• Title/Summary/Keyword: visible diagnosis

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The Iceberg Nature of Fibromyalgia Burden: The Clinical and Economic Aspects

  • Ghavidel-Parsa, Banafsheh;Bidari, Ali;Maafi, Alireza Amir;Ghalebaghi, Babak
    • The Korean Journal of Pain
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    • v.28 no.3
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    • pp.169-176
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    • 2015
  • This review has focused on important but less visible aspects of fibromyalgia (FM) with respect to the high impact of this disorder on patients and societies. FM is a common but challengeable illness. It is characterized by chronic widespread pain, which can be accompanied by other symptoms including fatigue, sleep disturbances, cognitive dysfunction, anxiety and depressive episodes. While our understanding of this debilitating disorder is limited, diagnosis and treatment of this condition is very difficult, even in the hands of experts. Due to the nature of disease, where patients experience invalidation by medical services, their families and societies regarding the recognition and management of disease, direct, indirect and immeasurable costs are considerable. These clinical and economic costs are comparable with other common diseases, such as diabetes, hypertension and osteoarthritis, but the latter usually receives much more attention from healthcare and non-healthcare resources. Present alarming data shows the grave and "iceberg-like" burden of FM despite the benign appearance of this disorder and highlights the urgent need both for greater awareness of the disease among medical services and societies, as well as for more research focused on easily used diagnostic methods and target specific treatment.

Diagnosis and Treatment of Connective Tissue Massage (결합조직마사지의 진단과 치료)

  • Bae Sung-soo;Choi Jae-won;Lee Keun-heui;Kim Jong-soon;Kim Soo-min;Kim Byung-jo;Hwang Bo-Gak;Ju Mu-yeol
    • The Journal of Korean Physical Therapy
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    • v.14 no.4
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    • pp.224-233
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    • 2002
  • General massage and sports massage techniques are kneading, petrisage and tappotment. These will be improve physiological reaction. Connective tissue massage is a reflex zone massage in the subcutaneous tissues. These are superficial and deeper fascia, intermuscular septa, blood vessel, perinerve tissue. It is frame work on organs in human-being, Therefore, abnormality of there tissues are a pathologic change of the organs. The pathologic changes are fined with visible investigation, manual investigation and stroking investigation on the reflex zone. The stroking on the reflex zone is the treatment also. Stroking methods are depend upon tissues and area. Short strokings are directed at approximately right angles against bone, muscular or facial board. Long strokings are very often follow the original cleavage lines. The back is divided for treatment purposes into sections. There are basic section, thoracic section and cervical section.

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Detection of Tendon Tears by Degree of Linear Polarization Imaging

  • Kim, Ji-Hoon;Oh, Jung-Hwan;Kang, Hyun-Wook;Lee, Ho;Kim, Jee-Hyun
    • Journal of the Optical Society of Korea
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    • v.13 no.4
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    • pp.472-477
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    • 2009
  • A Stokes polarimetry imaging (SPI) system was developed and utilized to detect tendon tears by constructing the degree of linear polarization (DOLP) image maps after linearly polarized light illumination. The micro and partial-thickness tears of turkey tendons were made and imaged by the SPI system at different incident polarization angles (IPA) with different mechanical loads on the tendon. The micro and partial-thickness tendon tears were detected by the DOLP images due to weak birefringence around the tears. The tendon tears were detected by a highest DOLP contrast at longest visible wavelength (Red, 650 ${\pm}$ 50 nm). All polarized images showed modulated DOLP as the incident polarization angle (IPA) was varied. The varying DOLP allowed the optimal detection of the micro and partial-thickness tendon tears at a certain IPA. The SPI system with variable IPA and spectral information can improve the detection of the tendon tears by higher visibility of fiber orientations, and thereby improve diagnosis and treatment of the tendon related injuries.

Combining Multi-Criteria Analysis with CBR for Medical Decision Support

  • Abdelhak, Mansoul;Baghdad, Atmani
    • Journal of Information Processing Systems
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    • v.13 no.6
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    • pp.1496-1515
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    • 2017
  • One of the most visible developments in Decision Support Systems (DSS) was the emergence of rule-based expert systems. Hence, despite their success in many sectors, developers of Medical Rule-Based Systems have met several critical problems. Firstly, the rules are related to a clearly stated subject. Secondly, a rule-based system can only learn by updating of its rule-base, since it requires explicit knowledge of the used domain. Solutions to these problems have been sought through improved techniques and tools, improved development paradigms, knowledge modeling languages and ontology, as well as advanced reasoning techniques such as case-based reasoning (CBR) which is well suited to provide decision support in the healthcare setting. However, using CBR reveals some drawbacks, mainly in its interrelated tasks: the retrieval and the adaptation. For the retrieval task, a major drawback raises when several similar cases are found and consequently several solutions. Hence, a choice for the best solution must be done. To overcome these limitations, numerous useful works related to the retrieval task were conducted with simple and convenient procedures or by combining CBR with other techniques. Through this paper, we provide a combining approach using the multi-criteria analysis (MCA) to help, the traditional retrieval task of CBR, in choosing the best solution. Afterwards, we integrate this approach in a decision model to support medical decision. We present, also, some preliminary results and suggestions to extend our approach.

Cutaneous Sterile Pyogranuloma/Granuloma Syndrome in an Old English Bulldog: Case Report

  • Yoon, Ji-Seon;Bae, Hyeona;Ahn, Soomin;Hong, Il-Hwa;Jung, Dong-In;Park, Jinho;Yu, DoHyeon
    • Journal of Veterinary Clinics
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    • v.36 no.6
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    • pp.345-348
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    • 2019
  • A four-year old, indoor-living neutered male Old English Bulldog was presented for generalized ulcerative dermatitis. Generalized alopecia and multifocal papules and ulcers with crusting were observed mainly in the dorsal trunk. Cytology of the skin lesions revealed a pyogranulomatous inflammation comprising macrophages and nondegenerate neutrophils. Histopathology also revealed a nodular dermatitis characterized by mixed infiltration of monocytes and neutrophils involving the superficial and deep dermis. Neither of bacteria nor fungus was identified in microscopic exam and culture. From those findings, a diagnosis of cutaneous sterile pyogranuloma/granuloma syndrome (SPGS) was made. Treatment with immunosuppressive drugs of prednisone and cyclosporine was performed and visible ulcerative skin lesions were resolved after 4 weeks of initiation of therapy. Treatment with combination of cyclosporine and prednisone may be effective for the case of SPGS.

Aesthetic treatment of frontal sinus fractures and their complications (미용적인 측면을 고려한 전두동 골절과 합병증의 치료)

  • Kim, Kwang Seog;Hwang, Jae Ha
    • Journal of the Korean Medical Association
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    • v.61 no.12
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    • pp.732-739
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    • 2018
  • The frontal sinus is a functionally important structure. It serves as a cushioning buffer to protect the brain in cases of facial trauma. Fractures of the frontal sinus can lead to aesthetic problems by causing a visible depression in the center of the forehead. The goals of frontal sinus fracture treatment have been to protect intracranial structures and to prevent early and late complications, even with invasive methods. Recently, however, the goals have shifted to preservation of nasofrontal outflow tract function through close observation and the utilization of endoscopic procedures. Excellent cosmetic results can be achieved through minimally invasive surgery. This shift in goals took place due to the ease of diagnosis and treatment of early and late complications. Therefore, patients with a frontal sinus fracture should be followed up continuously to ensure that complications are detected promptly. Herein, the authors describe the methods and current trends of frontal sinus fracture treatment.

Diagnostic Accuracy of Dermoscopy for Scabies

  • Li, Feng-Zeng;Chen, Shuang
    • Parasites, Hosts and Diseases
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    • v.58 no.6
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    • pp.669-674
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    • 2020
  • The diagnostic accuracy of dermoscopy (DS) for scabies, a highly contagious parasitic disease, remains disputed. This study aimed to assess the diagnostic accuracy of DS in scabies, analyze the factors influencing DS, and explore its role in post-treatment evaluation. Patients with suspected scabies were randomly divided into 2 groups: 71 patients in the skin scraping (SS) group and 73 patients in the DS group. The diagnostic efficiencies of SS and DS in these groups were calculated. We also analyzed the influence of body part and investigator competence on the accuracy of DS. Then 16 body parts with typical signs of scabies were monitored by DS 2 and 4 day after sulfur ointment treatment. The sensitivity and specificity of DS were 98.3% and 88.5%, respectively. Hands, arms, and the abdomen had higher positivity rates than other body parts (P<0.001). The accuracy of dermatologists' interpretations of images negative for scabies in the intermediate- and high-level groups was higher than that in the low-level group (P<0.001). At follow-up, the mites were still visible on 43.8% to 62.5% of the skin lesions 2 and 4 day after sulfur ointment treatment. These results showed that DS could significantly increase the accuracy of diagnosing scabies owing to its high sensitivity and specificity. Therefore, it may be useful for monitoring clinical responses to anti-parasitic treatment.

Comparison of estimating vegetation index for outdoor free-range pig production using convolutional neural networks

  • Sang-Hyon OH;Hee-Mun Park;Jin-Hyun Park
    • Journal of Animal Science and Technology
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    • v.65 no.6
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    • pp.1254-1269
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    • 2023
  • This study aims to predict the change in corn share according to the grazing of 20 gestational sows in a mature corn field by taking images with a camera-equipped unmanned air vehicle (UAV). Deep learning based on convolutional neural networks (CNNs) has been verified for its performance in various areas. It has also demonstrated high recognition accuracy and detection time in agricultural applications such as pest and disease diagnosis and prediction. A large amount of data is required to train CNNs effectively. Still, since UAVs capture only a limited number of images, we propose a data augmentation method that can effectively increase data. And most occupancy prediction predicts occupancy by designing a CNN-based object detector for an image and counting the number of recognized objects or calculating the number of pixels occupied by an object. These methods require complex occupancy rate calculations; the accuracy depends on whether the object features of interest are visible in the image. However, in this study, CNN is not approached as a corn object detection and classification problem but as a function approximation and regression problem so that the occupancy rate of corn objects in an image can be represented as the CNN output. The proposed method effectively estimates occupancy for a limited number of cornfield photos, shows excellent prediction accuracy, and confirms the potential and scalability of deep learning.

Development of Protein Chip for Diagnosis of Chlamydophia Pneumoniae (단백질 칩을 이용한 클라미디아 폐렴의 진단)

  • Kim, Woo Jin;Lee, Hui Young;Lee, Seung-Joon;Jung, Se-Hui;Yuk, Jong Seol;Ha, Kwon-Soo;Jung, Ki-Suck
    • Tuberculosis and Respiratory Diseases
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    • v.60 no.4
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    • pp.412-418
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    • 2006
  • Background; The diagnosis of chlamydial infection is based on serology. The current gold standard of diagnosis is MIF(microimmunofluorescence), but this modality is subjective and time-consuming. Protein microarray with using a SPR(surface plasmon resonance) sensor has recently been suggested as a method for detecting infection. For developing a protein chip to diagnose chlamydial infection, EBs(elementary bodies) were immobilized on a gold chip and the interaction between an antibody for Chlamydophila pneumoniae and the EBs(elementary bodies) immobilized on the surface of the gold chip was measured by using an SPR sensor. Methods; For the surface antigen, the EBs of Chlamydophila pneumoniae LKK1 were purified. Charged arrays were prepared by using PDDA(polydiallyldimethylammonium chloride) which has a positive charge. After immobilization of the chlamydial EBs on the PDDA surface, the investigation of the surface was done with using atomic force microscopy. After the antibody for C. pneumoniae was applied on chip, we monitored the SPR wavelength-shift to detect any antigen-antibody interaction with using a self-assembled SPR sensor. Results; The chlamydial EBs on the positively charged PDDA were visible on the surface with using atomic force microscopy. The SPR wavelength increased after interaction of antibody for C. pneumoniae with the EBs immobilized on charged gold surface. The wavelength-shift was correlated with the concentration of antigens. Conclusion; The surface immobilization of EBs on the gold surface with the charged arrays was identified and the antigen-antibody interaction on the gold chip was detected via the SPR sensor. Further investigations are needed to apply this technique to the clinical field.

Evaluation of Cold Tolerance of Blueberry (Vaccinium corymbosum L.) and Diagnosis of Freezing Injury Using Timber Moisture Meter (블루베리의 내한성 평가 및 목재수분계측기를 이용한 동해피해 진단)

  • Kim, Ki-Deog;Lee, Jun-Gu;Ryu, Myeong-Sang;Yoo, Dong-Lim;Kwon, Young-Seok;Lee, Jong-Nam
    • Journal of Bio-Environment Control
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    • v.21 no.4
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    • pp.354-361
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    • 2012
  • This study was conducted to evaluate on the freezing tolerance of introduced blueberry cultivars in Korea and to investigate availability of portable timber moisture meter for simple and rapid diagnosis of blueberry-shoot damage by freezing during wintering. Frost tolerance of blueberry cultivars showed big difference that rates of blueberry-shoot death were widely distributed from about 0% to 100% after wintering. Optical density in TTC reduction of blueberry twig treated low temperature was low in order of $-40^{\circ}C$ < $-21^{\circ}C$ < $4^{\circ}C$. Hardiness evaluation of visible injury in the cross-sectional surface color did not agree with that of rates of blueberry-shoot death during wintering. Lowest water content of blueberry stem measured by timber moisture tester during wintering was about 15%. During wintering, water contents of blueberry stems were higher at lower part of tree, but were low at end part of stems, and then when the blueberry grew again for spring, the water content gradually increased to 20~40%. Water content of blueberry stem with freezing injury during wintering decreased to under 5% by desiccation. Therefore it is assummed that the moisture content of blueberry stem injured by freezing during wintering was about under 14%, and it is expected that portable timber moisture meter could be available for rapid diagnosis of blueberry freezing injury in field.