• Title/Summary/Keyword: diagnostic test

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A STUDY ON THE RELIABILITY OF THE OPTICAL CARIES ACTIVITY TEST (광학적 치아우식활성 검사법의 신뢰도에 관한 연구)

  • Park, Cheol-Hong;Lee, Nan-Young;Lee, Sang-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.33 no.4
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    • pp.615-623
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    • 2006
  • The purpose of this study was to evaluate the specificity, sensitivity, and diagnostic power of caries activity test using LED fluorescence. The subjects of this study were 55 children of $6{\sim}7$ years old. LED light were irradiated to labial or buccal surface of all teeth. Fluorescence from initial carious lesion of teeth illuminated by an LED light was observed through barrier filter and the number of teeth showing lesion, size and position of lesion were counted. Streptococcus mutans colony counting and dDfFtT rate test were also done and their correlation was compared. And then specificity, sensitivity, diagnostic power of optical caries activity test using LED light were evaluated. 1. There was positive $correlation({\gamma}=0.43)$ between LED fluorescence test and Streptococcus mutans count(P<0.05). 2. When visual examination was defined to standard testing method, the specificity, sensitivity, diagnostic power of LED fluorescence test were 100%, 76.1%, and 100%. 3. When dDfFtT rate was defined to standard testing method, the specificity, sensitivity, diagnostic power of LED fluorescence test were 88.9%, 47.8%, and 95.7%. 4. When S. mutans colony counting was defined to standard testing method, the specificity, sensitivity, diagnostic power of LED fluorescence test were 100%, 58.7%, and 100%. Considering the above results, optical caries activity test using LED light could be regarded as a practical method because of its close relationship with microbiological caries activity test.

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Simplified GIS Diagnostic SYSTEM (간이형 상시 GIS 진단장치)

  • Jeong, J.K.;Choi, Y.J.;Kang, C.I.;Jang, H.K.;Gwak, H.S.
    • Proceedings of the KIEE Conference
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    • 2006.05a
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    • pp.74-77
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    • 2006
  • This research is focused on the development of GIS Diagnostic SYSTEM to prevent accidents beforehand by inspecting the internal defects of GIS (Gas Insulated Switchgear) which is a main power-facility for substations. GIS Diagnostic SYSTEM is categorized as 'Real time on-line test type' and 'Portable test type' depending on the types of testing, it uses PD(partial discharge) which mostly incurs in GIS internal defects, to inspect. As of now, mostly foreign equipments are imported for use due to the lack of the technology localization, and these are installed and operated on only some parts of highly-graded GIS power-facilities such as in 76skv or 345kv for its being expensive. Furthermore, other than foreign equipments being costly, it also has a weak point of very long unavailability in case of Diagnostic system break-down while using, because it takes a comparatively long period of corrective maintenance precesses. We have localized to develop personal real-time multi -functional GIS Diagnostic system which can test on all GIS power-facility comprehensively and economically therefore overcome all these problems mentioned above, a market expansion is expected from the decrease of price and replacing the import equipments in the future. As the equipment was developed to be Personal for the simple ways of installing and utilizing, it can be operated without any complex cable installation like other existing GIS Diagnostic system requires, therefore also decrease the cost of cable installation.

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Clinical Value of Physical Examination and Electromyography in Acute and Chronic Lumbosacral Radiculopathy (급, 만성 요천추부 신경근병증 환자의 신체진찰과 근전도의 임상적 의미)

  • Jeoung, Ju Hyong;Jeong, Ha Mok;Kang, Seok;Yoon, Joon Shik
    • Clinical Pain
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    • v.19 no.2
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    • pp.90-96
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    • 2020
  • Objective: To investigate the diagnostic accuracy of two physical examinations (straight leg raise [SLR] and Bragard test) and electromyography (EMG) in patients with lumbosacral monoradiculopathy in acute and chronic state on confirmation of different diagnostic criteria (MRI vs MRI and diagnostic selective nerve root block [DSNRB]). Method: We identified 297 participants retrospectively from the departmental database. MRI evidence of L5 or S1 nerve root compression and a positive result in diagnostic SNRB served as reference standards. They were divided into two groups by the symptom duration: lasting more than 12 weeks in the chronic group and less than 12 weeks in the acute group. The diagnostic value of clinical tests and EMG were compared. Results: The clinical tests (SLR and Bragard test) done in acute stage on detection by MRI and DSNRB had the highest sensitivity (68%) compared to the chronic stage (63%), but sensitivity was low (57%) on confirmation of MRI alone. However, there was no significant difference on sensitivity and specificity of EMG regardless of reference standards and symptom duration. Electromyography was a significant predictor of neuropathic abnormalities on both acute (OR, 6.3; 95% CI, 2.4 to 16.7; p<0.01) and chronic (OR, 6.8; 95% CI, 2.9 to 16.3; p<0.01). Conclusion: In general, individual physical tests are easy to do and a combination of those tests could be a sensitive indicator of L5 or S1 radiculopathy. Furthermore, the use of provocation tests could provide useful information, especially in proceeding therapeutic selective nerve root block.

Bayesian hierarchical model for the estimation of proper receiver operating characteristic curves using stochastic ordering

  • Jang, Eun Jin;Kim, Dal Ho
    • Communications for Statistical Applications and Methods
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    • v.26 no.2
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    • pp.205-216
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    • 2019
  • Diagnostic tests in medical fields detect or diagnose a disease with results measured by continuous or discrete ordinal data. The performance of a diagnostic test is summarized using the receiver operating characteristic (ROC) curve and the area under the curve (AUC). The diagnostic test is considered clinically useful if the outcomes in actually-positive cases are higher than actually-negative cases and the ROC curve is concave. In this study, we apply the stochastic ordering method in a Bayesian hierarchical model to estimate the proper ROC curve and AUC when the diagnostic test results are measured in discrete ordinal data. We compare the conventional binormal model and binormal model under stochastic ordering. The simulation results and real data analysis for breast cancer indicate that the binormal model under stochastic ordering can be used to estimate the proper ROC curve with a small bias even though the sample sizes were small or the sample size of actually-negative cases varied from actually-positive cases. Therefore, it is appropriate to consider the binormal model under stochastic ordering in the presence of large differences for a sample size between actually-negative and actually-positive groups.

Malaria Endemicity in the Rural Communities of Ebonyi State, Nigeria

  • Nwele, David Ekene;Onyali, Ikechukwu Oliver;Iwueze, Milliam Okwudili;Elom, Michael Okpara;Uguru, Ogbonna Elom Sabastian
    • Parasites, Hosts and Diseases
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    • v.60 no.3
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    • pp.173-179
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    • 2022
  • Malaria remains a global health threat. Approximately 97% of the population is at risk in sub-Saharan countries, particularly Nigeria. This study compared the performance of 2 diagnostic methods in assessing malaria endemicity in the rural communities of Ebonyi State, Nigeria. A total of 1,140 study participants were screened for malaria parasite using Rapid Diagnostic Test kits (RDT) in the field, while thick and thin films for microscopy were examined in the laboratory. Our result showed that malaria prevalence was 56.8 by RDT and 38.6% by microscopic test. Age group under 10 years had the highest prevalence of 28.9% (RDT) and 23.6% (microscopy), respectively. The highest prevalence of 19.5% by RDT was recorded in Onicha Local Government Area, while the highest prevalence of 13.4% with microscopy was recorded in Ezza North Local Government Area. The sensitivity and specificity of microscopic examination were both 100%, while those of RDT were 95.5% and 75.9%, respectively.

Nested-PCR and a New ELISA-Based NovaLisa Test Kit for Malaria Diagnosis in an Endemic Area of Thailand

  • Thongdee, Pimwan;Chaijaroenkul, Wanna;Kuesap, Jiraporn;Na-Bangchang, Kesara
    • Parasites, Hosts and Diseases
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    • v.52 no.4
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    • pp.377-381
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    • 2014
  • Microscopy is considered as the gold standard for malaria diagnosis although its wide application is limited by the requirement of highly experienced microscopists. PCR and serological tests provide efficient diagnostic performance and have been applied for malaria diagnosis and research. The aim of this study was to investigate the diagnostic performance of nested PCR and a recently developed an ELISA-based new rapid diagnosis test (RDT), NovaLisa test kit, for diagnosis of malaria infection, using microscopic method as the gold standard. The performance of nested-PCR as a malaria diagnostic tool is excellent with respect to its high accuracy, sensitivity, specificity, and ability to discriminate Plasmodium species. The sensitivity and specificity of nested-PCR compared with the microscopic method for detection of Plasmodium falciparum, Plasmodium vivax, and P. falciparum/P. vivax mixed infection were 71.4 vs 100%, 100 vs 98.7%, and 100 vs 95.0%, respectively. The sensitivity and specificity of the ELISA-based NovaLisa test kit compared with the microscopic method for detection of Plasmodium genus were 89.0 vs 91.6%, respectively. NovaLisa test kit provided comparable diagnostic performance. Its relatively low cost, simplicity, and rapidity enables large scale field application.

Study of the Usefulness of Tiltable standing detector in Testing Shoulder Joint Superoinferior axial (견관절 Superoinferior axial 검사 시 Tiltable standing detector의 유용성에 관한 고찰)

  • Lee, Dong-Hee;Kim, Byung-Ki;Kim, Ki-Jung;Kim, Min-Hyun;Lee, Min-Woo;Kim, Sun-Bae;Kim, Gyeong-Soo
    • Korean Journal of Digital Imaging in Medicine
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    • v.11 no.1
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    • pp.27-33
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    • 2009
  • In this study, we compared the alteration of test positions according to various test equipments when testing shoulder joint superoinferior axial to estimate the clinical usefulness of tiltable standing detector. Our objectives were patients who visited our hospital. Among them we chose patients who were prescribed to get a shoulder axial test, again we selected 30 patients whose abduction is more than 90 degree.(2008. Nov.$\sim$2009 Jan.) With the patients cooperation, we used CR(Agfa, Belgium), fixed-detector(Canon, japan), Tiltable-detector(Philips, Netherlands). Tested with only one equipment(tiltable detector), and posed with the other two. We surveyed 5 inspectors and 30 patients, asking them to rate the convenience of test position. Also, we checked how long it takes to have the image appear on screen after testing with the equipment We provided a standard for an assessment of the image to an expert in bone radiology, an orthopedist and a radiologist with 5 years experience. When the patients were asked about the convenience of the equipments, 15 people(50%) answered CR is convenient and 14 people(46.7%) answered the Tilting detector is convenient, showing not much difference. However, when the inspectors were asked the same question, 4people(80%) out of 5 answered that the Tilting detector is more convenient The time test showed that CR takes 2 minutes and 50 seconds, the Fixed detector 1minute and 48 seconds andor had no distortion showing the shoulder joint space. However, even though the Fixed detector showed ac the Tilting detector takes 1 minute and 43 seconds to bring the image to the screen after the position. The results of the value of image taken by each equipment, CR and the Tilting detectromion, coracoid process, due to the unstable pose, they were quite distorted and scored poor in observing glenoid fossa. By this study, we can see that testing the shoulder joint superoinferior axial projection with a detector that has a tilting device would be more convenient than testing it with a CR.

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Effects of Diagnostic and Formative Assessment Using Equivalent Test on Elementary Science Classes : Focused on the 'Earth and Moon' Unit (동형검사를 활용한 진단 및 형성평가가 초등과학 수업에 미치는 효과 : '지구와 달' 단원을 중심으로)

  • Son, Jun Ho;Kim, Jonghee
    • Journal of The Korean Association For Science Education
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    • v.35 no.4
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    • pp.619-628
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    • 2015
  • The purpose of this study is to find out the effects of the diagnostic and formative assessment on elementary science classes. For this purpose, we developed the diagnostic and formative assessment test and provided them to students before giving them the equivalent and learning achievement tests. The results are described as follows: First, for the science class that took the diagnostic assessment; the test provided help in improving the students' learning achievement. Second, for the science class that took the formative assessment; the test did not provide help in improving the students' learning achievement and in improving their openness to learning opportunity only to self-directed learning attitudes. Third, for the science class that were given both the diagnostic and formative assessment test; the tests provided help in improving the students' learning achievement. It also helped in improving their openness to learning opportunity, initiative for learning, and passion for learning except in problem-solving skills on self-directed learning attitude. Therefore, I recommend the utilization of the diagnostic and formative assessment tests be provided to students in order to improve learning achievement and self-directed learning attitudes in science classes.

Analysis of Insulation Diagnosis and Failure in Stator Windings of Air-Cooled Gas Turbine Generator

  • Kim, Hee-Dong;Kong, Tae-Sik;Kim, Kyeong-Yeol
    • KEPCO Journal on Electric Power and Energy
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    • v.2 no.3
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    • pp.421-424
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    • 2016
  • In order to evaluate the insulation deterioration in the stator windings of air-cooled gas turbine generators(119.2 MVA, 13.8 kV) which has been operating for more than 15 years, diagnostic test and AC dielectric breakdown test were performed on phases A, B and C. Diagnostic test included measurements of AC current, dissipation factor, partial discharge (PD) magnitude and capacitance. ${\Delta}I$ and ${\Delta}tan{\delta}$ in all three phases (A, B, and C) of generator stator windings showed that they were in good condition but PD magnitude indicated marginally serviceable condition. After the diagnostic test, an AC overvoltage test was performed by gradually increasing the voltage applied to the generator stator windings until electrical insulation failure occurred, in order to determine the breakdown voltage. Although phase A of generator stator windings failed at breakdown voltage of 29.0 kV, phases B and C endured the 29.0 kV. The breakdown voltage in all three phases was higher than that expected for good-quality windings (28.6 kV) in a 13.8 kV class generator.

Neuropathic Back Pain : Are There Any Practical Diagnostic Criteria?

  • Lee, Kyeong-Seok;Shim, Jae-Jun;Doh, Jae-Won;Yoon, Seok-Mann;Bae, Hack-Gun;Yun, Il-Gyu
    • Journal of Korean Neurosurgical Society
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    • v.41 no.1
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    • pp.65-68
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    • 2007
  • Objective : A new point of view on the chronic back pain proposed which is, named neuropathic back pain[NBP]. Some proposed a certain pain scale as an useful diagnostic tool. Before scientific verification, some doctors prescribed a new anticonvulsant for the NBP. We investigated diagnostic tools for NBP by a review of the literature. Methods : A comprehensive computer search of the English literature concerning neuropathic low back pain was performed using the key words such as neuropathic back pain and diagnosis in the PubMed. Results : In 1998, the term NBP was first used in a patient with lung cancer. In the English literature, there were two diagnostic methods for the NBP, Neuropathic pain scale[NPS] and a pharmacological test. NPS is a pain questionnaire, which depends on the patients' subjective reports on the given questions, such as 'how hot is your pain feel'. By the pharmacological test, NBP was defined as 50% or more decrease of pain on intravenous lidocaine and on local anesthetic epidurally. It also depends on the patients' subjective response to the therapy. Conclusion : There were still no reliable objective diagnostic criteria for the NBP. It seems to be better to reserve the new anticonvulsants for the NBP till scientific approval.