• Title/Summary/Keyword: Clinical identification

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Serological grouping of $\beta$-hemolytic streptococci by a coagglutination technique (Coagglutination에 의한 $\beta$-용혈성 연쇄구균의 혈청군 동정)

  • Chong, Yun-Sop;Yoon, Yang-Sook;Kim, Yoon-Chung;Lee, Sam-Uel Y.;Kim, Sung-Kwang;Lee, Byung-Soo;Kim, Joo-Deuk
    • The Journal of the Korean Society for Microbiology
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    • v.14 no.1
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    • pp.11-15
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    • 1979
  • Identification of group A $\beta$-phemolytic streptococci is very important to provide an appropriate preventive measure of possible rheumatic fever and acute glomerulonephritis. For such purpose bacitracin susceptibility of streptococci because of its simplity has been most widely used despite of its occasional faulty results. Recently, a coagglutination technique was advocated using streptococcal group specific antibodies adsorbed to protein A-containing staphylococci. This study was conducted to evaluate the coagglutination technique using reagents prepared by ourselves. The specificity, reproducibility and stability were ascertained and the following results were obtained. 1. The identification by coagglutination technique using our own reagent gave the same results compared with the Lancefield precipitation technique. The result also agreed with the Phadebact grouping. 2. There were no variation in group A and B identification due to lot difference. However, there were a few discrepant results in group C and G identification which was conducted in different days with different lots of our reagent. 3. The stability of our reagents was less satisfactory compared to the commercial product. An effort to improve the stability was considered necessary. 4. For coagglutination, it was found convenient to use supernatant of Todd-Hewitt broth incubated for 24 hours. Both parafin-ringed slide glass and RPR card gave comparable results and the former could be used when the latter is not available.

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A Numerical Coding System (MCRCODE-N) for Identification of Glucose Nonfermenting Gram-Negative Bacilli (숫자표기에 의한 포도당 비발효균의 동정시안(MCRCODE-N))

  • Hong, Seok-Il;Kim, Chung-Suk
    • Journal of Yeungnam Medical Science
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    • v.2 no.1
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    • pp.183-190
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    • 1985
  • The glucose nonfermenting gram-negative bacilli encountered about 10% of all gram-negative bacilli isolated from clinical material. Therefore, a rapid and correct identification of glucose nonfermenting gram-negative bacilli is impostent for a better management of infectious disease. There are many conventional systems for the Identification of glucose nonfermenting gram-negative bacilli but most of them have problems and difficulties. Commercial Kit Systems exist and they are too expensive for dally use 10 Korea because of high cost. Based on 12 selected tests we propose a new code system, MCRCODE-N for rapid and 10-expensive identification of glucose nonfermenting gram-negative bacilli. The selective 12 tests are oxidase, glucose oxidation motility, urease, DNase arginine dehydrolase, nitrate reduction, gelatin Liquefaction, esculin hydrolysis, mannitol oxidation, maltose oxidation, Lactose oxidation. The 12 tests are divided 4 group and then each group has 3 tests. The result of each group is expressed by the number as below. The positive test is given by specific number (1st test = 1, 2nd test = 2, 3rd test = 4), while any negative result is 0. Each 3 numbers of one group are added and make number of 1 digit. Four digit number is refered to the code book of MCRCODE-N system or MCRCODE system using computer (Apple-II model) created by authors. This MCRCODE-N system is suitable ones for our use 10 Korea. We propose the MCRCODEN-N system for clinical use.

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Study to Develop the Instrument of Pattern Identification for Hwa-byung (화병변증도구 개발 연구)

  • Yim, Hyeon-Ju;Kim, Seok-Hwan;Lee, Sang-Ryong;Jung, In-Chul
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.22 no.5
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    • pp.1071-1077
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    • 2008
  • Hwa-byung is a form of psychogenic illness among people in Korea and is listed as a culture-bound syndrome of Korea in the DSM-IV. Despite increased clinical researches for Hwa-byung in the oriental medicine of Korea, there has been no agreement of pattern identification for Hwa-byung. The purpose of this study is to develop a standard instrument of pattern identification for Hwa-byung which will be applied to clinical research. The items and structure of the instrument were based on review of published literature. The advisor committee on this study was organized by 15 neuropsychiatry professors of 11 oriental medical colleges nationwide. The experts attended 2 consultation meetings and discussed developing the instrument. and we also took professional advices by e-mail. The results were as follows; First, we divided the symptoms and signs of Hwa-byung into five pattern identification - stagnation of liver Qi, flare-up of the liver fire, disharmony between heart and kidney, deficiency of both Qi and blood, malfunction of gallbladder due to phlegm stagnation. Second, we got the mean weights to each symptom of five pattern identification which had been scored on a 5-point scale - ranging from 0 to 4 by the 15 experts. Third, we made out the Korean instrument of the pattern identification for Hwa-byung. It was composed of 34 questions and decided on question-and-answer form. Though there are some limits in this study, the instrument of pattern identification for Hwa-byung is meaningful and expected to be applied to the subsequent research. And also, we hope to improve the instrument and make up for this study through various research and discussion.

Evaluation of a PCR-Reverse Blot Hybridization Assay to Identify Six Dermatophytes Predominant in the Republic of Korea

  • Jin, Hyunwoo;Kim, Hyunjung;Kim, Sunghyun;Choi, Yeonim;Bang, Hyeeun;Park, Sangjung;Wang, Hyeyoung;Lee, Jang-Ho;Jang, In Ho;Kim, Young-Kwon;Lee, Hyeyoung
    • Biomedical Science Letters
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    • v.20 no.3
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    • pp.139-146
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    • 2014
  • Accurate and rapid diagnosis of dermatophytosis, a disease whose prevalence has been steadily increased, is important for successful treatment. Current laboratory methods for diagnosing dermatophytosis rely on KOH mount and fungal culture method. However, these methods have low sensitivity and are time-consuming (2~4 weeks to diagnosis). In our previous study, a rapid molecular diagnostic assay (PCR-reverse blot hybridization assay, REBA) was developed to identify the following 6 main species of dermatophytes: Trichophyton rubrum, T. mentagrophytes, T. tonsurans, Microsporum canis, M. gypseum, and Epidermophyton floccosum. However, the REBA required more evaluation to validate its use in clinical examinations. The aim of the present study was to evaluate and validate the ability of the PCR-REBA to successfully identify dermatophytes in clinical isolates from dermatophytosis patients. Both conventional identification methods and the PCR-REBA were used to assess the presence of species of dermatophytes in 148 clinical isolates. The results of the two approaches were compared, and discrepancies between the two approaches were resolved by fungal ITS1 sequence analysis. T. rubrum was the most prevalent dermatophyte identified by conventional identification methods (118/148, 79.7%) and the PCR-REBA (131/148, 88.4%). The overall rate of consistency between conventional identification methods and the PCR-REBA was 79.0% (117/148 samples). Fungal ITS1 sequence analysis showed that PCR-REBA results were correct for 93.5% (29/31) of the discrepant samples. The PCR-REBA is rapid, sensitive, and highly specific compared with conventional identification methods. Thus, the PCR-REBA is a potentially useful tool for identifying dermatophytes in clinical settings.

The Reverse Proteomics for Identification of Tumor Antigens

  • Lee, Sang-Yull;Jeoung, Doo-Il
    • Journal of Microbiology and Biotechnology
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    • v.17 no.6
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    • pp.879-890
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    • 2007
  • The identification of tumor antigens is essential for the development of anticancer therapeutic vaccines and clinical diagnosis of cancer. SEREX (serological analysis of recombinant cDNA expression libraries) has been used to identify such tumor antigens by screening sera of patients with cDNA expression libraries. SEREX-defined antigens provide markers for the diagnosis of cancers. Potential diagnostic values of these SEREX-defined antigens have been evaluated. SEREX is also a powerful method for the development of anticancer therapeutics. The development of anticancer vaccines requires that tumor antigens can elicit antigen-specific antibodies or T lymphocytes. More than 2,000 antigens have been discovered by SEFEX. Peptides derived from some of these antigens have been evaluated in clinical trials. This review provides information on the application of SEREX for identification of tumor-associated antigens (TAA) for the development of cancer diagnostics and anticancer therapeutics.

Headache with Dyspepsia Treated by Sihogyejigungang-tang Based on Disease Pattern Identification Diagnostic System by Shanghanlun Provisions (『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 시호계지건강탕(柴胡桂枝乾薑湯) 투여 후 호전된 소화불량을 동반한 두통 1례)

  • Kim, Hyeong-seop
    • 대한상한금궤의학회지
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    • v.13 no.1
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    • pp.111-119
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    • 2021
  • Objectives: This case study aimed to report the effect of Sihogyejigungang-tang (SGGT) on headache with dyspepsia based on the disease pattern identification diagnostic system (DPIDS) based on the Shanghanlun provisions. Methods: According to the DPIDS based on the Shanghanlun provisions, the patient was diagnosed with Greater Yang Disease Chest Bind and treated with SGGT. The results of treatment were evaluated by a numerical rating scale (NRS), the Korean Headache Impact Test (KHIT-6), and change in clinical symptoms. Results: After administering SGGT for 160 days, the NRS improved from 9 to 1 and the KHIT-6 improved from 70 to 44. No serious treatment-related adverse events were reported. Conclusions: This study shows the effective treatment of headache with dyspepsia using SGGT based on the DPIDS based on the Shanghanlun provisions.

Identification of Mycobacterium species by rpoB Gene PCR-RFLP (rpoB 유전자의 PCR-RFLP를 이용한 Mycobacterium 균종 동정의 유용성)

  • Yu, Kyong-Nae;Park, Chung-Ho
    • Korean Journal of Clinical Laboratory Science
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    • v.38 no.3
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    • pp.158-165
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    • 2006
  • Although Mycobacterium tuberculosis complex strains remain responsible for the majority of diseases caused by mycobacterial infections worldwide, the increase in HIV infections has allowed for the emergence of other non-tuberculous mycobacteria as clinically significant pathogens. However, Mycobacterium species has a long period of incubation, and requires serious biochemical tests such as niacin, catalase, and nitrate test that are often tedious. The development of rapid and accurate diagnostics can aid in the early diagnosis of disease caused by Mycobacterium. The current DNA amplification and hybridization methods that have been developed target several genes for the detection of mycobacterial species such as hps65, 16S rDNA, rpoB, and dnaj. These methods produce rapid and accurate results. In this study, PCR-restriction fragment length polymorphism analysis(PCR-RFLP) based on the region of the rpoB gene was used to verify the identification of non-tuburculosis Mycobacterium species. A total of 8 mycobacterial reference strains and 13 clinical isolates were digested with restriction enzymes such as Msp I in this study. The results of using this process clearly demonstrated that all 13 specimens were identified by rpoB gene PRA method. The PCR-RFLP method based on the rpoB gene is a simple, rapid, and accurate test for the identification of Mycobacterium.

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A comparative study of the reproducibility of landmark identification on posteroanterior and anteroposterior cephalograms generated from cone-beam computed tomography scans

  • Na, Eui-Ri;Aljawad, Hussein;Lee, Kyung-Min;Hwang, Hyeon-Shik
    • The korean journal of orthodontics
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    • v.49 no.1
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    • pp.41-48
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    • 2019
  • Objective: This in-vivo study aimed to compare landmark identification errors in anteroposterior (AP) and posteroanterior (PA) cephalograms generated from cone-beam computed tomography (CBCT) scan data in order to examine the feasibility of using AP cephalograms in clinical settings. Methods: AP and PA cephalograms were generated from CBCT scans obtained from 25 adults. Four experienced and four inexperienced examiners were selected depending on their experience levels in analyzing frontal cephalograms. They identified six cephalometric landmarks on AP and PA cephalograms. The errors incurred in positioning the cephalometric landmarks on the AP and PA cephalograms were calculated by using the straight-line distance and the horizontal and vertical components as parameters. Results: Comparison of the landmark identification errors in CBCT-generated frontal cephalograms revealed that landmark-dependent differences were greater than experienceor projection-dependent differences. Comparisons of landmark identification errors in the horizontal and vertical directions revealed larger errors in identification of the crista galli and anterior nasal spine in the vertical direction and the menton in the horizontal direction, in comparison with the other landmarks. Comparison of landmark identification errors between the AP and PA projections in CBCT-generated images revealed a slightly higher error rate in the AP projections, with no inter-examiner differences. Statistical testing of the differences in landmark identification errors between AP and PA cephalograms showed no statistically significant differences for all landmarks. Conclusions: The reproducibility of CBCT-generated AP cephalograms is comparable to that of PA cephalograms; therefore, AP cephalograms can be generated reliably from CBCT scan data in clinical settings.

A Case of a Patient with Dizziness Diagnosed with Guorem-byeong Baekho-tang (궐음병(厥陰病) 백호탕(白虎湯)으로 진단된 어지럼증 환자 1례)

  • Choi, Woon-yong
    • 대한상한금궤의학회지
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    • v.10 no.1
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    • pp.143-152
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    • 2018
  • Objective : A Patient complaining of dizziness was diagnosed and treated with the Shanghanlun disease pattern identification diagnostic system and was analyzed to report cases Methods : Based on the Shanghanlun disease pattern identification diagnostic system, we analyzed a case treated with the Baekho-tang and counseling. Results : Baekho-tang showed a rapid improvement in the patient. During the period of 20 days, dizziness were greatly improved. Conclusions : The Baekho-tang, which is not well known yet, can show rapid effect and can be diagnosed frequently through the Shanghanlun disease pattern identification diagnostic system.

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