• 제목/요약/키워드: standard of diagnosis

검색결과 1,186건 처리시간 0.032초

Silicone Implant 삽입 후에 발생한 안와내 거대 낭종 (Large Intraorbital Cyst after Silicone Implant Insertion: A Case Report)

  • 하상욱;이혜경;유원민;탁관철
    • Archives of Plastic Surgery
    • /
    • 제33권5호
    • /
    • pp.659-662
    • /
    • 2006
  • Purpose: Alloplastic implants, such as methylmethacrylate, Teflon, silicone, Supramid are commonly used to cover the floor defect and to prevent reherniation of the displaced orbital tissue in orbital floor fracture. Silicone implant has been used for reconstruction of orbital wall defects because of pliability, advantage of carving and chemically inert nature. However, silicone implant also has complications including infection, extrusion, pain, dystopia and tissue reaction. Cyst formation around the silicone implant is a very rare complication. According to many reports, cysts around alloplastic implant in an orbital area are mostly hemorrhagic cysts consisted of blood breakdown product with fibrous capsule cell in histologic examination. Methods: The authors report atypical case and successful treatment of intraorbital hemorrhagic cyst around silicone implant of a 37-year-old male patient. Results: Preoperative symptoms of diplopia, exophthalmos, proptosis, vertical dystopia and ectropion of lower eyelid were resolved after surgical removal of implants with surrounding capsule. Conclusion: Clinical suspicion of plastic surgeon is important in diagnosis of intraorbital cyst of patients who have history of silicone implantation and computed tomography is the standard tool of diagnosis. During the operation, caution must be taken on delivering the whole capsule of intraorbital cyst along with silicone implant to prevent recurrence of the cyst.

개인이동형 교통수단(PM) 유형별 사고특성 및 위험도 비교연구 (A Comparison Study on the Risk and Accident Characteristics of Personal Mobility)

  • 이수일;김승현;김태호
    • 한국안전학회지
    • /
    • 제32권3호
    • /
    • pp.151-159
    • /
    • 2017
  • This study deals with characteristics and risk of a PM based on user survey result, road driving test and data analysis of PM accident. Text mining method is applied to extract PM accident data from Big Data, which are claim data of private insurance company. Road driving test and survey on safety, convenience, noise, overtake ability, steering ability, and climbing ability of PM are performed to evaluate user's safety and convenience considering domestic road condition. As the result of claim data analysis, annual average increase rate of PM accident is 47.4% and average compensation of personal mobility is higher than that of bicycle by maximum 1.5 times. 79.8% of PM accident is self-caused accident due to unskilled driving and age-specific diagnosis rate of driver over 60 is higher than that of under 60. Diagnosis rate of over 60 at lower limb, foot, rib and spine is especially higher than that of under 60. As the result of road driving test and user survey, satisfaction level on safety and convenience of PM is evaluated as close to that of bicycle and satisfaction level of PM is increased after boarding. Overtake ability, steering ability, and climbing ability of PM are evaluated as same or better than that of bicycle but warning equipment to pedestrian or bike such as horn is required because noise level of PM during driving is too low. Finally, user survey result shows that bicycle road is suitable for PM and safety standard, advance-education and insurance are required for PM. It is suggested that drivers' license for PM can be replaced by advance-education. Results of this study can be used to prepare safety measures and legal basis for PM operation.

Usefulness of Assessment of Stool Form by the Modified Bristol Stool Form Scale in Primary Care Pediatrics

  • Gulati, Reema;Komuravelly, Arpitha;Leb, Stephen;Mhanna, Maroun J;Ghori, Abdullah;Leon, Janeen;Needlman, Robert
    • Pediatric Gastroenterology, Hepatology & Nutrition
    • /
    • 제21권2호
    • /
    • pp.93-100
    • /
    • 2018
  • Purpose: Rome criteria are considered the gold standard for diagnosing functional constipation. The modified Bristol stool form scale (m-BSFS) was validated to measure stool form in children. However, neither the potential use of the m-BSFS as a tool to facilitate the diagnosis of potential constipation, nor the agreement between m-BSFS and stool consistency by Rome has been studied. Our objective is to determine if m-BSFS is a reliable tool to facilitate detection of constipation; and the agreement between stool form by m-BSFS and hard stool criteria in Rome. Methods: A survey tool with the Rome III criteria and the m-BSFS was developed. A Likert-scale addressed frequency of each stool form on the m-BSFS. Responses to Rome III and m-BSFS were compared. Results: The sensitivity and specificity of the m-BSFS was 79.2% and 66.0% respectively; and in children <4 years. improved to 81.2% and 75.0% respectively. There was poor agreement between hard stools by m-BSFS and the painful or hard bowel movement question of Rome Criteria. Conclusion: The potential utility of m-BSFS as a reasonably good tool to facilitate the diagnosis of potential constipation in children is shown. The poor agreement between painful or hard stool question in Rome III, and ratings for hard stool on the m-BSFS illustrates that one's perception may differ between a question and a picture. A useful pictorial tool to appraise stool form may, thus, be a favorable complement in the process of enquiry about bowel habits in well-child care.

Development of the Large-Scale Oligonucleotide Chip for the Diagnosis of Plant Viruses and its Practical Use

  • Nam, Moon;Kim, Jeong-Seon;Lim, Seungmo;Park, Chung Youl;Kim, Jeong-Gyu;Choi, Hong-Soo;Lim, Hyoun-Sub;Moon, Jae Sun;Lee, Su-Heon
    • The Plant Pathology Journal
    • /
    • 제30권1호
    • /
    • pp.51-57
    • /
    • 2014
  • A large-scale oligonucleotide (LSON) chip was developed for the detection of the plant viruses with known genetic information. The LSON chip contains two sets of 3,978 probes for 538 species of targets including plant viruses, satellite RNAs and viroids. A hundred forty thousand probes, consisting of isolate-, species- and genus-specific probes respectively, are designed from 20,000 of independent nucleotide sequence of plant viruses. Based on the economic importance, the amount of genome information, and the number of strains and/or isolates, one to fifty-one probes for each target virus are selected and spotted on the chip. The standard and field samples for the analysis of the LSON chip have been prepared and tested by RT-PCR. The probe's specific and/or nonspecific reaction patterns by LSON chip allow us to diagnose the unidentified viruses. Thus, the LSON chip in this study could be highly useful for the detection of unexpected plant viruses, the monitoring of emerging viruses and the fluctuation of the population of major viruses in each plant.

중풍환자의 화열변증 진단 기준에 관한 연구 (Study of Diagnosis Criteria For Fire-Heat Pattern in Stroke Patients)

  • 강병갑;선승호;이정섭;김소연;최선미;고미미;김정철;방옥선
    • 동의생리병리학회지
    • /
    • 제23권6호
    • /
    • pp.1486-1490
    • /
    • 2009
  • To develop the diagnostic tool for Fire-heat pattern, we analyzed sensitivity and specificity of symptom signs to diagnose the Fire-heat pattern in stroke patients. Korean medicine doctor surveyed Fire-Heat of the symptoms for the Stroke(KSDS) case report form in stroke patients within 1 month of onset. The sensitivity of "more 1/5 in major sings and 2/11 in helpful sings", "more 2/5 in major sings and 2/11 in helpful sings", "more 3/5 in major sings and 2/11 in helpful sings", "more 1/5 in major sings and 3/11 in helpful sings" "more 2/5 in major sings and 3/11 in helpful sings" "more 3/5 in major sings and 3/11 in helpful sings" are respectively 93%, 59%, 33%, 80%, 53%, 32%. The specificity are respectively 93%, 59%, 33%, 80%, 53%, 32%. The sensitivity(59%) and specificity(80%) of "more 2/5 in major sings and 2/11 in helpful sings" that to be implanted.

일 종합병원 퇴원환자의 가정간호요구조사 (A Study on post-hospital Home health Care Needs in a General Hospital)

  • 최화영;이명하
    • 가정간호학회지
    • /
    • 제9권2호
    • /
    • pp.138-152
    • /
    • 2002
  • The purpose of this study is to provide a basic data of home health care nursing centered in the hospital by analyzing home health care needs. Data were collected from June 15. 2000 to June 23. 2000 through questionnaires taken by 208 patients to be discharge in a general hospital. The Home Health Care Need instruments used for collecting data was developed by the researcher. The data obtained were analyzed using frequency. percentage. mean. standard deviation. Chi-square test. t-test. one-way ANOVA. Pearson's correlation coefficients. Cronbach's alpha coefficients and Factor Analysis. The results of the study were as follows: 1. The perception of home health care nursing were 65.4% of subjects had never heard about home health care service and 2.4% of subjects knew about the methods & contents in detail. About the demands of home health care, 58.2% of the subjects were willing to use home health care and 41.8% weren't. 2. Regarding the areas of home health care needs. basic nursing care area was the highest. Education/ counselling, exercise/ hygiene. therapeutic nursing care was orderly. Injection and medication management of basic nursing care area were the highest. 3. In relation to characteristic-related diseases and home health care needs. as for the discharge type, the existence of sores, paralysis showed significant differences with home health care needs in the area of exercise/ hygiene(p<,05). Home health care needs in the area of therapeutic nursing care and exercise/ hygiene showed significant differences with the existence of pain. Home health care needs in the area of therapeutic nursing and basic nursing areas were significantly different in the use of catheter/ assistant instrument(p<.05). Home health care needs in the area of therapeutic nursing. exercise/ hygiene and basic nursing care showed significant difference with diagnosis(p<,05). In conclusion, awareness about home health care nursing were very low, home health care needs in the area of basic nursing was the highest. Home health care needs showed significant difference with discharge type, sores, paralysis, existence of pain, use of catheter/ assistant instrument and diagnosis.

  • PDF

집단관리 결핵환자들의 건강실태조사 -코오넬 의학지수의 응용- (A Survey on Health Status of Group Controlled Pulmonary Tuberculosis Patients -Application of Cornell Medical Index-)

  • 정갑열
    • Journal of Preventive Medicine and Public Health
    • /
    • 제11권1호
    • /
    • pp.14-23
    • /
    • 1978
  • This survey was conducted on a total 672 pulmonary tuberculosis patients who were registered at certain health center in Busan, during the period from July 15th to August 31st, 1977, based on Modified Cornell Medical Index(CMI) consisting of 70 questions. Number of 'Yes' response of an individual patients was collected by each large section of Modified CMI. The each number of 'Yes' response was standardized by mean of Z scoring. Z score was obtained by following formula. Z=50+10(Xi-m)/s M : means of 'Yes' response by each section for all subjects s : standard deviation of the mean Xi : number of 'Yes' response by each section in an individual patients The results of obtained were as follows: 1. The number of investigated cases were 672 (459 males and 213 females). The most prevalent group was 20-24 years old group as 18.4% by age, moderate advanced group as 50.8% by radiological diagnosis, INH+PAS+SM group as 34.7% by antituberculotics and unemployed group as 59.9% by occupation. By bacteriological examination of sputum, the rate of negative group was 60.5% and positive group was 39.5%. 2. Z score of complaints by sex was higher in female as 52.4 than in male as 48.9 in general. By radiological diagnosis, there was decreasing tendency with age in male but increasing tendency with age in female. 3. By age group, Z score of complaints was increasing tendency with age in male but there was non-significant differences in female. 4. By bacteriological examination of sputum, the Z score of complaints was increasing tendency with the more discharged bacteria in both sex generally. 5. By antituberculotics, INH group was revealed the highest Z score of complaints as 50.4 in male and INH+PAS group was the highest as 51.21 in female. 6. By occupation, agricultural and fisherman group was the highest as 53.5 and the next group was professional, technical and related workers, unemployed and sales workers in that order.

  • PDF

ABR과 ECochG의 상관분석을 통한 전기자극이 이명치료에 미치는 영향에 관한 연구 (A Study or the Effect of Electrical Stimulation on Tinnitus Treatment based on the Correlation Analysis of ABR and ECochG)

  • 김경식;박진우;남승훈;임재중;최익수;전병훈
    • 대한의용생체공학회:학술대회논문집
    • /
    • 대한의용생체공학회 1997년도 추계학술대회
    • /
    • pp.87-90
    • /
    • 1997
  • Electrical stimulation has been used or diagnosis and treatment of impairment on the auditory system. Unfortunately, there were no standard methods or theoretical background or choosing stimulus conditions because of the lack of understanding on the current propagation through the auditory pathways. Nine guniea pigs, experimental group(A) and control group(B), were used for the experiment. ABR and ECochG were obtained under our experimental conditions, before tinnitus and 1, 6, 12 hours after tinnitus induction using salicylate. Electrical stimulations were applied to the group A, and the changes on ABR/ECochG's correlation coefficients were observed. Results showed that an electrical stimulation brings ABR waveform back to the normal states well in the group A compare to the group B, which proved the effectiveness of the stimulation. Based on the results of this experiment, establishment of an electrical model which provide the quantitative information regarding diagnosis and treatment of tinnitus could be achievied.

  • PDF

Performance of the BD MAX MDR-TB assay in a clinical setting and its impact on the clinical course of patients with pulmonary tuberculosis: a retrospective before-after study

  • Sung Jun Ko;Kui Hyun Yoon;Sang Hee Lee
    • Journal of Yeungnam Medical Science
    • /
    • 제41권2호
    • /
    • pp.113-119
    • /
    • 2024
  • Background: Missing isoniazid (INH) resistance during tuberculosis (TB) diagnosis can worsen the outcomes of INH-resistant TB. The BD MAX MDR-TB assay (BD MAX) facilitates the rapid detection of TB and INH and rifampin (RIF) resistance; however, data related to its performance in clinical setting remain limited. Moreover, its effect on treatment outcomes has not yet been studied. Methods: We compared the performance of BD MAX for the detection of INH/RIF resistances to that of the line probe assay (LPA) in patients with pulmonary TB (PTB), using the results of a phenotypic drug sensitivity test as a reference standard. The treatment outcomes of patients who used BD MAX were compared with those of patients who did not. Results: Of the 83 patients included in the study, the BD MAX was used for an initial PTB diagnosis in 39 patients. The sensitivity of BD MAX for detecting PTB was 79.5%. The sensitivity and specificity of BD MAX for INH resistance were both 100%, whereas these were 50.0% and 95.8%, respectively, for RIF resistance. The sensitivity and specificity of BD MAX were comparable to those of LPA. The BD MAX group had a shorter time interval from specimen request to the initiation of anti-TB drugs (2.0 days vs. 5.5 days, p=0.001). Conclusion: BD MAX showed comparable performance to conventional tests for detecting PTB and INH/RIF resistances. The implementation of BD MAX as a diagnostic tool for PTB resulted in a shorter turnaround time for the initiation of PTB treatment.

버블의 크기별 입도분포와 부상시간과의 상관특성에 관한 연구 (A Study on the Relation Characteristics between Bubble Size Distribution and Floating Time)

  • 전건;박철휘
    • 대한환경공학회지
    • /
    • 제39권5호
    • /
    • pp.277-281
    • /
    • 2017
  • 최근 강우는 짧은 시간에 많은 비가 오는 특성을 자주 나타낸다. 이런 기상현상 때문에, 초기유출수와 합류식하수관거 월류수의 유입유량과 농도도 변화되고 있다. 이와 같이 유입조건이 변동되는 경우에는, 높은 수면적부하율을 가지는 부상방법이 공공수역의 수질관리에 적합하다. 왜냐하면 부상법은 공공수계의 요구조건을 충족 할 수 있기 때문이다. 현재까지 이러한 부상법의 검증과 진단을 위하여, 공급공기량과 유입SS량의 비율을 반영하여 왔다. 그러나 불행하게도 이러한 방식은 기술진단과 검증을 위한 판단기준으로는 그 한계를 가진다. 왜냐하면 부상속도와 시간요소가 상이한 버블분포에 의해 달라지기 때문이다. 부상속도와 시간은 처리시설의 용량에 영향을 준다. 왜냐하면 시간인자가 시설의 규모를 결정하기 때문이다. 그러므로, 동일한 공급공기량과 유입SS농도간 비율조건에서의 버블분포특성과 부상시간특성을 운영 및 기술진단 및 평가를 위한 판단기준으로 적용하여야만 한다. 따라서 이러한 필요에 따라, 이 논문 내용은 버블분포와 부상시간간 관계의 분석에 대한 실증적 일반화에 관한 연구이다.