• Title/Summary/Keyword: Diagnostic Pattern

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Antigenicity of the soluble egg antigen of Paragonimus westermani (폐흡충 충란항원의 항원성 평가)

  • 김석일;고응구
    • Parasites, Hosts and Diseases
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    • v.24 no.1
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    • pp.49-54
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    • 1986
  • To evaluate the immature eggs of Paragonimus westermani as a source of diagnostic antigen, about a million eggs which were excreted by 104 adult worms were collected; their saline extract(soluble egg antigen; PwSEA) was prepared. The specific IgG and IgM antibody levels were observed in experimental dog paragonimiasis by micro ESISA, using PwSEA as well as whole worm extract of 12 week-old P. westermani(PwWWE). The protein composition of the PwSEA was observed by disc-PAGE. The results could be summarized as follows: 1. Specific IgG antibody to PwSEA begant to increase on 8 weeks after the experimental infection; it maintained its high level until the observation period of 13 weeks. The levels of IgM antibody to PwSEA however, did not show any significant change. 2. Specific IgG antibody to PwWWE began to increase earlier from 2 weeks after the infection and continued to increase until the observation period of 13 weeks. Its level was much higher than that to PwSEA. Specific IgM antibody to PwWWE increased temporarily during 2-8 weeks after the infection. 3. By disc-PAGE, PwSEA showed 2 protein bands of very low motility. The bands of PwSEA corresponded to the frist and second bands in the electrophoretic pattern of PwWWE of the 12 week-old worms. The above results indicated that the PwSEA induced antibody production in dog paragonimiasis, but its antigenicity was weaker than PwWWE to be used as a diagnostic antigen.

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Analysis of dentoalveolar compensation and discrimination of skeletal types (골격형에 따른 치아치조성 보상기전의 분석 및 골격형 판별)

  • Kim, Ji-Young;Kim, Tae-Woo;Nahm, Dong-Seok;Chang, Young-Il
    • The korean journal of orthodontics
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    • v.33 no.6 s.101
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    • pp.407-418
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    • 2003
  • The purpose of this study is to analyze dentoalveolar compensation in normal occlusion samples previously classified into 9 skeletal types, and to provide clinically applicable diagnostic criteria for individual malocclusion patients. Cephalometric measurements of the 294 normal occlusion samples previously divided into 9 types were analyzed. The descriptive features of dentoalveolar variables were compared for the 9 types using analysis of variance, followed by post hoc multiple comparisons. In addition, the correlation between skeletal and dentoalveolar variables were analyzed. Discriminant analysis with a stepwise entry of variables was designed to find out several potential variables for use in skeletal typing. The dentoalveolar compensation pattern of the skeletal types varied, especially with regards to the variables that indicated the inclination of incisors and the occlusal plane. Stepwise variable selection identified four variables: AB-MP, SN-AB, PMA and ANB. Discriminant analysis assigned a classification accuracy of $87.8\%$ to the predictive model. On the basis of these results, this study could provide rudimentary information for the development of diagnostic criteria and treatment guidelines for individual skeletal types.

Study for Diagnosing Program of Korean Standard Differentiation of the Symptoms and Signs for the Stroke by Multi Center Trials- I (다기관 임상연구를 통해 도출된 중풍변증표준안의 진단프로그램개발에 관한 연구- I)

  • Park, Sae-Wook;Kang, Byung-Kab;Jang, In-Soo;Hong, Seok;Han, Chang-Ho;Kwon, Jung-Nam;Sun, Seung-Ho;Chen, Chan-Yong;Cho, Ki-Ho;Park, Se-Jin;Lee, In;Seol, In-Chan;Choi, Sun-Mi
    • The Journal of Korean Medicine
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    • v.28 no.3 s.71
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    • pp.126-137
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    • 2007
  • Objectives : Standardization of pattern identification for stroke and development of a diagnostic tool for Korean medicine. Methods : We organized a committee for stroke diagnosis standardization of Korean traditional medicine and submitted the Korean standard differentiation of the symptoms and signs for stroke (KSDSS). We collected cases through a multi-center network consisting of twelve university hospitals and one local hospital. We analyzed the data with discriminant function and logistic regression. Results : 321 cases were confirmed by diagnosis of medical specialists and residents. They were divided into qi deficiency 30.84%, dampness & phlegm 25.55%, fire & heat 22.43%, eum deficiency 18.69% and blood stasis 2.49%. The accordance rate between discriminant function and doctor's diagnosis was calculated. Conclusions : To make a stroke diagnostic program, we must raise the accordance rate between doctor's diagnosis and the program.

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A Case of Miliary Tuberculosis Mimicking ARDS due to Bilateral Severe Pneumonia (양측성 중증 폐렴으로 인한 ARDS로 오진된 속립성 결핵)

  • Han, Koon Hee;Jung, Bock Hyun;Kim, Young Don;Hwang, Jung Won;Hong, Hyun Il;Yoon, Sung Kyu;Kim, Mi Hye;Ryu, Dae Sik;Kang, Gil Hyun
    • Tuberculosis and Respiratory Diseases
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    • v.59 no.1
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    • pp.109-113
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    • 2005
  • Miliary tuberculosis is the most serious form of tuberculous disease, but is rarely complicated with acute respiratory distress syndrome (ARDS). When a patient with miliary tuberculosis initially presents with ARDS, the mortality is much higher. Therefore, the early detection of miliary tuberculosis as the underlying cause of ARDS is very important for the prognosis and survival of the patient. The diagnosis of miliary tuberculosis may be easy if the patient presents typical clinical manifestations associated with the characteristic pattern of miliary nodules on chest radiology. However, the diagnosis of miliary tuberculosis when complicated with ARDS can be difficult due to the nonspecific radiologic patterns, such as diffuse bilateral consolidation and ground glass opacity, without miliary nodular infiltration. However, these nonspecific patterns are known as less likely findings of miliary tuberculosis. We experienced a pregnant woman with miliary tuberculosis, mimicking ARDS due to bilateral severe pneumonia. She was admitted, via the emergency room, with sudden onset of fever, chill, cough and dyspnea. The initial chest PA and HRCT showed diffuse bilateral consolidation and ground glass opacity, without miliary nodular infiltration. All bacteriological studies, including blood and sputum cultures, tuberculosis-PCR and serologic study for infectious disease were negative. However, the definite diagnosis of unusual miliary tuberculosis as the underlying cause of ARDS was confirmed from the radiological finding and transbronchial fiberoptic lung biopsy. We report this case, with a review of the literature.

Roux Stasis Syndrome in Conventional Roux-en-Y Gastrojejunostomy and Uncut Roux-en-Y Gastrojejunostomy after Subtotal Gastrectomy (위아전절제술 후 Roux-en-Y 위공장 재건술식과 Uncut Roux-en-Y 재건술식에서의 Roux Stasis Syndrome)

  • Noh Seung-Moo;Bae Jin-Sun;Jeong Hyun-Yong;Cho June-Sik;Shin Kyung-Sook;Song Kyu-Sang
    • Journal of Gastric Cancer
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    • v.1 no.1
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    • pp.38-43
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    • 2001
  • Purpose: Roux stasis syndrome is the main complication of a Roux-en-Y gastrojejunostomy. The aim of this study was to compare the occurrence rate of Roux stasis syndrome with the passing of time in a conventional Roux-en-Y gastrojejunostomy and in an uncut Roux-en-Y gastrojejunostomy. Materials and Methods: 50 patients (31 men and 19 women) had a conventional Roux-en-Y reconstruction and 53 patients (35 men and 18 women) had an uncut Roux-en-Y reconstruction. The Roux stasis syndrome was defined by clinical criteria only. The criteria included one of the four following conditions at the time of follow-up: chronic upper abdominal pain, postprandial fullness, persistent nausea, and intermittent vomiting that are worsened by eating. Follow-up after surgery was done in all patients at $7\∼12,\;13\~18,\;19\~24,\;25\~30$, and $31\∼36$ months. Results: According to the criteria, the Roux stasis syndrome occurred in 40.0$\%$ of the patients at 7$\∼$12 months, 33.3$\%$ at $13\∼19$ months, $35.3\%$ at $19\∼24$ months, $32.0\%$ at $25\~30$ months, and $33.3\%$ at $31\∼36$ months after a conventional Roux-en-Y operation. The syndrome occurred in $22.6\%$ of the patients at $7\∼12$ months, $15.2\%$ at $13\∼18$ months, $17.1\%$ at $19\∼24$ months, $19.2\%$ at $25\∼30$ months, and $20\%$ at $31\∼36$ months after an uncut Roux-en-Y reconstruction. Conclusion: In terms of occurrence pattern, only a little variance existed one year after both procedures. Comparing the Roux stasis syndrome in both procedures, the uncut Roux operation had better results than the conventional Roux operation.

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Use of Digital Infrared Thermography on Experimental Spinal Cord Compression in Dogs (개에서 실험적으로 유발한 척수압박에 대한 적외선 체열촬영술의 적용)

  • Kim Wan-Tae;Kim Min-Su;Kim Sun Young;Seo Kang-Moon;Nam Tchi-Chou
    • Journal of Veterinary Clinics
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    • v.22 no.4
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    • pp.302-308
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    • 2005
  • This study was performed to examine the absolute skin temperature and temperature difference $({\Delta}T)$ between the left and the right, the upper and the lower parts on the back of dog and to investigate the clinical usefulness of infrared thermography as diagnostic or prognostic aid on experimental spinal cord compression by using Digital Infrared Imaging System. In normal dogs, symmetrical and contouring patterns were observed in thermogram. The skin temperature difference was not significant between the left and the right, the upper and the lower parts on the back. In spinal cord compressed dog, there was symmetrical temperature reduction pattern around lesion. Patterns of ${\Delta}T$ between thoracic and lumbar portions were remarkable and showed the tendency to return to normal after 4 weeks of operation. It is considered that infrared thermography is a useful diagnostic and prognostic aid for spinal cord injury in dogs.

Radioaerosol Scan Manifestations of Diffuse Panbronchiolitis (미만성 세기관지염의 연무흡입 폐환기스캔 소견)

  • Kim, Hak-Hee;Choi, Byung-Gil;Bahk, Yong-Whee;Chung, Soo-Kyo;Park, Seog-Hee;Shin, Kyung-Sub;Park, Sung-Hak
    • The Korean Journal of Nuclear Medicine
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    • v.28 no.2
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    • pp.192-199
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    • 1994
  • Diffuse pahbronchiolitis(DPB) is a relatively new, chronic, nonspecific, inflammatory disease of the lung that typically involves the airways in the "transitional" zone of the lung. Clinically, DPB strongly resembles chronic obstructive pulmonary disease (COPD) and the distinction between the two is crucial because the former is often fatal, requiring different therapeutic strategies. This study was prospectively carried out to assess diagnostic usefulness of radioaerosol scan(RAS) in DPB. RAS findings were analyzed with respect to the location and extent of abnormal aerosol deposition in the lung divided into the central, intermediary, and transitional airways and the peripheral airspaces. RAS showed mottled aerosol deposits characteristically in the transitional and intermediary airways with peripheral airspace defects. Such a deposition pattern contrasted sharply with central aerosol deposition of COPD. In conclusion, RAS appears to be a convenient, noninvasive, and useful diagnostic method of DPB.

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Reconsideration of the taxonomic characteristics of Callicarpa japonica Thunb. and C. dichotoma (Lour.) K. Koch (Verbenaceae) in Korea (한국산 작살나무와 좀작살나무(마편초과)의 분류학적 형질 재검토)

  • Yoon, Min-Ji;Choi, Bo-Kyung;Hong, Suk-Pyo
    • Korean Journal of Plant Taxonomy
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    • v.42 no.2
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    • pp.141-149
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    • 2012
  • To clarify some ambiguous diagnostic characters of Callicarpa japonica Thunb. and Callicarpa dichotoma (Lour.) K. Koch in Korea (Verbenaceae), the external morphology and micromorphology (leaf, anther, pollen, fruit, in particular endocarp surface and structure) of two taxa are studied and described in detail. It is confirmed that the following characteristics (e.g., the stem outline in a cross-section, the bud shape and length, the corolla tube length and the lobe length, the pattern of the anther dehiscence and length, and the endocarp morphology) are useful for distinguishing these two taxa. In particular, following three characteristics are most useful for an identification: (1) the corolla tube length of C. japonica (2.5-4.6 mm) is longer than that of C. dichotoma (0.7-1.0 mm); (2) the anther is dehiscing by an apical pore at the anthesis of C. japonica, while it is opening by a long fissure from the apex to the base in C. dichotoma; and (3) the edge of the endocarp (lateral view) in C. japonica is concave, while in C. dichotoma it is shown to be flat. On the other hand, the teeth state on the leaf margin and the position of inflorescence are not good diagnostic characteristics for identification. Additionally, the keys for all known Callicarpa taxa in Korea are provided.

Research Trends of the Traditional Korean Medicine Treatment for Atopic Dermatitis -Based on the Journal of Pediatrics of Korean Medicine- (아토피 피부염의 한의학적 치료에 대한 연구 동향 -대한한방소아과학회지를 중심으로-)

  • Jin, Qi Ying;Lee, Jin Yong
    • The Journal of Pediatrics of Korean Medicine
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    • v.31 no.1
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    • pp.25-42
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    • 2017
  • Objectives The goal of this review was to investigate clinical, experimental and literature studies of Korean medicine on atopic dermatitis (AD) of Korean children in Korean medicine literature, seeking for the better research methods for more effective treatments. Methods Electronic investigations were practiced on AKOP (The Association of Korean Oriental Pediatrics, http://www.akop.or.kr) to collect theses which were published by J Pediatr Korean Med. The key word 'Atopy' was used for searching to ensure that every related thesis was collected. The publication date was limited from 1996 to 2016. The selected literatures were assessed mainly according to distributions of study type, publication year, scale, treatment and its efficacy. Results 55 papers were selected from 59 studies. In these collected 55 related theses, there were 29 experimental studies (52.73%), 18 clinical studies (32.73%), 8 review studies (14.55%). In the 29 experimental studies, there were 20 studies (68.97%) using NC/Nga mouse as subjects. The mite antigen was used to trigger AD by 8 studies (27.59%). The studies have been utilizing DNCB and DNFB instead of mite antigen since 2011. All the experimental studies showed that the Korean medicine was effective in AD. In total 18 clinical studies, 3 studies (16.67%) were case reports, only 1 thesis (5.56%) was conducted by case control study and the rest were case series studies. 7 studies (38.89%) of 18 studies diagnosed AD according to Hanifin and Rajka's diagnostic criteria (1980), only 1 study (5.56%) according to the Korean standard and the rest 10 studies (55.56%) didn't mention diagnostic criteria. 12 clinical studies (66.67%) showed efficacy in treating AD. There were 10 studies (55.56%) only employing internal treatments and 1 thesis (5.56%) didn't mention the exact prescription. Naesowhajungtang-kamibang, Saenghyeoryunbue-um were used 3 times (16.67%) as the internal medicine respectively. 5 theses (27.78%) were combined with acupuncture therapy. Hegu (LI4), Sanyinjiao (SP6) were used in 4 theses, and Taichong (LR3), Quchi (LI11), Zusanli (ST36) in 3 theses. The number of acupoints chosen from The Spleen meridian of Foot-Taiyin was the largest. There were 8 review theses. 2 were about the foreign oriental medicine, 3 were about the external medicine or external treatment methods, and 3 other studies were about severity scoring systems, the methodological study in the latest clinical study, overview for pattern and results of herbal medicine-derived AD clinical researches. Conclusions The experimental studies and clinical studies showed the effectiveness of Korean medicine treatments. However, this study still needs improving by conducting more comparative studies and using better research methods, in order to find more effective treatments to improve clinical efficacy.

A Study on Skin Resistance Variability(SRV) over the Period of Ovarian Cycle of Women in their 20's and 30's with Normal and Regular Menstrual Cycles (정상월경주기를 가진 20-30대 여성의 난소주기에 따른 피부저항변이도 연구)

  • Ie, Jae-Eun;Cho, Hyun-Ju
    • The Journal of Korean Obstetrics and Gynecology
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    • v.21 no.4
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    • pp.183-193
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    • 2008
  • Purpose: To research the changes of Skin Resistance Variability(SRV) over the period of ovarian cycle of healthy young women with normal and regular menstrual cycles using Oriental Medical Diagnose Autonomic system-3000 (OMD-3000). Methods: We measured SRV of 15 women who were working at O O Oriental Hospital from July to Oct. 2008. Each woman took the OMD-3000 test 8 times during 2 menstrual cycles. Each cycle consists of 4 phases-follicular phase, ovulation, luteal phase and menstruation. We analyse the data by SPSS 12.0 for windows. the one-way ANOVA by Repeated Measure(p<0.05). Results: 1. (1) The Factor AA means at zone 1 were 0.77$\pm$0.40, at zone 2 were 1.07$\pm$0.68, at zone 3 were 0.77$\pm$0.35, at zone 4 were 0.68$\pm$0.32, at zone 5 were 0.74$\pm$0.29, at zone 6 were 0.85$\pm$0.30, and at zone 7 were 0.74$\pm$0.29. The Factor AA means were lower than normal range at zone 1,3,4,5,6 and 7. The graph pattern of M shape was caused by the Factor AA means at zone 2 and zone 6 were higher than others. (2) The Factor AA means at zone 1 and zone 3 show abnormal regulation state. 2. During the menstruation. the Factor AA means were higher at zone 1,2 and 3 than other zones. During the ovulation, the Factor AA means were higher at zone 4,5,6 and 7 than other zones. Especially at the menstruation phase in zone 2 and at the ovulation phase in zone 6 tend to be highest means than other phases respectively. 3. However there were no significant difference of means during 4 ovarian phases in 7 zones except ovulation phase to luteal phase at zone 4(p = 0.013). Conclusion: The results suggest that changes of SRV during 4 menstrual cycles are not variables in reading 7-zone-diagnostic system. Further study will be needed.

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