• Title/Summary/Keyword: WHO classification 2004

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A classificatory study about the tendency of the patient who visited oriental medical hospital for growth treatment (한방병원에 내원하는 성장 환자의 유형 분류)

  • Han, Kyoung-Hoon;Park, Eun-Jung;Lee, Hai-Ja
    • The Journal of Pediatrics of Korean Medicine
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    • v.20 no.3
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    • pp.161-169
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    • 2006
  • Objectives : Patients who visit oriental medical hospital for growth treatment are increasing. So we aimed to classify the tendency of the patients. Methods : We studied 231 patients who visited Oriental medical hospital for growth treatment from January 2004 to August 2005. We classified sex ratio, height percentile, symptom form of the Oriental medicine, age ratio and developed complication of patients. We used X-ray, endoscope for nasal cavity, blood sample, the Standard Growth Table made by the Korean Association of Pediatrics, 1998. Results : The results which were classified as follows; boys were 50.2 percentile, girls were 49.8 percentile. The classification according to age stage resulted as follows; infant stage 1.3 percentile, preschool age 13.4%, school age 28.6%, rapid growth stage 22.9 percentile, puberty 33.8 percentile. The classification according to height percentile resulted as follows; 3 percentile or under 12.1%, 25 percentile or under 48.9%, 50 percentile or under 25.6%, 75 percentile or under 10.8%, 75 percentile excess 2.6%. The classification according to disease resulted as follows; paranasal sinusitis 12.1 percentile, allergic rhinitis 10 percentile, atopic dermatitis 5.6 percentile, nocturia 3 percentile, convulsion or tic disorder 2.2 percentile, precocious puberty 1.3 percentile, Tuner syndrome 0.9 percentile, developmental disability 0.4 percentile. Conclusions : Sex ratio of children patients who visited Orienatal medical hospital were nearly the same. 13.4% of hospital visit children patients were taller than average. Most of the male children patients were school ages while the female were in puberty. 35.5% of them have developed complication as follows; paranasal sinusitis, allergic rhinitis, atopic dermatitis, nocturia, convulsion or tic disorder, precocious puberty, Tuner syndrome and developmental disability.

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Analysis of Prognostic Factors according to WHO Classification for Thymic Epithelial Tumor (흉선종의 WHO 분류에 따른 예후인자의 임상적 고찰)

  • 서영준;금동윤;권건영;박창권
    • Journal of Chest Surgery
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    • v.37 no.8
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    • pp.684-690
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    • 2004
  • Background: Primary thymic epithelial neoplasm is a type of mediastinal tumors that have various biologic and morphologic features. In this study, we reclassified 59 cases of thymic epithelial tumors by the new WHO classification. We inquired whether the new WHO classification has independent prognostic relevance by analyzing clinical characteristics of thymic epithelial tumors including Masaoka's clinical stage. Material and Method: From December 1986 to August 2003, 59. patients who underwent surgery in the Keimyung University Dongsan Medical Center with definite diagnosis of thymic epithelial tumor were studied. We analyzed the histologic subtype (WHO classification). clinical stage (Masaoka's clinical stage) and patient's characteristics (sex, age, myasthenia gravis, tumor size, invasion. recurrence, metastasis) as prognostic factors. We analyzed the relationship between histologic subtype and clinical stage. Result: 32 patients were male and 27 were female. Mean age was 50.1$\pm$14.2. From WHO A to C, all thymic epithelial tumors were reclassified by the new WHO classification. Six patients (10.2%) had Type A, 7 (11.9%) had Type AB, 7 (11.9%) had Type B$_1$, 10 (16.9%) had Type B$_2$ and 7 (11.9%) had Type B$_3$, 22 (37.3%) had Type C. Two factors were shown by multivariate analysis to be associated with a favorable prognosis: completeness of resection (p=0.003) and non-invasiveness (p=0.001). The overall 5-year survival of the 59 patients was 53%, subtype A and AB were 92.3%, B$_1$ and B$_2$ were 70.2%, and B$_3$ and C were 26.1%. The association between histologic subtype and invasive behavior (stage) was statistically significant (p<0.001). Conclusion: The WHO classfication is not only a histologic classfication of the thymic epithelial tumors but also a significant prognostic factor that influence the survival of thymic epithelial tumors.

Study on Classification Function into Sasang Constitution Using Data Mining Techniques (데이터마이닝 기법을 이용한 사상체질 판별함수에 관한 연구)

  • Kim Kyu Kon;Kim Jong Won;Lee Eui Ju;Kim Jong Yeol;Choi Sun-Mi
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.18 no.6
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    • pp.1938-1944
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    • 2004
  • In this study, when we make a diagnosis of constitution using QSCC Ⅱ(Questionnaire of Sasang Constitution Classification). data mining techniques are applied to seek the classification function for improving the accuracy. Data used in the analysis are the questionnaires of 1051 patients who had been treated in Dong Eui Oriental Medical Hospital and Kyung Hee Oriental Medical Hospital. The criteria for data cleansing are the response pattern in the opposite questionnaires and the positive proportion of specific questionnaires in each constitution. And the criteria for variable selection are the test of homogeneity in frequency analysis and the coefficients in the linear discriminant function. Discriminant analysis model and decision tree model are applied to seek the classification function into Sasang constitution. The accuracy in learning sample is similar in two models, the higher accuracy in test sample is obtained in discriminant analysis model.

A Study on the Reliability of the Questionnaire about Sasang Constitution Classification for Mongolians (몽고인(蒙古人)을 위한 사상체질분류검사지(四象體質分類檢査紙)의 신뢰도(信賴度) 연구(硏究))

  • Kim, Kyung-Su;Lee, Su-Kyung;Shin, Hyeun-Kyoo;Koh, Byung-Hee;Song, Il-Byung;Lee, Eui-Ju
    • Journal of Sasang Constitutional Medicine
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    • v.18 no.2
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    • pp.96-112
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    • 2006
  • 1. Objectives This study focuses on the reliability of the Questionnaire about Sasang Constitution Classification for Mongolians 2. Methods Test-retest method and internal consistency method have been performed based on the absolutely diagnosed group of 87 cases who respond to the questionaries during the time interval of one yeat between July 2003 and July 2004 to verify the confidence level. 3. Results and Conclusions (1) In the test-retest for each question of the Questionnaire of Sasang Constitution Classification for Mongolians, the dependency ratio is 40% and the agreement ratio is 92%. Therefore, this questionnaire has credibility because it has question relations and high agreement ratio. (2) In the internal consistency method for the measure of the Questionnaire of Sasang Constitution Classification for Mongolians, the value of Cronbach alpha is mote than 0.60. As a result, this questionnaire has internal consistency for each question which explains each physical constitution and it has credibility (3) In the internal consistency method for the measure of the Questionnaire of Sasang Constitution Classification for Mongolians, the Pearson's correlation coefficient, r, falls between $+0.38\;{\sim}\;+0.54$ in each measure. Accordingly, this questionnaire has internal consistency between each physical constitution measure and it has credibility.

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Comparison of somatotypes from various classification methods - Between 18 and 24 years old Korean Women - (체형분류 방법에 따른 체형 유형 간 비교 - 18~24세 여성을 대상으로 -)

  • Lee, Jeong-Yim;Nam, Yun-Ja
    • Fashion & Textile Research Journal
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    • v.6 no.2
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    • pp.221-228
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    • 2004
  • The purpose of this study was to compare somatotypes from various classification methods, to analyze the interrelation among each somatotype or each high frequency type, and to suggest the basis to interpret body size and shape more accurately. As a sample, the subjects were 97 Korean females between 18 and 24 years old. They were measured both anthropometric and photographic measuring in November, 1999. Their somatotypes were classified by three kinds of classification methods. The first method was based on the lateral view of body, the second involved Factor and Cluster analysis with the photographic measurements of anterior and lateral body, and the third involved Factor and Cluster analysis with the anthropometric measurements of whole body. The upper body was classified into three types, and the lower body was classified into 6 types from the lateral view of body. The bend-forward/q-2 was found to be the 'High-frequency type from the lateral view of body', and the Straight/n-1 was found to be the 'Straight type from the lateral view of body'. From the classification by the analysis of photographic measurements, the anterior body was classified into three types, the lateral was classified into 4 types. The X/${\varepsilon}$ type was found to be the 'High-frequency type from the analysis of photographic measurements of anterior and lateral body'. From the classification by the analysis of anthropometric measurements, the whole body was classified into three types. The i type was found to be the 'High-frequency type from the analysis of anthropometric measurements of whole body'. The significant interrelation was certified among some somatotypes or some High-frequency types. We found that both the view of body and the statistical analysis would make the clear definition of each somatotype possible. In order to certify the representativeness of High-frequency type, further analysis would be required of subjects who were in the High-frequency type and their body parts were in the High-frequency range.

A Clinical Study of Twenty-five Patients Admitted with Headache (두통(頭痛)을 주소(主訴) 입원한 환자 25명에 관한 임상적(臨床的) 고찰(考察))

  • Kim, Ji-Yun;Hong, Hyun-Woo;Kim, Jae-Yeon;Lee, Sung-Do;Park, Dong-Il;Gam, Chul-Woo
    • The Journal of Internal Korean Medicine
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    • v.25 no.4
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    • pp.34-44
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    • 2004
  • Objective : The purpose of this study is to investigate clinical characteristics with 25 patients who have suffered from headache and were treated. Methods : We classified 25 patients into several groups by IHS classification and evaluated the effects of oriental medical therapy on headache. Results : 1. According to the statistics, instances of migraine were more prevalent than tension headache, especially among women. 2. 28% of patient had entered for treatment within one month of onset. 3. Common associated symptoms included dizziness, nausea, dyspepsia, palpitation and insomnia. 4. In classification by the oriental medical differentiation of symptoms and signs, the rate of stagnation of the humid dam and deficiency of qi, these two types were highest. 5. 56% of patients said they were satisfied with the treatment, reporting half the frequency of headache or better from before treatment. Conclusions : The present results suggest that oriental medical therapy has effects on headache. Further clinical comparative studies on herb-medication versus acupuncture therapy for headache are urged.

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Distribution of Testicular Tumors in Lebanon: A Single Institution Overview

  • Assi, Tarek;Rassy, Marc;Nassereddine, Hussein;Sader-Ghorra, Claude;Abadjian, Gerard;Ghosn, Marwan;Kattan, Joseph
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.8
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    • pp.3443-3446
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    • 2015
  • Background: Testicular tumors constitute a rare type of cancer affecting adolescents and young adults with recent reports confirming an increase in incidence worldwide. The purpose of this study was to estimate the epidemiological characteristics and histological subtypes of testicular tumors in the Lebanese population according to the WHO classification of testicular and paratesticular tumors. Materials and Methods: In this single institutional retrospective study, all patients diagnosed with a testicular tumor in Hotel-Dieu de France Hospital University in Beirut between 1992 and 2014 were enrolled. The age, subtype based on the 2004 WHO classification and body side of tumor were analyzed. Results: A total of two hundred and forty-four (244) patients diagnosed with a testicular tumor in our institution were included in the study. Two hundred and one patients (82.4% of all testicular tumors) had germ cell tumors (TGCT). Among TGCT, 50% were seminomatous tumors, 48% non-seminomatous tumors (NST) and 2% were spermatocytic seminomas. The NST were further divided into mixed germ cell tumors (63.9%), embryonic carcinomas (18.6%), teratomas (15.4%) and yolk sac tumors (2.1%). The mean age for testicular tumors was 32 years. The mean age for germ cell tumors was 31 years and further subtypes such as seminomatous tumors had a mean age of 34 years, 28 years in non-seminomatous tumors and 56 years in spermatocytic seminoma. Patients with right testicular tumor were the predominant group with 55% of patients. Three patients (1.2%) presented with bilateral tumors. Conclusions: The distribution of different subgroups and the mean age for testicular tumors proved comparable to most countries of the world except for some Asian countries. Germ cell tumors are the most common subtype of testicular tumors with seminomatous tumors being slightly more prevalent than non-seminomatous tumors in Lebanese patients.

THE ROLE OF SATELLITE REMOTE SENSING TO DETECT AND ASSESS THE DAMAGE OF TSUNAMI DISASTER

  • Siripong, Absornsuda
    • Proceedings of the KSRS Conference
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    • v.2
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    • pp.827-830
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    • 2006
  • The tsunami from the megathrust earthquake magnitude 9.3 on 26 December 2004 is the largest tsunami the world has known in over forty years. This tsunami destructively attacked 13 countries around Indian Ocean with at least 230,000 fatalities, displaced people 2,089,883 and 1.5 million people who lost their livelihoods. The ratio of women and children killed to men is 3 to 1. The total damage costs US$ 10.73 billion and rebuilding costs US$ 10.375 billion. The tsunami's death toll could have been drastically reduced, if the warning was disseminated quickly and effectively to the coastal dwellers along the Indian Ocean rim. With a warning system in Indian Ocean similar to that operating in the Pacific Ocean since 1965, it would have been possible to warn, evacuate and save countless lives. The best tribute we can pay to all who perished or suffered in this disaster is to heed its powerful lessons. UNESCO/IOC have put their tremendous effort on better disaster preparedness, functional early warning systems and realistic arrangements to cope with tsunami disaster. They organized ICG/IOTWS (Indian Ocean Tsunami Warning System) and the third of this meeting is held in Bali, Indonesia during $31^{st}$ July to $4^{th}$ August 2006. A US$ 53 million interim warning system using tidal gauges and undersea sensors is nearing completion in the Indian Ocean with the assistance from IOC. The tsunami warning depends strictly on an early detection of a tsunami (wave) perturbation in the ocean itself. It does not and cannot depend on seismological information alone. In the case of 26 December 2004 tsunami when the NOAA/PMEL DART (Deep-ocean Assessment and Reporting of Tsunami) system has not been deployed, the initialized input of sea surface perturbation for the MOST (Method Of Splitting Tsunami) model was from the tsunamigenic-earthquake source model. It is the first time that the satellite altimeters can detect the signal of tsunami wave in the Bay of Bengal and was used to validate the output from the MOST model in the deep ocean. In the case of Thailand, the inundation part of the MOST model was run from Sumatra 2004 for inundation mapping purposes. The medium and high resolution satellite data were used to assess the degree of the damage from Indian Ocean tsunami of 2004 with NDVI classification at 6 provinces on the Andaman seacoast of Thailand. With the tide-gauge station data, run-up surveys, bathymetry and coastal topography data and land-use classification from satellite imageries, we can use these information for coastal zone management on evacuation plan and construction code.

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2004 Nationwide Gastric Cancer Report in Korea (2004년 전국 위암 등록사업 결과 보고)

  • The Information Committee of the Korean Gastric Cancer Association
    • Journal of Gastric Cancer
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    • v.7 no.1
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    • pp.47-54
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    • 2007
  • Purpose: To investigate the characteristics and chronological changes of gastric cancer in Korea, the Information Committee of the Korean Gastric Cancer Association performed nationwide survey for 2004. Materials and Methods: The data on patients who underwent gastric cancer surgery in 2004 were collected from 57 institutes and compared with those of 1995 and 1999 which were reported in 2002. Fourteen factors (sex, age, tumor location and size, gross type, approach to operation, radicality, operative method, reconstruction method, WHO and Lauren classification, UICC stage, and numbers of positive and retrieved lymph nodes) were analyzed. According to the annual number of gastric cancer operations, 57 institutes were divided into 4 groups (group 1, <100; 100 ${\leq}$ group 2 < 200 operations; 200 ${\leq}$ group 3 < 500 operations; group 4, ${\geq}500$). Results: Data on 11,293 patients were collected. The sex ratio (M : F) was 2.05 : 1 (7,586/3,705). The mean age was 58.0 years old. The age of highest incidence in both male and female has increased recently. The proportion of early gastric cancer has increased from 28.6% in 1995 and 32.8% in 1999 to 47.4% in 2004. The mean number of retrieved lymph nodes was 34.0 (32.8, 34.0, 36.1, and 32.9 for group 1, 2, 3, and 4 respectively). Conclusion: Early gastric cancer has increased in 2004 compared to 1995 and 1999. Gastric cancer surgery seems to be performed with acceptable quality in view of number of retrieved lymph nodes. These data presented in nationwide survey could be used as a fundamental resource for gastric cancer in Korea.

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The Relationship between FEV1 and PEFR in the Classification of the Severity in COPD Patients (만성 폐쇄성 폐질환 환자의 중증도 분류시 FEV1과 PEFR의 연관성)

  • Shin, Sang Youl;Ho, Yoon Jae;Kim, Sun Jong;Yoo, Kwang Ha
    • Tuberculosis and Respiratory Diseases
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    • v.58 no.5
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    • pp.507-514
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    • 2005
  • Background : Measurement of the $FEV_1$ and PEFR in COPD patients is a significant indicator of the disease severity, the response to treatment and the acute exacerbation. However, it is not known if PEFR can be used to determine the severity of COPD because the agreement between PEFR and $FEV_1$ in COPD patients is not well known. Methods : From September, 2003 to August, 2004, 125 out patients with COPD who were treated at the pulmonary clinic in KonKuk University Hospital were enrolled in this study. The $FEV_1$ and PEFR of each patient were measured and all the data was analyzed using SPSS. Results : The average predicted $FEV_1$ % and PEFR % was $56.98{\pm}18.21%$ and $70{\pm}27.60%$, respectively. There was linear correlation between the predicted $FEV_1$ % and predicted PEFR %. There was no correlation between age of the COPD patients and the predicted PEFR %. There was correlation between dyspnea, which is a subjective symptom of the patients, and the predicted PEFR %. Conclusion : In COPD patients, the classification of the severity by PEFR tends to underestimate the state of the disease compared with the classification of the severity by the $FEV_1$. Therefore, the classification of the severity by PEFR should be interpreted carefully in patients with severe symptoms. Once the classification of the severity has made, the follow-up examination may use the PEFR instead of the $FEV_1$.