• 제목/요약/키워드: Pathological pattern

검색결과 149건 처리시간 0.019초

호흡실조와 증형간 연관성 연구: 한열, 담음, 음허, 노권 및 네이메헨 설문을 중심으로 (A Study on the Relationships between Breathing Disorders and Pathological Patterns Based on the Cold-Heat, Phlegm-, Yin Deficiency-, Lao Juan (勞倦)-Pattern Questionnaires and the Nijmegen Questionnaire)

  • 홍한나;오환섭;박영배;박영재
    • 동의신경정신과학회지
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    • 제27권4호
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    • pp.215-221
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    • 2016
  • Objectives: The purpose of this study was to examine the relationship between pathological patterns and hyperventilation syndrome, using pathological pattern and Nijmegen questionnaires. Methods: 33 healthy adults were asked to complete the Cold-Heat-, Phlegm-, Yin deficiency, and Lao Juan (勞倦)-pattern questionnaires, the Chalder fatigue scale, and the Nijmegen questionnaire at Kyung Hee University Hospital. We performed Pearson correlation analyses between the pathological pattern questionnaires and the Nijmegen questionnaire. The questionnaires were composed of several factors. Therefore, each factor and Nijmegen questionnaire score were also analyzed. Results: All of the pattern questionnaire scores had a positive correlation with the Nijmegen questionnaire score. The phlegm pattern, in particular, and the LaoJuan (勞倦) questionnaire scores had high correlation coefficients. The coefficient for the phlegm pattern was 0.856 and the coefficient for the LaoJuan (勞倦) pattern questionnaire was 0.855. Conclusions: The results mean that the pathological pattern questionnaires could be one of the reference materials to evaluate hyperventilation syndrome. Furthermore, improvement of pathological patterns may be helpful for treating hyperventilation syndrome, together with conventional therapies including breathing training.

MRI 확산강조 뇌영상의 유사대칭성을 이용한 병변검출에 관한 연구 (A Study on Pathological Pattern Detection using the quasi-Bisymmetry of MRI DWI Brain Image)

  • 김성후;이한욱;이주원;정원근;강익태;이건기
    • 한국정보전자통신기술학회논문지
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    • 제2권4호
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    • pp.37-44
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    • 2009
  • 한국인의 사망원인 중 단일 질환으로는 가장 높은 뇌졸중의 진단을 위한 뇌 자기공명 확산강조영상을 유사대칭성을 이용하여 병변검출을 위한 실험을 하였다. 영상의 개선을 위해 영상을 회전 변환하여 보정하는 방법인 양선형 보간법을 이용하였다. 병변 검출을 위해서는 단순하고 주관적인 방법이 아닌 유사대칭성을 이용하여 좌 우측 뇌 영상의 차분 방법을 이용하여 병변영역을 검출 하였다.

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Predictive Value of the Pattern of β-Catenin Expression for Pathological Response to Neoadjuvant Chemotherapy in Breast Cancer Patients

  • Elsamany, S;Elemam, O;Elmorsy, S;Alzahrani, A;Abbas, MM
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권8호
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    • pp.4089-4093
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    • 2016
  • Purpose: This study aimed to explore the association of ${\beta}-catenin$ expression pattern with pathological response after neoadjuvant chemotherapy in breast cancer (BC) patients. Materials and Methods: In this retrospective exploratory study, data for 50 BC patients who received neoadjuvant chemotherapy were recorded. ${\beta}-catenin$ expression in tumours was assessed using immunohistochemistry and classified as either membranous or cytoplasmic according to the pattern of staining. Distributions of different clinico-pathological parameters according to ${\beta}-catenin$ expression were assessed using the Chi-square test. Logistic regression analysis was used to assess any relation of the pattern of ${\beta}-catenin$ expression with the pathological response. Results: Cytoplasmic ${\beta}-catenin$ expression was detected in 34% of BCs. Among our cases, 52% were hormonal receptor (HR)-positive, 24% were HER2-positive, 74% were clinical stage III and 74% received both anthracycline and taxane-based chemotherapy. Patients with cytoplasmic expression were more commonly younger than 40 years at diagnosis (cytoplasmic, 41.2% vs. no cytoplasmic expression, 12.1%, p=0.03). By doing t-test, cytoplasmic ${\beta}-catenin$ expression was linked with a higher body mass index compared to membranous-only expression ($mean{\pm}SD$ $33.0{\pm}4.47$ vs. $29.6{\pm}6.01$, respectively, p=0.046). No significant associations were found between ${\beta}-catenin$ expression and other parameters such as HR and HER2 status, or clinical stage. Complete pathological response (pCR) rate was twice as great in patients with membranous expression but without statistical significance (membranous-only, 33.3% vs. cytoplasmic, 17.6%, OR= 2.3, 95% CI= 0.55-9.87, p=0.24). Conclusions: This study suggests that cytoplasmic ${\beta}-catenin$ expression may be linked with lower probability of achieving pCR after neoadjuvant chemotherapy. These data need to be validated in a larger cohort of patients.

기능성 소화불량 환자 97명의 변증유형별 특성 (Pattern Identification of 97 Functional Dyspepsia Patients and the Characteristics of Each Pattern Type)

  • 한가진;김진성;박재우;류봉하
    • 대한한의학회지
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    • 제32권2호
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    • pp.42-62
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    • 2011
  • Objective: This study was designed to identify and explore the pathological patterns of functional dyspepsia (FD) patients. We also evaluated the usefulness of the Pattern Identification Questionnaire by comparing it with other assessment tools for FD. Methods: We recruited 97 FD patients based on the Rome III criteria for FD diagnosis. The pathological patterns of the subjects were determined by the Pattern Identification Questionnaire. Their dyspepsia-related symptoms were assessed using the Gastrointestinal Symptom Questionnaire (GIS) and the Pyeongwi-san (Pingwei-san) Patternization Questionnaire. Depressive symptoms were evaluated with the Beck Depression Inventory (BDI) and quality of life with the Functional Dyspepsia-Related Quality of Life (FD-QoL) Questionnaire. Tongue coating was measured by the Digital Tongue Diagnosis System (DTDS). Results: The male to female ratio was 1:1.1, and the forties and fifties age groups were largest in number. The spleen deficiency and phlegm-dampness pattern was the most common pattern found among the FD patients. No significant differences in the GIS, BDI, FD-QoL, and DTDS scores were found among the five pattern types. All pattern types showed significant correlation with GIS, Pyeongwi-san Patternization Questionnaire, and FD-QoL scores. Conclusions: Pattern Identification Questionnaire can not only identify the pathological pattern types of FD patients but also evaluate the severity of their symptoms. Compared to conventional assessment tools for FD, it could enable a more dynamic evaluation of FD patients reflecting the severity of dyspeptic symptoms and the quality of life. Further studies on the Pattern Identification of FD patients are anticipated in order to improve the diagnosis and therapy for Korean FD patients.

Obviously Increasing Incidence Trend for Males but Stable Pathological Proportions for Both Genders: Esophageal Cancer in Zhongshan of China from 1970-2007

  • Wei, Kuan-Grong;Liang, Zhi-Heng
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권5호
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    • pp.1783-1786
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    • 2012
  • Objectives: To analyze esophageal cancer incidence and pathological data of Zhongshan in China in 1970-2007, and to provide scientific information for its prevention and control. Methods: From Zhongshan Cancer Registry esophageal cancer incident and pathological data were obtained. Pathological proportions and trends were calculated and analyzed. Results: Although there was a continuously and obviously increasing trend for male incidence rates in 1970-2007 in Zhongshan, squamous cell carcinoma (SCC) and adenocarcinoma (AD) incident proportions during 1990-2007 remained relatively stable. Moreover, SCC was the major pathological type, accounting for 70.6 percent of all new cases, while AD were relatively few and accounted for only 2.66 percent throughout the period. Conclusion: The male esophageal cancer incident pattern in Zhongshan in 1970-2007 was quite different from most other domestic areas. The data suggest that etiological analysis should be enhanced for improved control in Zhongshan.

폐암의 방사선 소견(비전형적 소견을 중심으로) (Radiological Findings of Lung Cancer: Focus on Atypical Pattern)

  • 성동욱
    • Tuberculosis and Respiratory Diseases
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    • 제58권6호
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    • pp.554-561
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    • 2005
  • The clinical and radiographic findings of lung cancer have been well established many journals. Even if the radiographic findings of lung cancer show a typical pattern, the specific cell type of lung cancer sometimes needs to be determined prior to a pathological diagnosis. For example, the usual finding of a squamous cell carcinoma is similar to other cancer types such as an adenocarcinoma or a small cell carcinoma but with a lower incidence. Therefore, it should not be used to make a diagnosis of the cell type prior to a pathological diagnosis. Many unusual findings of lung cancer, so called atypical pattern have been reported, but atypical findings are widely accepted. The more important thing is not to diagnose a specific cell type of cancer but to differentiate it from other benign conditions such as tuberculosis, fungal infections or organizing pneumonia. This paper presents typical information of the cell type of lung cancer along with the atypical radiographic findings.

주리개념(腠理槪念)에 근거한 피부과 질병의 진단지표 기초연구 (Researches on Diagnostic Indices of Skin Diseases Based on Concepts of Interstices)

  • 지규용
    • 동의생리병리학회지
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    • 제27권2호
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    • pp.167-172
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    • 2013
  • In order to establish the diagnostic indices of skin diseases, some physiological and pathological concepts of interstices(腠理) were researched based on , and western dermatology with etymological analysis. As physiological indices for diagnosis of skin diseases, measurement of epidermis and dermis using ultrasonogram in the zhongwan and dachui's location. And for grading looseness and fineness of interstices with 3 unsound groups, measuring numbers and sizes of sweat pores in each point's 1 cm diameter circular area using comparative method and palpation assessment. Another index is superficial temperature. As pathological indices for diagnosis, validating volumes of dead skin cells and grading degrees of atrophy and degeneration of skin lesion. And as supplementary measures, absorptive degrees of cosmetics on face should be recorded according to 3 grades. These diagnostic indices can contribute to establishment of standard pattern identification and prescription of skin diseases through converting anatomical cognizance into classical concepts of interstices objectively.

신경회로망을 이용한 X-선 흉부 영상의 병변 검출에 관한 연구 (A Study on Pathological Pattern Detection using Neural Network on X-Ray Chest Image)

  • 이주원;이한욱;이종회;조원래;장두봉;이건기
    • 한국정보통신학회논문지
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    • 제4권2호
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    • pp.371-378
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    • 2000
  • 본 연구에서는 신경회로망을 이용하여 X-선 흉부 영상의 병변 검출 시스템을 제안하였다. 집단 신체검사에서 방사선 전문의는 많은 양의 X-선 흥부 영상을 관찰하여 병변 유ㆍ무를 검사한다. 여기서 X-선 흥부 영상에서 병변을 검출하는 일은 매우 많은 시간을 요구하며, 사람이 하기에는 단순하고 지루한 작업이다. 특히, 필름의 크기가 작기 때문에 병변의 진단에 어려움이 있다. 따라서 본 연구에서는 디지털 영상처리와 신경회로망을 이용하여 X-선 흥부 영상으로부터 병변을 자동으로 검출하는 방법을 제시하였다. 본 연구에서 제시한 방법은 영상 픽셀 샘플링(image sampling), 메디언 필터(median filter), 신경회로망을 이용한 영상 등화(image equalization)와 병변 검출 과정을 포함하고 있다.

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양명중풍(陽明中風)에 관한 고찰(考察) (A Study on Yangmingzhongfeng(陽明中風))

  • 金鍾鉉;金度勳
    • 대한한의학원전학회지
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    • 제34권2호
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    • pp.95-106
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    • 2021
  • Objectives : The purpose of this paper is to understand the meaning of Yangmingzhongfeng in the Shanghanlun. Methods :Each verse was analyzed, along with consideration of the general context of the Bianyangmingbingmaizhengbingzhi(辨陽明病脈證幷治) chapter where Yangmingzhongfeng is explained. The meaning of Yangmingzhongfeng was discussed with a focus on the intention underlying the contrast between Zhongfeng[中風] and Zhonghan[中寒] within the text. Results : In Yangming Disease, disease patterns that have mutated from other channels are differentiated as either Zhuanshu[轉屬, change of assignment] or Zhuanxi[轉繫, change of connection]. Zhuanshu refers to the situation where symptoms of the original pathological site has disappeared, therefore being assigned to Yangming. Zhuanxi refers to the before-and-after pathological sites being connected. The condition of Zhuanxi is further divided into Taiyin and Yangming, where Zhuanxi Yangming needs to be differentiated from Zhuanshu Yangming in that the cathartic method[下法] cannot be applied even with the existence of constipation, despite it being the indication for such treatment. Yangming Zhongfeng and Yangming Zhonghan are differentiated according to coldness and heat of Zhuanxi Yangming. Conclusions : Yangming Zhongfeng refers to the heat type of Zhuanxi Yangming where the person presents constipation whilst residing exterior pattern. Yangming Disease cannot be understood as having a uniform pattern of Weijiashi-constipation-Shengqitang, and its disease pattern requires a multi-dimensional approach.

기구구도맥진(氣口九道脈診)에서 임맥(任脈)·독맥(督脈)·충맥(衝脈)의 맥상(脈狀)에 관한 연구 (A Study on the Renmai(任脈)·Dumai(督脈)·Chongmai(衝脈) Pulse Pattern in the Qikoujiudaomai(氣口九道脈) Diagnostic Method)

  • 이병욱;윤홍걸;황수경;김기욱;박건우;황민섭;윤종화
    • 대한한의학원전학회지
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    • 제37권2호
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    • pp.31-48
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    • 2024
  • Objectives : The purpose of this paper is to find the corresponding pathological situation of the Renmai(任脈), Dumai(督脈), and Chongmai(衝脈) at the Cun(寸), Guan(關), Chi(尺) pulse positions using the Qikoujiudaomai diagnostic method in order to find the pathological pattern of the Eight Extra Meridians. The pulse positions are divided into nine parts, using a three dimensional surface-middle-bottom concept. Methods : Relevant contents in classical texts such as the Maijing, Qijingbamaikao, Zabingyuanliuxizhu, Maiyijianmo were examined, along with previous studies on the topic. The findings were that the Renmai, Dumai, Chongmai examination of the Qikoujiudaomai manifested as floating, tight, firm patterns in the Cun, Guan, Chi positions. Results & Conclusions : n terms of the Renmai, the converging and fast Qi manifested in the three positions as a tight pattern; in the Dumai, the extended and scattering Qi manifested in the three positions as a floating pattern; in the Chongmai, the excessive, solid and full Qi manifested in the three positions as a firm pattern. Once the pathological qi overflows in the 12 meridians, disease happens in the Eight Extra Meridians. As such, disease in the Renmai, Dumai, Chongmai were connected to the main meridians as three branches from one root. Through this study, it could be concluded that diagnosis and acupuncture treatment through the Qikoujiudaomai method is possible.