• 제목/요약/키워드: Us and Them

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손목 관절과 발목 관절 손상 환자의 진단에 있어 응급 초음파의 유용성 (The Utility of Emergency Ultrasound for Diagnosing Wrist and Ankle Injuries)

  • 이성실;김동언;박득현;조현영;안성준;고찬영;신태용;김영식;하영록
    • Journal of Trauma and Injury
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    • 제20권2호
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    • pp.130-137
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    • 2007
  • Purpose: Ultrasound is of proven accuracy in abdominal and thoracic trauma and may be useful for diagnosing extremity injury in situations where radiography is not available, such as disasters and military and space applications. However, the diagnosis of fractures is suggested by history and physical examination and is typically confirmed with radiography. As a alternative to radiography, we prospectively evaluated the utility of extremity ultrasound performed by trained residents of emergency medicine (EM) one patient with wrist and ankle extremity injuries. Methods: Initially, residents of EM performed physical examinations for fractures. The emergency ultrasound (EM US) was performed by trained residents, who used a portable ultrasound device with a 10- to 5-MHz linear transducer, on suspected patients before radiography examination. The results of emergency ultrasound and radiography and the final diagnosis were recorded, and correlation among them were determined by using Kappa s test Results: Thirty-nine patients were enrolled in our study. The average age was $36.6\;{\pm}\;19.3$ years. There were radius Fx. (n=21), radius-ulna Fx. (n=1), ulna Fx. (n=1), and contusion (n=2) injuries among the wrist injury and lat.-med. malleolar Fx. (n=13), lat. malleolar Fx. (n=6), and med. malleolar Fx. (n=3) injuries among the ankle injury. Comparing EM US with radiography, we found the sensitivity, specificity, positive predictive value, and negative predictive value of EM US for Fx. diagnosis to be 100%, 66.7%, 97.3%, 100% and those of radiography to be 97.2%, 100%, 100%, and 75%, respectively. Kappa s test for a correlation between the Fx. diagnosis of EM US and the final diagnosis of Fx was performed, and Kappa's value was 0.787 (P = 0.004).Conclusion: EM US for Fx. can be performed quickly and accurately by EM residents with excellent accuracy in remote locations such as disaster areas and in military and aerospace applications. EM US was as useful as radiography in our study and had a high correlation to the final diagnosis of Fx. Therefore, ultrasound should performed on patients with extremity injury to determine whether extremity evaluation should be added to the FAST (focused abdominal sonography trauma) examination.

Comparison of Error and Enhancement: Effect of Image Interpolation

  • Siddiqi, Muhammad Hameed;Fatima, Iram;Lee, Young-Koo;Lee, Sung-Young
    • 한국정보과학회:학술대회논문집
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    • 한국정보과학회 2011년도 한국컴퓨터종합학술대회논문집 Vol.38 No.1(C)
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    • pp.188-190
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    • 2011
  • Image interpolation is a technique that pervades many an application. Interpolation is almost never the goal in itself, yet it affects both the desired results and the ways to obtain them. In this paper, we proposed a technique that is capable to find out the error when the common two methods (bilinear and nearest neighbor interpolation) are applied on an image for rotation. The proposed technique also includes the comparison results of bilinear interpolation and nearest neighbor interpolation. Among them nearest neighbor interpolation gives us a better result regarding to the enhancement and due to least error. The error is found by using Mean Square Error (MSE).

CoFeSiBNi 아몰퍼스 합금의 소자 크기에 대한 자기-임피던스 효과 관찰 (Magneto-Impedance Effect of CoFeSiBNi Amorphous Magnetic Films according to the size)

  • 박병규;황성우;문성욱
    • 한국전기전자재료학회:학술대회논문집
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    • 한국전기전자재료학회 2007년도 하계학술대회 논문집 Vol.8
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    • pp.339-341
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    • 2007
  • Soft ferromagnetic materials are very useful for many sensors using magnetic materials with high permeability, low coercivity and low hysteresis loss. Among them, FeCoSiBNi amorphous magnetic films show us a good impedance change(about 3.05%/Oe, at 12MHz) by the exterior magnetic field in this experiment. These are produced by rapid solidification from the melt and the material is ejected in a jet from a nozzle and quenched in a stream of liquid. After that, we make them a shape of wire with different sizes of width. Thus, we can find that the impedance change (122.16%, at 12MHz) is occurred and the fabricated magnetic wire has the characteristics of good sensor element.

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Validation of Ultrasound and Computed Tomography-Based Risk Stratification System and Biopsy Criteria for Cervical Lymph Nodes in Preoperative Patients With Thyroid Cancer

  • Young Hun Jeon;Ji Ye Lee;Roh-Eul Yoo;Jung Hyo Rhim;Kyung Hoon Lee;Kyu Sung Choi;Inpyeong Hwang;Koung Mi Kang;Ji-hoon Kim
    • Korean Journal of Radiology
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    • 제24권9호
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    • pp.912-923
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    • 2023
  • Objective: This study aimed to validate the risk stratification system (RSS) and biopsy criteria for cervical lymph nodes (LNs) proposed by the Korean Society of Thyroid Radiology (KSThR). Materials and Methods: This retrospective study included a consecutive series of preoperative patients with thyroid cancer who underwent LN biopsy, ultrasound (US), and computed tomography (CT) between December 2006 and June 2015. LNs were categorized as probably benign, indeterminate, or suspicious according to the current US- and CT-based RSS and the size thresholds for cervical LN biopsy as suggested by the KSThR. The diagnostic performance and unnecessary biopsy rates were calculated. Results: A total of 277 LNs (53.1% metastatic) in 228 patients (mean age ± standard deviation, 47.4 years ± 14) were analyzed. In US, the malignancy risks were significantly different among the three categories (all P < 0.001); however, CT-detected probably benign and indeterminate LNs showed similarly low malignancy risks (P = 0.468). The combined US + CT criteria stratified the malignancy risks among the three categories (all P < 0.001) and reduced the proportion of indeterminate LNs (from 20.6% to 14.4%) and the malignancy risk in the indeterminate LNs (from 31.6% to 12.5%) compared with US alone. In all image-based classifications, nodal size did not affect the malignancy risks (short diameter [SD] ≤ 5 mm LNs vs. SD > 5 mm LNs, P ≥ 0.177). The criteria covering only suspicious LNs showed higher specificity and lower unnecessary biopsy rates than the current criteria, while maintaining sensitivity in all imaging modalities. Conclusion: Integrative evaluation of US and CT helps in reducing the proportion of indeterminate LNs and the malignancy risk among them. Nodal size did not affect the malignancy risk of LNs, and the addition of indeterminate LNs to biopsy candidates did not have an advantage in detecting LN metastases in all imaging modalities.

무증상 여성의 유방초음파에서 발견된 군집 미세낭종 (Clustered Microcysts Detected on Breast US in Asymptomatic Women)

  • 김현진;이진화;박영미;임경재
    • 대한영상의학회지
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    • 제84권3호
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    • pp.676-685
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    • 2023
  • 목적 본 연구는 무증상 여성의 유방 초음파에서 발견된 군집 미세낭종의 발생률, 임상적 결과 및 영상 소견을 알아보고, 적절한 조치 가이드라인을 제시하고자 한다. 대상과 방법 2014년 8월부터 2019년 12월까지 무증상 여성에서 시행한 유방 초음파에서 발견된 군집 미세낭종 병변에 대해 분석하였다. 최종 진단은 병리학적 결과 및 12개월 이상의 추적관찰로 하였다. 결과 100명의 환자에서 117개 병변이 후향적으로 연구되었으며, 군집 미세낭종의 발생률은 1.5%였다. 총 117개의 병변 중, 3개(2.6%)는 악성, 2개(1.7%)는 고위험 병변, 112개(95.7%)는 양성이었다. 악성 병변 중 2개는 관상피내암이었고, 1개는 침윤성 유관암이었다. 이중, 유방 촬영술에서 의심스러운 미세석회화 또는 초음파에서 내부 혈류를 보인 2개의 병변은 category 4로 분류되었다. 나머지는 12개월 뒤 시행한 초음파에서 echo pattern의 변화를 보인 위 음성의 증례였다. 결론 무증상 여성에서 시행한 유방 초음파에서 군집 미세낭종의 유병률은 1.5%였으며, 악성률은 2.6%였다. 군집 미세낭종의 악성률과 양성 및 악성 영상 소견을 아는 것은 영상의학과 의사들이 병변을 분류하고 적절한 조치를 권유하는 데 도움이 될 것이다.

Research data repository requirements: A case study from universities in North Macedonia

  • Fidan Limani;Arben Hajra;Mexhid Ferati;Vladimir Radevski
    • International Journal of Knowledge Content Development & Technology
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    • 제13권1호
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    • pp.75-100
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    • 2023
  • With research data generation on the rise, Institutional Repositories (IR) are one of the tools to manage it. However, the variety of data practices across institutions, domains, communities, etc., often requires dedicated studies in order to identify the research data management (RDM) require- ments and mapping them to IR features to support them. In this study, we investigated the data practices for a few national universities in North Macedonia, including 110 participants from different departments. The methodology we adopted to this end enabled us to derive some of the key RDM requirements for a variety of data-related activities. Finally, we mapped these requirements to 6 features that our participants asked for in an IR solution: (1) create (meta)data and documentation, (2) distribute, share, and promote data, (3) provide access control, (4) store, (5) backup, and (6) archive. This list of IR features could prove useful for any university that has not yet established an IR solution.

Comparison of One- and Two-Region of Interest Strain Elastography Measurements in the Differential Diagnosis of Breast Masses

  • Hee Jeong Park;Sun Mi Kim;Bo La Yun;Mijung Jang;Bohyoung Kim;Soo Hyun Lee;Hye Shin Ahn
    • Korean Journal of Radiology
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    • 제21권4호
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    • pp.431-441
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    • 2020
  • Objective: To compare the diagnostic performance and interobserver variability of strain ratio obtained from one or two regions of interest (ROI) on breast elastography. Materials and Methods: From April to May 2016, 140 breast masses in 140 patients who underwent conventional ultrasonography (US) with strain elastography followed by US-guided biopsy were evaluated. Three experienced breast radiologists reviewed recorded US and elastography images, measured strain ratios, and categorized them according to the American College of Radiology breast imaging reporting and data system lexicon. Strain ratio was obtained using the 1-ROI method (one ROI drawn on the target mass), and the 2-ROI method (one ROI in the target mass and another in reference fat tissue). The diagnostic performance of the three radiologists among datasets and optimal cut-off values for strain ratios were evaluated. Interobserver variability of strain ratio for each ROI method was assessed using intraclass correlation coefficient values, Bland-Altman plots, and coefficients of variation. Results: Compared to US alone, US combined with the strain ratio measured using either ROI method significantly improved specificity, positive predictive value, accuracy, and area under the receiver operating characteristic curve (AUC) (all p values < 0.05). Strain ratio obtained using the 1-ROI method showed higher interobserver agreement between the three radiologists without a significant difference in AUC for differentiating breast cancer when the optimal strain ratio cut-off value was used, compared with the 2-ROI method (AUC: 0.788 vs. 0.783, 0.693 vs. 0.715, and 0.691 vs. 0.686, respectively, all p values > 0.05). Conclusion: Strain ratios obtained using the 1-ROI method showed higher interobserver agreement without a significant difference in AUC, compared to those obtained using the 2-ROI method. Considering that the 1-ROI method can reduce performers' efforts, it could have an important role in improving the diagnostic performance of breast US by enabling consistent management of breast lesions.

한국 아동의 기질 : 비교문화적 분석 (Temperament of Ethnic Korean Children : A Cross-cultural Analysis)

  • 박혜원
    • 아동학회지
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    • 제30권6호
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    • pp.583-590
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    • 2009
  • This study analyzed temperament of ethnic Korean children residing in Korea comparing them with Korean children and American children residing in the USA. Parents of 169 Korean, Korean-American and American 4-7-year-old children rated them on the Very Short Form of Children's Behavior Questionnaire (CBQ; Rothbart et al., 2001). On most subscales, Korean children were reported higher than ethnic Korean children in the US while Korean-American children were rated lower than others. Attention focusing was influenced by macro systems; shifting and impulsivity were more sensitive to biological or micro systems. The bilingual setting of Korean-American children may explain the difference in control of this group from others. This study clearly showed that ecological settings play important roles in temperament.

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How to Apply Tricky Biological Mechanisms to Agricultural and Industrial Production

  • Kobayashi, Akio
    • Journal of Applied Biological Chemistry
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    • 제43권4호
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    • pp.218-221
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    • 2000
  • By the end of the $21^st$ century, the world population will surely far exceed the current 6.6 billion, threatening the essential requirements for life due to environmental deterioration and shortened food supply. To overcome this looming threat, we must develop new biotechnologies. There are so many known natural phenomena that we may have neglected, not perceiving them as blessings of nature. Many more remain unknown. We must examine each of them carefully since the many tricky and complicated mechanisms behind simple natural workings could provide us with attractive research targets. How then do we apply these complicated natural mechanisms to agricultural/ industrial production?.

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우리나라 공영 아파트단지의 외부공간의 특성 변천에 관한 연구 (A study on the change in the characteristic of outdoor planning of Korean public Apartment Project)

  • 손세관;강경호
    • 한국주거학회논문집
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    • 제12권4호
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    • pp.1-8
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    • 2001
  • The purpose of this study is to clarify the change of the Korean public Apartment Project especially in the field of lay-out and site planning of apartment complex. the chronological study is about the change in the location of apartment, its area, its density, the construction of its open space. As a result, the analysis of this researching process of them has shown us the following important factors in the change of the Korean public Apartment Project.

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