• 제목/요약/키워드: Clinical spectrum

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Investigation of serum biomarkers for neuropathic pain in neuromyelitis optica spectrum disorder: a preliminary study

  • Hyun, Jae-Won;Kim, Yeseul;Kim, Ho Jin
    • Annals of Clinical Neurophysiology
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    • 제23권1호
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    • pp.46-52
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    • 2021
  • Background: We aimed to investigate candidates for serological biomarkers of neuropathic pain in individuals with neuromyelitis optica spectrum disorder (NMOSD). Methods: We analyzed 38 sera samples from 38 participants with NMOSD in National Cancer Center. Neuropathic pain was evaluated using the painDETECT questionnaire. Pain with neuropathic components (painDETECT score ≥ 13) was observed in 22 participants, among whom 17 had definite neuropathic pain (painDETECT score ≥ 19). The remaining 16 participants had non-neuropathic pain (painDETECT score < 13). Serum glial fibrillary acidic protein (GFAP) levels were assessed using a single-molecule array assay. Several cytokines, including tumor necrosis factor-alpha (TNF-α), interleukin (IL)-6, IL-10, and IL-17A, were measured by a multiplex bead-based immunoassay. Results: In comparison of NMOSD participants with neuropathic pain components (or definite neuropathic pain) and those with non-neuropathic pain, the absolute values of serum GFAP, TNF-α, IL-6, and IL-10 levels were higher in participants with neuropathic pain components (or definite neuropathic pain), but these findings did not reach statistical significance. Conclusions: Further larger-scale investigations to find reliable serological biomarkers for neuropathic pain in NMOSD are warranted.

영남대학교 의과대학 부속병원에서 동정된 Klebsiella pneumoniae와 Escherichia coli의 Extended-Spectrum ${\beta}$-Lactamase생성 빈도 (Detection Rate of Extended-Spectrum ${\beta}$-Lactamase Producers in Klebsiella pneumoniae and Escherichia coli Isolated at Yeungnam University Medical Center)

  • 이채훈;이호찬;김경동;이태수
    • Journal of Yeungnam Medical Science
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    • 제16권2호
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    • pp.270-276
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    • 1999
  • Extended-spectrum ${\beta}$-lactamases(ESBL)은 penicillin과 cephalosporin뿐 아니라 oxyimino-${\beta}$-lactam 제재도 내성을 가지며 Klebsiella pneumoniae와 Escherichia coli의 ESBL 생성율은 전세계적으로 증가하고 있다. 내성율은 ${\beta}$-lactam제의 사용량에 영향을 받으므로 시기, 지역, 병원, 병동 등에 따라서 차이가 있을 수 있어 각 병원에서 발생하는 내성균주를 수시로 파악할 필요가 있다. 이에 저자들은 영남대학교 의과대학 부속병원 미생물 검사실에서 동정된 K. pneumoniae와 E. coli를 대상으로 ESBL 생성율을 구하고 이들 환자의 정보를 분석하여 병원 감염관리와 감염환자의 치료에 지침을 마련하고자 하였다. 실험에 사용된 K. pneumoniae의 51.6%, E. coli의 16.0%에서 ESBL생성 양성을 보였다. 대부분의 ESBL생성 양성 균주는 중환자실과 여기를 거쳐간 환자를 중심으로 동정되어 이들에 대한 치료와 내성균주 전파에 특별한 주의를 요하며 계속적인 변동상황에 주의를 기울여야 할 것으로 생각된다.

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부산 도축장에서 분리된 광범위 베타 락탐 분해효소(Extended-Spectrum ${\beta}$-Lactamase, ESBL)생성 장내세균의 형별분류 (Typing of Extended-Spectrum ${\beta}$-Lactamase (ESBL) Producing Enterobacteriaceae Isolated from Slaughterhouse in Pusan, Korea)

  • 이훈구
    • 미생물학회지
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    • 제42권2호
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    • pp.125-130
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    • 2006
  • 본 연구에서는 도축장과 도축물에서 plasmid 매개성 광범위 ${\beta}$-lactam (extended spectrum ${\beta}$-lactamase) 분해효소를 생성하는 Klebsiella pneumoniae와Escherichia coli가 분리됨으로서 한국에서는 이들 균주가 임상범위를 넘어 자연계까지 확산되었음을 확인하였다. 디스크 확산 시험, 등전점 수치, 접합시험 등을 통하여 돼지의 분변으로부터 최종 10균주의 접합자를 얻었고 이들의 형별결정은 아미노산서열분석과 기준주와 대조등을 BCM Search Laucncher 및 NCBI blast를 통해 이루어졌다. 광범위 ${\beta}$-lactam 유형은 Klebsiella pneumoniae 8균주가 TEM-52형이었고 2균주 Escherichia coli가 SHV-12형이었다. CMY-1형은 본 연구에서 분리되지 않았다.

MRI 촬상단면내의 체동 아티팩트의 제거 (Cancellation of Motion Artifact in MRI Image Plane)

  • 김응규;권영도
    • 대한전자공학회:학술대회논문집
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    • 대한전자공학회 1999년도 추계종합학술대회 논문집
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    • pp.1075-1078
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    • 1999
  • In this study, a new algorithm for canceling MRI artifacts through the translational motion of image plane is presented. Bloating is often makes problems in a clinical diagnosis. Assuming that the head moves up and down due to breathing, rigid translational motions in only y(phase encoding axis) direction is treated. First, we notice that the x directional motion corresponds to a shift of the x directional spectrum of the MRI signal, and the non zero area of the spectrum just corresponds to x axis projected area of the density function. So the motion is estimated by tracing the edges of the spectrum, and the x directional motion is canceled by shifting the spectrum in inverse direction. Next, the y directional motion is canceled using a new constraint, with which the motion component and the true image component can be separated. Finally, the effectiveness of this algorithm is shown by using a phantom with simulated motions.

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Association between pesticide and polychlorinated biphenyl exposure during pregnancy and autism spectrum disorder among children: a meta-analysis

  • Mehri, Fereshteh;Bashirian, Saeid;Khazaei, Salman;Jenabi, Ensiyeh
    • Clinical and Experimental Pediatrics
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    • 제64권6호
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    • pp.286-292
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    • 2021
  • Background: The effect of exposure to environmental factors on autism spectrum disorders (ASD), especially during pregnancy, is unclear. Purpose: This meta-analysis investigated the association between exposure to pesticides and polychlorinated biphenyls (PCBs) during pregnancy and ASD risk among children. Methods: We searched Scopus, PubMed, Web of Science, and ProQuest for articles published through September 2019. Random-effects models were used to examine the association among studies using pooled odds ratios (ORs) and their 95% confidence intervals (CI). I2 tests were used to measure interstudy heterogeneity. Results: The pooled OR indicated a significant association between PCB and pesticide exposure during pregnancy and ASD risk among children (OR, 1.80; 95% CI, 1.26-2.34; and OR, 1.20; 95% CI, 1.02-1.39), respectively. Conclusion: Findings of the present study indicate that exposure to pesticides and PCBs during pregnancy may affect the risk of ASD among children.

Association between neonatal jaundice and autism spectrum disorders among children: a meta-analysis

  • Jenabi, Ensiyeh;Bashirian, Saeid;Khazaei, Salman
    • Clinical and Experimental Pediatrics
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    • 제63권1호
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    • pp.8-13
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    • 2020
  • Autism spectrum disorder is a common neurodevelopmental disorder with an unknown etiology. The correlation between neonatal jaundice and the risk of developing autism spectrum disorder was investigated previously. Some studies showed significant associations, whereas others demonstrated no association. In this meta-analysis, we pooled the results of observational studies to examine the association between neonatal jaundice and the risk of autism spectrum disorder among children. We identified all studies published through April 2018 by conducting a literature search using Web of Science, PubMed, and Scopus databases as well as the reference lists of the retrieved studies. The pooled odds ratios (ORs), rate ratio (RR), and their 95% confidence intervals (CIs) were calculated as random effect estimates of association among studies. We conducted a subgroup analysis to explore any potential sources of intergroup heterogeneity. The pooled estimates of OR and RR showed a considerable correlation between neonatal jaundice and ASD among children (OR, 1.35; 95% CI, 1.02-1.68) and (RR, 1.39; 95% CI, 1.05-1.74). A larger effect size was shown in the pooled estimated crude OR than in the adjusted OR (1.75 [0.96-2.54] vs. 1.19 [1.07-1.30]). This study showed that neonatal jaundice may be associated with ASD and may increase the risk of ASD among children.

Examining the Use of Oral Aripiprazole in Patients With Autism Spectrum Disorder: A Study of Retrospective Chart Review at a University Medical Center

  • Jae Hyun Han;Jong Myeong Kim;Hee Jeong Yoo
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제35권2호
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    • pp.136-142
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    • 2024
  • Objectives: The purpose of this study was to examine the patterns of use of oral aripiprazole treatment in children and adolescents diagnosed with autism spectrum disorder (ASD) at a university medical center in Korea. Methods: We retrospectively reviewed the medical records of 164 outpatient children and adolescents diagnosed with ASD by child and adolescent psychiatrists. Patient demographic characteristics, clinical features, age and dose of aripiprazole treatment, associated adverse events, and concomitant medications, etc. were evaluated. Results: Aripiprazole treatment was initiated at a mean age of 7.64 years, at a mean initial dose of 1.15 mg. Methylphenidate was often co-administered with aripiprazole. The most commonly reported adverse effects were increased appetite and weight gain, which in some cases led to discontinuation of medication. Conclusion: A follow-up study is warranted to evaluate the efficacy and safety of aripiprazole treatment in Korean children and adolescents diagnosed with ASD, and it is crucial to consider their clinical characteristics and response to treatment in the evaluation.

디지털 의료영상에서 위너스펙트럼(Wiener spectrum)의 보정방법 (Correction Method of Wiener Spectrum (WS) on Digital Medical Imaging Systems)

  • 김정민;이기성;김유현
    • 대한방사선기술학회지:방사선기술과학
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    • 제32권1호
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    • pp.17-24
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    • 2009
  • 노이즈를 평가하는 방법은 Root Mean Square(RMS) 입상도, 자기상관함수, 위너스펙트럼이 있다. RMS입상도는 광자데이터의 표준편차로 나타내며, 자기상관함수는 거리변화에 따른 1차원함수를 중적분하여 얻어진다. 그리고 자기상관함수를 푸리에 변환하면 노이즈 파워 스펙트럼이 되고, 화상에서는 이것을 위너스펙트럼이라고 한다. 위너스펙트럼은 노이즈 자체만을 표현할 뿐 아니라 해상특성을 나타내는 Modulation Transfer Function(MTF)과 함께 Detective Quantum Efficiency(DQE)를 산출하는 중요한 요소가 된다. 제시된 위너스펙트럼의 평가기술은 교육현장에서 그 개념을 교육하거나 임상 환경에서 시설에 알맞은 디지털 영상 검출기를 선택하고 디지털 영상 시스템의 영상품질을 유지 보수하는데 도움이 될 것으로 기대한다.

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Integrated diagnostic approach of pediatric neuromuscular disorders

  • Lee, Ha Neul;Lee, Young-Mock
    • Journal of Genetic Medicine
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    • 제15권2호
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    • pp.55-63
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    • 2018
  • Clinical and genetic heterogeneity in association with overlapping spectrum is characteristic in pediatric neuromuscular disorders, which makes confirmative diagnosis difficult and time consuming. Considering evolution of molecular genetic diagnosis and resultant upcoming genetically modifiable therapeutic options, rapid and cost-effective genetic testing should be applied in conjunction with existing diagnostic methods of clinical examinations, laboratory tests, electrophysiologic studies and pathologic studies. Earlier correct diagnosis would enable better clinical management for these patients in addition to new genetic drug options and genetic counseling.

부산지역 하천에서 분리된 장내세균 Escherichia coli와 Klebsiella pneumoniae의 광범위 베타 락탐 분해효소 (Extended-Spectrum ${\beta}-Lactamase$)에 대한 유형별 분류 (Typing of Extended-Spectrum ${\beta}-Lactamase$ of Escherichia coli and Klebsiella pneumoniae Isolated from Rivers in Busan, Korea)

  • 이훈구;김혜진;김군도
    • 미생물학회지
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    • 제43권2호
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    • pp.116-123
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    • 2007
  • 본 연구는 부산지역 하천에서 plasmid 매개성 광범위 ${\beta}-lactam$ 분해효소(extended spectrum ${\beta}-lactamase;\;ESBL$)를 생성하는 세균을 분리하여 생성된 광범위 ${\beta}-lactam$ 분해효소를 유형별로 분류하기 위함이다. Escherichia coli 6균주와 Klebsiella pneumoniae 15균주가 피전달균주인 Escherichia coli J53 $Azid^{R}$에 plasmid 매개성 광범위 ${\beta}-lactam$ 분해효소 생성 인자를 전달하였다. PCR 후 얻은 유전인자를 plasmid로 매개된 광범위 ${\beta}-lactam$ 분해효소 유전자의 염기서열 분석결과, E. coli와 K. pneumoniae 유전자를 BCM Search Launcher 및 GenBank nucleotide database를 통하여 검색한 결과 ESBL 유형은 TEM-52형과 SHV-12형이었다. TEM-52는 E. coli와 K. pneumoniae 양쪽에서 분리되었다. 그러나 SHV-12는 K. pneumoniae에서만 분리되었다. 이상의 결과로부터 plasmid 매개성 광범위 ${\beta}-lactam$ 분해효소를 생성하는 세균이 한국에서는 이미 임상범위를 넘어 자연계까지 확산되었음을 알 수 있었다.