• 제목/요약/키워드: 3D ultrasonography

검색결과 67건 처리시간 0.032초

Schistosoma mansoni Infection and Its Related Morbidity among Adults Living in Selected Villages of Mara Region, North-Western Tanzania: A Cross-Sectional Exploratory Study

  • Mazigo, Humphrey D.;Nuwaha, Fred;Dunne, David W.;Kaatano, Godfrey M.;Angelo, Tekla;Kepha, Stella;Kinung'hi, Safari M.
    • Parasites, Hosts and Diseases
    • /
    • 제55권5호
    • /
    • pp.533-540
    • /
    • 2017
  • Schistosoma mansoni is highly endemic in Tanzania and affects all age groups at different degrees. However, its control approach does not include adult individuals who are equally at risk and infected. To justify the inclusion of adult individuals in MDA programs in Tanzania, the present study focused on determining the prevalence of S. mansoni infection and its related morbidities among adult individuals. This was a cross sectional study conducted among 412 adult individuals aged 18-89 years living in selected villages of Rorya and Butiama districts located along the shoreline of the Lake Victoria. A pretested questionnaire was used to collect socio-demographic and socio-economic information of participants. Ultrasonographic examinations were conducted for all study participants using the Niamey protocol. A single stool sample was obtained from all study participants and examined for S. mansoni using the Kato-Katz technique. The study revealed a high prevalence of S. mansoni (56.3%), and the majority of infected individuals had a light intensity of infection. Ultrasonographic findings revealed that 22.4% of adult individuals had periportal fibrosis (PPF) (grade C-F), with 18.4% having grade C and D and 4% having grade E and F. Males had the highest prevalence of PPF (31.7% vs 10.8%, P<0.001). Organomegaly was common with 28.5% and 29.6% having splenomegaly and hepatomegaly, respectively. S. mansoni infection and its related morbidities included PPF, hepatomegaly, and splenomegaly were common among adult individuals. To reduce the level of transmission of S. mansoni infection, planned mass drug administration campaigns should include adult individuals living in these villages.

한국인의 골반과 비구 골절에서 정맥 혈전색전증의 발병률 (Incidence of Venous Thromboembolism in Pelvic and Acetabular Fractures in the Korean Population)

  • 이상기;이재원;황정주
    • Journal of Trauma and Injury
    • /
    • 제26권3호
    • /
    • pp.74-80
    • /
    • 2013
  • Purpose: There are no detailed reports on the incidence of venous thromboembolism (VTE) in pelvic and acetabular fractures in the Asian population. The purpose of this study was to investigate the incidence of VTE in pelvic and acetabular fractures in the Korean population. Methods: The cases of 67 Korean patients with pelvic and acetabular fractures treated at our hospital from January 2009 to February 2012 were analyzed retrospectively. Until May 2010, VTE screening was performed by contrast-enhanced computed tomography (CT) or ultrasonography (US) when the D-dimer value did not decline predictably, still exceeded $20{\mu}g/ml$ at 5 days after trauma and surgery, or increased to greater than $20{\mu}g/ml$ after a period of decline. After May 2010, contrast-enhanced CT and US were performed routinely irrespective of the D-dimer value. Physical prophylaxis was performed on all patients. The effects of the presence of a pelvic and/or acetabular fracture, and the effects of fracture type, accompanying injuries, and screening strategies on the incidences of VTE were investigated. Results: Overall, 26 patients(38.8%) were diagnosed with VTE and PTE in 14(20.9%). All were asymptomatic. Significantly higher incidences of VTE and PTE were observed in trauma patients with pelvic and acetabular fractures than in trauma patients without pelvic and acetabula fractures treated during the same period. No significant differences were observed in the incidences of VTE and PTE between patients with pelvic fractures, and patients with acetabular fractures or between patients with and without accompanying injuries. Compared with the previous screening strategy, the detection rates for VTE and PTE were higher for the newer screening strategy; however, the difference did not reach statistical significance. Conclusion: In the Korean population, we should be vigilant for a high incidence of VTE, especially PTE, in patients with pelvic and acetabular fractures.

한우에 있어서 발정ㆍ배란 동기화법에 의한 수태율 (Conception Rate of Ovulation-Estrus Synchronization Method in Hanwoo)

  • 박정준;임석기;이명식;전기준;박수봉;정영훈;우제석;나기준
    • 한국가축번식학회지
    • /
    • 제27권3호
    • /
    • pp.207-213
    • /
    • 2003
  • 본 연구는 한우에 PGF$_2$$\alpha$와 GnRH+PGF$_2$$\alpha$+GnRH(Ov-synch)를 처리하여 발정 및 배란을 동기화 시켰으며, 2차 GnRH 투여후 배란시간, 2차 GnRH 투여후 시간 경과에 따른 수태율과 발정ㆍ배란 동기화법에 의한 수태율을 조사하고자 실시하였다. 시험축은 총 4개 농가에서 경산우 150두를 무작위로 선발하여 시험에 공시하였으며, 발정ㆍ배란동기화 방법에 따라 발정을 유기한 후 1회 인공수정을 실시하고 수태율에 미치는 영향을 조사하였다. 호르몬처리 방법으로는 GnRH+PCF$_2$$\alpha$+GnRH(Ov-synch)와 PGF$_2$$\alpha$를 이용한 발정동기화 방법을 사용하였다. 2차 GnRH 투여 후 배란시간을 알아보기 GnRH 투여 후 24시간 후부터 32시간까지 2시간 간격으로 초음파 Sonovet-600(Medison. Korea)를 이용하여 난소를 촬영하였다. 1. 호르몬 투여후 발정동기 화율은 PGF$_2$$\alpha$ 투여구에서 40.0%와 GnRH+PGF$_2$$\alpha$+GnRH(Ov-synch)처리구에서 91.3%로 나타났다. 2. 2차 GnRH 주사후 24시간에 배란이 시작되어 32시간에 배란이 종료되었으며, 배란율은 28시간째에 46.6%가 배란되어 가장 높게 나타났다. 3. 2차 GnRH주사후 6∼24시간에 수정한 군이 6시간 이전과 30시간 이후에 수정시킨 군에 비해 높은 수태율을 나타냈다. 4. 호르몬 처리별 수태율은 PGF$_2$$\alpha$, CIDR 및 GnRH+PGF$_2$$\alpha$+GnRH(Ov-synch)에서 각각 50.0, 36.0와 76.9%로 GnRH+PGF$_2$$\alpha$+CnRH(Ov-synch)군에서 가장 높은 수태율을 나타냈다.

Effects of Sheng Hua Tang on Uterine Involution and Ovarian Activity in Postpartum Dairy Cows

  • Lee, K.H.;Lee, Y.T.;Chen, T.C.;Yeh, C.C.;Chen, J.Y.;Liu, L.Y.;Chi, C.H.
    • Asian-Australasian Journal of Animal Sciences
    • /
    • 제26권9호
    • /
    • pp.1247-1254
    • /
    • 2013
  • The effects of Sheng Hua Tang (SHT) on uterine involution and ovarian activity were investigated in postpartum dairy cows. SHT (70 g) was given to dairy cows (n = 10) to evaluate its effects for five days from the first postpartum day. Postpartum cows fed with a basal diet without SHT were used as the control group (n = 10). Ultrasounds and blood tests were recorded for four weeks from postpartum day seven with a 3-d interval. The results showed that the areas and diameters of endometria were significantly (p<0.01) reduced in the group that received SHT compared to the control group on the seventh postpartum day. The group that received SHT had an intrauterine fluid volume mean of $1.2{\pm}0.6cm^3$, which was significantly lower than that of the control group, $2.3{\pm}0.8cm^3$ (p<0.01) on the 13th postpartum day. In addition, the uterine tension score was a mean of $1.0{\pm}0.0$ in the group that received SHT, which was also significantly lower than that of the control group, $1.5{\pm}0.5$ (p<0.01) on the 19th postpartum day. Taken together, the Chinese herbal medicine remedy, SHT, promoted uterine involution and ovarian activity in postpartum dairy cows.

Assessment of pregnancy-associated glycoprotein profile in milk for early pregnancy diagnosis in goats

  • Singh, Shiva Pratap;Natesan, Ramachandran;Sharma, Nandini;Goel, Anil Kumar;Singh, Manoj Kumar;Kharche, Suresh Dinkar
    • Animal Bioscience
    • /
    • 제34권1호
    • /
    • pp.26-35
    • /
    • 2021
  • Objective: This study was conducted to assess the level of pregnancy-associated glycoprotein (PAG) in whole and skim milk samples, and its suitability for early pregnancy diagnosis in goats. Methods: A two-step sandwich enzyme-linked immunosorbent assay (ELISA) system for estimation of milk PAG was developed and validated, which employed caprine-PAG specific polyclonal antisera. Whole and skim milk samples (n = 210 each) from fifteen multiparous goats were collected on alternate days from d 10 to d 30, and thereafter weekly till d 51 post-mating. PAG levels in milk samples were estimated by ELISA and the pregnancies were confirmed at d40 post-mating by transrectal ultrasonography (TRUS). Results: The level of PAG in whole and skim milk samples of both pregnant and nonpregnant goats remained below the threshold values until d 24 after mating. Thereafter, PAG concentration in whole and skim milk increased steadily in pregnant goats, whereas it continued below the threshold in non-pregnant does. The PAG profiles in whole and skim milk of pregnant goats were almost similar and exhibited strong positive relationship (r = 0.891; p<0.001). Day 26 post-mating was identified as the first time-point for significantly (p<0.05) higher milk PAG concentration in pregnant goats than to non-pregnant goats. When compared to TRUS examination for pregnancy diagnosis, the accuracy and specificity of PAG ELISA using whole and skim milk samples were 94.5% and 95.4%; and 95.3% and 100%, respectively. The high values of area-under-curve (0.904 [whole milk] and 0.922 [skim milk]), demonstrate outstanding discrimination ability of the milk assays. Among the sampling dates chosen, d 37 post-mating was identified as the best suitable time point for collection of milk samples to detect pregnancy in goats. Conclusion: The PAG concentration in whole and skim milk of goats collected between days 26 and 51 post-breeding can be used for the accurate prediction of pregnancy and may be useful for assisting management decisions in goat flocks.

Changes in Plasma Levels of Inhibin and Follicle Stimulating Hormone in Buffaloes Superovulated with eCG

  • Singh, Baljit;Dixit, V.D.;Dixit, V.P.;Singh, P.;Georgie, G.C.;Lohan, I.S.
    • Asian-Australasian Journal of Animal Sciences
    • /
    • 제13권9호
    • /
    • pp.1205-1209
    • /
    • 2000
  • The present study was undertaken to investigate the effect of stimulation of follicular development with eCG on the peripheral levels of inhibin and FSH in Murrah buffaloes. Estrus was synchronized in five normally cycling females by insertion of Crestar (Intervet, Boxmeer, Holland) implants for nine days. Estradiol valerate was administered i.m. on the day of implant insertion. On the 10th day of the induced estrous cycle a single dose of 3000 IU eCG (Folligon, Intervet, Boxmeer, Holland) was given, followed by treatment with 25 mg of $PGF_2$ alpha (Lutalyse, Upjohn, Belgium) 48 h later. Blood samples were obtained during the induced estrus, on cycle day 10 (luteal phase), at the superovulatory estrus (43 h after PGF) and during the periovulatory period (64 h after PGF). Ultrasonography was done daily to monitor follicular development. Plasma concentrations of inhibin and FSH were determined by specific radioimmunoassays. Differences between $mean{\pm}SEM$ values of different phases of the cycle were compared by ANOVA. The mean number of small (2-5 mm), medium (6-9 mm) and large (>10 mm) follicles observed two days after eCG treatment and on the day of superovulatory estrus was $2.8{\pm}0.31$, $5.2{\pm}0.30$ and $1.4{\pm}0.09$ and $1.9{\pm}0.21$, $2.8{\pm}0.40$ and $5.0{\pm}0.83$, respectively. The mean number of ovulations was $3.6{\pm}0.37$ and the mean number of unovulated follicles was $6.1{\pm}0.47$. Most of the follicles >10 mm in diameter had ovulated (72%). The mean ${\pm}SEM $ of plasma inhibin concentration $(2584.15{\pm}17.92pg/ml)$ during the superovulatory estrus was significantly higher $(p{\leq}0.05)$ than during the induced estrus $(749.87{\pm}17.29pg/ml)$, the luteal phase $(1099.54{\pm}24.98pg/ml)$ and periovulatory period $(1682.71{\pm}29.88pg/ml)$, respectively. $Mean{\pm}SEM$ plasma FSH concentration during the induced estrus $(10.35{\pm}0.41ng/ml)$ was not different from that during the superovulatory estrus $(8.52{\pm}0.39ng/ml)$, but was significantly higher $(p{\leq}0.05)$ than during the luteal phase $(2.81{\pm}0.42ng/ml)$ and periovulatory period $(5.7{\pm}0.28ng/ml)$. These data indicate that treatment with eCG in buffaloes for inducing superovulation results in a significant elevation in plasma inhibin levels and a decrease in plasma FSH levels during the superovulatory estrus. Thus, we suggest that the elevated plasma inhibin coming from fully developed follicles continued for a long time which results in inhibition of FSH leading to poor ovulation in the remaining follicles, which may be the cause of suboptimal superovulatory response.

Reliability and validity of a personal computer based muscle viewer for measuring upper trapezius and transverses abdominis muscle thickness

  • Jeong, Ju-Ri;Han, Ju Hee;Cho, Ji-Eun;Lee, Wan-hee
    • Physical Therapy Rehabilitation Science
    • /
    • 제5권3호
    • /
    • pp.155-161
    • /
    • 2016
  • Objective: This study aimed to investigate the reliability and validity of a personal computer-based muscle viewer (PC-BMW) compared with that of a portable ultrasound (P-US) for measuring upper trapezius (UT) and transversus abdominis (TrA) muscle thickness at rest and during contraction. Design: Observational inter-rater reliability study. Methods: Fifty-five healthy participants (25 men, 30 women) participated in this study. PC-BMW and P-US were randomly measured at the UT and TrA muscles. Two examiners randomly obtained the images of all participants in 3 test sessions lasting 2 days. Intra-class correlation coefficients (ICCs), standard error of measurement, contraction ratio, and correlation were used to estimate reliability and validity. Pearson's correlation coefficients were used to analyze the relationship between muscle thickness measures taken from PC-BMW and P-US. Results: The intra-rater reliability ICCs of UT and TrA muscle thickness for the PC-BMW were >0.995, indicating excellent reliability. Inter-rater reliability ICCs for the PC-BMW ranged from 0.963 to 0.987. The P-US also exhibited high reliability. A high correlation was found between the measurements of the two muscles in PC-BMW and P-US (p<0.01). Conclusions: PC-BMW provides clear and excellent images, is pocket-sized and less expensive than a conventional ultrasound imaging system. PC-BMW can be utilized variously and has the advantage of rehabilitative ultrasound imaging. More research is needed to evaluate the utility of PC-BMW for rehabilitation.

편측성 교근비대 환자에서 편측 보툴리눔 독소 주사 후 안모의 변화 (The Change of Facial Contouring after Unilateral Injection of Botulinum Toxin in Unilateral Masseter Hypertrophy Patients)

  • 차유림;김영건;김지현;심영주;김성택
    • 구강회복응용과학지
    • /
    • 제27권2호
    • /
    • pp.247-251
    • /
    • 2011
  • 교근비대 환자들은 그들의 각진 턱을 심미적으로 개선시키기 위해 교근 두께를 줄이기를 희망한다. 과거엔 수술적인 방법이 널리 알려져 왔지만 최근 양측으로 주사하는 보톡스 시술이 수술에 비해 덜 침습적이기에 그 대안으로 관심이 대두되고 있다. 이 연구의 목적은 기존의 양측성 교근비대에서 양측에 동량을 주사하는 방법과 달리 편측성 교근비대 환자에서 보툴리눔 독소를 편측으로만 주입 후 삼차원 레이저스캐너를 이용하여 안모의 부피변화를 측정하고자 하였다. 삼차원 레이저스캐너를 이용하여 술전에 편측성 교근비대 환자 10명의 하안모 부피를 측정한 후, 편측으로 보툴리눔 A형 독소 주사 25U이 주사되었다. 주사 4주, 8주, 12주 후 같은 방법으로 하안모의 부피를 측정한 뒤 술전의 삼차원 사진과 중첩하여 변화된 부피를 측정하였다. 주사한 쪽의 부피는 술전에 비해 보툴리눔 독소 주사 4주, 8주, 12주 후 현저히 줄어들었으며 통계학적으로 유의미한 결과를 보였다. 반면 주사안한 쪽의 부피는 특기할 변화가 없었다. 따라서 편측성 교근비대 환자에서 편측 보툴리눔 독소 주사 후 주사한 쪽의 부피가 현저히 감소하여 근육성 비대칭 환자에서 편측 보툴리눔 독소 주사가 심미적 개선에 도움을 줄 수 있을 것으로 사료된다.

개에서 연령에 따른 동적 컴퓨터단층촬영을 이용한 사구체여과율의 평가 (Assessment of Aging Effects on Computed Tomographic Glomerular Filtration Rate in Dogs)

  • 장진화;김환철;최지영;최호정;이희천;장동우;이영원
    • 한국임상수의학회지
    • /
    • 제29권2호
    • /
    • pp.130-133
    • /
    • 2012
  • 동적 컴퓨터단층촬영을 이용하여 연령에 따른 CT-GFR 수치에 대한 패턴을 살펴보기 위해 본 연구를 실시하였다. 품종이나 성별에 대한 제한 없이 다양한 연령으로 15마리의 개를 이용하였다. 혈액검사, 요검사, 영상학적 검사를 실시하여 개의 건강 상태를 확인한 후, propofol-isoflurane을 이용한 호흡마취를 실시하여 CT 촬영을 하였다. Iohexol (1 ml/kg, 300 mgI/ml)을 3 ml/s 일정한 속도로 2분간 주입하면서 1.5초 간격으로 총 80개의 영상을 촬영하여 파트락 분석을 통해 사구체여과율 (ml/min/kg)을 측정하였다. 양측 신장의 사구체여과율의 범위는 2.57-6.60 ml/min/kg이었다. 연구에서 연령에 따라 사구체여과율의 유의적인 차이는 확인되지 않았다.

초음파 검사에서 신장 결석의 검출 요인에 관한 연구 (The Study on the Factors for Detection of Renal Stone on Ultrasound)

  • 심현선;정홍량;임청환
    • 대한방사선기술학회지:방사선기술과학
    • /
    • 제29권1호
    • /
    • pp.1-6
    • /
    • 2006
  • I. 목 적: 신장 결석은 흔하며, 전형적으로 수집계에서 발생한다. 신동부는 수집계, 신혈관, 림프관, 지방, 섬유조직 등을 포함하고 있다. 초음파 장치 수신기의 신호 처리 과정에서 모든 큰 에코의 압축 때문에 일반적으로 신결석으로부터의 에코는 신동부의 정상적인 구조로부터 발생하는 큰 에코는 구별할 수 없다. 따라서 초음파 검사에서 후방음향음영이 동반하지 않은 크기가 작은 신장 결석 또는 결석의 화학적 구성 성분에 따라 결석 검출이 어려웠다. 본 연구의 목적은 다양한 스캔 변수에 따라 결석 후방에 발생하는 후방음향음영을 측정하여 신장결석 진단에 도움을 주고자 한다. II. 재료 및 방법: 결석을 수조 속 스폰지 위에 올려놓고 LOGIQ 400(U.S.A.)의 3.5 HMz와 7.5 HMz 탐촉자를 이용하였다. 첫째, 게인을 조절해가며 실험하였다. 둘째, 동적범위를 조절해가며 실험하였다. 셋째, 초점 영역을 조절해가며 실험하였다. 넷째, 깊이조절에 따른 저주파수와 고주파수의 에코 레벨을 측정하였다. III. 결 과: 1) 평균 에코 레벨은 총 게인이 10 dB일 때 98, 총 게인이 40 dB일 때 142로 나타났다. 결석의 후방음향음영은 총 게인이 낮을 때 뚜렷하게 나타났다. 2) 동적범위가 42 dB와 72 dB일 때 평균 에코 레벨이 각각 129와 101로 측정되었다. 신장 결석의 후방음향음영은 동적범위가 높을수록 뚜렷하게 나타났다. 3) 결석이 탐촉자의 초점영역에 위치할 때에 후방음영이 분명하게 나타났다. 4) 결석은 저주파수(3.5 MHz)보다 고주파수(7.5 MHz)에서 분명하게 나타났으며, 결석의 왜곡 없었다. IV. 결 론: 신장결석의 후방음향음영의 표현 총 게인, 동적범위, 초점영역, 주파수 등 다양한 기술적 요소들에 의존하며, 이러한 요소들은 신장결석 진단에 도움을 줄 것으로 생각된다.

  • PDF