• Title/Summary/Keyword: 진단 주기

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Diagnostic Techniques for SARS-CoV-2 Detection (SARS-CoV-2의 진단기술)

  • Kim, Jong-Sik;Kang, Na-Kyung;Park, Seon-Mi;Lee, Eun-Joo;Chung, Kyung Tae
    • Journal of Life Science
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    • v.30 no.8
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    • pp.731-741
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    • 2020
  • Coronavirus disease 19 (COVID-19) is caused by SARS-CoV-2 (Severe Acute Respiratory SyndromeCoronavirus 2). To date, seven coronaviruses that can infect humans were reported. Among them, infections with four coronavirus strains (HCoV-229E, HCoV-OC43, HCoV-NL63, and HCoV-HKU1) resulted in mild symptoms such as common cold, whereas SARS-CoV and MERS-CoV caused severe symptoms and epidemics in 2002 and 2012, respectively. In the most recent, SARS-CoV-2 was first reported in Wuhan, China in December 2019 and became a notorious cause of the ongoing global pandemics. To diagnose, treat, and prevent COVID-19, the development of rapid and accurate diagnostic tools, specific therapeutic drugs, and safe vaccines essentially are required. In order to develop these powerful tools, it is prerequisite to understand a phenotype, a genotype, and life cycle of SARS-CoV-2. Diagnostic techniques have been developing rapidly around world and many countries take the fast track system to accelerate approval. Approved diagnostic devices are rapidly growing facing to urgent demand to identify carriers. Currently developed commercial diagnostic devices are divided into mainly two categories: molecular assay and serological & immunological assay. Molecular assays begins the reverse transcription step following polymerase chain reaction or isothermal amplification. Immunological assay targets SARS-CoV-2 antigen or anti-SARS-CoV-2 antibody of samples. In this review, we summarize the phenotype, genome structure and gene expression of SARS-CoV-2 and provide the knowledge on various diagnostic techniques for SARS-CoV-2.

Clinical Trials and Accuracy of Diagnostic Tests (진단법의 임상시험연구와 진단정확도)

  • Lee, You-Kyoung;Lee, Sang-Moo
    • Journal of Genetic Medicine
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    • v.8 no.1
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    • pp.28-34
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    • 2011
  • Most clinicians understand clinical trials as the evaluation process for new medicine before their use. However, clinical trials can also be applied to laboratory diagnostic tests (LDTs) to verify diagnostic accuracy and efficacy before their clinical laboratory implementation for patients. The clinical trial of LDT has two distinctive characteristics that are different from the case of pharmaceuticals and thus worth special consideration. One of them is the level of evidence. The well-designed randomized controlled trials (RCTs) are known to provide the best evidence to prove the clinical efficacy of any pharmaceutical products. However, RCTs lose practicality when applied to LDTs due to various issues including ethical complications. For this reason, comparative study format is considered more feasible approach for LDTs. In addition pharmaceuticals and LDTs are different in that the user's intervention is not required for the former but critical to the latter. Moreover, in the case of pharmaceuticals, end-products are produced by manufacturers before being used by clinicians. However, in LDTs, once reagents and instruments are provided by manufacturers, they are first utilized by clinical laboratories to produce test results in order for clinicians to use them later. In other words, when it comes to LDTs, clinical laboratories play the role of manufacturers, providing reliable test results with improved quality assurance. Considering the distinctive characteristics of LDTs, we would like to offer detailed suggestions to successfully perform clinical trials in LDTs, which include analytical performance measures, clinical test performance measures, diagnostic test accuracy measures, clinical effectiveness measures, and post-implementation surveillance.

Clinical experience with amitriptyline for management of children with cyclic vomiting syndrome (주기성 구토 증후군 소아에서 구토 예방을 위한 amitriptyline의 임상 경험)

  • Sim, Ye-Jee;Kim, Jung-Mi;Kwon, Soonhak;Choe, Byung-Ho
    • Clinical and Experimental Pediatrics
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    • v.52 no.5
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    • pp.538-543
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    • 2009
  • Purpose : To report the clinical experience with amitriptyline for managing children with cyclic vomiting syndrome (CVS). Methods : Totally, eleven children (eight males) were diagnosed with CVS. Of these, medical records were reviewed for eight children treated with amitriptyline; three children were not treated because one was not followed up and two were kept under observation to study the natural course without medication, because the frequency of vomiting had recently decreased to less than one episode per year. The eight amitriptyline-treated children were divided into three groups by the therapeutic response: (1) complete remission (CR), with no recurrence of symptoms after treatment; 2) partial remission (PR), in which the frequency of symptoms decreased by almost 50% after treatment; and (3) no response. Results : For the eight amitriptyline-treated children, the mean age of symptom onset was 4.7 (0.3-7) yr and mean age at diagnosis was 8.9 (6.0-11.3) yr. The mean number of vomiting episodes was 8.8 (2-25) per year, and the duration of vomiting in each episode ranged from 3 hours to 5 days. CR was achieved in five (62.5%) of the eight amitriptyline-treated children (0.2-0.8 mg/kg/day orally, at night) and PR was achieved in three children (37.5%). Two children relapsed on discontinuation of amitriptyline by their parents decision but showed improvement on remedication. No adverse effects were noted throughout the study period. Conclusion : Amitriptyline can be used in long-term prophylaxis for the management of children with CVS aged over 6 yr. However, a large-scale study is needed to ascertain its effects.

Time-synchronized measurement and cyclic analysis of ultrasound imaging from blood with blood pressure in the mock pulsatile blood circulation system (박동 혈액 순환 모의 시스템에서 시간 동기화된 혈압 및 혈액의 초음파 영상 측정 및 주기적 분석)

  • Min, Soohong;Jin, Changzhu;Paeng, Dong-Guk
    • The Journal of the Acoustical Society of Korea
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    • v.36 no.5
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    • pp.361-369
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    • 2017
  • Hemodynamic information in the carotid artery bifurcation is very important for understanding the development and progression mechanisms of cerebrovascular disease and for its early diagnosis and prediction of the progress. In this paper, we constructed a mock pulsatile blood circulation system using an anthropomorphic elastic vessel of the carotid artery bifurcation and ex vivo pig blood to acquire ultrasound images from blood and vessels synchronized with internal pressure while controlling the blood flow. Echogenicity, blood flow velocity, and blood vessel wall motion from the ultrasound images, and internal blood pressure were extracted over a cycle averaged from five cycles when the pulsatile pump rates are 20 r/min, 40 r/min, and 60 r/min. As a result, respectively, the peak systolic blood flow velocities were 20 cm/s, 25 cm/s, and 40 cm/s, the blood pressure differences were 30 mmHg, 70 mmHg, and 85 mmHg, the arterial walls were expanded to 0.05 mm, 0.15 mm, and 0.25 mm. Time-delayed cyclic variation of echogenicity compared to blood flow and pressure was observed, but the variation was minimal at 20 r/min. Time-synchronized cyclic variations of these parameters are important information for accurate input parameters and validation of the computational hemodynamic experiments which will provide useful information for the development and progress mechanisms of carotid artery stenosis.

An Arg1239His mutation of the CACNL1A3 gene in a Korean family with hypokalemic periodic paralysis (가족성 저칼륨성 주기성 마비 1예)

  • Yeo, Chae Young;Kim, Young Ok;Kim, Myeong Kyu;Kim, Ji Youn;Cho, Young Kuk;Kim, Chan Jong;Woo, Young Jong
    • Clinical and Experimental Pediatrics
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    • v.51 no.7
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    • pp.771-774
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    • 2008
  • Familial hypokalemic periodic paralysis (hypoPP) is a rare inherited channelopathy that often presents with episodic weakness accompanied by hypokalemia. Thus far, mutations in the gene encoding two ion channels (CACNL1A3, L-type calcium channel alpha-1 subunit and SCN4A, a sodium channel type IV alpha subunit) have been identified. Several cases of familial hypoPP in children have been reported in Koreans, but there are only a few cases with identified mutations. We report a 12-year-old boy and his affected mother with hypoPP who has a heterozygous G to A substitution at codon 1239 in exon 30 of the CACNL1A3 gene that causes a change from arginine to histidine (Arg1239His, CACNL1A3). This mutation is common among Caucasians; however, it has not yet been reported in Koreans. The patients were treated with oral acetazolamide and potassium replacement and were instructed to avoid precipitating factors. After the medication and lifestyle modification, the paralytic attacks significantly decreased.

Effect of Ovarian Changes according to Four Season for Reproduction of Jeju Crossbred Horses (Jeju crossbred에서 계절에 따른 난소주기 변화 연구)

  • Yu, Yeong-Ju;Park, Seol-Hwa;Shin, Sang-Min;Yang, Byoung-Chul;Seong, Pil-Nam;Woo, Jae-Hoon;Kim, Nam-Young;Son, Jun-Kyu
    • Journal of Embryo Transfer
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    • v.32 no.3
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    • pp.177-182
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    • 2017
  • This study was conducted to investigate the ovarian cycle changes of the mare according to the season. Twenty four Jeju crossbred horses(Thoroughbred ${\times}$ Jeju horse) raised in Subtropical Livestock Research Institute, National Institute of Animal Science, RDA were used to identify follicles and corpus luteum with ultrasonography once a week(May 2016~June 2017). Blood samples of experimental horses were collected twice a week for analysis of P4 hormone levels. The mares were considered to have resumed ovarian cyclicity on the day of ovulation if they followed by regular ovarian cycles. Only 13 cases(61.9%) of the total 21cases showed normal ovarian cycle, and 8 cases (38.1%) showed delayed ovarian cycle. Three cases(16.7%) in October, 5 cases(27.8%) in November and 5 cases(27.8%) in December(27.8%) ceased the heat and the remaining 5 cases(27.8%) showed that the estrus was maintained in winter. Horses that stopped estrus ceased the heat until March of next year, and 27.8% were continued the heat during non-breeding season. Eleven cases(61.1%) of 18 cases in April and 2 cases(11.1%) of 18 cases in May returned the estrus.

A Implementation of motorcar consumption diagnostic management iPhone based software with OBD-II and WiFi network (OBD-II WiFi를 이용한 아이폰 기반의 자동차 소모품 진단관리 소프트웨어 구현)

  • Jeong, Da-Woon;Nam, Jae-Hyun;Jang, Jong-Wook
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.15 no.11
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    • pp.2347-2352
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    • 2011
  • driver for safety always check the status of their vehicle, and it is essential to understand. But if you want to know the status of the driver of the vehicle in specialist referral time and money because it costs the operator shall be paid.IT technoligy with the development of the various features of your phone to check the status of the vehicle was able to do. However, the car' existing phone system, car diagnostic expertise must be learned because it will reveal the status of the vehicle do not have the expertise to not highlight the need for diagnostic. To reflect these points in smartphone users to easily use their own vehicles at a time to determine the status of a system that is required. In this paper, OBD-II protocol conversion WiFi OBD-II connector, retrieving information from the driver of the vehicle replacement cycle of consumables required vehicle inspection, vehicle problems in real-time diagnostic information to the user ease of use shows the iPhone implementation in the automotive supply was implemented based on the smartphone.

플라즈마 임피던스를 이용한 RPS내 아노다이징 코팅진단 및 수명예측에 대한 연구

  • Kim, Dae-Uk;An, Yeong-O;Im, Eun-Seok;Lee, Han-Yong;Wi, Sun-Im;Choe, Dae-Gyu;Choe, Sang-Don
    • Proceedings of the Korean Vacuum Society Conference
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    • 2015.08a
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    • pp.141.2-141.2
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    • 2015
  • 교류임피던스 측정기법을 이용하여 전기화학적으로 외부환경에서 소재 금속까지 물질 및 전하이동에 관한 임피던스 측정이 가능하며 도막의 부식 및 노화정도 및 내식성의 평가가 가능하여 산업체에서 널리 이용되고 있다. RPCS(Remote Plasma Cleaning Source)는 패널 및 반도체 제조공정에서 CVD 증착공정 후 챔버 내부에 입혀지는 Si(실리콘)을 화학적으로 세정하기 위한 F(불소) Radical을 공급하는 원격 고밀도 플라즈마를 발생시키는 제품이다. RPCS의 바디는 알루미늄을 사용하고 절연 및 플라즈마에 대한 내구성을 확보하기 위해 아노다이징 코팅을 한다. 반응기 내벽의 표면이 공정 플라즈마에 노출될 때 소재는 화학적으로 매우 활성이 높은 라디칼과의 반응뿐만 아니라 이온의 충격을 동시에 받게 되며 이 과정에서 다량의 불소 (Fluorine) 라디칼과 전계에 반응한 이온의 운동에 노출되면서 아노다이징 코팅이 손상되는데 이는 기기의 수명 단축 및 파티클을 발생시키며, Arc의 원인이 되기도 한다. 실제 사용 환경에서는 기기의 분해 없이 아노다이징의 상태를 주기적으로 모니터링 하기가 대단히 어려워, 정기적으로 교체하고 있는 실정이다. 본 연구에서는 RPCS내 발생된 플라즈마 현상을 컨덕터로 활용하여 고주파 리액턴스를 임피던스로 환산하여 아노다이징 코팅의 손상 정도를 진단 및 모니터링하였다. 아노다이징이 손상된 내부 블럭과 정상상태인 내부 블럭의 임피던스를 비교하였고, 아노다이징 두께별 임피던스를 측정하였다. 그 결과 아노다이징 절연막이 손상된 블록의 임피던스가 정상 블록에 비해 낮았으며 두께별 임피던스도 비례함을 알 수 있었다. 향후에는 장기간 현장에서 축척되어진 시험데이터를 바탕으로 아노다이징 코팅의 수명예측진단 시스템을 구축하고자 한다.

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An Analysis of the Characteristics of the Below-Basic Students in the Grade 3 National Diagnostic Assessment of Basic Competency (초등학교 3학년 수학 기초학력 미도달 학생의 특징 분석)

  • Ko, Jung-Hwa
    • Journal of Educational Research in Mathematics
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    • v.18 no.3
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    • pp.283-308
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    • 2008
  • A poor achievement of basic competency leads to obstacles of the same subject and other subjects from a series of accumulative losses and social life. The Grade 3 National Diagnostic Assessment of Basic Competency (NDAHC) dated from 2002, Teaching Plan Responsible to Basic Competency and compensational education materials for students of the below-basic level has marked a line in the chain of policy to realize educational welfare. The goal of NDABC is to collect information of the reason with regard to learning deficiency and individual student's information, and ultimately teach them on the basis of those informations. This study analyzed the characteristics of below-basic students in the basic mathematics with data from NDABC from 2003 to 2007. Students of the below-basic level were affected in achievement by numerical distinction, regrouping, arrangement and descriptive form of item, information-providing way, typical example, familiarity, frequency in use in daily life etc. This study provides a basic important information with regard to teaching below-basic students and suggestions with compensational education materials for them.

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A Study on Diagnostic Model of Cerebrovascular Disease for Ubiquitous Health Care (U-헬스 케어 환경에서 뇌혈관 질환 진단 모델 연구)

  • Lee, Hyun-Chang;Kim, Jeong-Gon
    • Journal of the Korea Society of Computer and Information
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    • v.11 no.6 s.44
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    • pp.107-111
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    • 2006
  • According to IT(information technology) industry progress. our life is gradually convenient. The proliferation of environmental pollution and the threat of diseases proportional to the progress comes to be high gradually. We must prevent dangerous diseases which threatens the life of the human. Or we are bumped against irrevocable serious situation. In spite of the situation. managing one's own health against modern busy lifestyle is very difficult. Therefore, we need to manage our health situation by using sensors based on ubiquitous IT environment. In this paper. we propose a diagnostic model which is able to diagnose and prevent a cerebrovascular disease based on ubiquitous technology. Also. as a step of implementing the u-health care diagnosis system, the diagnosis model of cerebrovascular disease plays an important role to decide a clinic result. In the future, by using this model. we may improve our welfare and health.

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