• Title/Summary/Keyword: 환자의 분류

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Classification of Delirium Patients Using Local Covering Based Rule Acquisition Approach (로컬 커버링 규칙 획득기법을 활용한 섬망 환자의 분류)

  • Son, Chang-Sik;Kang, Won-Seok;Lee, Jong-Ha;Moon, Kyoung-Ja
    • Proceedings of the Korea Information Processing Society Conference
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    • 2019.10a
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    • pp.864-867
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    • 2019
  • 본 연구에서는 러프 근사화 개념을 활용하여 섬망 환자를 사전에 구별할 수 있는 임상적 지식을 유도할 수 있는 방법을 제안하였다. 실험 결과에서는 평균 섬망기간이 13일 이상 유지되는 6가지 임상적 분류기준을 유도하였고, 통계적 5겹 교차검정 실험을 통해 73%의 분류 성능을 제공함을 확인하였다.

Changes of Serum soluble ICAM-1 levels in Patients with Lung Cancer (폐암 환자에서 혈청 soluble ICAM-1농도의 변화)

  • Yoo, Wan Hee;Lee, Yong Chul;Rhee, Yang Keun
    • Tuberculosis and Respiratory Diseases
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    • v.43 no.4
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    • pp.527-535
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    • 1996
  • Background : Cell adhesion molecules knave been Implicated In the various stages of tumor progression and metastasis. ICAM-1 plays a important roles in cell-cell interactions in inflammatory and immune response of several diseases. Recently, elevated levels of sICAM-1 in circulation was reported as association with liver metastasis in gastric, Colonic, gall bladder and pancreatic cancer, with reduced survival in malignant melanoma. This study was performed to measure the sICAM-1 in patients with lung cancer and to evaluate the relations between staging of lung cancer and level of sICAM-1. Methods : Serum sICAM-1 was measured in 36 patients with lung cancer according to the pathologic types and clinical staging before therapy and in 8 controls with ICAM-1 ELISA kit. Results : Serum sICAM-1 levels were elevated in patients with lung cancer except small cell type. Also progression and metastasis of lung cancer associated with elevation of sICAM-1 levels. Conclusion : These results suggest that higher levels of serum ICAM-1 reflect the progression and metastasis of lung cancer and it may be used as a marker with diagnostic and prognostic significance.

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THE STUDY ON THE ORTHODONTIC PATIENTS WHO VISITED DEPARTMENT OF PEDIATRIC DENTISTRY, CHONNAM NATIONAL UNIVERSITY HOSPITAL (전남대학교병원 소아치과에 내원한 부정교합 환자에 관한 연구)

  • Yang, Kyu-Ho;Choi, Nam-Ki
    • Journal of the korean academy of Pediatric Dentistry
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    • v.27 no.1
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    • pp.113-121
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    • 2000
  • This study was aimed to provide an epidemiologic study so that we could accommadate their orthodontic needs adequately and to obtain the reliable quantitative information regarding the characteristics of orthodontic patients who visited the Department of pediatric dentistry, Chonnam National University Hospital from 1986 to 1999, October. The results were as follows. 1 The total number of orthodontic patients were 1,381(male 658, female 723) and the number of annual patients showed irregular trend and the number of male were slightly higher than that of female. 2. According to the investigation made by age group, the group of under 5 years, 6 to 7, 8 to 9, 10 to 11, 12 to 13 and above 14 years showed 8.4%, 29.6%, 34.3%, 21.2%, 5.7% and 0.8%, respectively. 3. The patients corresponding to primary dentition were 15.7% of total patients and mesial step, distal step and flush terminal plane were 83%, 4.6% and 12.4% respectively. By the way 82% of mesial step had anterior crossbite at the same time. 4. The patients corresponding to Angle classification were 84.3% of total patients and Class I malocclusion, Class II div. 1, Class II div. 2 and Class III was 34.7%, 34.6%, 2.1% and 28.6%, respectively.

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Deriving rules for identifying diabetic among individuals with metabolic syndrome (대사증후군 환자 가운데 당뇨환자를 찾기 위한 규칙 도출)

  • Choi, Jinwook;Suh, Yongmoo
    • Journal of Digital Convergence
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    • v.16 no.11
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    • pp.363-372
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    • 2018
  • The objective of this study is to derive specific classification rules that could be used to prevent individuals with Metabolic Syndrome (MS) from developing diabetes. Specifically, we aim to identify rules which classify individuals with MS into those without diabetes (class 0) and those with diabetes (class 1). In this study we collected data from Korean National Health and Nutrition Examination Survey and built a decision tree after data pre-processing. The decision tree brings about five useful rules and their average classification accuracy is quite high (75.8%). In addition, the decision tree showed that high blood pressure and waist circumference are the most influential factors on the classification of the two groups. Our research results will serve as good guidelines for clinicians to provide better treatment for patients with MS, such that they do not develop diabetes.

Comparison of New AJCC Staging System with OId AJCC Staging System in Nasopharyngeal Carcinoma (비인강암에서의 AJCC의 새로운 병기 분류법과 기존 병기 분류법의 비교)

  • Hong Semie;Wu Hong-Gyun;Park Charn I1
    • Radiation Oncology Journal
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    • v.18 no.4
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    • pp.221-225
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    • 2000
  • Purpose : This study was designed to examine the reliability of the new version of the AJCC staging system (1997) of nasopharyngeal carcinoma in comparison with the AJCC staging system of 1992. Materials and Methods :Between 1983 and 1996, 185 patients with histologically proven nasopnaryngeal carcinoma were treated with radiation therapy at the Department of Therapeutic Radiology Seoul National University Hospital. For these patients, AJCC staging system of 1992 was compared with the 1997 version by reviewing hospital records, computed tomography (CT) and/or magnetic resonance imaging (MRI). Results :5-year overall suwival rates according to the 1992 and 1997 AJCC staging systems were 100$\%$, and 100$\%$ at stage 1: 100$\%$, and 68.8$\%$ at stage 11; 61.4$\%$, and 63.8$\%$ at stage 111; 61.1$\%$, and 63.2$\%$ at stage IV. S-year overall survival rates of each classification showed significant differences between stages (p=0.0049 for the old version, p=0.01 for the new), but no significant difference was found between the staging systems except at stage 11. Conclusion : The new AJCC staging system allows staging as reliably as the 1992 version, but the adequacy of the newly modified staging classification should be confirmed by further clinical examination.

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Segmentation of Immunohistochemical Breast Carcinoma Images Using ML Classification (ML분류를 사용한 유방암 항체 조직 영상분할)

  • 최흥국
    • Journal of Korea Multimedia Society
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    • v.4 no.2
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    • pp.108-115
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    • 2001
  • In this paper we are attempted to quantitative classification of the three object color regions on a RGB image using of an improved ML(Maximum Likelihood) classification method. A RGB color image consists of three bands i.e., red, green and blue. Therefore it has a 3 dimensional structure in view of the spectral and spatial elements. The 3D structural yokels were projected in RGB cube wherefrom the ML method applied. Between the conventionally and easily usable Box classification and the statistical ML classification based on Bayesian decision theory, we compared and reviewed. Using the ML method we obtained a good segmentation result to classify positive cell nucleus, negative cell Nucleus and background un a immuno-histological breast carcinoma image. Hopefully it is available to diagnosis and prognosis for cancer patients.

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Survival Rates after Operation for Gastric Cancer: Fifteen-year Experience at a Korea Cancer Center Hospital (위암 수술 후 생존율 분석: 원자력병원의 15년간 경험)

  • Park, Jong-Ik;Jin, Sung-Ho;Bang, Ho-Yoon;Paik, Nam-Sun;Moon, Nan-Mo;Lee, Jong-Inn
    • Journal of Gastric Cancer
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    • v.8 no.1
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    • pp.9-19
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    • 2008
  • Purpose: Gastric cancer is the most common malignant tumor in Korea. We reviewed the cases at our institution to identify the survival rates and clarify the prognostic factors of patients with gastric cancer. Materials and Methods: We conducted a retrospective study of 6,918 patients who had received a diagnosis of gastric cancer, and they underwent surgery at Korea Cancer Center Hospital during a 15-year period from 1991 to 2005. Results: The overall 5-year survival rate was 66.8%. The univariate analysis revealed that age, location of tumor, gross type of tumor, the histology according to the WHO classification, the Lauren classification, depth of invasion (T stage), lymph node metastasis (N stage), distant metastasis (M stage), the type of surgery, the UICC TNM stage, postoperative complications, adjuvant chemotherapy, lymphatic invasion, venous invasion and perineural invasion were the significantly different factors of the survival rates. The multivariate analysis revealed that age, Borrmann type 4, the histology according to the WHO classification, depth of invasion (T stage), lymph node metastasis (N stage), distant metastasis (M stage), the type of surgery, UICC TNM stage, postoperative complications, adjuvant chemotherapy and lymphatic invasion were the independent prognostic factors. Conclusion: We have shown a statistically significant association between the survival rates after operation for gastric cancer and the clinicopathologic factors. Early diagnosis of gastric cancer, appropriate surgeryand adjuvant therapy might improve the quality of life and the survival rates of gastric cancer patients.

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Clinical Analysis for Thymic Carcinoma (흉선암의 임상적 고찰)

  • 안지섭;박창권;박남희;김재범;유영선;이광숙;최세영;권영무
    • Journal of Chest Surgery
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    • v.34 no.2
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    • pp.162-166
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    • 2001
  • 배경: 흉선암은 드문 질환으로 치료경과 및 예후가 침윤성 흉선종에 비해 나쁜 것으로 알려져 있으며 병기의 분류나 병기에 따른 치료방법이 아직 표준화 되어있지 않아 치료에 어려운 점이 있다. 이에 본교실에서 흉선암으로 진단되었던 환자들의 피료방법 및 성적을 분석하여 그 결과를 보고하고자 한다. 대상 및 방법: 계명대학교 동산의료원 흉부외과학교실에서는 1984년 8월에서 흉선암으로 진단되었던 8례의 환자를 대상으로 의무기록을 참고하여 병기에 따른 치방법료 및 예후 등을 후향적으로 분석하였다. 결과: 연령은 23세에서 67세까지로 평균 46세였으며 전흉부통증이 주증상이었다. 조직학적으로는 임파상피양암(lymphoepithelioma-like carcinoma)이 2례, 편평상피암(squamous cell carcinoma)이 2례, 기저세포암(basaloid carcinoma)이 1례, 혼합형(mixed type)이 3례 있었다. 임상적 병기분류는 Masoka의 분류법을 사용하였으며 제I기 2례, 제II기 4례, 제III기 1례, 제IVAr기가 1례 있었다. 4례의 환자에서는 종양의 완전적출이 가능했으며 3례에서는 고식적 수술을 시행하였다. 1례의 환자는 주위조직으로의 침윤과 심낭에 퍼져있어 조직생검만을 시행하였다. 전례에서 보조적 항암치료를 받았고 술후 병기가 제III기 이상이거나 종양의 절제가 불완전했던 5례의 환자에서는 보조적 방사선치료를 병행하였다. 이들 중 5례에서 술후 보조적 항암치료 및 방사선치료를 받고 현재까지 생존해있다. 평균추적기간은 55.3$\pm$64.6 개원이었고, 3례의 환자는 사망하였으며 4례의 환자는 종양의 재발증거 없이 생존해있다. 결론: 종양의 조기진단과 완전종양적출후 적극적인 보조적 항암치료 및 방사선치료가 흉선암을 치료하는데 도움이 될 것으로 사료된다.

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Comparison of KTAS(Korean Triage and Acuity Scale) results by Triage Classifier (중증도 분류자 직종에 따른 중증도 분류 결과의 차이 비교)

  • Huh, Young-Jin;Oh, Mi-Ra;Kim, Se-Hyung;Han, So-Hyun;Pak, Yun-Suk
    • Journal of Convergence for Information Technology
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    • v.10 no.4
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    • pp.98-103
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    • 2020
  • The purpose of this study was to determine whether the results of KTAS(Korean Triage and Acuity Scale) triage classifier differ according to the occupations. We analyzed a total of 10,960,359 cases of data sent to the NEDIS from January 1st, 2016 to December 31th, 2017. The triage classifier were MD(Medical Doctor), R(Resident), INT(Intern), GP(General Practitioner), RN(Registered Nurses) and EMT(Emergency Medical Technician). The consistency between the initial triage and final triage results was the highest GP(98.9%) and the lowest INT(80.2%). The results of over-triage classification was the lowest by GP(0.6%) and the highest for INT(16.0%). Also, the results of under-triage classification was the lowest by MD, EMT(0.4%) and the highest for INT(3.8%). The results of KTAS triage classifier significantly differ from according to the occupations(p<0.001). Triage classification should not differ from according to occupations and skill. It is necessary to strengthen the classifier's capacity for accurate triage classifications.