• Title/Summary/Keyword: diagnostic procedures

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Two Cases of Laparoscopic Adhesiolysis for Chronic Abdominal Pain without Intestinal Obstruction after Total Gastrectomy

  • Choi, Hyun Jung;Yoon, Sang Chul;Kim, Yong Jin
    • Journal of Gastric Cancer
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    • v.12 no.4
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    • pp.249-253
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    • 2012
  • Chronic abdominal pain remains a challenge to all known diagnostic and treatment methods with patients undergoing numerous diagnostic work-ups including surgery. However, the surgical treatment of patients with chronic intractable abdominal pain is controversial. There has been no discussion of the indications for adhesiolysis in cases of obstruction or strangulation of the bowel, and adhesiolysis by laparotomy has never gained acceptance as a treatment modality for chronic abdominal pain. One of the reasons for this lack of acceptance is the high complication rate during and after adhesiolysis. Laparoscopic surgery has been accepted as a technique for diagnostic and therapeutic procedures in general surgery. Laparoscopy allows surgeons to see and treat many abdominal changes that could not otherwise be diagnosed. Here we report two cases of successful symptomatic improvement through laparoscopic adhesiolysis for chronic abdominal pain without intestinal obstruction after total gastrectomy.

Development of Remote Diagnostic Monitoring System for Motor-Operated Valves (모터구동밸브의 원격 진단 시스템 개발에 대한 연구)

  • Lim, Chan-Woo;Chai, Jang-Bom;Kang, Seong-Ki;Park, Sung-Keun;Kang, Shin-Chul
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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    • 2002.11b
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    • pp.434-439
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    • 2002
  • A diagnostic methodology, which utilizes only the remotely-measurable signals, has been requested to be developed in order to evaluate and monitor conditions of MOVs. It is proven that the stem thrust are the most important variables which provide the operability of MOVs. Therefore the stem thrust estimator was developed and validated, which estimates stem thrust by use of the motor torque. The motor torque is calculated using electrical signals which can be measured in Motor Control Center(MCC). The procedures to evaluate the accuracy of the diagnostic variables were set up and the accuracy of each variable was obtained through the experiments under various conditions. In addition, the applicability of the stem thrust estimator was tested in the plants.

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Disease Progression-Associated Diagnostic and Treatment Procedure for a Dog with Hepatic Abscesses: A Case Report

  • Hyunji Lee;Sungwon Ann;Youngsam Kwon;Min Jang;Sangkwon Lee;Taeho Oh;Seulgi Bae
    • Journal of Veterinary Clinics
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    • v.39 no.6
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    • pp.360-365
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    • 2022
  • A 15-year-old spayed female Yorkshire Terrier was presented to our hospital with a history of anorexia, depression and abdominal pain. Diagnostic procedures including blood test, radiography and ultrasonography were performed. Abdominal ultrasonography revealed multiple hypoechoic cysts in the left lobe of the liver. Over time, the cysts increased in size and became more echogenic. Four days later, the rupture of the largest cyst was suspected, and hepatic abscesses with bacteria were confirmed by aspiration of the cyst. Despite surgical resection of the abscessed liver lobe, antibiotic administration, and supportive therapy, the dog died 9 days after presentation to the hospital and 4 days after the surgical procedure. The present case report described the overall diagnostic and therapeutic approaches for liver abscesses in a dog.

Diagnostic procedures of TMD and orofacial pain (턱관절 장애와 구강안면통의 진단술식)

  • Kim, Gi-Seok
    • The Journal of the Korean dental association
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    • v.40 no.6 s.397
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    • pp.436-441
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    • 2002
  • 턱관절 장애와 관련된 안면통의 진단술식에는 턱관절 검진, 저작근, 두경부 검진, 교합분석과 같은 구강검사, 진단성 마취검사, 방사선검사 등이 있다. 여기에서는 가장 흔히 술자가 시행할 수 있고 간편한 술식을 중심으로 턱관절 검사와 저작근 검사, 그리고 두경부 근육애 대한 검사에 대하여 고찰키로 한다.

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A Study on Applications of Regression Diagnostic Method to Technometrics, and the Statistical Quality Control

  • Kim, Soon-Kwi
    • Journal of Korean Society for Quality Management
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    • v.21 no.1
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    • pp.55-64
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    • 1993
  • This article is concerned with procedures for detecting one or more outliers or influential observations in a linear regression model. A test procedure, based on recursive residuals is proposed and developed The power of the test procedure to identify one or more outliers is investigated through simulation, and its relevance to the number and configuration of the outlier.

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Development of Practical Investigation and Diagnosis Model in Rural Villages(II) - Development of Efficient Application Procedures and Investigation Methodologies - (농촌마을의 실증적 조사·진단기법 개발(II) - 효율적 적용절차 및 조사방법론 개발 -)

  • Koo, Hee-Dong;Park, Mi-Ran;Kim, Dae-Sik
    • Journal of Korean Society of Rural Planning
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    • v.27 no.4
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    • pp.109-122
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    • 2021
  • The purpose of this study is to develop a application procedure and survey method for the empirical diagnostic indices system. In order to know the survey method, which has 65 investigation items for 52 indicators, this study not only presented so that the each survey items could be surveyed in at least 1 to 3 steps, but also presented the 4 survey method for each investigation items: preliminary survey, administrative survey, field survey, and interview survey. As a result of applying to 15 sample villages, the period of surveying a village of 100 households was 1.4 days, and it was confirmed that the survey was generally efficient in a short time. As a result of applying the survey system to the sample village, the developed survey system showed the possibility of investigating even the details of rural villages. Therefore, it was judged that it could be used as a basic procedure for a rural village unit survey.

Pulmonary Sarcoidosis Diagnosed by Endobronchial Ultrasound Fine Needle Aspiration (초음파 기관지 내시경 세침흡인을 이용하여 진단한 폐 사르코이드증)

  • Kim, Won-Young;Chang, You-Jin;Lyu, Ji-Won;Park, Young-Soo;Jang, Se-Jin;Song, Jin-Woo;Oh, Yeon-Mok;Shim, Tae-Sun;Lee, Sang-Do;Kim, Woo-Sung;Kim, Dong-Soon;Choi, Chang-Min
    • Tuberculosis and Respiratory Diseases
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    • v.68 no.5
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    • pp.267-272
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    • 2010
  • Background: Pulmonary sarcoidosis often involves mediastinal or hilar lymph nodes in the lung parenchyma. Mediastinoscopy is the gold standard for diagnosis, but it is invasive and expensive. Transbronchial needle aspiration using conventional bronchoscope is less invasive than mediastinoscopy, but its diagnostic accuracy is in question due to the blind approach to targeting lymph nodes. Transbronchial needle aspiration (TBNA) via endobronchial ultrasound (EBUS) has high diagnostic value due to direct visualization of lymph nodes and to its relatively safeness. The purpose of this study was to assess the usefulness of EBUS-TBNA in the diagnosis of pulmonary sarcoidosis. Methods: Twenty-five patients with symptoms of sarcoidosis were enrolled into this study. Core tissue was obtained for a definitive diagnosis. Endobronchial biopsy, transbronchial lung biopsy, and bronchoalveolar lavage were performed to verify diagnosis. For patients without a confirmed diagnosis after the above procedures were performed, the additional procedures of mediastinoscopy or video-associated thoracoscopic surgery were performed to confirm a final diagnosis. Results: A total 25 EBUS procedures were done and 50 lymph nodes were aspirated. Thirty-three (37) out of 50 lymph nodes were consistent with non-caseating granuloma, confirming sarcoidosis as the final diagnosis. Sarcoidosis was the final diagnosis for all 25 patients, and 21 required EBUS-TBNA for a final diagnosis. There were no complications associated with the procedure. Conclusion: EBUS-TBNA is already a well-known procedure for diagnosing mediastinal or hilar lymphadenopathy. We used EBUS-TBNA for the diagnosis of pulmonary sarcoidosis and our results showed 84% diagnostic accuracy and no complications related to the procedure. EBUS-TBNA is a reliable and practical diagnostic modality in the diagnosis of pulmonary sarcoidosis.

Reducing Medical Errors : Patients' Self Protect Behaviors and Involvement in Decision Making (의료과오 감소를 위한 환자의 자기보호행동 및 의사결정 참여)

  • An Kyung-Eh;Kim Jeong-Eun;Kang Kim Min-Ah;Jung Yoen-Yi
    • Health Policy and Management
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    • v.16 no.3
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    • pp.70-85
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    • 2006
  • The purposes of this study were (1) to describe patients' behaviors to protect themselves from medical errors and their involvement in decision making on the diagnostic and treatment procedures (2) to examine whether patients' characteristics, such as age, sex, education, experience of hospitalization and/or surgery influence their self protect behaviors and involvement in decision making on the diagnostic and treatment procedures. A survey was conducted with 99 patients visited one university hospital in Seoul, Korea. A 20-item questionnaire, a 4-point Likert scale, was used to measure the degree of patients' active involvement in decision making; patients' self protect behaviors regarding medication, hospitalization, and surgery; and communication (Cronbach's alpha=0.801). SPSS 12.0 was used for the descriptive and correlation analysis. Only 6.1% of the participants were involved in the decision making process for the diagnostic tests and treatment. More patients did self-protect behaviors associated with the medication than other areas but widely varied from 18.2 to 94.3 % among various items. More people with age of 60 or older compared to people in younger age groups reported more protect behaviors particularly associated with medication. Patient education is needed to improve their active role in preventing medical errors and to promote patients' safety.

Fuku shin, a Kampo diagnostic procedure, could be one of useful diagnostic tools for anxiety disorders and depression

  • Arai, Young-Chang P.;Nishihara, Makoto;Sato, Jun;Ushida, Takahiro;Morimoto, Atsuko;Sakurai, Hiroki;Ohmichi, Yusuke;Makino, Izumi;Suzuki, Chiharu
    • CELLMED
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    • v.2 no.2
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    • pp.15.1-15.3
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    • 2012
  • Kampo medicine, a Japanese traditional herbal medicine, has been used in clinical practice in Japan. The most appropriate Kampo formula should be chosen for each individual by the four diagnostic procedures. Fuku shin, the abdominal exam, is one of the most important approaches in the procedures. There are several abdominal conformations (signs) when administering Fuku shin. In Kampo medicine, psychiatric illness-marked by depression and anxiety-has been shown to be related with an abdominal conformation, Shin ka hi koh (Epigastric Obstructive Hardness). The aim was to see the occurrence of abdominal conformations in each level of depression and anxiety symptoms. Two hundred fifteen patients were assigned to high-, moderate-, or low-level psychiatric comorbidity based on the Hospital Anxiety and Depression Scale and were studied regarding the occurrence of major abdominal conformations. Moderate and high psychopathological groups showed the higher occurrence of Shin ka hi koh [Low, 21%; Moderate, 67%; High, 74%] ($p$ < 0.0001). In conclusion, moderate and high psychopathological patients showed the higher occurrence of a specific abdominal sign.