• Title/Summary/Keyword: 선별검사

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A Case of Anti-Sda Proven by Urine Neutralization Test (중화반응으로 증명된 Anti-Sda 1예)

  • Yun, Seung Gyu;Kim, Jang Su;Yang, Jin Hyuk;Yoon, Soo-Young;Lee, Chang Kyu;Lim, Chae Seung;Cho, Yunjung;Kim, Young Kee;Lee, Kap No
    • Laboratory Medicine Online
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    • v.1 no.1
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    • pp.64-66
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    • 2011
  • Anti-Sda is of no clinical significance, because it rarely causes hemolytic transfusion reactions. Even when its presence is suspected during antibody screening test, further identification of the antibody is usually not performed. We experienced a case of anti-Sda in 73 yr-old male patient showing mixed field agglutination by microcolumn agglutination. Antibody specificity could not be identified by conventional antibody identification test, and it was proven to be anti-Sda by urine neutralization test. In spite of its little clinical significance, it may give incompatible crossmatching results reacting with Sda antigen, which occurs at a high frequency in general population. When incompatible crossmatch results arising from anti-Sda are suspected, the problem may be solved by using the urine-neutralized serum of in crossmatching test.

Diagnostic Efficacy of Anorectal Manometry for the Diagnosis of Hirschsprung's Disease (Hirschsprung병에서 항문직장 내압검사의 진단적 유용성)

  • Chang, Soo-Hee;Min, Uoo-Gyung;Choi, Ok-Ja;Kim, Dae-Yeon;Kim, Seong-Chul;Yu, Chang-Sik;Kim, Jin-Cheon;Kim, In-Koo;Yoon, Jong-Hyun;Kim, Kyung-Mo
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.6 no.1
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    • pp.24-31
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    • 2003
  • Purpose: As diagnostic tools for Hirschsprung's disease (HD), barium enema and rectal biopsy have radiation exposure and invasiveness respectively; however anorectal manometry does not have these disadvantages. We therefore performed this study to evaluate the diagnostic efficacy of anorectal manometry. Methods: We reviewed medical records of infants with one or two symptoms of vomiting, abdominal distension, chronic diarrhea or constipation who had a anorectal manometry followed by barium enema and/or biopsy from July 1995 to May 2002. We evaluated the sensitivity, specificity and predictive value of anorectal manometry and barium enema for diagnosis of HD. We also measured sphincter length, median value of balloon volume at which rectoanal inhibitory reflex (RAIR) occurred. Results: All 61 patients received anorectal manometry, 33 of 61 received barium enema. 18 of 61 were diagnosed as HD according to histology and 43 of 61 were evaluated as a control. The sensitivity, specificity, positive predictive value, negative predictive value of anorectal manometry and barium enema for diagnosis of HD were 1.00, 0.91, 0.82, 1.00 and 0.93, 0.67, 0.70, 0.92 respectively. The mean value of sphincter length in control was $1.68{\pm}0.67$ cm and correlated with age, weight and significantly longitudinal length. The median value of balloon volume at which RAIR occurred was 10 mL and did not correlated with age, weight and longitudinal length. Conclusion: This study suggests that anorectal manometry is an excellent initial screening test for Hirschsprung's disease because of its safety and accuracy.

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A Study on the Safety of a Screening X-ray Laboratory Using Containers in accordance with the COVID 19 Outbreak (COVID 19 유행에 따른 컨테이너를 이용한 선별 X-선 검사실의 안전성에 대한 고찰)

  • Kim, Jae-Seok
    • Journal of the Korean Society of Radiology
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    • v.14 no.4
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    • pp.425-431
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    • 2020
  • When a radiation generating device is installed in an export container due to COVID-19, the purpose of this study was to measure the space dose in the radiation room and to study the effectiveness of the shielding wall in the laboratory. Air dose measurement method was set behind the X-ray tube, 50 cm, 100 cm, 200 cm, and measured 12 locations. The dose values before and after the use of the movable radiation shielding wall were compared by measuring 3 locations behind the X-ray tube using the movable radiation shielding wall. The measured values were 50 cm on the left behind the X-ray tube: 1.446 μSv, behind the X-ray tube: 0.545 μSv, and 50 cm on the right behind the X-ray tube: 1.466 μSv. Measurements behind the radiation barrier were 0.190 μSv, 0.204 μSv, and 0.191 μSv. As a result of performing the corresponding sample t test of the average value according to the use of movable barrier walls, p <0.001 was found. As a result of the actual measurement, the medical exposure of the examiner due to the shielding wall in the laboratory decreased to 82.3%. In order to reduce occupational exposure in screening radiological laboratories, it is recommended that sufficient separation from radiation sources and the use of shielding walls are recommended.

Clinical Usefulness of D-dimer Test with Semiquantitative Latex Agglutination Method in Pulmonary Embolism (폐색전증에서 반정량적 Latex 응집법으로 시행한 D-dimer 검사의 유용성에 관한 연구)

  • Kim, Dong Kyun;Chun, Kang Il;Kim, Yang-Ki;Lee, Young-Mok;Kim, Ki Up;Uh, Soo-taek;Kim, Yong Hoon;Park, Choon Sik;Park, No Jin;Choi, Tae Youn
    • Tuberculosis and Respiratory Diseases
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    • v.59 no.6
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    • pp.651-655
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    • 2005
  • Background : Diagnosing a pulmonary embolism is difficult because its presenting symptoms are nonspecific and there are limitations with all of the objective tests. The D-dimer is known to be a marker of the lysis of intravascular cross-linked fibrin as a result of the activation of the endogenous fibrinolytic pathways, and the D-dimer assay is these an objective method for diagnosing a pulmonary embolism. This study assessed the benefits of the D-dimer test for diagnosing a pulmonary embolism using semiquantitative latex agglutination. Methods : The latex agglutination results of 185 patients were retrospectively reviewed. The D-dimer test was performed at the time a pulmonary embolism was suspected. Ninety patients(group I) were diagnosis with PE through spiral chest CT or a chest CT angiogram, perfusion/ventilation scans, and/or pulmonary angiogram. Ninety-five patients (group II) were found not to have a pulmonary embolism through the above tests. Results : The male to female ratio and mean age in groups I and II was 37:55, and 57 years old to 50:45 and 52 years old, respectively. When the cut off value for a positive D-dimer assay was set to $500{\mu}g$, the sensitivity, positive predictive value, negative predictive value and specificity was 86.7%, 61.4%, 79.3%, and 48.4%, respectively. Conclusion : The semiquantitative latex agglutination method in the D-dimer test has a lower sensitivity and negative predictive value than the well known ELISA test particularly for small emboli. Therefore, this test is not a suitable screening test for excluding a pulmonary embolism.

Cervicography as a Screening Test for Cervical Cancer (자궁경부암 선별 검사에서 자궁경부 확대 촬영술의 이용)

  • Lee, Doo-Jin;Lee, Sung-Ho
    • Journal of Yeungnam Medical Science
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    • v.16 no.2
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    • pp.169-180
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    • 1999
  • Background: Uterine cervical cancer is the most common malignant tumor of the women in Korea. This study was undertaken to evaluate the usefulness of the cervicography as a screening test of cervical cancer. Materials and Methods: Cervicography was taken from 482 women at department of obstetrics and gynecology, at Yeungnam University Hospital from March 1, 1998 to October 31, 1999. Of the 482 women, 172 women were exc1uded from the study for various reasons, and 310 women completed the study. Three-hundred and ten women had cervical cytology (Papanicolaou smear), cervicography and colposcopy, and punch biopsy was undertaken if any of the test result was abnormal. Results: The most common age group was 35-39, and 40-44, 45-49 in order and most common reason for having a screening test was regular check for cervical cancer. The mean duration from the last Pap smear was 17.1 months, and 64 women(20.4%) never had any prior screening tests. Of the 310 women, 254 women were categorized as normal or having benign disease such as cervicitis, erosion or metaplasia. Biopsy was taken from 56 patients and the results were 26 chronic cervicitis, 4 mild dysplasia, 6 moderate dysplasia, 2 severe dysplasia, 14 carcinoma in situ and 4 invasive carcinoma. The results of cytology and cervicography were well correlated(p<0.05). The sensitivity and specificity of cytology were 86.7% and 76.9%, respectively and the sensitivity and specificity of cervicography were 56.7% and 96.2%, respectively. False negative rate of cervicography(43.3%) was much higher than those of cytology(13. 3%) (p<0.05), but false positive rate of cervicography(3.8%) was much lower than that of cytology(23.1%) (p<0.05). Conclusion: It seems inappropriate to use cervicography as a single screening test for cervival cancer, but it may be an effective complementary test for cytology to lower the false negative rate of cytology.

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The AOQ and ATI in Multiple Sampling Plans under Perfect or Error-Prone Inspection (선별형(選別形) 다회(多回) 샘플링 검사(檢査)의 AOQ 및 ATI 검사과오(檢査過誤)의 영향)

  • Lee, Jong-Seong
    • Journal of Industrial Technology
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    • v.3
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    • pp.27-32
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    • 1983
  • This paper develops and provides formulas for calculating the Average Outgoing Quality and the Average Total Inspection for nine different sample/rest-of-lot disposition policies in which rectifying multiple sampling inspection by attribute can be carried out. The formulas are considered for perfect inspection as well as error-prone inspection.

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A Rectifying Inspection Plan Giving LTPD Protection for Destructive Testing (파괴검사시(破壞檢査時)의 계수선별형(計數選別型) LTPD 보증(保證)샘플링 검사방식(檢査方式))

  • Yu, Mun-Chan
    • Journal of Korean Society for Quality Management
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    • v.15 no.1
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    • pp.68-75
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    • 1987
  • A rectifying inspection plan is considered for the case of destructive testing. Screening inspection for rejected lots is performed by some nondestructive testing which is prone to misclassification errors. Apparent defectives found in the screening process is replaced with apparent good items. The plan provides LTPD protection on each individual lot while the sum of the cost of testing and the cost due to producer's risk at process average quality is minimized. A brief discussion on average outgoing quality is also given.

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A Study of Leather Quality Discrimination Using a Surface Curvature Image(I) (표면의 굴곡 특징을 이용한 피혁 자동 등급 선별에 관한 연구(I))

  • 이명수;이규동;김광섭;길경석;권장우
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2000.10a
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    • pp.590-594
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    • 2000
  • One of the most important factors for a leather quality inspection is its surface condition. So far a leather quality level has been discriminated by human's eye inspection, But, these kinds of method needs a lot of labor time and cause decision mistakes from an optical illusion. It means leather quality inspection is very subjective and there is no consistency. In this study, we present computer vision based a leather quality inspection system using an Artificial intelligence. Suggested system ran give standard spec for a leather quality and take human inspection duty place.

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A Study of Leather Quality Inspection Using a Computer Vision (컴퓨터 비젼을 이용한 피혁 자동 등급 선별 시스템에 관한 연구)

  • 이명수;김명재;김광섭;길경석;권장우
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2001.05a
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    • pp.399-403
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    • 2001
  • One of the most important factors for a leather quality inspection is its surface condition. So far, a leather quality level has been discriminated by human's eye inspection. But, these kinds of method needs a lot of labor time and cause decision mistakes from an optical illusion. It means leather quality inspection is very subjective and there is no consistency. In this study, we present computer vision based a leather quality inspection system using an Artificial intelligence. Suggested system can give standard spec for a leather quality and take human inspection duty place.

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