• Title/Summary/Keyword: Diagnostic tests

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Reliability of Stool Antigen Tests: Investigation of the Diagnostic Value of a New Immunochromatographic Helicobacter pylori Approach in Dyspeptic Patients

  • Korkmaz, Huseyin;Findik, Duygu;Ugurluoglu, Ceyha;Terzi, Yuksel
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.2
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    • pp.657-660
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    • 2015
  • Background: A diagnosis of H. pylori infection can be made by invasive or non-invasive methods. Several noninvasive diagnostic tests based on the detection of H. pylori stool antigen (HpSA) have been developed. The Genx H. pylori stool antigen card test is a new rapid, non-invasive test that is based on monoclonal immunochromatographic assay. The aim of this study was to determine its sensitivity, specificity, and diagnostic accuracy for diagnosing H. pylori infection in adult patients. Materials and Methods: A total of 162 patients were included in the study. A gastric biopsy was collected for histopathology and rapid urease testing. Stool specimens for HpSA testing were also collected. Patients were considered H. pylori positive if two invasive tests (histological and rapid urease tests) were positive. Results: Using the reference test, 50.6% of the samples were positive for H. pylori infection. The Genx H. pylori antigen test was positive in 19.7% of patients. The sensitivity, specificity, positive predictive value, negative predictive value, and diagnostic accuracy of the Genx H. pylori antigen test were 51.6%, 96.0%, 88.8%, 76.1%, and 79.0%, respectively. Conclusions: The Genx H. pylori stool antigen card test is a new non-invasive method that is fast and simple to perform but provides less reliable results.

Assessment of Insulation Aging in 6.6 kV Class High Voltage Motor Stator Windings (6.6 kV급 고압전동기 고정자 권선의 절연열화 평가)

  • Kim, Hee-Dong;Kim, Byong-Han
    • Journal of the Korean Institute of Electrical and Electronic Material Engineers
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    • v.19 no.11
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    • pp.1067-1071
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    • 2006
  • Prior to destructive testing, diagnostic tests were performed in ten high voltage motors. Diagnostic tests included polarization infer, ac current, dissipation factor$(tan{\delta})$ and partial discharge magnitude. The rewind of motet slater insulation at rated voltage is assessed by the results of these tests. After completing the diagnostic tests, the stator windings of motors were subjected to gradually increasing ac voltage, until the insulation punctured. No. 8 motor failed near rated voltage of 19.0 kV. The breakdown voltage of No. 4 motet was 7.0 kV which is lower that expected for good quality coils in 6.6 kV class motors. The failure was located in a line-end coil at the exit from the core slot. These two motors began operation in 1994. While testing No. 7 motor, flashover occurred between the stator winding and the stator frame at 15 kV. The relationship between the diagnostic test and the drop in insulation breakdown voltage was analyzed.

Diagnostic Value on the Orthopaedic Tests for Sacroiliac Joint Dysfunction (천장관절 기능부전에 대한 검사방법들의 진단적 가치 : 정형도수치료적 평가를 중심으로)

  • Yoon, Hong-Il;Sim, Hyun-Po
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.16 no.1
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    • pp.64-76
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    • 2010
  • The sacroiliac joint is difficult to appropriately examine and treat because it is extremely complex and also is difficult to distinguish dysfunctions from those of the spine and hip which are highly intergrated functionally. In addition generally traditional x-rays and CT scans also are not beneficial in detecting sacroiliac joint dysfunction. The manipulative physiotherapist should seek to establish a series of relevant finding that build into a case implicating the sacroiliac joint. When deciding to use these diagnostic tests, the examiner must determine if the test will give reliable and useful information that will help in the diagnosis and subsequent treatment. To be useful diagnostic tests must give reliable data and be valid and the most useful methods of determining whether a test is a good test for pathology under consideration are sensitivity and specificity. In the ideal world, one would want a test that has both high sensitivity and high specificity. The purpose of this review is to ascertain diagnostic value on the tests for sacroiliac joint dysfunction by literature.

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Analysis of Insulation Aging in High Voltage Motor Stator Windings (고압전동기 고정자 권선의 절연열화 분석)

  • Kim, Hee-Dong;Kong, Tae-Sik;Lee, Young-Jun
    • Proceedings of the Korean Institute of Electrical and Electronic Material Engineers Conference
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    • 2006.06a
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    • pp.200-203
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    • 2006
  • Prior to destructive testing, diagnostic tests were performed in eight high voltage motors. Diagnostic tests included polarization index, ac current, dissipation factor($tan{\delta}$) and partial discharge magnitude. The rewind of motor stator insulation at rated voltage is assessed by the results of these tests. After completing the diagnostic tests, the stator windings of motors were subjected to gradually increasing ac voltage, until the insulation punctured. No. 1 motor failed near rated voltage of 12.96 kV. The breakdown voltage of No. 4 motor was 6.99 kV which is lower that expected for good quality coils in 6.6 kV class motors. The failure was located in a line-end coil at the exit from the core slot. These two motors began operation in 1994. While testing No. 7 motor, flashover occurred between the stator winding and the stator frame at 15 kV. The relationship between the diagnostic test and the drop in insulation breakdown voltage was analyzed.

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Clinical Value of Physical Examination and Electromyography in Acute and Chronic Lumbosacral Radiculopathy (급, 만성 요천추부 신경근병증 환자의 신체진찰과 근전도의 임상적 의미)

  • Jeoung, Ju Hyong;Jeong, Ha Mok;Kang, Seok;Yoon, Joon Shik
    • Clinical Pain
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    • v.19 no.2
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    • pp.90-96
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    • 2020
  • Objective: To investigate the diagnostic accuracy of two physical examinations (straight leg raise [SLR] and Bragard test) and electromyography (EMG) in patients with lumbosacral monoradiculopathy in acute and chronic state on confirmation of different diagnostic criteria (MRI vs MRI and diagnostic selective nerve root block [DSNRB]). Method: We identified 297 participants retrospectively from the departmental database. MRI evidence of L5 or S1 nerve root compression and a positive result in diagnostic SNRB served as reference standards. They were divided into two groups by the symptom duration: lasting more than 12 weeks in the chronic group and less than 12 weeks in the acute group. The diagnostic value of clinical tests and EMG were compared. Results: The clinical tests (SLR and Bragard test) done in acute stage on detection by MRI and DSNRB had the highest sensitivity (68%) compared to the chronic stage (63%), but sensitivity was low (57%) on confirmation of MRI alone. However, there was no significant difference on sensitivity and specificity of EMG regardless of reference standards and symptom duration. Electromyography was a significant predictor of neuropathic abnormalities on both acute (OR, 6.3; 95% CI, 2.4 to 16.7; p<0.01) and chronic (OR, 6.8; 95% CI, 2.9 to 16.3; p<0.01). Conclusion: In general, individual physical tests are easy to do and a combination of those tests could be a sensitive indicator of L5 or S1 radiculopathy. Furthermore, the use of provocation tests could provide useful information, especially in proceeding therapeutic selective nerve root block.

Use of Likelihood Ratios in Evidence-based Clinical Decision Making

  • Kim, Eu-Tteum;Pak, Son-Il
    • Journal of Veterinary Clinics
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    • v.25 no.3
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    • pp.146-151
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    • 2008
  • During the clinical decision making practitioners are often faced with performing diagnostic tests to solve the presenting problems seen in the patients. The diagnostic utility of a test has traditionally been described by technical terms such as sensitivity, specificity, and positive (PPV) and negative predictive value (NPV). Although well known, clinicians are frequently unclear about the concept and application of these terms in everyday evidence-based clinical decision making. Sensitivity and specificity, which are intrinsic properties of diagnostic tests, summarizes the characteristics of the test over a population. The PPV and NPV are greatly dependent on the population prevalence of disease, and thus they do not transferable to different patients or clinical settings. Besides, considering the fact that clinicians more often interested in knowing the extent to which a test result could confirm or exclude of a condition under consideration (posttest probability), these measures do not provide answers on this question. The likelihood ratios (LR) using the information contained in sensitivity and specificity are becoming increasingly popular for reporting the usefulness of diagnostic tests because this term provide an indication of posttest probability as a function of the pretest probability. In this article, clinical applications of LR are illustrated with some practical examples. Discussion is also included of the inherent limitations regarding diagnostic test characteristics.

Characteristics of Insulation Diagnostic in Traction Motor Stator Windings (견인전동기 고정자 권선의 절연진단 특성)

  • Kim, Hee-Dong;Kim, Chung-Hyo;Park, Young;Park, Hyun-June
    • Proceedings of the Korean Institute of Electrical and Electronic Material Engineers Conference
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    • 2006.11a
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    • pp.336-338
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    • 2006
  • Diagnostic tests are used to evaluate the insulation condition of stator windings in traction motor. These tests included ac current, tan delta and maximum partial discharge. The insulation condition of stator windings was assessed by three test items. The stator windings of traction motor were m good condition. After completing the diagnostic tests, the stator windings of traction motors were subjected to gradually increasing ac voltage, until the insulation punctured. No.5 stator windings failed near rated voltage of 18.9 kV. The breakdown voltage of No.1 stator windings was 13.0. The failure was located m a line-end coil at the exit from the core slot.

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Diagnostic Accuracy of Clinical Test for Anterior Cruciate Ligament Injury: Systematic Review

  • Deniz Yasemin;Sang-Woo Pyun;HyungSu Lee;Seong-Eun Kim;SunGyu Han;Dongyeop Lee;Ji-Heon Hong;Jae-Ho Yu;Jin-Seop Kim;Seong-gil Kim
    • The Journal of Korean Physical Therapy
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    • v.35 no.3
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    • pp.57-63
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    • 2023
  • Purpose: The aim of this study was to conduct a systematic review of randomized controlled studies from 2012 to present that explore the diagnostic accuracy of clinical tests used for diagnosing anterior cruciate ligament (ACL) injury. Methods: Study design: Systematic review. Literature search of the PubMed and Scholar databases was conducted using keywords related to diagnostic accuracy of clinical tests for ACL injury. The PRISMA Guidelines were followed to conduct this study. The Cochrane Risk of Bias Tool was utilized to assess the quality of each included study. Results: As a result, 8 studies were included, and 6 clinical tests used in ACL tears were evaluated for diagnostic accuracy. The pivot shift test was reported as having the highest +LR (29.5) value with a sensitivity of 59% and a specificity of 98%. However, the test with the lowest -LR value was the lever test, and the values were as follows: -LR (0.08), +LR (4.7), specificity (80%), sensitivity (94%). Conclusion: In this study, it was concluded that a single clinical test is not sufficient to determine the presence of ACL injury. Test combinations have a higher diagnostic accuracy than a single test. In this study, the accuracy of the clinical tests was examined without considering the amount of ACL rupture and acute-chronic condition. Further research is required to examine the impact of these two factors on diagnostic accuracy of clinical test.

Characteristics of Insulation Failure in High Voltage Motor Stator Windings (고압전동기 고정자 권선의 절연파괴 특성)

  • Kim, Hee-Dong;Kim, Kyeong-Yeol;Park, Deok-Hyun
    • Proceedings of the Korean Institute of Electrical and Electronic Material Engineers Conference
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    • 2010.06a
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    • pp.124-124
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    • 2010
  • Diagnostic tests were performed on six high voltage motors. These tests included ac current, dissipation factor(tan6) and partial discharge(PD) magnitude. The rewind of motor stator insulation at rated voltage is assessed by the results of these tests. After completing the diagnostic tests, the stator windings of motors were subjected to gradually increasing ac voltage, until the insulation punctured. No. 1 and No.2 motors(4.16 kV) failed near rated voltage of 12.3 kV and 14.2 kV, respectively. The breakdown voltage of No.3 and No.4 motors(6.6 kV) was 17.6 kV and 17.8 kV, respectively. These motors are higher that expected for good quality coils in 6.6 kV class motors.

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Analysis of Insulation Diagnostic Test for High Voltage Motor(I) (고압전동기 절연진단 해석(I))

  • Lee, Young-Jun;Ju, Young-Ho
    • Proceedings of the KIEE Conference
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    • 1999.07e
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    • pp.2104-2106
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    • 1999
  • The insulation diagnostic tests was performed at local thermal power plants high voltage motor. The insulation diagnostic tests include measurements of insulation resistance, polarization index, AC current, $tan{\delta}$, partial discharges. This paper describes the difference of insulation characteristics for high voltage motor makers.

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