• Title/Summary/Keyword: Classification of Disease

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Characteristics of a Lettuce mosaic virus Isolate Infecting Lettuce in Korea

  • Lim, Seungmo;Zhao, Fumei;Yoo, Ran Hee;Igori, Davaajargal;Lee, Su-Heon;Lim, Hyoun-Sub;Moon, Jae Sun
    • The Plant Pathology Journal
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    • v.30 no.2
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    • pp.183-187
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    • 2014
  • Lettuce mosaic virus (LMV) causes disease of plants in the family Asteraceae, especially lettuce crops. LMV isolates have previously been clustered in three main groups, LMV-Yar, LMV-Greek and LMV-RoW. The first two groups, LMV-Yar and LMV-Greek, have similar characteristics such as no seed-borne transmission and non-resistance-breaking. The latter one, LMV-RoW, comprising a large percentage of the LMV isolates contains two large subgroups, LMV-Common and LMV-Most. To date, however, no Korean LMV isolate has been classified and characterized. In this study, LMV-Muju, the Korean LMV isolate, was isolated from lettuce showing pale green and mottle symptoms, and its complete genome sequence was determined. Classification method of LMV isolates based on nucleotide sequence divergence of the NIb-CP junction showed that LMV-Muju was categorized as LMV-Common. LMV-Muju was more similar to LMV-O (LMV-Common subgroup) than to LMV-E (LMV-RoW group but not LMV-Common subgroup) even in the amino acid domains of HC-Pro associated with pathogenicity, and in the CI and VPg regions related to ability to overcome resistance. Taken together, LMV-Muju belongs to the LMV-Common subgroup, and is expected to be a seed-borne, non-resistance-breaking isolate. According to our analysis, all other LMV isolates not previously assigned to a subgroup were also included in the LMV-RoW group.

A Study on the meaning of the Soeumin's Softness and Non-softness in the mouth (소음인의 구중화(口中和), 구중불화(口中不和)의 의미에 대한 고찰)

  • Kim, Tae-Yeong;Park, Seong-Sik
    • Journal of Sasang Constitutional Medicine
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    • v.33 no.3
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    • pp.87-94
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    • 2021
  • Objectives The purpose of this study is to examine the meaning of the Soeumin's Softness and Non-softness in the mouth(口中和, 口中不和). Methods We examined The Existing Doctors's using of the Softness and Non-softness in the mouth, and considered Jema Lee's using of the Softness and Non-softness in the mouth. Afterward, we considered the meaning of the Soeumin's Softness and Non-softness in the mouth in 『Donguisusebowon(東醫壽世保元)』. Results and Conclusion 1. Junggyeong Jang used the Softness in the mouth, and he didn't use the Non-softness in the mouth in 『Sanghanlun(傷寒論)』. 2. The Next Generation Doctors used the Softness in the mouth, and they didn't use the Non-softness in the mouth. Especially, Dongwon Lee used the Softness in the mouth as the Knowing the taste of food, and used the Non-softness in the mouth as the Non-knowing the taste of food. 3. Jema Lee used the Softness and Non-softness in the mouth as urgent indicator of the Soeumbyeong diarrhea in 『Gabobon(甲午本)』, and used the Softness and Non-softness in the mouth as classification indicator of the Taeeumbyeong and Soeumbyeong in 『Sinchuckbon(辛丑本)』. 4. The Non-softness in the mouth is Jema Lee's specific term. It means dry of mouth, thirsty and the Non-knowing the taste of food. 5. The change from the Non-softness to Softness in the mouth is recovery indicator of the Soeumin's disease. It is the basis for setting the Drinking water(能飮水) as the Soeumin's igiljeung(二吉證).

Comparison of cone-beam computed tomography and panoramic radiography in the evaluation of maxillary sinus pathology related to maxillary posterior teeth: Do apical lesions increase the risk of maxillary sinus pathology?

  • Terlemez, Arslan;Tassoker, Melek;Kizilcakaya, Makbule;Gulec, Melike
    • Imaging Science in Dentistry
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    • v.49 no.2
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    • pp.115-122
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    • 2019
  • Purpose: The aims of this study were first, to compare panoramic radiography with cone-beam computed tomography (CBCT) for evaluating topographic relationships, such as the classification of maxillary posterior teeth and their distance to the maxillary sinus floor; and second, to determine the relationship between maxillary sinus pathology and the presence of apical lesions. Materials and Methods: In total, 285 paired CBCT and panoramic radiography records of patients (570 maxillary sinuses) were retrospectively analyzed. Both imaging modalities were used to determine the topographic relationship of the maxillary posterior teeth to the sinus floor. Mucosal thickening >2 mm was considered a pathological state. Data were analyzed using the chi-square, Wilcoxon, and Mann-Whitney U tests. Odds ratios (ORs) and confidence intervals(CIs) were calculated. Results: The closest vertical distance measurements made between posterior maxillary teeth roots and the maxillary sinus on panoramic radiography and CBCT scans showed statistically significant differences from each other(P<0.05). Compared to panoramic radiography, CBCT showed higher mean values for the distance between the maxillary sinus floor and maxillary posterior teeth roots. The CBCT images showed that at least 1 apical lesion adjacent to the right maxillary sinus increased the risk of maxillary sinus pathology by 2.37 times(OR, 2.37; 95% CI, 1.58-3.55, P<0.05). Conclusion: Panoramic radiography might lead to unreliable diagnoses when evaluating the distance between the sinus floor and posterior roots of the maxillary teeth. Periapical lesions anatomically associated with maxillary sinuses were a risk factor for sinus mucosal thickening.

Posterior decentering of the humeral head in patients with arthroscopic rotator cuff repair

  • Nakamura, Hidehiro;Gotoh, Masafumi;Honda, Hirokazu;Mitsui, Yasuhiro;Ohzono, Hiroki;Shiba, Naoto;Kume, Shinichiro;Okawa, Takahiro
    • Clinics in Shoulder and Elbow
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    • v.25 no.1
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    • pp.22-27
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    • 2022
  • Background: In some patients with rotator cuff tear (RCT), the axial view of magnetic resonance imaging (MRI) shows subtle posterior decentering (PD) of the humeral head from the glenoid fossa. This is considered to result from a loss of centralization that is typically produced by rotator cuff function. There are few reports on PD in RCT despite the common occurrence of posterior subluxation in degenerative joint disease. In this study, we investigated the effect of PD in arthroscopic rotator cuff repair (ARCR). Methods: We conducted a retrospective study of consecutive patients who underwent ARCR at our institute and were followed-up for at least 1 year. PD was identified as a 2-mm posterior shift of the humeral head relative to the glenoid fossa in the axial MRI view preoperatively. The tear size and fatty degeneration (FD, Goutallier classification) were also evaluated using preoperative MRI. Retears were evaluated through MRI at 1 year postoperatively. Results: We included 135 shoulders in this study. Ten instances of PD (including seven retears) were observed preoperatively. Fifteen retears (three and 12 retears in the small/medium and large/massive tear groups, respectively) were observed postoperatively. PD was significantly correlated with tear size, FD, and retear occurrence (p<0.01 each). The odds ratio for PD in retears was 34.1, which was greater than that for tear size ≥3 cm and FD grade ≥3. Conclusions: We concluded that large tear size and FD contribute to the occurrence of PD. Furthermore, PD could be a predictor of retear after ARCR.

Effective microbial molecular diagnosis of periodontitis-related pathogen Porphyromonas gingivalis from salivary samples using rgpA gene

  • Jinuk Jeong;Yunseok Oh;Junhyeon Jeon;Dong-Heon Baek;Dong Hee Kim;Kornsorn Srikulnath;Kyudong Han
    • Genomics & Informatics
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    • v.21 no.1
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    • pp.13.1-13.8
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    • 2023
  • Importance of accurate molecular diagnosis and quantification of particular disease-related pathogenic microorganisms is highlighted as an introductory step to prevent and care for diseases. In this study, we designed a primer/probe set for quantitative real-time polymerase chain reaction (qRT-PCR) targeting rgpA gene, known as the specific virulence factor of periodontitis-related pathogenic bacteria 'Porphyromonas gingivalis', and evaluated its diagnostic efficiency by detecting and quantifying relative bacterial load of P. gingivalis within saliva samples collected from clinical subjects. As a result of qRT-PCR, we confirmed that relative bacterial load of P. gingivalis was detected and quantified within all samples of positive control and periodontitis groups. On the contrary, negative results were confirmed in both negative control and healthy groups. Additionally, as a result of comparison with next-generation sequencing (NGS)-based 16S metagenome profiling data, we confirmed relative bacterial load of P. gingivalis, which was not identified on bacterial classification table created through 16S microbiome analysis, in qRT-PCR results. It showed that an approach to quantifying specific microorganisms by applying qRT-PCR method could solve microbial misclassification issues at species level of an NGS-based 16S microbiome study. In this respect, we suggest that P. gingivalis-specific primer/probe set introduced in present study has efficient applicability in various oral healthcare industries, including periodontitis-related microbial molecular diagnosis field.

Identification and Validation of Symptom Clusters in Patients with Hepatocellular Carcinoma (간세포암 환자의 증상군 분류와 타당도 검증)

  • Cho, Myung-Sook;Kwon, In-Gak;Kim, Hee-Sun;Kim, Kyung-Hee;Ryu, Eun-Jung
    • Journal of Korean Academy of Nursing
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    • v.39 no.5
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    • pp.683-692
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    • 2009
  • Purpose: The purpose of this study was to identify cancer-related symptom clusters and to validate the conceptual meanings of the revealed symptom clusters in patients with hepatocellular carcinoma. Methods: This study was a cross-sectional survey and methodological study. Patients with hepatocellular carcinoma (N=194) were recruited from a medical center in Seoul. The 20-item Symptom Checklist was used to assess patients' symptom severity. Selected symptoms were factored using principal-axis factoring with varimax rotation. To validate the revealed symptom clusters, the statistical differences were analyzed by status of patients' performance status, Child-Pugh classification, and mood state among symptom clusters. Results: Fatigue was the most prevalent symptom (97.4%), followed by lack of energy and stomach discomfort. Patients' symptom severity ratings fit a four-factor solution that explained 61.04% of the variance. These four factors were named pain-appetite cluster, fatigue cluster, itching-constipation cluster, and gastrointestinal cluster. The revealed symptom clusters were significantly different for patient performance status (ECOG-PSR), Child-Pugh class, anxiety, and depression. Conclusion: Knowing these symptom clusters may help nurses to understand reasonable mechanisms for the aggregation of symptoms. Efficient symptom management of disease-related and treatment-related symptoms is critical in promoting physical and emotional status in patients with hepatocellular carcinoma.

Design and Implementation of Smart Healthcare Monitoring System Using Bio-Signals (생체 신호를 이용한 스마트 헬스케어 모니터링 시스템 설계 및 구현)

  • Yoo, So-Wol;Bae, Sang-Hyun
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.10 no.5
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    • pp.417-423
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    • 2017
  • This paper intend to implement monitoring systems for individual customized diagnostics to maintain ongoing disease management to promote human health. Analyze the threshold of a measured biological signal using a number of measuring sensors. Performance assessment revealed that the SVM algorithm for bio-signal analysis showed an average error rate of 2 %. The accuracy of the classification is 97.2%, and reduced the maximum of 19.2% of the storage space when you split the window into 5,000 pieces. Out of the total 5,000 bio-signals, 84 results showed that results from the system were differently the results of the expert's diagnosis and showed about 98 % accuracy. However, the results of the monitoring system did not occur when the results of the monitoring system were lower than that of experts. And About 98% accuracy was shown.

Distribution of Pectobacterium Species Isolated in South Korea and Comparison of Temperature Effects on Pathogenicity

  • Jee, Samnyu;Choi, Jang-Gyu;Lee, Young-Gyu;Kwon, Min;Hwang, Ingyu;Heu, Sunggi
    • The Plant Pathology Journal
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    • v.36 no.4
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    • pp.346-354
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    • 2020
  • Pectobacterium, which causes soft rot disease, is divided into 18 species based on the current classification. A total of 225 Pectobacterium strains were isolated from 10 main cultivation regions of potato (Solanum tuberosum), napa cabbage (Brassica rapa subsp. pekinensis), and radish (Raphanus sativus) in South Korea; 202 isolates (90%) were from potato, 18 from napa cabbage, and five from radish. Strains were identified using the Biolog test and phylogenetic analysis. The pathogenicity and swimming motility were tested at four different temperatures. Pectolytic activity and plant cell-wall degrading enzyme (PCWDE) activity were evaluated for six species (P. carotovorum subsp. carotovorum, Pcc; P. odoriferum, Pod; P. brasiliense, Pbr; P. versatile, Pve; P. polaris, Ppo; P. parmentieri, Ppa). Pod, Pcc, Pbr, and Pve were the most prevalent species. Although P. atrosepticum is a widespread pathogen in other countries, it was not found here. This is the first report of Ppo, Ppa, and Pve in South Korea. Pectobacterium species showed stronger activity at 28℃ and 32℃ than at 24℃, and showed weak activity at 37℃. Pectolytic activity decreased with increasing temperature. Activity of pectate lyase was not significantly affected by temperature. Activity of protease, cellulase, and polygalacturonase decreased with increasing temperature. The inability of isolated Pectobacterium to soften host tissues at 37℃ may be a consequence of decreased motility and PCWDE activity. These data suggest that future increases in temperature as a result of climate change may affect the population dynamics of Pectobacterium.

Influence of Cold and Heat Characteristics and Health State in Sasang Constitution Diagnosis (한열(寒熱) 특성과 건강 상태가 사상체질(四象体質) 감별에 미치는 영향)

  • Jang, Eun-Su;Kim, Myung-Gun;Baek, Young-Wha;Kim, Yung-Jeong;Kim, Jong-Yeol
    • Journal of Sasang Constitutional Medicine
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    • v.21 no.3
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    • pp.76-88
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    • 2009
  • 1. Objectives: We would know what kind of symptom are different according to Cold and Heat characteristics and health state. We also tried to suggest the development of Sasang Constitution diagnosis model considering of them. 2. Methods: We recruited 1,523 subjects between 10 and 80, excluding individuals who have physically or psychologically serious disease or women in pregnancy in the 21 Oriental Medical Clinics. We seperated group according to Cold and Heat characteristics and health state in CRF(Case Report Form, C-2009-002439) questionnaire and we also developed Sasang constitution diagnosis program to compare agreement according to sex and age group with Cold/Heat and health state one. 3. Results: The number of discordance items are much more than that of accordance items in group seperated according to Cold and Heat, and Health state Sasang constitution agreement rate of Cold/Heat and health state group is higher than that of total group through program. When we diagnosed Sasang constitution with different group characteristics to know the group differences, the disparity rate of the group according to Heat/Cold and Health state is lower than that of the group according to sex and age. 4. Conclusions: As Sasang constitution characteristics are different according to Cold/Heat group and Health state classification, we can upgrade Sasang constitution agreement rate with questionnaire considered of Heat/Cold and health state.

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The Development of Korean Rehabilitation Patient Group Version 1.0 (한국형 재활환자분류체계 버전 1.0 개발)

  • Hwang, Soojin;Kim, Aeryun;Moon, Sunhye;Kim, Jihee;Kim, Jinhwi;Ha, Younghea;Yang, Okyoung
    • Health Policy and Management
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    • v.26 no.4
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    • pp.289-304
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    • 2016
  • Background: Rehabilitations in subacute phase are different from acute treatments regarding the characteristics and required resource consumption of the treatments. Lack of accuracy and validity of the Korean Diagnosis Related Group and Korean Out-Patient Group for the acute patients as the case-mix and payment tool for rehabilitation inpatients have been problematic issues. The objective of the study was to develop the Korean Rehabilitation Patient Group (KRPG) reflecting the characteristics of rehabilitation inpatients. Methods: As a retrospective medical record survey regarding rehabilitation inpatients, 4,207 episodes were collected through 42 hospitals. Considering the opinions of clinical experts and the decision-tree analysis, the variables for the KRPG system demonstrating the characteristics of rehabilitation inpatients were derived, and the splitting standards of the relevant variables were also set. Using the derived variables, we have drawn the rehabilitation inpatient classification model reflecting the clinical situation of Korea. The performance evaluation was conducted on the KRPG system. Results: The KRPG was targeted at the inpatients with brain or spinal cord injury. The etiologic disease, functional status (cognitive function, activity of daily living, muscle strength, spasticity, level and grade of spinal cord injury), and the patient's age were the variables in the rehabilitation patients. The algorithm of KRPG system after applying the derived variables and total 204 rehabilitation patient groups were developed. The KRPG explained 11.8% of variance in charge for rehabilitation inpatients. It also explained 13.8% of variance in length of stay for them. Conclusion: The KRPG version 1.0 reflecting the clinical characteristics of rehabilitation inpatients was classified as 204 groups.