• Title/Summary/Keyword: Diagnosis Index

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Clinical Implications of the Mitotic Index as a Predictive Factor for Malignant Transformation of Atypical Meningiomas

  • Kwon, Sae Min;Kim, Jeong Hoon;Kim, Young-Hoon;Hong, Seok Ho;Cho, Young Hyun;Kim, Chang Jin;Nam, Soo Jeong
    • Journal of Korean Neurosurgical Society
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    • v.65 no.2
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    • pp.297-306
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    • 2022
  • Objective : Intracranial atypical meningiomas have a poor prognosis and high rates of recurrence. Moreover, up to one-third of the recurrences undergo high-grade transformation into malignant meningiomas. We aimed to investigate the clinical factors that can predict the propensity of malignant transformation from atypical to anaplastic meningiomas. Methods : Between 2001 and 2018, all patients with atypical meningioma, in whom the tumors had undergone malignant transformation to anaplastic meningioma, were included. The patients' medical records documenting the diagnosis of atypical meningioma prior to malignant transformation were reviewed to identify the predictors of transformation. The control group comprised 56 patients with atypical meningiomas who were first diagnosed between January 2017 and December 2018 and had no malignant transformation. Results : Nine patients in whom the atypical meningiomas underwent malignant transformation were included. The median time interval from diagnosis of atypical meningioma to malignant transformation was 19 months (range, 7-78). The study group showed a significant difference in heterogeneous enhancement (77.8% vs. 33.9%), bone invasion (55.6% vs. 12.5%), mitotic index (MI; 14.8±4.9 vs. 3.5±3.9), and Ki-67 index (20.7±13.9 vs. 9.5±7.1) compared with the control group. In multivariate analysis, increased MI (odds ratio, 1.436; 95% confidence interval, 1.127-1.900; p=0.004) was the only significant factor for predicting malignant transformation. Conclusion : An increased MI within atypical meningiomas might be used as a predictor of malignant transformation. Tumors at high risk for malignant transformation might require more attentive surveillance and management than other atypical meningiomas.

Applying document routing mode of information access in nursing diagnosis process (문서 라우팅 기법을 이용한 간호진단 과정에서의 정보접근)

  • Paik Woo-Jin
    • Proceedings of the Korean Society for Information Management Conference
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    • 2006.08a
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    • pp.163-168
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    • 2006
  • Nursing diagnosis process is described as nurses assessing the patients' conditions by applying reasoning and looking for patterns, which fit the defining characteristics of one or more diagnoses. This process is similar to using a typical document retrieval system if we consider the patients' conditions as queries, nursing diagnoses as documents, and the defining characteristics as index terms of the documents. However, there is a small fixed number of nursing diagnoses and infinite number of patients' conditions in a typical hospital setting. This state is more suitable to applying document routing mode of information access, which is defined as a number of archived profiles, compared to individual documents. In this paper, we describe a ROUting-based Nursing Diagnosis (ROUND) system and its Natural Language Processing-based query processing component, which converts the defining characteristics of nursing diagnoses into query representations.

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A study on database for pulse rate diagnosis (맥율진단을 위한 데이터베이스에 관한 연구)

  • Han, S.C.;Kim, K.K.;Lee, Y.D.;Park, Y.B.;Huh, W.
    • Proceedings of the IEEK Conference
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    • 1998.06a
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    • pp.569-572
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    • 1998
  • In this paper, we devised pulse rate diagnosis for provide basic index of cold-hot diagnosis. The system consist of database part and pulse rate detection part for detection pulse wave, respiration and ECG. The database is constructed windwos95 platform using DAO(data access object). Search algorithm used ISAM algorithm. The database consist of one's information and medical report for a subject and detected pulse wave.

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Correlation Analysis of Respiratory variability and and HRV (심박변이도와 호흡변이도의 상관성 연구)

  • Yoo, Seung-Yeon;Park, Young-Jae;Park, Young-Bae
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.12 no.2
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    • pp.74-83
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    • 2008
  • Background and purpose : Health is characterized by variability, and the loss of variability is associated with aging and disease. Normal healthy respiratory patterns are characterized by breath to breath variability. Cold-Heat scores are quantified indices in Korean Medicine. The aim of this study is to analyze relations between 9 respiratory indices (including breath to breath variability) and HRV(heart rate variability). Method : Respiratory data were measured during a period of 15 minutes and transferred to text file. We calculated 9 respiratory parameters using MATLAB 7.1. Afterwards we did correlation analysis of the 9 respiratory indices and HRV. Results and conclusion : Respiratory variability showed significant correlation with HRV.

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Correlation Analysis of Respiratory variability and POMS factors (호흡변이도와 POMS(profile of mood states)의 상관성 연구)

  • Kim, Dong-Won;Park, Young-Jae;Heo, Young;Park, Young-Bae
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.12 no.2
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    • pp.84-95
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    • 2008
  • Background and purpose: Health is characterized by variability and a loss variability is associated with aging and disease. Normal healthy respiratory patterns are characterized by breath to breath variability. The aim of this study is to analyze Correlation Analysis of 10 respiratory indices(include breath to breath variability) and K-POMS factors score. Method: Respiratory data were measured during 15 minutes and transferred to text file. We calculated 10 respiratory parameters in use of MATLAB7.1. After then do correlation analysis of 10 respiratory indices and K-POMS factors score. Result and conclusion: Respiratory variability is showed significant correlation with vigor factor. Respiratory rate is showed significant correlation with depression factor.

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A technology State of Accelerating Degradation and Life Estimation on the Traction Motor for Railway Rolling Stock (철도차량 견인전동기의 가속열화수명평가 기술현황)

  • Wang, Jong-Bae;Kim, Ki-Jun;Choi, Young-Chan
    • Proceedings of the Korean Institute of Electrical and Electronic Material Engineers Conference
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    • 2000.10a
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    • pp.25-28
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    • 2000
  • In this paper, the technology for accelerating degradation & life estimation on the traction motor was introduced with the stator form-winding sample coils of the 200 Class insulation system The accelerative degradation was performed in 10 cycles, which were composed of thermal stress, fast rising surge voltage, vibration, water immersion and overvoltage applying. After aging of 10 cycles, condition diagnosis test such as insulation resistance & polarization index, capacitance & dielectric loss and partial discharge properties were investigated in the temperature range of $20{\sim}160^{\circ}C$. Relationship between degradation conditions and diagnosis results were analyzed to find an dominative degradation factor at the end-life point

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The Anthropometric Characteristics on Non Insulin Dependent Diabetes Mellitus in Korea (우리 나라 당뇨병 환자의 체위 특성)

  • 양은주
    • Journal of Nutrition and Health
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    • v.32 no.4
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    • pp.401-406
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    • 1999
  • The purpose of this study was to identify some anthropometric characteristics related to the incidence of diabetes mellitus in Korea. The subjects were 165 male and female patients aged 30 to 70 years who had been diagnosed with diabetes mellitus for less than five year, recruied from eight different hospitals in Seoul, Korea. Weight, height, waist circumference, hip circumference and triceps skinfold thickness were measured. Weight before diagnosis of diabetes was also surveyed. The body mass index(BMI) of diabetic patients before diabetic diagnosis was significantly higher than that of reference values. Fifty percent of patients had BMI values greater than 25kg/$m^2$, and female patients were somewhat fatter than male patients. Since many subjects were overweight before diagnosis, obestty could be regarded as a risk factor for the incidence of diabetes mellitus. However, waist-hip ratios(WHR) fell within the normal range, so WHR may not be regarded as an important risk factor for NIDDM in Korea. This study suggests that the risk factors of onset of diabetes in Western populations may not be applicable to the Korea population. More study is needed to clarify the risk factors of Korean diabetes.

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Tracheobronchial Rupture following Blunt Chest Trauma -1 case report- (외상성 기관지 파열 -1례 보고-)

  • 김용한
    • Journal of Chest Surgery
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    • v.23 no.3
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    • pp.588-593
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    • 1990
  • The rupture of tracheobronchial tree caused by non penetrating blunt trauma is being increased in incidence though it is still rarely occurred on now Because this type of injury is uncommon, a high index of suspicion should be maintained in all crush injuries involving the chest. Early diagnosis and primary repair not only restore normal lung function but also avoid the difficulties and complications associated with delayed diagnosis and repair. We experienced a case of tracheobronchial rupture caused by non penetrating blunt chest trauma without rib fracture. The patient was a 16 year old male who was a high school student. He was compressed on anterior chest by hand ball goal post being failed down on the morning of admission day. After this accident, he was suffered from progressively developing dyspnea and subcutaneous emphysema on face, neck and anterior chest. The diagnosis, tracheal rupture, was made by chest CT and bronchoscopy. After right thoracotomy, the ruptured site was directly closed by using interrupted suture. Post-operative course was uneventful. Thus we report this case of traumatic tracheal rupture with review of literature.

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A Study on Database for Pulse Rate Diagnosis

  • S. C. Han;Kim, H. K.;Lee, Y. D.;W. Huh;Park, Y. B.
    • Proceedings of the Korean Institute of Electrical and Electronic Material Engineers Conference
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    • 1998.06a
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    • pp.539-542
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    • 1998
  • In this paper, we devised pulse rate diagnosis database system for provide basic index of Cold-Hot diagnosis. The system consist of database part and pulse rate detection part that for detection pulse wave, respiration and ECG. The database is constructed windows95 platform using DAO(Data Access Object). Search algorithm used ISAM algorithm. The database consist of patient information and medical report for a subject and detected biological signals.

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Diagnosis and Treatment of Gastric Neuroendocrine Tumors (위 신경내분비종양의 진단과 치료)

  • Soo In Choi
    • Journal of Digestive Cancer Research
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    • v.10 no.1
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    • pp.1-8
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    • 2022
  • The incidence of gastric neuroendocrine tumors (NET) has been increased with the improvement of endoscopy accessibility. The World Health Organization classified NET of low (G1), intermediate (G2), high (G3) grade and neuroendocrine carcinoma with poor differentiation by mitotic count and Ki-67 labeling index. Gastric NET are divided into three subtypes based on the pathophysiology, and treatment is determined according to the subtype and prognostic factors of tumor. For diagnosis, endoscopy with biopsy, endoscopic ultrasonography, abdominal pelvis computed tomography, and serum gastrin level measure are required. In general, type 3, size > 2 cm, deep submucosal infiltration, high histological grade, lymphovascular invasion and metastasis are poor prognostic factors. Type 1 or 2 without these factors are treated by endoscopic resection, and other tumors needs surgery. Endoscopic resection of early type 3 or type 1 and 2 tumors with poor prognostic factors still remains a challenge.