• Title/Summary/Keyword: laboratory records

검색결과 448건 처리시간 0.034초

인진청간탕으로 호전된 스테로이드 부작용을 동반한 자가면역성 간염-원발성 담즙성 간경변증 중복증후군 1례 (Effects of Herbal Medicine Injinchunggan-tang on Steroid-induced Symptoms in a Patient with Autoimmune Hepatitis-Primary Biliary Cirrhosis Overlap Syndrome: A Case Report)

  • 김하연;배정한;최은솔;장은경;이장훈;김영철
    • 대한한방내과학회지
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    • 제37권3호
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    • pp.560-567
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    • 2016
  • Objectives: The medical records, including laboratory test results, of a patient with autoimmune hepatitis (AIH)-primary biliary cirrhosis (PBC) overlap syndrome were reviewed to observe changes in steroid-induced adverse reactions before and after herbal medicine treatment.Methods: We investigated the records of a 44-year-old female patient with AIH-PBC overlap syndrome treated at the Kyung Hee University Korean Medicine Hospital. Injinchunggan-tang and its modified decoctions were administered, and any changes inclinical manifestations as well as laboratory test results were monitored.Results and Conclusions: Significant decreases in ALP, GGT, ALT, and AST levels were observed after oral administration of the herbal medicines. Improvements in steroid-induced symptoms (hyperglycemia, fatigue, and moon face) were also observed. Injinchunggan-tang and its modified prescriptions are promising candidates for proper management of AIH-PBC overlap syndrome.

한국산 민태과 Grenadiers (대구목) 어류 4 미기록종 (Four New Records of Grenadiers (Macrouridae, Gadiformes, Teleostei) from Korea)

  • 김성용
    • 한국어류학회지
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    • 제21권2호
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    • pp.106-117
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    • 2009
  • 한국 동해안에서 채집된 민태과 어류 표본을 검토한 과정에서 Coryphaenoides(속명신칭: 긴가시민태속)에 포함되는 2종 Coryphaenoides marginatus(국명신칭: 큰눈긴가시민태), C. microps(국명신칭: 작은눈긴가시민태)과 Coelorinchus(속명신칭: 꼬리민태속)에 속하는 2종 Coelorinchus macrochir(국명신칭: 긴팔꼬리민태), C. formosanus (국명신칭: 타이완꼬리민태)은 한국미기록종으로 확인되어 사진과 함께 재기재하고 한국 동해안에 분포하는 민태과(Macrouridae) 2속 8종의 속 및 종검색표를 제시하였으며 지리적 분포에 대하여 기록하였다.

ISO/IEC/IEEE 29119와 ISO/IEC 25023을 이용한 ISO/IEC 17025 소프트웨어 공인시험기관 적용에 관한 연구 (A Study on The Application of ISO/IEC 17025 Software Accredited Testing Institute Using ISO/IEC/IEEE 29119 and ISO/IEC 25023)

  • 이창희;김윤숙;노아름;양정심;김명섭;송성현
    • 한국산학기술학회논문지
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    • 제21권12호
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    • pp.97-106
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    • 2020
  • 본 연구의 목적은 소프트웨어 공인시험기관에 국제 표준 ISO/IEC 17025 요구사항을 기준으로 ISO/IEC/IEEE 29119 소프트웨어 시험 절차와 ISO/IEC 25023 소프트웨어 시험 평가 항목을 적용하는 방법에 대한 연구이다. 연구의 방법으로 시험기관에 적용하는 전체 요구사항은 ISO/IEC 17025를 기준으로 ISO/IEC/IEEE 29119와 ISO/IEC 25023을 매핑하여 분석되었다. 해당 매핑 분석에 따라 시험기관 운영을 위한 품질 매뉴얼과 절차서, 지침서는 총 29 종류의 문서를 작성하였다. 연구의 결과 시험기관 관리 시스템은 분석된 전체 요구사항 결과를 적용하여 Confluence 6.15 소프트웨어를 이용하여 구현하였고 시험절차서, 문서, 기록은 시험관리 시스템에 저장하여 운영하도록 하였다. 시험기관운영 적합성 검증은 서울 소재 LG전자 SW공인시험소에서 KOLAS 평가사에 의하여 문서 심사 및 현장 심사로 진행이 되었다. 결론적으로 시험기관 관리 시스템과 시험기관의 운영은 KOLAS의 심사 평가를 통하여 적합하다는 것을 확인할 수 있었고 이전 연구 사례와 비교하여 효과적으로 시험기관 운영과 전체 일정을 단축할 수 있었다.

단일 3차 의료기관에서 외상환자에 대한 대량수혈 프로토콜 적용 분석 (Analysis of Application of Massive Transfusion Protocol for Trauma Patients at a Single Tertiary Referral Hospital)

  • 김혜린;유동원;김혜림;신경화;이현지;장철훈;김형회
    • 대한수혈학회지
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    • 제29권3호
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    • pp.262-272
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    • 2018
  • 배경: 외상에 의한 대량출혈은 외상 환자의 주요 사망 원인 중 하나이며, 이 경우 초기에 다량의혈액제제를 적절한 비율로 신속하게 공급하는 것이 외상성 출혈로 인한 사망률을 감소시킨다는 점에서 매우 중요하다. 본 연구에서는 외상 환자에 대한 대량수혈을 보다 안전하고 신속하게 수행하기 위해 마련한 대량수혈 프로토콜(MTP)을 도입한 이후, MTP 적용군과 비적용군의 특성을 비교 분석하여 MTP를 적용할 환자를 예측하는데 도움을 줄 수 있는 임상적 지표가 있는지, MTP를 적용할 경우 보다 신속한 수혈이 가능한지를 확인하였다. 방법: 2018년 2월부터 8월까지 7개월간 단일 3차의료기관의 외상응급실을 통해 입원한 환자들 중 대량수혈을 받은 환자들의 전자의무기록 및 검사결과를 후향적으로 분석하였다. 대량수혈 환자는 초기 24시간 이내에 적혈구제제 10단위 이상을 수혈받은 16세 이상의 환자로 정의하였으며, 이들 중 MTP를 적용받은 군(MTP군)과 비적용군(non-MTP군)을 구분하여 수상 종류 및 메커니즘, 초기 활력징후, 혈액검사결과, 외상 중증도 평가 점수, 수혈된 혈액제제의 비율과 양, 혈액제제가 처방된 시점부터 출고되기까지 소요된 시간을 비교 분석하였다. 결과: 2018년 2월부터 8월까지 7개월간 대량수혈을 받은 53명의 외상환자들 중 MTP군은 31명, non-MTP군은 22명으로 확인되었으며, 수축기혈압 및 이완기혈압을 제외한 초기활력징후 및 초기 혈액검사결과는 두 군간 유의한 차이가 없었다. 두 군의 혈액제제 사용량 및 비율 또한 큰 차이가 없었으나, 혈액제제 출고 소요시간의 경우 non-MTP군보다 MTP군에서 더 짧은 것이 확인되었다. 결론: MTP군과 non-MTP군의 초기활력징후 및 검사결과 등 임상적 특성은 큰 차이를 보이지 않았으나, MTP군에서 혈액제제가 출고되기까지 소요되는 시간이 더 짧아 보다 신속하게 수혈을 시작할 수 있었다.

Molecular Identification of Haemadipsa rjukjuana (Hirudiniformes: Haemadipsidae) in Gageo Island, Korea

  • Won, Sohyun;Park, Bae Keun;Kim, Baek Jun;Kim, Hye Won;Kang, Jun Gu;Park, Tae Seo;Seo, Hong Yul;Eun, Ye;Kim, Ki Gyoung;Chae, Joon Seok
    • Parasites, Hosts and Diseases
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    • 제52권2호
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    • pp.169-175
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    • 2014
  • There are 60 species of blood-feeding land leeches, 50 species belonging to the family Haemadipsidae and 10 species belonging to the family Xerobdellidae. Despite recent papers on the land leeches, their taxonomic identification is not fully understood, especially at a species level. In Korea, there have been no historical records of the terrestrial leeches, but recently an unrecorded blood-feeding land leech was discovered at Gageo-do (Island), Korea. Molecular analysis was used to identify the species of 29 leeches collected from Mt. Dock-Sil in Gageo-do. Conventional PCR was conducted using nuclear 18S rRNA and mitochondrial cytochrome c oxidase subunit 1 (CO1) genetic marker. The 18S rRNA sequences revealed that the leeches share 99.9% identity with Haemadipsa rjukjuana (inhabiting Taiwan), and the CO1 sequences revealed that the leeches are very close to H. rjukjuana (inhabiting Taiwan). The CO1 sequences were separated into 2 categories, 1 with 94.6% and the other with 94.3% similarity to the H. rjukjuana L00115A (inhabiting Taiwan). This new finding of the land leech is the first record in Korea. In addition, the north range of the distribution of the blood-feeding leech (Hirudiniformes: Haemadipisidae) should be reconsidered including Korea.

Temperature Fluctuations Over the Past 2000 Years in Western Mongolia

  • Pederson, Neil;Jacoby, Gordon C.;D′Arrigo, Rosanne.;Frank, David;Buckley, Brendan;Nachin, Baatarbileg;Chultem, Dugarjav;Renchin, Mijiddorj
    • 한국제4기학회지
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    • 제17권2호
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    • pp.157-159
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    • 2003
  • Much of northern Asia is lacking in high-resolution palaeoclimatic data coverage. This vast region thus represents a sizeable gap in data sets used to reconstruct hemispheric-scale temperature trends for the past millennium. To improve coverage, we present a regional-scale composite of four tree-ring width records of Siberian pine and Siberian larch from temperature-sensitive alpine timber-line sites in Mongolia. The chronologies load closely in principal components analysis (PCA) with the first eigenvector accounting for over 53% of the variance from ad 1450 to 1998. The 20-year interval from 1974 to 1993 is the highest such growth period in this composite record, and 17 of the 20 highest growth years have occurred since 1946. Thus these trees, unlike those recently described at some northern sites, do not appear to have lost their temperature sensitivity, and suggest that recent decades have been some of the warmest in the past 500 years for this region. There are, however, comparable periods of inferred, local warmth for individual sites, e.g., in 1520-1580 and 1760-1790. The percent common variance between chronologies has increased through time and is highest (66.1%) in the present century. Although there are obvious differences among the individual chronologies, this result suggests a coherent signal which we consider to be related to temperature. The PCA scores show trends which strongly resemble those seen in recent temperature reconstructions for the Northern Hemisphere, very few of which included representation from Eurasia east of the Ural Mountains. The Mongolia series therefore provides independent corroboration for these reconstructions and their indications of unusual wanning during the twentieth century.

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Agreement of three commercial anti-extractable nuclear antigen tests: EUROASSAY Anti-ENA Profile, Polycheck Autoimmune Test and FIDIS Connective Profile

  • Kim, Namhee;Kim, In-Suk;Chang, Chulhun L;Kim, Hyung-Hoi;Lee, Eun Yup
    • 고신대학교 의과대학 학술지
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    • 제33권3호
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    • pp.307-317
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    • 2018
  • Background: Detection of antibodies to extractable nuclear antigens (ENAs) is needed for the diagnosis in systemic autoimmune diseases. In this study, we compared three reagents using line immunoblot assay (LIA) or multiplex bead immunoassay for detecting the anti-ENAs. Methods: A total of 89 sera were tested by 3 different assays: EUROASSAY Anti-ENA Profile (Euroimmune, Germany), Polycheck Autoimmune Test (Biocheck GmbH, Germany), and $FIDIS^{TM}$ Connective Profile (Biomedical Diagnostics, France). The following individual ENAs were investigated: Sm, SS-A (Ro), SS-B (La), Scl-70, Jo-1 and RNP. We reviewed medical records to investigate the discrepant results among three methods. Results: Overall percent agreements were 96.1% between EUROASSAY Anti-ENA Profile and $FIDIS^{TM}$ Connective profile; 90.4% between EUROASSAY Anti-ENA Profile and Polycheck Autoimmune Test using the manufacturers' cutoff; 96.4% between EUROASSAY Anti-ENA Profile and Polycheck Autoimmune Test using a upward cutoff; 90.4% between $FIDIS^{TM}$ Connective profile and Polycheck Autoimmune Test the manufacturers' cutoff; and 96.4% between $FIDIS^{TM}$ Connective profile and Polycheck Autoimmune Test a upward cutoff. Conclusions: The three assays showed excellent agreement with each other. With appropriate cutoff, the all three assays for six of the anti-ENA tests investigated in this study can be used in clinical laboratories for detecting the anti-ENAs.

Experimental calibration of forward and inverse neural networks for rotary type magnetorheological damper

  • Bhowmik, Subrata;Weber, Felix;Hogsberg, Jan
    • Structural Engineering and Mechanics
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    • 제46권5호
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    • pp.673-693
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    • 2013
  • This paper presents a systematic design and training procedure for the feed-forward back-propagation neural network (NN) modeling of both forward and inverse behavior of a rotary magnetorheological (MR) damper based on experimental data. For the forward damper model, with damper force as output, an optimization procedure demonstrates accurate training of the NN architecture with only current and velocity as input states. For the inverse damper model, with current as output, the absolute value of velocity and force are used as input states to avoid negative current spikes when tracking a desired damper force. The forward and inverse damper models are trained and validated experimentally, combining a limited number of harmonic displacement records, and constant and half-sinusoidal current records. In general the validation shows accurate results for both forward and inverse damper models, where the observed modeling errors for the inverse model can be related to knocking effects in the measured force due to the bearing plays between hydraulic piston and MR damper rod. Finally, the validated models are used to emulate pure viscous damping. Comparison of numerical and experimental results demonstrates good agreement in the post-yield region of the MR damper, while the main error of the inverse NN occurs in the pre-yield region where the inverse NN overestimates the current to track the desired viscous force.

수압식 파고계 자료 분석에서 유속의 영향 (The Significance of Current-effect on Analysis of Wave Data Obtained from a Subsurface Pressure Gauge)

  • 이동영;오상호
    • Ocean and Polar Research
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    • 제31권4호
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    • pp.389-399
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    • 2009
  • Subsurface pressure gauge has many advantages in measuring a wide range of wave spectra in coastal waters from wind waves to long waves. However, a shortcoming of the gauge is related to the difficulties in recovering surface wave spectra from subsurface pressure records. In this study, the effect of current on the pressure transfer function of the pressure gauge, and hence on the surface wave energy spectrum, was investigated by analyzing the subsurface pressure data based on the linear wave theory. For this purpose, laboratory experiments were carried out in a wave-current flume. Subsurface pressure records, as well as the surface elevation data, were obtained simultaneously under different wave and current conditions. Pressure transfer functions were obtained and compared with those estimated from the linear wave theory, both with and without inclusion of the current-effect. It was established that wave spectra obtained from subsurface pressure gauge were in closer agreement with those from surface wave gauge when current-effect on the pressure transfer function was taken into consideration for analysis.

Perspectives on Clinical Informatics: Integrating Large-Scale Clinical, Genomic, and Health Information for Clinical Care

  • Choi, In Young;Kim, Tae-Min;Kim, Myung Shin;Mun, Seong K.;Chung, Yeun-Jun
    • Genomics & Informatics
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    • 제11권4호
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    • pp.186-190
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    • 2013
  • The advances in electronic medical records (EMRs) and bioinformatics (BI) represent two significant trends in healthcare. The widespread adoption of EMR systems and the completion of the Human Genome Project developed the technologies for data acquisition, analysis, and visualization in two different domains. The massive amount of data from both clinical and biology domains is expected to provide personalized, preventive, and predictive healthcare services in the near future. The integrated use of EMR and BI data needs to consider four key informatics areas: data modeling, analytics, standardization, and privacy. Bioclinical data warehouses integrating heterogeneous patient-related clinical or omics data should be considered. The representative standardization effort by the Clinical Bioinformatics Ontology (CBO) aims to provide uniquely identified concepts to include molecular pathology terminologies. Since individual genome data are easily used to predict current and future health status, different safeguards to ensure confidentiality should be considered. In this paper, we focused on the informatics aspects of integrating the EMR community and BI community by identifying opportunities, challenges, and approaches to provide the best possible care service for our patients and the population.