• Title/Summary/Keyword: clinical diagnostics

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Distinction of Hot-Cold Using Fuzzy Inference (퍼지 추론에 의한 한열 판별)

  • Jang, Yun Ji;Kim, Young Eun;Kim, Chul;Song, Mi Young;Rhee, Eun Joo
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.19 no.3
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    • pp.141-149
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    • 2015
  • Objectives Recently the fuzzy logic is widely used in the decision making, identification, pattern recognition, optimization in various fields. In this study, we propose the fuzzy logic as the objective method of distinguishing hot and cold, the basis of diagnosis in Korean medicine. Methods We developed fuzzy inference system to distinguish whether the subjects had hot or cold. The cold and hot questionnaire of Korean traditional university textbook, the pulse rate and the DITI value of face used in the system. These three kinds of information were defined as 'fuzzy sets,' and 54 fuzzy rules were established on the basis of clinical practitioners' knowledge. The fuzzy inference was performed by using the Mamdani's method. To evaluate the usefulness of the fuzzy inference system, 200 cases of data measured in the Woosuk university hospital of oriental medicine were used to compare the determining hot, normal, cold results obtained from the experts and from the proposed system. Results As a result, 100 cases of "cold", 54 cases of "normal", and 34 cases of "hot" were matched between the experts and the proposed system. This fuzzy system showed the conformity degree of 94%(${\kappa}=0.853$). Conclusions In this study, we could express the process of distinguishing hot-cold using the fuzzy logic for objectification and quantification of hot-cold identification. This is the first study that introduce a fuzzy logic for distinguish pattern identification. The degree of the heat characteristic of the patients inferred by this system could provide a more objective basis for diagnosing the hot-cold of patients.

A Study of Five Constitutions Amongst Korean High School Students Born from 1993 to 1995 (1993년부터 1995년 사이에 태어난 고등학생의 각 생년별 오운체질의 특징에 관한 연구)

  • Jin, Seng-Hee;Kim, Tae-Hee;Choi, Kyung-Mee
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.15 no.1
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    • pp.111-126
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    • 2011
  • Objectives: To characterize Five Woons in 1993, 1994 and 1995. Methods: A diagnostic questionnaire was given to 1066 High School students who were born in Korea from 1993 to 1995. One of the Five Woons was given to the participant based on his and her birthday. The oneway analysis of variance was applied to compare the means of the Five Woons in each year. Results: 1. Developed a reliable questionnaire consisting of 28 items for the purpose of chracterizing five constitutions. 2. Based on the Duncan method, significant differences were observed among the Five Woons in height, weight and BMI (p<0.1). For height, the score of Wood constitution was lowest. For weight the core of Soil constitution was lowest. 3. Based on the Duncan method, at the significant level (p<0.1), the Five Woons were different in each year (Gapsul year, Eulhae year, Gyeyoo year) for 28 items in the questionnaires: Q1, Q2,Q3, Q7, Q8, Q11, Q12, Q15, Q18, Q19, Q21, Q22, Q24, Q26, Q27 and Q28. Conclusions: Further clinical research is necessary to characterize five constitutions and also develop more delicate analyses and questionnaires. Also the diagnosis and corresponding treatments based on the Five Woons should be further studied in view of the Asian medicine.

Study of Questionnaires for Body Condition Related with Golf Performance and Psychological Factors in Junior Golfer and Compare with Average Golf Score Between Acupuncture Treated Junior Golfer and Non treated Junior Golfer (쥬니어 골퍼의 성적 및 심리요인에 영향을 미치는 설문 문항 연구와 침치료 전후 성적비교)

  • Lee, Seng-Hee;Kim, Tae-Hee;Choi, Kyung-Mi
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.15 no.2
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    • pp.191-202
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    • 2011
  • Objectives: The questionnaires of body condition were developed to increase golf performance and to find psychological factors in junior golfer. This study was how much golf performances got improved after acupuncture treatment. Methods: October $28^{th}$, $29^{th}$ 2010 and January 2011, 130 junior golfers were taken 8 questionnaires. Sixty junior golfer of them were selected, twenty of them were taken acupuncture treatment spontaneously and forty of them were not taken it. The acupoints were K10, H3, Sp3, H7. The statistics was used paired student t-test of before and after treatment and correlates analysis for analyzing relationship with questionnaires. Results: 1. The result of reliability among questionnaires was signified. 2. About questionnaires, golf score was related with satisfied shots, to endure hungry and about digestion. (p<0.5) 3. Anxiety was related with pain in ribs, about sleep, about bowl movement and about digestion. 4. It was obtained Regression equation of 41.9 % prediction between anxiety and 4 questionnaires. 5. The result of paired T-Test, the difference was $2.45{\oplus}4.69$ between $1^{st}$ score and $2^{nd}$ score in acupuncture treated group. (p<0.05) Conclusions: This study was important to improve golf performance with Asian medicine. Further clinical research is necessary to develop more delicate analyses and questionnaires. Also through the diagnosis and corresponding treatments based on the Asian Medicine, the ways of improving golf performance should be developed.

Immunosignature: Serum Antibody Profiling for Cancer Diagnostics

  • Chapoval, Andrei I;Legutki, J Bart;Stafford, Philip;Trebukhov, Andrey V;Johnston, Stephen A;Shoikhet, Yakov N;Lazarev, Alexander F
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.12
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    • pp.4833-4837
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    • 2015
  • Biomarkers for preclinical diagnosis of cancer are valuable tools for detection of malignant tumors at early stages in groups at risk and screening healthy people, as well as monitoring disease recurrence after treatment of cancer. However the complexity of the body's response to the pathological processes makes it virtually impossible to evaluate this response to the development of the disease using a single biomarker that is present in the serum at low concentrations. An alternative approach to standard biomarker analysis is called immunosignature. Instead of going after biomarkers themselves this approach rely on the analysis of the humoral immune response to molecular changes associated with the development of pathological processes. It is known that antibodies are produced in response to proteins expressed during cancer development. Accordingly, the changes in antibody repertoire associated with tumor growth can serve as biomarkers of cancer. Immunosignature is a highly sensitive method for antibody repertoire analysis utilizing high density peptide microarrays. In the present review we discuss modern methods for antibody detection, as well as describe the principles and applications of immunosignature in research and clinical practice.

Basic Study on the Image Instrument of the Facial-form by the 3D-facial Scanner (얼굴스캐너를 활용한 안면형상 영상진단기의 기초 연구)

  • Kim, Gyeong-Cheol;Lee, Jeong-Won;Kim, Hoon;Shin, Soon-Shik;Lee, Hai-Woong;Lee, Yong-Tae;Chi, Gyoo-Yong;Kim, Jong-Won
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.22 no.2
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    • pp.497-501
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    • 2008
  • 3D facial scanner for an accurate analysis is measured precisely a distance in straight, a distance in curved line, an angle in 3D data, the area of surface. We can easy acquire 3D data by the method of 0.8sec in each scan with easy handling, simple merge to whole face, harmless and fast process. In the HyungSang medicine, the inspection of the facial shape includes the Dam(gall bladder) - Bang Kwang(urinary bladder) body, the Jung${\cdot}$Gi${\cdot}$Shin${\cdot}$Hyul, the six merdian types etc. And we will collect the evidence based date verifing in the HyungSang clinical medicine. As we will analyze the facial whole form and the size${\cdot}$length${\cdot}$angle of the facial part, put the facial form's standardization on a solid foundation.

Relationship Between Characteristics of Five Woons in Asian Woman and Physical Tests and Symptoms based on Asian Medicine (아시아 여성의 오운체질(五運體質)별 검사특성 및 증상과의 관계 - 한국과 일본에서 태어난 미국에 거주하는 한국, 일본 여성을 위주로)

  • Jin, Seng-Hee;Choi, Kyung-Mee;Kim, Tae-Hee
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.14 no.1
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    • pp.44-56
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    • 2010
  • Objective : To characterize Five Woons of Asian women who live at Los Angeles area in U.S.A Methods : A set of physical tests and diagnostic questions were given to 242 Asian female subjects who were treated for their symptoms at a clinic of Asian medicine near Los Angeles in USA. The participants were given their constitutions, one of the Five Woons based on their birthdays. The physical tests included a body composition via Inbody 4.0 and an autonomic bioelectric response record via ABR2000. The oneway analysis of variance was applied to compare the means of the Five Woons and the physical test results. The Cross tabulation analysis was also applied to look for the effectiveness of Five Woons on the symptoms. Results : 1. In the body composition items, the LSD(least significant difference) showed that there were significant differences between the Soil Woon and the other Four Woons which are Water, Metal, Fire and Wood Woons in weight, fat, body fat %, BMI (p<0.2). 2. Based on the LSD, significant differences were observed among the Five Woons in R5, R6 and R7(p<0.2). 3. The cross tabulation analysis showed the significant effectiveness of the Five Woons on the five symptoms including dizziness, hot and cold, lower body edema, fatigue and to take a medication for high blood pressure out of 24 diagnostic questions (p<0.2). Conclusions : Further clinical research is necessary to develop a more delicate questionnaire and look for ways of characterizing the Five Woons. The diagnosis and corresponding treatment based on the Five Woons should be further studied in view of the Oriental medicine.

A Study of the Medical Records on Metrostaxis(崩漏) of that Made a Profound Study by Yi-Da-Gan(易大艮) and Cold Syndrome with Pesudo-Heat(眞寒假熱) of that Made a Profound Study by Yu-Chang(喩昌) (이대간(易大艮)의 붕루(崩漏) 의안(醫案)과 유창의 진한가열(眞寒假熱) 의안(醫案)에 관한 문헌적(文獻的) 연구(硏究))

  • Kim, Tae-Hee;Han, Kyung-Sook;Park, Young-Bae
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.9 no.2
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    • pp.1-9
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    • 2005
  • Background: Liu-Yuan-Lei(陸淵雷) said that a medical record is both the marks of treatments and arts made by a excellent practitioner and the essence of TCM(Traditional Chinese Medicine). Jiang-Guan(江瓘) also said that reading medical records is one of the best way to develop one’s abilities If curing a disease without perfect clinical practice. Objectives: study on the special treatment about metrostaxis(崩漏) based on the Yi-Da-Gan(易大艮)’s medical records. and study on the differentiation of abnormal symptoms and signs about cold syndrome with pesudo-heat(眞寒假熱) based on the Yu-Chang(喩昌)'s medical records. Methods: First, read and study the medical records on metrostaxis(崩漏) of that made a profound study by Yi-Da-Gan(易大艮) and cold syndrome with pesudo-heat(眞寒假熱) of that made a profound study by Yu-Chang(喩昌). The next, write a paper on results and conclusions. Results and Conclusions: First, Yi-Da-Gan(易大艮) insist that must control the Qi under the blood disease conditions, taking the case of metrostaxis(崩漏). Secondly, we must study more on estimating the changing condition of Qi and the blood as time goes by, also study on the pulse and pulse condition in the four seasons(四時脈). Thirdly, Yu-Chang(喩昌) insist that be more careful in differentiation of symptoms and signs, taking the case of cold syndrome with pesudo-heat(眞寒假熱). Fourthly, Yu-Chang(喩昌) give an example that in condition of cold syndrome with pesudo-heat(眞寒假熱), sometimes, the pulse and pulse condition can be strong.

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A Review of Neurofeedback Studies (뉴로피드백의 최신 연구 동향)

  • Lee, Hyuk-Jae;Park, Young-Bae;Park, Young-Jae;Oh, Hwan-Sup
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.11 no.2
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    • pp.13-26
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    • 2007
  • Background: Neurofeedback is an electroencephalographic biofeedback technique for training individuals to alter their brain activity via operant conditioning. Also neurofeedback is a form of behavioural training aimed at developing skills for brain activity. Within the past decade, several neurofeedback studies have been published that tend to overcome the methodological shortcomings of earlier studies. This research describes the methodical basis of neurofeedback and reviews the evidence base for its clinical efficacy and effectiveness in attention-deficit hyperactivity disorder (ADHD). Methods: In neurofeedback training, self-regulation of specific aspects of electrical brain activity is acquired by means of immediate feedback and positive reinforcement. In frequency training, activity in different EEG frequency bands has to be decreased or increased. Slow cortical potentials (SCPs) training is focused on the regulation of cortical excitability. Results: Neurofeedback studies revealed training-specific effects on, for example, attention and memory processes and performance improvements in real-life conditions, in healthy subjects as well as in patients. In several studies it was shown that ADHD symptomatology was reduced after frequency training or SCP(Slow cortical potentials) training. Moreover a decrease of impulsivity errors and an increase of the contingent negative variation. Conclusions: This research provides evidence for both positive behavioural and specific neurophysiological effects of neurofeedback training. Also there is growing evidence for neurofeedback as a valuable module in neuropsychiatric disorders. Further, controlled studies are warranted.

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Endoscopic submucosal dissection for superficial esophageal squamous cell carcinoma: long-term follow-up in a Western center

  • Andreas Probst;Alanna Ebigbo;Stefan Eser;Carola Fleischmann;Tina Schaller;Bruno Markl;Stefan Schiele;Bernd Geissler;Gernot Muller;Helmut Messmann
    • Clinical Endoscopy
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    • v.56 no.1
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    • pp.55-64
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    • 2023
  • Background/Aims: Endoscopic submucosal dissection (ESD) has been established as a treatment modality for superficial esophageal squamous cell carcinoma (ESCC). Long-term follow-up data are lacking in Western countries. The aim of this study was to analyze long-term survival in a Western center. Methods: Patients undergoing ESD for ESCC were included. The analysis was performed retrospectively using a prospectively collected database. Results: R0 resection rate was 96.7% (59/61 lesions in 58 patients). Twenty-seven patients (46.6%) fulfilled the curative resection criteria (M1/M2) (group A), 11 patients (19.0%) had M3 lesions without lymphovascular invasion (LVI) (group B), and 20 patients (34.5%) had lesions with submucosal invasion or LVI (group C). Additional treatment was recommended after non-curative resection. It was not performed in 20/31 patients (64.5%), mainly because of comorbidities (75%). Twenty-nine out of 58 (50.0%) patients died during a mean follow-up of 3.7 years. Death was related to ESCC in 17.2% (5/29) of patients. The disease-specific survival rate after curative resection was 100%. Overall survival rates after 5 years were 61.5%, 63.6% and 28.1% for groups A, B, and C, respectively. The overall survival was significantly worse after non-curative resection (p=0.038). Conclusions: Non-curative resection is frequent after ESD for ESCC in Western patients. The long-term prognosis is limited and mainly determined by comorbidity. Early diagnosis and pre-interventional assessments need to be improved.

Implementation of point-of-care platforms for rapid detection of porcine circovirus type 2

  • Chiao-Hsu Ke;Mao-Yuan Du;Wang-Ju Hsieh;Chiu-Chiao Lin;James Mingjuh Ting;Ming-Tang Chiou;Chao-Nan Lin
    • Journal of Veterinary Science
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    • v.25 no.2
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    • pp.28.1-28.11
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    • 2024
  • Background: Porcine circovirus type 2 (PCV2) infection is ubiquitous around the world. Diagnosis of the porcine circovirus-associated disease requires clinic-pathological elements together with the quantification of viral loads. Furthermore, given pig farms in regions lacking access to sufficient laboratory equipment, developing diagnostic devices with high accuracy, accessibility, and affordability is a necessity. Objectives: This study aims to investigate two newly developed diagnostic tools that may satisfy these criteria. Methods: We collected 250 specimens, including 170 PCV2-positive and 80 PCV2-negative samples. The standard diagnosis and cycle threshold (Ct) values were determined by quantitative polymerase chain reaction (qPCR). Then, two point-of-care (POC) diagnostic platforms, convective polymerase chain reaction (cPCR, qualitative assay: positive or negative results are shown) and EZtargex (quantitative assay: Ct values are shown), were examined and analyzed. Results: The sensitivity and specificity of cPCR were 88.23% and 100%, respectively; the sensitivity and specificity of EZtargex were 87.65% and 100%, respectively. These assays also showed excellent concordance compared with the qPCR assay (κ = 0.828 for cPCR and κ = 0.820 for EZtargex). The statistical analysis showed a great diagnostic power of the EZtargex assay to discriminate between samples with different levels of positivity. Conclusions: The two point-of-care diagnostic platforms are accurate, rapid, convenient and require little training for PCV2 diagnosis. These POC platforms can discriminate viral loads to predict the clinical status of the animals. The current study provided evidence that these diagnostics were applicable with high sensitivity and specificity in the diagnosis of PCV2 infection in the field.