• 제목/요약/키워드: diagnostic procedures

검색결과 389건 처리시간 0.082초

폐암의 세포진단: 진단의 정확도와 함정 (Cytological Diagnosis of Lung Cancer: The Diagnostic Accuracy and Pitfalls)

  • 김완섭
    • 대한세포병리학회지
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    • 제19권1호
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    • pp.1-8
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    • 2008
  • The role of respiratory cytology is to detect and classify pulmonary disease, with an emphasis of neoplastic disease, so that proper therapy can be instituted. As in many branches of cytology, the recognition of malignancy in the cells obtained from the respiratory tract is more straightforward than identifying the type of tumor cell. It is important to accurately determine the true cytopathological cell type in cases of primary lung cancer and to know the accuracy of the diagnosis achieved by the cytological procedures. The well differentiated tumors have characteristic cytoplasmic and nuclear abnormalities that enable physicians to firmly categorize these lesions, as in squamous cell or adenocarcinoma, but some moderately and most poorly differentiated tumors show few distinctive features. This article reviews the malignant and reactive pulmonary cytologic findings and we also report on some of their pitfalls and the cytologic criteria.

심장혈관 조영술과 심장혈관 인터벤션의 환자 선량 평가 (Patient Radiation Dose Values During Interventional Cardiology Examinations in University Hospital, Korea)

  • 김정수;이종혁;정혜경;김정민;조병렬
    • 대한방사선기술학회지:방사선기술과학
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    • 제39권1호
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    • pp.27-33
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    • 2016
  • 심장혈관 조영술과 인터벤션은 현대 성인병의 증가로 급격히 증가하고 있다. 심장혈관 인터벤션은 장시간 동일 부위에 방사선을 조사하는 검사로 방사선으로 인한 피부상해를 일으킬 수 있다. 본 연구에서는 의료기관의 심장혈관 인터벤션의 진단참조준위를 조사하여 환자의 피폭선량을 감소시키는 도구로 사용하고자 한다. 본 연구는 147명의 환자에서 심장혈관 조영술과 인터벤션을 대상으로 누적 투시시간, 누적 투시면적선량, 영상촬영을 위한 면적선량, 누적 면적선량, 공기커마, 동영상 수, 총 영상 수에 대한 정보를 획득하여 진단참조준위를 설정하였다. 심장혈관 조영술의 진단참조준위와 인터벤션의 진단참조준위에 해당하는 면적선량 값은 각각 $44.4 Gy{\cdot}cm2$$298.6Gy{\cdot}cm2$로 나타났고 투시시간에 대한 진단참조준위는 각각 191.5 sec와 1935.3 sec로 나타났다. 진단참조준위는 반드시 넘으면 안 되는 값은 아니다. 하지만 진단참조준위를 제정하여 의료 기관에서 사용하고 있는 선량의 참조 값을 설정하고 이를 검토하는 과정은 환자의 불필요한 피폭선량을 감소시키는데 기여할 것이다.

The Three-Bite Technique: A Novel Method of Dog Ear Correction

  • Jaber, Omar;Vischio, Marta;Faga, Angela;Nicoletti, Giovanni
    • Archives of Plastic Surgery
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    • 제42권2호
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    • pp.223-225
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    • 2015
  • The closure of any circular or asymmetric wound can result in puckering or an excess of tissue known as a 'dog ear'. Understanding the mechanism of dog ear formation is a fundamental requirement necessary to facilitate an appropriate treatment. Many solutions have been reported in the literature, but in all cases, the correction entails the extension of the scar and the sacrifice of the dermal plexus. Here, we propose a novel technique of dog ear correction by using a three-bite suture that sequentially pierces the deep fascial plane and each dog ear's margin, thus allowing for flattening the dog ear by anchoring the over-projecting tissue to the deep plane. The three-bite technique proved to be a fast, easy, and versatile method of immediate dog ear correction without extending the scar, while maintaining a full and complete local skin blood supply.

Application of Giemsa stain for easy detection of Trichinella spiralis muscle larvae

  • Ramirez-Melgar, Carmen;Gomez-Priego, Alberto;De-La-Rosa, Jorge-Luis
    • Parasites, Hosts and Diseases
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    • 제45권1호
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    • pp.65-68
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    • 2007
  • The application of Giemsa technique to stain compressed diaphragm samples obtained from rodents experimentally infected with Trichinella spiralis is described. Diaphragm samples from rats heavily infected with 20 muscle larvae per gram of body weight(20 ML/gbw) were cut into several pieces and stained with Giemsa; on the other hand, whole diaphragms from slightly infected mice(1 ML/gbw) were also stained with Giemsa. Besides, muscle samples were also stained with Giemsa. Observation at 10 $\times$ magnification revealed that both ML and nurse cells(NC) look as bluish structures clearly contrasting with the pinkish color of the non-infected muscle fibers. NC in the diaphragms of mice could be easily observed at naked eye as blue points contrasting with the pink surrounding areas formed by the non-infected muscle fibers. Among NC observed in the diaphragms of rats infected with 20 ML/gbw, 4.4% was multiple infection. These findings were confirmed in sectioned and hematoxylin-eosin stained specimens. This data could be usefulness for a rapid diagnosis of trichinellosis in post-mortem mammals without magnification procedures.

난관복원술전에 실시한 불임검사의 임신율 예측지표로서의 유용성에 관한 연구 (The Usefulness of Pre-operative Infertility Work-up in Assessing the Reversal Feasibility)

  • 강병문
    • Clinical and Experimental Reproductive Medicine
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    • 제20권1호
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    • pp.71-78
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    • 1993
  • Since the successful advent of IVF-ET, reproductive surgeons have been forced to compare pregnancy outcomes of surgical procedures for tubal infertility with those of IVF-ET. The current study was designed in an effort to determine the usefulness of pre-operative infertility work-up, especially diagnostic laparoscopy, in predicting the pregnancy rate and in assessing the reversal feasibility. 109 patients who underwent a microsurgical tubal reversal were reviewed. The patients were followed over one year. The total intrauterine pregnancy, spontaneous abortion, and ectopic pregnancy rates were 66.4%, 3.7%, and 7.3%, respectively. The result showed that the use of loupe might increase the chance of the ectopic pregnancy. I found that the final tubal length, especially the longest tubal length, the site of reanastomosis, and the methods of sterilization affected the pregnancy rates. A 85% intrauterine pregnancy rate was achieved in the patients with good preoperative assessments(Group II-1). There was only 10% incidence of intrauterine pregnancy in the patients with bad assessments(Group II-2). It is concluded that the pre-operative infertility work-up, especially diagnostic laparoscopy, is a good diagnostic tool in assessing the reversal feasibility.

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Oxidation Stability and Antioxidant Capacity of Lubricants Measured by a Pressure DSC

  • Cerny, Jaroslav
    • 한국윤활학회:학술대회논문집
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    • 한국윤활학회 2002년도 proceedings of the second asia international conference on tribology
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    • pp.359-360
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    • 2002
  • A methodology was developed for evaluation of oxidation stability of base stocks and engine oils. Analytical procedures for both classes of lubricants were based on the ASTM standards D 6186 and/or E 2009. The procedures were applied to a set of engine oils of the SAE 5W-30 specification, and to a set of several hydrocracked and solvent neutral base oils, both with and without addition of antioxidant. A potential of a pressure DSC for diagnostic purposed was also demonstrated by monitoring the engine oil ageing during its operation in heavy-duty engine.

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Assessment of Local Tumor Progression After Image-Guided Thermal Ablation for Renal Cell Carcinoma

  • Byung Kwan Park
    • Korean Journal of Radiology
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    • 제25권1호
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    • pp.33-42
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    • 2024
  • Focal enhancement typically suggests local tumor progression (LTP) after renal cell carcinoma is percutaneously ablated. However, evaluating findings that are false positive or negative of LTP is less familiar to radiologists who have little experience with renal ablation. Various imaging features are encountered during and after thermal ablation. Ablation procedures and previous follow-up imaging should be reviewed before determining if there is LTP. Previous studies have focused on detecting the presence or absence of focal enhancement within the ablation zone. Therefore, various diagnostic pitfalls can be experienced using computed tomography or magnetic resonance imaging examinations. This review aimed to assess how to read images during or after ablation procedures, recognize imaging features of LTP and determine factors that influence LTP.

장애 아동·청소년 독서역량 강화를 위한 진단 프로그램 개발 기초 연구 (A Pilot Study on Developing a Reading Competency Diagnosis Program to Strengthen the Reading Abilities of Disabled Children and Adolescents)

  • 황금숙;배희숙;윤성은;황정현
    • 정보관리학회지
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    • 제41권1호
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    • pp.1-30
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    • 2024
  • 본 연구의 목적은 장애 아동·청소년의 독서역량을 강화하기 위하여 진단도구 프로토타입을 개발하고 그 타당도 및 신뢰도를 분석함으로써 독서역량 진단프로그램 개발의 기초 자료를 제시하는 데에 있다. 본 연구는 문헌 및 사례 연구를 바탕으로 문항을 개발하고, 델파이 조사 및 실제 장애 아동·청소년을 대상으로 한 예비조사를 실시하고 분석하였다. 연구 결과, 표본 수가 적어 타당도와 신뢰도 분석에 한계는 있었으나 장애 아동·청소년의 독서역량 진단도구 프로토타입 개발과 함께 기초 데이터를 확보하였다. 향후 개발될 독서역량 진단프로그램은 장애유형별 특성, 빅데이터를 통한 데이터 수집 및 활용 방안, 진단 절차 및 진단 시 유의사항을 다양한 변인을 고려하여 웹·모바일로 확장하여 개발할 것을 제안하였다.

Cancer Risk from Medical Radiation Procedures for Coronary Artery Disease: A Nationwide Population-based Cohort Study

  • Hung, Mao-Chin;Hwang, Jeng-Jong
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권5호
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    • pp.2783-2787
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    • 2013
  • To assess the risk of cancer incidence after medical radiation exposure for coronary artery disease (CAD), a retrospective cohort study was conducted based on Taiwan's National Health Insurance Research Database (NHIRD). Patients with CAD were identified according to the International Classification of Diseases code, 9th Revision, Clinical Modification (ICD-9-CM), and their records of medical radiation procedures were collected from 1997 to 2010. A total of 18,697 subjects with radiation exposure from cardiac imaging or therapeutic procedures for CAD were enrolled, and 19,109 subjects receiving cardiac diagnostic procedures without radiation were adopted as the control group. The distributions of age and gender were similar between the two populations. Cancer risks were evaluated by age-adjusted incidence rate ratio (aIRR) and association with cumulative exposure were further evaluated with relative risks by Poisson regression analysis. A total of 954 and 885 subjects with various types of cancers in both cohorts after following up for over 10 years were found, with incidences of 409.8 and 388.0 per 100,000 person-years, respectively. The risk of breast cancer (aIRR=1.85, 95% confidence interval: 1.14-3.00) was significantly elevated in the exposed female subjects, but no significant cancer risk was found in the exposed males. In addition, cancer risks of the breast and lung were increased with the exposure level. The study suggests that radiation exposure from cardiac imaging or therapeutic procedures for CAD may be associated with the increased risk of breast and lung cancers in CAD patients.

논문형 고사 평가에서 평가치 조정과 평가원의 신뢰도 향상에 유효한 CDM 모형의 응용 (Application of the Categorical Data Model for Enhanching the Reliability of the Raters' Ratings and Score Adjustment of the Essay Type Test)

  • 홍석강
    • 한국수학교육학회지시리즈A:수학교육
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    • 제38권2호
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    • pp.165-172
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    • 1999
  • $\sub$e/$\^$2/, that were results from those three sources of such imperfection. Especially to eliminate the differences in severity among many raters the randomization procedure of raters sample was very effective in enhancing the reliability of ratings with comparatively small groups of examinees and raters. And we also introduced the new rating methods, i.e. the 2-step diagnostic procedures to check the sizes of the reliability stability of raters and the sore adjustment method to enumerate the optimal mean values in rating the examinees.

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