• KSBB Journal
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• 제28권4호
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• pp.254-259
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• 2013

Herein we present a diagnostic paper chip that can quantitatively detect albumin without external electronic reader and dispensing apparatus. We fabricated a diagnostic paper chip device by printing wax barrier on the paper and wicking it with citrate buffer and tetrabromophenol blue to detect albumin in sample solution. The paper chip is so simple that we dropped a sample solution at sample pad and measure the ratio of two travel distances of the sample solvent and albumin under the name of retention factor. Our result confirmed that the retention factor was constant in the samples with same concentration of albumin and useful determinant for the measurement of albumin concentration. The paper chip is affordable and equipment-free, and close to ideal point-of-care test in accordance with the assured criteria, outlined by the World Health Organization. We assume that this diagnostic paper chip will expand the concept of colorimetric determination and provide a inexpensive diagnostic method to aging society and developing country.

• 대한전기학회:학술대회논문집
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• 대한전기학회 1999년도 하계학술대회 논문집 E
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• pp.2326-2328
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• 1999

Developments of effective and economic diagnostic apparatus for industrial plastic insulated high voltage power cables are in discontented condition still. Some report told that DC high voltage was damaged plastic insulation of a partially aged power cable to lead breakdown easily. But now, we have no alternative tools of DC diagnostic apparatus, and we try to reduce a possibility of hazard DC diagnosis. DC diagnostic apparatus still have many advantages to field cable engineer like low price, portability easy applications and sufficient data. Main hazard of DC diagnosis is excessive hight of applied voltage Recent developments for DC diagnosis use considerably low voltage. But new test methods need special measuring device and manipulator, like high input impedance voltmeter, low leakage current high voltage switches, etc. So that reason, new DC diagnostic devices are normally very expensive and have low efficiency, economically. We try to design a composite test device for 3$\sim$4 newly developed method, have economical benefit th industrial engineer.

• 간호행정학회지
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• 제17권1호
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• pp.33-43
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• 2011

Purpose: This study was done to develop a web-based diagnostic evaluation program for nurses to prevent malpractice liability. Methods: A comprehensive review of the literature and 9 specialist interviews were used to search for learning goals and content for protection for nurses from malpractice. Data on needs for learning goals were collected from 56 hospital nurses who agreed to complete a self-report questionnaire. The diagnostic program was evaluated between September 2008 and August 2009 by 35 new hospital nurses using an application of the web-based program evaluation tools by Chung (2000). Results: A comprehensive review of the literature and interviews were used to search for learning goals and content. The evaluation program was composed of the 73 questions for diagnostic evaluation under 23 learning goals and 6 grand learning goals which included the principles of law, patient's rights, legal responsibility, patient's safety, regulation on nursing practice and patient's rights protection. Evaluation of the program showed that the mean for program evaluation was 3.43 (SD=.37). Conclusion: This diagnostic evaluation program could be an efficient method for teachers and learners to improve nurses' behavior in protecting the patient's rights and preventing malpractice claims.

• 한국정보통신학회:학술대회논문집
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• 한국해양정보통신학회 2001년도 추계종합학술대회
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• pp.367-370
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• 2001

본 논문에서는 누설전류 파고분석을 이용한 전력선비의 새로운 열화 진단법을 제안하였다. 현재까지 여러가지 열화 진단법이 제안되었으며, 평가요소로 누설전류의 크기만을 이용하는 것이 일반적이었다. 본 연구에서는 피뢰기, 케이블 등의 전력설비들이 열화가 진전됨에 따라 누설전류의 파고분포도 크게 달라짐을 알 수 있었다. 따라서 전력설비의 열화진단에 누설전류의 파고분포를 이용하면 기존의 누설전류의 크기만을 이용하는 방법보다 더 정확한 평가가 가능하다. 피뢰기, 케이블을 이용한 여러 가지 적용실험으로부터 제안한 열화 진단법은 충분한 성능이 있음을 확인하였다.

• 대한세포병리학회지
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• 제18권2호
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• pp.143-152
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• 2007

Sono-guided fine needle aspiration (FNA) of the thyroid is widely used, but the aspirated samples are typically not well preserved and low cellularity makes diagnosis difficult in many cases. The object of the current study is to evaluate the adequacy and diagnostic accuracy of the use of $SurePath^{TM}$ liquid-based cytology (SP-LBC) in the sonoguided fine needle aspiration of the thyroid nodule and to compare its use with that of the use of a conventional smear (CS). A total of 172 sono-guided FNAs of thyroid nodules from April to June, 2006 were prepared by the use of the split method with either SP-LBC or CS; the samples were stained with the use of hematoxylin-eosin (H&E) and Papanicolaou (Pap) stains. A cyto-histological correlation was performed in 69 (30 SP and 39 CS) cases that had been histologically confirmed. The rate of producing unsatisfactory slides by the use of the SP-LBC method (9.3%) was less than that of the use of the CS method (20.9%). The diagnostic accuracy of the SP method (93.3%) was better than that of the CS method (85.3%). The sensitivity and specificity of the SP method (94.4% and 92.3%) was better than that of the CS method (83.3% and 70%), respectively (p < 0.05). The CS of sono-guided aspirated specimens had some unavoidable limitations related to inadequate sampling such as a bloody background, low cellularity and an indication that some clinicians smeared many useless slides (averaging four to ten slides), and that most slides showed only blood that included few follicular cells. The SP method resulted in more thinly smeared slides and showed cleaner background and greater cellularity than the use of the CS method. Each follicular cell shows superior nuclear detail, and more distinct cytoplasmic features than with the use of the CS method. SP-LBC appears to be an easy, highly accurate, and reliable cytological method for employ for a diagnostic approach of thyroid disease and thyroid nodules. The SP-LBC method is a suitable alternative to the CS method to overcome diagnostic difficulties.

• Parasites, Hosts and Diseases
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• 제51권6호
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• pp.645-650
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• 2013

A simple, rapid, and high-throughput method for detection and identification of Wuchereria bancrofti, Brugia malayi, Brugia pahangi, and Dirofilaria immitis in mosquito vectors and blood samples was developed using a real-time PCR combined with high-resolution melting (HRM) analysis. Amplicons of the 4 filarial species were generated from 5S rRNA and spliced leader sequences by the real-time PCR and their melting temperatures were determined by the HRM method. Melting of amplicons from W. bancrofti, B. malayi, D. immitis, and B. pahangi peaked at $81.5{\pm}0.2^{\circ}C$, $79.0{\pm}0.3^{\circ}C$, $76.8{\pm}0.1^{\circ}C$, and $79.9{\pm}0.1^{\circ}C$, respectively. This assay is relatively cheap since it does not require synthesis of hybridization probes. Its sensitivity and specificity were 100%. It is a rapid and technically simple approach, and an important tool for population surveys as well as molecular xenomonitoring of parasites in vectors.

• 유통과학연구
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• 제15권12호
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• pp.95-102
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• 2017

Purpose - This study aims to develop diagnostic indices for managerial performance of agro-food distribution corporations. In particular, weights of diagnostic indices were estimated using the AHP method. Management diagnosis on agro-food distribution corporations is expected to increase their competitiveness in the domestic market as well as in international markets. Research design, data, and methodology - It develops weights or importance of the diagnostic indices based upon the survey of 21 experts in food distribution management. The survey was carried out using e-mail. Management diagnostic indices were developed based upon four BSC(Balanced Scorecard) perspectives of finance, learning/growth/leadership, customer, and internal process/technology. Results - Diagnostic indices on financial perspective consist on profitability, productivity, growth, stability and activity. Learning and leadership perspective indices consist of management will, CEO leadership, level of learning, innovation, and level of management information system. Customer perspective indices are branding, customer and channel management and internal process/technology indices consist of fourteen sub-indices representing technologies, efficiency, and dynamics. It was estimated that the weight of financial perspective index was 0.3, internal process/technology perspective index 0.248, customer category index 0.247, and learning, growth and leadership perspective index 0.205. This study also estimates weights of sub-indices for managerial diagnosis by four different perspectives. Estimated weight of profitability (0.085) is the greatest among financial perspective indices, followed by stability (0.072), growth (0.053), productivity (0.051), and activity (0.038). While estimated weights of leadership, capability, and information indices are 0.100, 0.061, and 0.044 respectively, weights of marketing, customer management, and quality and service indices are 0.104, 0.093, and 0.051, respectively. Among internal process/technology perspective, estimated weights of efficiency, technology, and innovation indices are 0.106, 0.088, and 0.054, respectively. Conclusions - The diagnostic indices for managerial performance of agro-food distribution corporations would be utilized by agro-food distribution corporations themselves, extension service institutions, and consultants. It is also expected that central and local governments use diagnostic indices developed in this study for the purpose of evaluating the effects of governmental support programs for agro-food distribution corporations. Futhermore researchers and consultants would modify diagnostic indices developed in this study, reflecting characteristics and situation of types of agro-food distribution corporations.

• 농촌의학ㆍ지역보건
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• 제31권2호
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• pp.157-164
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• 2006

본 연구는 말라리아 고위험지역인 강화군 주민을 대상으로 신속진단킷트 시행으로 인한 진단소요일의 변화와 신속진단킷트 검사의 민감도와 특이도를 평가하고자 하였다. 이를 위하여 1998년 1월부터 2005년 12월까지 인천광역시 강화군에서 발열증상으로 말라리아가 의심되어 보건소, 보건지소, 진료소, 병의원 등 보건의료기관을 내원한 검사자 중 질병관리본부의 최종 검사결과 말라리아가 확진된 검사자 942명을 대상으로 최초 발열일부터 검사일까지의 기간으로 진단 소요일을 추정하였으며, 2004년 1월부터 2005년 12월까지 보건의료기관에서 신속진단킷트 검사와 혈액도말검사를 동시에 실시한 검사자 434명을 대상으로 질병관리본부의 최종 검사결과와 비교하여 진단소요일에 따른 민감도와 특이도를 측정하였다. 연구결과, 2003년 신속진단킷트 시행으로 인하여 진단소요일은 2002년 4.68일에서 2004년 3.14일과 2005년 3.31일로 감소한 것으로 나타났다. 또한 신속진단킷트의 민감도와 특이도는 98.2%와 98.5%인 것으로 나타나 혈액도말검사의 97.5%, 100%와 비교하여 큰 차이가 없었다. 이상의 결과를 종합할 때, 말라리아 신속진단킷트 검사는 진단소요일을 단축하면서도 민감도와 특이도를 유지하는 장점이 있는 것으로 판단되었다. 말초혈액도말검사를 실시할 역량을 갖추지 못한 보건의료기관에서는 신속하고 정확한 말라리아 진단을 위하여 신속진단킷트 검사를 적극적으로 고려할 필요가 있다.

• Korean Journal of Radiology
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• 제21권6호
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• pp.684-694
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• 2020

Objective: The purpose was to review the diagnostic performance of the length of tumor capsular contact (LCC) on magnetic resonance imaging (MRI) for detecting prostate cancer extraprostatic extension (EPE). Materials and Methods: PubMed and EMBASE databases were searched up to March 24, 2019. We included diagnostic accuracy studies that evaluated LCC on MRI for EPE detection using radical prostatectomy specimen histopathology as the reference standard. Quality of studies was assessed using the Quality Assessment of Diagnostic Accuracy Studies-2 tool. Sensitivity and specificity were pooled and graphically presented using hierarchical summary receiver operating characteristic (HSROC) plots. Meta-regression and subgroup analyses were conducted to explore heterogeneity. Results: Thirteen articles with 2136 patients were included. Study quality was generally good. Summary sensitivity and specificity were 0.79 (95% confidence interval [CI] 0.73-0.83) and 0.67 (95% CI 0.60-0.74), respectively. Area under the HSROC was 0.81 (95% CI 0.77-0.84). Substantial heterogeneity was present among the included studies according to Cochran's Q-test (p < 0.01) and Higgins I² (62% and 86% for sensitivity and specificity, respectively). In terms of heterogeneity, measurement method (curvilinear vs. linear), prevalence of Gleason score ≥ 7, MRI readers' experience, and endorectal coils were significant factors (p ≤ 0.01), whereas method to determine the LCC threshold, cutoff value, magnet strength, and publication year were not (p = 0.14-0.93). Diagnostic test accuracy estimates were comparable across all assessed MRI sequences. Conclusion: Greater LCC on MRI is associated with a higher probability of prostate cancer EPE. Due to heterogeneity among the studies, further investigation is needed to establish the optimal cutoff value for each clinical setting.

• Tuberculosis and Respiratory Diseases
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• 제40권6호
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• pp.700-708
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• 1993

연구배경 : 폐암은 우리나라에서 흔한 악성 종양중에 하나이다. 또한 정확한 조직학적 진단과 병기판정이, 특히 소세포암의 경우, 치료방침이 달라지기 때문에 중요하다. 이에 본 연구는 폐암의 진단수기에 따른 진단율 및 세포진법의 정확도를 조사하였다. 방법 : 1986년 1월부터 1992년 12월까지 만 7년간 전주예수병원 외래 및 입원을 통해 폐암으로 등록된 환자 중 의무기록열람이 가능하고 조직학적 검사 및 세포진법으로 폐암으로 확진된 683명을 대상으로, 각종 진단수기의 진단율 및 세포진법의 정확도를 조사하였다. 결과: 1) 대상환자의 연령 및 성별분포 남녀비가 5.57:1이였고, 연령분포는 60대가 41.4%, 50대가 30.2%, 70대가 17.0%, 40대가 7.9%, 30대가 2.5%, 80대가 1.3% 및 20대가 0.2%였다. 2) 조직학적 형태에 따른 폐암의 발현빈도는 편평상피암 47.7%, 소세포암 23.9%, 선암 22.8%, 폐포세포암 2.5%, 대세포암 1.2%, 혼합형이 1.2%, 미분화세포암 0.6% 및 악성 섬유성 조직세포종이 0.2%(1예)였다. 3) 폐암이 가장 많이 발생하는 폐엽은 좌상엽과 우하엽이였으며, 각 발생부위에 따른 진단수기의 차이는 없었다. 4) 중심병변에서 기관지 내시경검사는 매우 정확하고 자주 사용되는 진단수기였으며, 말초병변에서는 경피 폐침생검이 비교적 정확한 진단법이었다. 5) 진단수기별 진단율은 기관지 조직생검법 81.3%, 기관지찰과물 세포진법 57.5%, 객담세포진법 31.1%, 경피 폐침생검법이 69.6%, 그리고 경기관지 폐생검법이 61.6%였다. 6) 세포진법이 조직학적 진단과 일치하는 정확도는 기관지찰과물 세포진법 91.3%, 객담세포진법 31.1%, 경피 폐침생검법이 69.6%, 그리고 경기관지 폐생검법이 61.6%였다. 7) 세포진법이 조직학적 진단과 일치하는 정확도는 기관지찰과물 세포진법 91.3%, 객담세포진법 98.4%였다. 8) 객담세포진법은 3~5회 정도 새행하는 것이 바람직하다. 결론: 기관지 내시경검사는 폐암의 진단에 있어서 조직학적 진단에 중요한 검사이다. 아울러, 쉽게 행할 수 있는 객담검사의 진단율 향상에 대한 관심을 가져야 할 것으로 사료된다.