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Improved Patient Outcomes with Electrocauterization Following Wedge Resection and Curettage for Ingrown Toenails: A Prospective Comparative Study

  • Marzouq Amarin;Raed Al-Taher;Khaled Daradka;Amal Ibraheem Abd al Qader Abu Harb;Rawan Abd AlMohsen Mohammad Habashneh;Nadwa Basem Bustami;Yazan Hijazein;Hiba Hadadin;Sondos Wa'el Sa'dat Al-Najjar
    • Archives of Plastic Surgery
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    • v.51 no.2
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    • pp.202-207
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    • 2024
  • Background Ingrown toenail is a common condition that results in chronic pain, recurrent infections, and difficulty in performing daily activities. Our aim is to compare two surgical methods for the treatment of ingrown toenails: wedge resection with curetting versus wedge resection curetting followed by electrocauterization of the nail bed. Methods A prospective, comparative study that included 130 patients with ingrown toenails. All patients had stage II or III disease. We divided the participants into two groups according to the type of surgery and all patients were followed up for 6 months. The outcomes measured were the incidence of postoperative bleeding and infection, recovery time, patient satisfaction, and recurrence rate 6 months after surgery. Results Of the 130 patients included, 59 (45.4%) underwent excision and curetting of the nail matrix (group 1) and 71 (54.6%) underwent excision, curetting, and electrocauterization of the nail matrix (group 2). The postoperative infection rates were 20.3 and 4.2% in the first and second groups, respectively (p = 0.004). Patient satisfaction was 76.3% among the first group, while 91.5% of patients in the second group were satisfied with the results of surgery. Six months postoperatively, recurrence rates were 25.4 and 4.2% in the first and second groups, respectively (p = 0.001). Conclusion Wedge excision and curettage, followed by electrocauterization of the ingrown toenail is a safe treatment modality with a high success rate, that is evident by a lower recurrence rate, and greater patient satisfaction, with no effect on postoperative pain score or recovery time.

An Improved Face Recognition Method Using SIFT-Grid (SIFT-Grid를 사용한 향상된 얼굴 인식 방법)

  • Kim, Sung Hoon;Kim, Hyung Ho;Lee, Hyon Soo
    • Journal of Digital Convergence
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    • v.11 no.2
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    • pp.299-307
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    • 2013
  • The aim of this paper is the improvement of identification performance and the reduction of computational quantities in the face recognition system based on SIFT-Grid. Firstly, we propose a composition method of integrated template by removing similar SIFT keypoints and blending different keypoints in variety training images of one face class. The integrated template is made up of computation of similarity matrix and threshold-based histogram from keypoints in a same sub-region which divided by applying SIFT-Grid of training images. Secondly, we propose a computation method of similarity for identify of test image from composed integrated templates efficiently. The computation of similarity is performed that a test image to compare one-on-one with the integrated template of each face class. Then, a similarity score and a threshold-voting score calculates according to each sub-region. In the experimental results of face recognition tasks, the proposed methods is founded to be more accurate than both two other methods based on SIFT-Grid, also the computational quantities are reduce.

Functional Areas of Kwang-ju City through Analysis of the Taxi-flow Pattern (택시통행패턴에 따른 광주시 기능지역 분석)

  • 김영기
    • Journal of Korean Society of Transportation
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    • v.6 no.2
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    • pp.35-48
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    • 1988
  • Amongst various analytic methods of internal structure of city, the factor analysis method which uses O-D matrix data has some merits and characteristics compared to other methods. 1) It is possible to find one certain interaction and flow pattern between traffic zones with in a city through reanalyzing O-D data which is too complex to grasp specific meaning or pattern of flow systems. 2) It can be easily visualized the traffic flow pattern by using adequate graphic techniques, and also can clarify the functional areas whose interaction linkages are significantly strong enough between each other. In this study, the taxi traffic O-D data between 42 traffic zones in Kwang-ju city was reanalyzied by varimax rotated factor analysis methods. As a result, four factors that have significant level factor loading (over 0.5 ) and factor score (over 1.0) were sorted out. so to speak four different functional areas were clarified in Kwang-ju city, of the West, the East, the south, and the North functional areas whose interaction linkages are significantly strong enough between each other. In the study, the taxi traffic O-D data between 42 traffic zones in Kwang-ju city was reanalyzied by varimax rotated factor analysis methods. As a result, four factors that have significant level factor loading (over 0.5) and factor score 9over 1.0) were sorted out. so to speak four different functional areas were clarified in Kwang-ju city, of the West, the East, the South, and the North functional area, then these four functional areas are almost coincided with citizen's general conception of community division and administrative district. Accordingly the factor analysis methods using traffic data seems to proved to be very accurate and useful analytic instruments for analyzing flow pattern and clarifying functional areas of city, and believed to provide basic informations and criteria for practical urban land use planning and transportation planning.

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MALDI-TOF Mass Spectrometry as a Useful Tool for Identification of Enterococcus spp. from Wild Birds and Differentiation of Closely Related Species

  • Stepien-Pysniak, Dagmara;Hauschild, Tomasz;Rozanski, Pawel;Marek, Agnieszka
    • Journal of Microbiology and Biotechnology
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    • v.27 no.6
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    • pp.1128-1137
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    • 2017
  • The aim of this study was to explore the accuracy and feasibility of matrix-assisted laser desorption ionization time-of-flight mass spectrometry (MALDI-TOF MS) in identifying bacteria from environmental sources, as compared with rpoA gene sequencing, and to evaluate the occurrence of bacteria of the genus Enterococcus in wild birds. In addition, a phyloproteomic analysis of certain Enterococcus species with spectral relationships was performed. The enterococci were isolated from 25 species of wild birds in central Europe (Poland). Proteomic (MALDI-TOF MS) and genomic (rpoA gene sequencing) methods were used to identify all the isolates. Using MALDI-TOF MS, all 54 (100%) isolates were identified as Enterococcus spp. Among these, 51 (94.4%) isolates were identified to the species level (log(score) ${\geq}2.0$), and three isolates (5.6%) were identified at a level of probable genus identification (log(score) 1.88-1.927). Phylogenetic analysis based on rpoA sequences confirmed that all enterococci had been correctly identified. Enterococcus faecalis was the most prevalent enterococcal species (50%) and Enterococcus faecium (33.3%) the second most frequent species, followed by Enterococcus hirae (9.3%), Enterococcus durans (3.7%), and Enterococcus casseliflavus (3.7%). The phyloproteomic analysis of the spectral profiles of the isolates showed that MALDI-TOF MS is able to differentiate among similar species of the genus Enterococcus.

Genetic parameters for marbling and body score in Anglonubian goats using Bayesian inference via threshold and linear models

  • Figueiredo Filho, Luiz Antonio Silva;Sarmento, Jose Lindenberg Rocha;Campelo, Jose Elivalto Guimaraes;de Oliveira Almeida, Marcos Jacob;de Sousa, Antonio Junior;da Silva Santos, Natanael Pereira;da Silva Costa, Marcio;Torres, Tatiana Saraiva;Sena, Luciano Silva
    • Asian-Australasian Journal of Animal Sciences
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    • v.31 no.9
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    • pp.1407-1414
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    • 2018
  • Objective: The aim of this study was to estimate (co) variance components and genetic parameters for categorical carcass traits using Bayesian inference via mixed linear and threshold animal models in Anglonubian goats. Methods: Data were obtained from Anglonubian goats reared in the Brazilian Mid-North region. The traits in study were body condition score, marbling in the rib eye, ribeye area, fat thickness of the sternum, hip height, leg perimeter, and body weight. The numerator relationship matrix contained information from 793 animals. The single- and two-trait analyses were performed to estimate (co) variance components and genetic parameters via linear and threshold animal models. For estimation of genetic parameters, chains with 2 and 4 million cycles were tested. An 1,000,000-cycle initial burn-in was considered with values taken every 250 cycles, in a total of 4,000 samples. Convergence was monitored by Geweke criteria and Monte Carlo error chain. Results: Threshold model best fits categorical data since it is more efficient to detect genetic variability. In two-trait analysis the contribution of the increase in information and the correlations between traits contributed to increase the estimated values for (co) variance components and heritability, in comparison to single-trait analysis. Heritability estimates for the study traits were from low to moderate magnitude. Conclusion: Direct selection of the continuous distribution of traits such as thickness sternal fat and hip height allows obtaining the indirect selection for marbling of ribeye.

Highway Bridge Inspection Period Based on Risk Assessment (위험도평가에 의한 고속도로 교량의 점검주기)

  • Lee, Il-Keun;Kim, Dong-Hyawn
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.19 no.3
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    • pp.64-72
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    • 2015
  • Risk Based Inspection (RBI) Period was proposed for highway bridges in Korea. Hazard factors affecting bridge condition deterioration were found by analyzing condition data from Highway Bridge Management System (HBMS). Certain level of correlations between those factors and condition deterioration were found. They are used to evaluate hazard score. Summarizing several hazard factors, final hazard is classified as three level;high, moderate, low. Vulnerability is assessed only by the current state of bridge. Then, risk matrix is suggested for inspection periods. Inspection periods of the bridges with grade C, D, and E are maintained the same as before. But, those of grade A and B with moderate and high hazard score are elongated to maximum 6 years while the maximum inspection period is three years at present. By adjusting inspection period according to risk assessment, it was shown that 27% of average inspection manpower can be saved.

A study on Hemo-Dynamic information Within 30 seconds in DCE 3D Breast MRI : Experienced Reports (DCE 3D Breast MRI 검사 시 30 sec 이내에 혈류 역학적 정보에 대한 연구 : Experienced Reports)

  • Goo, Eun-Hoe
    • Korean Journal of Digital Imaging in Medicine
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    • v.16 no.1
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    • pp.27-33
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    • 2014
  • The purpose of this study evaluated the hemo-dynamic information within 30 seconds clinically in 3D breast MRI. From January to March 2014, A total of 40 people were examined at 1.5 Tesla(Philips, Medical System, Achieva, The Netherlands) MRI equipments using 16 channel SENSE breast coil. The imaging parameters on vibrant are fellow as: $TR/TE/FA^{\circ}$/Matrix size/Slice thickness/Slab($5ms/2ms/10^{\circ}/180{\times}139{\times}2mm/80$). This study used a Gadovist and injected it with injection speed of 4 ml /sec by auto injector with 15 ml saline flushing. Firstly, for the delay time study, it divided three different delay time from immediately, 20 seconds, and 30 seconds. In quantitative analysis, the ROI signal intensities of tumor and surrounding tissues were measured retrospectively. In qualitative analysis, the image quality was scored from 1 to 5 point by one experienced radiological technologists as a visual test. The significance level of each delay time was evaluated with a one-way ANOVA(p<0.05). In the visual test, score levels on 30 seconds delay time was a little bit higher than others(p<0.05). The signal intensity of the tumor were $1445{\pm}360$, $1410{\pm}320$, $1510{\pm}415$ on immediately, 20 seconds, and 30 seconds and score levels were $4.18{\pm}0.85$, $3.54{\pm}0.94$, $4.45{\pm}0.74$(p<0.05). The data on immediate images showed better results than that others(p<0.05). Conclusively, Although it has been high scored in 30sec delay time for visual test in order to avoid failure in 20second, 30seconds delay time after contrast media administration, we recommend that the DCE 3D breast MRI commence immediately.

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Comparison Study of the Performance of CNN Models with Multi-view Image Set on the Classification of Ship Hull Blocks (다시점 영상 집합을 활용한 선체 블록 분류를 위한 CNN 모델 성능 비교 연구)

  • Chon, Haemyung;Noh, Jackyou
    • Journal of the Society of Naval Architects of Korea
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    • v.57 no.3
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    • pp.140-151
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    • 2020
  • It is important to identify the location of ship hull blocks with exact block identification number when scheduling the shipbuilding process. The wrong information on the location and identification number of some hull block can cause low productivity by spending time to find where the exact hull block is. In order to solve this problem, it is necessary to equip the system to track the location of the blocks and to identify the identification numbers of the blocks automatically. There were a lot of researches of location tracking system for the hull blocks on the stockyard. However there has been no research to identify the hull blocks on the stockyard. This study compares the performance of 5 Convolutional Neural Network (CNN) models with multi-view image set on the classification of the hull blocks to identify the blocks on the stockyard. The CNN models are open algorithms of ImageNet Large-Scale Visual Recognition Competition (ILSVRC). Four scaled hull block models are used to acquire the images of ship hull blocks. Learning and transfer learning of the CNN models with original training data and augmented data of the original training data were done. 20 tests and predictions in consideration of five CNN models and four cases of training conditions are performed. In order to compare the classification performance of the CNN models, accuracy and average F1-Score from confusion matrix are adopted as the performance measures. As a result of the comparison, Resnet-152v2 model shows the highest accuracy and average F1-Score with full block prediction image set and with cropped block prediction image set.

Personalized Diabetes Risk Assessment Through Multifaceted Analysis (PD- RAMA): A Novel Machine Learning Approach to Early Detection and Management of Type 2 Diabetes

  • Gharbi Alshammari
    • International Journal of Computer Science & Network Security
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    • v.23 no.8
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    • pp.17-25
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    • 2023
  • The alarming global prevalence of Type 2 Diabetes Mellitus (T2DM) has catalyzed an urgent need for robust, early diagnostic methodologies. This study unveils a pioneering approach to predicting T2DM, employing the Extreme Gradient Boosting (XGBoost) algorithm, renowned for its predictive accuracy and computational efficiency. The investigation harnesses a meticulously curated dataset of 4303 samples, extracted from a comprehensive Chinese research study, scrupulously aligned with the World Health Organization's indicators and standards. The dataset encapsulates a multifaceted spectrum of clinical, demographic, and lifestyle attributes. Through an intricate process of hyperparameter optimization, the XGBoost model exhibited an unparalleled best score, elucidating a distinctive combination of parameters such as a learning rate of 0.1, max depth of 3, 150 estimators, and specific colsample strategies. The model's validation accuracy of 0.957, coupled with a sensitivity of 0.9898 and specificity of 0.8897, underlines its robustness in classifying T2DM. A detailed analysis of the confusion matrix further substantiated the model's diagnostic prowess, with an F1-score of 0.9308, illustrating its balanced performance in true positive and negative classifications. The precision and recall metrics provided nuanced insights into the model's ability to minimize false predictions, thereby enhancing its clinical applicability. The research findings not only underline the remarkable efficacy of XGBoost in T2DM prediction but also contribute to the burgeoning field of machine learning applications in personalized healthcare. By elucidating a novel paradigm that accentuates the synergistic integration of multifaceted clinical parameters, this study fosters a promising avenue for precise early detection, risk stratification, and patient-centric intervention in diabetes care. The research serves as a beacon, inspiring further exploration and innovation in leveraging advanced analytical techniques for transformative impacts on predictive diagnostics and chronic disease management.

Effect of renin inhibition on an experimental glomerulonephritis - a preliminary report (레닌 억제제가 실험적 사구체 콩팥염에 미치는 효과 - 예비 보고)

  • Kang, Ju-Hyung;Heo, Jae-Kyung;Lee, Young-Sook;Han, Ji-Young;Ha, Il-Soo
    • Clinical and Experimental Pediatrics
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    • v.52 no.8
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    • pp.938-943
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    • 2009
  • Purpose : We performed this study in order to investigate the effect of direct renin inhibition on an experimental animal model with nephrotoxic serum nephritis and tried to give useful information for clinical research and renin inhibitor treatment. Methods : Thirty BALB/c 6-week-old male mice were divided into 4 groups: control group (CO, n=5), control-treatment group with aliskiren (CT, n=5), disease group (DO, n=10), and disease treatment group with aliskiren (DT, n=10). Nephritis was induced by an intravenous injection of 0.25 mg/g weight of rabbit anti-GBM immunoglobulin G. Model 2002 Alzet mini-osmotic pumps (Durect Corp.) for aliskiren infusion were implanted into CT and DT. Each group strain was sacrificed serially one at a time on day 14. We estimated the protein-creatinine ratio in 12-hour-collected urine (UP/Cr) and measured the mesangial matrix score in the PAS-stained kidney of each strain. Results : One strain at CT and DT died on day 6 and 7, respectively. Each group strain was sacrificed serially at a time on day 10 because DO were seriously ill. The UP/Cr of each group is as follows: CO, $31.24{\pm}6.54mg/mg$, CT, $23.38{\pm}13.60mg/mg$, DO, $112.72{\pm}10.97mg/mg$, DT $114.07{\pm}32.30mg/mg$. There was no significant difference between DO and DT. The mesangial matrix score of each group was CO, $0.23{\pm}0.10$; CT, $0.13{\pm}0.03$; DO, $1.90{\pm}0.48$; and DT, $1.28{\pm}0.41$, respectively, and there was a significant difference between DO and DT in the extent of mesangial matrix expansion (P=0.008). Conclusion : We found that renin inhibition was able to suppress the mesangial matrix expansion in experimental mice with acute nephritis, although there were no significant differences in UP/Cr.