• Title/Summary/Keyword: Grade Classification

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Three Cases of Intracranial Clear Cell Meningioma

  • Kim, Yeon-Seong;Kim, In-Young;Jung, Shin;Lee, Min-Cheol
    • Journal of Korean Neurosurgical Society
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    • v.38 no.1
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    • pp.54-60
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    • 2005
  • The clear cell meningioma[CCM] is a rare and recently described as a histologic variant of meningioma. It has been identified and included in new World Health Organization[WHO] classification of the Central Nervous System[CNS] tumors recently. The CCMs are histologically characterized by sheets of spindled to polygonal cells with clear cytoplasm, which is the expression of high glycogen concentration. The CCMs occur in younger patients and usually are located in the spinal canal and posterior fossa. The most interesting aspect of CCM is the high recurrence rate and aggressiveness. Poor outcome has been shown in intracranial and spinal tumor location, but the indicators that predict outcome have not been established. Until now 22 intracranial CCM cases had been reported in English literature and 3 cases in Korean. The authors report two cases of CCM located at cerebral convexity and one at cavernous sinus those were totally removed [Simpson Grade $I{\sim}II$] by subfrontal, frontal and orbitocranial approaches. The clinical, radiological, histopathological, and neurosurgical features of these cases are discussed with the relevant literatures.

Analysis of the patient who were rejected by 119 emergency requests transferred (119 구급요청 거절 대상 환자의 이송 현황 분석)

  • Mun, Jun-Young;Choi, Jun-Won
    • The Korean Journal of Emergency Medical Services
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    • v.25 no.3
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    • pp.63-70
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    • 2021
  • Purpose: The study aimed to collect data from patients who were rejected by emergency requests for transfer to a tertiary hospital through 119 EMT and to analyze the data in the hospital to improve the plan. Methods: We analyzed 4,702 cases of emergency requests made by patients who were rejected by 119 emergency assistance out of the 22,568 patients who visited the emergency medical center in the C area of G metropolitan city from January 2018 through December 2020. The collected data were analyzed using IBM SPSS Statistics Version XX (IBM Corp., Armonk, N.Y., USA). Results: The major medical department with the largest number of such cases was the department of emergency medicine, with 2,519 cases (53.6%). Simple bruises were the most common diagnosis, with 2,819 cases (61.2%). KTAS classification was the highest with 3,562 patients (75.8%) in grade 4. As for the results, 4,084 patients (86.9%) were discharged from the hospital. Conclusion: Most of the patients who were rejected by emergency requests were non-emergency patients and were discharged from the hospital. emergency requests must be rejected at public relations and sites. In addition, the law should be amended to specifically present the reasons for refusal of emergency requests.

DNA Based Cloud Storage Security Framework Using Fuzzy Decision Making Technique

  • Majumdar, Abhishek;Biswas, Arpita;Baishnab, Krishna Lal;Sood, Sandeep K.
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.13 no.7
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    • pp.3794-3820
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    • 2019
  • In recent years, a cloud environment with the ability to detect illegal behaviours along with a secured data storage capability is much needed. This study presents a cloud storage framework, wherein a 128-bit encryption key has been generated by combining deoxyribonucleic acid (DNA) cryptography and the Hill Cipher algorithm to make the framework unbreakable and ensure a better and secured distributed cloud storage environment. Moreover, the study proposes a DNA-based encryption technique, followed by a 256-bit secure socket layer (SSL) to secure data storage. The 256-bit SSL provides secured connections during data transmission. The data herein are classified based on different qualitative security parameters obtained using a specialized fuzzy-based classification technique. The model also has an additional advantage of being able to decide on selecting suitable storage servers from an existing pool of storage servers. A fuzzy-based technique for order of preference by similarity to ideal solution (TOPSIS) multi-criteria decision-making (MCDM) model has been employed for this, which can decide on the set of suitable storage servers on which the data must be stored and results in a reduction in execution time by keeping up the level of security to an improved grade.

A Case of Mammary Analogue Secretory Carcinoma of the Parotid Gland (이하선에 발생한 유선 유사 분비성 암종 1예)

  • Kang, Min Ji;Yeo, Seong-Chul;Won, Seong Jun;Park, Jung Je
    • Journal of Clinical Otolaryngology Head and Neck Surgery
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    • v.29 no.2
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    • pp.290-294
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    • 2018
  • Mammary analogue secretory carcinoma (MASC) has histologic similarities to not only acinic cell carcinoma but also other low grade cystadenocarcinoma, and has similar features to breast secretory carcinoma. MASC was not described through the existing classification system previously. But, MASC was distinguished from other salivary gland tumors by Skalova et al. in 2010, MASC has ets variant gene 6-neurotrophic tyrosine kinase, receptor, type 3 (ETV6-NTRK3) translocation. So far, there are 4 cases of MASC recognized in the head and neck region in Korea. One of the four is a tumor from the submandibular gland, and the other three are of the parotid gland. In this case report, we report a 40-year-old man with a MASC of the parotid gland, who presented with right infra-auricular mass.

Usefulness of Liver Fibrosis According to Classification of Image Score System In Abdominal Ultrasonography (복부 초음파검사에서 영상 점수 시스템 분류에 따른 간 섬유화 평가의 유용성)

  • An, Hyun;Ji, Tae-jeong;Lee, Hyo-young;Im, In-chul
    • Journal of radiological science and technology
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    • v.42 no.3
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    • pp.187-194
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    • 2019
  • The purpose of this study was to evaluate the pathologic results of hepatic parenchyma parameters such as liver parenchyma, liver surface, liver margin and liver, portal vein, spleen size, And to evaluate the usefulness of fibrosis progression and hepatic ultrasonography. The sensitivity, specificity, positive predictive value, and prognostic value according to the stage of fibrosis and grade of inflammation were divided into two groups according to the morphologic variable "A" through ultrasound and "B" We evaluated the predictive value and predicted the variables to evaluate fibrosis in clinical diagnosis and treatment of patients with chronic liver disease. The sensitivity and specificity of hepatic fibrosis in hepatic morphologic variables and other size variables were highest in liver surface and edge. The morphologic parameters used in the evaluation of fibrosis were clinically relevant in distinguishing the fibrosis stage from the results of liver biopsy.

A Case of Epithelial-Myoepithelial Carcinoma of Parotid Gland and Analysis of 33 Cases Reported in Korea (이하선의 상피-근상피 암종 1례와 국내에 보고된 33건의 증례 분석)

  • Kim, Ji Won;Kim, Min Soo;Kim, Bo Sung;Kim, Seong Dong
    • Korean Journal of Head & Neck Oncology
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    • v.37 no.2
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    • pp.61-65
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    • 2021
  • Epithelial-myoepithelial carcinoma is rare, low-grade malignant neoplasm that compromises approximately 1% of all salivary gland neoplasms. We reported a 68-year-old woman with epithelial-myoepithelial carcinoma in the parotid gland. We analyzed demographic and clinicopathological characteristics of salivary gland epithelial-myoepithelial carcinoma which has been reported in 33 cases in Korea from 1992 to 2017, and compared this result to overseas retrospective cohort studies. There was no significance in terms of mean age at diagnosis, the predominance of females, low frequency in regional lymph nodes, and distant metastasis between the two groups. However, T classification and AJCC stage at diagnosis in domestic cases are more advanced than those of overseas cases. Although the recurrence rate in domestic cases has been reported lower than that of overseas, further study may be needed considering that the follow-up period after treatment is short in domestic cases.

Evaluation of system design modifications for full system decontamination of Kori Unit 1

  • Kim, HakSoo;Kim, JeongJu;Kim, ChoRong
    • Nuclear Engineering and Technology
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    • v.54 no.10
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    • pp.3949-3956
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    • 2022
  • Kori Unit 1 is planning a system decontamination project to reduce radiation exposure of decommissioning workers, prevent the spread of contamination and down-grade the level of classification of radioactive waste. The system decontamination range for Kori Unit 1 will be the entire primary system, including RCS, CVCS and RHRS. Some system design modifications are required for the system decontamination operation. In this paper, major system design modifications were evaluated based on the conditions that system restoration is needed after completion of system decontamination. The major system design modifications are CIDF connection location to system, system decontamination operating pressure control, RCP seal water injection and formation of letdown flow. It was evaluated that there was no negative effect on the system due to the system design modifications. However, as the RCP seal water is injected into the system in the oxidation process, the concentration of the oxidizing agent is diluted. Therefore, the oxidizing agent injection and system decontamination operation procedures should be developed to address the dilution effect of the oxidizing agent. The system design modifications dealt in this paper will be finally confirmed through on-site investigation in the future, and if necessary, the system design modifications will be re-evaluated.

Parenting Attitudes Profiles as Perceived by Adolescents: The Influence of Parents' Life Satisfaction and Self-Esteem and Academic Engagement and Academic Helplessness of the Adolescents Associated with the Profiles (청소년이 지각한 부모의 양육태도 유형: 부모의 삶의 만족도와 자아존중감의 영향력과 유형에 따른 청소년의 학업열의와 학업 무기력)

  • Ki, Ppudah
    • Human Ecology Research
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    • v.59 no.2
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    • pp.215-231
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    • 2021
  • The study set out to identify the number of types of parental attitude profiles and their characteristics, as perceived by adolescents. The study also examined whether predictor variables (parent life satisfaction and self-esteem) influence parenting attitude profiles and whether these profiles, in turn, influence adolescent academic engagement and academic helplessness. The sample consisted of data on 2,590 adolescents and their parents from the 2018 Korean Children and Youths Panel Survey (KCYPS). The adolescents were in the first grade of middle school. Using Mplus, the author applied latent profile analysis to identify the parenting attitude profiles and predictor and outcome variables associated with these profiles. Three profiles were identified based on major features: (1) coercion-inconsistency (8.3%), (2) general (47.3%), and (3) warmth-autonomy support (44.4%). Parent life satisfaction and self-esteem predicted the classification of the profiles. Also, the parental profiles identified the level of adolescent academic engagement and academic helplessness. The findings have important implications for family policies and practices given the significance of parent psychological status, particularly life satisfaction and self-esteem, on their adolescent children's academic engagement and academic helplessness.

Dry Needling and Electro-Dry Needling Improved the Trigger Thumb in a Patient Based on Anatomical Structure Without A1 Pulley Release: A Case Report (방아쇠 무지 환자를 A1 활차 박리없이 근골격계에 기반하여 침과 전침으로 호전시킨 1례: 증례보고)

  • Myung Hyun Yoon
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.17 no.2
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    • pp.101-108
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    • 2022
  • Objectives Most of the acupuncture or dry needling points for trigger finger were limited around the metacarpophalangeal joint, A1 pulley, and flexor muscle tendon. Thus, this study aimed to report a case of a patient with trigger thumb which improved using dry needling on additional muscle points. Methods The author has investigated why additional points are needed including what its accompanying effects are. Dry needling and electro-dry needling have been conducted based on anatomical structure. Moreover, a follow-up observation was performed twice to evaluate if the effects of this treatment have been maintained. Treatment progress was evaluated using a numeric rating scale (NRS) and Quinnell's classification of trigger finger. Results After 28 days of treatment, NRS and Quinnell's trigger grade decreased significantly without adverse effects. The treatment effect has been maintained until follow-up observation. Conclusions Additional points are recommended for the radical treatment of trigger finger.

Non-Curriculum Recommendation Techniques Using Collaborative Filtering for C University (협업 필터링을 활용한 비교과 프로그램 추천 기법: C대학 적용사례)

  • yujung Janu;Kyungeun Yang;Wan-Sup Cho
    • The Journal of Bigdata
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    • v.7 no.1
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    • pp.187-192
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    • 2022
  • Many schools are trying to improve students' competencies through many subjects and non-curricular activities, each students has different goals and different activities to prepare for employment. Accordingly, it is difficult to determine whether the programs offered in a comprehensive and comprehensive manner in the existing subject and non-curricular subjects systems are actually suitable for students, so it is necessary to introduce a personalized system. In this study, a method was proposed to classify non-departmental subjects that are uniformly provided to all students of Chungbuk National University by grade level and department. In addition, three types of collaborative filtering models are implemented using the evaluation score of students who participated in the non-curricular program, and personalized recommendations are proposed with the most accurate model by comparing performance.