• 한국가시화정보학회지
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• 제13권1호
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• pp.35-42
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• 2015

CD4+ T-cell count determines the effectiveness for antiretroviral therapy (ART) in patients with human immunodeficiency virus (HIV). Although ART slows the progression of HIV to AIDS, rapid counting of CD4+ T lymphocytes with a drop of patient's blood sample is urgently needed to ensure timely ART treatment in rural areas. Recently point-of-care CD4 testing devices have been developed by using non-flow based imaging cytometer incorporated with a sample cartridge where CD4+ T cells are reacted with fluorescently tagged specific antibodies. Here we conducted an experimental study using a conventional fluorescence microscope-based imaging system to quantitate the interaction of CD4 antibodies with CD4+ T cells at different reaction conditions. We demonstrated that a fast and affordable point-of-care CD4 test is feasible with a far less amount of antibodies and a shorter incubation time compared with a conventional sample preparation protocol for flow cytometry. We also proposed a general method to evaluate and compare the detection limit across different CD4 counting platforms by using fluorescently labelled microbeads for intensity calibration.

• 한국임상수의학회지
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• 제37권1호
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• pp.23-27
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• 2020

Between May and November 2018, babesiosis was examined in 162 bloods samples obtained to an animal hospital in Jeju island for anemia and medical examination. Sixty-two of 162 (38.3%) were positive by PCR. The ultra fast real-time PCR test with blood directly analyzed without DNA extraction showed the same results. Accurate diagnosis, treatment and prognosis of babesiosis should be combined with clinical symptoms, blood tests, the babesia antibody test, and the PCR antigen test. Ultra fast real-time PCR, with these tests, is expected to be a point-of-care testing (POCT) for easy, fast and accurate diagnosis of babesiosis in the veterinary clinic.

• 세라미스트
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• 제21권3호
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• pp.293-301
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• 2018

Paper-based analytical devices (${\mu}PAD$) are highly advantageous for portable diagnostic systems owing to their low costs and ease of use. ${\mu}PADs$ are considered as the best candidates for realizing the World Health Organization (WHO) ASSURED criteria: affordable, sensitive, specific, user-friendly, rapid and robust, equipment-free, and deliverable to end users. However, they have several limitations such as low sensitivity and accuracy. This article reports a mini review for a micro-fluidic paper-based analytical devices (${\mu}PAD$), especially for addressing low sensitivity and accuracy issues.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제7권1호
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• pp.132-148
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• 2013

Via the Internet, the information infrastructure of modern health care has already established medical information systems to share electronic health records among patients and health care providers. Data hiding plays an important role to protect medical images. Because modern medical devices have improved, high resolutions of medical images are provided to detect early diseases. The high quality medical images are used to recognize complicated anatomical structures such as soft tissues, muscles, and internal organs to support diagnosis of diseases. For instance, 16-bit depth medical images will provide 65,536 discrete levels to show more details of anatomical structures. In general, the feature of low utilization rate of intensity in 16-bit depth will be utilized to handle overflow/underflow problem. Nowadays, most of data hiding algorithms are still experimenting on 8-bit depth medical images. We proposed a novel reversible data hiding scheme testing on 16-bit depth CT and MRI medical image. And the peak point and zero point of a histogram are applied to embed secret message k bits without salt-and-pepper.

• 분석과학
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• 제20권5호
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• pp.393-399
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• 2007

본 연구에서는 갈락토오즈의 현장검사(point-of-care testing, POCT)를 위한 일회용 갈락토오즈 바이오센서 개발에 관해 논하고자 한다. Galactose oxidase(GAO)와 horseradish peroxidase(HRP) 두 효소를 0.05 M phosphate 완충용액에 용해시킨 후 스크린 프린팅(screen printing) 방법으로 제작한 전극위에 고정화하여 센서를 제작하였다. 이렇게 제작된 센서를 이용하여 $100{\mu}L$ 이하의 시료를 이용하여 갈락토오즈를 90초 이내에 측정하였다. 전극에서의 반응을 최적화하기 위하여 GAO 효소가 가장 우수한 활성을 나타내는 pH 7.0 완충용액을 이용하여 GAO와 HRP 효소를 1:1로 고정화하고, 1mM 1,1'-ferrocene-dimethanol 전자전달매개체를 도입하여 센서를 제작하였다. 유리 탄소전극의 경우 100 mV (vs Ag/AgCl), 스크린 프린트된 전극의 경우 -100 mV(vs Ag/AgCl)의 인가전압을 적용하였다. 본 연구에 의해 개발된 센서는 $0{\sim}400{\mu}M$의 갈락토오즈 농도에 대하여 우수한 직선성($r^2$ = 0.997, S/N = 3)을 나타내었고 낮은 인가전압을 적용하여 갈락토오즈를 측정하므로, ascorbic acid, uric acid 그리고 acetaminophen과 같은 방해물질의 영향을 최소화 할 수 있었다. 또한 갈락토오즈 표준 용액에 대하여 만족할 만한 재현성을 나타내었다(CV = 5%).

• 보건의료산업학회지
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• 제11권2호
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• pp.1-15
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• 2017

Objectives : This study aimed to identify the perception of quality improvement in health care and operational performance after the implementation of the Healthcare Accreditation. Methods : Data were collected from 5 hospitals that have experienced the 2th Healthcare Accreditation in Busan, South Korea. A Likert 5-point scale was used to measure the research variables and a structured questionnaire was used. Finally, 206 valid cases were analyzed using SPSS win 18.0. For hypothesis testing, hierarchical multiple regression analysis were performed. Results : The perception of quality improvement in health care after the implementation of the Healthcare Accreditation was higher than the operational performance. In the customer orientation and job performance, the perception of quality improvement in health care and operational performance had a significant influence. Conclusions : It is necessary to use the Healthcare Accreditation as a virtuous cycle of management that can ensure enforcement of workplace regulations and improve the members'ability to provide high quality medical services.

• 한국생물공학회:학술대회논문집
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• 한국생물공학회 2003년도 생물공학의 동향(XIII)
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• pp.201-204
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• 2003

Plasma lipoproteins transporting cholesterol through blood vessels are divided into three major classes, VLDL, LDL, and HDL. The ratio of HDL cholesterol over the total can be used as an indicator for prognosis of coronary artery diseases. In this study, we have developed two analytical systems for %HDL cholesterol with different flow modes toward gravity and analyzed them for their characteristics and performances.

• 전기화학회지
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• 제27권1호
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• pp.1-7
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• 2024

신체에 부착하는 웨어러블(wearable) 센서 및 현장 진단 검사(point-of-care testing)가 용이한 센서의 필요성이 부각되면서, 종이를 기반으로 하는 센서들이 활발히 연구되어왔다. 종이는 매우 저렴하면서도 가볍고 유연할 뿐만 아니라, 표면에 카본과 같은 전도성 물질 및 왁스와 같은 소수성 물질을 입히기 쉽다. 또한, 종이를 이루는 셀룰로오스 섬유에 의한 모세관 현상으로 외부 힘 없이 용액의 흐름을 유도할 수 있어 웨어러블 전기화학 센서의 플랫폼으로 특히 주목받고 있다. 이에 따라, 다양한 분석 물질들을 전기화학적인 방법으로 검출하는 종이 기반 센서들이 활발히 개발되어 왔다. 특히, 분석 물질에 따른 전류 값 이외에도, 전기화학 발광현상(electrochemiluminescence) 혹은 전기 변색 물질(electrochromic material)을 도입하여 시각적으로 데이터를 나타내는 센서들도 보고되어 왔다. 이 논문에서는 종이 기반 전기화학 센서들의 제작법 및 다양한 활용 전략을 사례 중심으로 소개하였다.

• 한국산업정보학회논문지
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• 제20권3호
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• pp.19-28
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• 2015

스마트폰의 영상정보처리에 기반한 현장 진단기기 개발을 목표로 입자계수용 형광 smartscope와 DC 모터로 제어되는 입자정렬 시스템을 제작하였다. 크기가 작고 저렴한 비용으로 비전문가도 쉽게 다룰 수 있는 smartscope는 LED, 볼렌즈, 형광필터가 설치된 어댑터가 스마트폰 카메라 앞에 장착되어 전용 애플리케이션으로 형광입자와 형광염색된 백혈구를 계수할 수 있었다. 모터는 안드로이드 스마트폰의 블루투스 무선통신 기능을 통해 제어되었다. 나선형 미세유동채널이 축을 중심으로 회전하는 동안 백혈구와 크기가 유사한 입자가 정렬되는 현상을 관찰하였다. 모터로 회전 방향과 속도가 조절되는 입자 정렬 시스템은 많은 시간이 소요되는 수작업을 최소화하고 시료 전처리 과정을 자동화할 수 있으므로, smartscope와 통합될 경우 스마트폰을 이용한 현장진단기기에 활용될 수 있을 것이다.

• 한국임상수의학회지
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• 제28권1호
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• pp.108-112
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• 2011

In clinical settings, researchers often want to assess agreement between two measurements (or tests) of the same continuous variable. For example, when new point-of-care analyzer for testing blood glucose level were introduced clinicians need to compare results from standard or established laboratory method of measurement to those of new or point-of-care analyzer. The question in a method-comparison study would either of two different methods be used to measure the same variable equivalently. In this paper common misuse of statistical methodologies seen in the medical literatures such as correlation coefficient and paired t-test are discussed. The Bland-Altman technique has been widely used for this purpose and provides a graphic in presentation of the findings from a method-comparison study, with a mean value of measurement, this bias and the limits of agreement. For ease of application and interpretation of this technique we discussed the analysis procedure and illustrated with two worked examples. Finally, a number of alternative ways in which data can be analysed and reported in such studies were reviewed.