• Title/Summary/Keyword: Diagnostic Possibility

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New Methodology to Develop Multi-parametric Measure of Heart Rate Variability Diagnosing Cardiovascular Disease

  • Jin, Seung-Hyun;Kim, Wuon-Shik;Park, Yong-Ki
    • International Journal of Vascular Biomedical Engineering
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    • v.3 no.2
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    • pp.17-24
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    • 2005
  • The main purpose of our study is to propose a new methodology to develop the multi-parametric measure including linear and nonlinear measures of heart rate variability diagnosing cardiovascular disease. We recorded electrocardiogram for three recumbent postures; the supine, left lateral, and right lateral postures. Twenty control subjects (age: $56.70{\pm}9.23$ years), 51 patients with angina pectoris (age: $59.98{\pm}8.41$ years) and 13 patients with acute coronary syndrome (age: $59.08{\pm}9.86$ years) participated in this study. To develop the multi-parametric measure of HRV, we used the multiple discriminant analysis method among statistical techniques. As a result, the multiple discriminant analysis gave 75.0% of goodness of fit. When the linear and nonlinear measures of HRV are individually used as a clinical tool to diagnose cardiac autonomic function, there is quite a possibility that the wrong results will be obtained due to each measure has different characteristics. Although our study is a preliminary one, we suggest that the multi-parametric measure, which takes into consideration the whole possible linear and nonlinear measures of HRV, may be helpful to diagnose the cardiovascular disease as a diagnostic supplementary tool.

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A Case of Primary Jejunal Adenocarcinoma in Children (소아에서 발생한 공장의 선암종 1례)

  • Cho, Myung-Hwan;Min, Yong-Sik;Park, Kyung-Bae;Park, Joon-Soo;Kim, Young-Chang
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.1 no.1
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    • pp.125-132
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    • 1998
  • Primary adenocarcinoma of the jejunum which accounts for only approximately 3% of all gastrointestinal tract malignancies, is distinctly unusual. The rarity and the non-specific symptoms of this cancer, which are the major factors contributing to its poor prognosis, make the diagnosis difficult. As the prognosis of primary adenocarcinoma of the jejunum, once metastasized, is poor, a greater awareness of the possibility of a jejunal cancer must accompany aggressive diagnostic and surgical procedure. We report our experience of a child with primary adenocarcinoma of the jejunum with a brief review of the literature.

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Construction of Magnetic Resonance Imaging Inside-out probes for Internal Imaging (핵자기공명 영상법을 위한 내부 영상용 뒤집음-탐침의 제작)

  • Ko, R.K.;Lee, D.H.;Jeong, E.K.
    • Proceedings of the KOSOMBE Conference
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    • v.1995 no.11
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    • pp.78-81
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    • 1995
  • In imaging the samples or human internal organs in a tube shape, general RF-probe types (that encircles a sample or places on top of the sample) are usually unsuitable for the internal imaging due to the degradation of signal-to-noise ratios(SNR's). In the present study the inside-out probes for Magnetic Resonance Imaging (MRI) have been constructed in the three different shapes such as an anti-solenoidal, a saddle and a dual surface types which are positioned as close to the area as possible by putting the probe inside the tubelike sample to improve filling factor. RF-field distributions have also been calculated depending upon the geometrical changes of anti-solenoid probes. Moreover, the performance of the inside-out probes has been checked by measuring SNR's of the images acquired. The inside-out probes constructed in this study produced better SNR's and rf-field uniformity in the area close to the probes in comparing with any other commercial probes. There is a high possibility that the constructed probes in the present study are applicable to the diagnosis of human bodies.

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Glue Embolization of Ruptured Anterior Thalamoperforating Artery Aneurysm in Patient with Both Internal Carotid Arteries Occlusion

  • Lee, Jae-Il;Choi, Chang-Hwa;Ko, Jun-Kyeung;Lee, Tae-Hong
    • Journal of Korean Neurosurgical Society
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    • v.49 no.5
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    • pp.287-289
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    • 2011
  • Thalamoperforating artery aneurysms are rarely reported in the literature. We report an extremely rare case of ruptured distal anterior thalamoperforating artery aneurysm which was treated by endovascular obliteration in a patient with occlusion of both the internal carotid arteries (ICAs) : A 72-year-old woman presented with severe headache and loss of consciousness. Initial level of consciousness at the time of admission was drowsy and the Glasgow Coma Scale score was 14. Brain computed tomography (CT) scan was performed which revealed intracerebral hemorrhage in right basal ganglia, subarachnoid hemorrhage, and intraventricular hemorrhage. The location of the aneurysm was identified as within the globus pallidus on CT angiogram. Conventional cerebral angiogram demonstrated occlusion of both the ICAs just distal to the fetal type of posterior communicating artery and the aneurysm was arising from right anterior thalamoperforating artery (ATPA). A microcatheter was navigated into ATPA and the ATPA proximal to aneurysm was embolized with 20% glue. Post-procedural ICA angiogram demonstrated no contrast filling of the aneurysm sac. The patient was discharged without any neurologic deficit. Endovascular treatment of ATPA aneurysm is probably a more feasible and safe treatment modality than surgical clipping because of the deep seated location of aneurysm and the possibility of brain retraction injury during surgical operation.

Chair side measuring instrument for quantification of the extent of a transverse maxillary occlusal plane cant

  • Naini, Farhad B.;Messiha, Ashraf;Gill, Daljit S.
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.41
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    • pp.21.1-21.3
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    • 2019
  • Background: Treatment planning the correction of a transverse maxillary occlusal plane cant often involves a degree of qualitative "eyeballing", with the attendant possibility of error in the estimated judgement. A simple chair side technique permits quantification of the extent of asymmetry and thereby quantitative measurements for the correction of the occlusal plane cant. Methods: A measuring instrument may be constructed by soldering the edge of a stainless steel dental ruler at 90° to the flat surface of a similar ruler. With the patient either standing in natural head position, or alternatively seated upright in the dental chair, and a dental photographic retractor in situ, the flat under-surface of the horizontal part of this measuring instrument is placed on a unilateral segment of a bilateral structure, e.g. the higher maxillary canine orthodontic bracket hook. The vertical ruler is held next to the contralateral canine tooth, and the vertical distance measured directly from the canine bracket to the flat under-surface of the horizontal part of the measuring instrument. Results: This vertical distance quantifies the overall extent of movement required to level the maxillary occlusal plane. Conclusions: This measuring instrument and simple chair side technique helps to quantify the overall extent of surgical levelling required and may be a useful additional technique in our clinical diagnostic armamentarium.

An analysis of using trend and relationship among DRGs, Nursing Diagnoses and Nursing Interventions (DRG, 간호진단, 간호중재의 활용경향 및 관계분석;미국의 일 지역을 중심으로)

  • Jung, Myun-Sook
    • Journal of Korean Academy of Nursing Administration
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    • v.8 no.2
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    • pp.207-219
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    • 2002
  • The purposes of this research were to: a) define the changing trends of DRGs in comparison to the National Data, b) define the changing trends of Nursing Diagnoses and Nursing Interventions for the 5 most frequently occurring Diagnostic Related Groups (DRGs) across 3 years, and c) define the relationships between nursing diagnoses and nursing Interventions for the 5 most frequently occurring DRGs across the 3 years. This study was a secondary data analysis of medical and nursing data based on the United States Nursing Minimum Data Set and the Uniform Hospital Discharge Data Set retrieved from a Midwestern USA medical center. The results showed interesting comparisons with national statistics as well as practice relevant trends within the nursing data. Additionally, the results showed the possibility that nursing data can be extracted from the medical data, so they can used in the nursing productivity and cost issues etc. In conclusion, this study supports the power of minimum data sets and nursing classifications to begin to describe a more global perspective the inter-relationships and trends of nursing data within the medical diagnosis context.

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Leakage Current Waveforms of Outdoor Polymeric Insulators and Possibility of Application for Diagnostics of Insulator Conditions

  • Suwarno Suwarno
    • Journal of Electrical Engineering and Technology
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    • v.1 no.1
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    • pp.114-119
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    • 2006
  • This paper reports the investigation results on the leakage currents (LC) on polymeric outdoor insulators. The samples used were EPDM (ethylene prophylene diene monomer) insulators used at 20 kV distribution lines. AC voltage was applied and the LC waveforms were measured under various environmental conditions (humidity and pollution). Digital data of the LC was transferred from a digital storage oscilloscope to a computer for further analysis. The LC waveform parameters such as magnitude and harmonic content (as indicated by the total harmonic distortion (THD)) were analyzed. The experimental results showed that 3rd, 5th and 7th harmonics and higher odd harmonics were observed for symmetrical-distorted LC waveforms while for unsymmetrical-distorted LC waveforms, odd and even harmonics were observed. The LC analysis indicated that there are 5 stages of insulator conditions from normal condition up to flashover correlated with different kind of LC waveforms. The results also showed that in general the magnitude of LC was good enough to show the condition of the insulators. However, under discharge condition (for example as a result of dry band arching) the LC magnitude should be combined by the THD to show a better correlation with the insulator condition. The product between THD and LC magnitude may be used as a diagnostic parameter.

Obstructive Sleep Apnea and Type 2 Diabetes (폐쇄성 수면무호흡 과 제2형 당뇨병)

  • Kang, Hyeon-Hui;Lee, Sang-Haak
    • Sleep Medicine and Psychophysiology
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    • v.16 no.2
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    • pp.61-64
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    • 2009
  • Obstructive sleep apnea (OSA) has been definitively shown to be a risk factor for the development of cardiovascular disease and mortality. Recent reports have indicated that obstructive sleep apnea is associated with insulin resistance and impaired glucose metabolism, also have type 2 diabetes. The potential mechanisms leading to the development of type 2 diabetes in OSA patients are likely to be various. Reduced physical activity resulting from daytime somnolence, sympathetic nervous system activation, intermittent hypoxia, sleep fragmentation and sleep loss, dysregulation of the hypothalamic-pituitary axis, alteration in adipokine profiles, and activation of inflammatory pathways have been proposed. Based on the current evidence, clinicians should assess the risk of OSA in patients with type 2 diabetes and, conversely, consider that possibility of glucose intolerance in patients with OSA. Further large-scale and long-term follow-up studies in patient populations with selected by reliable but inexpensive diagnostic measures, controlled for potential confounder factor, are needed.

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Remote Measurement for Automobile′s ECU Sensor Signals Using RF modules (RF모듈을 이용한 자동차 ECU 센서신호의 원격계측)

  • 이성철;서지원;권대규;방두열
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2003.06a
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    • pp.1067-1070
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    • 2003
  • In this paper, we present a remote measurement system for the wireless monitoring of ECU Sensor Signals of vehicle. In order to measure the ECU sensor signals, the interface circuit is designed to communicate ECU and designed terminal wirelessly according to the ISO, SAE regulation of communication protocol standard. A micro-controller 80C196KC is used for communicating ECU sensor signals. ECU sensor signals are transmitted to the RF-wireless terminal that was developed using the micro controller 80386EX. LCD, and RF-module. 80386EX software is programmed to monitor the ECU sensor signals using the Borland C++ compiler in which the half duplex method was used for the RS232 communication. The algorithms for measuring the ECU sensor signals are verified to monitor ECU state. At the same time, the information to fix the vehicle's problem can be shown on the developed monitoring software. The possibility for remote measurement of ECU sensor signals using 80386EX is also verified through the developed systems and algorithms.

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Second Primary Malignant Neoplasms: A Clinicopathological Analysis from a Cancer Centre in India

  • Hulikal, Narendra;Ray, Satadru;Thomas, Joseph;Fernandes, Donald J.
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.12
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    • pp.6087-6091
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    • 2012
  • Context: Patients diagnosed with a cancer have a life time risk of developing another de novo malignancy depending on various inherited, environmental and iatrogenic risk factors. Of late the detection of new primary has increased mainly due to refinement in both diagnostic and treatment modalities. Cancer victims are surviving longer and thus are more likely to develop a new metachronous malignancy. Aims: To report our observed trend of increase in prevalence of both synchronous and metachronous second malignant neoplasms among cancer victims and to review the relevant literature. Settings and Design: A hospital based retrospective collection of prospective data of patients diagnosed with second denovo malignancy. Materials and Method: The study was conducted over a 5 year period from July 2008 to June 2012. All patients diagnosed with a histologically proven second malignancy as per Warren Gate's criteria were included. Various details regarding sex, age at presentation, synchronous or metachronous, treatment and outcome were recorded. Conclusions: The occurrence of multiple primary malignancies is not rare. Awareness of the possibility alerts the clinician in evaluation of patients with a known malignancy presenting with unusual sites of metastasis. Individualizing the treatment according to the stages of the primaries will result in durable cancer control particularly in synchronous double malignancy.