• Title/Summary/Keyword: clinical diagnostics

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A Study On Pediatrics Contents In 『Maijing』 -Focusing On 「Chapter 9: Determining Pediatric Diseases 9th」- (『맥경(脈經)』의 소아과학(小兒科學) 내용 연구 - 「권제구(卷第九)·평소아잡병증제구(平小兒雜病證第九)」를 중심으로 -)

  • Kim, Min-joo;Lyu, Jeong-ah
    • Journal of Korean Medical classics
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    • v.33 no.2
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    • pp.61-76
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    • 2020
  • Objectives : To study the pediatric contents in the 『Maijing』, the most comprehensive compilation of pulse theory. Methods : First, the original meaning was understood comprehensively through careful translation of the original text. Next, the original texts from which 『Maijing』 quoted certain verses were traced. Then, contents of 『Maijing』 were analyzed through comparison with contents from later period texts such as 『Beijiqianjinyaofang』, 『Zhubingyuanhoulun』, 『Xiaoeryaozhengzhijue』, 『Zhengzhizhunsheng』. Results : The study of pediatric contents of Wangshuhe's 『Maijing·Chapter9·Determining Pediatric Diseases 9th』 revealed that he set the standards of 'normal pulse' in terms of number of pulsation and pulse xiang[脈象] differently for children compared to adults. He summarized the most common disease patterns to be wind epilepsy[風癎], indigestion of breast milk[乳不消], and fright seizure[客忤氣], and described the pulses that reflected these conditions's physical characteristics. He also described the pulse and symptom patterns of 'growth fever[變蒸]' and 'heat in bone part[骨間有熱]' based on his observation, which contents were quoted and developed in 『Zhubingyuanhoulun』 and 『Xiaoeryaozhengzhijue』. For other miscellaneous pediatric conditions, he quoted prior texts such as 『Lingshu』 while adding words or making modifications to better reflect characteristics of children based on his observations in clinical pediatrics. Conclusions : It is concluded that 『Maijing·Chapter9·Determining Pediatric Diseases 9th』 not only describes pulse diagnostics but reflects in its contents pediatric theories and clinical knowledge of the Jin(晉)period, which affected pediatrics development of following periods.

A review study on the Yug Bu Ha Hap Hyul (육부하합혈(六腑下合穴)의 도입(導入) 배경(背景)에 관(關)한 연구(硏究))

  • Lee, Bong-Hyo;Lim, Sung-Chul;Lee, Kyung-Min;Kim, Jae-Su;Jung, Tae-Young
    • Korean Journal of Acupuncture
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    • v.26 no.3
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    • pp.77-85
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    • 2009
  • Objectives : The lower sea points of the six bowels is one of the most useful acupuncture prescription in the treatment for diseases related with six organs. There have been many studies on the effects of each acupoint, but it is difficult to find a systemic review about the whole of it. The purpose of this study is to review the lower sea points of the six bowels and investigate the background of the induction of that. Materials and Methods : 1. The authors performed systemic review about the lower sea points of the six bowels using related-literatures such as Neijing and Nanjing. 2. We investigated the background of the induction and the necessity through the meaning of the character Hop (合). We thought the clinical usefulness of that. Results and Conclusions : The lower sea points of the six bowels had been made for the supplement of the sea point of the five transport points and it might be possible to substitute the sea point of the five transport points with the lower sea points of the six bowels owing to the clinical usefulness of the lower sea points of the six bowels.

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Salivary biomarkers in oral squamous cell carcinoma

  • Nguyen, Truc Thi Hoang;Sodnom-Ish, Buyanbileg;Choi, Sung Weon;Jung, Hyo-Il;Cho, Jaewook;Hwang, Inseong;Kim, Soung Min
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.46 no.5
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    • pp.301-312
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    • 2020
  • In disease diagnostics and health surveillance, the use of saliva has potential because its collection is convenient and noninvasive. Over the past two decades, the development of salivary utilization for the early detection of cancer, especially oral cavity and oropharynx cancer has gained the interest of the researcher and clinician. Until recently, the oral cavity and oropharynx cancers are still having a five-year survival rate of 62%, one of the lowest in all major human cancers. More than 90% of oral cancers are oral squamous cell carcinoma (OSCC). Despite the ease of accessing the oral cavity in clinical examination, most OSCC lesions are not diagnosed in the early stage, which is suggested to be the main cause of the low survival rate. Many studies have been performed and reported more than 100 potential saliva biomarkers for OSCC. However, there are still obstacles in figuring out the reliable OSCC salivary biomarkers and the clinical application of the early diagnosis protocol. The current review article discusses the emerging issues and is hoped to raise awareness of this topic in both researchers and clinicians. We also suggested the potential salivary biomarkers that are reliable, specific, and sensitive for the early detection of OSCC.

A Clinical Study for Rota Virus Infection of Neonates in Oriental Medicine Hospital Postpartum Care Center (한방병원 산후조리센터 내 신생아의 Rota Virus 감염증에 대한 임상적 고찰)

  • Lee, Jeong-Lim;Ha, Kwang-Su;Ha, Su-Yun;Song, In-Sun;Kim, Sun-Mi
    • The Journal of Pediatrics of Korean Medicine
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    • v.19 no.2
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    • pp.115-126
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    • 2005
  • Objective : The aim of this study is to investigate rota virus infection of neonates In the Postpartum care center. Methods : This clinical study was carried out with the 205 neonates who admitted to the Postpartum Care Center of ${\bigcirc}{\bigcirc}$ Oriental Medicine Hospital, from July, 2004 to July, 2005. Stools were examined daily with Rotazyme ELISA tests(Bio Line Rota Virus, SD Standard Diagnostics, INC.) for 3 days from the day of admission. Supplementary test was examined when change was found in stools. Results : Among 205 newborn babies, 58 cases turned out to be positive. The positive rate of rota virus was not significantly related to sex, birth weight, gestation age. But, it was significantly related to delivery method and it was higher in caesarean section group. The manifestation rates of symptoms were 51.7% in Rotazyme positive neonates. In the Rotazyme positive 58 cases, 30 cases(51.7%) had diarrhea, 8 cases had fever(13.8%), 1 case(1.7%) had vomiting. The positive rate of rota virus was higher during from october to march. There were 190 cases(92.2%) of mixed feeding and 15 cases(7.8%) of artificial feeding. There was significance between breast feeding and the positive rate of rota virus. There was no significance between hospital of birth and the rate of positive rotazyme test. Conclusions : A further study of neonates in postpartum care center is necessary as preference of postpartum care center was increased. And the oriental medicine treatment of rota virus IS expected to be effective, so a further study is necessary.

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UNG-based direct polymerase chain reaction (udPCR) for the detection of porcine circovirus 2 (PCV2) (UNG 기반 direct polymerase chain reaction (udPCR)을 이용한 돼지 써코바이러스 2형 진단법)

  • Kim, Eun-Mi;Park, Choi-Kyu
    • Korean Journal of Veterinary Service
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    • v.37 no.4
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    • pp.253-261
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    • 2014
  • Porcine circovirus disease (PCVD) is a major problem of swine industry worldwide, and diagnosis of PCV2, causal agent of PCVD, has been doing in clinical laboratories of pig disease by polymerase chain reaction (PCR) methods. But the PCR analyses have a serious problem of misdiagnosis by contamination of DNA, in particular, from carryover contamination with previously amplified DNA or extracted DNA from field samples. In this study, an uracil DNA glycosylase (UNG)-based direct PCR (udPCR) without DNA extraction process and DNA carryover contamination was developed and evaluated on PCV2 culture and field pig samples. The sensitivity of the udPCR combined with dPCR and uPCR was same or better than that of the commercial PCR (cPCR) kit (Median diagnostics, Korea) on PCV2-positive serum, lymph node and lung samples of the pigs. In addition, the udPCR method confirmed to have a preventing ability of mis-amplification by contamination of pre-amplified PCV2 DNA from previous udPCR. In clinical application, 170 pig samples (86 tissues and 84 serum) were analysed by cPCR kit and resulted in 37% (63/170) of positive reaction, while the udPCR was able to detect the PCV2 DNA in 45.3% (77/170) with higher sensitivity than cPCR. In conclusion, the udPCR developed in the study is a time, labor and cost saving method for the detection of PCV2 and providing a preventing effect for DNA carryover contamination that can occurred in PCR process. Therefore, the udPCR assay could be an useful alternative method for the diagnosis of PCV2 in the swine disease diagnostic laboratories.

A Case Report of Herbal medicine Byeong-geo-tang(竝祛湯 : bing qu tang) on rheumatoid arthritis (병거탕을 사용한 류마토이드 관절염 치험 1례)

  • Hwang, Eui-Hyoung;Kim, Jong-Hoe;Yang, Chang-Yeop;Kim, Sang-Un
    • Journal of the Korean Institute of Oriental Medical Informatics
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    • v.14 no.1
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    • pp.73-80
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    • 2008
  • Objectives: The purpose of this study is to find clinical approachment of rheumatoid arthritis with herbal medicine Byeong-geo-tang(竝祛湯 ; bing qu tang) Methods: We provided acupuncture, bee venom aqua - acupuncture, Byeong-geo-tang(竝祛湯 ; bing qu tang) on a patient of rheumatoid arthritis. Symptoms were estimated with the visual analog scale. Results: Patients chief complaints were pain and ankylosis of her right fingers and left toes and pain of her both wrists. Symptoms were relieved from 7 to 0 VAS after treatment. Conclusions: We observed that complex therapy of acupuncture, bee venom aqua - acupuncture, Byeong-geo-tang(竝祛湯 ; bing qu tang) redused symptoms of the patient. We expect this clinical report may be helpful to rheumatoid arthritis treatment.

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Obtaining Reference Intervals of HbA1c by Immunoturbidimetry (면역비탁법에 의한 HbA1c의 참고범위 설정)

  • Kim, Jae-Sub;Park, Ki-Hyun;Yu, Sun-Woo;Lee, Bum-Hee
    • Korean Journal of Clinical Laboratory Science
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    • v.41 no.2
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    • pp.62-66
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    • 2009
  • HbA1c is the major fraction of glycated hemoglobin, and used primarily to identify the average plasma glucose concentration over prolonged periods of time, mostly 2-3 months. It is used as markers for the diagnosis and monitoring of diabetic patients and increasingly used a marker in health screening check up for general populations. In this study, HbA1c was measured with Cobas integra 800 (Roche Diagnostics, Mannheim, Germany), using immunoturbidimetry principles. We established the reference interval for HbA1c with Cobas integra 800 and evaluated its significance. The study subjects were 36,140 (male 57.5%, and female 42.2%) who visited the Health Promotion Center of a tertiary care center in Seoul for health checkup from January to September, 2008. HbA1c levels were measured with immunoturbidimetric method. Statistical evaluation was done with SPSS. Comparison between male and female was checked with Mann-Whitney test, and among age groups with Kruskal-Wallis test. Reference interval for HbA1c was from 4.8% to 6.1%. There was no significant difference between male and female with Mann-Whitney test (P=0.539). There was significant difference among age groups with Kruskal-Wallis test (P<0.05). Reference interval for HbA1c with Cobas integra 800 was 4.8~6.1%, which was different from conventional one, 4.4-6.4%. Establishment of reference interval for each principle is needed.

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Clinical Utility and Cross-Reactivity of Insulin and C-Peptide Assays by the Lumipulse G1200 System

  • Oh, Jongwon;Kim, Jae Hyeon;Park, Hyung-Doo
    • Annals of Laboratory Medicine
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    • v.38 no.6
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    • pp.530-537
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    • 2018
  • Background: Measurement of insulin and C-peptide concentrations is important for deciding whether insulin treatment is required in diabetic patients. We aimed to investigate the analytical performance of insulin and C-peptide assays using the Lumipulse G1200 system (Fujirebio Inc., Tokyo, Japan). Methods: We examined the precision, linearity, and cross-reactivity of insulin and C-peptide using five insulin analogues and purified proinsulin. A method comparison was conducted between the Lumipulse G1200 and Roche E170 (Roche Diagnostics, Mannheim, Germany) systems in 200 diabetic patients on insulin treatment. Reference intervals for insulin and C-peptide concentrations were determined in 279 healthy individuals. Results: For insulin and C-peptide assays, within-laboratory precision (% CV) was 3.78-4.14 and 2.89-3.35%, respectively. The linearity of the insulin assay in the range of 0-2,778 pmol/L was $R^2=0.9997$, and that of the C-peptide assay in the range of 0-10 nmol/L was $R^2=0.9996$. The correlation coefficient (r) between the Roche E170 and Lumipulse G1200 results was 0.943 (P <0.001) for insulin and 0.996 (P <0.001) for C-peptide. The mean differences in insulin and C-peptide between Lumipulse G1200 and the Roche E170 were 19.4 pmol/L and 0.2 nmol/L, respectively. None of the insulin analogues or proinsulin showed significant cross-reactivity with the Lumipulse G1200. Reference intervals of insulin and C-peptide were 7.64-70.14 pmol/L and 0.17-0.85 nmol/L, respectively. Conclusions: Insulin and C-peptide tests on the Lumipulse G1200 show adequate analytical performance and are expected to be acceptable for use in clinical areas.

Effects of Bu-Zhong-Yi-Qi-Tang for the treatment of functional dyspepsia: a feasibility study protocol

  • Kim, Jihye;Kim, Hyunho;Kim, Keun Ho
    • Integrative Medicine Research
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    • v.6 no.3
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    • pp.317-324
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    • 2017
  • Background: Bu-Zhong-Yi-Qi-Tang (BZYQT) has long been used for the treatment of severe weakness caused by general fatigue, loss of appetite, or indigestion. The aim of this feasibility study is to assess the effectiveness and safety of BZYQT for the treatment of functional dyspepsia (FD) with spleen qi deficiency. Methods: This study will be conducted at a single center as a prospective, nonrandomized, nonblinded, single-arm feasibility study. A total of 30 participants diagnosed with FD in accordance with the Rome III criteria will be enrolled. All patients will receive BZYQT for 4 weeks. The primary outcome is the change in the Nepean Dyspepsia Index-Korean version (NDI-K) scores between the baseline and 4-week images. The secondary outcomes include the tongue coating thickness, blood parameters, and BZYQT Questionnaire score. The NDI-K score will be acquired four times, at Weeks 0 (baseline), 2 (during treatment), 4 (after treatment), and 8 (after follow-up). Written informed consent will be obtained from all study participants prior to enrollment. This study has been approved by the Institutional Review Board of Kyung Hee University Korean Medicine Hospital. This study protocol is registered with the national clinical trial registry of the World Health Organization International Clinical Trials Registry Platform. Results will be published in a journal and will be disseminated both electronically and in print. Discussion: The results of this study may serve as a guide for researchers seeking to effectively evaluate the effects of BZYQT.

Development and Clinical Evaluation of a Rapid Diagnostic Test for Yellow Fever Non-Structural Protein 1

  • Kim, Yeong Hoon;Kim, Tae-Yun;Park, Ji-Seon;Park, Jin Suk;Lee, Jihoo;Moon, Joungdae;Chong, Chom-Kyu;Neves, Ivan Junior;Ferry, Fernando Raphael;Ahn, Hye-Jin;Bhatt, Lokraj;Nam, Ho-Woo
    • Parasites, Hosts and Diseases
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    • v.57 no.3
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    • pp.283-290
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    • 2019
  • A rapid diagnostic test (RDT) kit was developed to detect non-structural protein 1 (NS1) of yellow fever virus (YFV) using monoclonal antibody. NS1 protein was purified from the cultured YFV and used to immunize mice. Monoclonal antibody to NS1 was selected and conjugated with colloidal gold to produce the YFV NS1 RDT kit. The YFV RDTs were evaluated for sensitivity and specificity using positive and negative samples of monkeys from Brazil and negative human blood samples from Korea. Among monoclonal antibodies, clones 3A11 and 3B7 proved most sensitive, and used for YFV RDT kit. Diagnostic accuracy of YFV RDT was fairly high; Sensitivity was 0.0% and specificity was 100% against Dengue viruses type 2 and 3, Zika, Chikungunya and Mayaro viruses. This YFV RDT kit could be employed as a test of choice for point-of-care diagnosis and large scale surveys of YFV infection under clinical or field conditions in endemic areas and on the globe.