• 제목/요약/키워드: standard of diagnosis

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조선업에서 산업재해로 인정된 근골격계질환의 특성 (Characteristics of Work-related Musculoskeletal Disorders Compensated by the Industrial Accident Compensation Insurance in Shipbuilding Industry)

  • 김상우;신용철;강동묵
    • 한국산업보건학회지
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    • 제15권2호
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    • pp.114-123
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    • 2005
  • We analyzed the demographic and job features of 197 shipyard workers with work-related musculoskeletal disorders(WMSDs) compensated by the Industrial Accident Compensation Insurance Act, and the features of the disorders, the causes of operation and the induced behaviors. The three shipbuilding companies surveyed were located in Busan Metropolitan city and Gyungsangnam-do. The results were as follows. 1. The ages of WMSDs patients in shipyard were $43.6{\pm}8.6$ and the job tenure was $14.3{\pm}5.6$. The 40's of them was 40.1%, and the 30's was 29.4%. Patients less than 5 year-work duration were 85.3%, and ones more than 16 year-work duration 6.6%. In occupations, welders were 32.5%, pre-welders 17.3%, and setting engineers 6.6%. 2. The causes of WMSDs in shipyard were works(95.4%) and outer crash or accident shock (3.6%). Based on the standard of the NIOSH induced behaviors, the causes were awkward posture (62.9%), excessive movement(19.3%) and repetitive movement(13.7%). 3. The compensated WMSDs by body part was the highest, 36%, in the spines, 32.0% in both the upper limbs and the spines, and 14% in the upper limbs. The number of cases of WMSDs in body were 96 in the cervical, 79 in the lumbar and 72 in the shoulders. 4. As a result of chi-square test(${\chi}^2$) between diagnosis and operation in body, welding and spot welding had the most diagnoses in all parts of the body among other occupations. Chi-square test(${\chi}^2$) between diagnosis and induced behavior in body showed that awkward postures recorded the highest rate and repetitive movements was the second. 5. The most hazardous occupation was the welding(incidence rate=9.7) and the most hazardous behavior was the awkward posture.

알레르기 비염 환자의 의과·한의과 의료 이용 현황 분석 : 2010-2016년 청구 데이터 분석 (Analysis of Medical Care Utilization of Allergic Rhinitis Patients in Western Medicine and Korean Medicine between 2010 and 2016 : A Study of the Health Insurance Review and Assessment Service National Patients Sample Database)

  • 류지인;김정훈;강채영;황진섭;이동효
    • 한방안이비인후피부과학회지
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    • 제34권2호
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    • pp.21-37
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    • 2021
  • Objectives : Allergic rhinitis(AR) is a common chronic disease that accounts for 10-40% of the world's population. This study aims to analyze the status of claims, prevalence, and medical utilization of allergic rhinitis patients using representative patients sample data. Methods : This study used the National Patients Sample(HIRA-NPS) of the Health Insurance Review and Assessment Service for 7 years(2010-2016). And we defined AR patients as all statements including J30 or a subcategory of J30 as the main disease, using the Korean Standard Classification of Diseases(KCD-7). The trend of AR patients by year was divided into Western medicine(WM) and Korean medicine(KM), and analyzed by subgroup analysis such as inpatient/outpatient, gender, age, insurance type, and care institution. Results : Patients with AR were mainly claimed for first sub diagnosis in WM and major diagnosis in KM, and the number of claims increased about 1.3 times and 1.4 times compared to 2010 in WM and KM, respectively. In addition, the total annual medical expenses in 2016 increased 1.3 times and 1.7 times compared to 2010, respectively. Conclusions : Both WM and KM are showing a steadily increasing trend in medical use due to allergic rhinitis. Further research is needed by considering genetic and environmental factors and individual characteristics, and linking with additional data.

몰드 변압기의 절연 진단을 위한 로고우스키형 부분방전 센서의 설계 및 제작 (Design and Fabrication of Rogowski-type Partial Discharge Sensor for Insulation Diagnosis of Cast-Resin Transformers)

  • 이경렬;김성욱;길경석
    • 한국전기전자재료학회논문지
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    • 제35권6호
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    • pp.594-602
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    • 2022
  • Cast-resin transformers are widely installed in various electrical power systems because of their low operating cost and low influence on external environmental factors. However, when they have an internal defect during the manufacturing process or operation, a partial discharge (PD) occurs, and eventually destroys the insulation. In this paper, a Rogowski-type PD sensor was studied to replace commercial PD sensors used for the insulation diagnosis of power apparatus. The proposed PD sensor was manufactured with four different types of PCB-based winding structures, and it was analyzed in terms of the detection characteristics for standard calibration pulses and the changes of the output voltage according to the distance. The output increased linearly in accordance with the applied discharge amount. It was confirmed that the hexagon structure sensor had the highest sensitivity, because the winding cross-sectional area of the sensor was larger than others. In addition, as the distance from the defect increased, the output voltage of the sensors decreased by 7.32% on average. It was also confirmed that the attenuation rate according to the distance decreased as the input discharge amount increased. For the application of this new type sensor, PD electrode system was designed to simulate the void defect. Waveforms and PRPD patterns measured by the proposed PD sensors at DIV and 120% of DIV were the same as the results measured by MPD 600 based on IEC 60270. The proposed PD sensors can be installed on the inner wall of the transformer tank by coating its surfaces with a non-conductive material; therefore, it is possible to detect internal defects more effectively at a closer distance from the defect than the conventional sensors.

악관절 내장증 평가 시 경두개 방사선사진의 임상적 유용성: MRI와의 비교연구 (The validity of transcranial radiography in diagnosis of internal derangement)

  • 이인송;안석준;김태우
    • 대한치과교정학회지
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    • 제36권2호
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    • pp.136-144
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    • 2006
  • 본 연구는 표준 경두개 방사선사진에서 나타나는 하악두/관절와의 위치 관계 및 형태 특징과 MRI에서 관찰되는 관절원판의 변위 여부를 비교함으로써 측두하악관절 내장증 평가 시 경두개 방사선사진의 임상적 이용 가능성을 알아보고자 하였다. 연구는 성인 환자 76명(남자 26명, 여자 50명)의 113개 악관절을 대상으로 하였다 MRI 자료를 기초로 하여 각 악관절을 정상군, 정복성 관절원판 변위군, 비정복성 관절원판 변위군으로 분류하였으며 최대 감합시의 경두개 방사선사진에서 관절와와 하악두 간의 전방, 후방 및 상방 직선 거리를 계측하여 상대적 위치 평가를 하고 형태적 특징을 판별하기 위해 악관절 경부와 두부간의 각도를 계측하였다. 또한 각 군에 따라 경두개 방사선 계측항목 간에 유의성 있는 차이가 있는지 알아보기 위해 일원분산분석과 다중비교분석을 시행하였다. 표준 경두개 방사선사진에서 나타나는 관절와와 하악두의 위치 관계는 관절원판 변위 여부 및 진행 정도와 상관성을 보이지 않았다. 또한 하악측두관절 경부와 하악두가 이루는 각도는 비정복성 관절원판 변위군에서 유의성 있게 증가하였다. 이는 하악두각이 악관절 내장증의 진행에 따른 악관절의 구조적인 경조직 변화를 반영한다고 볼 수 있으나 이것에만 근거하여 관절원판 변위 여부를 판단하기에는 근거가 미약하다.

소아 상부요로감염의 진단을 위한 출력 도풀러 초음파조영술 (Power Doppler Sonography for the Upper Urinary Tract Infection in Children)

  • 최정연;조재호;박용훈
    • Journal of Yeungnam Medical Science
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    • 제24권2호
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    • pp.179-185
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    • 2007
  • 결론적으로 출력 도플러 신초음파는 급성신우신염의 병변을 찾는데에 특이도나 민감도가 그리 높지 않았으나 하부요로감염과 급성신우신염을 감별하는데에 어느 정도 유용하였으며, 특히 DMSA 스캔을 같이 실시하는 경우에는 신손상을 찾는데 더 도움이 될 수 있었다. 소아들의 상부요로감염의 진단을 위하여 출력 도플러 신초음파가 DMSA 스캔을 대체하는 영상검사로서는 한계가 있어 향후 보다 많은 시술로 진단을 위한 검사의 질을 높이는 방법을 찾아보아야 할 것이다.

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Factors Influencing Visual Field Recovery after Transsphenoidal Resection of a Pituitary Adenoma

  • Lee, Dong Kyu;Sung, Mi Sun;Park, Sang Woo
    • Korean Journal of Ophthalmology
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    • 제32권6호
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    • pp.488-496
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    • 2018
  • Purpose: This study aimed to analyze the factors influencing visual field recovery after transsphenoidal approach-tumor resection (TSA-TR) in pituitary adenoma patients with visual field defects (VFDs). Methods: We retrospectively evaluated 102 eyes of 102 patients with VFDs induced by pituitary adenomas who underwent TSA-TR between January 2010 and December 2015. All patients had been observed for more than one year. The severity of the VFD in each patient was evaluated using the mean deviation (MD) and pattern standard deviation in the most-affected eye. Clinical and demographic data such as preoperative visual acuity and visual field, age, sex, tumor volume, neurological symptoms at diagnosis, duration of symptoms, patterns of the preoperative VFD, and preoperative central VFD were investigated and analyzed for association with recovery of the visual field. Results: Recovery from VFDs occurred in 71 (69.6%) eyes after a mean period of $18.36{\pm}5.21$ months. The recovery group was younger (p = 0.003), had higher preoperative MD values (p = 0.016), and had better preoperative visual acuity (p = 0.03), compared with the non-recovery group. Preoperative central VFD (p = 0.006) and preoperative bilateral VFD (p = 0.016) were significantly less frequent in the recovery group. Multivariate logistic regression revealed that age at diagnosis (odds ratio [OR], 0.962; p = 0.022), preoperative MD (OR, 1.069; p = 0.046), preoperative central VFD (OR, 0.212; p = 0.039), and preoperative bilateral VFD (OR, 0.212; p = 0.035) were associated with visual field recovery after TSA-TR. Conclusions: Younger age, higher preoperative MD, and the preoperative abscence of central VFD or bilateral VFD were favorable factors influencing visual field recovery after TSA-TR in patients with pituitary adenomas. An understanding of the associated clinical factors may help predict visual outcomes after TSA-TR in pituitary adenoma patients with VFDs.

서지 보호기의 열화 특성과 온라인 진단장치 (Deterioration Characteristics and an On-Line Diagnostic Equipment for Surge Protective Devices)

  • 박경수;왕국명;황성철;김선재;길경석
    • 한국전기전자재료학회논문지
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    • 제29권10호
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    • pp.635-640
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    • 2016
  • This paper dealt with the deterioration characteristics and an on-line diagnosis equipment for SPDs (surge protective devices). An accelerated aging test was carried out using a $8/20{\mu}s$ standard lightning impulse current to analyze the changes of electrical characteristics and to propose the diagnostic parameters and the criterion for deterioration of ZnO varistor which is the core component of SPDs. Based on the experimental results, an on-line diagnosis equipment for SPD was fabricated, which can measure the total leakage current, reference and clamping voltage. The leakage current measurement circuit was designed using a low-noise amplifier and a clamp type ZCT. A linear controller, the leakage current measurement part and a HVDC were used in the measurement of reference voltage. The measurement circuit of clamping voltage consisted of a surge generator and a coupling circuit. In a calibration process, measurement error of the prototype equipment was less than 3%.

Cognitive Behavioral Therapy in Breast Cancer Patients - a Feasibility Study of an 8 Week Intervention for Tumor Associated Fatigue Treatment

  • Eichler, Christian;Pia, Multhaupt;Sibylle, Multhaupt;Sauerwald, Axel;Friedrich, Wolff;Warm, Mathias
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권3호
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    • pp.1063-1067
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    • 2015
  • Background: Tumor associated fatigue (TAF) or cancer related fatigue (CRF) is not a new concept. Nonetheless, no real headway has been made in the quantitative analysis of its successful treatment via cognitive behavioral therapy. Since 20 to 30% of all breast cancer patients suffer from anxiety and/or depression within the first year of their diagnosis, this issue needs to be addressed and a standard treatment protocol has to be developed. This study focused on developing a simple, reproducible and short (8 weeks) protocol for the cognitive behavioral therapy support of tumor associated fatigue patients. Materials and Methods: Between the year 2011 and 2012, 23 breast cancer patients fulfilled the diagnosis TAF requirements and were introduced into this study. Our method focused on a psycho-oncological support group using a predetermined, highly structured and reproducible, cognitive behavioral therapy treatment manual. Eight weekly, 90 minute sessions were conducted and patients were evaluated before and after this eight session block. Tumor fatigue specific questionnaires such as the multidimensional fatigue inventory (MFI) as well as the hospital anxiety and depression scale (HADS) were used in order to quantitatively evaluate patient TAF. Results: Of the 23 patients enrolled in the study, only 7 patients fulfilled the TAF diagnostic criteria after the psycho-oncological group treatment. This represents a 70% reduction in diagnosable tumor associated fatigue. The HADS analysis showed a 33% reduction in patient anxiety as well as a 57% reduction in patient depression levels. The MFI scores showed a significant reduction in 4 of the 5 evaluate categories. With the exception of the "mental fatigue" MFI category all results were statistically significant. Conclusions: This study showed that a highly structured, cognitive behavioral therapy group intervention will produce significant improvements in breast cancer patient tumor associated fatigue levels after only 8 weeks.

몰드변압기에서 용량성 프로브에 의한 부분방전 검출 기술 (Detection Technique of Partial Discharge by a Capacitive Probe in Cast-resin Transformers)

  • 정광석;박대원;차현규;차상욱;길경석
    • 한국전기전자재료학회논문지
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    • 제24권4호
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    • pp.319-324
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    • 2011
  • This paper dealt with a partial discharge (PD) detection method for insulation diagnosis in cast-resin transformers. To detect PD pulse, a planar-capacitive probe was designed and fabricated. The probe has no insulation problem and can be installed on cast-resin transformers even in operation since it does not connect with high voltage conductor. The PD measurement system consists of the capacitive probe, a coupling network of 100 [kHz] low-cutoff frequency, and an amplifier with a gain of 40 [dB] and a frequency bandwidth of 500 [Hz]~45 [MHz]. A plane-needle and a plane-plane electrode system were fabricated to simulate insulation defects in a cast-resin transformer. Sensitivity of the PD measurement system, which is evaluated by a standard calibrator was 0.35 [mV/pC] for positive and 0.45 [mV/pC] for negative, respectively. The PD detection by the capacitive probe was less sensitive than that by a coupling capacitor according to IEC 60270, but we could analyze the magnitude and the phase distribution of PD pulse.

Clinical application of chromosomal microarray for pathogenic genomic imbalance in fetuses with increased nuchal translucency but normal karyotype

  • Lee, Dongsook;Go, Sanghee;Na, Sohyun;Park, Surim;Ma, Jinyoung;Hwang, Doyeong
    • Journal of Genetic Medicine
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    • 제17권1호
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    • pp.21-26
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    • 2020
  • Purpose: To evaluate the additive value of prenatal chromosomal microarray analysis (CMA) in assessing increased nuchal translucency (NT) (≥3.5 mm) with normal karyotype and the possibility of detecting clinically significant genomic imbalance, based on specific indications. Materials and Methods: Invasive samples from 494 pregnancies with NT ≥3.5 mm, obtained from the Research Center of Fertility & Genetics of Hamchoon Women's Clinic between January 2019 and February 2020, were included in this study and CMA was performed in addition to a standard karyotype. Results: In total, 494 cases were subjected to both karyotype and CMA analyses. Among these, 199 cases of aneuploidy were excluded. CMA was performed on the remaining 295 cases (59.7%), which showed normal (231/295, 78.3%) or non-significant copy number variation (CNV), such as benign CNV or variants of uncertain clinical significance likely benign (53/295, 18.0%). Clinically significant CNVs were detected in 11 cases (11/295, 3.7%). Conclusion: Prenatal CMA resulted in a 3% to 4% higher CNV diagnosis rate in fetuses exhibiting increased NT (≥3.5 mm) without other ultrasound detected anomalies and normal karyotype. Therefore, we suggest using high resolution, non- targeting CMA to provide valuable additional information for prenatal diagnosis. Further, we recommend that a genetics specialist should be consulted to interpret the information appropriately and provide counseling and follow-up services after prenatal CMA.