• Title/Summary/Keyword: standard of diagnosis

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Comparison of the Autism Diagnostic Observation Schedule and Childhood Autism Rating Scale in the Diagnosis of Autism Spectrum Disorder: A Preliminary Study

  • Park, Hyung Seo;Yi, So Young;Yoon, Sun Ah;Hong, Soon-Beom
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제29권4호
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    • pp.172-177
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    • 2018
  • Objectives: We examined the agreement between the Autism Diagnostic Observation Schedule (ADOS) and the Childhood Autism Rating Scale (CARS) in the diagnosis of autism spectrum disorder. Methods: The ADOS and CARS scores of 78 children were retrospectively collected from a chart review. A correlation analysis was performed to examine the concurrent validity between the two measures. Using the receiver operating characteristic (ROC) curve, we determined the optimal cut-off score of the CARS for identifying autism spectrum disorder. Results: The CARS score was significantly correlated with the ADOS score (r=0.808, p<0.001). Taking ADOS as the ideal standard, the optimal cut-off scores of CARS for identifying autism and autism spectrum were 30 and 24.5, respectively. Conclusion: We determined the optimal cut-off scores of CARS for screening and diagnosing autism spectrum disorder.

Effects of 7~11 cycles adjuvant FOLFOX chemotherapy on the prognosis of patients with stage III colon cancer

  • Rhee, Jiyoung;Jo, Jaemin
    • Journal of Medicine and Life Science
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    • 제16권1호
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    • pp.6-9
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    • 2019
  • Adjuvant fluorouracil, leucovorin, and oxaliplatin (FOLFOX) chemotherapy for 6 months is the standard treatment of stage III colon cancer to improve patient survival. Recent studies have shown that restricting the treatment to 3 months to reduce toxicity negatively affects the outcome. However, the effect of FOLFOX treatment for a duration of between 3 and 6 months(7~11 cycles) on survival is not known. The effect of a reduced duration of FOLFOX chemotherapy on the prognosis of stage III colon cancer was examined. The 5-year disease-free survival in patients receiving 7~11 cycles of FOLFOX was lower than those receiving 12 cycles(72.9% vs. 87%, respectively). Patients receiving 7~11 cycles who had a bowel obstruction at diagnosis had a significantly higher recurrence rate (66.7% vs. 15.0%) and shorter median disease-free survival (24.7 months vs. not reached) than those receiving 12 cycles. Among patients receiving 12 cycles of FOLFOX, there was no difference in the outcome between those with and those without intestinal obstructions at diagnosis. These results suggest that the completion of 12 cycles FOLFOX chemotherapy is important to improve the patient's prognosis, especially for with intestinal obstructions at diagnosis.

위암환자를 위한 간호 데이터베이스 개발 (Development of the Nursing Database for Gastric Cancer Patients)

  • 정귀임;이병숙
    • 간호행정학회지
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    • 제7권3호
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    • pp.571-588
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    • 2001
  • Purpose : This study was to develop the nursing database for gastric cancer patients for clinical application. Method : Nursing data that development of this data base is comprehensive connected with gastric cancer patient nursing process frame to foundation as classification. Result : Each stage was processed based on the System Development Life Cycle. At the Strategy Planning stage, gastric cancer patient nursing process were analyzed. At the system Analysis Stage, database flowchart was drawn up based on frame of nursing process was drawn up. At the system Design Stage, a system was developed based on the flowchart and named the Nursing Database. The Nursing Database consisted of the patient's Basic Information, Patient's Nursing History, Discharge summary, Nursing Assessment, Nursing Diagnosis, Nursing Intervention/activity, Nursing Evaluation, Statics, Code Registration. Each element in flowchart was coded and made into a database. Nursing Assessment classified according to Gorden's Health Pattern Typology, and nursing diagnosis draws the standard 27 name of Hanguls and connected with nursing assessment. Nursing intervention and nursing activity draw 192 of thing that present in NIC, connected this with nursing assessment. Nursing evaluation is linked with nursing assessment, diagnosis and intervention by achievement availability of nursing goals. Conclusion : The biggest advantage of this database nursing process that can manage nursing information exactly and rapidly to foundation be.

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XLPE 절연케이블의 열화진단 정확도 향상을 위한 VLF tanδ 판정기준 개선 (An Amendment of the VLF tanδ Criteria to Improve the Diagnostic Accuracy of the XLPE-insulated Power Cables)

  • 이재봉;정연하
    • 전기학회논문지
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    • 제59권9호
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    • pp.1644-1651
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    • 2010
  • VLF $tan{\delta}$ diagnosis technology is introduced in IEEE Std 400 and proposed as evaluation criterion in an effective way of detecting water tree which mainly causes the failure of XLPE insulated cables. In order to inspect the accuracy of the VLF $tan{\delta}$ method for XLPE insulated power cables in Korean distribution system, diagnosis for 41 cables which were being serviced in the fields has been carried out and they were removed for AC breakdown voltage test after. Regarding the 41 cables, it was hard to confirm any relation between the VLF $tan{\delta}$ values and AC breakdown voltages and also water tree in the insulation was not detected. However, the other cables were failed several days after the diagnosis of the 41 cables. Water trees were found and their VLF $tan{\delta}$ values were also much higher than the criterion of IEEE standard. It has been ascertained that we need to change the IEEE criteria in order to improve the accuracy of detecting water trees by additional analyzing of field examples of failure and case studies from overseas countries and therefore amended VLF $tan{\delta}$ test voltage and evaluation criteria have been proposed.

1차 의료기관의 급성 상기도 감염 질환자 의약품 처방특성 - 가정의학과, 내과, 소아청소년과, 이비인후과, 일반의 중심으로 - (Characteristics of Prescription Drugs for Acute Upper Respiratory Tract Infection in Outpatient Clinics - Centered on Family Medicine, Internal Medicine, Pediatrics, Otorhinolaryngology and General Practitioner Clinics -)

  • 공미진;황병덕
    • 보건의료산업학회지
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    • 제11권3호
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    • pp.37-49
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    • 2017
  • Objectives : This study analyzes the characteristics of prescription drugs for acute upper respiratory tract infection in outpatient clinics and provides basis for establishing the correct evaluation project on appropriate prescribing indicators. Methods : Research data were collected from two for each family medicine, internal medicine, pediatric, otorhinolaryngology and general practitioner clinics with a total of 10 clinics with diseases classifications codes J00-J06, J20 on patients receiving treatment between January 1, 2013 and December 31, 2013 every Monday in Busan City. Results : The antibiotic prescription rate in evaluating the project on appropriate prescribing indicators of Health Insurance Review & Assessment Service was 44.3%, whereas this study was approximately 30% higher because analysis to target the entire cold-related diagnosis. Conclusions : The correct antibiotic prescription by expanding the current assessment standard should be identified as a minor diagnosis because the evaluation project on appropriate prescribing indicators targets the major diagnosis only.

OpenCASCADE를 이용한 CAD 모델의 오류 진단 시스템의 개발 (Development of a Diagnosis System far CAD Model Errors using OpenCASCADE)

  • 양정삼;한순홍;최영;박상호
    • 한국자동차공학회논문집
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    • 제10권3호
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    • pp.151-158
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    • 2002
  • Automotive engineers involved in a new car project use various CAD systems that are chosen based on work requirements. For example, engineers in Hyundai Motors are using Pro/Designer and Alias fur the style design, but they use CATIA to design parts and assemblies, ANSYS for FEM analysis, and Pro/Engineer to design engines. Because they use different CAD systems, they have difficulties in collaborative design. Data, which contains errors, is transferred between CAD systems. It is difficult to find out such errors in a large CAD model. An evaluation method for CAD models has been developed in this study. This diagnosis tool analyses a STEP or an IGES file generated from a CAD system, and produces a quantitative error report. The tool has been tested with actual data sets. This paper proposes an algorithm that produces mathematical error values of entities of IGES models that have geometrical data, and entities of STEP models that have topological data, and inspects every part off model. To develop this system, we have used the OpenCASCADE kernel, which is an open source kernel developed by Matra Datavision of France.

Detection of Cryptosporidium spp. in Diarrheic Immunocompetent Patients in Beni-Suef, Egypt: Insight into Epidemiology and Diagnosis

  • Gawad, Samah S. Abdel;Ismail, Mousa A.M.;Imam, Naglaa F.A.;Eassa, Ahmed H.A.;abu-Sarea, Enas Yahia
    • Parasites, Hosts and Diseases
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    • 제56권2호
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    • pp.113-119
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    • 2018
  • Cryptosporidium species is an important cause of gastrointestinal infections globally. This study aimed to shed light on its role in diarrheic immunocompetent patients in Beni-Suef, Egypt and to compare three diagnostic methods. Two hundred diarrheic patients, $37{\pm}16.8year$ old, were enrolled. Stool samples were examined by light microscopy, using modified Ziehl-Neelsen stain (MZN) for Cryptosporidium spp. oocysts. Coproantigens were detected by sandwich ELISA. DNA molecular diagnosis was done by nested PCR. PCR yielded the highest detection rates (21.0%), compared to ELISA (12.5%) and MZN staining method (9.5%). The higher infection rates were in 20-40 year-old group, followed by 40-60 year-old. Association between epidemiologic factors was statistically not significant; positivity and gender, clinical manifestations, residence, source or water, or contact with animals. Cryptosporidiosis is an important enteric parasitic infection in Beni-Suef and PCR remains the gold standard for diagnosis.

EMB 시스템의 모델 기반 센서 고장 검출 알고리즘 개발 (Model-based Sensor Fault Detection Algorithm for EMB System)

  • 황우현;양이진;허건수
    • 한국자동차공학회논문집
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    • 제20권1호
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    • pp.1-7
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    • 2012
  • The brake-by-wire technology is a new automotive chassis system that allows standard braking operations by electronic components with lighter weights and faster response. The brake-by-wire units such as EMB (Electro-Mechanical Brake) are controlled by electronic sensors and actuators and, thus, the fault diagnosis is essential for implementation. In this study, a model-based fault diagnosis system is developed for the sensors based on the analytical redundancy method. The fault detection algorithm is verified in simulations for various faulty cases. A test bench is built including the EMB unit and the performance of the proposed fault diagnosis system is evaluated through the experiment.

Dual-Energy CT for Pulmonary Embolism: Current and Evolving Clinical Applications

  • Yoo Jin Hong;Jina Shim;Sang Min Lee;Dong Jin Im;Jin Hur
    • Korean Journal of Radiology
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    • 제22권9호
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    • pp.1555-1568
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    • 2021
  • Pulmonary embolism (PE) is a potentially fatal disease if the diagnosis or treatment is delayed. Currently, multidetector computed tomography (MDCT) is considered the standard imaging method for diagnosing PE. Dual-energy CT (DECT) has the advantages of MDCT and can provide functional information for patients with PE. The aim of this review is to present the potential clinical applications of DECT in PE, focusing on the diagnosis and risk stratification of PE.

주리개념(腠理槪念)에 근거한 피부과 질병의 진단지표 기초연구 (Researches on Diagnostic Indices of Skin Diseases Based on Concepts of Interstices)

  • 지규용
    • 동의생리병리학회지
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    • 제27권2호
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    • pp.167-172
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    • 2013
  • In order to establish the diagnostic indices of skin diseases, some physiological and pathological concepts of interstices(腠理) were researched based on , and western dermatology with etymological analysis. As physiological indices for diagnosis of skin diseases, measurement of epidermis and dermis using ultrasonogram in the zhongwan and dachui's location. And for grading looseness and fineness of interstices with 3 unsound groups, measuring numbers and sizes of sweat pores in each point's 1 cm diameter circular area using comparative method and palpation assessment. Another index is superficial temperature. As pathological indices for diagnosis, validating volumes of dead skin cells and grading degrees of atrophy and degeneration of skin lesion. And as supplementary measures, absorptive degrees of cosmetics on face should be recorded according to 3 grades. These diagnostic indices can contribute to establishment of standard pattern identification and prescription of skin diseases through converting anatomical cognizance into classical concepts of interstices objectively.