• Title/Summary/Keyword: 과관류

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Clinical Outcome and Follow-up of Neonatal Hydronephrosis Diagnosed Antenatally (산전 진찰에서 진단된 신생아 수신증에 대한 추적 관찰)

  • Park, Su-Eun;Kim, Su-Yung
    • Childhood Kidney Diseases
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    • v.2 no.2
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    • pp.161-168
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    • 1998
  • Purpose : Lots of congenital anomalies of urinary tract including hydronephrosis are detected in fetus and neworn by popular use of prenatal ultrasonography. But there are little data available in Korea about natural course of hydronephrosis diagnosed antenatally by ultrasonography. So we intended to help management of these patients by analizing the follow up data of the neonates with hydronephrosis diagnosed antenatally. Methods : We evaluated 22 patients with neonatal hydronephrosis(33 renal units) who were diagnosed prenatally and confirmed postnatally. Especially patients with suspected ureteropelvic junction obstruction were followed regulary with renal ultrasonography and diuretic renography for 8-24 months. Results : 1) The etiologies of neonatal hydronephrosis diagnosed prenatally were suspected ureteropelvic junction obstruction($69.9\%$), vesicoureteral reflux($15.1\%$), primary megaureter($3.0\%$), double ureter with ureterocele($3.0\%$), ureteral stricture($3.0\%$), multicystic dysplastic kidney(3.0$\%$), and ureterovesical junction obstruction(3.0$\%$). 2) The follow up results of 23 renal units of suspected ureteropelvic junction obsruction: Except 4 renal units with palpable abdominal mass, of the remained 19 renal units, 14 units($73.6\%$) were improved spontaneously, 3 units($15.7\%$) remained stable, only2 units($10.5\%$) were aggravated. Conclusion : We concluded that in most cases of hydronephrosis there is no need for immediate surgery, and that nonoperative approach, using serial ultrasonography and diuretic renogram, is safe management of neonatal hydronephrosis diagnosed anteratally.

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Diffusion-weighted and Dynamic Contrast-enhanced MRI of Metastatic Bone Tumors: Correlation of the Apparent Diffusion Coefficient, $K^{trans}$ and $v_e$ values (골전이암의 확산강조영상과 역동적 조영증강 자기공명영상: 겉보기 확산계수, $K^{trans}$$v_e$ 값들의 상관관계)

  • Koo, Ji Hyun;Yoon, Young Cheol;Kim, Jae Hoon
    • Investigative Magnetic Resonance Imaging
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    • v.18 no.1
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    • pp.25-33
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    • 2014
  • Purpose : To investigate whether quantitative parameters derived from Diffusion-weighted magnetic resonance imaging (DW-MRI) correlate with those of Dynamic contrast-enhanced MRI (DCE-MRI). Materials and Methods: Thirteen patients with pathologically or clinically proven bony metastasis who had undergone MRI prior to treatment were included. The voxel size was $1.367{\times}1.367{\times}5mm$. A dominant tumor was selected and the apparent diffusion coefficient (ADC) value and DCE-MRI parameters were obtained by matching voxels. DCE-MRI data were analyzed yielding estimates of $K^{trans}$ (volume transfer constant) and $v_e$. (extravascular extracellular volume fraction). Statistical analysis of ADC, $K^{trans}$, and $v_e$ value was conducted using Pearson correlation analyses. Results: Fifteen lesions in pelvic bones were evaluated. Of these, 11 showed a statistically significant correlation (P<0.05) between ADC and $K^{trans}$. The ADC and $K^{trans}$ were inversely related in 7 lesions and positively related in 4 lesions. This did not depend on the primary cancer or site of metastasis. The ADC and $v_e$ of 9 lesions correlated significantly. Of these, 4 lesions were inversely related and 5 lesions were positively related. Conclusion: Unlike our theoretic hypothesis, there was no consistent correlation between ADC values and $K^{trans}$ or between ADC values and $v_e$ in metastatic bone tumors.

Residual Characteristics of Bifenthrin and Imidacloprid in Squash (Bifenthrin과 Imidacloprid의 호박 중 관류특성)

  • Lee, Eun-Young;Noh, Hyun-Ho;Park, Young-Soon;Kang, Kyung-Won;Lee, Kwang-Hun;Lee, Jae-Yun;Park, Hyo-Kyung;Yun, Sang-Soon;Jin, Chung-Woo;Han, Sang-Kuk;Kyung, Kee-Sung
    • The Korean Journal of Pesticide Science
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    • v.13 no.2
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    • pp.79-86
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    • 2009
  • In order to elucidate the residual characteristics of the insecticides, bifenthrin and imidacloprid, the pesticides were sprayed onto the squash and their residues were analyzed with GC-ECD and HPLC. Detection limits of the pesticides were $0.005\;mg;kg^{-1}$ and recoveries of bifenthrin and imidacloprid in squash were from 100.87 to 104.31 and from 79.71 to 92.54%, respectively. Half-lives of bifenthrin and imidacloprid in squash were from 1.8 to 2.9 and from 1.5 to 2.5 days, respectively. Initial concentration of bifenthrin and imidacloprid sprayed at the recommended rate and double rate of recommendation were less than their MRLs. And also, residueal concentrations of the pesticides were rapidly decreased in squash with time. At harvest, estimated daily intakes (EDIs) of the pesticides were less than 0.6% of their acceptable daily intakes (ADIs).

Comparison of $^{99m}Tc-MIBI$ Myocardial Uptake at Rest with Reinjection and 24-hour after Reinjection Images of $^{201}Tl$ ($^{201}Tl$$^{99m}Tc-MIBI$에 의한 생존심근의 진단 비교 -재분포영상에 고정관류결손을 보인 환자에서 $^{201}Tl$ 재주사법 및 $^{99m}Tc-MIBI$ 휴식기스캔에 의한 심근섭취 비교-)

  • Bom, Hee-Seung;Kim, Ji-Yeul;Park, Joo-Hyung;Ahn, Young-Keun;Jeong, Myung-Ho;Cho, Jeong-Gwan;Park, Jong-Choon;Kang, Jung-Chaee
    • The Korean Journal of Nuclear Medicine
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    • v.26 no.2
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    • pp.274-279
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    • 1992
  • Clinical role of $^{99m}Tc-MIBI$ myocardial scintigraphy in the diagnosis of coronary artery disease (CAD) is now well accepted, however, the role of it in the identification of viable myocardium in patients with chronic CAD has not yet been clarified. To determine the usefulness of rest-injected $^{99m}Tc-MIBI$ scan as a marker of myocardial viability, the regional uptake of this agent at rest was compared with that of $^{201}Tl$ on reinjection and 24 hours after reinjection images. Subject patients were 13 chronic CAD patients who showed irreversible perfusion defect(s) on standard pharmacologic (dipyridamole) stress-redistribution images. Immediately after the redistribution images were obtained, 37 MBq thallium was injected at rest, and images were reacquired at 10 minutes and 24 hours after reinjection. After then 740 MBq $^{99m}Tc-MIBI$ was injected, and 1 hour later rest MIBI myocardial imaging was performed. Five sets of imagestress, redistribution, reinjection, delayed images of thallium, and rest image of MIBI) were then analyzed qualitatively and quantitatively. Left ventricle was arbitrarily divided into 9 segments (apex, basal and apical portions of anterior, septal, inferior, and lateral walls). Seven patients and 30 regions showed a fixed perfusion defect on the stress-redistribution images. Among 30 regions, 15 showed positive uptakes and 6 showed negative uptakes on both $^{201}Tl$ reinjection/delayed images and $^{99m}Tc-MIBI$ rest images. Five regions showed only thallium uptake and were regarded as viable clinically. Of four regions which showed only $^{99m}Tc-MIBI$ uptake, two were regarded as viable, while the other two were regarded as a nonviable scar tissue clinically. In conclusion, $^{201}Tl$ reinjection technique was more reliable in the identification of viable myocardium. However, the role of $^{99m}Tc-MIBI$ in identification of viable myocardium was still remained to be clarified because 2 of 9 regions showed only $^{99m}Tc-MIBI$ uptake and were regarded as viable tissues.

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Neuropeptide Y-immunoreactive neurons in corpus striatum of the Korean squirrel(sciurus vulgalis coreae) (청서 뇌 줄무늬체에서 neuropeptide Y 면역반응신경세포의 분포)

  • Jeong, Young-gil;Lee, Nam-seob;Hyun, Byung-hwa;Lee, Chul-ho;Oh, Yang-seok;Kim, Moo-kang;Won, Moo-ho
    • Korean Journal of Veterinary Research
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    • v.36 no.1
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    • pp.39-49
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    • 1996
  • The present study was performed to investigate the distribution of neuropeptide Y immunoreactivities in the corpus striatum of the Korean squirrels. The animals were perfused with 4%-paraformaldehyde and the brain was cut serially into $40{\mu}m$ thick coronal sections. Sections either were stained with cresyl violet or were stained immunohistochemically. The corpus striatum was divided into the caudate nucleus, putamen and globus pallidus. Anterior part. however, of the striatum was observed as the combined caudate-putamen. NPY immunoreactive (NPY-IR) neurons were medium-sized. The corpus striatum contained a low level of NPY-IR fibers, whose distribution appeared to be related to the immunoreactive perikarya. Large numbers of NPY-IR neurons in the caudate-putamen and caudate nucleus were expressed in medial and ventral parts. In the anterior part of the putamen NPY-IR neurons were scattered throughout the nucleus; in posterior part were found generally in the lateral and ventral parts. The density of NPY-IR fibers of the putamen were low, whose distribution appeared to be related to the perikarya. The globus pallidus contained NPY-IR fibers only in the lowest density. In brief, NPY-immunoreactivities in the corpus striatum are heterogenous in distribution. These findings may reflect innate characteristics of the specific neural circuit in the corpus striatum itself.

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Dual-Isotope SPECT Imaging with Thallium-201 and Technetium-99m MIBI in Detecting Coronary Artery Disease (관상동맥질환 진단에서 Thallium-201과 Technetium-99m MIBI를 이용한 Dual-Isotope SPECT 영상)

  • Lee, Gyu-Gwang;Cho, Ihn-Ho;Lee, Hyoung-Woo;Park, Jong-Sun;Won, Kyu-Chang;Sin, Dong-Gu;Kim, Young-Jo;Shim, Bong-Sup
    • Journal of Yeungnam Medical Science
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    • v.16 no.1
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    • pp.101-107
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    • 1999
  • We evaluated the results of sequential SPECT dual-isotope imaging with Tl-201 and Tc-99m MIBI in 24 patients. all of whom also had coronary angiography within the past one month. Coronary angiography showed that 12 patients had no CAD, 4 patients had one-vessel CAD, 7 patients had two-vessel CAD and 1 patient had three-vessel CAD. Serial studies of resting Tl-201 and dipyridamole stress Tc-99m MIBI were completed within 2 hours. When more than 50% of coronary artery narrowing was considered significant, the overall sensitivity and specificity of CAD detection were 91.7%. The sensitivity of CAD detection in patients with one-vessel and multi-vessel diseases was 75% and 100%. respectively. Therefore, sequential dual-isotope SPECT demonstrated high sensitivity and specificity for CAD detection. In conclusion, sequential dual-isotope imaging is feasible and can be completed in a short time and may therefore enhance laboratory throughput and patient convenience.

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Changes of Invertebrate Density in Rice Paddies of Different Fertilizer Managements in Demonstration Villages of Sustainable Agriculture (환경농업 시범마을 논에서 시비에 따른 무척추동물 개체 수 변화)

  • Han, Min-Su;Shin, Joung-Du;Na, Young-Eun;Lee, Nam-Jong;Park, Mun-Hee;Kim, Sae-Geun
    • Korean Journal of Environmental Agriculture
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    • v.21 no.2
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    • pp.96-101
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    • 2002
  • This study was conducted to survey and identify kinds and population of the freshwater invertebrate fauna according to the managements of paddy rice fields at Ok-Chun and Yang-Pyung. The experiment was conducted in 4 paddy plots; conventional fertilization plot (CF), fertilization by prescription with soil testing with (ST+A) or without soil amendment (ST), and no fertilization as the control. In addition, the freshwater invertebrate fauna was also surveyed at 3 sections of as upper, intermediate and down, in both Jitan and Bungsan stream. The total number of the freshwater invertebrates was higher in the order of ST>CF>ST+A>C and ST>ST+A>CF>C at Ok-Chun and Yang-Pyung, respectively. The population density of aquatic insects was higher in plots fertilized by prescription with soil testing than in the other plots at both demonstration villages. The freshwater invertebrates collected in Jitan and Bungsan stream were identified and classified into 59 families and 90 species, and their population density was highest in the downstream among.

Geochemical Characteristics and Contamination of Surface Sediments in Streams of Gwangju City (광주광역시 하천의 표층퇴적물에 대한 지구화학적 특성과 오염)

  • Kim, Joo-Yong;Koh, Young-Koo;Youn, Seok-Tai;Shin, Sang-Eun;Park, Bae-Young;Moon, Byoung-Chan;Kim, Hai-Gyoung;Oh, Kang-Ho
    • Journal of the Korean earth science society
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    • v.24 no.4
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    • pp.346-360
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    • 2003
  • In order to investigate the geochemical characteristics of surface sediments in streams of Gwangju City, sediment samples from the main stream of Yeongsan river, Hwangryong river, and Gwangjucheon in the city were collected and analyzed for grain size and metal and organic carbon contents. The sediment types of the streams widely vary from pebble to mud. The metal contents in the sediments from Yeongsan river and Hwangryong river are mainly dependent on the grain size of the sediments and the geology around the streams, while the sediments in Gwangiucheon are controlled by organic matter contents from the domestic sewage. The enrichment factor (Ef) and index of geoaccumulation (Igeo) representing the degree of metal contamination in the sediments are relatively low in the mainstream of Yeongsan river and Hwangryong river. However, those of Gwangjucheon show EF values of P=8.30, Cu=5.54, Zn=14.28 and Pb=7.41 and Igeo values of P=3.78, Cu=2.79, Zn=3.66 and Pb=1.59. The heavy metal contamination is especially significant near the area where the Seobangcheon and Donggyecheon branches of Gwanjucheon, join. Therefore, it is suggested that the metallic contaminations of these small streams are significantly influenced by the domestic sewage of the city.

Automated Functional Morphology Measurement Using Cardiac SPECT Images (SPECT 영상을 사용한 기능적 심근형태의 자동 계측법 개발)

  • Choi, Seok-Yoon;Ko, Seong-Jin;Kang, Se-Sik;Kim, Chang-Soo;Kim, Jung-Hoon
    • Journal of radiological science and technology
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    • v.35 no.2
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    • pp.133-139
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    • 2012
  • For the examination of nuclear medicine, myocardial scan is a good method to evaluate a hemodynamic importance of coronary heart disease. but, the automatized qualitative measurement is additionally necessary to improve the decoding efficiency. we suggests the creation of cardiac three-dimensional model and model of three-dimensional cardiac thickness as a new measurement. For the experiment, cardiac reduced cross section was obtained from SPECT. Next, the pre-process was performed and image segmentation was fulfilled by level set. for the modeling of left cardiac thickness, it was realized by applying difference equation of two-dimensional laplace equation. As the result of experiment, it was successful to measure internal wall and external wall and three-dimensional modeling was realized by coordinate. and, with laplace formula, it was successful to develop the thickness of cardiac wall. through the three-dimensional model, defects were observed easily and position of lesion was grasped rapidly by the revolution of model. The model which was developed as the support index of decoding will provide decoding information to doctor additionally and reduce the rate of false diagnosis as well as play a great role for diagnosing IHD early.

Nasolacrimal Duct Obstruction after Radioactive Iodine Therapy for Thyroid Cancer (갑상선암에서 방사성 요오드 치료 후 발생한 코눈물길 폐쇄)

  • Hwang, Moon Won;Lee, Eung;Yang, Jae Wook
    • Journal of The Korean Ophthalmological Society
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    • v.55 no.1
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    • pp.1-6
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    • 2014
  • Purpose: To investigate the clinical manifestation of nasolacrimal duct obstruction after radioactive iodine therapy for thyroid cancer. Methods: The authors examined 622 patients who were treated with radioactive iodine therapy after the operation for thyroid cancer from January 2009 to December 2011. Fourteen patients (18 eyes) were diagnosed nasolacrimal duct obstruction based on the lacrimal irrigation test, lacrimal probing test and dacryocystography in our oculoplastic clinic. We analyzed the dose of radioactive iodine therapy, number of treatments, clinical manifestation and treatment type by retrospectively reviewing the patients' medical records. Results: The mean radioactive iodine dose ($215.7{\pm}23.1mCi$, p = 0.01) and the mean number of treatments ($1.36{\pm}0.50$, p < 0.001) were significantly greater in 14 patients who had nasolacrimal duct obstruction than in patients who did not. The average onset of tearing symptoms occurred 10.2 months after radioactive iodine therapy. The mean time between correct diagnosis and therapy was 18.4 months. Three patients (3 eyes) had occlusion at the common cannaliculus and 11 patients (15 eyes) had occlusion at the nasolacrimal duct. Ten patients (13 eyes) underwent endonasal dacryocystorhinostomy for complete obstruction and 4 patients (5 eyes) underwent silicone tube intubation for partial obstruction. Conclusions: Nasolacrimal duct obstruction is a rare complication associated with radioactive iodine therapy for thyroid cancer, thus, clinicians should be aware of this complication and refer patients with symptoms of epiphora to the oculoplastic department for specialized evaluation and treatment.