• Title/Summary/Keyword: appearance diagnosis

Search Result 362, Processing Time 0.029 seconds

EEG Signal Characteristic Analysis for Monitoring of Anesthesia Depth Using Bicoherence Analysis Method (바이코히어런스 분석 기법을 이용한 마취 단계별 뇌파의 특성 분석)

  • Park Jun-Mo;Park Jong-Duk;Jeon Gye-Rok;Huh Young
    • The Transactions of the Korean Institute of Electrical Engineers D
    • /
    • v.55 no.1
    • /
    • pp.35-41
    • /
    • 2006
  • Although reachers have studied for a long time, they don't make criteria for anesthesia depth. anesthetists can't make a prediction about patient's reaction. Therefor, patients have potential risk such as poisonous side effect late-awake, early-awake and strain reaction. EEG are received from twenty-five patients who agreed to investigate themselves during operation with Enflurane-anesthesis in progress of anesthesia. EEG are divided pre-anesthesia, before incision of skin, operation 1, operation 2, awaking, post-anesthesia by anesthesia progress step. EEG is applied pre-processing, base line correct, linear detrend to get more reliable data. EEG data are handled by electronic processing and the EEG data are calculated by bicoherence. During pre-anesthesia and post anesthesia, appearance rate of bicoherence value is observed strong appearance rate in high frequency range($15\~30Hz$). During the anesthesia of patient, a strong appearance rate is revealed the low frequency area(0~10Hz). After bicoherence is calculated by percentage of a appearance rate, that is, Bicpara$\#$1, Bicpara$\#$2, Bicpara$\#$3 and Bicpara$\#$4 parameter are extracted. In result of bicoherence analysis, Bicpara$\#$2 and Bicpara#4 are considered that the best parameter showed progress of anesthesia effectively. And each separated bicoherence are calculated by average bicoherence's numerical value, divide by 2 area, appear by each BicHz$\#$1, BicHz$\#$2, and observed BicHz$\#$1/BicHz$\#$2's change. In result of bicoherence analysis, BicHz$\#$1, BicHz$\#$2 and BicHz$\#$1/BicHz$\#$2 are considered that the best parameter showed progress of anesthesia effectively. In conclusion, I confirmed the anesthesia progress phase, concluded to usefulness of parameter on bispectrum and bicoherence analysis and evaluated the depth of anesthesia. In the future, it is going to use for doctor's diagnosis and apply to protect an medical accident owing to anesthesia.

Cytological Features of Low Grade Fibromyxoid Sarcoma -Report of a Case with a Review of the Literature- (저등급 섬유점액육종의 세포소견 -1예 보고-)

  • Kwon, Mi-Seon
    • The Korean Journal of Cytopathology
    • /
    • v.17 no.2
    • /
    • pp.153-158
    • /
    • 2006
  • Low-grade fibromyxoid sarcoma (LGFMS) is a rare soft tissue tumor. There have been only a few prior fine-needle aspiration (FNA) cytological reports. Recognition of this tumor is important because of its potential for metastasis despite its indolent nature and its deceptively bland cytologic appearance. A 60-year-old male presented with a slowly growing mass in the left calf detected 10 years ago. The patient underwent surgical excision. FNA cytology was performed directly on the mass. The smears showed low cellularity composed of hypercellular tissue fragments, hypocellular loose aggregates, and stripped nuclei. The cytoplasm was seen as either collagenous material or very thin fibrillary collagen strands. Tumor cells had spindle, ovoid, or irregular nuclei, fine chromatin, and small nucleoli. Focally slight degree of nuclear pleomorphism is noted. There were no mitotic figures. Blood vessels were frequently seen. Immunocytochemically, tumor cells were negative for S-100 protein, desmin, smooth muscle actin, and CD34. The diagnosis of LGFMS is rarely possible by cytology alone; however, LGFMS should be included in the differential diagnosis of spindle-cell tumors consisting of hypercellular and hypocellular components with some capillary-sized vessels arising in the deep soft tissue of the lower extremities, particularly the thigh. The immunocytochemical findings are of help in the differential diagnosis.

Can Ultrasound be Used to Differentiate Tubular Adenomas of Breast from Fibroadenomas or Carcinoma?

  • Fu, Ying;Miao, Li-Ying;Ge, Hui-Yu;Mei, Fang;Wang, Jin-Rui
    • Asian Pacific Journal of Cancer Prevention
    • /
    • v.15 no.3
    • /
    • pp.1269-1274
    • /
    • 2014
  • Breast tubular adenomas are rare benign breast tumors and detailed descriptions of their sonographic appearance are necessary for differential diagnosis from fibroadenomas or breast cancers. This study investigated twenty-one histology-proved tubular adenomas in 17 patients and also included 48 fibroadenomas in 35 patients as a control group. There was no significant difference between the two groups with clinical presentation, which was age, tumor location, tumor number (p>0.05). Statistic analysis showed three significant factors in the differential diagnosis of tubular adenomas and fibroadenomas, including macro-lobulation (p=0.01), "tiny branch like" patterns (p=0.001) and vascularity (p=0.02). Other ultrasonographic features such as echogenicity, border, uniformity of echotexture, posterior acoustic enhancement, lateral wall shadowing were of no clinical significance (p>0.05). Calcifications were seen in three tubular adenomas which were different from those of carcinomas. Although tubular adenomas have some typical characteristics on sonography, surgery and core needle biopsy are still needed for complex cases to exclude progress to malignancy.

A Study on the Response Differences to the Sasang Constitution Questionnaire by Sasang Constitutions (환자용 사상체질진단 설문지의 체질별 응답차이에 관한 연구)

  • Lee, Si-Woo;Joo, Jong-Cheon;Lee, Su-Kyung;Lee, Hae-Jung;Jang, Eun-Su
    • Journal of Sasang Constitutional Medicine
    • /
    • v.19 no.3
    • /
    • pp.89-98
    • /
    • 2007
  • 1. Objectives This study aims to evaluate newly developing Sasang Constitution Diagnosis Questionnaire for accuracy and efficiency. 2. Methods Three hundred and twenty eight patients from 4 multi centers are involved in this study. Excluding 16 constitution-unidentified patients and 2 Taeyang-in patients, 310 patients' questionnaires are analyzed statistically by their constitutions. 3. Results Sixty one questions are statistically significant in whole 229 questions of Sasang Constitution Diagnosis Questionnaire. We have selected 30 questions from 61 questions by comparing total data from 4 multi centers with those of each center. Thirty questions are made up of 10 body shape questions, 10 appearance questions, 5 character questions and 5 symptom questions. 3. Conclusions There might be needs for revision of character and symptom questions. From results, we suggest to diagnose Sasang Constitution for screening by short-form questionnaire consisted of questions on body shapes and appearances.

  • PDF

Clival lesion incidentally discovered on cone-beam computed tomography: A case report and review of the literature

  • Jadhav, Aniket B.;Tadinada, Aditya;Rengasamy, Kandasamy;Fellows, Douglas;Lurie, Alan G.
    • Imaging Science in Dentistry
    • /
    • v.44 no.2
    • /
    • pp.165-169
    • /
    • 2014
  • An osteolytic lesion with a small central area of mineralization and sclerotic borders was discovered incidentally in the clivus on the cone-beam computed tomography (CBCT) of a 27-year-old male patient. This benign appearance indicated a primary differential diagnosis of non-aggressive lesions such as fibro-osseous lesions and arrested pneumatization. Further, on magnetic resonance imaging (MRI), the lesion showed a homogenously low T1 signal intensity with mild internal enhancement after post-gadolinium and a heterogeneous T2 signal intensity. These signal characteristics might be attributed to the fibrous tissues, chondroid matrix, calcific material, or cystic component of the lesion; thus, chondroblastoma and chondromyxoid fibroma were added to the differential diagnosis. Although this report was limited by the lack of final diagnosis and the patient lost to follow-up, the incidental skull base finding would be important for interpreting the entire volume of CBCT by a qualified oral and maxillofacial radiologist.

A Case report of the Ordinary symptoms on a Taeyangin constitution (태양인 환자의 소증(素症)에 대한 증례보고)

  • Lee, Eui-Ju;Song, Il-Byung;Kim, Kyung-Sok;Kwak, Chang-Kyu
    • Journal of Sasang Constitutional Medicine
    • /
    • v.14 no.3
    • /
    • pp.146-152
    • /
    • 2002
  • Purpose Because Taeyangin constitutions are very rare, There are few references about Taeyangin diseases. I suppose to gather basic materials on the case of a diagnosis and treatment on Taeyangin constitution patient. So I want to accomplish the theory of Taeyangin diseases. Methods I studied I patients with sequelae of CVA who were diagnosed by Taeyangin at department of Sasang constitutional Medicine in Kangnam Kyung Hee Oriental Hospital, and then I investigated the Ordinary symptoms as the diagnosis and treatment on a Taeyangin constitution Conclusion & Results To diagnose Taeyangin constitution, It is important to find out one's ordinary symptomes(especially appearance, personality, taste of food, existence of $y{\breve{u}}lk{\breve{u}}k{\cdot}haey{\breve{u}}k$, condition of urine and feces)

  • PDF

Intraoral HIV-associated Burkitt's lymphoma: a rare case report with special emphasis on differential diagnosis

  • Kamat, Mamata;Datar, Uma;Kanitkar, Sampada;Byakodi, Sanjay
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
    • /
    • v.45 no.4
    • /
    • pp.225-229
    • /
    • 2019
  • Individuals with human immunodeficiency virus (HIV) infection present with unique intraoral manifestations of various neoplasms. Intraoral HIV-associated Burkitt's lymphoma is a rare presentation, especially in patients of Indian origin and may present as an initial sign of HIV. The objective of this paper is to report a rare case of Burkitt's lymphoma in an HIV-positive Indian patient along with a special emphasis on differential diagnosis. A 30-year-old Indian female presented with a solitary, well-defined, exophytic mass extending anteroposteriorly and buccolingually from the 35th to 38th regions with no evidence of intraosseous extension. An incisional biopsy was performed, and histopathology showed sheets of neoplastic lymphoid cells with numerous tingible body macrophages with clear cytoplasm, presenting a starry sky appearance, suggesting a diagnosis of BL. The tumor cells were positive for CD10, CD20, c-myc, and Epstein-Barr virus, with a nearly 100% Ki-67 proliferative index. The patient tested positive for HIV. This report indicates the importance of immunohistochemical analysis to differentiate Burkitt's lymphoma from other similar lesions like diffuse large B-cell lymphoma. Thorough knowledge of the clinical presentation, etiopathogenesis, histopathology, and immunoprofile of intraoral HIV-associated Burkitt's lymphoma is essential among clinicians and pathologists.

A CLINICAL STUDY OF METASTATIC CARCINOMA TO ORAL SOFT TISSUE (구강내 연조직 전이암종의 임상적 연구)

  • Park, Joo-Yong;Kim, Hyung-Sup;Ok, Yong-Ju;Song, Jin-A;Lee, Jong-Ho;Kim, Myung-Jin;Choi, Sung-Weon
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • v.27 no.4
    • /
    • pp.346-349
    • /
    • 2005
  • Metastatic tumours to oral soft tissue are uncommon and accounts for approximately 1% of malignant oral neoplasms. Because of its rarity and clinical appearance of benign nature, the diagnosis of a metastatic lesion in the oral soft tissue may be challenging, both to clinicians and pathologists. We analyzed the clinical data of 9 patients who had metastatic carcinoma to oral soft tissues. The metastatic site to oral soft tissue was the gingiva in all cases. The most common primary site was lung (6 cases) followed by liver (2 cases) and breast (1 case). The clinical appearance resembled gingiva hyperplasia, pyogenic granuloma or gingival swelling. In one case, the metastatic gingiva lesion was found before detection of primary cancer. The mean survival time after diagnosis of metastatic lesion was 3 months. Although this metastatic lesion is rare, oral and maxillofacial surgeon should recognized that benign inflammatory lesion may be the metastatic malignant lesion or the first sign of undiagnosed underlying malignancy.

Sasang Constitution Classification System Using Face Morphologic Relation Analysis (얼굴의 형태학적 관계 분석에 의한 사상 체질 분류 시스템)

  • Cho, Dong-Uk;Kim, Bong-Hyun;Lee, Se-Hwan
    • The KIPS Transactions:PartB
    • /
    • v.14B no.3 s.113
    • /
    • pp.153-162
    • /
    • 2007
  • Sasang medicine is peculiar medicine that constitution of a human classify four types and differ treatment method by physical constitution. In this way the most important thing is very difficult problem that classification of Sasang constitution and discriminate correctly. Therefore, in this paper targets diagnosis medical appliances development of hybrid form that can behave constitution classification and sees among for this paper to propose about method to grasp characteristic that is morphology about eye, nose, ear and mouth be based on appearance and manner of speaking. In this paper, classified and verified this for Sasang constitution through the QSCC II program at 1 step and present method that more exactly and conveniently analyzing measure each physical constitution feature by survey about eye, nose, ear and mouth at 2 steps. Also, extraction and analyze and verified main area of physical constitution classification based on front face and side face at 3 steps. Such propose method to extraction the principal face region based on face color from front face and side face for correct physical constitution classification diagnosis appliance development through experiment consideration and verification process.

A Case of Generalized Pyoderma Gangrenosum Involving Scalp and Face (두피와 얼굴을 침범한 전신적 괴저성 농피증의 치험례)

  • Nam, Doo Hyun;Kim, Jun Hyuk;Lee, Young Man
    • Archives of Craniofacial Surgery
    • /
    • v.12 no.1
    • /
    • pp.53-57
    • /
    • 2011
  • Purpose: Pyoderma gangrenosum is a rare inflammatory, reactive dermatosis marked by painful cutaneous ulcer. The causes of pyoderma gangrenosum remain unclear. Gastrointestinal, hematological, rheumatological, and immmune disorders may be associated with pyoderma gangrenosum. The appearance of this disease may range from mild skin ulcers to life-threatening conditions. Generalized multiple ulcerative pyoderma gangrenosum is very rare. Here we report our experience with a case of multiple ulcerative pyoderma gangrenosum accompanied by ulcerative colitis. Methods: A 67-year-old man had cutaneous ulcers at multiple sites including the scalp, face, chest, abdomen, hands, and buttocks. He also developed gastrointestinal symptoms such as intermittent dyspepsia and bloody excrement. Debridement and irritation aggravated the disease progress. We gave a diagnosis of pyoderma gangrenosum with ulcerative colitis based on the clinical appearance and biopsy. The patient was treated with systemic intravenous steroid therapies and careful wound cares. Ulcers of the scalp and buttocks were treated with split thickness skin grafts. Results: Most of the multiple cutaneous ulcers were treated by systemic intravenous steroid therapies and wound cares. The rest of the ulcers were treated with skin grafts. Systemic intravenous steroid therapy was used to treat the ulcerative colitis. Conclusion: Generalized multiple ulcerative pyoderma gangrenosum is very rare. Without making an accurate diagnosis, hasty surgical treatments could aggravate the progression of the disease. Additionally, care should be taken to systemically treat underlying disease as well as administrating local treatments for the skin lesions. Intravenous systemic steroid therapy and skin grafts are useful treatments for generalized pyoderma gangrenosum.