• 제목/요약/키워드: Serologic test

검색결과 97건 처리시간 0.024초

산후풍(産後風)과 감별해야 하는 출산(出産) 후 류마티스 관절염 환자 1례 보고 (A Clinical Study of Rheumatoid Arthritis after Parturition)

  • 김남훈;황덕상;김진환;박승혁;이진무;이창훈;이경섭;장준복
    • 대한한방부인과학회지
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    • 제25권4호
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    • pp.105-112
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    • 2012
  • Purpose: This study was to report the effect of Traditional Korean Medicine to Rheumatoid arthritis after parturition. Methods: A woman who complained of arthralgia, edema, sweating and chilling after parturition was enrolled in this study. We treated her by oriental treatments (herb medicine, acupuncture and moxibustion) to improve her symptoms. We checked her by symptoms and serologic test. Results: After treatments, the clinical symptoms and serologic signs improved. Conclusions: This case study shows that TKM treatment is effective for rheumatoid arthritis after parturition.

Urease를 이용한 위점막 시료에서 Helicobacter pylori의 신속한 진단법

  • 이학성;노임환;최태부;이종화
    • 한국생물공학회:학술대회논문집
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    • 한국생물공학회 2000년도 추계학술발표대회 및 bio-venture fair
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    • pp.264-265
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    • 2000
  • Helicobacter pylori(H. pylori) is the causative agent of chronic gastritis and the single most important factor in peptic ulcer disease, however, the pathogenetic mechanisms underlying H, pylori infection are not well understood. Futhermore, there is a strong association between H. pylori infection and gastric cancer. Various diagnostic methods for detecting H. pylori infection are available. These can be divided into invasive methods, requiring endoscopy, and non-invasive tests, mainly 13C-urea breath tests and serologic detection of antibodies. Rapid urease test is the most recommendable endoscopic test for the diagnosis of H. pylori infection, presently. CLO test kit is the represent of rapid urease test kits. The principles of CLO test kit is that hydrolysis of urea by urease Is detected by a dye indicators showing a color change. Our device is used same principle but we improved the reaction time is more faster and positive color change is more distinctive from the color of the negative specimen. So, this kit is more reliable because it response faster and accuracy.

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위장관 질환에 대한 양, 한방적인 접근 (The Western and Oriental Medical approach to gastric diseases)

  • 이용구
    • 혜화의학회지
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    • 제8권1호
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    • pp.827-836
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    • 1999
  • Numerous persons complained dyspepsia even though no specific objective findings are revealed by imaging study, laboratory examinations and other clinical research. To find out of so many symptoms what they are, I would to approach by two ways. One way is oriental medical literatural study and the other is Helicobacter pylori infection that is accepted as one of most important causal factors of many gastric diseases. Background/Aims: Recently, the role of Helicobacter pylori as a causal factor in the etiology of gastric cancer, peptic ulcer, gastritis and low-grade gastric mucosa-associated lymphoid tissue(MALT) lymphoma is well known. Using endoscopy, biopsy urease testing and histology are recommanded as the tests of choice. Serological test is not recommanded at the moment because of its low sensitivity and espicially low specificity. The urea breath test is more sensitive and specific noninvasive test than serologic test, but it is not widely available yet. Methods/Results: We studied 90 cases by diagnostic endoscopy as a screening test for the persons complaining gastrointestinal symptoms. As a result eighteen persons are revealed to be Helicoacter pylori infected histologicaly. Conclusion: More specific literatural studies are requied.

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매독진단(梅毒診斷)을 위(爲)한 신속(迅速)한 혈장항체검사법(血漿抗體檢査法)에 관(關)한 연구(硏究) (Studies on the Rapid Plasma Reagin(RPR) Card Test for the Diagnosis of Syphilis)

  • 김주덕;유준;김현주
    • 대한미생물학회지
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    • 제3권1호
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    • pp.15-23
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    • 1968
  • For the effective control of Syphilis, many investigators have developed a more rapid, simple and economical screening serological test which is adequately sensitive and specific. To fulfill the requirements of a more rapid serologic test for syphlis, a substitute for the conventional serum specimen was needed since considerable time and labor are involved in the processing of blood to serum. Burdon suggested the use of plasma in the serologic tests for syphilis as a substitute for serum. He noticed that plasma was more sensitive than serum in the Kline and Kahn tests, and attributed this to the presence of more antibody-like substance, "reagin" in plasma than in serum. However, to make plasma sufficiently sensitive, it was necessary to inactivate plasma by heating at a temperature of $56^{\circ}C$ for about 30 minutes. Heating of plasma resulted in the precipitation of fibrinogen which made centrifugation necessary to obtain dear plasma. Since the chief disadvantage to the use of unheated plasma(or serum) was a reduction in sensitivity of results-which probably was due to a labile factor such as complement-Portnoy et al began to consider rapid chemical methods of inactivation of plasma(or serum). They experienced that choline chloirde was shown to be anticomplementary which suggested its use as an inactivating agent for unheated plasma(or serum). In 1959 Portnoy et al reported the Rapid Plasma Reagin(RPR) Test for syphilis which is a more rapid, economical and simple. But still this test has many disadvantages as a rapid performing, field and office procedure, because it requires the usual laboratory equipments such as centrifuge, rotating machine, microscope etc. To substitute these disadvantages of the RPR test, in 1962, Portnoy et al developed the Rapid Plasma Reagin(RPR) card test for syphilis, which has the following advantages: a) Simplicity and rapidity of performance, b) Requires no laboratory equipments, c) Stable antigen suspension, d) Adequate sensitivity and specificity. This RPR card test can be used as a rapidly performing and screening test in field investigation, outpatient clinics, small laboratories and hospitals doing limited syphilis serology, and predonor in blood bank. Private clinic which has limited laboratory equipment and technic for syphilis serology can also use this RPR card test as a tool in the rapid diagnosis of syphilis. It was thought that this RPR card test is a useful tool in Korea for private physician and mass survey for syphilis diagnosis. But Portnoy patented the reagents needed for the performing the RPR card test. Therefore authors developed newly the reagents and according to Portnoy's method evaluated the newly developed. RPR card test compared with the VDRL, Kolmer CF, and RPCF tests. The RPR card and VDRL tests were performed plasma and serum from the total 1,132 cases. Among these 1,131 cases, 521 were syphilis suspected laboratory specimens, and 611 were syphilis unsuspected healthy young men. After screening with these two tests, the RPR card and VDRL tests, reactive specimens to the above one or both tests were retested by the Kolmer CF and RPCF tests.

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Serologic Tests of IgG and IgM Antibodies and IgG Avidity for Diagnosis of Ocular Toxoplasmosis

  • Rahimi-Esboei, Bahman;Zarei, Mohammad;Mohebali, Mehdi;Valian, Hossein Keshavarz;Shojaee, Saeedeh;Mahmoudzadeh, Raziyeh;Salabati, Mirataollah
    • Parasites, Hosts and Diseases
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    • 제56권2호
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    • pp.147-152
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    • 2018
  • This prospective study was aimed to detect acute and chronic ocular toxoplasmosis by comparison of anti-Toxoplasma gondii IgM and IgG antibody levels and IgG avidity test. One hundred and seventeen patients with ocular toxoplasmosis (OT) who referred to the Farabi Eye Hospital, Tehran, Iran were included in this study. Of the patients, 77 cases were positive for anti-T. gondii IgG, and 8 cases were positive for anti-T. gondii IgM. IgG avidity test revealed 11, 4, and 102 cases were low, intermediate, and high, respectively, and 6.8% and 9.4% of cases were positive for IgM and IgG avidity tests, respectively (P=0.632). Agreement (Kappa value) between paired tests IgG-IgM, IgG-IgG avidity, and IgM-IgG avidity was 0.080, 0.099, and 0.721, respectively (P<0.05). This study showed that conventional serologic tests (IgM and IgG levels) and IgG avidity correlate well each other and can be used to differentiate recent infections from old OT. It seems that reactivated old infections rather than recently acquired infections are majority of Iranian OT patients.

일본뇌염(日本腦炎)에 대(對)한 한국가축(韓國家畜)에서의 혈청학적(血淸學的) 조사(調査) 연구(硏究) (Serologic Studies of Japanese Encephalitis in Domestic Animals)

  • 정영채;문재봉;강병직;권혁진;최희인
    • 대한수의학회지
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    • 제11권2호
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    • pp.163-170
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    • 1971
  • Since the report in 1946 on the first isolation of Japanese encephalitis virus in Korea, the disease is known to occur every year and has occasionally spread in epidemic proportion among human populations. Because of its public health importance, it was deemed highly desirable to gain specific information as to natural history of the disease in Korea if we are to accomplish our ultimate objective of controling the disease in Korea. There still remain, however, unknown factors as to the ecology of Japanese encephalitis virus in Korea. This paper presents the results of serologic study on Korean cattle, hog and horse by means of hemagglutination inhibition (H.I.) test. The serum specimens were collected from Korean cattle, hog and horse their estimated ages being 3 to 9 years, 6 to 24 months and 2 to 14 years respectively, by jugular puncture; in Seoul and Kyung-Ki are a from the first part of May to November last, 1968. The strain used was designated by M 5/596. The methods of H.I. test employed in this study were essentially simillar to those employed by Clark and Fred. The results obtained summarized as follows; 1. Of samples of cattle sera tested, 183 (98%) was found to be positive, H.I. antibodies showing the highest proportion, on September. The lowest proportion showed 81 (68%) of 117 samples, on June. 2. One hundred and ninety-five and 114 swine serum samples tested were all of positive in both on September and October respectively. The lowest proportion showed 92 (29%) of 314 on June too. 3. Ninety (99%) of 91 equine serum samples tested contained demonstrable H.I. antibodies the highest proportion, on August. The lowest proportion was 19 (27%) of 70 samples on June. 4. Implications of these findings in the ecology of Japanese encephalitis Seoul and Kyung-Ki area were discussed.

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사육사슴 및 야생고라니에서 소 세균성 전염병에 대한 혈청학적 연구 (Serologic survey of the ruminant bacterial infectious diseases in farmed deer and wild water deer in Jeonbuk province)

  • 조영숙;정윤신;소승영;설민숙;조호성;김범석;임채웅
    • 한국동물위생학회지
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    • 제33권3호
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    • pp.249-254
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    • 2010
  • Deer can be one of the susceptible animals to bovine infectious diseases, and thus, may play a role either as a reservoir or amplifier host for spreading the diseases to other species such as cattle and goat. This study was conducted to determine the serum antibodies to bacterial infectious diseases for brucellosis, tuberculosis (TB), paratuberculosis (Johne's disease) in deer. Serum samples were randomly collected from 78 deer from 31 farms at Jeonbuk province, and 7 wild water deer from Jeonbuk wild animal treatment center during 2005 to 2007, respectively. Four farm deer (5.1%) showed antibodies to tuberculosis using Antigen Rapid Bovine TB Ab Test Kit. One elk (1.3%) and one wild water deer had antibodies for paratuberculosis. Antibody against Brucellosis was not detected in tube agglutination test (TAT) and enzyme-linked immunosorbent assay (ELISA). These data suggest that caution should be applied to inspection of velvet, deer blood and meat for human consumption from deer because of zoonotic bacterial diseases in deer. In addition, farmed deer can be a transmissible host for zoonotic disease to diary or raising farm.

광주·전남 지역의 소아·청소년 대상포진에 대한 임상적 비교 및 혈청학적 의의에 대한 연구 (Clinical and Serologic Study of Herpes Zoster in Children and Adolescents in Gwangju-Jeonnam Province)

  • 나찬호;김충재;신봉석;최훈;김민성
    • 대한피부과학회지
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    • 제56권9호
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    • pp.531-538
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    • 2018
  • Background: Herpes zoster is a common dermatologic disorder. However, it rarely occurs in children and adolescents in Gwangju-Jeonnam province. Objective: This study aimed to analyze the epidemiological features and clinical characteristics of herpes zoster in children and adolescents. Methods: A retrospective survey was conducted on patients who visited the department of dermatology of Chosun University Hospital in Gwangju-Jeonnam province within the past 8 years. The medical records of 103 patients aged <18 years were reviewed. We analyzed for age, gender, accompanying symptoms, dermatomal distribution, underlying disease, treatment, and complications with serologic test. Results: The male-to-female ratio of the participants was 1.08:1, and their mean age was 13.0 years. Underlying diseases were observed in 3% (3/102) of the patients. The most common dermatomal distribution was thoracic dermatome (34%), followed by trigeminal (26%), cervical (20%), lumbar (15%), and non-skin (6%). The most common accompanying symptoms were headache (10%), fever (3%), and myalgia (3%). No difference was observed between patients who were varicella-zoster virus (VZV) IgM-positive and those who were VZV IgM-negative in terms of dermatome, visual analogue scale (VAS), severity, and body mass index (BMI). Conclusion: In children and adolescents with herpes zoster, the gender ratio and dermatomal distribution were similar to those previously reported, except for the low rate of underlying diseases. The incidence of herpes zoster in children was not significantly associated with immunosuppression and underlying diseases. Higher VZV IgM titer was not associated with dermatomal distribution, higher VAS score, or BMI. This study first compared the serological test results of children.

폐결핵진단에서 결핵균 혼합항원을 이용한 혈청학적 검사의 유용성에 관한연구 (Evaluation of an ELISA kit for the Serodiagnosis of Pulmonary Tuberculosis by Using Mixed Antigens of Mycobacterium Tuberculosis)

  • 박승규;김필호;김승철;최인환;조상래;송선대
    • Tuberculosis and Respiratory Diseases
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    • 제49권5호
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    • pp.558-567
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    • 2000
  • 배경 : 현행 도말 및 배양 등의 미생물학적 검사법의 제한점을 보완할 수 있는 신속하고 간편한 결핵진단 방법의 하나로서 가장 많이 연구되어 온 분야가 혈청학적인 방법이다. 이 중 현재까지 결핵의 혈청학적 진단에 유용성이 높은 것을 평가되는 항원의 하나가 38-kDa으로 대표되는 결핵균 분비항원이다. 이 38-kDa을 주항원 성분으로 하여, 간편하게 실험할 수 있도록 kit화된 수입제품이 국내에서 널리 시판되고 있는 실정에서 국내의 회사에서 개발한 ELISA kit(Erum Biotech Co.)를 이용하여 폐결핵의 혈청학적 진단이 얼마나 유용한 지를 평가하고자 하였다. 방법 : 도말 및 배양검사장 균양성으로 진단된 후 항결핵치료를 받고 있는 폐결핵환자 333명(검사당시 균양성 환자 212명, 균음전된 환자 121명), 건강 성인 80명, 그리고 국립마산결핵병원에서 1년 이상 근무하며 환자와 접촉을 자주 하게되는 접촉군 61명 등 총 474명을 대상으로 하여 결핵의 혈청학적 진단용 ELISA kit를 이용하여 시험하였다. 결과 : 1) 균양성 활동성 폐결핵환자 212명에 대한 ELISA kit의 양성반응률은 82.1%, 균음성 활동성 폐결핵환자 121명에 대한 양성반응률은 73.6%로 이 두 군 사이에는 통계학적으로 유의한 차이가 없었다(p>0.05). 2) 접촉 대조군 61명에 대한 양성반응률은 14.8%, 건강 대조군 80명에 대한 양성반응률은 2.5%로 이 두 군 사이에는 통계적으로 유의한 차이가 있었다(plt;0.001). 3) 활동성 폐결핵환자 333명 모두에 대한 양성반응률은 78.90%, 대조군 141명 모두에 대한 양성반응률은 7.8%로 이 두 군 사이에는 통계적으로 유의한 차이가 있었다(p<0.001). 4) ELISA kit의 민감도는 78.9%, 특이도는 97.5%였으며, 유병율이 60.1% 수준일 때의 양성예측율은 96.1%, 음성예측율은 65.0%였다. 결론 : ELISA kit는 민감도나 특이도 면에서 수입시판되고 있는 ICT와 비교할 때 비슷한 결과를 보이며, 전통적으로 결핵을 진단하는 데 사용하던 흉부 X-선 사진, 항산균 염색 및 배양 등과 함께 보조적인 도구로 사용 할 수 있을 것으로 생각된다.

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혈청학적 방법을 이용한 결핵 진단 방법의 효용성 (The Usefulness of Serologic Diagnosis for Tuberculosis with Two Rapid Immunochromatographic Assay Devices)

  • 김덕겸;권성연;이석영;박계영;정경해;이춘택;유철규;김영환;한성구;심염수
    • Tuberculosis and Respiratory Diseases
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    • 제47권5호
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    • pp.586-597
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    • 1999
  • 연구배경: 객담 도말 및 배양 검사나 방사선학적 검사 등의 기존의 결핵 진단 방법은 낮은 민감도와 진단까지 소요되는 기간이 길다는 단점이 있어서 결핵의 조기 진단 및 치료에 제한점이 있었다. 최근에 혈청학적 진단 방법의 하나로 개발된 immunochromatographic assay 기구들이 소개되고, 외국에서 비교적 높은 진단율를 보여, 결핵 유병율이 높은 국내에서 그 유용성을 평가하고, 질병 양상에 따른 차이점을 조사하여, 기존의 결핵 진단 방법들의 문제점을 해결할 수 있는지 알아보고자하였다. 연구방법: 환자군을 폐결핵 환자군(36명), 폐외결핵 환자군(3명) 및 두 가지 모두 이환된 군(22명)으로 나누었으며, 대조군은 과거 결핵 병력이 있는 비활동성 결핵환자(17명), 결핵이외의 폐질환자(16명) 및 폐질환이 없는 심장 환자(14명)를 대상으로 38kDa 항체를 포함한 ICT tuberculosis 또는 BioSign$^{TM}$TB를 이용하여 혈청화적 검사를 시행하였다. 결 과: ICT tuberculosis를 사용한 경우, 환자군 56명 및 대조군 47명에 대하여 64.3%의 민감도 및 91.5%의 특이도를 나타내었으며, 폐결핵만 있는 환자군에서 76.5%의 민감도를 보여, 폐외 결핵만 있는 환자군(33.3%)나 두 가지 모두 이환된 군(47.4%)에 비하여 더 높은 민감도를 나타내었다(p=0.039). BioSign$^{TM}$TB를 이용한 경우, 환자군 43명 및 대조군 43 명에 대하여 74.4%의 민감도 및 95.3%의 특이도를 보였으며, 폐질환이 없는 환자군에서는 100%의 특이도를 나타내었다. 환자군중에서 초발환자 및 과거 폐결핵 병력이 있는 환자군 사이에는 민감도에 차이가 없었으며, 공동성 폐결핵 환자와 비공동성 폐결핵 환자사이에 검사상 민감도 차이는 통계적으로 유의하지 않았다(73.3% vs. 69.6%, p>0.05). 결 론: 혈청학적 방법의 하나인 immunochromatographic assay 기구는 높은 특이도와 양성 예측도를 보여 임상적 유용성이 기대되나, 상대적으로 낮은 민감도와 음성 예측도를 고려할 때, 단독 사용보다는 기존 방법과의 상보적 사용이 결핵진단에 더 도움이 될 것으로 생각된다.

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