• 제목/요약/키워드: diagnosis cluster

검색결과 95건 처리시간 0.036초

Detection of onset of failure in prestressed strands by cluster analysis of acoustic emissions

  • Ercolino, Marianna;Farhidzadeh, Alireza;Salamone, Salvatore;Magliulo, Gennaro
    • Structural Monitoring and Maintenance
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    • 제2권4호
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    • pp.339-355
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    • 2015
  • Corrosion of prestressed concrete structures is one of the main challenges that engineers face today. In response to this national need, this paper presents the results of a long-term project that aims at developing a structural health monitoring (SHM) technology for the nondestructive evaluation of prestressed structures. In this paper, the use of permanently installed low profile piezoelectric transducers (PZT) is proposed in order to record the acoustic emissions (AE) along the length of the strand. The results of an accelerated corrosion test are presented and k-means clustering is applied via principal component analysis (PCA) of AE features to provide an accurate diagnosis of the strand health. The proposed approach shows good correlation between acoustic emissions features and strand failure. Moreover, a clustering technique for the identification of false alarms is proposed.

Long-term Chemotherapy with Hydroxyurea in a Dog with Suspected Intracranial Meningioma

  • Jung, Dong-In;Lim, Chae-Young;Kang, Byeong-Teck;Kim, Ju-Won;Yoo, Jong-Hyun;Park, Hee-Myung
    • 한국임상수의학회지
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    • 제25권6호
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    • pp.514-517
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    • 2008
  • A 9-year-old female mixed breed dog was presented due to cluster seizure episode. A mass in the frontal lobe was noted on brain magnetic resonance imaging (MRI). The dural tail sign was identified on contrast MR images. Based on MRI findings, intracranial meningioma was suspected strongly. The patient's symptom was controlled well by a combination therapy of hydroxyurea and prednisolone, and survived for fourteen months after diagnosis. This case report demonstrated that the clinical findings, imaging characteristics of a dog with suspected intracranial meningioma and long-term survival after hydroxyurea plus prednisolone therapy.

Incidentally found cystic lymphangioma of the adrenal gland in an elderly male cadaver

  • Kim, Hee Cheol;Kang, Yunji;Maeng, Young Hee;Kim, Jinu;Yoon, Sang-Pil
    • Journal of Yeungnam Medical Science
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    • 제36권3호
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    • pp.265-268
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    • 2019
  • Adrenal cystic lymphangiomas are extremely rare entities that are often identified incidentally, with less than 60 cases reported to date. We found a protruding ovoid mass consisting of a multiloculated cystic lesion within right adrenal gland in the cadaver of a 75-year-old Korean man. The epithelial cells lining the adrenal cyst were diffusely positive for cluster of differentiation 31 and podoplanin, and negative for pan-cytokeratin. The histopathological diagnosis confirmed a cystic lymphangioma arising from the adrenal gland. Post-mortem findings of the present case are discussed based on the clinicopathological features of adrenal cystic lymphangiomas.

미만성 갑상샘 질환에서 GLCM을 이용한 초음파 영상 분석 (Ultrasonic Image Analysis Using GLCM in Diffuse Thyroid Disease)

  • 예수영
    • 한국방사선학회논문지
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    • 제15권4호
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    • pp.473-479
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    • 2021
  • 미만성 갑상샘질환은 그 진단 기준이 모호하고 숙련자의 주관적인 진단에 따라 오류가 많이 발생한다. 또한 갑상샘 결절의 초음파 영상에 관한 연구는 활발히 이루어졌지만 미만성 갑상샘질환에 관한 연구 사례는 미흡한 실정이다. 본 연구에서는 정상과 미만성 갑상샘질환의 영상에 GLCM 알고리즘을 적용하여 영상의 특징을 추출하고 추출된 특징값을 파라미터를 이용하여 정량적인 분석을 하였다. W 병원에서 진단한 환자의 갑상샘 초음파 영상을 대상으로 GLCM 알고리즘을 이용하여 정상 199증례, 경도 132증례, 중등도 99증례 총 영상 430증례에 관심영역(50×50 pixel)을 설정하고, 각 영상에서 Autocorrelation, Sum of squares, Sum average, Sum variance, Cluster prominence, Energy 6가지 파라미터를 이용하여 분석하였다. Autocorrelation, Sum of squares, Sum average, Sum variance 4가지 파라미터에서 Normal, Mild, Moderate를 구분하는데 90%이상의 높은 인식률을 보였다. 미만성 갑상샙질환의 초음파영상에서 GLCM 알고리즘을 이용하여 미만성 갑상샘질환의 심각도 정도를 분류하는 기준으로서 가치가 있다. 이러한 파라미터를 적용하여 갑상샘질환의 진단에 있어 육안 판독에 따른 오류를 감소시키고 미만성 갑상샘질환 진단의 2차적인 수단으로 활용 가능할 것으로 기대된다.

만성질환아 어머니의 질병에 대한 불확실성 정도와 양육태도 (Perceived Uncertainty and Rearing Attitude of Mothers with Chronically ILL Children)

  • 박은숙
    • Child Health Nursing Research
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    • 제2권2호
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    • pp.5-18
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    • 1996
  • The purposes of this study were to measure the degree of perceived uncertainty and to identify the rearing attitudes of mothers with chronically ill children, and to examine the relationship between the perceived uncertainty and the rearing attitude of these mothers. The subjects of this study consisted of 133 mothers with chronically ill children, registered at 2 university hospitals in Seoul. Data was collected from April 1 to May 31, 1996. The Parents' Perception of Uncertainty Scale(28-item 4 point scale) and the Maternal Behavior Research Instrument (49-item 5 point scale) were used. Data was analyzed by Cluster analysis, ANOVA MANOVA and t-test. Results of this study are summarized as follows : 1. Mothers perceived their uncertainty to be slightly high (Mn 2.48). The degree of perceived uncertainty by the four components slightly differed unpredictability(2.72), lack in clarity(2.58), vagueness (2.52) and lack of information(2.04) . The degree of perceived uncertainty of mothers with ill children revealed to be influenced significantly by the age of the ill children, duration of illness after the diagnosis, and the experience of hospitalization. 2. Among the rearing attitudes : moderatlely high affective(Mn 3.98) and resrictive(Mn 3.58) attitudes of mothers toward their ill children were identified. Mothers tend to give positive evaluations of their childrens' behaviors (Mn 3.38) and less rejection(Mn 2.81). 3. Mothers' rearing attitude were correlated with the degree of perceived uncertainty in illness ; mothers in the Low Perceived Uncertainty Group (Mn 1.99) revealed the highest affective (Mn 4.08), the lowest resrictive(Mn. 2.72) attitudes and tendency to give positive evaluations of their childrens' behaviors (Mn 3.54) compared to the High Perceived Uncertainty Group(Mn 3.26) and Moderate Perceived Uncertaity Group(Mn 2.57). 4. The degree of perceived uncertainty, the duration of illness after the diagnosis and the experience of hospitalization revealed to be significantly influential to the rearing attitude of mothers with chronically ill children. From the above results, it can be concluded that predicting and controlling mothers' uncertainty are necessary for improved, efficient nursing interventions and normal growth & development of the chronically ill children.

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The Relationship Between Psychosocial Stress and Allergic Disease Among Children and Adolescents in Gwangyang Bay, Korea

  • Lee, Mee-Ri;Son, Bu-Soon;Park, Yoo-Ri;Kim, Hye-Mi;Moon, Jong-Youn;Lee, Yong-Jin;Kim, Yong-Bae
    • Journal of Preventive Medicine and Public Health
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    • 제45권6호
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    • pp.374-380
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    • 2012
  • Objectives: Stress is considered a causal factor in many diseases, allergic disease being one of them. The prevalence of allergic disease is increasing in Korea, but the relationship between allergic symptoms and stress is not empirically well known. We aimed to evaluate the relationship between allergy-related symptoms and stress in children and adolescents. Methods: We investigated 698 children and adolescents living in Gwangyang Bay, Korea, using a multi-stage cluster sampling method. Using the International Study of Asthma and Allergies in Childhood and the Psychosocial Well-being Index, these subjects were surveyed on allergy-related symptoms and psychosocial stressors in their lives, respectively. We used a multivariate logistic analysis for odds ratios for the complaint rate of allergic symptoms, after adjusting for age, gender, household income, body mass index, and residence. Results: After adjustments, lifetime rhinitis (odds ratio [OR], 1.024), rhinoconjunctivitis (OR, 1.090), diagnosis of itchy eczema (OR, 1.040), treatment of itchy eczema (OR, 1.049), 12-month allergic conjunctivitis (OR, 1.026), diagnosis of allergic conjunctivitis (OR, 1.031), and treatment of allergic conjunctivitis (OR, 1.034) were found to be significantly associated with stress. Conclusions: Our results support the notion that there is a relationship between stress and allergic symptoms in children and adolescents. Further research into any causal relationship between stress and allergies, as well as preventative public health plans for decreasing stress in children and adolescents are needed.

파킨슨병 변증 유형 및 지표 분포에 대한 전향적 다기관 관찰연구 프로토콜 (An Observational Multi-Center Study Protocol for Distribution of Pattern Identification and Clinical Index in Parkinson's Disease)

  • 조혜연;권오진;서복남;박성욱;유호룡;장정희
    • 대한한방내과학회지
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    • 제45권1호
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    • pp.1-10
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    • 2024
  • Objectives: This study investigated the pattern identification (PI) and clinical index of Parkinson's disease (PD) for personalized diagnosis and treatment. Methods: This prospective observational multi-center study recruited 100 patients diagnosed with PD from two Korean medicine hospitals. To cluster new subtypes of PD, items on a PI questionnaire (heat and cold, deficiency and excess, visceral PI) were evaluated along with pulse and tongue analysis. Gait analysis was performed and blood and feces molecular signature changes were assessed to explore biomarkers for new subtypes. In addition, unified PD rating scale II and III scores and the European quality of life 5-dimension questionnaire were assessed. Results: The clinical index obtained in this study analyzed the frequency statistics and hierarchical clustering analysis to classify new subtypes based on PI. Moreover, the biomarkers and current status of herbal medicine treatment were analyzed using the new subtypes. The results provide comprehensive data to investigate new subtypes and subtype-based biomarkers for the personalized diagnosis and treatment of PD patients. Ethical approval was obtained from the medical ethics committees of the two Korean medicine hospitals. All amendments to the research protocol were submitted and approved. Conclusions: An objective and standardized diagnostic tool is needed for the personalized treatment of PD by traditional Korean medicine. Therefore, we developed a clinical index as the basis for the PI clinical evaluation of PD. Trial Registration: This trial is registered with the Clinical Research Information Service (CRIS) (KCT0008677)

혈관성 두통환자에서의 Transcranial Doppler이용 (Transcranial Doppler Ultrasonography in Vascular Headaches)

  • 정진상;이혜승
    • Annals of Clinical Neurophysiology
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    • 제1권1호
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    • pp.76-79
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    • 1999
  • The most significant factor in pathogenesis of vascular headaches like migraine and cluster headache is dynamic changes of diameters of the cerebral arteries. TCD is a valuable noninvasive tool to assess the cerebral hemodynamic status by measuring the flow velocities of the intracranial cerebral arteries around the circle of Willis. TCD can evaluate flow velocities and vasoreactivity of the patients with a vascular headache during the ictal phase as well as during intericatal phase. Distribution of the changes recorded differ between types of headaches and also between the major ictal symptoms. The changes suggest the presence of prolonged vasospasm interictally and more marked relaxation of the cerebral arteries. TCD can be used to monitor the long-term clinical course of patients with vascular headache by correlation the symptomatic improvement and TCD data before and after long-term pharmacological prophylactic treatments. During the ictal phases large intervention. The results may be used in selecting and evaluating the agents for abortive therapy for acute attacks. In conclusion TCD can quantitatively evaluate vascular headaches when making diagnosis and classification and can provide guidelines to choose more individualized therapeutic options for both acute and long-term treatment.

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전립선비대증 초음파 영상에서 GLCM을 이용한 컴퓨터보조진단의 영상분석 (Image Analysis of Computer Aided Diagnosis using Gray Level Co-occurrence Matrix in the Ultrasonography for BPH)

  • 조진영;김창수;강세식;고성진;예수영
    • 한국콘텐츠학회:학술대회논문집
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    • 한국콘텐츠학회 2015년도 춘계 종합학술대회 논문집
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    • pp.191-192
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    • 2015
  • 전립선비대증(Benign Prostatic Hyperplasia, BPH)은 전립선조직중에 이행구역의 결절성증식과 요도 주위의 과증식(Hyperplasia)이 특징이다. 경직장초음파(TRUS: transrectal ultrasonography)검사를 이용한 진단에 있어 정상조직과 비대되어 있는 조직의 영상 차이를 비교하고 수량화로 나타내었다, 영상분석에는 GLCM 통계적 파라미터 중에서 Autocorrelation, Cluster Prominence, Entropy, Sum average를 4개의 파라미터에서 병변 인식이 가능하였고 인식 효율은 92-98%가 나왔다. 전립선비대증식에 대한 초음파영상을 가지고 컴퓨터영상처리분석을 제안하여 진단시 참고 자료가 될 것으로 기대한다.

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치와와에서 발생한 외상적 뇌손상 증례; 연속적인 임상적 및 전산화 단층영상 소견 (A Case of Traumatic Brain Injury in a Chihuahua Dog: Serial Clinical and Computed Tomographic Findings)

  • 이희천;원진희;문종현;정해원;정동인
    • 한국임상수의학회지
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    • 제31권4호
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    • pp.329-332
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    • 2014
  • A dog (Chihuahua, 2-year-old, intact female) was referred to us because of cluster seizure. She had history of falling from height few days before presentation. Brain computed tomography (CT) results demonstrated fracture line on right temporal bone and hypodense, edematous changes of the adjacent brain parenchyma on right cerebral parenchyma. Based on history, clinical signs, and diagnostic imaging findings, this patient was diagnosed to traumatic brain injury. After diagnosis, the patient was well controlled with anti-inflammatory drug and anti-epileptic drugs. When 30, 480, and 1260 days after initial brain CT examination, we performed serial brain CT rechecks. This case report describes serial clinical and brain CT findings after traumatic brain injury.