• Title/Summary/Keyword: polyp

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Diagnosis and Treatment of Feline Inflammatory Polyp with Video Otoscopy : A Case Report (고양이에서 비디오 이경검사법을 이용한 염증성 폴립의 진단 및 치료 1례)

  • Park, Se-Jin;Lee, Seung-Yong;Kim, Young-Ki;Seok, Seong-Hoon;Hwang, Jae-Min;Jeong, Dong-Hyuk;Lee, Hee-Chun;Yeon, Seong-Chan
    • Journal of Veterinary Clinics
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    • v.30 no.4
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    • pp.301-304
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    • 2013
  • Otic mass removal was performed in a 19-month-old, castrated domestic shorthair cat. The patient had 1- year history of recurrent otitis externa, and then otic mass in the right ear canal was found. Under general anesthesia, 2.7 mm rigid endoscope was inserted to the right ear canal with the irrigation system. The ovoid-shaped, 4.9 mm in diameter red otic mass located in the right ear canal was removed via traction-avulsion. Then, rupture of the tympanic membrane was revealed and otic flushing was performed with sterile isotonic (0.9%) saline to remove exudates. Histologically, the removed polyp was diagnosed as granulation tissue with severe ulceration. The patient didn't reveal any remarkable abnormality after surgery, and no recurrence were found after 5 months follow up. The video otoscopy seems to offer a useful option for treatment of a feline inflammatory polyp.

Comparison of Vowel and Text-Based Cepstral Analysis in Dysphonia Evaluation (발성장애 평가 시 /a/ 모음연장발성 및 문장검사의 켑스트럼 분석 비교)

  • Kim, Tae Hwan;Choi, Jeong Im;Lee, Sang Hyuk;Jin, Sung Min
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.26 no.2
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    • pp.117-121
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    • 2015
  • Background : Cepstral analysis which is obtained from Fourier transformation of spectrum has been known to be effective indicator to analyze the voice disorder. To evaluate the voice disorder, phonation of sustained vowel /a/ sound or continuous speech have been used but the former was limited to capture hoarseness properly. This study is aimed to compare the effectiveness in analysis of cepstrum between the sustained vowel /a/ sound and continuous speech. Methods : From March 2012 to December 2014, total 72 patients was enrolled in this study, including 24 unilateral vocal cord palsy, vocal nodule and vocal polyp patients, respectively. The entire patient evaluated their voice quality by VHI (Voice Handicap Index) before and after treatment. Phonation of sustained vowel /a/ sample and continuous speech using the first sentence of autumn paragraph was subjected by cepstral analysis and compare the pre-treatment group and post-treatment group. Results : The measured values of pre and post treatment in CPP-a (cepstral peak prominence in /a/ vowel sound) was 13.80, 13.91 in vocal cord palsy, 16.62, 17.99 in vocal cord nodule, 14.19, 18.50 in vocal cord polyp respectively. Values of CPP-s (cepstral peak prominence in text-based speech) in pre and post treatment was 11.11, 12.09 in vocal cord palsy, 12.11, 14.09 in vocal cord nodule, 12.63, 14.17 in vocal cord polyp. All 72 patients showed subjective improvement in VHI after treatment. CPP-a showed statistical improvement only in vocal polyp group, but CPP-s showed statistical improvement in all three groups (p<0.05). Conclusion : In analysis of cepstrum, text-based analysis is more representative in voice disorder than vowel sound speech. So when the acoustic analysis of voice by cepstrum, both phonation of sustained vowel /a/ sound and text based speech should be performed to obtain more accurate result.

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Performance comparison between two computer-aided detection colonoscopy models by trainees using different false positive thresholds: a cross-sectional study in Thailand

  • Kasenee Tiankanon;Julalak Karuehardsuwan;Satimai Aniwan;Parit Mekaroonkamol;Panukorn Sunthornwechapong;Huttakan Navadurong;Kittithat Tantitanawat;Krittaya Mekritthikrai;Salin Samutrangsi;Peerapon Vateekul;Rungsun Rerknimitr
    • Clinical Endoscopy
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    • v.57 no.2
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    • pp.217-225
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    • 2024
  • Background/Aims: This study aims to compare polyp detection performance of "Deep-GI," a newly developed artificial intelligence (AI) model, to a previously validated AI model computer-aided polyp detection (CADe) using various false positive (FP) thresholds and determining the best threshold for each model. Methods: Colonoscopy videos were collected prospectively and reviewed by three expert endoscopists (gold standard), trainees, CADe (CAD EYE; Fujifilm Corp.), and Deep-GI. Polyp detection sensitivity (PDS), polyp miss rates (PMR), and false-positive alarm rates (FPR) were compared among the three groups using different FP thresholds for the duration of bounding boxes appearing on the screen. Results: In total, 170 colonoscopy videos were used in this study. Deep-GI showed the highest PDS (99.4% vs. 85.4% vs. 66.7%, p<0.01) and the lowest PMR (0.6% vs. 14.6% vs. 33.3%, p<0.01) when compared to CADe and trainees, respectively. Compared to CADe, Deep-GI demonstrated lower FPR at FP thresholds of ≥0.5 (12.1 vs. 22.4) and ≥1 second (4.4 vs. 6.8) (both p<0.05). However, when the threshold was raised to ≥1.5 seconds, the FPR became comparable (2 vs. 2.4, p=0.3), while the PMR increased from 2% to 10%. Conclusions: Compared to CADe, Deep-GI demonstrated a higher PDS with significantly lower FPR at ≥0.5- and ≥1-second thresholds. At the ≥1.5-second threshold, both systems showed comparable FPR with increased PMR.

A Simple Temperature Dependent Model to Predict the Bloom of Aurelia Aurita Polyps (보름달물해파리 폴립의 대량출현 예측을 위한 온도 종속 모델)

  • Jin, Hong Sung;Oh, Choon Young;Choi, Il Soo;Hwang, Doo Jin;Yoon, Yang Ho;Han, Dong Yeob
    • KSBB Journal
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    • v.29 no.5
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    • pp.336-342
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    • 2014
  • Asexual benthic polyp reproduction plays a major role in the jellyfish bloom. Recent studies found that temperature is the most important factor to regulate the budding rate of the polyps. We established a simple dynamic model to count the number of polyps depending on the variation of temperature with two data sets from different places. The population of polyps was counted through the budding rate and the number of budding times by Fibonacci sequence. It is assumed that the budding rate depends on the temperature only. The budding rate of the asexual reproduction shows very sensitive to the distribution of the seawater temperature. The model was tested to the temperature data of Ansan located in the west sea of Korea. The results indicate that this model can be useful to predict the blooms of Aurelia aurita polyps, which may have considerable influence on the bloom of medusa. The shape of temperature curve plays a key role in the predicting the bloom of Aurelia aurita polyps.

Evaluation of Endometrial Precancerous Lesions in Postmenopausal Obese Women - A High Risk Group?

  • Acmaz, Gokhan;Aksoy, Huseyin;Albayrak, Evrim;Baser, Muruvet;Ozyurt, Sezin;Aksoy, Ulku;Unal, Dilek
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.1
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    • pp.195-198
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    • 2014
  • Aim: To evaluate precancerous lesions such as hyperplasia and endometrial polyps in obese postmenopausal women. Materials and Methods: Women who were referred with abnormal uterine bleeding in postmenopausal period or the presence of endometrial cells on cervical cytology in our department were investigated. Anthropometric measurements such as height, weight, body mass index, waist/hip ratio and endometrial thickness were compared between a precancerous lesion (hyperplasia and endometrial polyp) group and a pathologically normal group. Results: We detected statistically significant thickening of endometrium in patients with precancerous lesions. Moreover patients with precancerous lesions had higher body mass index than the pathologically normal group. Conclusions: We found elevated precancerous lesion rates in overweight and obese women in the postmenopausal period, of interest given that the prevalence of obesity is increasing in most parts of the world. Although screening for endometrial cancer is not recommended for the general population, in high-risk populations like obese postmenopausal women, it may be very important.

Relationship between Colonic Polyp Type and the Neutrophil/Lymphocyte Ratio as a Biomarker

  • Karaman, Hatice;Karaman, Ahmet;Erden, Abdulsamet;Poyrazoglu, Orhan Kursat;Karakukcu, Cigdem;Tasdemir, Arzu
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.5
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    • pp.3159-3161
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    • 2013
  • Aim: We designed this study to investigate the neutrophil lymphocyte ratio as a biomarker in distinguishing colonic polyps which are neoplastic or non-neoplastic. Materials and Methods: One hundred and twenty-five patients with colonic polyps were enrolled into the study. The following data were obtained from a computerized patient registry database: mean platelet volume (MPV), uric acid (UA), platelet count (PC), alkaline phosphatase (ALP), gamma-glutamyl transpeptidase (GGT) and the neutrophil to lymphocyte ratio (NLR). Exclusion criteria were active infectious disease, hematological disorders, and malignancies. Colonic polyps divided into two groups as neoplastic polyps (tubular adenoma, villous adenoma, tubulovillous adenoma) and non-neoplastic polyps (hyperplastic polyps, inflammatory pseudopolyps etc). The relationship between colonic polyp type and NLR was evaluated with statistical analysis. Results: There were 67 patients (53.6%) with neoplastic and 58 (46.4%) patients with non-neoplastic polyps. Mean NLRs of neoplastic and non-neoplastic groups were respectively $3.32{\pm}2.54$ and $2.98{\pm}3.16$ (P<0.05). Conclusion: Although sensitivity and specificity are not high, NLR may be used as a biomarker of neoplastic condition of colonic polyps.

Acoustic and Stroboscopic Characteristics in Clergies (목사들의 음성발성에 대한 음향분석학적 특징)

  • 진성민;박상욱;강현국;이경철;이용배;김보형
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.9 no.1
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    • pp.47-52
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    • 1998
  • Objectives : To compare the objective differences in voice quality and voice problems between clergies and normal male control group. Materials and Methods : The sustained vowel sound of 46 clergies and 40 normal persons were analyzed, using a videostroboscopy and acoustic analyzer. Together with these analyses, a questionnaire associated with current and past voice problems was handed over to the patients. Results : The most common symptom in subjective group was the voice fatigue. Stroboscopic findings in subjective group were as following 23 cases(50%) of pachydermia, 17 cases(37%) of phase difference, 12 cases(25%) of anterior-posterior contracture, 6 cases(13%) of vocal polyp and 3 cases(7%) of vocal nodule. The mean maximal phonation time in clergies was 17.8 seconds and in control group was 19 seconds. litter, pitch perturbation quotient and shimmer were significantly increased in subjective group than in control group(p<0.05), but there were no significant differences between two groups in fundamental frequency, vFo, amplitude perturbation quotient and noise to harmonic ratio. Conclusion : In the clergies using loud and forceful voice, vocal polyp and functional voice disorder findings were frequently noted in stroboscopic examination. litter and shimmer, reflecting the roughness of voice, were increased in acoustic analysis. Therefore, clergies, classified into untrained professional voice users, need professional career guidance and counseling.

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Acoustic Characteristics of the Smoking Patients in the Voice Disorders (흡연환자 음성의 음향학적 특성에 관한 연구)

  • Lee, Myeong-Hee;Lee, Seung-Rho;Moon, Seung-Young;Lim, Sang-Ho;Cho, Young-Joo;Hong, Ki-Hwan
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.19 no.2
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    • pp.123-127
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    • 2008
  • Background and Objectives: Smoking has been identified as one of the main determinants of negative changes on the larynx histology. The purpose of this study is to investigate the voice characteristics and correlation between voice parameters of the smokers with vocal polyp or nodule or both of them. Materials and Method: MPT, $F_0$, jitter, shimmer, NHR of Korean /a/ vowel from 54 smokers and 50 nonsmokers diagnosed as vocal polyp or nodule were analyzed. A Computerized Speech Lab (4400) was for the analysis of each voice sample and statistical analysis was done by one-way ANOVA and Pearson correlation coefficient. Result and Conclusion: It showed that we can find difference between smokers and nonsmokers group in MPT, $F_0$, jitter, shimmer were different except NHR. each group shows difference in correlation coefficient between MPT, $F_0$, jitter, shimmer.

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