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Predictive Values of Gated Myocardial SPECT for Wall Motion Improvement After Bypass Surgery (게이트 심근 SPECT의 관동맥우회로술후 심근 벽운동 호전 예측능)

  • Lee, Dong-Soo;Yoon, Seok-Nam;Song, Ho-Cheon;Kim, Ki-Bong;Chung, June-Key;Lee, Myoung-Mook;Lee, Myung-Chul;Koh, Chang-Soon
    • The Korean Journal of Nuclear Medicine
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    • v.31 no.1
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    • pp.43-49
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    • 1997
  • We studied to investigate the predictive values of gated SPECT for the improvement of wall motion after bypass surgery. As we compared postoperative SPECT with preoperative ones, we defined viability as wall motion improvement. We peformed rest T1-201/s1ress Tc-99m-MIBI gated SPECT in 25 patients before and 3 months after bypass surgery. Myocardial wall motion was graded as normal, hypokinesia, akinesia, and dyskinesia by pair-wise visual analysis of gated pre and postoperative SPECT's on the same monitor screen. Myocardial wall thickening was determined good or poor Among 92 segments with wall motion abnormalities before operation, 69 (75%) improved and 23 did not. Before operation, we could find segments with good systolic thickening in 64 segments among total 92. Thickening of the remaining 28 was poor. Wall motion improved postoperatively in 45 segments (70%) among 64 with good thickening. Twenty four(86%) among 28 segments with poor thickening had also improved. We grouped segments into mild(hypokinetic) and severe(akinetic/dyskinetic) ones. Among 33 segments with severe motion abnormalities, 14 had good thickening and 19 did not. Nine(60%) improved out of 14 segments having severe abnormality with good thickening However, 16(84%) segments out of 19 haying severe abnormality with poor thickening also improved. Neither degree of perfusion decrease nor severity of wall motion abnormalities could explain the high rate of false negatives. In conclusion, as we defined viability as wall motion improvement by comparing pre and postoperative SPECT, systolic thickening observed by gated Tc-99m-MIBI SPECT in myocardial segments with wall motion abnormalities predicted wall motion improvement after bypass surgery. However, poor thickening could not be referred as evidence of nonviable myocardium both in mild and severe contractile dysfunction, so that we might need stimulation study such as dobutamine echocardiography or dobutamine gated SPECT.

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Performance of Gated Myocardial Perfusion SPECT to Diagnose Coronary Artery Disease (게이트 심근 관류 SPECT의 관상 동맥 질환 진단 성능)

  • Kang, Won-Jun;Lee, Myoung-Mook;Chung, June-Key;Lee, Myung-Chul;Koh, Chang-Soon;Lee, Dong-Soo
    • The Korean Journal of Nuclear Medicine
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    • v.31 no.1
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    • pp.50-56
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    • 1997
  • Gated SPECT can evaluate the regional wall motion of the heart. We evaluated the regional wall motion of the perfusion abnormality in conventional perfusion SPECT with gated SPECT. In case of suspicious perfusion abnormalities, we tried to differentiate the artifact from true abnormality in coronary vascular disease using gated SPECT. We thought that artifacts would have normal wall motion, whereas fixed defects with decreased wall motion would probably represent coronary artery disease. A total of 275 patients who were performed coronary angiography and T1-201 rest/Tc-99m MIBI dipyridamole stress gated SPECT within 2 months were enrolled. In coronary angiography, stenosis more than 50% was considered as coronary artery disease. After injection of 111MBq T1-201 rest image was obtained on triple head SPECT system. 370MBg Tc-99m MIBI was used for the stress image. Eight-frame per-cardiac-cycle gated Tc-99m SPECT studies were done. All the images were analyzed visually. Using perfusion SPECT, the overall sensitivity and specificity were 87% and 55% respectively. Regarding artery territory, sensitivity and specificity were 68% and 73% for left anterior descending artery(LAD), 62% and 78% for right coronary artery(RCA), 42% and 90% for left ciramflex artery(LCX). Using gated SPECT, the overall sensitivity and specificity were 87% and 66% respectively. Sensitivity and specificity were 68% and 78% for LAD, 62% and 79% for RCA, 42% and 90% for LCX. Among 21 false positive cases in perfusion SPECT, 5 cases were interpreted as true negative with gated SPECT. We conclude that gated SPECT provides a valuable adjunct to perfusion SPECT in characterizing perfusion abnormalities and to improve specificity.

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Transient Prolonged Stunning by Dipyridamole Stress Proved by Post-stress(1 hour) and 24 hour Tc-99m-MIBI Gated SPECT (반복 게이트 심근 Tc-99m-MIBI SPECT로 확인한 디피리다몰 부하에 의한 일과성 심근기절현상)

  • Lee, Dong-Soo;Yoon, Seok-Nam;Lee, Won-Woo;Chung, June-Key;Lee, Myoung-Mook;Lee, Myung-Chul;Koh, Chang-Soon
    • The Korean Journal of Nuclear Medicine
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    • v.31 no.1
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    • pp.57-66
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    • 1997
  • We performed 1st day Tc-99m-sestamibi gated SPECT with dipyridamole/rest T1-201 SPECT and 2nd day 24 hour delay T1-201 SPECT/rest Tc-99m-sestamibi gated SPECT in 27 patients with coronary artery disease(24) or having chest pain(3). Stress and rest Tc-99m-sestamibi gated SPECT was acquired at 60min post-injection. A 4-point scoring system(0 to 3 for normal to absent tracer uptake) for 17 segments was used. Wall motion was scored on another 4 point scale(0 to 3 for normal to dyskinesia) in the 1st day post-stress gated and the 2nd day rest gated SPECT. Post-stress gated SPECT showed wall motion abnormality in 94 segments(20%). Fifty-five segments among these 94 showed the same wall motion between post-stress and rest gated SPECT: i.e. 1-1 23 segments, 2-2: 29 segments, 3-3: 3 segments. Remaining 39 segments(41.5%) showed different wall motion between post- stress and rest Tc-99m-sestamibi gated SPECT. Twenty one segments with wall motion abnormality had normal perfusion(rest : 15 segments, 24 hour delay: 6 segments) at either rest or 24 hour delay. Fifteen among these 21 segments showed persistent post-stress and the 2nd day rest wall motion abnormality(persistent stunning). However, in 6 segments with pro-longed (1 hour after stress) stunning, abnormal wall motion did improve in the 2nd day rest Tc-99m-sestamibi gated SPECT(transient prolonged stunning). These 6 segments had normal perfusion at rest(n=4) or at 24 hour delay(n=2). Post stress wall motions showed significantly higher scores in persistent stunning than in prolonged transient stunning(P value<0.05). It was concluded that we could find stunned myocardium with gated Tc-99m-sestamibi SPECT at either post-stress or rest and that some myocardial walls of post-stress 1 hour gated SPECT did not show truly rest wall motion. So, we should be cautious if we use post-stress Tc-99m-sestamibi wall motion to assess rest wall motion.

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The Optimal Condition and Enzyme Activity of Entomopathogenic Fungus Beauveria bassiana Using Extracted Rice Bran (미강추출물을 이용한 곤충병원성 곰팡이 Beauveria bassiana의 최적 배양조건 및 효소활성)

  • Kim, Chang-Su;Lee, Jung-Bok;Kim, Beam-Soo;Lee, Min-Hye;Kang, Kyeong-Muk;Joo, Woo-Hong;Kim, Jin-Won;Im, Dae-Joon;Kwon, Gi-Seok
    • Journal of Life Science
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    • v.23 no.8
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    • pp.1010-1018
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    • 2013
  • The greenhouse whitefly, Bemisia tabaci, is considered one of the most destructive pests of crops. In this study, we aimed to determine the optimal liquid culture conditions in shake flasks for maximal sporulation of Beauveria bassiana M130 using rice bran. The optimal initial pH for the spore production of B. bassiana using extracted rice bran medium was 5.2 and $28^{\circ}C$. The screening in shake flasks of carbon and nitrogen sources resulted in the identification of an optimal medium based on 0.5% $(NH_4)_2SO_4$, with extracted rice bran 8:1. Using this medium, a production level of $2.15{\times}10^9$ spores per ml was obtained after six days from culture inoculation at $28^{\circ}C$ in a rotary shaking incubator at 130 rpm. In addition, the specific activities of extracellular enzymes of chitinase and protease were $4,296{\mu}mol$ and $375{\mu}mol$, respectively. These results suggest that Beauveria bassiana M130 could be a bio-controller for the greenhouse whitefly.

Physicochemical Properties of Cowpea Crude and Refined Starch (동부 조전분 및 정제전분의 이화학적 특성)

  • 윤혜현;이혜수
    • Korean journal of food and cookery science
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    • v.3 no.1
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    • pp.31-36
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    • 1987
  • The purpose of this study is to investigate the physicochemcal Properties of the cowpea crude and refined starch and to present the basic data for physicochemical factor which gives the properties of Mook to cowpea starch gel. Water binding capacity of crude starch was 235. In and that of refined starch was 186.0%. The pattern of change in swelling power and solubility for increasing temperature started to increase at $60^{\circ}C$ and increased rapidly from $70^{\circ}C$, for both of crude and refined starch. The optical transmittance of 0.2% crude and refined starch suspensions were increased from $65^{\circ}C$ and showed rapid increasement during 68~$80^{\circ}C$, and their curves showed two-stage processes. The gelatinization pattern for 6n crude and refined starch suspensions were investigated by the Brabender amylograph. The corves showed the pasting temperature of $72.0^{\circ}C$ and $72.1^{\circ}C$, peak height of 11303.U. ($88.0^{\circ}C$) and 970 B.U. ($83.5^{\circ}C$) for crude and refined starch, respectively, and both showed high viscosities when cooling. Blue values for crude and refined starch were 0.369 and 0.376 respectively. Alkali number of crude and refined starch were 7.77 and 7.34, and reducing values were 3.60 and 2. 10, respectively. Amylose content of cowpea starch was 33.7%. Periodate oxidation of the starch fractions resulted that amylose had the average molecular weight of 23590, degree of polymerization of 146 and amylopectin had the degree of branching of 3.42, glucose unit per segment of 29.

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Correlates of Self-rated Fatigue in Korean Employees (우리나라 직장인 피로의 역학적 특성)

  • Chang, Sei-Jin;Kang, Myung-Gun;Hyun, Sook-Jung;Cha, Bong-Suk;Park, Jong-Ku;Park, Jun-Ho;Kim, Seong-Ah;Kang, Dong-Mug;Chang, Seong-Sil;Lee, Kyung-Jae;Ha, Eun-Hee;Ha, Mi-Na;Koh, Sang-Baek
    • Journal of Preventive Medicine and Public Health
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    • v.38 no.1
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    • pp.71-81
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    • 2005
  • Objective : To elucidate the correlates of self-rated fatigue in Korean employees. Methods : The data for 10,176 (men, 7,984; women, 2,192; mean age, 34.2; SD: 8.8) employees recruited from a nationwide sample were examined. A structured questionnaire was used to measure the participants' fatigue, sociodemographics (sex, age, education, and marital status), job-related characteristics (work duration, grade at work, work hours, shiftwork, employment type, and magnitude of workplace), and health-related habits (smoking, drinking, coffee intake, and exercise). Two types of measurement for fatigue were used to evaluate the magnitude of fatigue: self-rated question and a standardized measurement tool (Multidimensional Fatigue Scale: MFS). Results : According to the self-rated fatigue, 32% of employees reported that they felt fatigue for the past two weeks, and 9.6% of males and 8.7% of females had experienced excessive fatigue (6 months or more). Hierarchical multiple regression analysis showed that fatigue measured by MFS was more common in women, younger, college or more graduated, single, and employees who do not regularly exercise. Fatigue was also associated with long work hours, and the size of the workplace (<1,000 employees). Conclusions : These results suggest that fatigue has been considered as a common complaint, and that it is affected by job-related factors like work hours and the workplace size as well as sociodemographics or health-related behaviors. Further research is needed to clarify the effects of fatigue on adverse health outcomes, work performance, work disability, sick absence and medical utilization, and to examine the relationship of job characteristics (e.g.: work demand, decision latitude) to fatigue.

Comparison of Polar Maps of Dipyridamole Stress/Rest MIBI Myocardial SPECT and Coronary Angiography in Coronary Artery Disease (관동맥질환에서 디피리다몰부하 $^{99m}Tc$-MIBI 심근 SPECT 극성지도와 관동맥 조영소견의 비교)

  • Lee, Myung-Chul;Lee, Dong-Soo;Lee, Myung-Yong;Choi, Chang-Woon;Sohn, Dae-Won;Chung, June-Key;Lee, Myong-Mook;Park, Young-Bae;Seo, Jung-Don;Lee, Young-Woo;Koh, Chang-Soon
    • The Korean Journal of Nuclear Medicine
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    • v.27 no.1
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    • pp.51-58
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    • 1993
  • We have anlayzed the polar maps of dipyridamole stress/rest $^{99m}Tc$-MIBI SPECT and compared the quantitated perfusion defects of dipyridamole stress polar map and the findings of coronary angiography in 56 pateints with coronary artery diseases. We performed the same day dipyridamole stress-rest myocardial SPECT, reconstructed the polar maps according to Cedars-Sinai method and quantitated perfusion detects of total myocardium and the territory of each artery, comparing the polar maps of patients with normal files. Stenosis more than 50 percent was considered significant and myocardial ischemic score was calculated as summed score of percents of main coronary arteries. Positive concordance of myocardial SPECT with coronary angiography were 82.6% with left anterior descending artery (LAD), 85.7% with left circumflex artery (LCx) and 78.6% with right coronary artery (RCA). Perfusion defect of SPECT polar map and the stenosis of coronary artery showed the contingency phi of 0.55 (p<0.0001) with total atreries, 0.38 (p = 0.016) with LAD, 0.50 (p<0.0001) with LCx and 0.40 (p = 0.007) with RCA. Dipyridamole stress percent defect of polar map was correlated with myocardial ischemic score with Spearman's rho of 0.47 (p = 0.001) in total arteries, 0.48 (p=0.001) in LAD, 0.56 (p < 0.001) in LCx and 0.38 (p=0.002) in RCA. These findings revealed that defect of the dipyridamole stress myocardial $^{99m}Tc$-MIBI SPECT and the percent extent of this defect were related with significant artery stenosis of individual arteries and the degree of stenosis. We thought that we could use the defects in the polar map of dipyridamole stress $^{99m}Tc$-MIBI SPECT for the quantification of myocardiasl perfusion decrease.

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Comparison of Diagnostic Accuracy for Detecting Coronary Artery Disease of Dipyridamole $^{99m}Tc$-MIBI Myocardial SPECT and It's Defect Map between Men and Women (디피리다몰 부하 $^{99m}Tc$-MIBI 심근 SPECT 극성결손지도를 이용한 관동맥질환 진단의 남녀 비교)

  • Bae, Sang-Kyun;Lee, Dong-Soo;Oh, Byung-Hee;Chung, June-Key;Lee, Myoung-Mook;Park, Young-Bae;Lee, Myung-Chul;Seo, Jung-Don;Lee, Young-Woo;Koh, Chang-Soon
    • The Korean Journal of Nuclear Medicine
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    • v.27 no.1
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    • pp.59-64
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    • 1993
  • To evaluate the usefulness and differences in diagnosing coronary artery disease (CAD) between men and women of intravenous dipyridamole $^{99m}Tc$-MIBI myocardial SPECT, we obtained $^{99m}Tc$-MIBI myocardial SPECT and compared with the findings of coronary angiographies. Ninety eight male and 37 female patients who underwent dipyridamole $^{99m}Tc$-MIBI myocardial imaging within one month of cardiac catheterization were studied. Scans were considered abnormal if perfusion defect was detected and the defect size was more than 12% for left anterior descending artery (LAD) and circumflex (LCX) and 8% for right coronary artery (RCA) territories. Lesions${\geqq}$50% luminal diameter narrowing were considered significant CAD. Overall sensitivity for detection of CAD was 94.3% in men and 96.4% in women; specificity was 70% in men and 52.6% in women (P=not significant, ns). Vessel-matched sensitivity was 75.3% in men and 72.7% in women (P=ns): specificity was 84.6% in men and 67.9% in women (P < 0.025). For individual coronary artery, the sensitivity in men and women was 87.7%, 81.8% for LAD; 78%, 83.3% for RCA and 52.2%, 46.7% for LCX (P=ns): the specificity was 80%, 40% for LAD (P<0.01), 82.5%, 68.4% for RCA, 88.9%, 86.4% for LCX (P=ns). The hemodynamic parameter after intravenous dipyridamole in men and women were significantly changed; the heart rate was increased and systolic, diastolic blood pressure was decreased. Adverse effects were reported in 58.8% of men and 72.7% in women (P=ns). The incidence of chest pain and headache were higher in women. There was no significant difference in the incidences of nausea, abdominal pain, dizziness, facial flushing, dyspnea. In conclusion, dipyridamole $^{99m}Tc$-MIBI myocardial SPECT is a safe, noninvasive test for evaluation of CAD. There was no gender difference to detect CAD, but more false-positive rate in women especially in the territory of LAD.

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Fundamental Research for Establishing Job-Exposure Matrix (JEM) of Farmer Related to Insecticide of Pesticide (II) : Vegetable (농약물질 중 살충제 관련 농업 종사자들의 직무 -노출 매트릭스 구축을 위한 기초 자료 조사 연구 (II) : 채소류)

  • Kim, Ki-Youn;Cho, Man-Su;Lim, Byung-Seo;Lee, Sang-Gil;Knag, Dong-Mug;Kim, Jong-Eun
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.24 no.3
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    • pp.293-299
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    • 2014
  • Objectives: The main objective of this study is to investigate domestic usage amount of insecticide for vegetable cultivation to provide fundamental data for establishing job-exposure matrix(JEM) related to farmers treating agricultural insecticide. Materials and Methods: The survey on domestic usage amount of insecticide for vegetable cultivation was conducted by two research methods. The first method is to utilize agricultural pesticides published annually from Korea Crop Protection Association(KCPA). The second method is to apply cultivation area of vegetable announced officially from Statistics Korea(SK). An estimation of domestic usage amount of insecticide for vegetable cultivation through the second method was done by multiplying total cultivation area of vegetable($m^2$) with optimal spray amount of insecticide for vegetable cultivation per unit cultivation area of vegetable ($kg/m^2$). Results: As a result of analysis of public data related to insecticide for vegetable cultivation, it was found that its domestic usage amount has decreased gradually from the first sale year(1969) to current year(2012). There is, however, a considerable difference of annual usage trend of insecticide for vegetable cultivation between shipments and estimation. The annual usage trends of insecticide for vegetable cultivation based on regional classification were different from those based on total aspect. Conclusions: The region which used insecticide for vegetable cultivation the most in Korea was Jeolla-do, followed by Gyeonsang-do, Chungcheong-do, Seoul/Gyeonggi-do, Gangwon-do and Jeju-do. Substantially, mean ratio of usage amounts of insecticide based on shipments and those based on estimation by cultivation area was $281{\pm}115%$, which indicates that usage amounts of insecticide estimated by cultivation area are three times lower than those based on shipments.

Fundamental Research for Establishing a Job-Exposure Matrix (JEM) for Farmers Related to Insecticides (I): Rice Cultivation (농약물질 중 살충제 관련 농업 종사자들의 직무 -노출 매트릭스 구축을 위한 기초 자료 조사 연구 (I) : 수도작)

  • Kim, Ki-Youn;Cho, Man-Su;Lee, Sang-Gil;Kang, Dong-Mug;Kim, Jong-Eun
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.24 no.1
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    • pp.59-64
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    • 2014
  • Objectives: The principal aim of this study is to investigate and analyze domestic usage amounts of insecticide in rice cultivation in order to provide fundamental data for establishing a job-exposure matrix(JEM) related to farmers working with agricultural insecticides. Materials and Methods: An investigation of domestic usage amounts of insecticides rice cultivation was performed through two methods. The first method utilized information on agricultural pesticides published annually by the Korea Crop Protection Association(KCPA). The second method made use of area of cultivation of rice as officially determined by Statistics Korea(SK). An estimation of domestic usage of insecticides in rice cultivation through the second method was determined by multiplying the total cultivation area of rice($m^2$) by the optimal spray volume of insecticides for rice cultivation per unit of cultivation area($kg/m^2$). Results: As a result of the analysis of public data regarding insecticides in rice cultivation, it was found that the domestic usage amount has decreased sharply from the first year of market sales(1969) to the final data year(2012). There is little difference in the annual usage trend of insecticides in rice cultivation between shipment and estimation. Also, the annual usage trends of insecticides in rice cultivation based on regional classification were nearly similar to those based on the overall aspect. Conclusions: The region which used the largest volume of insecticide in rice cultivation in Korea was the Jeolla Provinces, followed by the Gyeonsang Provinces, the Chungcheong Provinces, Seoul/Gyeonggi Province, Gangwon Province and Jeju Province. Substantially, the mean ratio of usage amounts of insecticide based on shipments and those based on estimation by cultivation area was $96{\pm}29%$, which indicates that the domestic usage amount of insecticide for rice cultivation corresponded to the optimal spray standard per unit area.