• Title/Summary/Keyword: Predictive diagnosis

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Treatment Outcomes of Mandibular Advancement Devices between Rapid-Eye-Movement (REM)-Related and Not-REM-Related OSA Patients

  • Oh, Jae-Tak;Jang, Ji-Hee;Chung, Jin-Woo
    • Journal of Oral Medicine and Pain
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    • v.41 no.2
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    • pp.54-60
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    • 2016
  • Purpose: Mandibular advancement devices (MAD) are used effectively and widely for the treatment of obstructive sleep apnea (OSA) and rapid-eye-movement (REM) dependency of the patients can affect the treatment outcome of OSA. The aim of this study was to compare treatment outcomes of MAD between REM-related and not-REM-related OSA patients. Methods: Fifty-six consecutive patients with OSA who received MAD therapy were evaluated using full night polysomnography before and after insertion of the MADs. The patients were divided into REM-related (REM apnea-hypopnea index [AHI] at least two times higher than their non-REM AHI) and not-REM-related (REM AHI less than two times higher than their non-REM AHI) OSA groups. Results: MAD is used for the treatment of OSA effectively. In respect of AHI, MAD therapy were effective both in REM-related OSA and not-REM-related OSA, but MAD therapy was more effective in not-REM-related OSA than REM-related OSA in overall sleep and non-REM sleep. $SpO_2$ saturations were improved after MAD therapy, but were not different between two groups. Epworth sleepiness scale scores were not improved after MAD therapy. Percentage of REM sleep was increased after MAD therapy but was not different between two groups. Conclusions: MAD therapy was more effective in not-REM-related OSA than REM-related OSA and REM dependency can be a predictive factor of treatment outcome of oral appliance for OSA patients.

The Histopathological Examination for Diagnosis of MALT Lymphoma in the Stomach

  • Lee, Tae Hee;Hyun, Sung Hee;Kim, In Sik
    • Korean Journal of Clinical Laboratory Science
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    • v.46 no.3
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    • pp.91-98
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    • 2014
  • Primary gastric lymphoma (PGL) is derived from mucosa-associated lymphoid tissue (MALT) and it differs from nodal lymphoma in histologic features and biologic behavior. Recent studies have showed that Helicobacter pylori (H.pylori ) infection is closely related to the development of low grade gastric lymphoma, and eradication of the infection induces regression of the tumor. H. pylori infection is known to be important to the development of gastric MALT lymphoma. The aim of this study was to elucidate the histopathological behavior of PGL according to the concept of MALT and to compare the predictive value of tests frequently used for diagnosis of H. pylori. The histological features of gastric lymphoma arising from MALT are the replacement of glands by uniform dense infiltration of centrocyte-like cells in the lamina propria and lymphoidepithelial lesion. H. pylori-associated histologic changes of neutrophilic infiltration, lymphoid follicle or aggregates formation and intestinal metaplasia, and H. pylori immunoreactivity were analyzed. Detection of H. pylori in chronic active gastritis and peptic ulcer suggests a possible role of H. pylori in the pathogenesis. Giemsa, Toluidine blue and Long H&E stains were used in H. pylori detection. Histopathological examination of gastric biopsy specimens revealed lymphoepithelial lesions pathognomonic of MALT lymphoma, and immunohistochemical staining for CD20 was diffusely positive. CD3 was positive in reactive T cells. PAX-5 was negative except the follicle. Bcl-2, cytokeratin, Ki-67, and c-myc were positive. The findings may indicate a predictable transition of low grade to high grade, and c-myc may be used as a valuable marker before molecular pathology diagnosis.

A Study on the Diagonosis and Prediction System of Vehicle Faults Using Condition Based Maintenance Technique (상태기반 유지보수 기법을 적용한 차량고장 진단 및 예측 시스템 연구)

  • Song, Gil jong;Lim, Jae Jung
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.18 no.4
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    • pp.80-95
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    • 2019
  • Recently, with the development of sensor and communication technology, researchers at home and abroad have actively conducted research on methodologies for determining maintenance through diagnosis and prediction techniques by collecting information on the status of equipment or systems. Based on the status of vehicle parts at this point in time, this study presented a system framework for making maintenance decisions by predicting the change in vehicle part status to a future date based on the current state of vehicle parts. In addition, condition diagnosis and predictive data adjustment was configured through tracking the status of vehicle parts before and after maintenance activities. We hope that the application of the results of this study will contribute a little to the safety of citizens using public buses and to the activation of the condition-based maintenance system of vehicles.

Identifying Predictive Factors for the Recurrence of Pediatric Intussusception

  • Lee, Dong Hyun;Kim, Se Jin;Lee, Hee Jung;Jang, Hyo-Jeong
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.22 no.2
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    • pp.142-151
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    • 2019
  • Purpose: The aim of the study was to identify factors related to the recurrence of intussusception in pediatric patients. Methods: The medical charts of patients diagnosed with intussusception and treated at Dongsan Medical Center, between March 2015 to June 2017, were retrospectively reviewed. Univariate and multivariate analyses were performed. Results: Among 137 patients, 23 patients (16.8%) had a recurrent intussusception and 8 of these patients (6%) had more than 2 episodes of recurrence. The age at diagnosis was significantly different between the non-recurrence and recurrence group (p=0.026), with age >1 year at the time of diagnosis associated with a greater rate of recurrence (p=0.002). The time interval from symptom onset to the initial reduction (<48 vs. ${\geq}48$ hours) was significantly longer in the recurrence group (p=0.034) and patients in the recurrence group had higher levels of C-reactive protein (CRP) (p=0.024). Bloody stools and a history of infection were significantly more frequent in the non-recurrence group (p=0.001 and p<0.001, respectively). On stepwise regression analysis, age >1 year at the time of presentation (odds ratio [OR], 4.79; 95% confidence interval [CI], 1.56-14.06; p=0.016) and no history of infection (OR, 0.18; 95% CI, 0.06-0.58; p=0.004) were retained as predictors of recurrence. Conclusion: Patients with intussusception who are older than 1 year at diagnosis, have an elevated CRP level, a delay of ${\geq}48$ hours between symptom onset and the initial reduction, an absence of bloody stools, and no history of infection should be closely monitoring for symptoms and signs of a possible recurrence.

Psychiatric Influences on Hidradenitis Suppurativa: A Call for Help

  • Holly D. Shan;Samuel S. Huffman;John D. Bovill;Zoe K. Haffner;Parhom Towfighi;Carol D. Benedict;Karen K. Evans
    • Archives of Plastic Surgery
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    • v.51 no.3
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    • pp.304-310
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    • 2024
  • Background Hidradenitis suppurativa (HS) is associated with a high prevalence of psychiatric disorders. However, no studies examine how psychiatric disorders influence surgical and financial outcomes. This study aimed to assess impact of a psychiatric diagnosis on patients treated for HS. Methods Patients with HS were retrospectively identified at a single institution from 2010 to 2021. Cohorts were stratified by the presence of a psychiatric disorder. Demographics, comorbidities, and disease characteristics were collected. Outcomes assessed included the procedural interventions and emergency department (ED) visits. Financial distress was assessed via the COST-FACIT Version 2 survey. Results Out of 138 patients, 40 (29.0%) completed the survey of which 19 (47.5%) had a preexisting psychiatric diagnosis. No demographic differences were found between cohorts. Mean follow-up was 16.1 ± 11.0 months. The psychiatric cohort had a higher median number of surgeries received (7.0 vs. 1.5, p < 0.001), a higher median number of ED visits (1.0 vs. 0, p = 0.006), and a similar hospital length of stay (p = 0.456). The mean COST-FACIT score of the overall study population was 19.2 ± 10.7 (grade 1 financial toxicity). The psych cohort had a lower mean COST-FACIT score (16.8 vs. 21.3, p = 0.092) and reported greater financial hardship (3.3 vs. 1.7, p < 0.001). On multivariate analysis, a psychiatric diagnosis was predictive of lower credit scores, more ED visits, and a higher number of surgeries. Conclusion Preexisting psychiatric conditions in patients with HS are associated with increased health care utilization and surgical intervention with substantial financial distress. Plastic surgeons should be cognizant of such comorbid disorders to facilitate holistic care addressing all patient needs.

Implementation of Responsive Web-based Vessel Auxiliary Equipment and Pipe Condition Diagnosis Monitoring System (반응형 웹 기반 선박 보조기기 및 배관 상태 진단 모니터링 시스템 구현)

  • Sun-Ho, Park;Woo-Geun, Choi;Kyung-Yeol, Choi;Sang-Hyuk, Kwon
    • Journal of Navigation and Port Research
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    • v.46 no.6
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    • pp.562-569
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    • 2022
  • The alarm monitoring technology applied to existing operating ships manages data items such as temperature and pressure with AMS (Alarm Monitoring System) and provides an alarm to the crew should these sensing data exceed the normal level range. In addition, the maintenance of existing ships follows the Planned Maintenance System (PMS). whereby the sensing data measured from the equipment is monitored and if it surpasses the set range, maintenance is performed through an alarm, or the corresponding part is replaced in advance after being used for a certain period of time regardless of whether the target device has a malfunction or not. To secure the reliability and operational safety of ship engine operation, it is necessary to enable advanced diagnosis and prediction based on real-time condition monitoring data. To do so, comprehensive measurement of actual ship data, creation of a database, and implementation of a condition diagnosis monitoring system for condition-based predictive maintenance of auxiliary equipment and piping must take place. Furthermore, the system should enable management of auxiliary equipment and piping status information based on a responsive web, and be optimized for screen and resolution so that it can be accessed and used by various mobile devices such as smartphones as well as for viewing on a PC on board. This update cost is low, and the management method is easy. In this paper, we propose CBM (Condition Based Management) technology, for autonomous ships. This core technology is used to identify abnormal phenomena through state diagnosis and monitoring of pumps and purifiers among ship auxiliary equipment, and seawater and steam pipes among pipes. It is intended to provide performance diagnosis and failure prediction of ship auxiliary equipment and piping for convergence analysis, and to support preventive maintenance decision-making.

A Study on Bearing Diagnosis of Induction Motor using Torque Signature (유도 전동기의 토크신호를 이용한 베어링 고장진단 연구)

  • Hong, Young-Hee;Seon, Hyun-Gyu;Park, Jin-Yeub
    • Proceedings of the KIEE Conference
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    • 2009.07a
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    • pp.638_639
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    • 2009
  • The motors faults including mechanical rotor imbalances, broken rotor bar, bearing failure and eccentricities problems are reflected in electric, electromagnetic and mechanical quantities. This paper presents a study and the practical implementation of an induction motor for reactor containment fan cooler in nuclear power plant with Electric Signature Analysis(ESA). The results obtained present a good degree of reliability hence; the ESA predictive maintenance tools enable a pro-active evaluation of induction motors performance prior to failure.

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A Study on Realization of Function Code for Fuzzy Control in the Continuous Casting Process of the Iron & Steel Works (제철소 연속주조 공정에서의 퍼지제어를 위한 기능코드의 구현 연구)

  • ;;;Zeungnam Bien
    • Journal of the Korean Institute of Telematics and Electronics B
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    • v.32B no.12
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    • pp.1545-1551
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    • 1995
  • As the modern industrial processes become more complex, it is getting more difficult to model and control the processes. Naturally, an advanced type of DCS(Distributed Control System) with higher level functions is being sought. Advanced DCS is a DCS with advanced functions such as fault diagnosis, GPC(Generalized Predictive Control), NN(Neural Network), and Fuzzy Control. In this thesis, we have studied a fuzzy control algorithm for realizing an advanced DCS. Its algorithm is implemented in a form of function code which is a process control language, being used by the industrial engineers. To verify the realized function code of the fuzzy control, the function code is applied to a continuous casting process of the Pohang Iron & Steel Works in Kwangyang. The rules of the fuzzy control were collected via interviews of the field operators and their operation documents. Finally under a real-time operating system environment, usability of the function code of the fuzzy control is shown via simulation for the continuous casting process.

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Study on the Obsolescence Forecasting Judgment of PV Systems adapted Micro-inverters (마이크로인버터를 적용한 태양광 발전시스템 노후예측판단에 관한 연구)

  • Park, Chan Khon
    • Journal of Korea Multimedia Society
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    • v.18 no.7
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    • pp.864-872
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    • 2015
  • The purpose of this study is to design the algorithm, Predictive Service Component - PSC, for forecasting and judging obsolescence of solar system that is implemented based on the micro-inverter. PSC proposed in this study is suitable for monitoring of distributed power generation systems. It provides a diagnosis functionality to detect failures and anomaly events. It also can determine the aging of PV systems. The conclusion of this study shows the research and development of this kind of integrated system using PSC will be needed more and varied in the near future.

Lift-Off Voltage and Partial Discharge Characteristics of Free Conducting Particles in GIS (GIS 내 금속입자의 부상전압과 부분방전특성 연구)

  • Yoon, Jin-Yeol;Han, Sang-Ok
    • Proceedings of the KIEE Conference
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    • 1998.07e
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    • pp.1684-1686
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    • 1998
  • Gas Insulated Switchgear(GIS) acts as an indispensible part in power transmission network. In order that GIS may have its high reliability, it is necessary to pay careful attention to its whole process e.g., designing, manufacturing, installation, and operation. The main hazard in GIS comes from free conducting particles, which can move and cause breakdown under the influence of the electric field. Although the concentration on protecting the GIS inner part against the free conducting particles is made, it is, actually, almost impossible to avoid the hazard from the particles throughly. In this paper, using the EHV test chamber, partial discharge quantity in GIS was measured when free conducting particles initiate to discharge for providing fundamental data for the purpose of developing predictive diagnosis technology on site GIS.

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