• Title/Summary/Keyword: Diagnostic Evaluation

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Study on the Application of Oriental Medical Evaluation to Dementia (치매 한의진단 평가도구 적용 연구)

  • Kim, Ka-Na;Bae, Hyunsu;Hwang, Wei-Wan;Cho, Seung-Hun
    • Journal of Oriental Neuropsychiatry
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    • v.25 no.4
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    • pp.383-388
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    • 2014
  • Objectives: Patients with dementia are increasing in Korea. So the importance of accurate diagnosis and treatment of dementia is growing. In this paper, we evaluated the result of employing the Korean medical diagnostic pattern as a tool in clinics. Methods: Patients diagnosed with Alzheimer's disease were evaluated using the Korean medical diagnostic pattern tool. Results: The number of patients with liver-kidney yin deficiency pattern/syndrome was 35. Analyzing the ratio difference between the 'liver-kidney yin deficiency' group and the 'not liver-kidney yin deficiency' group revealed that the ratio of the responses to the fourth question was less than zero. The ratio of the responses to the fifth, seventh, and eight questions were all less than 10%. The ratio of the responses to the first and second questions were greater than 30%. Conclusions: Of the six diagnostic patterns, liver-kidney yin deficiency was the greatest in the study subjects. The fourth question in the liver-kidney yin deficiency tool tests for the lack of appropriateness whereas the fifth, seventh, and eight questions test for lack of discrimination. Applying more weight to the first and second questions was an excellent choice to increase the discrimination.

Development and Clinical Evaluation of a Rapid Serodiagnostic Test for Toxoplasmosis of Cats Using Recombinant SAG1 Antigen

  • Chong, Chom-Kyu;Jeong, Woo-Seog;Kim, Hak-Yong;An, Dong-Jun;Jeoung, Hye-Young;Ryu, Jeong-Eun;Ko, A-Ra;Kim, Yong-Joo;Hong, Sung-Jong;Yang, Zhaoshou;Nam, Ho-Woo
    • Parasites, Hosts and Diseases
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    • v.49 no.3
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    • pp.207-212
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    • 2011
  • Rapid serodiagnostic methods for Toxoplasma gondii infection in cats are urgently needed for effective control of transmission routes toward human infections. In this work, 4 recombinant T. gondii antigens (SAG1, SAG2, GRA3, and GRA6) were produced and tested for the development of rapid diagnostic test (RDT). The proteins were expressed in Escherichia coli, affinity-purified, and applied onto the nitrocellulose membrane of the test strip. The recombinant SAG1 (rSAG1) showed the strongest antigenic activity and highest specificity among them. We also performed clinical evaluation of the rSAG1-loaded RDT in 182 cat sera (55 household and 127 stray cats). The kit showed 0.88 of kappa value comparing with a commercialized ELISA kit, which indicated a significant correlation between rSAG1-loaded RDT and the ELISA kit. The overall sensitivity and specificity of the RDT were 100% (23/23) and 99.4% (158/159), respectively. The rSAG1-loaded RDT is rapid, easy to use, and highly accurate. Thus, it would be a suitable diagnostic tool for rapid detection of antibodies in T. gondii-infected cats under field conditions.

Evaluation of available height, location, and patency of the ostium for sinus augmentation from an implant treatment planning perspective

  • Vaddi, Anusha;Villagran, Sofia;Muttanahally, Kavya Shankar;Tadinada, Aditya
    • Imaging Science in Dentistry
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    • v.51 no.3
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    • pp.243-250
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    • 2021
  • Purpose: The objective of this study was to evaluate the amount of height available for a maxillary sinus augmentation procedure without blocking the ostium and jeopardizing the drainage of the ostiomeatal complex using cone-beam computed tomography (CBCT) imaging. Materials and Methods: A total of 200 sinonasal complexes comprising 100 dentate and 100 edentulous scans were retrospectively assessed using CBCT. Invivo 5.0, a CBCT reconstruction program, was used for image evaluation. The coronal section demonstrating the ostiomeatal complex was selected as a reference view to perform measurements of the sinus. The measurements were done by 2 evaluators in separate sessions. Comparative analyses of measurements were performed between dentate and edentulous patients and between male and female patients. Results: The safe height to which the sinus can be elevated without compromising the integrity of the ostiomeatal complex was calculated for each sinus. In the presence of significant mucosal thickening, the height available for augmentation was calculated by subtracting the height of mucosal thickening from the sinus floor to the location of the ostium. In this study, the available height was approximately 27.05 mm for dentate and 23.40 mm for edentulous patients. The inter-operator reliability was excellent for all the parameters evaluated. Conclusion: This retrospective study with a limited number of patients from a single university-based site shows that CBCT is valuable in evaluating the location and patency of the ostium for planning sinus augmentation procedures for dental implant placement.

Evaluation of Anxiety and Depression in Patients with Disc Displacement according to Diagnostic Criteria for Temporomandibular Disorders

  • Park, Junhyong;Shim, Young-Joo;Lim, Hyun-Dae;Lee, You-Mee;Kang, Jin-Kyu
    • Journal of Oral Medicine and Pain
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    • v.43 no.4
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    • pp.125-130
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    • 2018
  • Purpose: The etiology of temporomandibular disorders (TMDs) is complex and multifactorial including trauma, anatomical, pathophysiological, social and psychological factors. Psychological factors can induce or sustain TMDs in various ways. And psychological problems, such as anxiety and depression can be occurred due to TMDs. Therefore, evaluation of psychological factors in patients with TMDs is important. Although disc displacement (DD) is crucial in clinical situation, most of studies have focused on the relationship of psychosocial factors and myofascial pain. And also, Subtypes of DD can cause different degrees of discomfort, it is necessary to evaluate the psychological states of the patients according to the subtype. The Hospital Anxiety Depression Scale (HADS) is one of the self-report questionnaire to evaluate the psychological factors. HADS-Anxiety (HADS-A) and HADS-Depression (HADS-D) are assessed through 14 questions. The purpose of this study was to evaluate anxiety and depression assessed by HADS in patients diagnosed with subtypes of DD according to diagnostic criteria for TMDs. Methods: Four hundred thirty nine patients were diagnosed as one of the subtypes of DD. One hundred fourty nine subjects with no symptoms were set as control groups. All of them answered the HADS for Koreans. The cut-off score for anxiety and depression was set a score of 8. The chi-square test was performed to evaluate association between DD and anxiety/depression. Results: There was a significant difference in HADS-D between five groups (p<0.01). However, there was no significant difference in HADS-A. All the DD groups showed a significant difference in HADS-D compared with the control group except the DD without reduction without limited opening group. The DD without reduction with limited opening group showed the highest rates in HADS-D (40.4%). Conclusions: Based on the above results, it is necessary to consider the depression in treatment of the patients with DDs.

Machine Vision Platform for High-Precision Detection of Disease VOC Biomarkers Using Colorimetric MOF-Based Gas Sensor Array (비색 MOF 가스센서 어레이 기반 고정밀 질환 VOCs 바이오마커 검출을 위한 머신비전 플랫폼)

  • Junyeong Lee;Seungyun Oh;Dongmin Kim;Young Wung Kim;Jungseok Heo;Dae-Sik Lee
    • Journal of Sensor Science and Technology
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    • v.33 no.2
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    • pp.112-116
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    • 2024
  • Gas-sensor technology for volatile organic compounds (VOC) biomarker detection offers significant advantages for noninvasive diagnostics, including rapid response time and low operational costs, exhibiting promising potential for disease diagnosis. Colorimetric gas sensors, which enable intuitive analysis of gas concentrations through changes in color, present additional benefits for the development of personal diagnostic kits. However, the traditional method of visually monitoring these sensors can limit quantitative analysis and consistency in detection threshold evaluation, potentially affecting diagnostic accuracy. To address this, we developed a machine vision platform based on metal-organic framework (MOF) for colorimetric gas sensor arrays, designed to accurately detect disease-related VOC biomarkers. This platform integrates a CMOS camera module, gas chamber, and colorimetric MOF sensor jig to quantitatively assess color changes. A specialized machine vision algorithm accurately identifies the color-change Region of Interest (ROI) from the captured images and monitors the color trends. Performance evaluation was conducted through experiments using a platform with four types of low-concentration standard gases. A limit-of-detection (LoD) at 100 ppb level was observed. This approach significantly enhances the potential for non-invasive and accurate disease diagnosis by detecting low-concentration VOC biomarkers and offers a novel diagnostic tool.

DIAGNOSTIC ACCURACY OF $^{18}F$-FDG IN NODAL NEGATIVE ORAL SQUAMOUS CELL CARCINOMA (구강암 환자에서 경부 임파절 평가에 대한 $^{18}F$-FDG PET(Fluorine 18-Labelled Deoxyglucose Positron Emission Tomography)의 유용성)

  • Choi, Eun-Joo;Kang, Sang-Hoon;Kim, Ki-Ho;Nam, Woong;Kim, Hyung-Jun;Cha, In-Ho
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.33 no.6
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    • pp.597-600
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    • 2007
  • PET is one of the most widely used verification methods for evaluation of metastasis on the lymph nodes of the neck in oral cancer patients. The purpose of this study was to assess the correlation between PET findings and histopathologic findings in patients who had been diagnosed as squamous cell carcinoma and performed neck dissection. Thirty-four necks in 25 patients had been evaluated on pathologic lymph nodes and the data were compared with preoperative PET scan. The sensitivity of PET at the level of the neck was 72.7%, specificity was 60%, and accuracy was 79.2%. Since FDG-PET show high false-positive results, it should be used with other diagnostic tools for evaluation of lymph node metastasis.

Radiological Diagnosis for Posttraumatic Olfactory Dysfunction (외상 후 후각이상에 대한 방사선학적 진단)

  • Ahn, Jung Yong;Joo, Jin Yang;Chung, Tae Sub
    • Journal of Korean Neurosurgical Society
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    • v.29 no.12
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    • pp.1570-1576
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    • 2000
  • Objective : To evaluate objectively the sites of injury in patients with posttraumatic olfactory deficits and to suggest the diagnostic procedure for evaluation of posttraumatic anosmia. Methods : Ten patients with posttraumatic olfactory dysfunction were examined by means of olfactory testing, sinoscopy, contrast filled paranasal sinus computed tomography(contrast filled PNS CT) and magnetic resonance imaging(MRI). Five normal persons without olfactory dysfunction were also evauluated. The aerodynamic patency of olfactory cleft was examined by contrast filled PNS CT. The olfactory system(oflactory bulbs, olfactory tracts, inferior frontal region, hippocampi, or temporal lobes) was investigated in detail with MRI. The difference in the size of the olfactory bulb between normal volunteers and anosmic patients was evaluated by Student's t test. Results : Contrast filled dynamic CT scan was useful method for the evaluation of dynamic patency of the olfactory cleft. Paranasal CT scan of the all anosmic patients showed dynamic reflux of contrast media in olfactory cleft on valsalva maneuver. For the largest cross-sectional area and great height, the difference in olfactory bulb size between normal volunteers and patients was statistically significant(p<0.001) in MRI study. Conclusion : Posttraumatic anosmia was completely evaluated by olfactory testing, sinoscopy, and contrast filled CT scan for differentiation between conductive type and neurogenic type. Neurogenic anosmia was confirmed by perfect localization with MRI study.

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Pharmacognostical Evaluation of Leucas aspera Link.

  • Rai, Vartika;Agarwal, Manisha;Agnihotri, A.K.;Khatoon, S.;Rawat, A.K.S.;Mehrotra, S.
    • Natural Product Sciences
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    • v.11 no.2
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    • pp.109-114
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    • 2005
  • Leucas aspera Link. (Lamiaceae) is an important medicinal plant in indigenous systems of medicine in India and commonly known as 'Thumbai'. It has various ethnomedicinal values as various traditional communities find diverse medicinal properties. It is used as antipyretic, stimulant, expectorant and diaphoretic drug. The present communication deals with the detailed pharmacognostical evaluation of whole plant of L. aspera collected from five different geographical zones of the country-Uttar Pradesh, Orissa, Karnataka, West Bengal and Gujarat. The botanical characters and TLC fingerprint profile of all the samples were quite similar but some variations were observed in physicochemical parameters. However, some microscopical characters and TLC profile can be used as diagnostic characters for identification of L. aspera, for example amphistomachic leaves and two types of trichomes-abundant, non glandular, uniseriate, 1-3 celled and few glandular, 2-5 celled stalk with rounded tip. Presence of some components at $R_fs-0.56$, 0.65 and 0.76 under UV 366 and at $R_fs-0.31$, 0.43, 0.60, 0.76 and 0.82 under visible light after derivetization in TLC profile may also be used as diagnostic character.

Study of photon beam quality tool at magnetic field change in bending magnet (편향전자석의 자장변화에 따른 광자선 선질평가에 관한 고찰)

  • Kim, Jeong-Ho;Yoo, Se-Jong;Park, Myeong-Cheol;Bae, Seok-Hwan;Kim, Ki-Jin
    • Journal of the Korea Safety Management & Science
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    • v.16 no.4
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    • pp.433-439
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    • 2014
  • Beam quality is changed about magnetic field of bending magnet. Evaluation of beam quality using PDD(Percentage Depth Dose) at 10cm depth at recommendation of AAPM(America Academy of Pain Medicine). However this evaluation shows fragmentary element. Therefore this study is applied to three value, 10cm divided by 5cm depth PDD, 20cm divided by 10cm depth PDD, 30cm divided by 20cm depth PDD, at change the magnetic field. PDD is measured at magnetic field changed ${\pm}1%$, ${\pm}2%$ at 6MV(Mega Voltage), 10MV photon. The plan technique is 3 portal plan using Core-Plan at human pelvic phantom. Conventional and presented methods are compared at maximum and minimum dose. The presented method increased discernment of relieve the unequal distribution and energy area than conventional method. Henceforth, application of presented method will be considered. Development of energy measurement method and detector miniaturization will be needed about continuous study.

Effects of Claustrophobia, Vital Signs on Psychological Anxiety of the Patients during MRI Examination(In Patient Safety Accident) (MRI 검사 시 환자의 심리적 불안감이 폐쇄공포 및 활력징후에 미치는 영향(환자안전사고에 있어서))

  • Kim, Jae-Cheon;Bae, Seok-Hwan;Kim, Yong-Kwon;Lee, Moo-Sik
    • Journal of the Korea Safety Management & Science
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    • v.17 no.4
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    • pp.231-240
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    • 2015
  • In this study, to find out the effect of psychological anxiety of the patients during MRI examination on the claustrophobia and vital signs, As for a study tool, to measure Anxiety Sensitivity Index(ASI), Kamsung Evaluation Index of Life Environmental Noise(KEI), Diagnostic and Statistical Manual of Mental Disorders(DSM-IV) was used, and for vital signs, blood pressure and pulse rate were measured pre and post MRI examination. In conclusion, it was indicated that though the effect of the general characteristics, psychological anxiety, on noise sensitivity and claustrophobia was small, the psychological anxiety of the patients during MRI examination affected claustrophobia and vital signs.