• Title/Summary/Keyword: Morphologic

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Atrial Fibrillation Waveform Extraction Algorithm for Holter Systems (홀터 심전계를 위한 심방세동 신호 추출 알고리즘)

  • Lee, Jeon;Song, Mi-Hye;Lee, Kyoung-Joung
    • Journal of the Institute of Electronics Engineers of Korea SC
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    • v.49 no.3
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    • pp.38-46
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    • 2012
  • Atrial fibrillation is needed to be detected at paroxysmal stage and to be treated. But, paroxysmal atrial fibrillation ECG is hardly obtained with 12-lead electrocardiographs but Holter systems. Presently, the averaged beat subtraction(ABS) method is solely used to estimate atrial fibrillatory waves even with somewhat large residual error. As an alternative, in this study, we suggested an ESAF(event-synchronous adaptive filter) based algorithm, in which the AF ECG was treated as a primary input and event-synchronous impulse train(ESIT) as a reference. And, ESIT was generated so to be synchronized with the ventricular activity by detecting QRS complex. We tested proposed algorithm with simulated AF ECGs and real AF ECGs. As results, even with low computational cost, this ESAF based algorithm showed better performance than the ABS method and comparable performance to algorithm based on PCA(principal component analysis) or SVD(singular value decomposition). We also proposed an expanded version of ESAF for some AF ECGs with multi-morphologic ventricular activities and this also showed reasonable performance. Ultimately, with Holter systems including our proposed algorithm, atrial activity signal can be precisely estimated in real-time so that it will be possible to calculate atrial fibrillatory rate and to evaluate the effect of anti-arrhythmic drugs.

Fractal Analysis of Peri-Implant Bone Mineral Density before and after Functional Loading on Implant (기능하중에 따른 임플란트 주변 골밀도의 변화에 대한 프렉탈 구조 분석)

  • Hong, Seong-Wan;Lee, Jae-In;Cho, Hye-Won
    • Journal of Dental Rehabilitation and Applied Science
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    • v.27 no.4
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    • pp.359-370
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    • 2011
  • To identify osseointegration of implants, dentists were performed the radiographic analysis. The fractal analysis methods using periapical radiographs before and after loading on implants was to evaluate whether or not significant. 30 patients who were placed implants in dental hospital of Wonkwang university were participated in this study. Total of 42 implants were analyzed. And, 14 males and 16 females aged from 22 to 73 participated in this study. The two morphologic and Fractal analysis of the one trabecular patterns in alveolar bone were done using periapical views. Two periapical views, after implant placement, and after 2 months of functional loading were analysed. The analysis was done by software, Image J(1.40s, National Institute of Health, Bethesda, USA). The data were statistically analyzed using one-way ANOVA(P<.05). Multiple comparison was done by the Tukey HSD test. The results of Fractal analysis and change in bone density around implants showed significantly different values, especially mandibles. However, in case of implants with failure, Fractal values decreased from 1.2865 to 1.1521 and 1.1135 to 1.0478.

FACIAL ASYMMETRY WITH MANDIBULAR PROGNATHISM - A NEW TRIAL OF CLASSIFICATION AND INTERPRETATION - (하악골 전돌증을 동반한 안모비대칭의 유형 분석)

  • Yoon, Kyu-Sik;Jung, Young-Soo;Kang, Goon-Chul;Park, Hyung-Sik
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.30 no.2
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    • pp.108-120
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    • 2004
  • Object : Patients with facial asymmetry accompanying mandibular prognathism have various causes and clinical features. So, it is difficult to find a satisfactory treatment method functionally and esthetically. Every traditional classification and interpretation to find etiopathogenesis and/or to establish ideal surgical modality has many limitations because it can't be applied simply to various conditions of patients with facial asymmetry accompanying mandibular prognathism. Therefore, we employ a new classification to interpret more details of the morphologic change of mandible and the spatial change of mandible and maxilla. Materials and Methods : Using panoramic X-ray films, PA cephalograms and submentovertex films of 126 patients diagnosed with facial asymmetry accompanying mandibular prognathism as resources, the following results were gathered after analyzing each characteristics through distributing the patterns according to the morphological mandibular asymmetry and mandibular and maxillary spatial asymmetry. Results : Almost frequency of morphological mandibular asymmetry was shown. In case of condyle-ramus elongation and body elongation group, it's frequency was the highest. Higher frequency of compensating vertical growth was shown on the side of over growing maxilla in case of vertical length difference between left and right condyle-ramus. On the other hand, higher frequency of no compensating vertical growth difference between left and right side was shown in case of no vertical length difference in condyle-ramus. Spatial mandibular asymmetry generally occurred when there was no morphological mandibular asymmetry. Correlation between condyle length difference and condyle-ramus length difference between left and right side was very high, but correlation between condyle length difference and body length difference, and correlation between condyle length difference and body vertical length difference was low. Conclusion : In case of patients with facial asymmetry accompanying mandibular prognathism, it is suggested that various pattern of facial asymmetry is occurred by the independent growth of each unit rather than dependent growth of other unit by major growth unit abnormality. Due to the untypical pattern and the various asymmetry occurring according to the changes of each mandibular growth unit, it is considered that an appropriate surgical method should be searched based on the accurate recognition of the each pattern for patients with facial asymmetry accompanying mandibular prognathism.

RELATIONSHIPS BETWEEN CRANIAL BASE AND FACIAL STRUCTURES IN CHILDREN WITH CLASS I AND III MALOCCLUSIONS AGED FROM 7 TO 12 YEARS : A CEPHALOMETRIC STUDY (I급과 III급 부정교합을 보이는 어린이의 두개저의 성장변화에 관한 연구)

  • Lee, Mi-Sook;Choi, Yeong-Chul
    • Journal of the korean academy of Pediatric Dentistry
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    • v.28 no.1
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    • pp.95-105
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    • 2001
  • The present study was designed to compare morphological and structural relationships between basicranial measurements such as MCF angulation (Ar-SE-ptm), saddle angle (N-S-Ba, N-S-Ar) and facial structures including types of malocclusion. Twenty six children with Class III whose longitudinal headfilms were available from 7 to 12-year-old, and also 26 cross-sectional headfilms at each ages of 8, 9, 10 and 11 with Class I were selected for the investigation. Cephalometric measurements such as Ar-SE-ptm, N-S-Ba, N-S-Ar, N-SE-Ar, SNA, SNB, N-S/PM vert, CP/PM vert, $\underline{1}/FH$ plane, and $N-perp/\underline{1}$ were measured. Morphologic relationships and pattern of changes in facial structures in relation to the changes of MCF and saddle angle in both malocclusion types were analysed statistically employing ANOVA, t-test and Pearson correlation. Results suggest that the MCF rather than the saddle angle in children with Class I and III is more closely related with various facial structures and with their changes. It may be, therefore, suggested that the MCF be one of the biologically meaningful measurements in determining structural relationships between cranial base and facial complex including types of malocclusion. In addition, the MCF and its correlated facial structures in children with Class III, interestingly, showed somewhat marked changes between the ages of 9 and 11.

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Pathologic Change and Prognosis after Combination Therapy in Advanced Neuroblastoma (소아 신경모세포종의 치료 후 조직소견의 변화와 예후와의 관계)

  • Seo, Yeon Kyong;Jung, Yu Jin;Kim, Joon Sik;Kim, Heung Sik;Park, Woo Hyun;Choi, Soon Ok;Lee, Byung Yook;Kwon, Kun Young
    • Clinical and Experimental Pediatrics
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    • v.46 no.11
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    • pp.1107-1111
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    • 2003
  • Purpose : Neuroblastoma is a malignant neoplasm which arises from primitive sympathetic neuroblasts, and occasionally can matured from a malignant neuroblastoma into a benign ganglioneuroma. It has the highest rate of spontaneous regression of any pediatric tumor. We performed a retrospective study of pathologic features after combination therapy in advanced neuroblastoma. Prognostic effects of the individual morphologic feature and prognostic groupings according to modified Shimada classification systems were analyzed. Methods : The treatment results for six patients with neuroblastoma seen at Keimyung University from Jan. 1991 to June 2000 were analyzed. Patients were treated with a combination of chemotherapy, radiation therapy, and surgery, and classified by two major prognostic criteria based on morphological features of neuroblastoma, such as modified Shimada classification and histologic grading. Results : Three cases were classified to a good histologic group; among them, two cases survived, but one case was lost in follow-up. There were three cases classified in a poor histologic group. All of these patients expired due to sepsis and hemorrhagic pancreatitis. Conclusion : Prognostic classification due to pathologic findings had significant value in evaluating the survival rate of neuroblastoma patients.

Changes in the Volume and Cortical Thickness of the Specific Regions of Cerebellum of Patients with Major Depressive Disorder (주요우울장애 환자에서 소뇌 국소 부위의 부피와 피질 두께의 차이)

  • Kang, Ji-Won;Han, Kyu-Man;Won, Eunsoo;Tae, Woo-Suk;Ham, Byung-Joo
    • Korean Journal of Biological Psychiatry
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    • v.25 no.3
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    • pp.60-71
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    • 2018
  • Objectives A growing body of evidence has suggested that morphologic changes in cerebellum may be implicated with pathophysiology of major depressive disorder (MDD). The aim of this study is to investigate a difference in the volume and cortical thickness of the specific region of cerebellum between patients with MDD and healthy controls (HC). Methods A total of 127 patients with MDD and 105 HC participated in this study and underwent T1-weighted structural magnetic resonance imaging. We analyzed volume and cortical thickness of each twelve cerebellum regions divided by left and right and the volume and cortical thickness of the whole cerebellum from T1-weigted image of participants. One-way analysis of covariance was used to investigate the volume and cortical thickness difference of total and specific regions between two groups adjusting for age, gender, medication, and total intracranial cavity volume. Results We found that the patients with MDD had significantly greater volume in the left cerebellum lobule III region [false discovery rate (FDR)-corrected p = 0.034] compared to HC. Also, our findings indicate that cortical thickness of left lobule VIIB (FDR-corrected p = 0.032) and lobule VIIIB (FDR-corrected p = 0.032) are significantly thinner in the patients with MDD compared with the HC. No significant volume and cortical thickness differences were observed in other sub-regions of the cerebellum. The volumes and cortical thickness of whole cerebellum between patients with MDD and HC did not differ significantly. Conclusions We observed the region-specific volume and cortical thickness difference in cerebellum between the patients with MDD and HC. The results of our study implicate that the information about structural alterations in cerebellum with further replicative studies might provide a stepping stone toward a specific marker to diagnose MDD.

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Molecular and Morphologic Identification of Spirometra ranarum Found in the Stool of African Lion, Panthera leo in the Serengeti Plain of Tanzania

  • Eom, Keeseon S.;Park, Hansol;Lee, Dongmin;Choe, Seongjun;Kang, Yeseul;Bia, Mohammed Mebarek;Lee, Sang-Hwa;Keyyu, Julius;Fyumagwa, Robert;Jeon, Hyeong-Kyu
    • Parasites, Hosts and Diseases
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    • v.56 no.4
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    • pp.379-383
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    • 2018
  • The present study was performed with morphological and molecular analysis (cox1 and nad1 mitochondrial genes) to identify the proglottids of spirometrid tapeworm found in the stool of an African lion, Panthera leo, in the Serengeti plain of Tanzania. A strand of tapeworm strobila, about 75 cm in length, was obtained in the stool of a male African lion in the Serengeti National Park ($34^{\circ}$ 50' E, $02^{\circ}$ 30' S), Tanzania, in February 2012. The morphological features of the adult worm examined exhibited 3 uterine coils with a bow tie appearance and adopted a diagonal direction in the second turn. The posterior uterine coils are larger than terminal uterine ball and the feature of uteri are swirling rather than spirally coiling. The sequence difference between the Spirometra species (Tanzania origin) and S. erinaceieuropaei (GenBank no. KJ599680) was 9.4% while those of S. decipiens (GenBank no. KJ599679) differed by 2.1% in the cox1 and nad1 genes. Phylogenetic tree topologies generated using the 2 analytic methods were identical and presented high level of confidence values for the 3 major branches of the 3 Spirometra species in the cox1 gene. The morphological and molecular findings obtained in this study were nearly coincided with those of S. ranarum. Therefore, we can know for the first time that the African lion, Panthera leo, is to the definitive host of this tapeworm.

Central, Extraventricular and Atypical Neurocytomas: a Clinicopathologic Study of 35 Cases from Pakistan Plus a Detailed Review of the Published Literature

  • Ahmad, Zubair;Din, Nasir Ud;Memon, Aisha;Tariq, Mohammad Usman;Idrees, Romana;Hasan, Sheema
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.3
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    • pp.1565-1570
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    • 2016
  • Background: Central neurocytomas are rare neuronal neoplasms with a favorable prognosis. They are typically located in the lateral ventricles of the brain and mostly histologically correspond to WHO grade II with a Mib 1 labelling index of <2%. Similar tumors located in the cerebral hemispheres and spinal cord, for example, are called "extraventricular neurocytomas". A few tumors histologically show atypia, mitoses, vascular proliferation and/or necrosis and a Mib 1 index >2 % and are designated as "atypical neurocytomas. Aim: The aim of our study was to describe the common as well as unusual morphologic features and the role of various immunohistochemical stains in the diagnosis of these rare tumors. Materials and Methods: We retrieved and reviewed 35 cases diagnosed between 2001 and 2015. Results: Sixty percent of patients were males, and the mean age was 26 years. 31 cases (88.6%) were intraventricular and 4(11.4%) were extraventricular. Histologically, 6 cases (17.1%) were compatible with "atypical neurocytomas". All cases showed the classic morphology comprising nests and sheets of uniform, round cells with uniform round to oval nuclei with finely speckled chromatin and perinuclear cytoplasmic clearing (halos). All cases also showed delicate, fibrillary, neuropil-like matrices. Other common histologic features included capillary-sized blood vessels in a branching pattern in 57.1%, foci of calcification in 34.3% and perivascular pseudorosettes in 20%. Rare findings included Homer-Wright or true rosettes in 8.6% and ganglioid cells in 2.9%. Synaptophysin was the most consistent and valuable marker, being positive in almost all cases. GFAP positivity in tumor cells was seen in 25.7% of cases. Follow up was available in 13 patients. Of these 9 had histologically typical and 4 had atypical tumors. Only 1 (with an atypical neurocytoma) died, probably due to complications of surgery within one month, while 12 (including 3 with atypical neurocytomas) remained alive. Recurrence developed in 1 of these 12 patients (histologically consistent with typical morphology) almost 9 years after surgery. Only 4 patients, including 2 with atypical tumors, received postoperative radiotherapy, all with surgery in 2010 or later. Overall, prognosis was excellent with prolonged, recurrence free survival and most patients, even without receiving radiation therapy, were alive and well for many years, even a decade or more after surgery, without developing any recurrence, indicating the benign nature of these neoplasms.

Analysis of Urban Heat Island Effect Using Information from 3-Dimensional City Model (3DCM) (3차원 도시공간정보를 이용한 도시열섬현상의 분석)

  • Chun, Bun-Seok;Kim, Hag-Yeol
    • Spatial Information Research
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    • v.18 no.4
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    • pp.1-11
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    • 2010
  • Unlike the previous studies which have focused on 2-dimensional urban characteristics, this paper presents statistical models explaining urban heat island(UHI) effect by 3-dimensional urban morphologic information and addresses its policy implications. 3~dimensional informations of Columbus, Ohio arc captured from LiDAR data and building boundary informations are extracted from a building digital map, Finally NDV[ and temperature data are calculated by manipulating band 3, band 4, and thermal hand of LandSat images. Through complicated data processing, 6 independent variables(building surface area, building volume, height to width ratio, porosity, plan surface area) are introduced in simple and multiple linear regression models. The regression models are specified by Box-Tidwell method, finding the power to which the independent variable needs to raised to be in a linearity. Porosity, NDVI, and building surface area are carefully chosen as explanatory variables in the final multiple regression model, which explaining about 57% of the variability in temperatures. On reducing UHI, various implications of the results give guidelines to policy-making in open space, roof garden, and vertical garden management.

A Tooth Morphologic Study Of The Mandibular Molars With Furcation Involvement (치근이개부병소를 지닌 하악대구치에 대한 치아형태학적연구)

  • Jin, Hyung-Kook;Kim, Hyun-Seop;Kim, Byung-Ok;Han, Kyung-Yoon
    • Journal of Periodontal and Implant Science
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    • v.26 no.1
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    • pp.266-275
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    • 1996
  • The purpose of this study was to evaluate the effect of anatomical predisposing factors on the development of furcation involvement. Root trunk length, root divergency angle, buccal root trunk concavity and cervical enamel projection of the mandibular 1st and 2nd molars with(l03 teeth) and without(42 teeth) furcation involvement and enamel projection were classified by Lindhe's degree and Masters's classification, respectively, and buccal root trunk concavity was examined by probing. Statistical analysis was performed by means of ANOVA and CHI-SQUARE test in Microstat. The obtained results were as follows : 1. Root trunk length was longer in teeth without furcation involvement($4.20{\pm}1.05mm$) than teeth with furcation involvement(I : $3.62{\pm}0.68mm$, II : $3.64{\pm}0.86mm$, III: $3.61{\pm}0.74mm$)(p<0.05), but there was fno significant difference among furcation involvement group according to the degree of furcation involvement(p0>.05). 2. The root divergency angle was wider in teeth with furcation involvement(I : $53.14^0{\pm}15.11^0$, II : $44.82^0{\pm}14.26^0$, III : $52.69^0{\pm}16.09^0$) than teeth without furcation involvement($34.81^0{\pm}16.57^0$(p<0.05). 3. The group of teeth without furcation involvement showed significantly hign percentage of teeth without buccal root concavity, and the group of teeth with furcation involvement showed significantly hign percentage of teeth with buccal root concavity(p<0.05) 4. The group of teeth without furcation involvement showed higher percentage of teeth with grade I cervical enamel projection, teeth with furcation involvement I or II defect showed higher percentage of teeth with grade II enamel projection, and teeth with furcation involvement III defect showed higher percentage of teeth with grade III enamel projection(p<0.05) The results suggest that short root trunk length, wide root divergency, buccal root concavity and well-developed enamel projection could affect development and progression of furcation involvement as anatomical predisposing factors of periodontal diseases.

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