• 제목/요약/키워드: WHO classification 2004

검색결과 90건 처리시간 0.033초

한방병원에 내원하는 성장 환자의 유형 분류 (A classificatory study about the tendency of the patient who visited oriental medical hospital for growth treatment)

  • 한경훈;박은정;이해자
    • 대한한방소아과학회지
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    • 제20권3호
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    • pp.161-169
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    • 2006
  • Objectives : Patients who visit oriental medical hospital for growth treatment are increasing. So we aimed to classify the tendency of the patients. Methods : We studied 231 patients who visited Oriental medical hospital for growth treatment from January 2004 to August 2005. We classified sex ratio, height percentile, symptom form of the Oriental medicine, age ratio and developed complication of patients. We used X-ray, endoscope for nasal cavity, blood sample, the Standard Growth Table made by the Korean Association of Pediatrics, 1998. Results : The results which were classified as follows; boys were 50.2 percentile, girls were 49.8 percentile. The classification according to age stage resulted as follows; infant stage 1.3 percentile, preschool age 13.4%, school age 28.6%, rapid growth stage 22.9 percentile, puberty 33.8 percentile. The classification according to height percentile resulted as follows; 3 percentile or under 12.1%, 25 percentile or under 48.9%, 50 percentile or under 25.6%, 75 percentile or under 10.8%, 75 percentile excess 2.6%. The classification according to disease resulted as follows; paranasal sinusitis 12.1 percentile, allergic rhinitis 10 percentile, atopic dermatitis 5.6 percentile, nocturia 3 percentile, convulsion or tic disorder 2.2 percentile, precocious puberty 1.3 percentile, Tuner syndrome 0.9 percentile, developmental disability 0.4 percentile. Conclusions : Sex ratio of children patients who visited Orienatal medical hospital were nearly the same. 13.4% of hospital visit children patients were taller than average. Most of the male children patients were school ages while the female were in puberty. 35.5% of them have developed complication as follows; paranasal sinusitis, allergic rhinitis, atopic dermatitis, nocturia, convulsion or tic disorder, precocious puberty, Tuner syndrome and developmental disability.

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흉선종의 WHO 분류에 따른 예후인자의 임상적 고찰 (Analysis of Prognostic Factors according to WHO Classification for Thymic Epithelial Tumor)

  • 서영준;금동윤;권건영;박창권
    • Journal of Chest Surgery
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    • 제37권8호
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    • pp.684-690
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    • 2004
  • 배경: 원발성 흉선상피세포종(primary thymic epithelial neoplasm)은 다양한 생물학적 및 형태학적인 특성을 가진 종격동 종양이다. 이 연구에서는 59예의 흉선종 환자를 새로운 WHO분류에 따라 재분류하고, Masaoka 임상적 병기를 비롯한 여러 가지 임상적인 특성을 분석함으로써 예후에 영향을 미치는 인자를 알아보고 WHO 분류가 독립적인 예후인자가 될 수 있는지를 알아보고자 했다. 대상 및 방법: 1986년 12월부터 2003년 8월까지 계명대학교 동산의료원에서 흉선종으로 진단 받은 후 수술적 치료를 받은 59예를 대상으로 생존율에 영향을 미치는 예후인자를 흉선종의 조직학적 분류(WHO classification)와 임상적 병기(Masaoka's clinical stage) 및 환자의 특성(성별, 나이, 중증근무력증 유무, 종괴의 크기, 종괴의 침습 유무, 재발, 전이)에 따라 분석하였다. 그리고 조직학적 분류와 임상적 병기사이의 연관성을 분석하였다. 결과: 남자는 32예, 여자는 27예였으며 평균연령은 50.1$\pm$14.2세였다. 모든 흉선종은 WHO 분류에 따라 A부터 C까지 재분류하였다. WHO 분류에 따라 Type A는 6명(10.2%)이었고 AB는 7명(11.9%), B$_1$은 7명(11.9%), B$_2$는 10명(16.9%), B$_3$는 7명(11.9%), C는 22명(37.3%)으로 나타났다. 여러 가지 임상적 특성 가운데 다변수 분석을 통해 완전절제(p=0.033)와 주변조직으로의 저침습성(p=0.001)이 좋은 예후와 연관이 있는 것으로 나타났다. 전체 흉선종의 5년 생존율은 53%였으며 WHO 분류에 따른 5년 생존율은 Type A+AB가 92.3%, B$_1$+B$_2$가 70.2%, B$_3$+C가 26.1%로 나타났다. WHO 조직학적 분류와 생존율 사이의 상관관계분석에서 WHO 조직학적 분류는 예후와 통제적으로 유의하게 연관성이 있는 것으로 나타났다(p<0.001). WHO 분류에 따른 Masaoka 임상병기 분석에서도 두 변수가 통계적으로 유의하게 연관성을 가지는 것으로 나타났다(p<0.001). 결론: WHO 분류는 단순한 조직학적인 분류일 뿐만 아니라 흉선종의 생존율에 중요한 영향을 미치며 종양의 침습성을 잘 반영하는 예후인자임을 알 수 있었다.

데이터마이닝 기법을 이용한 사상체질 판별함수에 관한 연구 (Study on Classification Function into Sasang Constitution Using Data Mining Techniques)

  • 김규곤;김종원;이의주;김종열;최선미
    • 동의생리병리학회지
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    • 제18권6호
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    • pp.1938-1944
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    • 2004
  • In this study, when we make a diagnosis of constitution using QSCC Ⅱ(Questionnaire of Sasang Constitution Classification). data mining techniques are applied to seek the classification function for improving the accuracy. Data used in the analysis are the questionnaires of 1051 patients who had been treated in Dong Eui Oriental Medical Hospital and Kyung Hee Oriental Medical Hospital. The criteria for data cleansing are the response pattern in the opposite questionnaires and the positive proportion of specific questionnaires in each constitution. And the criteria for variable selection are the test of homogeneity in frequency analysis and the coefficients in the linear discriminant function. Discriminant analysis model and decision tree model are applied to seek the classification function into Sasang constitution. The accuracy in learning sample is similar in two models, the higher accuracy in test sample is obtained in discriminant analysis model.

두통(頭痛)을 주소(主訴) 입원한 환자 25명에 관한 임상적(臨床的) 고찰(考察) (A Clinical Study of Twenty-five Patients Admitted with Headache)

  • 김지윤;홍현우;김재연;이성도;박동일;감철우
    • 대한한방내과학회지
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    • 제25권4호
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    • pp.34-44
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    • 2004
  • Objective : The purpose of this study is to investigate clinical characteristics with 25 patients who have suffered from headache and were treated. Methods : We classified 25 patients into several groups by IHS classification and evaluated the effects of oriental medical therapy on headache. Results : 1. According to the statistics, instances of migraine were more prevalent than tension headache, especially among women. 2. 28% of patient had entered for treatment within one month of onset. 3. Common associated symptoms included dizziness, nausea, dyspepsia, palpitation and insomnia. 4. In classification by the oriental medical differentiation of symptoms and signs, the rate of stagnation of the humid dam and deficiency of qi, these two types were highest. 5. 56% of patients said they were satisfied with the treatment, reporting half the frequency of headache or better from before treatment. Conclusions : The present results suggest that oriental medical therapy has effects on headache. Further clinical comparative studies on herb-medication versus acupuncture therapy for headache are urged.

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몽고인(蒙古人)을 위한 사상체질분류검사지(四象體質分類檢査紙)의 신뢰도(信賴度) 연구(硏究) (A Study on the Reliability of the Questionnaire about Sasang Constitution Classification for Mongolians)

  • 김경수;이수경;신현규;고병희;송일병;이의주
    • 사상체질의학회지
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    • 제18권2호
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    • pp.96-112
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    • 2006
  • 1. Objectives This study focuses on the reliability of the Questionnaire about Sasang Constitution Classification for Mongolians 2. Methods Test-retest method and internal consistency method have been performed based on the absolutely diagnosed group of 87 cases who respond to the questionaries during the time interval of one yeat between July 2003 and July 2004 to verify the confidence level. 3. Results and Conclusions (1) In the test-retest for each question of the Questionnaire of Sasang Constitution Classification for Mongolians, the dependency ratio is 40% and the agreement ratio is 92%. Therefore, this questionnaire has credibility because it has question relations and high agreement ratio. (2) In the internal consistency method for the measure of the Questionnaire of Sasang Constitution Classification for Mongolians, the value of Cronbach alpha is mote than 0.60. As a result, this questionnaire has internal consistency for each question which explains each physical constitution and it has credibility (3) In the internal consistency method for the measure of the Questionnaire of Sasang Constitution Classification for Mongolians, the Pearson's correlation coefficient, r, falls between $+0.38\;{\sim}\;+0.54$ in each measure. Accordingly, this questionnaire has internal consistency between each physical constitution measure and it has credibility.

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체형분류 방법에 따른 체형 유형 간 비교 - 18~24세 여성을 대상으로 - (Comparison of somatotypes from various classification methods - Between 18 and 24 years old Korean Women -)

  • 이정임;남윤자
    • 한국의류산업학회지
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    • 제6권2호
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    • pp.221-228
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    • 2004
  • The purpose of this study was to compare somatotypes from various classification methods, to analyze the interrelation among each somatotype or each high frequency type, and to suggest the basis to interpret body size and shape more accurately. As a sample, the subjects were 97 Korean females between 18 and 24 years old. They were measured both anthropometric and photographic measuring in November, 1999. Their somatotypes were classified by three kinds of classification methods. The first method was based on the lateral view of body, the second involved Factor and Cluster analysis with the photographic measurements of anterior and lateral body, and the third involved Factor and Cluster analysis with the anthropometric measurements of whole body. The upper body was classified into three types, and the lower body was classified into 6 types from the lateral view of body. The bend-forward/q-2 was found to be the 'High-frequency type from the lateral view of body', and the Straight/n-1 was found to be the 'Straight type from the lateral view of body'. From the classification by the analysis of photographic measurements, the anterior body was classified into three types, the lateral was classified into 4 types. The X/${\varepsilon}$ type was found to be the 'High-frequency type from the analysis of photographic measurements of anterior and lateral body'. From the classification by the analysis of anthropometric measurements, the whole body was classified into three types. The i type was found to be the 'High-frequency type from the analysis of anthropometric measurements of whole body'. The significant interrelation was certified among some somatotypes or some High-frequency types. We found that both the view of body and the statistical analysis would make the clear definition of each somatotype possible. In order to certify the representativeness of High-frequency type, further analysis would be required of subjects who were in the High-frequency type and their body parts were in the High-frequency range.

Distribution of Testicular Tumors in Lebanon: A Single Institution Overview

  • Assi, Tarek;Rassy, Marc;Nassereddine, Hussein;Sader-Ghorra, Claude;Abadjian, Gerard;Ghosn, Marwan;Kattan, Joseph
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권8호
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    • pp.3443-3446
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    • 2015
  • Background: Testicular tumors constitute a rare type of cancer affecting adolescents and young adults with recent reports confirming an increase in incidence worldwide. The purpose of this study was to estimate the epidemiological characteristics and histological subtypes of testicular tumors in the Lebanese population according to the WHO classification of testicular and paratesticular tumors. Materials and Methods: In this single institutional retrospective study, all patients diagnosed with a testicular tumor in Hotel-Dieu de France Hospital University in Beirut between 1992 and 2014 were enrolled. The age, subtype based on the 2004 WHO classification and body side of tumor were analyzed. Results: A total of two hundred and forty-four (244) patients diagnosed with a testicular tumor in our institution were included in the study. Two hundred and one patients (82.4% of all testicular tumors) had germ cell tumors (TGCT). Among TGCT, 50% were seminomatous tumors, 48% non-seminomatous tumors (NST) and 2% were spermatocytic seminomas. The NST were further divided into mixed germ cell tumors (63.9%), embryonic carcinomas (18.6%), teratomas (15.4%) and yolk sac tumors (2.1%). The mean age for testicular tumors was 32 years. The mean age for germ cell tumors was 31 years and further subtypes such as seminomatous tumors had a mean age of 34 years, 28 years in non-seminomatous tumors and 56 years in spermatocytic seminoma. Patients with right testicular tumor were the predominant group with 55% of patients. Three patients (1.2%) presented with bilateral tumors. Conclusions: The distribution of different subgroups and the mean age for testicular tumors proved comparable to most countries of the world except for some Asian countries. Germ cell tumors are the most common subtype of testicular tumors with seminomatous tumors being slightly more prevalent than non-seminomatous tumors in Lebanese patients.

THE ROLE OF SATELLITE REMOTE SENSING TO DETECT AND ASSESS THE DAMAGE OF TSUNAMI DISASTER

  • Siripong, Absornsuda
    • 대한원격탐사학회:학술대회논문집
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    • 대한원격탐사학회 2006년도 Proceedings of ISRS 2006 PORSEC Volume II
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    • pp.827-830
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    • 2006
  • The tsunami from the megathrust earthquake magnitude 9.3 on 26 December 2004 is the largest tsunami the world has known in over forty years. This tsunami destructively attacked 13 countries around Indian Ocean with at least 230,000 fatalities, displaced people 2,089,883 and 1.5 million people who lost their livelihoods. The ratio of women and children killed to men is 3 to 1. The total damage costs US$ 10.73 billion and rebuilding costs US$ 10.375 billion. The tsunami's death toll could have been drastically reduced, if the warning was disseminated quickly and effectively to the coastal dwellers along the Indian Ocean rim. With a warning system in Indian Ocean similar to that operating in the Pacific Ocean since 1965, it would have been possible to warn, evacuate and save countless lives. The best tribute we can pay to all who perished or suffered in this disaster is to heed its powerful lessons. UNESCO/IOC have put their tremendous effort on better disaster preparedness, functional early warning systems and realistic arrangements to cope with tsunami disaster. They organized ICG/IOTWS (Indian Ocean Tsunami Warning System) and the third of this meeting is held in Bali, Indonesia during $31^{st}$ July to $4^{th}$ August 2006. A US$ 53 million interim warning system using tidal gauges and undersea sensors is nearing completion in the Indian Ocean with the assistance from IOC. The tsunami warning depends strictly on an early detection of a tsunami (wave) perturbation in the ocean itself. It does not and cannot depend on seismological information alone. In the case of 26 December 2004 tsunami when the NOAA/PMEL DART (Deep-ocean Assessment and Reporting of Tsunami) system has not been deployed, the initialized input of sea surface perturbation for the MOST (Method Of Splitting Tsunami) model was from the tsunamigenic-earthquake source model. It is the first time that the satellite altimeters can detect the signal of tsunami wave in the Bay of Bengal and was used to validate the output from the MOST model in the deep ocean. In the case of Thailand, the inundation part of the MOST model was run from Sumatra 2004 for inundation mapping purposes. The medium and high resolution satellite data were used to assess the degree of the damage from Indian Ocean tsunami of 2004 with NDVI classification at 6 provinces on the Andaman seacoast of Thailand. With the tide-gauge station data, run-up surveys, bathymetry and coastal topography data and land-use classification from satellite imageries, we can use these information for coastal zone management on evacuation plan and construction code.

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2004년 전국 위암 등록사업 결과 보고 (2004 Nationwide Gastric Cancer Report in Korea)

  • 대한위암학회 정보전산위원회
    • Journal of Gastric Cancer
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    • 제7권1호
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    • pp.47-54
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    • 2007
  • 목적: 대한위암학회 정보전산위원회는 국내 위암의 임상병리학적 양상과 치료 방법에 대한 시대적 변화를 파악하고자 2004년에 위암으로 수술받은 환자들에 대하여 전국조사를 실시하였다. 대상 및 방법: 2004년에 위암으로 수술받은 환자들의 자료를 57개 병원으로부터 수집하였으며, 2002년에 보고되었던 1995년과 1999년의 자료와 비교하였다. 14개 항목(성별, 나이, 위암의 위치와 크기, 육안형, 접근방법, 근치도, 수술종류, 재건술, 국제보건기구 분류 및 Lauren 분류, UICC 병기분류, 전이 및 절제림프절 개수)이 분석되었다. 연중 시행하는 위암수술 규모에 따라 57개 병원을 네 군(1군, <100; 2군, ${\geq}100$ 및 <200; 3군, ${\geq}200$ 및 <500; 4군, ${\geq}500$)으로 나누어 임상항목들을 군간에 비교하였다. 결과: 2004년에 위암으로 수술받은 환자들 11,293명의 자료가 57개 병원으로부터 수집되었다. 남녀비는 2.05:1(7,586/3,705)이었고, 평균 연령은 58.0세였다. 호발연령분포에 있어서 남녀 모두 최근으로 올수록 증가하는 양상을 보였다. 조기위암의 비율은 2004년에 47.4%로 1995년의 28.6%, 1999년의 32.8%에 비해 증가하였다. 절제림프절의 평균개수는 34.0개(1군 32.8개, 2군 34.0개, 3군 36.1개, 4군 32.9개)였다. 결론: 조기위암이 1995년과 1999년에 비해 2004년에 증가하였다. 절제림프절 개수로 볼 때 위암 수술은 병원규모에 무관하게 적정 림프절 절제를 동반한 수술이 이루어지고 있었다. 향후 이 보고가 위암의 진료 및 연구의 참고자료로 활용되기를 기대한다.

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만성 폐쇄성 폐질환 환자의 중증도 분류시 FEV1과 PEFR의 연관성 (The Relationship between FEV1 and PEFR in the Classification of the Severity in COPD Patients)

  • 신상열;윤재호;김순종;유광하
    • Tuberculosis and Respiratory Diseases
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    • 제58권5호
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    • pp.507-514
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    • 2005
  • 연구배경 : COPD환자에서 질환의 중증도, 치료 반응정도, 급성악화등을 평가하는데 $FEV_1$과 PEFR이 중요한 측정지표로 사용되고 있다. 하지만 COPD환자에서 PEFR과 $FEV_1$의 일치성에 대해서는 잘 알려져 있지 않아 PEFR 측정이 중증도 분류 검사로 사용이 가능한지는 모르는 상태이다. 방 법 : 2003년 9월부터 2004년 8월까지 건국대학교 병원호흡기 내과 외래에서 진료받은 COPD환자 125명을 대상으로 $FEV_1$과 PEFR을 측정하여 그 결과를 통계, 분석하였다. 결 과 : $FEV_1$ 예측치의 평균은 $56.98{\pm}18.21$이었고 PEFR 예측치의 평균은 $70{\pm}27.60$로 PEFR 예측치가 $FEV_1$ 예측치보다 13%정도 높게 측정 되었다. 두 검사 사이에는 유의한 상관관계가 있었다. COPD환자들의 나이와 PEFR 과는 유의한 상관관계가 없었다. 주관적 증상인 호흡 곤란과 PEFR 과는 유의한 상관관계가 있었다. 결 론 : COPD 환자들에서 PEFR 을 이용한 중증도 분류시 $FEV_1$에 비해 경한 쪽으로 분류되는 성향이 있으므로 증상이 심한 경우 중증도 분류 해석에 주의를 요해야 하겠다. COPD 환자들에서 중증도 분류가 확정된 경우 추적 관찰은 PEFR 값으로 $FEV_1$을 대체하는 것이 가능할 것으로 생각된다.