• 제목/요약/키워드: standard of diagnosis

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Moire'무늬의 영상해석(影像解釋)에 관한 고찰(考察) (A Study about Interpretation of Moire' topography)

  • 박영회;정석희;김성수;신현대;이종수
    • 대한한의학회지
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    • 제20권2호
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    • pp.157-164
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    • 1999
  • This study focused on the method of interpreting Moire's topography. There has been no standard of interpretation which informed, this study, The conclusions arc as follows: Miore's image closed contour lines which is consisted of points. These points in one contour have the same distances from the screen to the patient's back. Moire's index means the number of contour gaps from symmetrical point of a specific point with the axis of central line. The number of contours which pass the median line means the degree of antero-posterior curvature.

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골밀도 측정의 올바른 임상 적용 (Clinical Application of Bone Mineral Density Measurement)

  • 김덕윤
    • 대한핵의학회지
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    • 제38권4호
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    • pp.275-281
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    • 2004
  • Compared with the earlier technique of dual photon absorptiometry (DPA) using $^{153}Gd$ radionuclide source, dual energy X-ray absorptiometry (DXA) has advantages of higher precision, accuracy and shorter scanning time. Despite the change from DPA to DPX, the nuclear medicine physicians has remained one of major suplier of this service due to long-standing use of DPA. Among many kinds of bone densitometries, DXA is the "gold standard" for the noninvasive diagnosis of osteoporosis. Especially there is no role for peripheral devices in the monitoring of patients on therapy. But, there are some areas of controversy related to the application of DXA, such as proper site of measurement, accurate interpritation, appropriate use of T-score, and the reference population young database. And the accuracy, precision, and quality control issues relating to bone density measurement are important subjects. To address these issues, the International Society for Clinical Densitometry (ISCD) has convened two Position Development Conferences and addressed official positions. This review deals the key elements of ISCD position paper and other important issues on the management of bone densitometry.

전산화(電算化) 진단(診斷)의 Database 구축을 위한 소아(小兒) 관형찰색(觀形察色)에 관한 연구(硏究) (Study on inspection in children for establishing database of computerizing diagonsis)

  • 김장현
    • 대한한방소아과학회지
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    • 제15권1호
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    • pp.165-182
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    • 2001
  • In oriental medicine, diagnostic method was the four examination(四診) which was composed of inspection(望診), inquiring(問診), listening and smelling(聞診), palpation(切診). Inspection of skin color(望色) indicated the observation of patient's complexion(色診). In oriental medical theory, complexion of face was related to meridians(經絡) and zang-fu(贓腑). The change of complexion was reflected the ups and downs of qi(氣) and blood(血), the relative seriousness of an illness. especially, observation of complexion was essential in children, because of diagnostic difficulty and positive change according to each disease. The purpose of this study was to construct for standard measurement and invent for computerizing diagnostic system which was based on observation of complexion. It was objectively measured complexion using spectrophotometer and chroma meter. Measurement of complexion should make an offer the index of diagnosis.

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CT Assessment of Myocardial Perfusion and Fractional Flow Reserve in Coronary Artery Disease: A Review of Current Clinical Evidence and Recent Developments

  • Chun-Ho Yun;Chung-Lieh Hung;Ming-Shien Wen;Yung-Liang Wan;Aaron So
    • Korean Journal of Radiology
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    • 제22권11호
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    • pp.1749-1763
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    • 2021
  • Coronary computed tomography angiography (CCTA) is routinely used for anatomical assessment of coronary artery disease (CAD). However, invasive measurement of fractional flow reserve (FFR) is the current gold standard for the diagnosis of hemodynamically significant CAD. CT-derived FFRCT and CT perfusion are two emerging techniques that can provide a functional assessment of CAD for risk stratification and clinical decision making. Several clinical studies have shown that the diagnostic performance of concomitant CCTA and functional CT assessment for detecting hemodynamically significant CAD is at least non-inferior to that of other routinely used imaging modalities. This article aims to review the current clinical evidence and recent developments in functional CT techniques.

A Case of a 16-Year-Old Patient With Chronic Invasive Aspergillosis in the Trachea Treated With Segmental Tracheal Resection and Cricotracheal Anastomosis

  • Heo, Yujin;Choi, Nayeon;Yoo, Keon Hee;Chung, Man Ki
    • 대한후두음성언어의학회지
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    • 제33권1호
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    • pp.42-44
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    • 2022
  • Chronic invasive aspergillosis is a life-threatening disease, especially in immunocompromised patients. The diagnosis and treatment of tracheal aspergillosis (TA) are challenging because of its rarity and nonspecific clinical presentations. The treatment standard of TA has been medical treatment like other forms of invasive aspergillosis, but patients with medically resistant TA require surgical intervention. We demonstrated a successful surgical outcome of chronic invasive TA in a 16-year-old patient with immunocompromised status related to acute myelocytic leukemia.

Cushing syndrome in pregnancy, diagnosed after delivery

  • Kim, Han Byul;Kim, Mi Kyung;Kim, El;Ahn, Keun Soo;Kim, Hye Soon;Kim, Nam Kyung
    • Journal of Yeungnam Medical Science
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    • 제38권1호
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    • pp.60-64
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    • 2021
  • Cushing syndrome (CS) is rare in pregnancy, and few cases have been reported to date. Women with untreated CS rarely become pregnant because of the ovulatory dysfunction induced by hypercortisolism. It is difficult to diagnose CS in pregnancy because of its very low incidence, the overlap between the clinical signs of hypercortisolism and the physiological changes that occur during pregnancy and the changes in hypothalamus-pituitary-adrenal axis activity that occur during pregnancy and limit the value of standard diagnostic testing. However, CS in pregnancy is associated with poor maternal and fetal outcomes; therefore, its early diagnosis and treatment are important. Here, we report two patients with CS that was not diagnosed during pregnancy, in whom maternal and fetal morbidity developed because of hypercortisolism.

DICOM 3.0 표준안을 이용한 의료 화상회의 시스템의 설계 (Design of Medical Conferencing System using DICOM 3.0)

  • 유선국;강영태;김광민;배수현;김남현
    • 대한의용생체공학회:학술대회논문집
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    • 대한의용생체공학회 1997년도 춘계학술대회
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    • pp.104-107
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    • 1997
  • A medical teleconferencing and medical image transmision system has been developed for diagnosis of the medical images between the medical doctors who are far away. The medical teleconferencing system transmits the voice and image of the doctors using the video and audio capture boards. The medical image transmission system software uses the medical image standard DICOM 3.0 for the future expansibility and the open system interconectivity. The medical images usually use CR images.

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최근 재증가하고 있는 미숙아망막병증의 임상 고찰 (Assessment of retinopathy of prematurity (ROP) revisited)

  • 김정훈;유영석
    • Clinical and Experimental Pediatrics
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    • 제52권1호
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    • pp.22-27
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    • 2009
  • Retinopathy of prematurity (ROP) is a major cause of blindness that affects premature infants. With advances in neonatology, ROP is likely to emerge as the most serious problem of vision loss in children even in developed countries; such a situation could be called the third epidemic of ROP. However, controversy and uncertainty still surround favorable outcomes of ROP. For successfully controlling ROP, timely and accurate screening is crucial because early treatment leads to favorable outcomes. Standard guidelines, including ROP classification, have provided satisfactory instructions for the screening and treatment of ROP. To improve the structural and functional outcomes of ROP, optimizing the timing of surgical interventions including cryotherapy, laser-photocoagulation, encircling, and vitrectomy is essential; these interventions can prevent the sequelae of ROP. It is essential for the neonatologist and the ophthalmologist to cooperate extensively for the successful treatment of ROP.

농촌지역(農村地域) 영농실태조사방법(營農實態調査方法)에 관(關)한 사례연구(事例硏究) (Case Study on Community Level Rural Statistics in Korea)

  • 신동완;권용대
    • 농업과학연구
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    • 제11권2호
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    • pp.328-335
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    • 1984
  • As the typical farming of the most Asian countries are of small and subsisting scale, the infrastructure is variable depending on the region and more complicated than in the industrialized countries. Except such basic statistics as acreage of farm land, farming population and production, there are no common standard methods to be used for indepth analysis on the farming status, the level of farming techniques, financial status of farming, consciousness of farmers and others. Therefore, it is necessary to develop survey models which can be commonly used to compare with different circumstances. The purpose of this report is to provide examples of survey models which are used to measure farming performances in Korea. Those are (1) Diagnosis and analysis on farming technique, labor utilization and farm income, (2) Management performance analysis, (3) Planning for farming, (4) Survey on the nutritional status of farming, (5) Survey on rural village status and planning regional agricultural development.

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Fertility preservation for patients with gynecologic malignancies: The Korean Society for Fertility Preservation clinical guidelines

  • Lee, Sanghoon;Kim, Seul Ki;Hwang, Kyung Joo;Kim, Tak;Kim, Seok Hyun
    • Clinical and Experimental Reproductive Medicine
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    • 제44권4호
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    • pp.175-180
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    • 2017
  • Fertility preservation plays a central role in cancer care since an increasingly large number of cancer patients are surviving as a result of improvements in diagnostic and therapeutic strategies. Physicians who take part in the initial diagnosis and management of gynecologic cancer should understand the importance of fertility preservation. Since indications for fertility preservation are limited to early-stage gynecologic cancer, a surgeon must carefully consider each indication. Before performing fertility-sparing surgery, health professionals should compare its oncologic and pregnancy outcomes with those of other standard treatments. Individualized treatment strategies should be delivered depending on the patient's situation, and physicians should provide timely information and appropriate counseling.