• 제목/요약/키워드: Non-Invasive

검색결과 1,263건 처리시간 0.026초

Updates on the Diagnosis of Helicobacter pylori Infection in Children: What Are the Differences between Adults and Children?

  • Yang, Hye Ran
    • 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.

간질환 종류에 따른 비침습적 간섬유화 평가법의 유용성 분석 : C형 간염 보균자 중심으로 (Analysis on Usefulness of Non-invasive Liver Fibrosis Evaluation Method according to the Liver Disease : Focused on Hepatitis C patients)

  • 남지희;김정훈
    • 대한방사선기술학회지:방사선기술과학
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    • 제42권5호
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    • pp.345-350
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    • 2019
  • Liver biopsy is the gold standard for diagnosing liver fibrosis, but it is invasive and has a risk for complications. For this reason, recently, study has been actively conducted on non-invasive liver fibrosis evaluation method. But, there is no established standard for the type of diffuse liver disease. Therefore, this study was suggest the usefulness and cut-off values of Fibroscan, FIB-4, APRI and AAR of patients with hepatitis C in Korea. According to the diagnosis, 240 people in hepatitis C are classified into fatty liver, chronic hepatitis, and liver cirrhosis. The statistical analysis was performed by ANOVA to verify difference between groups. The ROC curve was analyzed to determine the usefulness and practical cut-off value. As a result, for all diseases, the AUC value for Fibroscan was 0.8 over and the APRI was 0.7 over. Cut-off value of serum based liver fibrosis markers was increased in order of fatty liver, chronic hepatitis and liver cirrhosis. If Fibroscan and serological liver fibrosis markers are applied to predict liver fibrosis, it is expected that excessive liver biopsy can be reduced.

New Record of Two Non-Native Sternotherus Turtles in The Wild of South Korea

  • Hae-Jun Baek;Minjeong Seok;Jongwon Song;Su-Hwan Kim
    • Proceedings of the National Institute of Ecology of the Republic of Korea
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    • 제5권2호
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    • pp.55-59
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    • 2024
  • The remarkable economic growth achieved in the modern era has revitalized various industries, including pet trade. More than 2,000 species of non-native species have been introduced to South Korea and approximately 7.7 tonnes of alien turtles are imported annually. Turtles belonging to the family Kinosternidae. They are mostly small and popular pets, although they are designated as Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES) species. In the present study, we present the first two species of musk turtles found in the wild in South Korea. On April 5, 2023 and July 8, 2023, an eastern musk turtle (Sternotherus odoratus) and a razorbacked musk turtle (Sternotherus carinatus) were captured in Ilsandong-gu, Goyang-si, Gyeonggi-do and Jung-gu, Daejeon, respectively. The carapace length was 88.6 mm for S. odoratus and 105.68 mm for S. carinatus. They were identified based on their morphological characteristics and mtDNA cytochrome b gene. These turtles were found in waterfront areas with over 1.4 million annual visitors. Both sites were found to have threatened amphibians and reptiles. There is an urgent need to continue monitoring and conducting risk assessments for the protection of endemic species in Korea.

폐격리증 2례 보고 및 대한 흉부외과학회지에 발표된 19례의 문헌 고찰 (Bronchopulmonary Sequestration - Report of 2 cases and review of 19 cases published in the Korean Journal of Thoracic and Cardiovascular Surgery -)

  • 곽영태
    • Journal of Chest Surgery
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    • 제20권4호
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    • pp.829-838
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    • 1987
  • Bronchopulmonary sequestration is a rare congenital malformation of the lung, concerning about the abnormal feeding systemic artery, may happen a serious complication of heeding during operation if not recognized before operation. High index of suspicion of sequestration is the key to successful operative procedure with the aid of characteristic recurrent and long-standing symptoms, its location, and invasive or non-invasive diagnostic tools. We report 2 cases of intralobar type of bronchopulmonary sequestration and review 10 articles about the subject, totaling of 21 cases.

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자기공명흡수법에 의한 무혈혈당측정기의 디자인 (Design of a Non-Invasive Blood Glucose Sensor Using a Magneto-Resonance Absorption Method)

  • 김동균;원종화
    • 전자공학회논문지SC
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    • 제42권2호
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    • pp.33-38
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    • 2005
  • 신체 내 혈당 변화량과 $^1H$ 원자핵의 스핀-격자 완화시간의 변화량이 관련 있음과 원자핵의 스핀-격자 완화시간을 측정하는 방법으로 자기공명흡수법이 제안된 바 있다. 자기공병흡수법에 의하여 신체 내 혈당 변화량을 감지하기 위해서는 검출 영역내 고수준의 자기장의 세기와 균일도의 확보가 필수적이다. 가정에서 손쉽게 혈당의 변화량을 측정할 수 있도록, 본 논문에서는 가정용으로 적합한 크기와 무게를 가지면서 요구되는 자기장의 세기와 균일도를 확보한 무혈혈당측정기를 디자인하였다. 여러 형상과 재질을 갖는 초기 모델들을 설계, 제작하였고, 검출 영역의 자기 특성을 비교하여 최종 재질을 결정하였다. 또한, 유한요소 해석모델을 구축하고 형상 최적화를 통하여 최종 모델을 선정하였다.

근적외선 분광법 기반 비침습식 혈당 수치 추정 알고리즘 연구 (Research on a Non-invasive Blood Glucose level Estimation Algorithm based on Near- infrared Spectroscopy)

  • 강영만;한순희
    • 한국전자통신학회논문지
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    • 제18권6호
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    • pp.1353-1362
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    • 2023
  • 혈당 수치를 확인하기 위해 사용하는 채혈식 혈당 측정기의 불편함을 해소하기 위한 다양한 방법이 시도되고 있다. 본 논문에서는 근적외선 센서를 이용하여 획득한 스펙트럼 데이터로부터 머신러닝 기술을 사용하여 비침습적으로 혈당 수치를 추정하고자 하였다. 연구에 사용한 비침습식 혈당측정기는 가시광선을 포함하여 총 6개로 구성된 근적외선 발광부와 이를 수신하는 수광부를 가지는데, 손가락과 같은 인체의 특정 부위에 대한 스펙트럼 데이터를 수집하기 위해 만든 기기이다. 혈당 수치에 따라 유의미한 차이가 있는지를 검증하기 위해 머신 러닝 알고리즘들을 통해 혈당 수치 추정을 시도하였다. 수집한 데이터에 5가지 머신 러닝 알고리즘 기법을 적용하면서 다양한 하이퍼 파라미터를 조정한 결과, 서포트 벡터 회귀 알고리즘이 가장 좋은 성능을 나타냄을 확인하였다.

침습적 및 비침습적 감염 환자에서 분리된 A군 연구균의 T 혈청형과 emm 유전자형의 비교 연구 (Differences in T Serotypes and emm Genotypes of Group A Streptococci Obtained from Invasive and Non-invasive Streptococcal Infections)

  • 한원호;김세진;고한석;정사준;차성호;이희주;이경원
    • Pediatric Infection and Vaccine
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    • 제13권2호
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    • pp.106-114
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    • 2006
  • 목 적 : A군 연구균은 인두염, 성홍열과 같은 경증감염으로부터 심각한 치명률을 보이는 중증 침습적 감염의 원인균이 된다. 역학, 항생제 내성발생 등을 조사, 연구하는 데에 혈청형과 유전자형이 이용되고 있다. 이에 침습적 질환에서 혈청형과 유전자형이 비침습적 질환과 비교하여 어떤 차이점이 있는지 알아보기 위하여 본 연구를 시행하였다. 방 법 : 2004년 1~12월간 신촌세브란스병원에서 침습적 A군 연구균 질환으로 진단된 환자의 검체에서 39개의 균주를 동정, 미국 미네소타 대학의 WHO Collaboratory Center에 보내어 T혈청형 및 emm 유전자형을 분석하였고, 이를 1998~2002년 및 2003~2004년에 비침습적 질환에 대해 본 기관에서 연구하였던 결과와 비교하였다. 결 과: 2003~2004년 비침습적 질환대상 연구결과와 비교해 T2/28, 3, 5/27/44, 9, NT형은 상대적으로 많았는데, NT형이 통계적으로 유의하게 많았다(P=0.019). emm 유전자형은 emm 3, 9, 18, 44, STG485 형이 상대적으로 많았는데, STG485형은 통계적으로 유의하게 많았다(P=0.000). 높은 EM 내성과 관련된 T12, 4는 17.9%에 불과하였으며, 이는 비침습적 질환대상 연구 결과인 47%, 47.9%보다 통계적으로 유의하게 낮은 결과였다(P=0.002, P=0.000). 류마티스열의 발생과 재발에 관련하는 emm(M) 1, 3, 5, 6, 16, 18형은 41%로 비침습적 질환 연구결과인 26%(2003~2004) 보다 높았으나 통계적 의미는 없었다. 새로운 emm 유전자형이 발견되었다. 결 론 : T혈청형 분석으로 추정한 EM 내성률은 침습적 질환군에서 더 높지는 않을 것으로 생각되었다. emm 유전자형 결과 류마티스열의 발생과 재발 가능성이 더 높을 수도 있어 균주의 감시와 인두염의 철저한 치료가 필요할 것으로 사료된다. 향후에도 항생제 내성균 감시 및 새로운 형의 발견을 위해 혈청형 및 유전자형 분석을 계속해야 할 것이다.

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Serum miRNA Panel in Egyptian Patients with Chronic Hepatitis C Related Hepatocellular Carcinoma

  • Khairy, Ahmed;Hamza, Iman;Shaker, Olfat;Yosry, Ayman
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권5호
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    • pp.2699-2703
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    • 2016
  • Background: Primary hepatocellular carcinoma (HCC) is one of the most common malignancies worldwide. MicroRNAs (miRNAs) have great HCC diagnostic potential and circulating miRNAs have been reported as promising biomarkers for various pathologic conditions. Aim: To explore the potential benefit of serum miR-126, miR-129, miR-155, miR-203 and miR-223 as non-invasive diagnostic markers of hepatitis C virus (HCV)-related HCC. Materials and Methods: The expression of miRNA was evaluated using real-time quantitative RT-PCR in 78 serum samples (30 $treatment-na{\ddot{i}}ve$ chronic HCV, 25 post-HCV compensated cirrhosis and 23 $treatment-na{\ddot{i}}ve$ HCC cases). Results: Comparing miRNA fold changes in the HCC group vs the non HCC groups, there was significant fold decrease in miR-126 (P= 0.034), miR-129 (P= 0.006), miR-155 (P= 0.011), miR-203 (P<0.001) and miR-223 (P= 0.013). The highest AUC to differentiate HCC patients from non-HCC was 0.76 for miR-203. Conclusions: Among studied miRNAs, serum miR-203 has the highest potential as a non-invasive biomarker of HCC.

Near-infrared (NIR) 영상기법을 이용한 생체 내 수지상세포의 이동 (In vivo Dendritic Cell Migration Tracking Using Near-infrared (NIR) Imaging)

  • 이준호;정남철;이은계;임대석
    • KSBB Journal
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    • 제27권5호
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    • pp.295-300
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    • 2012
  • Matured dendritic cells (DCs) begin migration with their release from the bone marrow (BM) into the blood and subsequent traffic into peripheral lymphoid and non-lymphoid tissues. Throughout this long movement, migrating DCs must apply specialized skills to reach their target destination. Non-invasive in vivo cell-tracking techniques are necessary to advance immune cell-based therapies. In this study, we used a DiD cell-tracking solution for in vivo dendritic cell tracking in naive mice. We tracked DiD (non-invasive fluorescence dye)-labeled mature dendritic cells using the Near Infrared (NIR) imaging system in normal mice. We examined the immunophenotype of DiD-labeled cells compared with non-labelled mature DCs, and obtained time-serial images of NIR-DC trafficking after mouse footpad injection. In conclusion, we confirmed that DiD-labeled DCs migrated into the popliteal lymph node 24 h after the footpad injection. Here, these data suggested that the cell tracking system with the stable fluorescence dye DiD was useful as a cell tracking tool to advance dendritic cell-based immunotherapy.

견(肩).경항부(頸項部) 동태손상증후군에서의 동씨침 혈위 활용 방안 (A Study on the Use of Dong-Si Acupuncture Points at Movement System Impairment Syndrome of Shoulder and Cervical Spine)

  • 윤우석;박영재;박영배
    • Journal of Acupuncture Research
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    • 제30권5호
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    • pp.1-9
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    • 2013
  • Objectives : The purpose of this study was to present clinical utility of therapeutic exercise on the neck and shoulder parts based on the movement system impairment syndrome(MSIS) as Dong-Qi therapy of the Dong-Si Acupuncture and was to examine which Dong-Si acupoints were most effective and non-invasive when performing therapeutic exercise of the MSIS. Methods : Totally eight therapeutic exercises correspondent to eight neck and shoulder MSIS were summarized and tabulated from the Diagnosis and Treatment of Movement Impairment Syndrome and Movement System Impairment Syndromes Of The Extremities, Cervical and Thoracic Spines by Sahrmann SA. Together with the MSIS summaries, acupuncture points and Dong-Qi therapy were summarized and tabulated from Yangweijiequanji 1 and Yangweijiequanji 2 by Yangweijie. According to the posture and movement of the MSIS exercise, effective and non-invasive acupoints were selected. Thereafter, clinical pilot study which five normal volunteers participated in were performed to examine whether these acupoints resulted in any side effects of acupuncture therapy such as pain and distortion of the needle during the MSIS exercises. Results : Through clinical pilot study, ZhongZi, ZhongXian, ZhengJin, ZhengZong and MuLiu in a sitting position, and HuaGuYi, ZhongZi and ZhongXian in a supine position were finally determined as safe and non-invasive Dong-Si acupoints to treat cervical pain. In terms of shoulder pain, ZuQianJin, ZuWuJin, HuaGuEr and JianZhong in a supine position, SiHuaZhong, ZuQianJin, ZuWuJin, QuLing, JianZhong, ShenGuan and JiuLi in a standing position, and ZuQianJin, ZuWuJin, HuaGuEr, QuLing and JianZhong in a prone position were finally accepted as safe and non-invasive Dong-Si acupoints. Conclusion : It is concluded that Dong-Si acupoints can be safely and non-invasively used together with therapeutic exercises of the MSIS to treat cervical and shoulder pains.