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A Study on the Correlation between Lung Ventilation Scan using Technegas and Pulmonary Function Test in Patients with COPD (Technegas를 이용한 폐환기 검사와 폐기능 검사의 상관관계에 관한 고찰)

  • Kim, Sang-Gyu;Kim, Jin-Gu;Baek, Song-EE;Kang, Chun-Koo;Kim, Jae-Sam
    • The Korean Journal of Nuclear Medicine Technology
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    • v.23 no.1
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    • pp.45-49
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    • 2019
  • Purpose Lung Ventilation Scan(LVS) images directly inhaled radiation gas to evaluate lung ventilation ability. Therefore, it is influenced by various factors related to inhalation, including number of breaths, respiratory duration, respiration rate, and breathing method. In actual LVS examinations, it is difficult for objectify the patient's ability to inhale, and there is currently no known index related to inhalation. Therefore, this study confirms the correlation between counts per second(cps) in LVS and the results of pulmonary function test(PFT) and evaluate its usefulness as an objective indicator of inhalation. Materials and Methods From October 2010 to September 2018, 36 Chronic Obstructive Pulmonary Disease(COPD) patients who had both LVS and PFT were classified by severity(Mild, Moderate, Severe). LVS was performed by creating Technegas with Vita Medical's Technegas Generator and inhaling it to the patient. LVS images were acquired with Philips's Forte equipment., and PFT used Carefusion's Vmax Encore 22. The correlation between the cps measured by setting the region of interest(ROI) of both lungs on the LVS and the forced vital capacity(FVC), forced expiratory volume in one second($FEV_1$), $FEV_1/FVC$ of the results of PFT was compared and analyzed. Results We analyzed the correlation between cps of LVS using Technegas and the results of PFT by classifying COPD patients according to severity. Correlation coefficient between $FEV_1/FVC$ and cps was Severe -0.773, Moderate -0.750, and Mild -0.437. The Severe and Modulate result values were statistically significant(P<0.05) and Mild was not significant(P=0.155). On the other hand, the correlation coefficient between FVC and cps was statistically significant only in Mild and it was 0.882(P<0.05). Conclusion According to the study, we were able to analyze correlation between cps of LVS using Technegas and the results of PFT in COPD Patients. Using this result, when performing a LVS, the results of PFT can be used as an index of inhaling capacity. In addition, it is thought that it will be more effective for the operation of the exam rooms.

Pneumococcal Surface Protein A of Streptococcus pneumoniae Isolates from Koreans (한국인에서 Streptococcus pneumoniae 분리주의 폐구균 표면 단백 A)

  • Kim, Kyung Hyo
    • Clinical and Experimental Pediatrics
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    • v.48 no.11
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    • pp.1206-1211
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    • 2005
  • Purpose : Pneumococcal protein vaccine based on pneumococcal surface protein A (PspA) is in development with the potential to offer a broad range of protection against different strains. PspA elicits protection in mice against fatal sepsis as well as carriage and lung infection. This study was performed to investigate the frequency of PspA families among Streptococcus pneumoniae recovered from Korean children and adults. Methods : A total of 89 pneumococcal isolates was included in the study. They were capsule serotyped by the slide agglutination assay with commercial antisera. PspA families were determined with polymerase chain reaction using the pair of primers for family 1 and family 2. Results : Seventeen pneumococcal serotypes were found in a total of 89 isolates. PspA typing was able to ascertain 79 of the 89 isolates (88.8 percent). Among these, 20 (22.5 percent) isolates were family 1 PspA, 59 (66.3 percent) were family 2. Moreover, because 9 (10.1 percent) isolates were of positive reactions for both, families 1 and 2 primers, the potential coverage of PspA vaccine was 98.9 percent. PspA families were not associated with age group, source of isolates, or penicillin susceptibility. However, the relative distribution of family 1 isolates to family 2 isolates was significantly different over capsular serotypes. Conclusion : The finding that 98.9 percent of Korean isolates belonging to PspA families 1 and 2 support the hypothesis that a human PspA vaccine covering a few PspA families could be broadly effective. The monitoring of the PspA families derived from large population-based isolates will be necessary in the context of vaccine development.

A Study for Recycling CO2 Silicate Bonded Waste Foundry Sand as Fine Aggregate for Concrete (CO2형 폐주물사를 콘크리트용 잔골재로 재활용하기 위한 연구)

  • 문한영;최연왕;송용규
    • Journal of the Korea Concrete Institute
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    • v.14 no.3
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    • pp.420-429
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    • 2002
  • The amount of $CO_2$-silicate bonded waste foundry sand(WFS) occurred in Korea is over 800,000 ton per year. WFS, as a by-product, is generated through manufacturing process of foundry may affect our environmental contamination, The reason is that WFS has been buried itself not less than 90% out of total WFS. So, it can give damage on the ground of contamination in soil and underwater. Therefore, it is necessary to establish the method recycling WFS because of being intensified waste management law. In this study, we performed the research with respect to harmful component analysis, the qualities of WFS mortar and concrete mixed with WFS. As the results the specific gravity of WFS is the same as that of natural aggregate while unit weight and percentage of solids of WFS are smaller than those of it. But it is found that WFS can be used by substituting WFS for natural aggregate after control of poor grade of WFS. The flowability of mortar and concrete with WFS is inferior to those of natural aggregate, and the setting time of concrete with WFS is faster than that with only natural aggregate, On the contrary, the bleeding of concrete with WFS is shown good result, and compressive and tensile strength of concrete substituted WFS for 30% are higher than those with only natural aggregate regardless of elapsed time.

Oropharyngeal Carriage and Antimicrobial Resistance of S. pneumoniae in Children of Seoul (서울 지역 소아의 구인강에서 폐구균 보균율과 항균제 내성)

  • Kim, Young Kee;Lee, Chang Kyu
    • Pediatric Infection and Vaccine
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    • v.4 no.2
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    • pp.218-224
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    • 1997
  • Purpose: The antimicrobial resistance of S. pneumoniae has encountered with increasing frequency from around the world. In our country, penicillin resistant strains of S. penumococci are rapidly increasing. It has been known that colonized pneumococci in upper respiratory tract cause sinisitis, otitis media, meningitis and pneumonia. We tried to reveal the colonization rate of pneumonocci in upper respiratory tract, their antimicrobial resistance and DNA fingerprinting pattern in normal children. Methods: We got specimens from 117 children of day-care center in Seoul through oropharyngeal swab. After incubation on BAP, optochin test and slide latex agglutination test were used for identification. Antimicobial susceptibility test to penicillin, vancomycin, erythromycin and TMP-SMZ was done with disk diffusion method. Penicillin MIC was gotten through the broth microdilution method. Genotyping of 45 pneumococci was done by rep-PCR using REP1R-Dt and REP2-Dt primer. Results: The carriage rate of pneumococci in the day-care center children was 38%(45/117). The resistance of penicillin, erhthromycin, TMP/SMZ, vancomycin by the disk diffusion method are 89%, 91%, 64% and 0%, respectively. 64% of the isolates showed multiple resistance. 7 types of DNA fingerprinting were gotten and 78% of isolates belonged to three types. Conclusion: We found that the antimicrobial resistance of children attending the day-care center in Seoul was much higher than expected. We assumed that this might be due to their easy and frequent exposure to antimicrobial agents and crowded day-care center environment.

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선박용 폐 FRP의 재활용 공정 개발

  • 강세란;김영우;황덕기;김시영;이민규;주창식
    • Proceedings of the Korean Environmental Sciences Society Conference
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    • 2003.05a
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    • pp.271-273
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    • 2003
  • 선박용 폐 FRP의 재활용 공정은 층 분리된 시편을 제조한 후, 촉매인 NaOH를 0.08이상, 용매인 PG를 6.0(폐 FRP 시편 무게당)이상 사용하여 분해하였고, 최적 반응시간은 5시간, 반응온도는 $250^{\circ}C$였다. 분해액에서 60 %의 PG를 분리한 잔여액을 사용하여도 재생 불포화 폴리에스터 수지를 합성할 수 있었으며, 분해공정에서 배출된 폐 유리섬유는 재생수지에 혼합 사용할 수 있었다.

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POLICY & ISSUES 기획특집_2 - 미래주도형 폐금속 자원재활용 기술개발 현황과 활성화 방안

  • Gwon, O-Heon
    • Bulletin of Korea Environmental Preservation Association
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    • s.399
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    • pp.12-15
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    • 2012
  • 국내에서 발생되는 도시광산 즉 폐금속 자원으로부터 유가금속을 회수하는 방안에 대한 관심이 최근 급증하고 있어 현실적인 대안으로 주목받고 있다. 국내에서 폐기된 폐전기 전자제품의 통계자료로부터 국내에 축적된 각종 폐전기 전자제품의 규모를 산정하면 약 3.3억대에 9.6조원 규모의 유가금속이 존재하는 것으로 분석되었으며 이에 대한 효율적인 재활용 기술이 활성화 된다면 소재원료의 자급도를 개선하고 안정적으로 확보할 수 있는 기반을 마련할 수 있을 것으로 기대된다.

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Lung image segmentation by watershed transform (워터쉐드 변형을 이용한 폐 영상 분할)

  • 김희숙;탁정남;이귀상;김수형;홍성훈
    • Proceedings of the Korean Information Science Society Conference
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    • 2004.04b
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    • pp.763-765
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    • 2004
  • 현재 의료 영상을 이용한 신속하고 정확한 진단과 치료를 위하여 각 기관별로 영상을 분할하는 방식이 기본적으로 사용되고 있다. 본 논문에서는 워터쉐드(Watershed) 알고리즘을 이용하여 해부학적 기관 중 폐 영역을 분할하는 방식을 제안한다. 초기에 소벨 에지 마스크(Sobel Edge Mask)를 이용하여 윤곽선을 강조하여 워터쉐드 알고리즘을 적용하였을 경우 과다 분할되는 문제점이 발생한다. 이를 해결하기 위하여 제거(Opening) 연산과 채움(Closing) 연산을 이용하여 마커(Marker) 정보를 추출하여 워터쉐드 알고리즘을 재적용하여 폐 영역 이미지를 분할하였다. 본 논문에서 제안한 마커 정보를 이용한 워터쉐드 재적용 방식은 폐 영역 효율적이고 정확하게 추출한다.

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Heating Properties of Cement Composites using Waste Carbon Materials (폐탄소 소재를 활용한 시멘트복합체 발열성능 평가)

  • Koo, Hyun-Chul;Cho, Hyeong-Kyu
    • Proceedings of the Korean Institute of Building Construction Conference
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    • 2023.11a
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    • pp.213-214
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    • 2023
  • The burden of housing heating costs has increased as energy prices such as global oil prices (28.1%), LNG (38%) and minerals (100%) have soared due to the Ukraine crisis. Accordingly, an electrically conductive cement composites had developed using waste carbon materials such as waste cathode materials, waste CNTs, and waste carbon fibers, and the heat generation performance was evaluated.

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The Irradiated Lung Volume in Tangential Fields for the Treatment of a Breast (유방암의 접선 조사시 피폭 폐용적)

  • Oh Young Taek;Kim Juree;Kang Haejin;Sohn Jeong Hye;Kang Seung Hee;Chun Mison
    • Radiation Oncology Journal
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    • v.15 no.2
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    • pp.137-143
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    • 1997
  • Purpose : Radiation pneumonitis is one of the complications caused by radiation therapy that includes a Portion of the lung tissue. The severity of radiation induced pulmonary dysfunction depends on the irradiated lung volume, total dose, dose rate and underlying Pulmonary function. It also depends on whether chemotherapy is done or not. The irradiated lung volume is the most important factor to predict the pulmonary dysfunction in breast cancer Patients following radiation therapy. There are some data that show the irradiated lung volume measured from CT scans as a part of treatment Planning with the tangential beams. But such data have not been reported in Korea. We planned to evaluate the irradiated lung volume quantitatively using CT scans for the breast tangential field and search for useful factors that could Predict the irradiated lung volume Materials and Methods : The lung volume was measured for 25 patients with breast cancer irradiated with tangential field from Jan.1995 to Aug.1996. Parameters that can predict the irradiated lung volume included; (1) the peruendicular distance from the Posterior tangential edge to the posterior part of the anterior chest wall at the center of the field (CLD) ; (2) the maximum perpendicular distance from the posterior tangential field edge to the posterior Part of the anterior chest wall (MLD) ; (3) the greatest perpendicular distance from the Posterior tangential edge to the posterior part of anterior chest wall on CT image at the center of the longitudinal field (GPD) ; (4) the length of the longitudinal field (L). The irradiated lung volume(RV), the entire both lung volume(EV) and the ipsilateral lung volume(IV) were measured using dose volume histogram. The relationship between the irradiated lung volume and predictors was evaluated by regression analysis. Results :The RV is 61-279cc (mean 170cc), the RV/EV is $2.9-13.0\%\;(mean\;5.8\%)$ and the RV/IV is $4.9-29.0\%\;(mean\;12.2\%)$. The CLD, the MLD and the GPD ave 1.9-3.3cm, 1.9-3.3cm and 1.4-3.1cm respectively. The significant relations between the irradiated lung volume such as RV. RV/EV, RV/IV and parameters such as CLD, MLD, GPO, L. $CLD\timesL,\;MLD\timesL\;and\;GPD\timesL$ are not found with little variances in parameters. The RV/IV of the left breast irradiation is significantly larger than that of the right but the RV/EVS do not show the differences. There is no symptomatic radiation pneumonitis at least during 6 months follow up. Conclusion : The significant relationship between the irradiated lung volume and predictors is not found with little variation on parameters. The irradiated lung volume in the tangential held is liss than $10\%$ of entire lung volume when CLO is less than 3cm. The RV/IV of the left tangential field is larger than that of the right but there was no significant differences in RV/EVS. Symptomatic radiation pneumonitis has not occurred during minimum 6 months follow up.

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The Role of Pulmonary Capillary Pressure in the Oxygen Free Radical-Induced Acute Lung Injury (산소기에 의한 급성 폐손상에서 폐모세혈관압의 역할에 관한 연구)

  • Yoo, Chul-Gyu;Kim, Young-Whan;Han, Sung-Koo;Shim, Young-Soo;Kim, Keun-Youl;Han, Yong-Chol
    • Tuberculosis and Respiratory Diseases
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    • v.39 no.6
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    • pp.474-483
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    • 1992
  • Background: Regardless of its causes, acute lung injury is characterized pathophysiologically by increased pulmonary arterial pressure and the protein-rich edema. Many inflammatory mediators are known to be involved in the pathogenesis of acute lung injury, including oxygen free radicals (OFR). But the changes in pulmonary capillary pressure in the OFR-induced acute lung injury is not clear. While the pulmonary edema characterized by the movement of fluid and solutes is dependent on the pressure gradient and the alveolar-capillary permeability, the role of pulmonary capillary pressure in the development of pulmonary edema is also not well understood. Method: Male Sprague-Dawley rats were divided into 5 groups: normal control (n=5), xanthine/xanthine oxidase (X/XO)-treated group (n=7), catalase-pretreated group (n=5), papaverine-pretreated group (n=7), and indomethacin-pretreated group (n=5). In isolated perfused rat lungs, the sequential changes in pulmonary arterial pressure, pulmonary capillary pressure by double occlusion method, and lung weight as a parameter of pulmonary edema were determined. Results: Pulmonary arterial pressure and pulmonary capillary pressure were increased by X/XO. This increase was significantly attenuated by catalase and papaverine, but indomethacin did not prevent the X/XO-induced increase. Lung weight gain was also observed by X/XO perfusion. It was prevented by catalase. Papaverine did not completely block the increase, but significantly delayed the onset. Indomethacin had no effect on the increase in lung weight. Conclusion: These data suggest that increased pulmonary capillary pressure by OFR may aggravate pulmonary edema in the presence of increased alveolar-capillary permeability and this may not be mediated by cyclooxygenase metabolites.

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