• Title/Summary/Keyword: Clinical specimens

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The Value of Submitting Multiple Sputum Specimens for Accurate Diagnosis of Pulmonary Tuberculosis

  • Kisa, Ozgul;Albay, Ali;Baylan, Orhan;Doganci, Levent
    • Journal of Microbiology
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    • v.40 no.4
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    • pp.301-304
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    • 2002
  • Is a multiple number of sputum specimens necessary for the diagnosis of pulmonary tuberculosis? To answer this question, 6844 respiratory specimens obtained from previously untreated patients suspected of having pulmonary tuberculosis between 1998 and 2001 were evaluated retrospectively. All of the specimens were evaluated by acid fast bacilli smear and BACTEC 460 TB culture system. A total of 785 (11%) specimens from 353 patients were positive for Mycobacterium tuberculosis complex. For 76% (270/353) of these patients the organism was detected from sputum specimens collected sequentially for daily basis. Mycobacterium tuberculosis was isolated in the first, second and third samples of the majority (98%,195/199) of patients who had three or more sputum samples sent to the laboratory. Our results indicate that, we could carry out Mycobacterium tuberculosis isolation in the first, second and third sputum samples of the overwhelming majority of the patients and the diagnostic value of four or more sputum specimens submitted to the laboratory was very low (2%). We recommend that, for definitive and cost-effective diagnosis of pulmonary tuberculosis at least three sequential sputum specimens be collected for all patients suspected pulmonary tuberculosis.

Characterization of the Serotyping and the Plasmid Profile of E. coli Isolated from Foods and Clinical Specimens

  • Hyo-Shun Kwak;Chong-Sam Lee
    • Animal cells and systems
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    • v.3 no.4
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    • pp.399-405
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    • 1999
  • Characteristics of the food isolates and the clinical specimens isolates of E. coli harboring virulence factor and their correlations were analyzed. The predominant serogroup were 08 and 027 in the food isolates and 06 and 018 in the clinical isolates, respectively, showing the different patterns in serogrouping between them. In the test of antibiotic susceptibility, the food isolates were resistant to cephalothin, streptomycin, tetracycline and minocycline, and the clinical isolates were resistant to ampicillin, carbenicillin, streptomycin, cephalothin, trimethoprim/sulfamethoxazole, tetracyclino and minocycline, respectively. It shows that E.coli isolated from food sources and clinical specimens might be correlated. Plasmid profile in the food and clinical isolates showed wide diversity. Especially, large sized plasmid DNA such as 60 MDa, 90 MDa and 120 MDa were observed. The plasmid DNA (60 MDa) containing a gene encoding hemolysin was found in 43% of the food isolates and 35% of the clinical isolates. To study chromosomal homology, PFGE analysis was performed, showing different restriction patterns by Xbal. This result indicates that there were no genetic correlations between the foods and the clinical isolates.

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Evaluation of clinical adaptation of dental prostheses printed by 3-dimensional printing technology (3D 프린팅 기술로 출력된 치과 보철물의 임상적 적합도 평가)

  • Kim, Ki-Baek
    • Journal of Technologic Dentistry
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    • v.41 no.1
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    • pp.1-7
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    • 2019
  • Purpose: The objectives of this study was to evaluate clinical adaptation of dental prostheses printed by 3 dimensional(3D) printing technology. Methods: Ten study models were prepared. Ten specimens of experimental group were printed by 3D printing(3DP group). As a control group, 10 specimens were fabricated by casting method on the same models. Marginal gaps of all specimens were measured to evaluate clinical adaptation. Marginal adaptations were measured using silicone replica technique and measured at 8 sites per specimen. Wilcoxon's signed-ranks test was used for statistical analysis(${\alpha}=0.05$). Results: Means of marginal adaptations were $95.1{\mu}m$ for 3DP group and $75.9{\mu}m$ for CAST group(p < 0.000). Conclusion : However, the mean of the 3DP group was within the clinical tolerance suggested by the previous researchers. Based on this, dental prosthesis fabricated by 3D printing technology is considered to be clinically acceptable.

Effect of aging on tear strength and cytotoxicity of soft denture lining materials; in vitro

  • Landayan, Jordi Izzard Andaya;Manaloto, Adrian Carlos Francisco;Lee, Jeong-Yol;Shin, Sang-Wan
    • The Journal of Advanced Prosthodontics
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    • v.6 no.2
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    • pp.115-120
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    • 2014
  • PURPOSE. The aim of this in vitro study was to evaluate the effect of aging on the tear strength and cytotoxicity of four soft denture lining materials. MATERIALS AND METHODS. Four commonly used soft denture lining materials, (Coe-Comfort$^{TM}$ GC America Inc., Alsip, IL, USA; Coe-SOFT$^{TM}$ GC America Inc., Alsip, IL, USA; Visco-gel Dentsply Caulk Milford, DE, USA; and Sofreliner Tough M Tokuyama Dental Corporation Tokyo, Japan) were selected. Sixty trouser-leg designed specimens per lining material were fabricated using a stainless steel mold for tear strength testing. The specimens were divided into non-thermocycling and 1000-, and 3000-thermocycling groups. For the cytotoxicity test, twenty-four disk shaped specimens per material were fabricated using a stainless steel mold. The specimens were soaked in normal saline solution for 24 h, 48 h and 72 h. Cytotoxicity was measured by XTT assay in L929 mouse fibroblasts. Data were analyzed by two way analysis of variance and Dunnett's test (P<.05). RESULTS. Before thermocycling, Sofreliner Tough M ($10.36{\pm}1.00N$) had the highest tear strength value while Coe-Comfort$^{TM}$ ($0.46{\pm}0.10N$) had the lowest. After 3000 cycles, Sofreliner Tough M ($9.65{\pm}1.66N$) presented the highest value and Coe-Comfort$^{TM}$ ($0.42{\pm}0.08N$) the lowest. Sofreliner Tough M, in all incubation periods was the least toxic with significant differences compared to all other materials (P<.05). Coe-Comfort$^{TM}$, Coe-$SOFT^{TM}$, and Sofreliner Tough M did not show any significant differences within their material group for all incubation periods. CONCLUSION. This in vitro study revealed that aging can affect both the tear strength and cytotoxicity of soft denture materials depending on the composition.

Seasonal Prevalence and Abundance of Mosquitoes at the Busan Port (2001~2006)

  • Kim, Mi-Kyeong;Lee, Eun-Ju
    • Korean Journal of Clinical Laboratory Science
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    • v.44 no.4
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    • pp.199-204
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    • 2012
  • The purpose of this study is to examine the population density of the mosquito species, and to provide the basic data related to vector mosquitoes to manage the possible epidemic diseases. During a 4-year investigation (2001, 2002, 2004, and 2006), we collected the specimens of the mosquitoes at pier no. 1, 3 and 5 of Busan port with light traps from sunset until the next day morning from April to October each year. Through the research, we collected 5,985 mosquito specimens in total and found 7 mosquito species belonging to 3 genera. A total of 1,575, 1,473, 1,478 and 1,459 mosquito specimens were collected in 2001, 2002, 2004 and 2006, respectively. Among them, 5,568 (93.0%) specimens were Culex pipiens pallens, the West Nile virus infection vector, which showed the highest density among the specimens. The population densities of the other species were: 295(4.9%) Culex tritaeniorhynchus, 94(1.5%) Aedes togoi, 12(0.3%) Aedes albopictus, 10(0.2%) Anopheles sinensis, 4(0.1%) Aedes vexans nipponii, 2(0.1%) Culex inatomii. The monthly abundance of mosquitoes from July through September showed the highest values. Although it was a general mosquito monitoring study, this study could provide a base for securing the statistical data on spreading epidemic diseases by people infected outside Korea.

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Isolation Frequency and Antimicrobial Susceptibility of Streptococcus spp. from Clinical Specimens (임상검체에서 분리된 사슬알균종의 분리빈도와 항균제 감수성)

  • Shin, Hyun-Sung;Park, Youn-Bo
    • Korean Journal of Clinical Laboratory Science
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    • v.40 no.1
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    • pp.6-17
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    • 2008
  • From the total 116,429 clinical specimens submitted to "C" hospital from January 2005 to December 2006, 2,195 strains of streptococci were isolated. Twenty four species of Streptococcus were identified with 0.1~19.8% isolation frequencies, of which S. pneumoniae was 19.8%, S. agalactiae 16.2%, S. anginosus 9.8%, S. constellatus 5.0%, S. oralis 3.9%, S. mitis 3.3%, S. pyogenes 2.7%, S. salivarius subsp. salivarius 2.2%, S. sanguinis 1.9%. For S. pneumoniae, clinical specimens showing over 9.0% isolation rate were 82.8% in sputum, 9.2% in blood, and for Streptococcus species other than S. pneumoniae, 18.0% in sputum, 16.0% in urine and 9.7% in blood. The antimicrobial agents that showed over 90.0% susceptibility were cefotaxime, gatilfloxacin, imipenem, levofloxacin, linezolid, moxifloxacin, rifampin and sporfloxacin in S. pneumoniae, ampicillin, cefotaxime, cetriaxone, levofloxacin, linezolid, penicillin, quinupristin/dalfopristin and vancomycin in S. agalactiae, chloramphenicol, clindamycin, levofloxacin and vancomycin in S. anginosus, levofloxacin, vancomycin in S. constellatus subsp. constellatus, vancomycin in S. oralis, vancomycin in S. mitis, chloramphenicol, clindamycin, levofloxacin, quinupristin/dalfopristin and vancomycin in S. pyogenes, chloramphenicol, levofloxacin and vancomycin in S. salivarius subsp. salivarius, chloramphenicol, levofloxacin and vancomycin in S. bovis II, chloramphenicol, levofloxacin, quinupristin/dalfopristin and vancomycin in S. dysgalactiae subsp. dysgalactiae, levofloxacin, chloramphenicol and vancomycin in the whole group of 10 Streptococcus spp. other than Streptococcus pneumoniae.

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A Review on Recently Isolated Campylobacter fetus ss. jejuni (최근 분리된 Campylobacter fetus subsp. jejuni에 관한 소고)

  • Lee, Woong-Yeal;Park, Seung-Hahm
    • The Journal of the Korean Society for Microbiology
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    • v.17 no.1
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    • pp.49-55
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    • 1982
  • Campylobacter fetus subsp. jejuni was isolated from 7 stool specimens(4%) from the total number of 175 stool specimens during February and March, 1982 and the 15 specimens(39.5%) from 33 stool specimens of the chicken in the urban area of Seoul. All isolates showed typical characteristics of the Campylobacter fetus subsp. jejuni in Gram reaction, morphology and biochemical tests. They were all resistant to cephazolin and sensitive to gentamicin and chloramphenicol. During same period of time, the shigella was isolated from 11 stool specimens and the salmonella was isolated from 1 stool specimen.

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The Effect of Restorative Method on Fracture Strength and Fracture Pattern in Endodontically Treated Teeth (근관 치료 후 수복 방법이 파절 강도와 파절 양상에 미치는 영향)

  • An, Dong-Gook;Cho, In-Ho;Shin, Soo-Youn
    • Journal of Dental Rehabilitation and Applied Science
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    • v.21 no.2
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    • pp.133-142
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    • 2005
  • The purpose of this study was to evaluate interaction of restorative method according to amount of remaining clinical crown length. For the study, sixty healthy mandibular premolars with no dental caries were chosen. Specimens with clinical crown length of 1 mm, 2 mm, 3 mm above the cemento-enamel junction(CEJ) were prepared and root canal treatment was conducted using Ni-Ti rotaty files. Thirty specimens were restored with $LuxaCore^{(R)}$ and thirty were restored with casting posts. All specimens were restored with full coverage crowns and the fracture strength was teseted with the MTS universal testing marchine. The fracture pattern was observed by measuring the distance between CEJ and fracture line. From the results above, the fracture strength seems to be influenced more by amount of remaining clinical crown length than restorative method. Good prognosis could be expected, when more than 2mm of clinical crown length is retained. In the future, the further studies on restorative method, to increase fracture strength of teeth will be necessary.

Expression of endoglin and podoplanin in early and advanced oral squamous cell carcinoma

  • Lee, Sang-Woon;Park, Young-Wook
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.38 no.3
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    • pp.145-151
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    • 2012
  • Objectives: Angiogenesis and lymphangiogenesis are correlated with tumor growth and lymph node metastasis in cases of oral squamous cell carcinoma (OSCC). Endoglin is one of the representative vascular endothelial cell markers. Podoplanin is also a representative marker used in order to detect lymphatic endothelial cells. The aim of this study was to determine the correlation between the expression of endoglin/podoplanin and clinical variables associated with OSCC progression. Materials and Methods: Paraffin embedded tissue specimens from 21 patients diagnosed with OSCC were used in this study. Ten patients were diagnosed with early clinical stage (I or II) and 11 patients with advanced clinical stage (III or IV) OSCC. Five patients had positive lymph node involvement. Primary antibodies for endoglin and podoplanin were used to perform the immunohistochemical detection of the vascular and lymphatic endothelial cells. The expression of endoglin and podoplanin was examined by an image analysis program in the three most highly expressed regions of each specimen. Results: The average endoglin expression was observed to be $1.691{\pm}0.920$ in the advanced stage (III, IV) specimens and $0.797{\pm}0.583$ in the early stage (I, II) specimens (P=0.020). The average expression of podoplanin was $0.286{\pm}0.228$ in the advance stage (III, IV) specimens and $0.374{\pm}0.157$ in the early stage (I, II) specimens (P>0.05). There was no statistically significant difference in the expression of endoglin and podoplanin, regardless of whether or not the lymph node was positive. Conclusion: The expression of endoglin was significantly higher in the advanced stage specimens than that in the early stage specimens. Therefore, we concluded that endoglin is a useful molecular marker for use in the evaluation of the progression of OSCC.

Overview of Benign and Malignant Prostatic Disease in Pakistani Patients: A Clinical and Histopathological Perspective

  • Arshad, Huma;Ahmad, Zubair
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.5
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    • pp.3005-3010
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    • 2013
  • Background: To present the overall clinical and histological perspective of benign and malignant prostatic disease as seen in our practice in the Section of Histopathology, Department of Pathology and Microbiology, Aga Khan University Hospital, Karachi, Pakistan. Materials and Methods: All consecutive prostate specimens (transurethral resection or TUR, enucleation, needle biopsies) received between July 1, 2012 and December 31, 2012 were included in the study. Results: Of the total of 785 cases, 621 (79.1%) were TUR specimens, 80 (10.2%) enucleation specimens, and 84 (10.7%) needle biopsies. Some 595 (75.8%) were benign, while 190 (24.2%) were malignant. Mean weight of BPH specimens was 19 grams and 43 grams for TUR and enucleation specimens respectively. Almost 67% of adenocarcinomas were detected on TUR or enucleation specimens. Of the above cases, 41.7% were clinically benign while 58.3% were clinically malignant. The average volume of carcinoma in all cases ranged between 60 to 65%. The average number of cores involved in needle biopsies was 5. In general, higher Gleason scores were seen in TUR/enucleation specimens than in needle biopsies. Overall, in all types of specimens, commonest Gleason score was 7, seen in 74 (38.9%) cases, followed by Gleason score 9 seen in 47 (24.7%) cases. Out of the 63 needle biopsies with carcinoma, radical prostatectomy was performed in 16 cases (25.4%). Conclusions: Benign prostatic hyperplasia (BPH) is extremely common and constitutes the bulk of prostate specimens. TMajority of prostatic carcinomas are still diagnosed on TUR or enucleation specimens. These included both clinically benign and clinically malignant cases. The volume of carcinoma in these specimens was quite high indicating extensive disease. Gleason scores were also generally high compared with scores from needle biopsies. Commonest Gleason score in all type of specimens was 7. Pathologic staging was possible in very few cases since radical prostatectomies are rarely performed.