• Title/Summary/Keyword: Minor anomaly

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Minor Mullerian Anomalies and Oligomenorrhea (경미한 $M{\ddot{u}}llerian$ 기형과 희발월경의 상호관계에 관한 연구)

  • Song, Y.S.;Kim, J.G.;Moon, S.Y.;Lee, J.Y.;Chang, Y.S.;Kim, C.W.
    • Clinical and Experimental Reproductive Medicine
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    • v.13 no.1
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    • pp.59-65
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    • 1986
  • This study was undertaken to demonstrate the relationship between oligomenorrhea/amenorrhea and minor mullerian anomalies. Hysterosalpingograms were taken in total 139 patients including 62 infertile patients with normal menstrual intrerval, 47 infertile patients with oligomenorrhea or amenorrhea and 30 tubal reanastomosis candidates with normal menstrual interval. The results were summarized as follows: 1. In unselected infertile patients, the occurrence rate of minor mullerian anomalies was 38%. 2. The occurrence rate of oligomenorrhea/amenorrhea in infertile patients with minor mullerian anomaly was significantly higher than that of infertile patients with normal uterus and the reverse was the ( ) result. 3. There was no significant difference in the occurrence rate of minor mullerian anomalies between infertile patients and tubal reanastomosis candidates with normal menstrual interval. 4. There was no immediate relationship between the degree of fundal anomaly and the duration of the menstrual intervals and/or the duration of the oligomenorrhea or amenorrhea.

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Clinical Approaches to Patients with Congenital Malformations (선천성 기형의 임상적 접근)

  • Lee, Jin-Sung
    • Journal of Genetic Medicine
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    • v.5 no.2
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    • pp.94-99
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    • 2008
  • Congenital malformation is observed in about 2-5% of newborns and is a leading cause of infant mortality. The prognosis of malformation is dictated mainly by proper treatment followed by correct diagnosis at an early age. In practice, etiological consideration and classification of a malformation is critical for diagnosis. Malformations can be classified as belonged to minor or major anomaly. It is clinically important to clarify the pathogenesis of the anomalies among malformation, deformation, disruption, and dysruption. Genetic counseling aids this process by helping patients or family members understand and the nature of the malformation and risk assessment.

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SHM data anomaly classification using machine learning strategies: A comparative study

  • Chou, Jau-Yu;Fu, Yuguang;Huang, Shieh-Kung;Chang, Chia-Ming
    • Smart Structures and Systems
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    • v.29 no.1
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    • pp.77-91
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    • 2022
  • Various monitoring systems have been implemented in civil infrastructure to ensure structural safety and integrity. In long-term monitoring, these systems generate a large amount of data, where anomalies are not unusual and can pose unique challenges for structural health monitoring applications, such as system identification and damage detection. Therefore, developing efficient techniques is quite essential to recognize the anomalies in monitoring data. In this study, several machine learning techniques are explored and implemented to detect and classify various types of data anomalies. A field dataset, which consists of one month long acceleration data obtained from a long-span cable-stayed bridge in China, is employed to examine the machine learning techniques for automated data anomaly detection. These techniques include the statistic-based pattern recognition network, spectrogram-based convolutional neural network, image-based time history convolutional neural network, image-based time-frequency hybrid convolution neural network (GoogLeNet), and proposed ensemble neural network model. The ensemble model deliberately combines different machine learning models to enhance anomaly classification performance. The results show that all these techniques can successfully detect and classify six types of data anomalies (i.e., missing, minor, outlier, square, trend, drift). Moreover, both image-based time history convolutional neural network and GoogLeNet are further investigated for the capability of autonomous online anomaly classification and found to effectively classify anomalies with decent performance. As seen in comparison with accuracy, the proposed ensemble neural network model outperforms the other three machine learning techniques. This study also evaluates the proposed ensemble neural network model to a blind test dataset. As found in the results, this ensemble model is effective for data anomaly detection and applicable for the signal characteristics changing over time.

Data anomaly detection for structural health monitoring using a combination network of GANomaly and CNN

  • Liu, Gaoyang;Niu, Yanbo;Zhao, Weijian;Duan, Yuanfeng;Shu, Jiangpeng
    • Smart Structures and Systems
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    • v.29 no.1
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    • pp.53-62
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    • 2022
  • The deployment of advanced structural health monitoring (SHM) systems in large-scale civil structures collects large amounts of data. Note that these data may contain multiple types of anomalies (e.g., missing, minor, outlier, etc.) caused by harsh environment, sensor faults, transfer omission and other factors. These anomalies seriously affect the evaluation of structural performance. Therefore, the effective analysis and mining of SHM data is an extremely important task. Inspired by the deep learning paradigm, this study develops a novel generative adversarial network (GAN) and convolutional neural network (CNN)-based data anomaly detection approach for SHM. The framework of the proposed approach includes three modules : (a) A three-channel input is established based on fast Fourier transform (FFT) and Gramian angular field (GAF) method; (b) A GANomaly is introduced and trained to extract features from normal samples alone for class-imbalanced problems; (c) Based on the output of GANomaly, a CNN is employed to distinguish the types of anomalies. In addition, a dataset-oriented method (i.e., multistage sampling) is adopted to obtain the optimal sampling ratios between all different samples. The proposed approach is tested with acceleration data from an SHM system of a long-span bridge. The results show that the proposed approach has a higher accuracy in detecting the multi-pattern anomalies of SHM data.

Surgical Repair of Pectus Excavatum (누두흉의 수술적 교정)

  • 조덕곤
    • Journal of Chest Surgery
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    • v.23 no.5
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    • pp.1027-1034
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    • 1990
  • Pectus excavatum, commonest developmental anomaly of chest wall, is manifested by depression of the sternum and lower costal cartilages that is of surgical interest. From 1982 through 1990, fifteen patients have undergone surgery for treatment of pectus excavatum and treated by Ravitch operation: 5, Modified Ravitch operation; 4, Wada operation, 1 and Modified Wada operation, 5. There was familial history of pectus excavatum in 3 patients. Associated congenital anomaly were seen in 6 patients; scoliosis in 3 patients, right inguinal hernia in 1, polydactyly in 1 and patent ductus arteriosus in 1 patent. Postoperative minor complications were developed in 3 cases; pneumothorax, 2 cases; pleural effusion, 2 cases; wound infection and dehiscence, 1 cases; pressure sore due to strut malposition, 2 cases; flail chest and 2 cases; seroma. The incidence of the postoperative complications were more common in cases who were treated by metal strut, pin or other prosthetic materials for supporting the chest wall integrity than the standard corrective procedure. All cases have no recurrence of chest wall depression and operative death.

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Hemorrhagic Complications of Intracranial Arachnoid Cyst Following Minor Head Injury : Report of 5 Cases

  • Kim, Jae-Hoon;Kim, Choong-Hyun;Cheong, Jin-Hwan;Bak, Koang-Hum;Kim, Jae-Min
    • Journal of Korean Neurosurgical Society
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    • v.39 no.6
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    • pp.443-446
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    • 2006
  • Intracranial arachnoid cyst is presumed to be a developmental anomaly and its natural history is not well defined. Often it is detected incidentally in a asymptomatic patient and hemorrhagic events of arachnoid cyst following head injury are rarely reported. We report hemorrhagic complications including two intracystic hemorrhages, two subdural hematomas, and an epidural hematoma in 5 patients with intracranial arachnoid cyst after minor head injury and review pertinent literatures.

Congenital Cleft of Anterior Arch and Partial Aplasia of the Posterior Arch of the C1

  • Choi, Ji-Won;Jeong, Je-Hoon;Moon, Seung-Myung;Hwang, Hyung-Sik
    • Journal of Korean Neurosurgical Society
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    • v.49 no.3
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    • pp.178-181
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    • 2011
  • Congenital anomalies in arches of the atlas are rare, and are usually discovered incidentally. However, a very rare subgroup of patients with unique radiographic features is predisposed to transient quadriparesis after minor cervical or head trauma, A 46-year-old male presented with a 2-month history of tremor and hyperesthesia of the lower extremities after experiencing a minor head trauma. He said that he had been quadriplegic for about 2 weeks after that trauma. Radiographs of his cervical spine revealed bilateral bony defects of the lateral aspects of the posterior arch of C1 and a midline cleft within the anterior arch of the atlas. A magnetic resonance imaging revealed an increased cord signal at the C2 level on the T2-weighted sagittal image. A posterior, suboccipital midline approach for excision of the remnant posterior tubercle was performed. The patient showed significant improvement of his motor and sensory functions. Since major neurologic deficits can be produced by a minor trauma, it is crucial to recognize this anomaly.

A Case Report of Bilateral Congenital Lacrimal Sac Fistula with Cleft Ear Lobe (갈라진 귓볼과 동반된 양측성 선천성 누낭 피부누공의 경험례)

  • Lee, Han Jung;Choi, Hwan Jun;Choi, Chang Yong
    • Archives of Plastic Surgery
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    • v.35 no.2
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    • pp.197-200
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    • 2008
  • Purpose: A congenital lacrimal sac fistula is unusual and consists of a dimple opening below the medial canthal tendon that leads to the lacrimal sac. This anlage ducts occur when the lacrimal anlage cells proliferate and canalize rather than involute. And, the anomaly is usually not associated with any systemic abnormalities. Also congenital cleft of the earlobes is rarely seen among congenital ear anomalies. Therefore, we report rare case with symptomatic bilateral lacrimal fistula with the ear cleft. Methods: A 4-year-old boy was admitted with aggravated chronic maxillary sinusitis, recurrent chronic dacryocystitis, and epiphora. He had two minor anomalies including bilateral lacrimal fistula originated in lacrimal tear sac and unilateral transverse ear cleft. The patient had been operated with fistulectomy and perioperative antibiotics. A small vertical ellipse is made around the opening with sharp dissection. The tract is excised using the probe as the guide. Another probe is placed through the lower canaliculus to prevent the damage. A suture ligature of 6-0 Maxon is placed around the deepest point of the tract, which is then excised. Additional sutures are placed in the tissues to form a tight closure to prevent reestablishment of the fistula. The skin is closed with 6-0 Black Silk. Results: The patient recovered well without any complications such as infection, epiphora, and obstruction of lacrimal sac. Conclusion: Our case illustrates bilateral lacrimal anlage ducts in a patient with unilateral congenital ear cleft. We recommend careful evaluation of lacrimal system in these patients, especially bilateral case and other congenital anomalies. Finally, we recommend excision of the ducts when epiphora, infection, or chronic skin irritation occur.

Usefulness of Routine Renal Sonography Screening for Healthy Infants with Isolated Single Umbilical Artery (단일 제대 동맥을 가진 건강한 신생아에서 신장 초음파 검사의 유용성)

  • Kang, Ju-Mi;Song, Eun-Song;Kuk, Jin-Hwa;Lee, Hyung-Sin;Kim, So-Young;Choi, Young-Youn
    • Clinical and Experimental Pediatrics
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    • v.46 no.9
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    • pp.854-857
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    • 2003
  • Purpose : It is known that single umbilical artery is frequently associated with gastrointestinal or urogenital anomaly, however, routine renal sonography has been debated in healthy neonate with isolated single umbilical artery. This study is designed to determine the usefulness of routine renal sonography in apparently healthy infants with an isolated single umbilical artery. Methods : Thirty healthy neonates with a single umbilical artery without a major anomaly from January 1995 to July 2002 were enrolled. The authors investigated the clinical background of babies and their mothers after renal sonography after 72 hours of age. When the abnormalities were found at the first renal sonography, the severity of hydronephrosis and degree of obstruction and renal function were analyzed by follow up renal sonography, voiding cystourethrography(VCUG) and technetium-99m-dimercaptosuccinic acid(DMSA) scan or technetium-99m-mercaptoacetyl-triglycerine (MAG3) scan. Results : Among the 30 healthy patients with isolated single umbilical artery, five patients(16.7%) showed abnormalities on first renal sonography with one major(3.3%) and four(13.4%) minor renal anomaly(minimal or mild hydroneohrosis). One major renal anomaly(severe hydronephrosis) showed severe decreased renal function on MAG3 scan without reflux, and the other four minor regressed spontaneously on follow up study. Conclusion : The value of routine early renal sonograpy for detecting renal anomaly in healthy infants with an isolated single umbilical artery remained unclear because most of the anomalies would regress spontaneously in the follow up study.

A case of Laryngortacheoesophageal cleft (후두기관식도열 1례)

  • Chung, Phil-Sang;Lim, Eun-Seok;Ryu, Jae-Wook;Lee, Sang-Joon
    • Korean Journal of Bronchoesophagology
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    • v.11 no.2 s.22
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    • pp.32-35
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    • 2005
  • Laryngotracheoesophageal clefts are rare congenital anmalies of the upper aerodigestive tract. They range in severity from small soft tissue defects in the interarytenoid region to complete clefts of the larynx, trachea, and esophagus. Minor clefts with mild symptoms can be managed conservatively. But, major clefts requires prompt surgical managemet fur the best result. We report a case of a 1 month old male with laryngotracheoesophageal cleft. This cleft was corrected by thoracotomy and anterior laryngofissure approach.

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