• Title/Summary/Keyword: 양성율

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How Reliable is Sputum PCR Test in the Diagnosis of Pulmonary Tuberculosis When Sputum Smear is Negative? (객담 결핵균 도말검사가 음성일때 중합효소연쇄반응검사와 진단적 신뢰도에 관한 연구)

  • Baek, Seung-Hoon;Lee, Jae-Myung;Kang, Min-Jong;Son, Jee-Woong;Lee, Seung-Joon;Kim, Dong-Gyu;Lee, Myung-Goo;Hyun, In-Gyu;Jung, Ki-Suck;Lee, Kyung-Wha;Joe, Hyun-Chan
    • Tuberculosis and Respiratory Diseases
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    • v.50 no.2
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    • pp.222-228
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    • 2001
  • Backgrounds : Recent technological developments have introduced a new method to identifying M. tuberculosis complex DNA in clinical samples directly. The direct amplification test (DAT) is approved for identifying M. tuberculosis complex in respiratory specimens that are smear-positive for acid-fast bacilli (AFB). When there is a discrepancy between the AFB smear and DAT, no information on their clinical utility is currently available. In this study, the diagnostic reliability of DAT was investigated in suspected pulmonary tuberculosis patients whose sputum AFB smear was negative. Methods : From June 1, 1998 through May 30, 1999, 909 patients with presumed active pulmonary tuberculosis were enrolled. A sputum AFB stain, culture, DAT and/or biopsy were performed. Using the criteria of clinical tuberculosis or confirmed tuberculosis, the positive predictive value of DAT in diagnosing pulmonary tuberculosis was investigated. Results : The positive predictive value of DAT was 82.1% by the clinically active tuberculosis criteria. However, it decreased to 61.5% when diagnosis was restricted to only to culture positive or biopsy proven cases. The false positive rate of DAT was 18.0%. Conclusion : The DAT is a valuable diagnostic method in suspected patients whose sputum AFB is was negative.

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Quantitative Analysis of Thallium-201 Scintigraphy in Bone Tumor (골종양에서 탈륨 스캔의 정량적 분석)

  • Shin, Duk-Seop;Cho, Ihn-Ho
    • The Journal of the Korean bone and joint tumor society
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    • v.9 no.1
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    • pp.45-51
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    • 2003
  • Purpose: This study was designed to know the ability of thallium-201 scintigraphy to discriminate malignant bone tumor from benign by analysing the quantitative thallium uptake ratio. Materials and Methods: We took thallium-201 scintigraphy prospectively with other imaging studies in 82 bone tumor suspecting patients. The results of scintigraphy were read qualitatively and calculated quantitatively, and retention indexes were estimated. For the statistical analysis the patients were divided as four group; high grade malignant bone tumor, benign bone tumor, giant cell tumor and low grade malignant bone tumor. Results: The mean thallium uptake ratio was 4.14 in early phase and 2.26 in delayed phase in high grade malignant bone tumor group, 1.16 and 1.09 in benign bone tumor, 3.15 and 1.94 in giant cell tumor, and 1.41 and 1.31 in low grade malignant bone tumor. Retention indexes were 0.62, 0.97, 0.66, 0.93 in same order. The thallium uptake ratio and retention indexes were statistically correlated in high grade malignant bone tumor and benign bone tumor group(p<0.001). Conclusion: Thallium-201 scintigraphy proved as useful imaging study to discriminate malignant bone tumor from benign, but had exception in giant cell tumor and low grade malignant bone tumors.

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Enterobius vermicularis Infection in Kindergarten Children in Taegu and Kyongbuk Area (대구 및 경북지역 일부 유치원생들의 최근 요충감염상)

  • 류장근;노병의;김용문
    • Biomedical Science Letters
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    • v.2 no.1
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    • pp.115-120
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    • 1996
  • Recent patterns of Enterobius vermicularis infection in some kindergarten children was per-formed in Taegu and Kyongbuk Area from June 1, 1993 through August 30, 1995. A total of 1,087 children (male 611 and female 476) were examined by Graham's scotch tape method. Of 643 urban children,62(9.6%) were infected by E. vermicularis, and of 444 rural children,45(10.1%)were infected. Of 354 male children in urban area 40(11.3%) were E. vermicularis positive and of 257 male children in rural area,28(10.9%) were E. vermicularis positive. Of 128 children in the age of 7 years old in urban area,7(5.1%) were E. vermicularis positive but of 87 children in the same age group in rural area,21(24.1%) were E. vermicularis positive (P〈0.01). Of 354 male children in urban area,40(11.3%) were E. vermicularis positive and of 289 female children in the same area 22(7.6%) were infected by E. vermicularis. The E. vermicularis infection rates in the children in the age group of 4,5, and 6 were 6.3%, 8.4% and 19.3% respectively, and the rate for 7 year old children was 5.5% (P 〈0.01). In rural area, 28(10.9%) of 257 male children had E. vermicularis and 17(9.1%) of 187 female children had E. vermicularis. The E. ver-micularis infection rates in the age groups of 4, 5, 6 and 7 were 2.3%, 7.0% 9.8% and 24.1% respectively and the difference in rates were statistically significant (P 〈0.01).

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A Research on Superparamagnetic Iron Oxide Nanoparticles' Toxicity to U373MG Cell and its Effect on the Radiation Survival Curve (산화철 나노입자의 U373MG 세포 독성평가 및 방사선 세포생존 곡선에 미치는 영향에 대한 연구)

  • Kang, Seonghee;Kim, Jeonghwan;Kim, Dokyung;Kang, Bosun
    • Journal of the Korean Society of Radiology
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    • v.6 no.6
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    • pp.507-513
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    • 2012
  • This research was performed to evaluate the superparamagnetic iron oxide nanoparticles'(SPIONs) cell toxicity and to measure the radiation cell survival curve changes of SPIONs-uptake glioblastoma multiforme cells. The results could be practically used as the fundamental data to ameliorate proton beam cancer therapy, for example, providing necessary GBM treatment dose in the proton beam therapy when the therapy takes advantage of SPIONs. The assessment of the toxicological evaluation of synthesized SPIONs was accomplished by MTT assay as an in vitro experiment. The results showed no meaningful differences in the cell survival rate at the $1-100{\mu}g/ml$ SPIONs concentrations, but the cell toxicity was shown as the cell survival rate decreased up to 74.2% at the $200{\mu}g/ml$ SPIONs concentration. Then, we measured each radiation cell survival curve for U373MG cells and SPIONs-uptake U373MG cells with 0~5 Gy of proton beam irradiations. It is learned from the analysis of the experimental results that the SPION-uptake cells' radiation survival rate was more rapidly decreased as the irradiation dose increased. In conclusion we confirmed that SPIONs-uptake in U373MG cells induces cell death at the much less dose than the lethal dose of SPION-non-uptake cell. This research shows that the therapeutic efficacy of glioblastoma multiforme treatment in proton beam therapy can be improved by SPIONs targeting to the GBM cells.

Egg Positive rates of Clonorchis sinensis and intestinal helminths among residents in Kagye-ri, Saengbiryang-myon, Sanchong-gun, Kyongsangnam-do (경남 산청군 생비량면 가계리 주민의 간흡충과 장내 윤충류 충란 양성율)

  • 홍성종;이연효
    • Parasites, Hosts and Diseases
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    • v.32 no.4
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    • pp.271-274
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    • 1994
  • Stools of the residents in a village in Saengbiryang-myon, Sanchong-gun, Kyongsangnam-do were examined for the eggs of intestinal helminths. In 1987, infEction rate of 76 residents by Clonorchis sinenis was 80.3% with mean eggs per gram of feces (EPG) 27.781 C. sinensis-infected persons were treated once with praziquantel 60 mg/kg, q. i.d. Seventeen persons (22.4%) infected by Metosonimw yokogcwoi was coinfected with C. sinensis. In 1993. C. sirensis egg positive rate was 48.4% with mean EPG 5,929. Reinfection rate of follow-up cases by C. sinensis was 55.2% during 5 years and 5 months. Infection rate by MW. yokogauwai was 3.2%. This village was an endemic focus of clonorchiasis occurring reinfection high.

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Significancy of Fine Needle Aspiration Cytology on Thyroid Nodule (갑상선결절에서의 세침흡인세포검사의 진단적 의미)

  • 김기환;심윤상;오경균;이용식;장자준
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1993.05a
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    • pp.104-104
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    • 1993
  • Fine needle aspiration cytology(FNAC) is a valuable method in preoperative diagnosis of thyroid nodule. Authors evaluated one hundred and ten thyroid nodules by FNAC compared with the postoperative histopathologic diagnosis during the period from Jan. 1, 1989 through Dec. 31, 1992. The results were as followed. The sensitivity was 86.5%, specificity 90.4%, false-negative rate 13.5%, false-positive rate 9.6%, positive predictability 91.5%, negative predictability 60.1% and overall diagnostic accuracy 87.3 %.

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Prevalence, Worm Burden and Other Epidemiological Parameters of Ascaris lumbricoides Infection in Rural Communities in Korea (한국 농촌지역의 회충 감염율, 감염량 및 역학적 변수)

  • 채종일;금구진
    • Parasites, Hosts and Diseases
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    • v.23 no.2
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    • pp.241-246
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    • 1985
  • The epidemiological status of ascariasis was analyzed in 8 rural villages in Korea, through observation of its epidemiological parameters such as prevalence, worm burden and basic reproductive rate. Total 978 inhabitants were subjected to stool examination and recovery of worms after chemotherapy with pyrantel pamoate. The results were as follows: 1. The worm positive rate in each village was 16.5~79.5%, while the egg positive rate was 9~18% lower, 3.3~66.7%. The average worm burden (among all inhabitants) ranged from O. 21 to 8. 44 by villages and the frequency of cases with each worm burden showed negative binomial distributions with 'k' values of O. 38-0. 54. 2. The prevalence rates (worm) in each village was almost identical with the theoretical ones from Anderson and May's equation; $p=1-(1+M^*/k)^{-k}$, where 'p' is worm prevalence and '$M^*$' equilibrium average worm burden. The basic reproductive rate 'R' was calculated from 1.03 to 2.11. lt is suggested that, although 'R' in lower endemic areas is approaching to the breakpoint of reinfection (R=1), control programs of ascariasis in Korea should be continued until it becomes below the level nationwidely.

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Predictive Values of Early Rest/24 Hour Delay T1-201 Perfusion SPECT for Wall Motion Improvement in Patients with Acute Myocardial Infarction After Reperfusion (급성 심근 경색 환자에서 재관류 후 조기에 시행한 휴식/24시간 지연 T1-201 심근 SPECT의 심근벽 운동 호전 예측능)

  • Hyun, In-Young;Kwan, June
    • The Korean Journal of Nuclear Medicine
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    • v.32 no.3
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    • pp.259-265
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    • 1998
  • Purpose: We studied early rest/24 hour delay T1-201 perfusion SPECT for prediction of wall motion improvement after reperfusion in patients with acute myocardial infarction. Materials and Methods: Among 17 patients (male/female= 11/6, age: $59{\pm}13$) with acute myocardial infarction, 15 patients were treated with percutaneous transcoronary angioplasty (direct:2, delay: 11) and intravenous urokinase (2). Spontaneous resolution occurred in infarct-related arteries of 2 patients. We confirmed TIMI 3 flow of infarct-related artery after reperfusion in all patients with coronary angiography. We performed rest T1-201 perfusion SPECT less then 6 hours after reperfusion and delay T1-201 perfusion SPECT next day. T1-201 uptake was visually graded as 4 point score from normal (0) to severe defect (3). Rest T1-201 uptake ${\le}2$ or combination of rest T1-201 uptake ${\le}2$ or late reversibility were considered to be viable. Myocardial wall motion was graded as 5 point score from normal (1) to dyskinesia (5). Myocardial wall motion was considered to be improved when a segment showed an improvement ${\ge} 1$ grade in follow up echo compared with the baseline values. Results: Among 98 segments with wall motion abnormality, the severity of myocardial wall motion decrease was as follow: mild hypokinesia: 18/98 (18%), severe hypokinesia: 28/98 (29%), akinesia: 51/98 (52%), dyskinesia: 1/98 (1%). The wall motion improved in 85%. Redistribution (13%), and reverse redistribution (4%) were observed in 24 hour delay SPECT. Positive predictive value (PPV) and negative predictive value (NPV) of combination of late reversibility and rest T1-201 uptake were 99%, and 54%. PPV and NPV of rest T1-201 uptake were 100% and 52% respectively. Predictive values of combination of rest T1-201 uptake and late reversibility were not significantly different compared with predictive values of rest T1-201 uptake only. Conclusion: We conclude that early T1-201 perfusion SPECT predict myocardial wall motion improvement with excellent positive but relatively low negative predictive values in patients with acute myocardial infarction after reperfusion.

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가막만에서 양식 피조개(Scapharca broughtonii)의 성장과 생존율

  • 라성주;윤호섭;김양섭;이용한;최상덕
    • Proceedings of the Korean Society of Fisheries Technology Conference
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    • 2001.05a
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    • pp.363-364
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    • 2001
  • 피조개(Scapharca broughtonii, Red shell)는 우리나라 동해안 북부에서 남해안과 서해안의 내만에 걸쳐 널리 분포하는 고막류 가운데 가장 중요한산업종으로서 주로 남해안에서 많이 양식하고 있고, 양성 방법에 따라 장단점이 있으나 대부분의 양식업자들은 바닥식으로 양성하고 있다. 한편, 남해안은 임해공단, 생활하구 및 자가오염 등으로 수산생물이 매년 대량 폐사되고 있고, 가막만의 대부분의 지역이 펄질(점토성실트)로 구성되어 있어 상부해수가 침투하기가 매우 어렵다. (중략)

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