• Title/Summary/Keyword: diagnostic features

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Clinical Features and Long-Term Outcome in Adult Stroke Patient due to Moyamoya Disease : A Single Subject Study

  • Kwon, Yong Hyun;Kim, Chung Sun
    • The Journal of Korean Physical Therapy
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    • v.25 no.3
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    • pp.126-131
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    • 2013
  • This case report described a single case of adult stoke patient due to Moyamoya disease through long-term follow-up observation, which included his demographics, brain images, and change of motor function and functional activities. The subject was the 54-year-old male diagnosed with left hemiparesis from a stroke due to multifocal encephalomalacia in both hemispheres. At the time of the stroke attack, he took brain surgery intervention including external ventricular drain. Physical and occupational therapy for stroke rehabilitation were admitted including muscle strengthening exercises, functional activity/ADL training, neurofacilitative techniques with bobath or proprioceptive neuromuscular facilitation concepts, and compensatory strategy. Patient's MRI showed that right frontal lobe, right peri-ventricular area, left parietal, and left occipital lobes were damaged, and MRA showed that abnormal collateral vessel was richly developed in both hemispheres by occlusion of proximal internal carotid arteries in both sides. His motor strength was improved from poor to good grade in all of upper and lower limb motions, that MBC was improved from stage 1 to stage 5. In FAC and barthel index, at the initial evaluation, he could not perform any functional movement, but his FAC and barthel index were on 3 and 14 points at present, respectively. During long-term follow-up for approximately 4 years, the subject's functional motor ability was improved, as similar with recovery progression of usual stroke patient. We believe that this single case report will provide clinical information and concern regarding Moyamoya disease with physical therapist, in terms of such as epidemiology, pathogenesis, diagnostic procedures, clinical features, recovery process, and prognosis.

Long-Term Management with Chlorambucil and Prednisolone in a Case of Feline Alimentary Lymphoma

  • Kim, Myung-Jin;Kim, Nam-Kyun;Jang, Hyo-Mi;Song, Joong-Hyun;Hwang, Tae-Sung;Lee, Hee-Chun;Sur, Jung-Hyang;Jung, Dong-In
    • Journal of Veterinary Clinics
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    • v.34 no.3
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    • pp.193-196
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    • 2017
  • A 14-year-old, castrated male, domestic shorthair cat was referred for gastrointestinal (GI) signs, including nausea, regurgitation, anorexia, and weight loss. Abdominal ultrasonography revealed thickening of the wall of the gastric and proximal duodenum, moderately enlarged mesenteric lymph nodes, and coarse echotexture of the splenic parenchyma. The results of the feline leukemia virus test were positive. Based on gastrointestinal endoscopic characteristics and histopathological examinations, low-grade alimentary lymphoma was identified in multiple regions of the gastrointestinal tract. The patient was treated with oral prednisolone and chlorambucil chemotherapy, and the clinical signs resolved gradually. During serial follow-up, ultrasonographic findings demonstrated decreases in the duodenal wall thickness and size of the abdominal lymph nodes over a period of 550 days. Survival time was 886 days with prednisolone and chlorambucil chemotherapy. This report describes clinical features, imaging findings, endoscopic characteristics, histopathological features, and long-term management with chlorambucil chemotherapy in a case of feline low-grade alimentary lymphoma.

Dermatopathology in respect to bovine cutaneous streptothricosis with clinical observations at Dinajpur of Bangladesh

  • Juli, Sogra Banu Mst.;Hoque, Md. Fazlul;Zohara, Begum Fatema;Harun-Ur-Rashid, S.M.;Islam, Md. Nazrul;Rahman, Md. Siddiqur;Song, Hee-Jong
    • Korean Journal of Veterinary Service
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    • v.34 no.1
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    • pp.55-61
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    • 2011
  • Dermatopathologic findings on cutaneous streptothricosis (bovine dermatophilosis) were conducted in Dinajpur of Bangladesh for one year. The animals were examined clinically at hospital during the physical visit of the affected animals and clinical manifestations and patients' history were recorded. The gross lesions were systematically examined, noted and categorized. An impression smear was made by the skin scraps, stained with Gram's stain and examined microscopically for the presence of causative bacteria. The suitable sizes of skins of 3 animals typically affected with dermatophilosis were collected surgically from the animals, and prepared for the histopathological study. The cardinal clinical features and gross lesions were characterized as paint-brush cutaneous surface with matted hairs, scab and crust formation, roughened coat; istopathologically as hyperkeratosis, parakeratosis, typical "palisading encrustations", extensive proliferation of coccoid shaped, bluish coloured bacteria (zoospores) in the cells of the outer rootsheath of the hair follicles, separation of keratinized layer from the epidermal epithelium, epidermal hyperplasia, densely cellular dermis with moderate destruction of glandular structures. Coccoid shaped gram positive organisms which form multidimensional arrangement were also observed by impression smear. The clinical signs, gross lesions, morphology of the organisms, staining properties, and histopathological features of the affected skin were diagnostic criteria for the bovine cutaneous streptothricosis.

Focal Adnexal Dysplasia in a Dog (개에서 Focal Adnexal Dysplasia 증례)

  • Park, Ho-Il;Hur, Won-Suk;Cho, Eun-Sang;Song, Sin-Hwa;Jeong, Seong-Mok;Cho, Sung-Whan;Son, Hwa-Young
    • Journal of Veterinary Clinics
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    • v.26 no.3
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    • pp.259-262
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    • 2009
  • Focal adnexal dysplasia(FAD) is a rare non-neoplastic lesion of adnexal appendages that occurs in dogs and has good prognosis. We report a case in which FAD diagnosis was favored by its histopathological features. A 8-year-old, castrated male American cocker spaniel dog presented with papillomatous masses on the distal phalanx of left forelimb. Histopathologically, the stroma was sharply demarcated from the adjacent dermis and subcutis. The adnexa was surrounded and interspersed with abundant, hyalinized collagen and the numerous sebaceous lobules distributed haphazardly around hair follicles, which is thickened, dilated and tortuous with abundant keratin. Epidermis was acanthotic. Proliferative lesions of the skin region are very common with similar gross features, thus the basic histopathological examination supported by additional diagnostic methods allow to establish the definitive diagnosis in most cases of cutaneous tumor or tumor-like lesions. And it is important that physicians and pathologists are aware of this unusual tumour-like nonneoplastic lesion.

The petiole anatomy of the genus Spiraea L. (Rosaceae) in Korea (한국산 조팝나무속(Spiraea L. 장미과)의 엽병 해부)

  • Lee, Jeong-Ho;Kwon, Oh-Woung;Jang, Tae-Soo;Roh, Hee-Seon;Hong, Suk-Pyo
    • Korean Journal of Plant Taxonomy
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    • v.40 no.1
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    • pp.16-26
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    • 2010
  • The petiole anatomy of three sections (sects. Calospira, Chamaedryon, and Spiraria) in the genus Spiraea (Rosaceae), which are distributed/cultivated in Korea, was studied and described in details. The vascular bundle system of the distal, medial, and proximal parts of the petiole were studied using LM with the aim of documenting any differences in vascular anatomy. Significant variation of anatomical characters was found in petiole shape (dichotomy, lens or subcircular in outline), presence of two distinct lateral wings, the thickness of epidermis, number of vascular bundles, length of ventral axis, length of dorsiventral axis, width of median vascular bundle, and length of median vascular bundle. All features were compared and we concluded that petiole anatomical characters can be useful for providing diagnostic features to distinguish the studied taxa. A key for identifying the Spiraea taxa in Korea based on their petiole anatomical characters is also provided.

Larval Development of Chirona cristatus(Cirripedia, Thoracica) Reared in the Laboratory (하구별따개비(만각아강, 완흉상목)의 유생 발생)

  • Lee, Chu;Shim, Jeong-Min;Jeong, Mi-Kyung;Kim, Chang-Hyun
    • Animal Systematics, Evolution and Diversity
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    • v.18 no.1
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    • pp.35-48
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    • 2002
  • Larval development of Chirona cristatus Ren and Riu, 1978, found in the low part of rocks in the intertidal clone or the shell of scallops, was described in detail and compared with those of other known barnacles. Durations from nauplius through cyprid to pinhead stage are three weeks at 20$\pm$0.5$^{\circ}C$. Trilobed labrum bearing three groups of slender hairs and frontolateral horns folded under the anterior cephalic shield margin are diagnostic features through all nauplius stages. The posterior border of the cephalic shield bears a pair of cephalic shield spines in nauplius stages IV,V and Ⅵ. There is no specific hispid sets at the fourth group of the antennal endpodite. The dorsal thoracic spine, abdominal process and posterior shield spine haute numerous small spines Morphological features such as the cephalic shield, labrum, abdominal process, antennules, antennae and mandibles in all nauplius and cyprid stages are illustrated and described. The numerical setations of antennule in this species are found to be practically helpful for intraspecific identification of barnacle nauplius stages without dissection.

Fractal Analysis of GIS PD Patterns (GIS 부분방전 패턴의 프랙탈 해석)

  • Choi, Ho-Woong;Kim, Eun-Young;Min, Byoung-Woon;Lee, Dong-Chul;Kim, Hee-Soo
    • Proceedings of the KIEE Conference
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    • 2006.07e
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    • pp.55-56
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    • 2006
  • In prevention and diagnostic system of GIS, pattern classification is focused on the detection of unnatural patterns in PD(Partial discharge) image data. Fractals have been used extensively to provide a description and to model mathematically many of the naturally occurring complex shapes, such as coastlines, mountain ranges, clouds, etc., and have also received increased attention in the field of image processing, for purposes of segmentation and recognition of regions and objects present in natural scenes. Among the numerous fractal features that could be defined and used for image data, fractal dimension and lacunarity have been found to be useful for recognition purposes Partial discharge(PD) occuring in GIS system is a very complex phenomenon, and more so are the shapes of the various 2-d patterns obtained during routine tests and measurements. It has been fairly well established that these pattern shapes and underlying defects causing PD have a 1:1 correspondence, and therefore methods to describe and qunatify these pattern shapes must be explored, before recognition systems based on them could be developed. The computed fractal features(fractal dimension and lacunarity) for standard library of PD data were analyzed and found to possess fairly reasonable pattern discriminating abilities. This new approach appears promising, and further research is essential before any long-term predictions can be made.

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Schwannoma of the Hand: Importance of Differential Diagnosis & Microsurgical Dissection (수부의 신경초종: 감별진단과 미세수술의 중요성)

  • Tark, Kwan-Chul;Koo, Hyun-Kook
    • Archives of Plastic Surgery
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    • v.37 no.4
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    • pp.452-456
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    • 2010
  • Purpose: The schwannoma is a benign peripheral nerve tumor arising from the Schwann cell of the nerve sheath. Only 2-8% of schwannomas arise in the hand and wrist. Misdiagnosis is frequent such as ganglion and neurofibroma. This article documents and clarifies the clinical features of schwannomas arising in the hand and wrist, and emphasizes importance of differential diagnosis and meticulous surgical extirpation under magnification. Methods: The author reviewed clinical features of 15 patients with pathologic final diagnosis of schwannoma developed in hand and wrist during the last 12 years from 1998 through 2009. The review included the sex, age of onset, duration, preoperative diagnosis, location, involved nerve, preoperative symptoms and. Postoperative sequelae after surgical extirpation of the lesion with magnification, or without magnification of the surgical fields. Results: The chief complaints were slow growing firm mass in all patients, and followed by pain in 40%, and paresthesia in 40% respectively. The lesions were developed solitarily in 14 patients (93%). The postoperative pathologic diagnosis and preoperative diagnosis were coincided with only in 6 patients (40%). Other preoperative diagnosis were soft tissue tumor in 4 patient (26.6%), and ganglion in 3 patients (20%), and neurofibroma in 2 patients (13%). In all patients who were undergone surgical excision under the fields of magnification, all symptoms were subsided without any sequelae. Meanwhile muscle weakness, paresthesia, hypoesthesia and /or accidental nerve resection developed after surgical excision with naked eye. Conclusion: Schwannoma in hand most commonly appears as a slow growing solitary mass with pain or paresthesia. The chance of preoperative misdiagnosis was 60% in this series. To provide good prognosis and less sequelae, careful and elaborate diagnostic efforts and meticulous surgical excision under the magnification are necessary in management of schwannoma.

The Value of I-Scan Image-Enhanced Endoscopy in the Diagnosis of Vocal Cord Leukoplakia

  • Lee, Young Chan;Eun, Young-Gyu;Park, Il-Seok
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.29 no.2
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    • pp.98-102
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    • 2018
  • Background and Objectives : Detection of vascular abnormalities in vocal cord (VC) leukoplakia is important for the diagnosis of neoplastic change of the mucosa. The aim of this study was to investigate the value of i-scan in the differential diagnosis of VC leukoplakia based on visualization of abnormal vascular features. Material and Methods : Fifty-two patients with leukoplakia were enrolled in the study. Images of their larynx obtained using conventional white light endoscopy and an i-scan-enhanced endoscopy (Pentax DEFINA EPK-3000 Video Processors, with Pentax VNLJ10) were reviewed. The microvascular features of the lesions and vascular changes were analyzed and the results were compared with the histopathologic diagnosis. Results : Among the 52 leukoplakia patients, 7 (13.5%) patients had squamous hyperplasia, 10 (19.3%) mild dysplasia, 2 (3.8%) moderate dysplasia, 14 (26.9%) severe dysplasia, 4 (7.7%) carcinoma in situ, and 15 (28.8%) invasive squamous cell carcinoma on histopathologic examination. Using i-scan-enhanced endoscopy, abnormal vascular change with neoplastic neoangiogenesis was detected in most cases of malignant VC lesion [severe dysplasia : 9/14 (64.3%), carcinoma in situ: 2/4 (50.0%), and invasive squamous cell carcinoma : 11/15 (73.4%)]. Conclusion : i-scan-enhanced endoscopy is a useful optical technique for the diagnosis of VC leukoplakia. Our results suggest that i-scan may be a promising diagnostic tool in the early detection of laryngeal cancer.

Parkinson's disease diagnosis using speech signal and deep residual gated recurrent neural network (음성 신호와 심층 잔류 순환 신경망을 이용한 파킨슨병 진단)

  • Shin, Seung-Su;Kim, Gee Yeun;Koo, Bon Mi;Kim, Hyoung-Gook
    • The Journal of the Acoustical Society of Korea
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    • v.38 no.3
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    • pp.308-313
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    • 2019
  • Parkinson's disease, one of the three major diseases in old age, has more than 70 % of patients with speech disorders, and recently, diagnostic methods of Parkinson's disease through speech signals have been devised. In this paper, we propose a method of diagnosis of Parkinson's disease based on deep residual gated recurrent neural network using speech features. In the proposed method, the speech features for diagnosing Parkinson's disease are selected and applied to the deep residual gated recurrent neural network to classify Parkinson's disease patients. The proposed deep residual gated recurrent neural network, an algorithm combining residual learning with deep gated recurrent neural network, has a higher recognition rate than the traditional method in Parkinson's disease diagnosis.