• Title/Summary/Keyword: T-spot

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Discordance between Tuberculin Skin Test and Interferon-gamma Release Assays for Diagnosis of Tuberculosis Infection in Korean Children (국내 소아 결핵감염 진단에서의 결핵피부반응 검사와 Interferon-gamma Release Assay (IGRA)의 비교 연구)

  • Yoo, Reenar;Kim, Joon-Il;Kim, Seohee;Lee, Jina
    • Pediatric Infection and Vaccine
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    • v.23 no.1
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    • pp.18-24
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    • 2016
  • Purpose: There is a the great diagnostic challenge in pediatric tuberculosis especially in high burden setting. The purpose of this preliminary study is to evaluate the agreement between tuberculin skin test (TST) and interferon-gamma release assay (IGRA) including T-SPOT$^{(R)}$.TB and QuantiFERON$^{(R)}$-TB Gold (QFT-G) in Korean children. Method: This retrospective study included children and adolescents who visited to Asan Medical Center to evaluate tuberculosis infection using at least two assays of TST, T-SPOT.TB and QFT-G, from January 2014 to April 2015. Results: A total of 20 patients were included, whose median age was 13.3 years (range, 3.8-18.1 years), and all of them had history of BCG vaccination. Eleven patients had underlying diseases including 7 patients with immunosuppressant medication. The concordance rate between T-SPOT.TB and QFT-G was 90%. However, the concordance rate between TST and T-SPOT.TB was 50%, and between TST and QFT-G was 42.9%. Specificity for the diagnosis of tuberculosis infection of T-SPOT.TB, QFT-G, and TST was 93.3%, 86.7%, and 58.3%, respectively. Conclusions: Although there was a discrepancy between TST and IGRA to diagnose tuberculosis, agreement between T-SPOT.TB and QFT-G was relatively high. Further prospective study to validate the clinical usefulness of each assay for immunologic evidence of tuberculosis infection in Korean children will be mandatory.

Clinical Utility of Two Interferon-gamma Release Assays on Pleural Fluid for the Diagnosis of Tuberculous Pleurisy

  • Kang, Ji Young;Rhee, Chin Kook;Kang, Na Hyun;Kim, Ju Sang;Yoon, Hyoung-Kyu;Song, Jeong Sup
    • Tuberculosis and Respiratory Diseases
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    • v.73 no.3
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    • pp.143-150
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    • 2012
  • Background: The release of interferon-gamma (IFN-${\gamma}$) by T lymphocytes increases after rechallenge with Mycobacterium tuberculosis antigen, especially, at a localized site of tuberculosis (TB) infection. We aimed to compare the clincial efficacy of two commercial IFN-${\gamma}$ release assays from pleural fluid for the diagnosis in tuberculous pleurisy. Methods: We performed T-SPOT.TB and QuantiFERON-TB Gold tests simultaneously on pleural fluid and peripheral blood samples from patients with pleural effusion, in South Korea, an area with intermediate TB burden. Results: Thirty-six patients were enrolled prospectively, and tuberculous pleurisy was found in 21 patients. Both the numbers of IFN-${\gamma}$ secreting T cells and the concentration of IFN-${\gamma}$ were greater in the pleural tuberculous group, comparing with the non-tuberculous group. Moreover, in the tuberculous group, there was a significant difference in IFN-${\gamma}$ producing spot-forming cells using the T-SPOT.TB method between pleural fluid and peripheral blood. The receiver operating characteristic (ROC) curve, was the greatest for pleural fluid T-SPOT.TB test, followed by peripheral blood T-SPOT.TB test, peripheral blood QuantiFERON-TB Gold test, and pleural fluid QuantiFERON-TB Gold test (area under the ROC curve of 0.956, 0.890, 0.743, and 0.721, respectively). The T-SPOT.TB assay produced less indeterminate results than did QuantiFERON-TB Gold assay in both pleural fluid and peripheral blood. Conclusion: These findings suggest that the pleural fluid T-SPOT.TB test could be the most useful test among the IFN-${\gamma}$ release assays for diagnosing tuberculous pleurisy in an area with an intermediate prevalence of TB infection.

Hot spot stress approach for Tsing Ma Bridge fatigue evaluation under traffic using finite element method

  • Chan, T.H.T.;Zhou, T.Q.;Li, Z.X.;Guo, L.
    • Structural Engineering and Mechanics
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    • v.19 no.3
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    • pp.261-279
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    • 2005
  • The hot spot stress approach is usually adopted in the fatigue design and analysis of tubular welded joints. To apply the hot spot stress approach for fatigue evaluation of long span suspension bridges, the FEM is used to determine the hot spot stress of critical fatigue location. Using the local finite element models of the Tsing Ma Bridge, typical joints are developed and the stress concentration factors are determined. As a case for study, the calculated stress concentration factor is combined with the nominal representative stress block cycle to obtain the representative hot spot stress range cycle block under traffic loading from online health monitoring system. A comparison is made between the nominal stress approach and the hot spot stress approach for fatigue life evaluation of the Tsing Ma Bridge. The comparison result shows that the nominal stress approach cannot consider the most critical stress of the fatigue damage location and the hot spot stress approach is more appropriate for fatigue evaluation.

A Study on the Effect of Pin Height on Weld Strength in Extru-Rivet Spot Welding of Aluminum Plates (알루미늄 판재의 전기저항가열 압출점접합공정에 있어서 핀의 높이가 접합강도에 미치는 영향에 관한 연구)

  • Lee, S.J.;Kim, T.H.;Jin, I.T.
    • Transactions of Materials Processing
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    • v.23 no.5
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    • pp.282-288
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    • 2014
  • It is difficult to control welding variables during spot welding of non-ferrous metals like aluminum because of the low electrical resistance of the material. It has been suggested that a solid state welding process such as friction stir spot welding or extru-spot welding can be used to spot weld aluminum plates. In the extru-spot welding, there is a need to increase the weld strength by improving the shape of the welding die. The current study shows that the weld strength for an extru-spot welding can be increased by using a pin placed on the inside of the upper electrode in the welding die. In the current study, the deformed shape of the insert rivet and the stress distribution in the welding zone were analyzed by simulation. Extru-rivet spot welding experiments were performed by changing the height of pin on the inside of the upper electrode. From the experimental result, it is shown that the weld strength for an extru-rivet spot welding can be increased by adjusting the height of the pin. The optimal shape of the deformed rivet after the extru-rivet spot welding can be observed from the simulation results. The deformed shape of the insert rivet can also be controlled by the height of pin.

A Homogeneous Immunoassay Method for Detecting Interferon-Gamma in Patients with Latent Tuberculosis Infection

  • Wu, Fei;Wang, Lin;Guo, Qiaomei;Zhao, Mingna;Gu, Hongchen;Xu, Hong;Lou, Jiatao
    • Journal of Microbiology and Biotechnology
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    • v.26 no.3
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    • pp.588-595
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    • 2016
  • IFN-γ release assays (IGRAs) have been developed as viable alternative diagnostic tools for detecting latent tuberculosis infection (LTBI). A customized homogeneous sandwich luminescent oxygen channeling immunoassay (LOCI) was used to quantify IFN-γ levels in IGRAs. Samples were collected from healthy volunteers (n = 40) who were T-Spot-negative and T-Spot-positive patients (n = 32) at rest. Then the amount of IFN-γ in the supernatant of IGRAs was measured by LOCI. The results demonstrated a low background, and high sensitivity, specificity, accuracy, and reproducibility, and a short assay time (only 30 min) with LOCI for IFN-γ. The recovery range was 81.63-102.06%, the coefficients of variation were below 5%, and the limit of detection was 19.0 mIU/ml. Excellent agreement between LOCI IFN-γ and the T-SPOT.TB test was obtained (97.2% agreement, κ = 0.94). The LOCI IFN-γ concentrations were significantly higher in T-Spot-positive patients than in the healthy group (p < 0.001). Moreover, as observed for the comparative LOCI IFN-γ assay, IFN-γ concentrations were related to the numbers of T-SPOT.TB spots. We have established an in vitro blood test for LTBI diagnosis, defined as LOCI IFN-γ. A high level of agreement between the LOCI IFN-γ method and T-SPOT.TB assay was observed in clinical studies that showed the LOCI IFN-γ method could determine LTBI. This study shows acceptable performance characteristics of the LOCI IFN-γ assay to diagnose LTBI.

T-SPOT.TB for Detection of Tuberculosis Infection among Hematological Malignancy Patients and Hematopoietic Stem Cell Transplant Recipients

  • Qin, Li-Li;Wang, Qin-Rong;Wang, Qian;Yao, Hong;Wen, Li-Jun;Wu, Li-Li;Ping, Na-Na;Xie, Jun-Dan;Chen, Mei-Yu;Chen, Su-Ning
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.12
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    • pp.7415-7419
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    • 2013
  • The diagnosis of latent Mycobacterium tuberculosis infection (LTBI) is recommended in hematological malignancy patients and before hematopoietic stem cell transplantation (Guidelines for the prevention and management of infectious complications of solid organ transplantation, 2004). Compared to traditional methods such as tuberculin skin test (TST), T-SPOT.TB has been shown to be more specific. In the present study we enrolled 536 patients for whom T-SPOT.TB was performed, among which 295 patients also received the TST test. The agreement (79%) between T-SPOT.TB and TST was poor (x=0.274, P<0.001). The patients with positive T-SPOT.TB results numbered 62 (11.6%), in which only 20 (48.8%) of the 41 receiving the TST test had positive results. A majority of the patients with T-SPOT.TB positive results had some other evidence ofTB, such as TB history, clinical symptoms and an abnormal chest CT scan. Active TB was found in 9 patients, in which 2 had negative TST results. We followed up the patients and no one developed active TB. Our study suggested that the T-SPOT.TB may be more useful for screening LTBI and active TB in hematological malignancy patients and hematopoietic stem cell transplant recipients than the TST test.

Effect of mixing with non-familiar piglet on change of body temperature (이복자돈과의 체중별 합사가 자돈의 체온변화에 미치는 영향)

  • Kim, Kwang-Sik;Cho, Eun-Seok;Kim, Young-Hwa;Kim, Jo-Eun;Seol, Kuk-Hwan;Kim, Ki-Hyun
    • Korean Journal of Agricultural Science
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    • v.42 no.3
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    • pp.231-235
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    • 2015
  • This study was performed to investigate the change of the body surface temperature during socialization of weaning pigs. A total of 108 piglets (Landrace 60 and Yorkshire 48) aged 31 (${\pm}1.1$) day was used for this study. Experiment was designed as follows; familiar group (T1), randomly mixed with unfamiliar piglets (T2), mixed based on weight of unfamiliar piglet (T3). The transport and mixing of pigs were performed at 10:00, and then body surface temperature was taken by thermo-graphic camera after 4 hours (14:00). Average surface temperature and hot-spot-temperature, which is the hottest spot of the body surface, were analyzed using Testo IRsoft 3.1 software. Average temperature of body surface were 36.0, 38.2, and 37.5 in T1, T2, and T3, respectively. Average of body surface temperature in T2 and T3 were higher (p<0.001) than T1, and average temperature of body surface of T3 was greater (p<0.001) than that of T2. The hot-spot-temperature of T1, T2, and T3 were 38.7, 39.5, and 39.6, respectively. The hot-spot-temperature of T2 (p<0.01) and T3 (p<0.001) were significantly higher than that of T1. Above results demonstrate that grouping unfamiliar pigs leads to increase in the body temperature possibly by pigs aggressive behavior during social conflict. By the result on average body temperature, this study suggests that the mixing with similar body weight would increase the struggle time and frequency.

Strength Characteristics for Various Spot Welding Conditions in 7075-T6 Aluminum Alloy Sheets (박판 Al 7075-T6재의 점용접시 용접조건변화에 대한 강도특성)

  • 윤한기;김건태;류인일
    • Proceedings of the KWS Conference
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    • 1999.05a
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    • pp.215-218
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    • 1999
  • With increasing demand of energy saving, -many efforts were made to employ aluminium alloys in the automobile industry. Especially, resistance spot welding has been widely used in the steel metal joining process because of its high productively and convenience. In this paper, spot weldability of 7075-T6 aluminium thin sheets for various welding conditions were examined by series of experiments. The tensile shear strength and microstructure of welded specimens was observed, and The optimal welding conditions were found for each welding conditions.

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3-D Measuring system of huge structures using laser spot-ray projection

  • Ishimatsu, T.;Suehiro, K.;Okazaki, C.;Ochiai, T.;Matsui, R.
    • 제어로봇시스템학회:학술대회논문집
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    • 1990.10b
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    • pp.1162-1166
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    • 1990
  • We present a system to measure 3-dimensional coordinates of huge structures like ships, buildings and oil tanks. Two important units are a laser spot projector and a laser spot tracker. Employing a tactful image processing, our system has some features :e.g. compactness, cost, accuracy and robustness to hazardous emvironments.

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Development of Antagonistic Microorganism for Biological Control of Dollar Spot of Turfgrass (잔디 동전마름병의 생물학적 방제를 위한 길항 미생물의 선발과 효력 검정)

  • Shim, Taek-Su;Jung, Woo-Cheol;Do, Ki-Seok;Shim, Gyu-Yul;Lee, Jae-Ho;Choi, Kee-Hyun
    • Asian Journal of Turfgrass Science
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    • v.20 no.2
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    • pp.191-201
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    • 2006
  • Dollar spot caused by Sclerotinia homeocarpa is one of major diseases in putting greens. Microorganisms antagonistic to S. homeocarpa, a pathogen of dollar spot, were primarily screened through in vitro tests, including dual culture method and triple layer agar diffusion method. In vivo tests were also conducted to select the best candidate for a biocontrol microorganism, using pot experiment. Bacillus subtilis EW42-1 and Trichoderma harziaum GBF-0208 were finally selected as biocontrol agents against dollar spot. Relative Performance Index(RPI) was used as a criterion of selecting potential biocontrol agents. B. subtilis EW42-1 and T. harzianum GBF-0208 showed resistance to several agrochemicals mainly used in a golf course. B. subtilis EW42-1 and T. harzianum GBF-0208 suppressed effectively the disease progress of dollar spot like synthetic fungicide tebuconazole in the nursery where dollar spot had seriously occurred. B. subtilis EW42-1 and T. harzianum GBF-0208 have a potential to be biocontrol agents for the control of dollar spot.