• Title/Summary/Keyword: diagnostic features

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Frequency of Delayed Diagnosis of Oral Squamous Cell Carcinoma in Pakistan

  • Naseer, Rabia;Naz, Iram;Mahmood, Muhammad Khurram
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.11
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    • pp.5037-5040
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    • 2016
  • Objectives: To determine the frequency of delayed diagnosis of oral squamous cell carcinoma in our setup; highlighting factors responsible for any delay and their possible relevance to demographic and diagnostic features. Methods: This cross sectional study of six months duration was conducted in the Oral and Maxillofacial Surgery Department of the Armed Forces Institute of Dentistry, Rawalpindi, Pakistan. A total of 246 patients, both male and female, having a biopsy proven definitive diagnosis of OSCC were included using a consecutive sampling technique. Delay in diagnosis was assessed from the stated period of time from when the patient first noticed symptoms of disease until a definitive diagnosis was made. We concluded delayed diagnosis if this was more than 40 days. Results: The ages of patients ranged from 27 to 60 years with a mean of $46.7{\pm}10.2$ years and a marked male predominance (3.7:1). Delayed diagnosis was observed in 91.5% of cases. However, statistically no significant differences were found with age, gender, marital, education status, household income and time of biopsy. Conclusion: Our primary finding of delayed diagnosis with no prior contact with any health care professional clearly reflects a need of taking urgent measures to avoid serious impacts on morbidity and mortality associated with OSCC.

Latitudinal Distribution of Sunspot and North-South Asymmetry Revisited

  • Chang, Heon-Young
    • Journal of Astronomy and Space Sciences
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    • v.35 no.2
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    • pp.55-66
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    • 2018
  • The solar magnetic field plays a central role in the field of solar research, both theoretically and practically. Sunspots are an important observational constraint since they are considered a discernable tracer of emerged magnetic flux tubes, providing the longest running records of solar magnetic activity. In this presentation, we first review the statistical properties of the latitudinal distribution of sunspots and discuss their implications. The phase difference between paired wings of the butterfly diagram has been revealed. Sunspots seem to emerge with the exponential distribution on top of slowly varying trends by periods of ~11 years, which is considered multiplicative rather than additive. We also present a concept for the center-of-latitude (COL) and its use. With this, one may sort out a traditional butterfly diagram and find new features. It is found that the centroid of the COL does not migrate monotonically toward the equator, appearing to form an 'active latitude'. Furthermore, distributions of the COL as a function of latitude depend on solar activity and the solar North-South asymmetry. We believe that these findings serve as crucial diagnostic tools for any potential model of the solar dynamo. Finally, we find that as the Sun modulates the amount of observed galactic cosmic ray influx, the solar North-South asymmetry seems to contribute to the relationship between the solar variability and terrestrial climate change.

Large Cell Neuroendocrine Carcinoma of the Thymus: A Two-Case Report

  • Yoon, Yong-Han;Kim, Jae-Ho;Kim, Kwang-Ho;Baek, Wan-Ki;Lee, Hyun-Kyu;Lee, Moon-Hee;Lee, Kyung-Hee;Kim, Lucia
    • Journal of Chest Surgery
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    • v.45 no.1
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    • pp.60-64
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    • 2012
  • A large cell neuroendocrine carcinoma (LCNEC) of the thymus is a very rare malignant tumor that has a very poor prognosis. The detailed clinical features of LCNEC are still unknown, including the long term prognoses and the definitive modalities of the treatment for LCNEC of the thymus. We are reporting 2 cases of an enlarged LCNEC of the thymus, both of which were diagnosed and treated by surgical resection followed by postoperative adjuvant chemoradiation therapy. Although recurrences and metastases of the LCNEC were noticed 1 and 4 years postoperatively for each case, aggressive surgical resection and adjuvant chemoradiation therapy may be helpful for a patient's long term survival.

Two Newly Recorded Vorticellid Species (Ciliophora, Oligohymenophorea, Peritrichia) from Jindo Island with Other Populations in Korea

  • Kim, Ji Hye;Shin, Mann Kyoon
    • Animal Systematics, Evolution and Diversity
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    • no.spc9
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    • pp.10-17
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    • 2016
  • Carchesium polypinum and Vorticella campanula were collected in freshwater ponds and reservoirs on Jindo Island and other places in Korea. These two vorticellids are newly recorded in Korea. The two species are described using live and silver impregnated cell observations, morphometry, line drawings, and microphotographs. Characterizations were based on the following diagnostic features: Carchesium polypinum was observed mainly as a funnel to fanshaped colony, basically dichotomous branching pattern, discontinuous spasmoneme, subconical shaped zooid, J shaped macronucleus, ventrally positioned single contractile vacuole, and pellicular striation with 61-80 rows between the peristomial lip and aboral ciliary wreath, and 18-30 rows between the aboral ciliary wreath and scopula. Vorticella campanula was conspicuously characterized by the broadly bulged peristomial lip, wide conical shaped zooid, J or S shaped macronucleus, ventrally positioned single contractile vacuole and pellicular striation with 64-75 rows between the peristomial lip and aboral ciliary wreath, and 27-41 rows between the aboral ciliary wreath and scopula. We provide redescriptions of two well-known vorticellids with detailed drawings and descriptions of oral ciliatures from Jindo Island and other places on the Korean peninsula.

Magnetic resonance imaging appearance of foreign-body granulomatous reactions to dermal cosmetic fillers

  • Costa, Andre Luiz Ferreira;Caliento, Rubens;da Rocha, Glauber Bareia Liberato;Gomes, Joao Pedro Perez;Mansmith, Alison Jhisel Calle;de Freitas, Claudio Froes;Braz-Silva, Paulo Henrique
    • Imaging Science in Dentistry
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    • v.47 no.4
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    • pp.281-284
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    • 2017
  • Foreign body granulomas can develop after the injection of various cosmetic filling materials into the facial area to flatten wrinkles. Clinically, reactive lesions are easily mistaken for soft-tissue neoplasms or cysts. This report presents a case of foreign body granuloma in a 52-year-old female patient complaining of a painless swelling in the nasolabial region. Both clinical and histological features are described, underscoring the diagnostic role of magnetic resonance imaging findings.

Frontotemporal Dementia (전두측두엽 치매)

  • Jun, Byoung Sun;Park, Joon Hyuk
    • Korean Journal of Biological Psychiatry
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    • v.23 no.3
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    • pp.69-79
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    • 2016
  • Frontotemporal dementia (FTD) is a degenerative disease characterized by the selective frontal and temporal lobe atrophy, and progressive deficits in behavior, executive function, or language. The prevalence and incidence of FTD are 15-22/100000 and 2.7-4.1/100000, respectively, in midlife. Hereditary is an important risk factor for FTD. Although there is some controversy regarding the further syndromatic subdivision of the different types of FTD, FTD is clinically classified into behavioral variant of frontotemporal dementia, semantic dementia and progressive nonfluent aphasia. FTD can be misdiagnosed as many psychiatric disorders because of similarity of the prominent behavioral features. Advances in clinical, imaging, and molecular characterization have increased the accuracy of FTD diagnosis, thus developing for the accurate differentiation of these syndromes from psychiatric disorders. We also discuss about therapeutic strategies for symptom management of FTD. Medications such as serotonin reuptake inhibitors, antipsychotics, and other novel treatments have been used in FTD with various rates of success. Further advanced research should be directed at understanding and developing new diagnostic and therapeutic modalities to improve the FTD patients' prognosis and quality of life.

Cutaneous Leishmaniasis of the Eyelids: A Case Series with Molecular Identification and Literature Review

  • Mohammadpour, Iraj;Motazedian, Mohammad Hossein;Handjani, Farhad;Hatam, Gholam Reza
    • Parasites, Hosts and Diseases
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    • v.54 no.6
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    • pp.787-792
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    • 2016
  • Cutaneous leishmaniasis (CL) is a protozoan disease which is endemic in Iran. It is transmitted by the Phlebotomus sand fly. The eyelid is rarely involved possibly because the movement of the lids impedes the sand fly from biting the skin in this region. Here, we report 6 rare cases of eyelid CL. The patients were diagnosed by skin scraping, culture, and PCR from the lesions. Skin scraping examination showed Leishmania spp. amastigotes in the cytoplasm of macrophages. Culture examination was positive for Leishmania spp. PCR was positive for Leishmania major and Leishmania tropica. The lesions were disguised as basal cell carcinoma, chalazion, hordeolum, and impetigo. The patients were treated with intramuscular meglumine antimoniate (20 mg/kg/day) for at least 3 weeks. They showed a dramatic response, and the lesions almost completely disappeared. We emphasized the importance of clinical and diagnostic features of lesions, characterized the phylogenetic relationship of isolated parasites, and reviewed the literature on ocular leishmaniasis.

Monte Carlo Simulation Based Digitally Reconstructed Radiographs

  • Kakinohana, Yasumasa;Ogawa, Kazuhiko;Toita, Takafumi;Murayama, Sadayuki
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 2002.09a
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    • pp.436-438
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    • 2002
  • As the use of virtual simulation expands, digitally reconstructed radiographs (DRRs), which mimic conventional simulation films, play an increasingly important role as reference images in the verification of treatment fields. The purpose of our study is to develop an algorithm for computation of digitally reconstructed radiographs based on Monte Carlo simulation that take into account almost all possible physical processes by which photons interact with matter. The Monte Carlo simulation based DRRs have the following features. 1) Account has been taken of almost all possible physical processes of interaction of photons with matter, including a detector (film) response. In principle, this is equivalent to X-ray radiography. 2) Arbitrary photon energies (from diagnostic to therapeutic) can be used to produce DRRs. One can even use electrons as the source. 3) It is easy to produce a double exposure, which mimics the double exposure portal image and may have superior visual appeal for treatment field verification, with weighting within the treatment field.

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Damage detection of mono-coupled multistory buildings: Numerical and experimental investigations

  • Xu, Y.L.;Zhu, Hongping;Chen, J.
    • Structural Engineering and Mechanics
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    • v.18 no.6
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    • pp.709-729
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    • 2004
  • This paper presents numerical and experimental investigations on damage detection of mono-coupled multistory buildings using natural frequency as only diagnostic parameter. Frequency equation of a mono-coupled multistory building is first derived using the transfer matrix method. Closed-form sensitivity equation is established to relate the relative change in the stiffness of each story to the relative changes in the natural frequencies of the building. Damage detection is then performed using the sensitivity equation with its special features and minimizing the norm of an objective function with an inequality constraint. Numerical and experimental investigations are finally conducted on a mono-coupled 3-story building model as an application of the proposed algorithm, in which the influence of modeling error on the degree of accuracy of damage detection is discussed. A mono-coupled 10-story building is further used to examine the capability of the proposed algorithm against measurement noise and incomplete measured natural frequencies. The results obtained demonstrate that changes in story stiffness can be satisfactorily detected, located, and quantified if all sensitive natural frequencies to damaged stories are available. The proposed damage detection algorithm is not sensitive to measurement noise and modeling error.

Cytologic Features of Malignant Lymphoma of the Uterine Cervix - A case report - (자궁경부 악성 림프종의 경부-질 도말소견 - 1 증례 보고 -)

  • Kim, Nam-Hoon;Park, Chan-Kum;Ko, Young-Hyeh;Park, Moon-Hyang;Lee, Jung-Dal
    • The Korean Journal of Cytopathology
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    • v.6 no.1
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    • pp.76-79
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    • 1995
  • The uterine cervix is an uncommon site of primary non-Hodgkin's lymphoma (NHL). Although the cytologic findings of NHLs are well known, most cervicovaginal smear of uterine NHLs give lower diagnostic yield than common epithelial malignancy because abnormal cells do not appear in the sample in the absence of surface ulceration. Herein, we describe cytologic findings of a case of uterine cervical NHL which was initially diagnosed by cervicovaginal smear. The tumor cells were relatively uniform, isolated, large-sized with scanty cytoplasm and round or indented nuclei. The nuclei had stippled chromatin and small nucleoli. Histologically and immunohistochemically the tumor was proven to be large cell lymphoma of T-cell lineage.

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