench of superconducting magnets. The characteristics of AE parameters have been analyzed by correlating with quench number, winding tension of superconducting coil and charge rate by transport current. In addition, the source location of quench in superconducting magnet was also discussed on the basis of correlation between magnet voltage and AE energy.

허혈경계부의 감소를 보인 뇌졸중 환자에 대한 증례보고 (Study on the Ischemic penumbra concept in stroke patient by case study)

  • 고성규
    • 대한한방내과학회지
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    • 제21권2호
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    • pp.341-348
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    • 2000
  • I have treated one ischemic stroke patient in acute stage with Seonghyangjeonggi-san, and observed remarkable reduction of the size ischemic portion in brain CT, notable improved motor power of patient. So I report this case of stroke patint. The ischemic penumbra, simply stated, is the part of the brain that is sandwiched brain regions committed to die and those that receive enough blood to communicate. Therefore, it is ischemic brain tissue that has just enough to communicte and function. The life expectancy of the penumbrais short. Although the penumbra is an elegant concept, in practice, it has been a difficult one to exploit. Up to now, a lot of research worker have tried to develop the method to make a accurate diagnosis. and then we know that PET and Xenon CT is available for the diagnosis for the ischemic penumbra. But those are not perfect to diagnose of penumbra. The case in my case report was confirmed as ischemic penumbra with CT. I know that CT is not prefect to diagnose penumbra, but I just want to raise the interest in penumbra of oriental medicine researcher and my report will be benificial to the penumbra researcher.

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윤활유 중지 마멸입자의 프랙탈 형상특징 추출 방법 (Extraction of Fractal Shape Characteristics of Wear Particles in Lubricant)

  • 박흥식;우규성;조연상;김동호;예규현
    • Tribology and Lubricants
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    • 제22권5호
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    • pp.276-281
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    • 2006
  • The fractal dimension is quantitatively to define the irregular characteristic of the shape in natural. It can be useful in describing morphological characteristics of various wear particles. This paper was undertaken to diagnose failure condition for sliding members in lubrication by fractal dimension. It will be possible to diagnose wear mechanism, friction and damage state of machines through analysis of shape characteristics for wear particle on driving condition by fractal parameters. In this study, the calculating and analyzing methods of fractal dimensions were constructed for the condition monitoring and wear particle analysis in lubricant condition. So, we carried out the Friction and wear test with the ball on disk type tester, and the fractal parameters of wear particle in lubricated conditions were calculated. Fractal parameters were defined as texture fractal dimension ($D_{t}$), structure fractal dimension ($D_{s}$) and total fractal dimension (D).