• Title/Summary/Keyword: Patient Transfer

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Spectral Characteristics and Nasalance Scores of Hypernasality in Patient with Cleft Palate

  • Soh, Byung-Soo;Shin, Hyo-Keun;Kim, Hyun-Gi
    • Speech Sciences
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    • v.12 no.1
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    • pp.27-35
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    • 2005
  • Differential instrumentation for the diagnoses of individuals with Cleft palate has been used to objectively measure speech problems. The Cepstrum Method was used to study the vocal tract transfer function. The vocal tract transfer function and the source spectrum should be considered in the evaluation of nasal resonance. The aim of this study was to collect quantitative data on the acoustic Instrumentation used for evaluating hypernasality. Normal subjects (9 male, 21 female; 37 male children, 20 female children) and individuals with VPI (13 male, 8 female; 16 male children, 9 female) participated in this study. The vowel /i/ was selected to gauge the severances of hypernasality Spectral and Cepstral studies using CSL was used to identify the acoustic characteristics. Cepstrum analysis shows significant differences in quefrency and amplitude. The quefrency of normal groups was shorter than that of the VPI groups, while the amplitude of normal groups was lower than that of the VPI groups. This may have significance in the evaluation 'of nasal resonance.

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Effects of Cotrolled Ovarian Hyperstimulation (COH) Protocols on Pregnancy and Delivery Rate in In-Vitro Fertilization and Embryo Transfer (체외수정시술시 과배란유도 방법이 임신율에 미치는 영향)

  • Hong, J.E.;Lee, J.S.
    • Clinical and Experimental Reproductive Medicine
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    • v.24 no.3
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    • pp.361-368
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    • 1997
  • A total of 55 patients with various etiologies of infertility particitated in a study comparing two regimens of controlled ovarian hyperstimulation (COH) with GnRH agonists and gonadotropins. Nineteen patients were given an ultra-short stimulation protocol when the agonist was administered for 3 day from Day 2 of the cycle. The remaining 36 patients were given a long stimulation protocol when the agonist was administered from the mid-luteal phase of the cycle preceding the stimulation cycle. The mean number of gonadotropins used per patient was not different between two groups. No significant differences were found in the mean number of oocytes recovered, fertilization rate and embryo cleavage rate between two groups. Pregnancy and delivery rates were higher in ultra-short protocol than in long protocol, but these were not significant. These results suggest that an ultra-short protocol is as effective as a long protocol in in-vitro fertilization and embryo transfer.

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Transfer Learning Using Convolutional Neural Network Architectures for Glioma Classification from MRI Images

  • Kulkarni, Sunita M.;Sundari, G.
    • International Journal of Computer Science & Network Security
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    • v.21 no.2
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    • pp.198-204
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    • 2021
  • Glioma is one of the common types of brain tumors starting in the brain's glial cell. These tumors are classified into low-grade or high-grade tumors. Physicians analyze the stages of brain tumors and suggest treatment to the patient. The status of the tumor has an importance in the treatment. Nowadays, computerized systems are used to analyze and classify brain tumors. The accurate grading of the tumor makes sense in the treatment of brain tumors. This paper aims to develop a classification of low-grade glioma and high-grade glioma using a deep learning algorithm. This system utilizes four transfer learning algorithms, i.e., AlexNet, GoogLeNet, ResNet18, and ResNet50, for classification purposes. Among these algorithms, ResNet18 shows the highest classification accuracy of 97.19%.

Analysis of Factors Affecting Survival and Pregnancy Rate in Frozen-thawed Embryo Transfers (동결수정란 이식주기에서 수정란 융해 후 생존율과 임신율에 영향을 미치는 요인)

  • Kim, Jeong-Wook;Byun, Hye-Kyung;Youm, Hye-Won;Jun, Jin-Hyun;Park, Yong-Seog;Song, In-Ok;Song, Ji-Hong;Choi, Bum-Chae;Koong, Mi-Kyoung;Jun, Jong-Young;Kang, Inn-Soo
    • Clinical and Experimental Reproductive Medicine
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    • v.27 no.1
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    • pp.59-65
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    • 2000
  • Objective: The purpose of this study was to determine the important factors affecting survival and pregnancy rate in frozen-thawed embryo transfer cycles. Methods: we performed retrospective analysis in 738 cycles of frozen-thawed embryo transfers, in relation to the insemination methods, the freezing stage of embryo, patient's age, infertility factors and the origin of injected sperm in ICSI cycles. After conventional IVF or ICSI, the supernumerary PN stage zygotes or multicellular embryos were cryopreserved by slow freezing protocol with 1,2-propanediol (PROH) as a cryoprotectant. Results: The survival rates of thawed embryos were 69.3% (1585/2287) in conventional IVF group and 71.7% (1645/2295) in ICSI group. After frozen-thawed embryo transfers, 27.0% (92/341) and 32.0% (109/341) of pregnancy rates were achieved in conventional IVF and ICSI group, respectively. There were no significant difference in the survival and pregnancy rates according to the insemination methods, the freezing stage and patient's age. However, the pregnancy rate (36.2%) of male factor infertility was significantly higher than the tubal (27.2%) and other female factor infertility (22.9%). In ICSI group, the origin of injected sperm did not affect the outcome of frozen-thawed embryo transfer cycles. Conclusion: The present study demonstrates that acceptable clinical outcomes can be achieved after the transfer of frozen-thawed embryos regardless of the stage of embryos for freezing, the patient's age and the origin of injected sperm.

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New Ambulatory Hysteroscopic Septoplasty using Ballooning in a Woman with Complete Septate Uterus: A Case Report

  • Cho, Jung Hyun;Won, Hyung Jae;Kim, Mi Kyoung;Park, Ju Hee;Hwang, Ju Youn
    • Development and Reproduction
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    • v.22 no.1
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    • pp.105-109
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    • 2018
  • A 40-year-old G1 P0 L0 A1 woman was referred to our clinic with 6-year history of infertility. Before visiting the clinic, she had 3 cycles of In-Vitro Fertilization (IVF) procedures (2 cycles of Controlled Ovarian Stimulation-IVF and 1 cycle of frozen-thawed Embryo Transfer (ET)) at other clinic. She had medical history of abortion at early gestation following FET (frozen-thawed-ET). The patient had complete type of septate uterus, double cervix and longitudinal vaginal septum. Vaginal septotomy was done first and 1 month later, hysteroscopic septoplasty was followed using ballooning filled with dye. After septoplasty, we inserted ballooning and left for several days to compress septal endometrium on the septectomy area. All procedures were done in the ambulatory operating room without laparoscopy or admission. 3 months later, she had in vitro fertilization-embryo transfer (IVF-ET) and FET procedures in our clinic. She had successful pregnancy and now is at 22 weeks of gestation. New ambulatory septoplasty using dye-filled ballooning is easy, safe and minimally invasive surgery for treatment of complete septate uterus.

Dual-innervated multivector muscle transfer using two superficial subslips of the serratus anterior muscle for long-standing facial paralysis

  • Sakuma, Hisashi;Tanaka, Ichiro;Yazawa, Masaki;Oh, Anna
    • Archives of Plastic Surgery
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    • v.48 no.3
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    • pp.282-286
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    • 2021
  • Recent reports have described several cases of double muscle transfers to restore natural, symmetrical smiles in patients with long-standing facial paralysis. However, these complex procedures sometimes result in cheek bulkiness owing to the double muscle transfer. We present the case of a 67-year-old woman with long-standing facial paralysis, who underwent two-stage facial reanimation using two superficial subslips of the serratus anterior muscle innervated by the masseteric and contralateral facial nerves via a sural nerve graft. Each muscle subslip was transferred to the upper lip and oral commissures, which were oriented in different directions. Furthermore, a horizontal fascia lata graft was added at the lower lip to prevent deformities such as lower lip elongation and deviation. Voluntary contraction was noted at roughly 4 months, and a spontaneous smile without biting was noted 8 months postoperatively. At 18 months after surgery, the patient demonstrated a spontaneous symmetrical smile with adequate excursion of the lower lip, upper lip, and oral commissure, without cheek bulkiness. Dual-innervated muscle transfer using two multivector superficial subslips of the serratus anterior muscle may be a good option for long-standing facial paralysis, as it can achieve a symmetrical smile that can be performed voluntarily and spontaneously.

Development of Safety Monitoring Program for Psychiatric Emergency Using Google Teachable Machine (구글 티처블머신을 활용한 정신과적 응급 대상자의 병실 안전 모니터링 프로그램 개발)

  • Eun-Min Lee;Tae-Hun Kim
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.1
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    • pp.613-618
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    • 2023
  • In this paper, a monitoring program that can automatically determine whether a patient admitted to an isolation room acts out of a stable state through a screen photographed in real time is described. The motion recognition model of this program was built by learning through transfer learning. 900 images were used for the three movements, and this program was developed for the web to support all environments. The model was determined with high accuracy to determine the state of the subject hospitalized in the isolation room, and can be applied by applying it to the existing isolation room monitoring system.

Development and Effects of the Collaborative Transitional Care Program for Continuity of Care in Patients Transferred to General Wards from ICUs (중환자실 환자의 간호지속성 유지를 위한 중환자실-병동간 연계형 전환간호 프로그램 개발 및 효과)

  • Son, Youn Jung
    • Journal of Korean Clinical Nursing Research
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    • v.15 no.3
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    • pp.143-155
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    • 2009
  • Purpose: This study was conducted to develop and evaluate the collaborate transitional care program for improving continuity of care in patients transferred to general wards from ICUs. Methods: 18 years and older who were hospitalized in adult intensive care units at A university affiliated medical center was recruited for the study. The experimental group for patients transferred from an ICU consisted of 33 patients and family caregivers; 34 patients and family caregivers for the control group. This study was utilized a quasi-experimental research design. The collaborative transitional care program was administered in transfer process. Data were collected two times by interviews, medical records, and telephone using questionnaires. Results: There were statistically significant differences between the two groups on relocation stress (p<.001), perceived health status (p<.001), satisfaction of caring (p=.011), physical domain (p=.022) and mental domain (p<.001) of the QOL. There were significant differences between the families of the two groups on burden (p<.001) and satisfaction of caring (p<.001). Conclusion: The collaborative transitional care programs administered in transfer process to general wards from an ICU have positive effects on patients and families' intrinsic and extrinsic factors. This program will be able to be utilized in clinical fields to improve continuity of care for patients and families between ICUs and general wards.

Pregnancy following IVF-ET in an Immunologic Infertility Woman (면역학적 불임환자에서 체외수정 시술에 의한 임신 1예)

  • Pang, Myung-Geol;Oh, Sun-Kyung;Kim, Seok-Hyun;Shin, Chang-Jae;Kim, Jung-Gu;Moon, Shin-Yong;Lee, Jin-Yong;Chang, Yoon-Seok
    • Clinical and Experimental Reproductive Medicine
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    • v.19 no.2
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    • pp.189-192
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    • 1992
  • In vitro fertilization and embryo transfer was performed in a patient with immunologic infertility. This patient delivered at preterm a normal healthy male infant.

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Adoption of MFER and HL7 Standard for Shared Electronic Medical Record (공유 전자의무기록을 위한 MFER과 HL7 표준 적용)

  • Kim, Hwa-Sun;Park, Chun-Bok;Hong, Hae-Sook;Cho, Hune
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.57 no.3
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    • pp.501-506
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    • 2008
  • Medical environments incorporate complex and integrated data networks to transfer vast amounts of patient information, such as images, waveforms, and other digital data. To assure interoperability of images, waveforms and patient data, health level seven(HL7) was developed as an international standard to facilitate the communication and storage of medical data. We also adopted medical waveform description format encoding rule(MFER) standard for encoding waveform biosignal such as ECG, EEG and so on. And, the study converted a broad domain of clinical data on patients, including MFER, into a HL7 message, and saved them in a clinical database in hospital. According to results obtained in the test environment, it was possible to acquire the same HL7 message and biosignal data as ones acquired during transmission. Through this study, we might conclude that the proposed system can be a promising model for electronic medical record system in u-healthcare environment.