• 대한골관절종양학회지
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• 제14권1호
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• pp.1-9
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• 2008

연조직종양의 이해는 과거 10년 동안에 걸쳐 주요 변화와 더불어 실질적인 진보가 있었고, 이를 바탕으로 연조직종양의 새로운 분류가 WHO에 의해 2002년에 이루어졌다. 이 개정은 이전에 발표와 상당히 다른 내용의 접근을 하였고, 이 작업에 유전학과 분자생물학 그리고 임상분야의 전문가들이 참여하였다. 여기에서는 과거에 알고 있었거나 특성이 알려진 많은 종양을 포함하여 새로운 큰 변화나 작은 변화가 일어난 부분에 대해서 정리를 하였다. 이러한 내용을 연조직종양의 새로운 WHO 분류를 중심으로 지방세포종, 섬유모세포성/근육섬유모세포 성종과 소위섬유조직구종, 평활근종, 혈관주위종과 근골격종을 중심으로, 큰 변화와 작은 변화로 나누어서 설명하고 새롭게 소개되는 병명을 소개하고 정리하였다. 이 새로운 WHO의 연조직종양의 분류를 이해하여, 종양의 진단과 예후의 재현을 용이하게 하는 필수적인 지침으로 사용할 수 있을 것으로 생각된다.

• 대한골관절종양학회지
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• 제14권2호
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• pp.79-85
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• 2008

연조직종양의 분류는 종양학에서 영상의학과의사와 임상을 담당하는 정형외과의사, 종양학자 그리고 병리학자의 진단과 예후의 재현을 용이하게 하는 필수적인 지침이다. 연조직종양의 이해는 과거 10년 동안에 걸쳐 주요 변화와 더불어 진보가 있었고, 이를 바탕으로 연조직종양의 새로운 분류가 WHO에 의해 2002년에 이루어졌다. 이 개정은 이전에 발표된 분류와 많은 부분에서 다른 내용의 접근을 하였고, 이 작업에는 유전학과 분자생물학 그리고 임상분야의 전문가들이 참여하였다. 여기에서는 과거에 알고 있었거나 특성이 알려진 종양을 포함하여 새로운 큰 변화나 작은 변화가 일어난 부분에 대해서 정리를 하였다. 이러한 내용의 연조직종양의 새로운 WHO 분류를 혈관종, 연골-골종 그리고 불확실한분화종을 중심으로, 큰 변화와 작은 변화로 나누어서 설명하고 새롭게 소개되는 병명을 정리하였다. 이 새로운 WHO의 연조직 종양의 분류를 이해하여, 종양의 진단과 예후의 재현을 용이하게 하는 필수적인 지침으로 사용할 수 있을 것으로 생각된다.

• 한국전문물리치료학회지
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• 제30권2호
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• pp.136-143
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• 2023

Background: The International Classification of Functioning, Disability and Health (ICF) model, created by the World Health Organization, provides a theoretical framework that can be applied in the diagnosis and treatment of various disorders. Objects: Our research purposed to ascertain the relationship between structure/function, activity, and participation domain variables of the ICF and pain, pain-associated disability, activities of daily living (ADL), and quality of life in patients with chronic low back pain (LBP). Methods: Two-hundred patients with chronic LBP (mean age: 35.5 ± 8.8 years, females, n = 40) were recruited from hospital and community settings. We evaluated the body structure/function domain variable using the Numeric Pain Rating Scale (NPRS) and Roland-Morris disability (RMD) questionnaire. To evaluate the activity domain variable, we used the Oswestry Disability Index (ODI) and Quebec Back Pain Disability Scale (QBDS). For clinical outcome measures, we used Short-form 12 (SF-12). Pearson's correlation coefficient was used to ascertain the relationships among the variables (p < 0.05). All the participants with LBP received 30 minutes of conventional physical therapy 3 days/week for 4 weeks. Results: There were significant correlations between the body structure/function domain (NPRS and RMD questionnaire), activity domain (ODI and QBDS), and participation domain variables (SF-12), rending from pre-intervention (r = -0.723 to 0.783) and postintervention (r = -0.742 to 0.757, p < 0.05). Conclusion: The identification of a significant difference between these domain variables point to important relationships between pain, disability, performance of ADL, and quality in participants with LBP.

• Journal of Preventive Medicine and Public Health
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• 제54권2호
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• pp.103-109
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• 2021

Objectives: The aim of this study was to calculate the burden of stroke in Kurdistan Province, Iran between 2011 and 2017. Methods: Incidence data extracted from the hospital information system of Kurdistan Province and death data extracted from the system of registration and classification of causes of death were used in a cross-sectional study. The World Health Organization method was used to calculate disability-adjusted life years (DALYs). Results: The burden of stroke increased from 2453.44 DALYs in 2011 to 5269.68 in 2017, the years of life lost increased from 2381.57 in 2011 to 5109.68 in 2017, and the years of healthy life lost due to disability increased from 71.87 in 2011 to 159.99 in 2017. The DALYs of ischaemic stroke exceeded those of haemorrhagic stroke. The burden of disease, new cases, and deaths doubled during the study period. The age-standardised incidence rate of ischaemic stroke and haemorrhagic stroke in 2017 was 21.72 and 20.72 per 100 000 population, respectively. Conclusions: The burden of stroke is increasing in Kurdistan Province. Since health services in Iran are based on treatment, steps are needed to revise the current treatment services for stroke and to improve the quality of services. Policy-makers and managers of the health system need to plan to reduce the known risk factors for stroke in the community. In addition to preventive interventions, efficient and up-to-date interventions are recommended for the rapid diagnosis and treatment of stroke patients in hospitals. Along with therapeutic interventions, preventive interventions can help reduce the stroke burden.

• 대한의사협회지
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• 제61권11호
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• pp.687-698
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• 2018

Inappropriate antibiotic use significantly contributes to antibiotic resistance, resulting in reduced antibiotic efficacy and an increased burden of disease. The objective of this study was to investigate the characteristics of prescribers whose antibiotics use was high and to explore factors affecting the use of antibiotics by medical institutions. This study analyzed the National Health Insurance claims data from 2015. Antibiotic prescription data were analyzed in terms of the number of defined daily doses per 1,000 patients per day, according to the World Health Organization anatomical-therapeutic-chemical classification and methodologies for measuring the defined daily dose. We investigated the characteristics of prescribers and medical institutions with high antibiotic use. Multivariate regression analyses were performed on the basis of characteristics of the medical institution (number of patients, type of medical institution [hospital or clinic], age of the physician, etc.). The number of patients and number of beds were found to be significant factors affecting antibiotic use in hospitals, and the number of patients, region, and medical department were significant factors affecting antibiotic use at the level of medical institutions. These findings are expected to help policy-makers to better target future interventions to promote prudent antibiotic prescription.

• Clinical and Experimental Pediatrics
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• 제64권12호
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• pp.632-641
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• 2021

Background: Over the past few decades, various goals have been defined to reduce the mortality of children caused by acute lower respiratory infections (ALRIs) worldwide. However, few spatial studies to date have reported on ALRI deaths. Purpose: We aimed to assess the spatial modeling of mortality from ALRI in children under 5 years of age during 2000-2017 using a global data. Methods: The data on the mortality of children under 5 years old caused by ALRI were initially obtained from the official website of the World Health Organization. The income status of their home countries was also gathered from the Country Income Groups (World Bank Classification) website and divided into 5 categories. After that, in the ArcGIS 10.6 environment, a database was created and the statistical tests and related maps were extracted. The Global Moran's I statistic, Getis-Ord Gi statistic, and geographically weighted regression were used for the analyses. In this study, higher z scores indicated the hot spots, while lower z scores indicated the cold spots. Results: In 2000-2017, child mortality showed a downward trend from 17.6 per 100,000 children to 8.1 and had a clustered pattern. Hot spots were concentrated in Asia in 2000 but shifted toward African countries by 2017. A cold spot that formed in Europe in 2007 showed an ascending trend by 2017. Based on the results of geographically weighted regression test, the regions identified as the hot spots of mortality from ALRI in children under 5 years old were among the middle-income countries (R²=0.01, adjusted R²=8.77). Conclusion: While the total number of child deaths in 2000-2017 has decreased, the number of hot spots has increased among countries. This study also concluded that, during the study period, Central and Western Africa countries became the main new hot spots of deaths from ALRI.

• 한국콘텐츠학회논문지
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• 제17권9호
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• pp.476-485
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• 2017

본 연구는 2002년에서 2013년까지 국민건강보험공단 건강검진을 받은 대상자 자료를 통해 세계비만연맹 아시아-태평양지회(WHO-WPRO)에서 정한 체질량지수(Body Mess Index, BMI)을 기준으로 총 6개의 분류(저체중, 정상, 과체중, 비만, 고도비만, 초고도비만)로 구분하여 비만의 실태를 분석하였고 그 과정에 발생하는 이상치의 문제점들을 함께 해결하여 정확한 결과를 제시하고자 하였다. 본 연구 결과에서 제시하는 중앙값 반복 보간법은 선형 보간법이나 라그랑주 보간법에서 발생하는 다중 이상치 생성 시 잘못된 결과들이 보간되는 문제를 해결할 수 있는 유용한 방법으로 평가되었고, 이를 통해 최종 생성된 자료의 연간 비만지수변화를 확인한 결과 극단적인 저체중과 비만체중이 점차 증가하고 정상체중의 빈도가 점차 줄어드는 특징을 확인하였다. 특히 여성보다는 남성이 그리고 저 연령층에서 비만의 증가추세가 급증하고 있는 상태로 분석되었다. 전체적으로 본 연구 결과를 통해 비만으로 발생하는 건강문제가 또 다른 사회적 문제로 확산되기 전에 국가적인 조치가 필요한 것을 시사하고 있다.

• Journal of Oral Medicine and Pain
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• 제41권3호
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• pp.91-98
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• 2016

Purpose: Oral lichen planus (OLP) has generated many discussions and been associated with much controversy for a long time. A reliable diagnosis of OLP has proven challenging and significant disagreements concerning its diagnosis has continued. Therefore, the aim of this study was to apprehend newly proposed diagnostic criteria of OLP and oral lichenoid lesion (OLL) and to evaluate difference of final diagnosis of OLP and OLL in accordance with type of diagnostic criteria. Also, direct immunofluorescence (DIF) was compared to evaluate the value of DIF between two groups. Methods: Fifty-two patients with DIF result were retrospectively reviewed. The selected patients were classified by the modified World Health Organization (WHO) diagnostic criteria of OLP and OLL and by criteria proposed by American Academy of Oral and Maxillofacial Pathology (AAOMP). Results of DIF in OLP and OLL were classified by deposition intensity or pattern of fibrinogen. The classification of fluorescence pattern in each specimen was graded as positive, possibly positive or negative. Results: Patients diagnosed as OLP were a few more when the modified WHO diagnostic criteria were used than when criteria proposed by AAOMP were used. There was no statistical difference of DIF between OLP and OLL by applying the WHO modification criteria or criteria proposed by AAOMP. Conclusions: The final diagnosis of OLP could be changed in accordance with type of diagnostic criteria and difference of DIF between OLP and OLL was not found.

• Journal of Korean Neurosurgical Society
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• 제50권3호
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• pp.264-267
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• 2011

A 50-year-old man presented bilateral hypesthesia on and below the T6 dermatome and paresthesia. Magnetic resonance imaging (MRI) showed an intraspinal extradural tumor, which located from the 6th thoracic vertebral body to the upper margin of the 7th vertebral body, continuing dumbbell-like through the intervertebral foramen into the right middle thorax suggesting a neurogenic tumor (neurofibroma or neurilemmoma). With the patient in a prone position, we exposed and excised the tumor via a one stage posterior approach through a hemi-laminictomy of T6. Histologic examination showed a grade 1 meningothelial meningioma, according to the World Health Organization classification. Initially, we assumed the mass was a schwannoma because of its location and dumbbell shape. However, the tumor was actually a meningioma. Postoperatively, hypesthesia resolved completely and motor power of the leg gradually full recovered. A postoperative MRI revealed no evidence of residual tumor.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제14권8호
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• pp.3519-3533
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• 2020

Tuberculosis is a chronic and delayed infection which is easily experienced by young people. According to the statistics of the World Health Organization (WHO), there are nearly ten million fell ill with tuberculosis and a total of 1.5 million people died from tuberculosis in 2018 (including 251000 people with HIV). Tuberculosis is the largest single infectious pathogen that leads to death. In order to help doctors with tuberculosis diagnosis, we compare the tuberculosis classification abilities of six popular convolutional neural network (CNN) models in the same data set to find the best model. Before training, we optimize three parts of CNN to achieve better results. We employ sigmoid function to replace the step function as the activation function. What's more, we use binary cross entropy function as the cost function to replace traditional quadratic cost function. Finally, we choose stochastic gradient descent (SGD) as gradient descent algorithm. From the results of our experiments, we find that Densenet121 is most suitable for tuberculosis diagnosis and achieve a highest accuracy of 0.835. The optimization and expansion depend on the increase of data set and the improvements of Densenet121.