• 대한임상검사과학회지
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• 제42권1호
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• pp.38-45
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• 2010

The aim of this study was to assess the Clinical Usefulness of Helicobacter pylori Stool Antigen (HpSA) immunochromatographic assay for the diagnosis of H. pylori infection. In this study, we had compared HpSA-immunochromatographic assay with CLO test and UBT test. From a total of 140 patients (M:F=88:52) with upper endoscopy, biopsy specimens were obtained for CLO test. Stool specimens was collected from all patients and tested using a HpSA-immunochromatic assay. H. pylori infection status was defined as infected if the results of both CLO test and UBT test were positive. CLO test and UBT test findings showed that 92 patients were H. pylori positive and 48 patients were H. pylori negative. According to this definition, the sensitivity, specificity, and positive or negative predictive value (PPV, NPV) of HpSA-immunochromatographic assay were 97.8%, 100%, 100%, and 96%, respectively. Cross reactivity test of HpSA-immunochromatographic assay were performed with 10 enteric bacteria strains in fecal habitat, and there were no false positive reaction. We evaluated the usefulness of HpSA assay for eradication therapy with 10 of 92 H. pylori positive patients, positive results of them at pre-eradication therapy were converted to negative at post-eradication. The HpSA-immunochromatographic assay is a highly sensitive and specific non-invasive diagnostic method for detection of H. pylori infection, a useful diagnostic method for H. pylori in post eradication stage.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제7권2호
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• pp.153-162
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• 2004

목적: H. pylori 대변항원(Helicobacter pylori stool antigen; HpSA) 검사는 H. pylori 감염 여부를 진단하는 데 이용되는 비침습적 검사이지만, 소아에서 제균요법 후 H. pylori 대변항원검사의 유용성에 대한 연구가 거의 이루어지지 못한 상태이다. 본 연구에서는 소아에서 H. pylori의 제균 여부를 확인하는 데 있어 enzyme immunoassay에 의한 HpSA 검사의 진단 정확도를 평가하고자 하였다. 연구방법: 2001년 1월부터 2003년 10월까지 서울대학교병원 소아과에서 146명의 소아(평균 연령 $9.3{\pm}4.3$세)를 대상으로 총 164회의 H. pylori 대변항원검사(Primier platinum HpSA)를 시행하였다. H. pylori 감염여부를 확인하기 위해 모든 환아에서 H. pylori 대변항원검사와 상부위장관내시경에 의한 위점막 생검을 병행하였다. H. pylori 감염이 확인되어 사제요법(omeprazole, amoxicillin, metronidazole, bismuth subcitrate)을 1주 동안 시행 받은 환아들에서는 치료 종결 후 최소 4주가 경과하였을 때 위내시경과 H. pylori 대변항원검사를 반복 실시하였다. H. pylori 대변항원검사는 OD값이 0.16 이상일 때 양성, 0.14~0.16 사이는 감염 미확정, 0.14 미만은 음성으로 판정하였다. 결과: 1) 제균 전 시행한 131회의 위내시경 조직검사 결과 28명이 H. pylori 양성이었고 나머지 103명은 H. pylori 음성이었다. 동시에 시행한 H. pylori 대변항원검사 결과에서 30명이 H. pylori 양성이었고, 101명이 음성으로 판정되었다. 따라서 제균요법 시행 전 H. pylori 대변항원검사의 민감도, 특이도, 양성 예측치, 음성 예측치는 각각 96.4%, 97.1%, 90% 그리고 99%이었다. 2) 제균요법 4주 후 33명의 환아에서 시행한 위내시경에 의한 조직검사에서 H. pylori는 24명에서 음성이었으나 9명은 여전히 양성이었다. 동시에 시행한 H. pylori 대변항원검사는 10명에서 양성, 23명에서 음성이었다. 따라서 제균요법 후 H. pylori 대변항원검사의 민감도, 특이도, 양성 예측치, 음성 예측치는 각각 88.9%, 91.7%, 80% 그리고 95.7%이었다. 결론: 소아에서 H. pylori 대변항원검사는 제균 후에도 높은 진단 정확도를 보였다. 따라서 H. pylori 대변항원검사는 소아에서 제균요법 후 균 박멸여부를 확인하는 데에도 매우 유용한 비침습적인 검사방법이라고 하겠다.

• 한국동물위생학회지
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• 제38권1호
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• pp.37-42
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• 2015

The aim of the present study was to compare the non-invasive methods for the diagnosis of H. felis with HpSA kit-based detection method and H. felis-specific PCR assay with dog's stool samples without sacrifice. Male Beagle dogs (n=6) were infected with H. felis ATCC 49179 ($1.0{\times}10^9CFU/dog$) by intra-gastric inoculation two times at 3-day intervals, and the stool specimens of dogs were collected 1, 3, 5, 7, 14, 21 days after infection to submit to HpSA test and H. felis-specific PCR. As the results, the sensitivity of the HpSA and the PCR analysis was 50.0%, 83.3% respectively. Although HpSA test is less sensitive, it could be used for rapid, cheap and easy screening assay for H. felis infection in dog and cats. We suggest that the H. pylori stool antigen kit, HpSA, is useful and effective for monitoring H. felis infection. If HpSA test would be made with H. felis antibodies in the future, its sensitivity could be increased. Also, PCR assay could be successfully used to detect the H. felis in stools. Applying the H. pylori stool antigen kit and PCR assay may be the recommended non-invasive strategy to identify H. felis in dog and cats.

• Asian Pacific Journal of Cancer Prevention
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• 제16권2호
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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.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제19권2호
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• pp.96-103
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• 2016

Helicobacter pylori infection is acquired mainly during childhood and causes various diseases such as gastritis, peptic ulcer disease, mucosa-associated lymphoid tissue (MALT) lymphoma, and iron deficiency anemia. Although H. pylori infection in children differs from adults in many ways, this is often overlooked in clinical practice. Unlike adults, nodular gastritis may be a pathognomonic endoscopic finding of childhood H. pylori infection. Histopathological findings of gastric tissues are also different in children due to predominance of lymphocytes and plasma cells and the formation of gastric MALT. Although endoscopy is recommended for the initial diagnosis of H. pylori infection, several non-invasive diagnostic tests such as the urea breath test (UBT) and the H. pylori stool antigen test (HpSA) are available and well validated even in children. According to recent data, both the $^{13}C$-UBT and HpSA using enzyme-linked immunosorbent assay are reliable non-invasive tests to determine H. pylori status after eradication therapy, although children younger than 6 years are known to have high false positives. When invasive or noninvasive tests are applied to children to detect H. pylori infection, it should be noted that there are differences between children and adults in diagnosing H. pylori infection.

• 영재교육연구
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• 제27권1호
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• pp.81-96
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• 2017

본 연구에서는 음악재능 청소년들을 대상으로 이들이 지닌 음악에 대한 열정(조화열정, 강박열정)의 고 저에 따른 군집 간 음악가치, 음악만족감 및 음악성취감이 차이가 나타나는지를 살펴보고, 음악가치와 음악성취감 간의 관계에서 음악열정과 음악만족감의 매개효과를 탐색해보고자 하였다. 본 연구 대상은 경기, 충남 및 부산지역에 소재한 예술고등학교에 재학 중인 음악 전공학생 총 599명이었으며, 이들 중 응답이 불성실한 학생들을 제외한 나머지 총 524명을 최종분석 대상으로 선정하였다. 본 연구결과, 음악열정 유형의 고 저에 따른 군집이 4개(고열정, 조화열정, 강박열정, 저열정)로 나타났으며, 이들 4개 집단 간 음악가치, 음악만족감 및 음악성취감에서 유의한 차이가 있는 것으로 나타났는데, 특히 조화열정과 강박열정 모두 높게 지니고 있는 고열정 집단이 가장 높게 나타났으며, 그 다음으로 강박열정은 낮지만 조화열정이 높은 조화열정 집단이 높게 나타났고, 조화열정과 강박열정 모두 낮은 저열정 집단이 가장 낮은 것으로 나타났다. 또한 음악가치와 음악성취감 간의 관계에서 열정(조화열정, 강박열정)과 음악만족감이 매개하는 것으로 나타났는데, 특히 조화열정이 강박열정에 비해 음악성취감에 미치는 직 간접 효과가 상대적으로 크게 나타났다. 이와 아울러, 음악가치의 영향을 받은 조화열정과 강박열정 모두 음악성취감에 직접적으로 영향을 미치며, 음악만족감을 거쳐 음악성취감에 간접적으로 영향을 미치기도 하는 것으로 나타났다. 즉, 강박열정보다 조화열정을 추구할 때 음악재능 청소년들의 음악성취감이 더욱 크게 나타나고 있음이 입증되었다. 이와 같은 본 연구결과를 토대로 볼 때, 음악재능 청소년들의 음악성취감 증진을 위해 이들로 하여금 강박열정보다는 조화열정을 추구할 수 있도록 지도해 줄 필요가 있는 것으로 기대된다.

• 생물정신의학
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• 제2권1호
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• pp.70-76
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• 1995

A few researchers have reported that major depression may be associated with higher levels of positive acute phase proteins(APPs), such as haptoglobin(Hp), ${\alpha}1$-antitrypsin(${\alpha}1AT$), ceruloplasmin(Cp) and lower levels of negative APPs(visceral proteins), such as albumin(Alb) and transferrin(Tf). Elevated levels of positive APPs and a drop in negative APPs constitute important indicators of immune activation. This study was designed to investigate whether altered serum concentrations of positive APPs and of negative APPs reflect the state of depression. Twenty patients who fulfilled DSM-III-R criteria for major depressive disorder and for dysthymic disorder and twelve normal healthy controls were included. The authors measured positive APPs(Hp, ${\alpha}1AT$, Cp) and negative APPs(Alb, Tf) using rate nephelometry and bromcresol green method. 1) There were significant increases of ${\alpha}1AT$, Cp in major depressed patients as compared with normal controls. Trends towards higher Hp and lower Alb, Tf in major depressed patients were observed. 2) No significant difference of APPs concentrations between dysthymic patients and normal controls was found. 3) Severity of depression(HDRS, BDI score) was related to Hp, Cp, ${\alpha}1AT$ value positively. Our findings are partially compatible with the hypothesis that major depression may be accompanied by acute phase response with higher levels of positive APPs and lower levels of negative APPs.

• 한국해양공학회:학술대회논문집
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• 한국해양공학회 2006년 창립20주년기념 정기학술대회 및 국제워크샵
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• pp.181-184
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• 2006

Nano Infiltration Transient Eutectic Phase - Silicon Carbide (NITE-SiC) and $SiC_f/SiC$ composite have been fabricated by a Hot Pressing (HP) process, using SiC powder with an average size of about 30nm. Alumina ($Al_2O_3$) and Yttria ($Y_2O_3$) were used for additives materials. These mixed powders were sintered at the temperature a of $1300^{\circ}C$, $1650^{\circ}C$, $1800^{\circ}C$ and $1900^{\circ}C$ under an applied pressure of 20MPa. And unidirection and two dimension woven structures of $SiC_f/SiC$ composites were prepared starting from Tyranno SA fiber. Densification of microstructure gives an effect to density. Specially, Densification Mechanism basically is important from the sintering which use the HP. In this study, the densification of NITE-SiC and $SiC_f/SiC$ composite mechanism by a press displacement appears investigated. The mechanism on the densification of each sintering temperature was investigated. The each step is shows a with each other different mechanism quality.

• Restorative Dentistry and Endodontics
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• 제46권4호
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• pp.53.1-53.11
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• 2021

Objectives: This study evaluates the bond strength and marginal adaptation of mineral trioxide aggregate (MTA) Repair HP and Biodentine used as apical plugs; MTA was used as reference material for comparison. Materials and Methods: A total of 30 single-rooted teeth with standardized, artificially created open apices were randomly divided into 3 groups (n = 10 per group), according to the material used to form 6-mm-thick apical plugs: group 1 (MTA Repair HP); group 2 (Biodentine); and group 3 (white MTA). Subsequently, the specimens were transversely sectioned to obtain 2 (cervical and apical) 2.5-mm-thick slices per root. Epoxy resin replicas were observed under a scanning electron microscope to measure the gap size at the material/dentin interface (the largest and smaller gaps were recorded for each replica). The bond strength of the investigated materials to dentin was determined using the push-out test. The variable bond strengths and gap sizes were evaluated independently at the apical and cervical root dentin slices. Data were analyzed using descriptive and analytic statistics. Results: The comparison between the groups regarding the variables' bond strengths and gap sizes showed no statistical difference (p > 0.05) except for a single difference in the smallest gap at the cervical root dentin slice, which was higher in group 3 than in group 1 (p < 0.05). Conclusions: The bond strength and marginal adaptation to root canal walls of MTA HP and Biodentine cement were comparable to white MTA.

• 한국미생물·생명공학회지
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• 제25권1호
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• pp.82-88
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• 1997

To produce biopolymer, Metarrhizium anisopliae (Metschn.) Sorok was cultured in a medium containing glucose 1.0%, sucrose 2.0% , soluble starch 1.0%, yeast extract 0.5%, polypeptone 0.05%, K$_{2}$HPO$_{4}$ 0.1% MgSO$_{4}$ $\CDOT $ 7H$_{2}$O 0.02%. The culture broth was centrifuged and the polymer was harvested by adding methanol to the culture supermatant. When three times of methanol was added, the polymer was coagulated and precipitated. Then it was further purified through successive SK-1B, SA-20P, HP-20 column chromatographies. This polymer was designated as Biopolymer YU-122.C:H ratio of this Biopolmer YU-122 was 1:2 and small amount of N is detected by CHN analyzer. Glucose and glactose are main components of this polymer. Average molecular weight of this biopolymer was 1.7%$\times $10$^{6}$ by Sepharose 4B gel permeation chromatography. Optimal condition for biopolymer production was investigated. When 5% of mannitol was used as a carbon source, and polypepton as a N source, highest productivity of biopolymer was achieved. C/N ratio as nutrient was also a major factor in polymer production and its optimal ratio was 3.