• Title/Summary/Keyword: 임상 결과 예측

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Mediastinal Lymph Node Metastasis from Head and Neck Cancer: Predictive Factors and Imaging Features (두경부암의 종격동 림프절 전이: 예측인자 및 영상 소견)

  • Il Kwon Ko;Dae Young Yoon;Sora Baek;Ji Hyun Hong;Eun Joo Yun;In Jae Lee
    • Journal of the Korean Society of Radiology
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    • v.82 no.5
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    • pp.1246-1257
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    • 2021
  • Purpose To assess the predictive factors and describe the imaging features of mediastinal lymph node (MLN) metastases in patients with head and neck cancer. Materials and Methods We compared the clinical features and disease characteristics (sex, age, site of primary tumor, histologic type, history of prior treatments, TNM stages, and metastasis in cervical LNs) of patients with head and neck cancers between the MLN metastasis and no MLN metastasis groups. We also evaluated the chest CT (distribution and maximum dimension of the largest LN) and PET/CT (maximum standardized uptake value) features of MLN metastases based on the MLN classification. Results Of the 470 patients with head and neck cancer, 55 (11.7%) had MLN metastasis, involving 150 mediastinal stations. Hypopharynx cancer, recurrent tumor, T4 stage, N2/N3 stages, and M1 stage were found to be significant predicting factors for MLN metastasis. The most common location of MLN metastasis was ipsilateral station 2 (upper paratracheal LNs, 36.4%), followed by ipsilateral station 11 (interlobar LNs, 27.3%) and ipsilateral station 10 (hilar LNs, 25.5%). Conclusion Metastasis to MLNs should be considered in patients with head and neck cancer, especially in cases that are associated with a hypopharyngeal cancer, recurrent tumor, and high TNM stages.

Effects of activator treatment on different skeletal patterns in growing class II malocclusion patients (성장기 II급 부정교합자에서 골격 형태에 따른 액티베이터 사용 효과에 관한 연구)

  • Ki, Jun-Hun;Lee, Jin-Woo
    • The korean journal of orthodontics
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    • v.37 no.1 s.120
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    • pp.29-43
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    • 2007
  • Objective: To establish proper diagnosis and treatment plan for skeletal Class II malocclusions, some important factors to consider are the patient's skeletal morphology, prognosis as well as the treatment effects. Therefore, the present study analyzed the effects of activator treatment on different skeletal patterns in growing Class II malocclusion patients. Methods: A total of 116 patients (53 boys & 63 girls) in the experimental group were treated with the activator appliance. The experimental group was classified into either hyperdivergent or hypodivergent groups according to articular and genial angles. Results: Patients with hypodivergent growth patterns showed good effects of activator treatment. Conclusion: It seems conceivable that through classifying adolescent Class II malocclusion patients into different skeletal patterns, activator treatment effects may be predicted during the diagnosis and treatment planning stage.

THE STUDY ON THE RELATIONSHIP BETWEEN THE MENARCHE AND THE BONE MATURITY OF MALOCCUSION GROUP (초경시기와 골성숙도의 연관성에 관한 연구)

  • Chang, Youn-Hee;Chung, Kyu-Rhim
    • The korean journal of orthodontics
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    • v.25 no.4
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    • pp.415-423
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    • 1995
  • In order to investigate the relationship between the menarche and the bone maturity of growing girls, the author interviewed about the date of menarche of 70 girls and assessed their bone maturity by hand-wrist radiographs. The results and conclusion were as iollows ; 1. The mean menarcheal age was $12.04{\pm}0.82$ year. 2. There was significant correlation between the time interval after menarche and the ossification stage. 3. The skeletal maturation level at menarche was stage SMI 7 and SMI 8. 4. There was statistically different among the time intervals after menarche according to the ossification stage. 5. The epiphyseal union of radius began about 2 years after menarche. According to this study, the probability of clinical use can be accepted in some range. In another words, skeletal age can be predicted by just interviewing the date and time interval of menarche without hand-wrist radiograph, also, with this information, the level of maxillofacial growth can be assessed.

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Analysis of Site Suitability of Forest Stands for Extracting Sap of Acer pictum var. mono Using GIS and Fuzzy Sets (퍼지집합과 GIS를 이용한 고로쇠나무 임분의 수액채취 적지 분석)

  • Lee, Byungdoo;Chung, Joosang;Kwon, Dae-soon
    • Journal of Korean Society of Forest Science
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    • v.95 no.1
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    • pp.38-44
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    • 2006
  • Using GJS and fuzzy sets, a model was developed for evaluating the site-suitability of forest stands for extracting sap of Acer pictum Thunb. var. mono in Mt. Baekun area. In the model, the productivity of sap extraction was expressed as the function of biotic and abiotic site factors. Among the factors, the topographic terrain conditions and accessibility of forest stands were chosen to consider working environment of the sap extraction. The difference in measurements of the factors between sap-extraction and non-sap-extraction forest stands was used in determining the weight of the relative importance for sap extraction productivity. The weight for distance-to-stream, vegetation type and shading condition turned out relatively higher than those for tree age, distance-to-road and DBH. Based on the results, a site-suitability map in Mt. Baekun area for sap extraction was built.

A CASE STUDY ON CLINICAL APPLICATION OF COMPUTED TOMOGRAPHY IN PEDIATRIC DENTISTRY (소아치과 영역에서 전산화 단층촬영술의 임상적 활용에 대한 증례보고)

  • Lee, Yoon-Seok;Jang, Ki-Taeg;Lee, Sang-Hoon
    • Journal of the korean academy of Pediatric Dentistry
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    • v.25 no.3
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    • pp.493-498
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    • 1998
  • Computed tomography(CT) has become more widely available in recent years and is recognized as an important diagnostic tool for complex disease and condition of the orofacial structure in adults. In pediatric patients, especially in the mixed dentition period, the number of superimposing dental structures in the jaw bone is much greater than in the permanant dentition period. Therefore, in spite of radiation risk, computed tomography should sometimes be used in pediatric patients in order to obtain a precise and valid diagnosis. This case study presents clinical application of computed tomography on patients visiting department of pediatric dentistry in Seoul National University Dental Hospital. The results obtained through these cases were summarized as follow : 1. Localization of impacted teeth using CT allows for efficient treatment planning leading to reduced postoperative complications. 2. In orthodontic traction of impacted permanent teeth, utilization of CT made exact localization of window site and determination of prognosis possible. 3. Use of CT made possible definite diagnosis of lesions in the jaw that were only suspected on plain film radiographs. 4. Careful selection is necessary when applying CT on children due to increased radiation dose and high cost.

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Landslide Detection and Landslide Susceptibility Mapping using Aerial Photos and Artificial Neural Networks (항공사진을 이용한 산사태 탐지 및 인공신경망을 이용한 산사태 취약성 분석)

  • Oh, Hyun-Joo
    • Korean Journal of Remote Sensing
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    • v.26 no.1
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    • pp.47-57
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    • 2010
  • The aim of this study is to detect landslide using digital aerial photography and apply the landslide to landslide susceptibility mapping by artificial neural network (ANN) and geographic information system (GIS) at Jinbu area where many landslides have occurred in 2006 by typhoon Ewiniar, Bilis and Kaemi. Landslide locations were identified by visual interpretation of aerial photography taken before and after landslide occurrence, and checked in field. For landslide susceptibility mapping, maps of the topography, geology, soil, forest, lineament, and landuse were constructed from the spatial data sets. Using the factors and landslide location and artificial neural network, the relative weight for the each factors was determinated by back-propagation algorithm. As the result, the aspect and slope factor showed higher weight in 1.2-1.5 times than other factors. Then, landslide susceptibility map was drawn using the weights and finally, the map was validated by comparing with landslide locations that were not used directly in the analysis. As the validation result, the prediction accuracy showed 81.44%.

CAD-CAM technique based digital diagnosis and fixed partial denture treatment on maxillary congenital missing teeth with skeletal class III tendency patient: A case report (상악 선천성 결손과 하악 골격성 제3급 부정교합 경향성을 보이는 환자에게서 CAD-CAM 기법을 이용한 진단과 고정성 보철 수복 증례 보고)

  • Oh, SaeEun;Park, YoungBum;Park, JaeHan
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.4
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    • pp.354-361
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    • 2022
  • The development of digital technology is causing great changes in dentistry. This digital workflow combines various 3D data in the prosthetic treatment area for diagnosis and prosthetic manufacturing. The planned diagnosis and the fabrication of prosthesis in a virtual patient formed by synthesizing digital data can simulate the results of prosthetic treatment more intuitively than conventional methods, thereby increasing the predictability of aesthetic prosthetic treatment. In this case report, functionally and aesthetically satisfied clinical results were obtained by fabricating a fixed partial dentures through a digital workflow on congenital missing teeth in the maxillary anterior region.

The Clinical Usefulness of Ultrasound-Guided Fine Needle Aspiration Cytology in Thyroid Nodules (갑상선 결절에서 초음파 유도 미세침흡인검사의 임상적 유용성)

  • Kim, Mi-Young;Park, Young-Sun
    • Journal of radiological science and technology
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    • v.31 no.2
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    • pp.141-147
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    • 2008
  • Thyroid nodules are a common disease in clinical practice. Fine needle aspiration (FNA) is an accurate and safe method for the diagnosis of thyroid nodules. One of the limitations of FNA is the variable rate of unsatisfactory specimens, especially in small sized, deep seated or complex cystic nodules. To overcome this problem, ultrasound-guided FNA (US-FNA) has been widely used. In this study, the clinical usefulness of US-FNA cytology in thyroid nodules was investigated. Female to male ratio was 6.58:1. The incidence of nodules were 157 (43.1%) cases on the right, 130 (35.7%) cases on the left and 9 (2.5%) cases in isthmus. Total 139 cases (38.2%) belong to less than 1cm and 225 cases (61.8%) belong to more than 1cm. As for the echo type in the nodules, solid types were 255(70.1%), cystic type 39 (10.7%) cases, and the percentage of mixed type was 19.2%. The results show that US-FNA reduces the possibility of unsatisfactory cytologic specimens and the rate of false-negative diagnosis, and improves the diagnostic accuracy in investigation thyroid nodules.

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The Influence of the Clinical Nurses' Emotional Labor and Resourcefulness on the Turnover Intention (병원간호사의 감정노동과 자원동원성이 이직 의도에 미치는 영향)

  • Kang, So-Ra;Kim, Yoonjung;Seo, Hyung-eun;Bang, Yun-Yi;Lee, Gunjeong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.6
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    • pp.302-311
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    • 2017
  • This is predictive correlational study to identify the influence of emotional labor and resourcefulness on turnover intention among clinical nurses. The participants were 138 clinical nurses and the data were collected by an online survey using a self-administered questionnaire from 10th to 17th April, 2016.The collected data were analyzed using SPSS program through t-test, One-way ANOVA, Scheffe's test and multiple linear regression. In the results, there were differences in emotional labor by age, marital status, job position, clinical career, shift work, in resourcefulness by gender, clinical career, and in turnover intention by age. As a result of multiple linear regression, emotional labor and resourcefulness were selected as significant related variables affecting nurse's turnover intentions. These factors accounted for 3.7% of turnover intention, which necessitates the consideration of a specific plan to reduce emotional labor and increase resourcefulness for decreasing clinical nurse's turnover intention.

Effects of Robot-assisted Therapy on Lower Limb in Patients with Subacute Stroke (아급성기 뇌졸중 환자에서의 로봇 보조 보행훈련 효과)

  • Kim, Ji Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.7
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    • pp.459-466
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    • 2016
  • This study examined the effects of robot-assisted therapy on the motor and functional recovery of the lower limbs in 53 subacute stroke patients. Robot-assisted therapy was performed using Lokomat? (Hocoma AG, Zurich, Switzerland) for thirty minutes per day, five times a week for four weeks. The outcome measures used were the Fugl-Meyer assessment, Motricity index(MI), Functional ambulation category(FAC), Berg balance scale(BBS) for gait function and balance ability, 10m walking test, K-Modified Barthel Index(K-MBI) for the activities of daily living and Mini mental state examination (MMSE), and Beck's depression inventory(BDI) for depression. All patients recruited underwent these evaluations before and after the four week robot-assisted therapy. For the evaluation, the somatosensory evoked potentials were used to assess the functional recovery. Robot-assisted therapy on the lower limb after subacute stroke showed improvement in motor strength, gait function, and the activities of daily living. All changes in terms of MI, FAC, BBS, and K-MBI exhibited a statistically significant difference after the four weeks robot-assisted therapy. The somatosensory evoked potential result showed a correlation with the MI and K-MBI. Robot-assisted therapy is believed to facilitate the motor and functional recovery of the lower limb in subacute stroke patients.