• Title/Summary/Keyword: 검사 결과

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Clinical Usefulness of the Line Probe Assay for Rapid Detection of Rifampicin-resistant Tuberculosis (Line probe assay를 이용한 신속한 rifampicin내성결핵 진단법의 임상적 유용성)

  • Hong, Sang-Bum;Lim, Chae-Man;Lee, Sang-Do;Koh, Youn-Suck;Kim, Woo-Sung;Kim, Dong-Soon;Kim, Won-Dong;Shim, Tae-Sun
    • Tuberculosis and Respiratory Diseases
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    • v.50 no.3
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    • pp.334-342
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    • 2001
  • Background : RpoB gene mutations have been found in about 96-98% of rifampicin (RMP)-resistant Mycobacterium tuberculosis. Recent reports confirm that the in laboratory settings a rpoB gene mutation can be used as a surrogate marker for multi-drug resistant tuberculosis. However, its usefulness in clinical applications has not been evaluated. This study was performed to confirm whether mutation analysis of the rpoB gene of M. tuberculosis is useful in clinical settings. Methods : The medical records of 33 patients in whom rpoB gene analysis was conducted using an INNOLiPA Rif. TB assay (LiPA) from June, 1998, to July, 2000, at the Asan Medical Center were retrospectively reviewed in 33 patients. The clinical characteristics in addition to the drug susceptibility and LiPA results were analyzed. The drug susceptibility test was considered as a gold standard method for M. tuberculosis susceptibility and these results were compared with those of the rpoB gene study and sequencing analysis. Sequencing analysis of the rpoB gene was done in cases where there was a discrepancy between the results of the drug susceptibility an d rpoB gene study. Results : The mean age and sex ratio was $42{\pm}18$, and 24:9 (M:F), respectively. There were 19 RMP susceptible (58%) and 14 RMP-resistant cases (42%) according to the rpoB gene study. The mean time from the request to reporting the results of the rpoB gene study was $5.2{\pm}2.6$ days. The mean gap from reporting the rpoB gene study to reporting the susceptibility was $56{\pm}35$ days. Twenty-eight cases (85%) showed identical results compared with the drug susceptibility results, whereas five cases (15%) showed contradictory results. When compared with the sequencing analysis, of the five cases that showed contradictory results, two had LiP A analysis errors and the remaining three were identical to the sequencing results. The rpoB gene study was of assistance in choosing the appropriate drugs in 28 cases (85%). Conclusions : An rpoB gene study using an LiP A assay was useful in rapidly diagnosing RMP-resistant tuberculosis, which enabled a proper choice of the appropriate drugs in clinical practices. However, an LiPA assay always should be performed in conjunction with microscopy, culture, and susceptibility tests.

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Test Environment Factors Influencing Word Association about Science Terminology in Students (과학용어에 대한 학생들의 단어 연상에 영향을 미치는 검사 환경 요인)

  • Yun, Eunjeong;Park, Yunebae
    • Journal of The Korean Association For Science Education
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    • v.35 no.6
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    • pp.1031-1038
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    • 2015
  • The list of words and the semantic structure that connects them have been important to the areas of psychology, psychoanalysis, linguistics, and education. Some researchers in constructivist perspectives of science education also have interests in the structure of science concepts expressed by science terminologies. The purpose of this paper was to investigate the test environment factors influencing the word association test as a method to identify students' semantic structures for science terminologies. We set up four variables that are possibly considered in recognizing a word as having scientific meaning. The four variables include: noticing whether stimulus words are science terminologies or not, presenting science terminologies and everyday words alternately, whether presider is science teacher or not, and whether students have learned the concepts or not. In comparing the test results of the experimental group and the control group, we have checked whether each variable influences the test result or not. Stimulus words included nine science terminologies containing both ordinary and scientific meanings, and subjects included 282 middle school students. The degree of recognizing science terminology as having scientific meaning was found to increase only when stimulus words were noticed as science terminologies. In the case of the remaining variables, there was no difference between the control group and the experimental group.

Comparison of the Electronic Methods of Raw Silk Testing and Grading with Those of the Current Methods I. Defference in Inspection Results and Grading to the Electronic Methods (생사검사에 있어서 현행방법과 전자식 방법에 대한 비교분석 I. 전자식 검사방법에 의한 검사성적과 등급비교)

  • 최병희;김한수
    • Journal of Sericultural and Entomological Science
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    • v.34 no.1
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    • pp.57-71
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    • 1992
  • These studies were carried out to establish Korean opinion about "The electronic method of raw silk testing and grading" which was taken shape along with the report by Silk Standard Committee(S.S.C.) at the meeting of International Silk Association(I.S.A) Directing Board session held in Zurich Swiss. This establishment was througly examine whether or not the above are the essential factors to be fulfilled in force as a international standard method of raw silk testing and grading.d grading.

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Clinical Applications of Chromosomal Microarray Analysis (염색체 Microarray 검사의 임상적 적용)

  • Seo, Eul-Ju
    • Journal of Genetic Medicine
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    • v.7 no.2
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    • pp.111-118
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    • 2010
  • Chromosomal microarray analysis (CMA) enables the genome-wide detection of submicroscopic chromosomal imbalances with greater precision and accuracy. In most other countries, CMA is now a commonly used clinical diagnostic test, replacing conventional cytogenetics or targeted detection such as FISH or PCR-based methods. Recently, some consensus statements have proposed utilization of CMA as a first-line test in patients with multiple congenital anomalies not specific to a well-delineated genetic syndrome, developmental delay/intellectual disability, or autism spectrum disorders. CMA can be used as an adjunct to conventional cytogenetics to identify chromosomal abnormalities observed in G-banding analysis in constitutional or acquired cases, leading to a more accurate and comprehensive assessment of chromosomal aberrations. Although CMA has distinct advantages, there are several limitations, including its inability to detect balanced chromosomal rearrangements and low-level mosaicism, its interpretation of copy number variants of uncertain clinical significance, and significantly higher costs. For these reasons, CMA is not currently a replacement for conventional cytogenetics in prenatal diagnosis. In clinical applications of CMA, knowledge and experience based on genetics and cytogenetics are required for data analysis and interpretation, and appropriate follow-up with genetic counseling is recommended.

Electronic Pen-based Cognitive Dysfunction Assessment System (전자펜을 활용한 인지기능장애 환자 검사 시스템)

  • Shin, Sangho;Jee, Haemi;Park, Jaehyun
    • KIISE Transactions on Computing Practices
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    • v.24 no.1
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    • pp.17-23
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    • 2018
  • The assessment and rehabilitation of patients with cognitive dysfunction is a field that currently requires assistive technology. While the paper-and-pencil test, such as the line tracing test (LTT), is one of the most commonly used assessment methods for cognitive dysfunction, it has become time-consuming due to its manual characteristic. The aim of this study was therefore to establish a computer-based real-time assessment system for patients without compromising the usefulness of the conventional paper-and-pencil based user tools. A digital pen-based assessment and rehabilitation system, the ePen System, could eliminate the time required for manual assessment while maintaining the measurement accuracy. The proposed system may assist rehabilitation specialists to assess and diagnose patients with unilateral visual neglect. This system can be applied to a range of assessment and rehabilitation modalities based on pen and paper. It can also be used for various patients such as those with Parkinson's disease, stroke, or different forms of brain lesions.

폐암의 조기진단

  • Lee, Hyeon-U;Lee, Gwan-Ho
    • Journal of Yeungnam Medical Science
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    • v.15 no.2
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    • pp.195-207
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    • 1998
  • 폐암을 집단 검진으로 조기 진단하려는 노력은 현재까지 뚜렷한 성과를 얻지 못하고 있는 실정이다. 미국의 국립암연구소에서 실시한 흉부엑스선 촬영과 객담세포진 검사를 이용한 폐암의 집단 검진 결과는 검진군에서 대조군보다 유의하게 진단율이 높았으며 절제율도 더 높았고 5년 생존율도 향상시킬 수 있었다. 그러나 폐암을 조기 진단하기 위한 집단 검진의 궁극적인 목표인 사망률을 감소시키지는 못하였다. 최근에는 미국 국립암 연구기관에서 실시했던 결과에 대한 해석이 다양하여 아직까지도 폐암 조기 진단에 있어서 흉부액스선촬영과 객담세포진검사의 의의에 관한 결론에 대해서는 논란이 되고 있다. 1993년부터 새로운 집단 검진에 관한 연구가 진행중에 있어서 그 결과가 나올 때까지는 흉부엑스선촬영과 객담세포진검사를 이용한 집단 검진의 의의에 대한 결과는 기다려 보아야 할 것이다. 분자생물학적으로 폐암을 조기 검진하기 위한 검체로는 혈액보다는 객담이 훨씬 적절하고 합리적인 검체이다. 폐암의 발생은 가장 먼저 기관지 상피 세포에서 일어나서 암화 과정의 여러 단계에서 다양한 종양 표지자가 객담에 섞여 나오기 때문에 이 표지자를 객담에서 측정하는 것이 훨씬 합리적인 조기 진단법이 될 수 있다. 동시에 폐암을 집단 검진으로 조기 진단하기 위해서는 종양 표지자를 대량으로 측정하기 위한 자동측정법도 개발되어야 할 것이다. 암을 예방하기 위하여는 여러면에서 방안이 연구되어야 한다. 즉 암발생의 가능성이 높은 대상을 선태하여야 하며 초기에 집단 검진으로 진단을 할 수 있어야 하고, 이러한 검진으로 추적 검사가 가능하여야 하며 마지막으로 결과를 판정할 수 있어야 한다. 이 가운데 현재까지 유일하게 실시할 수 없는 것은 조기 진단으로 사용할 수 있는 뚜렷한 종양 표지자가 없는 것이다. 이와 같이 현재까지는 폐암을 조기 진단하기 위한 특이한 표지자는 없으나 앞으로 폐암 발생 기전의 여러 단계가 체계적으로 밝혀진다면 그 과정에서 중요한 표지자들이 밝혀질 것이다. 그리고 이들을 간단하게 검사할 수 있는 검사법도 밝혀져 폐암 조기 진단의 궁극적 목적인 폐암으로 인한 사망률을 감소시킬 수 있을 것으로 기대된다.

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Validity and Reliability of the Plaque Score Using Qraycam (Qraycam을 이용한 치면세균막 검사의 타당도와 신뢰도)

  • Kim, Mi;Lee, Su-Young;Cho, Young-Sik
    • Journal of dental hygiene science
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    • v.15 no.3
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    • pp.377-382
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    • 2015
  • The purpose of this study was to evaluate the validity and reliability of plaque scoring system using new Qraycam (All in One Bio, Korea) device which enables plaque score without tooth disclosing. This study measured Quigley-Hein index and plaque control record by both Qraycam and disclosing agent on 64 elderly people and checked degree of congruence between the two methods. Reliability was evaluated with the mean of measured values, kappa index and intraclass correlation coefficient statistical analysis. The analysis of the plaque scores showed a high agreement between the measured values according to the method of measurement and the measured part. The mean of plaque index of anterior labial were not significantly different according to measurement method. The kappa index was higher by Qraycam and tooth disclosing method of plaque index. Therefore, it was verified that Qraycam has sufficient reliability as screening tool for plaque scoring system.

Verification of Validity on the Manual Ability Classification System in Children With Spastic Cerebral Palsy (경직형 뇌성마비 아동의 손 기능 분류 체계의 타당도 검증)

  • Park, Eun-Young
    • The Journal of the Korea Contents Association
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    • v.10 no.1
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    • pp.317-324
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    • 2010
  • The purpose of this study was to examine the validity of the Manual Ability Classification System (MACS) by analysing of relation between MACS and Jebsen-Talyor Hand Function Test. The concurrent validity was examined by calculation of correlation between MACS and Jabsen-Talyor Hand Function test and the discriminant validity was examined by measurement of hand function difference according to MACS level. For this, eighty-one children with spastic cerebral palsy were employed in this study. The children were evaluated by using the MACS and Jebsen-Taylor Hand Function Test for their hand function. There were a significant correlation between the MACS and Hand function (r = .870, p < .05). The good correlation between the MACS and subtest of Jabsen-Talyor Hand function (p < .05). The hand function according to the MACS level were different significantly (p < .05). The MACS is valid classification system for assessment of hand function of children with cerebral palsy. The MACS in practice will provide usefulness for assessment of hand function in children with spastic cerebral palsy.

A Real-time Copper Foil Inspection System using Multi-thread (다중 스레드를 이용한 실시간 동판 검사 시스템)

  • Lee Chae-Kwang;Choi Dong-Hyuk
    • Journal of KIISE:Computing Practices and Letters
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    • v.10 no.6
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    • pp.499-506
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    • 2004
  • The copper foil surface inspection system is necessary for the factory automation and product quality. The developed system is composed of the high speed line scan camera, the image capture board and the processing computer. For the system resource utilization and real-time processing, multi-threaded architecture is introduced. There are one image capture thread, 2 or more defect detection threads, and one defect communication thread. To process the high-speed input image data, the I/O overlap is used through the double buffering. The defect is first detected by the predetermined threshold. To cope with the light irregularity, the compensation process is applied. After defect detection, defect type is classified with the defect width, eigenvalue ratio of the defect covariance matrix and gray level of defect. In experiment, for high-speed input image data, real-time processing is possible with multi -threaded architecture, and the 89.4% of the total 141 defects correctly classified.

Improvement of Diagnostic Accuracy by Standardization in Diuretic Renal Scan (소아 이뇨 신장스캔에서 검사 표준화에 의한 폐쇄 진단 성능 향상)

  • Hyun, In-Young;Lee, Dong-Soo;Lee, Kyung-Han;Chung, June-Key;Lee, Myung-Chul;Koh, Chang-Soon;Kim, Kwang-Myung;Choi, Hwang;Choi, Yong
    • The Korean Journal of Nuclear Medicine
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    • v.29 no.4
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    • pp.497-503
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    • 1995
  • We evaluated diagnostic accuracy of diuretic renal scan with standardization in 45 childrens(107 hydronephrotic kidneys) with 91 diuretic assessments. Sensitivity was 100%, specificity was 78%, and accuracy was 84% in 49 hydronephrotic kidneys with standardization. Diuretic renal scan without standardization, sensitivity was 100%, specificity was 38%, and accuracy was 57 % in 58 hydronephrotic kidneys. The false-positive results were observed in 25 cases without standardization, and in 8 cases with standardization. In diuretic renal scans without standardization, the causes of false-positive results were 10 early injection of lasix before mixing of radioactivity in pelvocalyceal system, 4 full bladder, 2 markedly dilated pelvocalyceal systems postpyeloplsty, 6 extrarenal pelvis, and 3 immature kidneys of neonates. In diuretic renal scans with standardization the causes of false-positive results were 2 markedly dilated systems postpyeloplsty, 2 extrarenal pelvis, 1 immature kidney of neonate, and 2 severe venal dysfunction, 1 vesicoureteral reflux. In diuretic renal scan without standardization the false-positive results by inadequate study were common, but false-positive results by inadequate study were not found after standardization. The false-positive results by dilated pelvocalyceal systems postpyeloplsty, extrarenal pelvis, and immature kidneys of neonates were not dissolved after standardization. In conclusion, diagnostic accuracy of diuretic renal scan with standardization was useful in children with renal outflow tract obstruction by improving specificity significantly.

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