• Title/Summary/Keyword: diagnostic method

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Trends in the rapid detection of infective oral diseases

  • Ran-Yi Jin;Han-gyoul Cho;Seung-Ho Ohk
    • International Journal of Oral Biology
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    • v.48 no.2
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    • pp.9-18
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    • 2023
  • The rapid detection of bacteria in the oral cavity, its species identification, and bacterial count determination are important to diagnose oral diseases caused by pathogenic bacteria. The existing clinical microbial diagnosis methods are time-consuming as they involve observing patients' samples under a microscope or culturing and confirming bacteria using polymerase chain reaction (PCR) kits, making the process complex. Therefore, it is required to analyze the development status of substances and systems that can rapidly detect and analyze pathogenic microorganisms in the oral cavity. With research advancements, a close relationship between oral and systemic diseases has been identified, making it crucial to identify the changes in the oral cavity bacterial composition. Additionally, an early and accurate diagnosis is essential for better prognosis in periodontal disease. However, most periodontal disease-causing pathogens are anaerobic bacteria, which are difficult to identify using conventional bacterial culture methods. Further, the existing PCR method takes a long time to detect and involves complicated stages. Therefore, to address these challenges, the concept of point-of-care (PoC) has emerged, leading to the study and implementation of various chair-side test methods. This study aims to investigate the different PoC diagnostic methods introduced thus far for identifying pathogenic microorganisms in the oral cavity. These are classified into three categories: 1) microbiological tests, 2) microchemical tests, and 3) genetic tests. The microbiological tests are used to determine the presence or absence of representative causative bacteria of periodontal diseases, such as A. actinomycetemcomitans, P. gingivalis, P. intermedia, and T. denticola. However, the quantitative analysis remains impossible, and detecting pathogens other than the specific ones is challenging. The microchemical tests determine the activity of inflammation or disease by measuring the levels of biomarkers present in the oral cavity. Although this diagnostic method is based on increase in the specific biomarkers proportional to inflammation or disease progression in the oral cavity, its commercialization is limited due to low sensitivity and specificity. The genetic tests are based on the concept that differences in disease vulnerability and treatment response are caused by the patient's DNA predisposition. Specifically, the IL-1 gene is used in such tests. PoC diagnostic methods developed to date serve as supplementary diagnostic methods and tools for patient education, in addition to existing diagnostic methods, although they have limitations in diagnosing oral diseases alone. Research on various PoC test methods that can analyze and manage the oral cavity bacterial composition is expected to become more active, aligning with the shift from treatment-oriented to prevention-oriented approaches in healthcare.

A Study for Monitoring & Prognostic Technology of Nuclear Power Plant Critical Equipments (원자력발전소 주요기기에 대한 감시 및 예측진단 기술 적용성 고찰)

  • Jo, Sung-Han;Lee, Jae-Ki;Kim, Hyoung-Gwan
    • Journal of Institute of Control, Robotics and Systems
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    • v.17 no.11
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    • pp.1090-1094
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    • 2011
  • The major goal of nuclear power industries during past 10 years has been increasing reliability and utility capacity factor. But as capacity factors crept upward, it became harder and harder to attain next percentage of improvement. Therefore, other innovative technologies and method are required. The monitoring, diagnostic and prognostic technologies have been applied to the fossil power plants and contributed a lot on improving their reliability and performance. However nuclear industries are still reluctant to apply the technology by several reasons. In this paper, current preventive maintenance status of nuclear power plants and industrial practice of monitoring, diagnostic and prognostic technologies are investigated. In addition, the restriction in the implementation of the technologies to the nuclear power plants are defined. Finally, we suggest appropriate methods of implementing the technology to nuclear industries for improving current reliability and performance.

Comparison of the Results of Clinical Diagnostic Assay according to Sasang Constitution Classification (사상체질에 따른 임상적 진단검사 결과 비교)

  • Park, Jee-Won
    • Korean Journal of Adult Nursing
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    • v.15 no.2
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    • pp.215-225
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    • 2003
  • Purpose: Sasang constitutional medicine is Korea's creative medical science, that has attracted public attention. But for lack of indices in objectifying constitutions, there are difficulties for most of health professionals in approaching Sasang medicine. The purpose of this study was to compare the results of clinical diagnostic data according to the type of Sasang constitution. Method: The subjects were 195 examinees who had a general health check-up at A hospital. The instrument used for this study were Questionnaire of Sasang Constitution Class II(QSCCII) program for personal computer developed by Kim Sun Ho et al. Result: The distribution of constitutions of the subjects were the So-eum 46.7%, the Tae-eum 36.9% and the So-yang 16.4%. The level of body compositionrelated indices(body weight, obesity) of the Tae-eum were significantly higher than those of other constitutions. In heart-related indices, systolic BP were the highest in the Tae-eum. In liver-related indices, the level of triglyceride, SGPT were significantly higher in the Tae-eum. But the hematologic indices and lung-related indices were not showed significantly difference among any constitutions. Conclusion: The results of this study showed that there were significant difference of clinical diagnostic data according to Sasang constitutions, especially in the Tae-eum. So, to understand the human nature of nursing clients, nurses need to apply the oriental based medical theory, like Sasang constitution, to the discipline of nursing.

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A Case of Benign Parotid Tumor Misdiagnosed for Parotid Cancer on Preoperative Cytology (수술 전 세침흡인세포검사에서 악성으로 의심되었던 이하선 양성 종양 1예)

  • Lee, Eun Jung;Hwang, Hye Jin;Byeon, Hyung Kwon
    • Korean Journal of Head & Neck Oncology
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    • v.31 no.1
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    • pp.9-13
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    • 2015
  • Fine needle aspiration cytology as a diagnostic workup of parotid gland tumor is a simple and useful method. Although fine needle aspiration cytology could not predict accurate diagnosis in all cases, it is usually helpful in differentiating malignancy and benign lesions. A 35-year-old female was found to have a parotid mass for 1 year. Preoperative evaluation including computed tomography and magnetic resonance imaging were non-diagnostic, but, fine needle aspiration cytology on parotid mass showed the suspicion of a low-grade mucoepidermoid carcinoma. Superficial parotidectomy and selective neck node dissection were done based on cytology. However, final pathological examination confirmed benign pleomorphic adenoma. Here, the diagnostic accuracy and cautions in interpretation of result of fine needle aspiration cytology is discussed with respect to the case.

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Study on Multimedia Expert Diagnostic System of Chicken Diseases

  • Lu Changhua;Wang Lifang;Nong, Hu-Yi;Wang Qiming;Lu Qingwen
    • Proceedings of the Korea Inteligent Information System Society Conference
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    • 2001.01a
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    • pp.508-510
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    • 2001
  • Adopting the method of user weighting fuzzy mathematics, the author accomplished the subject title “Study on Expert System of Chicken\`s Common Diseases Diagnostics”, which could properly diagnose 30 kinds of chicken\`s common diseases and the accordance rate reached 80% verified through 244 disease cases. On the basis of the accomplishment, the multimedia technology was adopted further more to establish a system, which integrated with the input, display, query, and processing of sound, picture and text etc., combined with the previous chicken disease diagnostic expert system, make the output information of computer more rich and comprehensive, and the accordance rate of disease diagnosis could be improved. The system consists of database, knowledge base, graphics and picture base. This system is easy to operate and interface of which is vivid and intuitive. It could output diagnostic result and prescribe rapidly, so that, such a system is not only adapted to large, medium chicken farm but also to grass-roots veterinary station for developing health care and disease diagnosing. It is sure that the system could have side prospect of application.

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Comparative Study of Radiation Exposure using Entrance Skin Dose Calculation Technique in Diagnostic X-Ray Radiography (입사 표면 선량 계산에 따른 진단용 X-선 촬영시 피폭선량 비교 연구)

  • Han, Jae-Bok;Choi, Nam-Gil;Sung, Ho-Jin
    • The Journal of the Korea Contents Association
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    • v.11 no.12
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    • pp.357-363
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    • 2011
  • The aim of this study is to compare radiation dose in diagnostic X-ray radiography and calculated by different mathematical equation. The result of ESDs direct measurement and that calculated by Mori NDD-M shows the biggest difference. On the other hand, equation by Edmonds shows the lowest difference of ESDs. Also, Rectification due to the difference between direct dose measurement and calculation method commutated three-phase, single phase and inverter type, show less difference in the drive way. In conclusion, this study can be helpful for expecting radiation dose-exposure and control exposure parameters for the diagnostic x-ray radiography.

Pre-Operative Evaluation of Ovarian Tumors by Risk of Malignancy Index, CA125 and Ultrasound

  • Arun-Muthuvel, Veluswamy;Jaya, Vijayaraghavan
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.6
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    • pp.2929-2932
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    • 2014
  • Purpose: To evaluate the diagnostic performances of risk of malignancy index (RMI), CA-125 and ultrasound score in differentiating between benign and borderline or malignant ovarian tumors and find the best diagnostic test for referral of suspected malignant ovarian cases to gynaecologic oncologists. Materials and Methods: This prospective study covered 467 women with pelvic tumors scheduled for surgery at our hospital between July 2011 and July 2013. The RMI was obtained from ultrasound score, CA125 and menopausal status. The diagnostic values of each parameter and the RMI were determined and compared using Statistical Packages for Social Sciences Version 14.0.1. Results: In our study, 61% of ovarian tumors were malignant in the post-menopausal age group. RMI with a cut-off 150 had sensitivity of 84% and specificity of 97% in detecting ovarian cancer. CA-125>30 had a sensitivity of 84% and a specificity of 83%. An ultrasound score more than 2 had a sensitivity of 96% and specificity of 81%. RMI had the least false malignant cases thus avoiding unnecessary laparotomies. Ultrasound when used individually had the best sensitivity but poor specificity. Conclusions: Our study has demonstrated the RMI to be an easy, simple and applicable method in the primary evaluation of patients with pelvic masses. It can be used to refer suspected malignant patients to be operated by a gynaecologic oncologist. Other models of preoperative evaluation should be developed to improve the detection of early stage invasive, borderline and non-epithelial ovarian cancers.

Application of PET in Breast Cancer (유방암에서 PET의 응용)

  • Noh, Dong-Young
    • The Korean Journal of Nuclear Medicine
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    • v.36 no.1
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    • pp.34-38
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    • 2002
  • Positron emission tomography(PET) is an imaging method that employs radionuclide and tomography techniques. Since 1995, we applied PET not only to the diagnosis of breast cancer but also to the detection of abnormalities in the augmented breast and to the detection of metastasis. Until 2001, we evaluated 242 breast cases by PET at PET center of Seoul National University Hospital. Our group has reported serially at the international journals. In the first report, PET showed high sensitivity for detecting breast cancer, both the primary and axillary node metastasis. A total of 27 patients underwent breast operations based on PET results at Seoul National University Hospital from 1995 to 1996. The diagnostic accuracy of PET were 97% for the primary tumor mass and 96% for axillary lymph node metastasis. In case of the breast augmented, PET also showed excellent diagnostic results for primary breast cancer and axillary lymph node metastasis where mammography and ultrasound could not diagnose properly. PET also had outstanding results in the detection of recurrent or metastatic breast cancer(sensitivity 94%, specificity 80%, accuracy 89%). In addition, our study gave some evidence that PET could be applied further to evaluate the growth rate of tumors by measuring SUV, and finally to prognosticated the disease. PET could also be applied to evaluate the response after chemotherapy to measure its metabolic rate and size. In conclsion, PET is a highly sensitive, accurate diagnostic tool for breast cancer of primary lesion in various conditions including metastasis.

Excretory-secretory antigen is better than crude antigen for the serodiagnosis of clonorchiasis by ELISA

  • Choi, Min-Ho;Park, Il-Chan;Li, Shun-Yu;Hong, Sung-Tae
    • Parasites, Hosts and Diseases
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    • v.41 no.1
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    • pp.35-39
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    • 2003
  • Although stool examination is the standard diagnostic method of clonorchiasis, serodiagnosis by ELISA using crude antigen is now widely used because of its convenience. However, ELISA diagnosis still suffers from cross-reactions, and therefore there is a need to improve the present conventional ELISA. The present study was undertaken to evaluate the diagnostic value of ELISA using excretory-secretory antigen (ESA) instead of crude antigen (CA) of Clonorchis sinensis. The diagnostic sensitivity of ELISA using excretory-secretory antigen was 92.5%, which was higher than that of ELISA using crude Clonorchis sinensis antigen (88.2%). In addition, the specificity of excretory-secretory antigen was found 93.1% while that of crude antigen was 87.8%. In summary, Clonorchis sinensis ESA was found to be a better serodiagnostic antigen than CA for ELISA.

A Feasibility Study for Application of Single-Chip Solution for Diagnostic Resting ECG (ECG 원칩 솔루션의 진단용 심전계 적용을 위한 타당성 연구)

  • Kang, Bum-Sun;Choi, Gi Sang
    • Journal of Biomedical Engineering Research
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    • v.36 no.4
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    • pp.86-94
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    • 2015
  • In order for medical devices to be used outside hospital, they have to be not only of small size but also power consumption has to be kept at low level. This study investigates the feasibility of application of ADS1298 ECG single-chip solution developed by Texas Instruments Inc. for use in development of a new platform for diagnostic resting ECG. To prove the feasibility of commercial products based on the ADS1298 chip, the performance of the ADS1298 chip was measured in terms of input impedance, common mode rejection, frequency response, and input dynamic range using the testing method under the suitability criteria of the IEC 60601-2-25 standard. Result of the this study shows that commercialization of the ECG products based on the ADS1298 ECG single-chip solution that satisfies the international standards would be possible, if the manufactures take the filter characteristics into account in building a new platform for diagnostic resting ECG.