• Title/Summary/Keyword: Remote Diagnosis

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Mobile Remote Healthcare in Ubiquitous Computing Environments (유비쿼터스 환경에서 모바일을 이용한 원격 헬스케어)

  • Kang, Eun-Young;Im, Yong-Soon
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.8 no.6
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    • pp.55-61
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    • 2008
  • In this paper, we proposed a multi-agent based healthcare system (MAHS) which is the combination of medical sensor module and wireless communication technology. This MAHS provides wide services to mobile telemedicine, patient monitoring, emergency management, doctor's diagnosis and prescription, patients and doctors, information exchange between hospital workers in a long distance. Also, MAHS is connected to Body Area Network (BAN) and a doctor and hospital workers. In addition, we designed and implemented extended JADE based MAHS that reduces hospital server's burden. Agents gather, integrate, and deliver the collected patient's information from sensor, and provide presentation in healthcare environment. Proposed MAHS has advantage that can handle urgent situation in the far away area from hospital like Islands through PDA and mobile device. In addition, by monitoring condition of patient (old man) in a real time base, it shortens time and expense and supports medical service efficiently.

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m-Health System for Processing of Clinical Biosignals based Android Platform (안드로이드 플랫폼 기반의 임상 바이오신호 처리를 위한 모바일 헬스 시스템)

  • Seo, Jung-Hee;Park, Hung-Bog
    • Journal of the Korea Society of Computer and Information
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    • v.17 no.7
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    • pp.97-106
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    • 2012
  • Management of biosignal data in mobile devices causes many problems in real-time transmission of large volume of multimedia data or storage devices. Therefore, this research paper intends to suggest an m-Health system, a clinical data processing system using mobile in order to provide quick medical service. This system deployed health system on IP network, compounded outputs from many bio sensing in remote sites and performed integrated data processing electronically on various bio sensors. The m-health system measures and monitors various biosignals and sends them to data servers of remote hospitals. It is an Android-based mobile application which patients and their family and medical staff can use anywhere anytime. Medical staff access patient data from hospital data servers and provide feedback on medical diagnosis and prescription to patients or users. Video stream for patient monitoring uses a scalable transcoding technique to decides data size appropriate for network traffic and sends video stream, remarkably reducing loads of mobile systems and networks.

Aberrant DNA Methylation of P16, MGMT, hMLH1 and hMSH2 Genes in Combination with the MTHFR C677T Genetic Polymorphism in Gastric Cancer

  • Xiong, Hai-Lin;Liu, Xun-Qi;Sun, Ai-Hua;He, Ying;Li, Jun;Xia, Yuan
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.5
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    • pp.3139-3142
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    • 2013
  • Associations of P16, MGMT, hMLH1 and hMLH2 with gastric cancer and their relation with MTHFR status in gastric patients who were confirmed with pathological diagnosis were assessed. Aberrant DNA methylation of P16, MGMT, hMLH1 and hMLH2 and polymorphisms of MTHFR C677T were assayed. The proportional DNA hypermethylation in P16, MGMT, hMLH1 and hMLH2 in cancer tissues was significantly higher than in remote normal-appearing tissues. DNA hypermethylation of P16 and MGMT was correlated with the T and N stages. Individuals with homozygotes (TT) of MTHFR C677T had significant risk of hypermethylation of MGMT in cancer tissues [OR (95% CI)= 3.47(1.41-7.93)]. However, we did not find association between polymorphism in MTHFR C677T and risk of hypermethylation in P16, MGMT, hMLH1 and hMLH2 genes either in cancer or remote normal-appearing tissues. Aberrant hypermethylation of P16, MGMT, hMLH1 and hMLH2 could be predictive of gastric cancer.

Near Total Excision in Patients with Angiosarcoma on Scalp (혈관육종 환자에서 두피의 아전절제술)

  • Choi, Su-Young;Baek, In-Soo;Park, Chul-Gyoo;Hong, In-Pyo
    • Archives of Plastic Surgery
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    • v.38 no.5
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    • pp.711-714
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    • 2011
  • Purpose: Angiosarcoma is a rare malignant neoplasm of endothelial type cells that line vessel walls. It tends to occur in aged male and the prognosis of angiosarcoma is very poor because of frequent local recurrence and early metastasis. The treatment regimen is yet to be established from its rare occurrence but the wide excision in early stage is known to be the most effective. The authors report two cases of near totally excised angiosarcoma with more than a safety margin of 5 cm. Methods: The two subjects were aged male patients, one of the two was diagnosed with angiosarcoma from our institution confirmed by the biopsy. The other one went through the wide excision with a safety margin of 2 cm and split-thickness skin graft but local recurrence was observed. The two patients underwent near total excision with more than a safety margin of 5 cm, leaving only the periosteum. After confirming that the angiosarcoma had not infiltrated the excision margin, reconstruction with split-thickness skin graft was performed. Results: Based on 6 months and 24 months post-surgery assessment, no local recurrence or remote metastasis in the lungs, liver, bones, and lymph nodes at the neck, where remote metastasis is common, was reported by the two subjects who underwent near total excision with a safety margin of 5 cm. Conclusion: Angiosarcoma has very poor prognosis from its frequent recurrence and metastasis. To enhance the survival rate of angiosarcoma patients, early diagnosis, timely surgical treatment, and radiotherapy after surgery are critical. In addition, authors suggest that it is necessary to further study the efficacy of wide excision using a wider safety margin as much as possible, and to apply this to more cases.

Telemedicine robot system for visual inspection and auscultation using WebRTC (WebRTC를 이용한 육안 검사 및 청진용 원격진료 로봇 시스템)

  • Jae-Sam Park
    • Journal of Advanced Navigation Technology
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    • v.27 no.1
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    • pp.139-145
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    • 2023
  • When a doctor examines a patient in a hospital, the doctor directly checks the patient's condition and conducts a face-to-face diagnosis through dialogue with the patient. However, it is often difficult for doctors to directly treat patients. Recently, several types of telemedicine systems have been developed. However, the systems have lack of capabilities to observe heart disease, neck condition, skin condition, inside ear condition, etc. To solve this problem, in this paper, an interactive telemedicine robot system with autonomous driving in a room capable of visual examination and auscultation of patients is developed. The developed robot can be controlled remotely through the WebRTC platform to move toward the patient and check a patient's condition under the doctor's observation using the multi-joint robot arm. The video information, audio information, patient's heart sound, and other data obtained remotely from patients can be transmitted to a doctor through the web RTC platform. The developed system can be applied to the various places where doctors are not possible to attend.

Fine Needle Aspiration Cytology of Metastatic Alveolar Rhabdomyosarcoma Misinterpreted as Carcinoma - A Case Report - (암종으로 오인된 전이 폐포횡문근육종의 세침흡인 세포소견 -1예 보고-)

  • Kim, Hyun-Jung;Lim, Sung-Jik;Park, Kyeong-Mee
    • The Korean Journal of Cytopathology
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    • v.16 no.1
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    • pp.52-56
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    • 2005
  • Fine-needle aspiration cytology (FNAC) has been used extensively in the diagnosis of metastatic malignancies. However, metastatic soft tissue sarcomas are often overlooked, primarily due to the low frequency with/ which they occur. Here, we report a rare case of metastatic rhabdomyosarcoma in both cervical lymph nodes, which was detected by FNAC. A 45-year-old woman presented with anosmia, postnasal drip, and sneezing, symptoms which had persisted for 1 month. The patient was found to have a tumorous lesion at the upper portion of the mid-turbinate, with multiple enlarged cervical lymph nodes, and this lesion was examined closely at our facility. FNA cytology smears obtained from both cervical lymph nodes revealed a high degree of cellularity, and displayed cohesive clusters with gland-like spaces, as well as single isolated cells with abundant karyorrhectic debris. The tumor cells exhibited round to oval nuclei containing fine chromatin, occasional small nucleoli, and scanty cytoplasm, or a total lack of cytoplasm. Some of the tumor cells were arranged in multinucleated forms and abundant dense eosinophilic cytoplasms, reminiscent of a rhabdomyoblast. The histological findings on the lymph nodes revealed an outstanding sinusoidal infiltration and a prominent alveolar growth pattern, interspersed with occasional typical rhabdomyoblasts. The immunohistochemical results [desmin (+), myoglobin (+), myogenin (+), pan CK (-), synaptophysin (-), neuron specific enolase (-)] supported a confirmative diagnosis of alveolar rhabdomyosarcoma. Alveolar rhabdomyosarcoma is a representative sarcoma, which typically manifests with nodal metastasis and carcinoma-like clustering. The cytopathologist should remain alert upon encountering unusual morphology, so that the possibility of this condition, although somewhat remote, should not be dismissed or overlooked.

Electronic Stethoscope using PVDF Sensor for Wireless Transmission of Heart and Lung Sounds (PVDF를 이용한 청진 센서 및 심폐음 무선 전송이 가능한 전자 청진기)

  • Im, Jae Joong;Lim, Young Chul
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.12 no.6
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    • pp.57-63
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    • 2012
  • Effective use of stethoscope is very important for primary clinical diagnosis for the increasing cardiovascular and respiratory disease. This study developed the contact vibration sensor using piezopolymer film which minimizes the ambient noise, and signal processing algorithm was applied for providing better auscultation sounds compare to the existing electronic stethoscopes. Especially, low frequency heart sounds were acquired without distortion, and the quality of lung sounds were improved. Also, auscultating sounds could be transmitted using bluetooth, which made possible to be used for the u-healthcare environment. Results of this study, auscultation of heart and lung sounds, could be applied to the convergence industry of medical and information communication technology through remote diagnosis.

Remote Fault Detection in Conveyor System Using Drone Based on Audio FFT Analysis (드론을 활용하고 음성 FFT분석에 기반을 둔 컨베이어 시스템의 원격 고장 검출)

  • Yeom, Dong-Joo;Lee, Bo-Hee
    • Journal of Convergence for Information Technology
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    • v.9 no.10
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    • pp.101-107
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    • 2019
  • This paper proposes a method for detecting faults in conveyor systems used for transportation of raw materials needed in the thermal power plant and cement industries. A small drone was designed in consideration of the difficulty in accessing the industrial site and the need to use it in wide industrial site. In order to apply the system to the embedded microprocessor, hardware and algorithms considering limited memory and execution time have been proposed. At this time, the failure determination method measures the peak frequency through the measurement, detects the continuity of the high frequency, and performs the failure diagnosis with the high frequency components of noise. The proposed system consists of experimental environment based on the data obtained from the actual thermal power plant, and it is confirmed that the proposed system is useful by conducting virtual environment experiments with the drone designed system. In the future, further research is needed to improve the drone's flight stability and to improve discrimination performance by using more intelligent methods of fault frequency.

Identifying Process Capability Index for Electricity Distribution System through Thermal Image Analysis (열화상 이미지 분석을 통한 배전 설비 공정능력지수 감지 시스템 개발)

  • Lee, Hyung-Geun;Hong, Yong-Min;Kang, Sung-Woo
    • Journal of Korean Society for Quality Management
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    • v.49 no.3
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    • pp.327-340
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    • 2021
  • Purpose: The purpose of this study is to propose a system predicting whether an electricity distribution system is abnormal by analyzing the temperature of the deteriorated system. Traditional electricity distribution system abnormality diagnosis was mainly limited to post-inspection. This research presents a remote monitoring system for detecting thermal images of the deteriorated electricity distribution system efficiently hereby providing safe and efficient abnormal diagnosis to electricians. Methods: In this study, an object detection algorithm (YOLOv5) is performed using 16,866 thermal images of electricity distribution systems provided by KEPCO(Korea Electric Power Corporation). Abnormality/Normality of the extracted system images from the algorithm are classified via the limit temperature. Each classification model, Random Forest, Support Vector Machine, XGBOOST is performed to explore 463,053 temperature datasets. The process capability index is employed to indicate the quality of the electricity distribution system. Results: This research performs case study with transformers representing the electricity distribution systems. The case study shows the following states: accuracy 100%, precision 100%, recall 100%, F1-score 100%. Also the case study shows the process capability index of the transformers with the following states: steady state 99.47%, caution state 0.16%, and risk state 0.37%. Conclusion: The sum of caution and risk state is 0.53%, which is higher than the actual failure rate. Also most transformer abnormalities can be detected through this monitoring system.

Echinococcus granulosus Protoscolex DM9 Protein Shows High Potential for Serodiagnosis of Alveolar Echinococcosis

  • Kim, Jeong-Geun;Han, Xiumin;Kong, Yoon
    • Parasites, Hosts and Diseases
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    • v.60 no.1
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    • pp.25-34
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    • 2022
  • Alveolar echinococcosis (AE) caused by infection with E. multilocularis metacestode, represents one of the most fatal helminthic diseases. AE is principally manifested with infiltrative, proliferating hepatic mass, resembling primary hepatocellular carcinoma. Sometimes metastatic lesions are found in nearby or remote tissue. AE diagnosis largely depends on imaging studies, but atypical findings of imaging features frequently require differential diagnosis from other hepatic lesions. Serological tests may provide further evidence, while obtaining reliable AE materials is not easy. In this study, alternative antigens, specific to AE were identified by analyzing E. granulosus protoscolex proteins. An immunoblot analysis of E. granulosus protoscolex showed that a group of low-molecular-weight proteins in the range from 14 kDa to 16 kDa exhibited a sensitive and specific immune response to AE patient sera. Partial purification and proteomic analysis indicated that this protein group contained myosin, tubulin polymerization promoting protein, fatty-acid binding protein, uncharacterized DM9, heat shock protein 90 cochaperone tebp P-23, and antigen S. When the serological applicability of recombinant forms of these proteins was assessed using enzyme-linked immunosorbent assay, DM9 protein (rEgDM9) showed 90.1% sensitivity (73/81 sera tested) and 94.5% specificity (172/181 sera tested), respectively. rEgDM9 showed weak cross-reactions with patient sera from the transitional and chronic stages of cystic echinococcosis (3 to 5 stages). rEgDM9 would serve as a useful alternative antigen for serodiagnosis of both early- and advanced-stage AE cases.