• 대한임상검사과학회지
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• 제47권4호
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• pp.313-317
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• 2015

결핵균의 감염이 증가함에 따라 결핵을 진단하고 치료하는 데 있어서 빠르고 민감한 진단방법이 필수적이다. Mycobacteria를 배양하는 것이 적어도 3주에서 8주정도 기간이 걸리고, 또한 AFB의 현미경적 검경의 민감도가 낮다. 최근에는 PCR방법이 결핵균을 검출하고 진단하는데 사용되고 있다. 특히 병리조직학적 폐 외 감염의 진단을 하기 위해 실시하고 있다. 병원에서 76개의 조직검체를 배양하고 nested PCR을 실시하여 배양결과와 비교 분석 하였다. 76개의 조직검체 중 배양 결과 양성인 검체가 31개, 음성으로 나온 검체가 45개로 나타났다. 배양결과 양성인 31개 검체 중 nested PCR을 실시해서 양성으로 나온 검체 22개(71%)가 양성으로 나타났고, 배양결과 음성인 45개 검체 중 nested PCR을 실시해서 음성으로 나온 검체는 36개(80%)로 나타났다. nested PCR의 민감도는 71%이고 특이도는 80%이다. 또한 양성 예측률은 71% 음성 예측률은 80%로 나타났다. Nested PCR 방법은 민감하고 신속하게 MTC을 검출 할 수 있다.

• Journal of Oral Medicine and Pain
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• 제41권4호
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• pp.180-187
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• 2016

Purpose: The aims of this study were to evaluate the differences of clinical and polysomnographic features between rapid eye movement (REM)-related obstructive sleep apnea (OSA) and not-REM-related OSA, and to suggest the pathogenesis according to the REM dependency of OSA. Methods: One hundred ninety consecutive patients diagnosed with OSA were evaluated clinical features and performed full night polysomnography. The patients were divided into REM-related (REM apnea-hypopnea index [AHI] at least two times higher than their non-REM AHI) and not-REM-related (a REM AHI less than two times higher than their non-REM AHI) OSA groups and evaluated the differences in age, body mass index (BMI), neck circumference, Ep-worth Sleepiness Scale score, and parameters of polysomnography. Results: REM-related patients were younger and showed higher sleep efficacy, low percentage of light sleep stage (stage 1 sleep), and low rate of positional OSA. Age was significantly associated with REM dependency of OSA and REM AHI were significant correlated with BMI, neck circumference, percentage of sleep in supine position, and percentage time of snoring. Conclusions: Our results showed that REM-related OSA patients showed less severe polysomnographic parameters than not-REM-related patients. However, significant risk factors were differed depending on the REM dependency and OSA severity, and the clinical features correlated with REM AHI and non-REM AHI were also showed differently. We suggest that the occurrence of OSA according to the REM dependency can be based on different mechanisms.

• 한국산학기술학회논문지
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• 제20권7호
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• pp.127-132
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• 2019

인플루엔자는 인플루엔자 바이러스에 의해 발생하는 급성 호흡기 질환으로 고열, 두통 등을 유발하는 질병이다. 인플루엔자는 특히 변이를 통하여 다 종의 아형을 만들어, 스페인 독감과 같이 수천만 명의 사망자를 내는 등 인류에 심각한 위협을 미치고 있다. 이러한 인플루엔자는 감염 이후에 신속한 진단 검사를 통하여 항바이러스 사용이 필수적인데, 이를 위하여 일반적으로 응급 상황에서 신속하게 진단을 할 수 있는 면역크로마토그래피 기반의 인플루엔자 간이 진단 키트를 사용한다. 본 논문에서는 응급상황에서 준 의료인 등이 인플루엔자 감염이 의심되는 다수의 환자 검진을 가능하게 할 수 있도록 영상 기반의 인플루엔자 판독 기법을 개발한다. 특히 영상 기반의 인플루엔자 판독 시, 판독하는 광원 환경에 따라 발생하는 오류를 최소화하기 위하여 결합 누적 분포 함수 기반의 색상 변환을 통하여 광원의 영향을 최소화하는 알고리즘을 제안한다. 다양한 밝기 변환, 색 온도 등의 환경 조건을 가지는 90개의 실험군에 대하여 본 연구에서 제안하는 알고리즘이 다양한 광원 환경에서 강인함을 확인한다.

• Tuberculosis and Respiratory Diseases
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• 제72권6호
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• pp.475-480
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• 2012

Background: Pyrazinamide (PZA) is an effective antitubercular drug that becomes toxic to Mycobacterium tuberculosis when converted to pyrazinoic acid by pyrazinamidase (PZase), encoded by mycobacterial pncA. A strong association was noted between the loss of PZase activity and PZA resistance. The causative organisms in extrapulmonary tuberculosis are rarely cultured and isolated. To detect pncA mutations in specimens from extrapulmonary tuberculosis as confirmative diagnosis of mycobacterial infection and alternative susceptibility test to PZA. Methods: Specimens were collected from clinically proven extrapulmonary tuberculosis. pncA was sequenced and compared with wild-type pncA. Results: pncA from 30 specimens from 23 donors were successfully amplified (56.6% in specimens, 59% in donors). Six mutations in pncA were detected (20.0% in amplified specimens, 26.1% in specimen donors) at nucleotide positions of 169, 248 and 419. The mutation at position 169 results in substitution of aspartic acid for histidine, a possible allelic variation of M. bovis that have intrinsic PZA resistance. The mutation at position 248 changes proline into arginine and that at position 419, arginine into histidine. Conclusion: DNA-based diagnosis using pncA may be simultaneously useful for the early diagnosis of mycobacterial infection and the rapid susceptibility to PZA in extrapulmonary tuberculosis. A potential implication of pncA allelic variation at 169 might be suggested as a rapid diagnostic test for M. bovis infection or Bacille Calmette-Gu$\acute{e}$rin (BCG) reactivation.

• 식물병연구
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• 제21권4호
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• pp.321-325
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• 2015

다공성 세라믹 큐브를 이용한 RT-PCR 진단법은 별도의 핵산 추출 과정이나 용액 처리 없이, 식물체에 접촉시켜 큐브의 공극에 바이러스 입자나 핵산 등의 분자가 신속하게 흡수되면 이를 바로 RT-PCR 반응에 넣어 유전자를 증폭시키는 방법으로, 식물체로부터 빠르고 정확하게 바이러스를 진단하는 방법이다. 본 연구에서는 다공성 세라믹 큐브를 이용하여 벼에 발생하는 주요 바이러스인 벼줄무늬잎마름바이러스(RSV)를 진단하는 RT-PCR 진단법을 확립하였다. 벼의 잎, 잎집, 또는 줄기를 대상으로 큐브 1개 또는 3개를 사용하여 즙액을 흡수시킨 후, 이를 RT-PCR 주형으로 사용하였고, 그 결과 변성처리에 큰 차이 없이 증폭 효율이 나타났다. 또한 즙액을 흡수한 큐브는 9주차까지 상온에서 보관한 후 RT-PCR을 실시하여도 안정적으로 증폭 효율을 나타내었다.

• 대한임상검사과학회지
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• 제39권3호
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• pp.271-276
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• 2007

Helicobacter pylori (H. pylori) infection is common in korea and high incidence at gastric ulcer and duodenal ulcer. $^{14}C-urea$ breath test ($^{14}C-UBT$) is regarded as a highly reliable and non-invasive method for the diagnosis of H. pylori infection. The purpose of this study was to evaluate the diagnositc performance of a new and rapid $^{14}C-UBT$, which was equipped with Geiger-Muller counter and compared the results with those obtained by gastroduodenoscopic biopsies (GBx). One hundred sixty-eight patients (M : F = 118 : 50) underwent $^{14}C-UBT$, rapid urease test (CLO test), and GBx. The results of $^{14}C-UBT$ were classified as positive (>50 cpm), borderline (25$^{14}C-UBT$ or CLO test results with GBx as a glod standard. In the assessment of the presence of H. pylori infection, the $^{14}C-UBT$ global performance yielded positive predictive value, negative predictive value and accuracy of 93.3% and 83.3%, respectively. However, the CLO test had performance yielded positive predictive value, negative predictive value and accuracy of 76.9%, 50.0%, respectively. In this study $^{14}C-UBT$ is a highly accurate, simple and non-invasive method or the diagnosis of follow up H. pylori infection.

• Journal of Acupuncture Research
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• 제18권1호
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• pp.1-13
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• 2001

The Background and Purpose : Most diagnostic method for the facial palsy were invasive and complex. And we don't know very well prognosis for the recovery of facial palsy in the first stage after the onset. But the Digital Infrared Thermal Image(DITI) isn't invasive and complex diagnostic method for the facial palsy. So we should study on the clinical prognostic diagnosis of Bell's palsy among facial palsy with the DITI. Objective and Methods : This study researched into the clinical statistics for 89 case who are in Bell's palsy, and they are treated with oriental medical care at the Woosuk university during 2 years form November 1998 to October 2000. All objectives have the Grade 6(Zero state) of Bell's palsy in first week after the onset. It takes a patient's facial temperature after the onset. Group A is taken from 1 day to 4 days after the onset. Group B is taken from 5 day to 8 days after the onset. And group C is taken from 9 day to 12 days after the onset. Results and Conclusions : The Digital Infrared thermal image technique showed the more high temperature, the more rapid cure and short treatment period on TE23, B2, S3, S6 in abnormal site of Bell's palsy. But it showed the more low temperature, the more rapid cure and short treatment period on TE17 of abnormal site of Bell's palsy. As a conclusion, we could think that the prognostic diagnosis of Bell's palsy closely related with the thermal difference normal and abnormal site of Bell's palsy that were took picture after the onset.

• 대한수의학회지
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• 제39권3호
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• pp.583-592
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• 1999

We have developed the in situ hybridization(ISH) technique for rapid diagnosis of canine distemper(CD) which is the major infectious disease in dogs. In our experiment, we rapidly detected distribution of the specific canine distemper viral genome without disrupting morphology of tissues or cells. Two oligonucleotide probes for ISH were synthesized chemically and labelled 5' end with nonisotopic biotin by DNA synthesizer. The whole procedures of ISH was completed within 1~2 hours using the Microcapillary action system. On histological study, typical cytoplasmic or intranuclear inclusion bodies were observed in the trachea, bronchiole, brain, and urinary bladder with the presence of prominent red positive signals on ISH, indicating specific CDV genome from the paraffin-embedded tissues of infected 13 cases. The results showed ISH can be used as a rapid and effective diagnostic method for diagnosis of CD.

• Journal of Oral Medicine and Pain
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• 제41권2호
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• pp.54-60
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• 2016

Purpose: Mandibular advancement devices (MAD) are used effectively and widely for the treatment of obstructive sleep apnea (OSA) and rapid-eye-movement (REM) dependency of the patients can affect the treatment outcome of OSA. The aim of this study was to compare treatment outcomes of MAD between REM-related and not-REM-related OSA patients. Methods: Fifty-six consecutive patients with OSA who received MAD therapy were evaluated using full night polysomnography before and after insertion of the MADs. The patients were divided into REM-related (REM apnea-hypopnea index [AHI] at least two times higher than their non-REM AHI) and not-REM-related (REM AHI less than two times higher than their non-REM AHI) OSA groups. Results: MAD is used for the treatment of OSA effectively. In respect of AHI, MAD therapy were effective both in REM-related OSA and not-REM-related OSA, but MAD therapy was more effective in not-REM-related OSA than REM-related OSA in overall sleep and non-REM sleep. $SpO_2$ saturations were improved after MAD therapy, but were not different between two groups. Epworth sleepiness scale scores were not improved after MAD therapy. Percentage of REM sleep was increased after MAD therapy but was not different between two groups. Conclusions: MAD therapy was more effective in not-REM-related OSA than REM-related OSA and REM dependency can be a predictive factor of treatment outcome of oral appliance for OSA patients.

• Journal of Veterinary Science
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• 제23권3호
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• pp.50.1-50.12
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• 2022

Background: There is an urgent need to find reliable and rapid bovine tuberculosis (bTB) diagnostics in response to the rising prevalence of bTB worldwide. Toll-like receptor 2 (TLR2) recognizes components of bTB and initiates antigen-presenting cells to mediate humoral immunity. Evaluating the affinity of antigens with TLR2 can form the basis of a new method for the diagnosis of bTB based on humoral immunity. Objectives: To develop a reliable and rapid strategy to improve diagnostic tools for bTB. Methods: In this study, we expressed and purified the sixteen bTB-specific recombinant proteins in Escherichia coli. The two antigenic proteins, MPT70 and MPT83, which were most valuable for serological diagnosis of bTB were screened. Molecular docking technology was used to analyze the affinity of MPT70, MPT83, dominant epitope peptide of MPT70 (M1), and dominant epitope peptide MPT83 (M2) with TLR2, combined with the detection results of enzyme-linked immunosorbent assay to evaluate the molecular docking effect. Results: The results showed that interaction surface Cα-atom root mean square deviation of proteins (M1, M2, MPT70, MPT83)-TLR2 protein are less than 2.5 A, showing a high affinity. It is verified by clinical serum samples that MPT70, MPT83, MPT70-MPT83 showed good diagnostic potential for the detection of anti-bTB IgG and M1, M2 can replace the whole protein as the detection antigen. Conclusions: Molecular docking to evaluate the affinity of bTB protein and TLR2 combined with ELISA provides new insights for the diagnosis of bTB.