• Title/Summary/Keyword: Abnormal Detection

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A Study of Uniformity Test in PET/CT (PET/CT 장치의 uniformitly측정에 관한 연구)

  • Kim, Su-Keun;Jung, Hee-Il;Park, Soung-Ock
    • Journal of radiological science and technology
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    • v.29 no.1
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    • pp.13-19
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    • 2006
  • The PET scanner can detect the photon pair arriving from the source in phantom. The number of light photons released by the crystal(scintillator-BGO or LSO). In recent scintillation crystals in block structures were incorporated into full ring systems, and their resulted marked improvement in spatial resolution and increase in a sensitivity to annihilations. The uniformity of the crystal sensitivity is very important to makes correct information of abnormal states in organs. These factors influenced by the dection efficiency of the scintillators. We have study about the uniformity of crystals to the annihilation, And study about the standard deviation to average counts. The relative standard deviation in central detector groups more uniformed than circumferenced detector groups. It is caused detected quanta of gamma ray by the geometrical factors of PET detector. PET cameras are available with different geometric arrangement and several parallel rings oriented in the axial direction. The center groups from 7th to 40th groups are comparatively uniform and sensitive. But at the circumferenced detectors decreased the sensitivity and uniformity.

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Usefulness of External Monitoring Flap in the Buried Jejunal Free Flap (유리 공장 피판술 후 외부 감시 피판의 유용성)

  • Kim, Baek Kyu;Chang, Hak;Minn, Kyung Won;Hong, Joon Pio;Koh, Kyung Suck
    • Archives of Plastic Surgery
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    • v.34 no.4
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    • pp.432-435
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    • 2007
  • Purpose: The jejunal free flap has the shorter ischemic time than other flap and requires a laparotomy to harvest it. As the evaluation of the perfusion the buried flap is very important, the perfusion of the buried jejunal free flap requires monitoring for its salvage. We tried to improve the monitoring flap method in the jejunal free flap and examined its usefulness. Methods: From March 2002 to March 2006, the monitoring flap method was applied to 4 cases in 8 jejunal free flaps for the pharyngeal and cervical esophageal reconstructions. The distal part of the jejunal flap was exposed without suture fixation through cervical wound for monitoring its perfusion. The status of perfusion was judged by the color change of jejunal mucosa and mesentery. If necessary, pin prick test was performed. Doppler sonography was applied to mesenteric pedicle of the monitoring flap in case of suspicious abnormal circulation. Results: The monitoring flap shows no change in 3 cases, but the congestion happened in one case at the 12 hours after the operation. This congestion was caused by the twisting or kinking of the mesenteric pedicle of the monitoring flap. So, we fixed up the monitoring flap close to adjacent cervical skin for prevention of rotation. Finally, the main part of transferred jejunal flap was intact. Conclusion: The success of a jejunal free flap depends on close postoperative monitoring and early detection of vascular compromise. So, various monitoring methods have been tried, for instance, direct visualization using a fiberoptic pharyngoscope, through a Silastic window placed in the neck flap, or external surface monitoring with an Doppler sonography, use of a buried monitoring probe. But, all of the above have their own shortcomings of simplicity, non-invasiveness, reliability and etc. In our experience, monitoring flap can be a accurate and reliable method.

Simultaneous determination and acute toxicity study of Fructus mume extracts in ICR mice (오매(烏梅)의 다성분동시분석 및 마우스를 이용한 경구 단회투여 급성독성시험)

  • Lee, In-Sun;Han, Chang-Hyun;Lee, Chul;Hwang, Bang-Yeon;Jung, Sang-Hyeok;Lee, Young-Joon;Jeon, Won-Kyung
    • Journal of Society of Preventive Korean Medicine
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    • v.15 no.1
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    • pp.37-47
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    • 2011
  • Objectives : Previous studies have shown that Fructus mume (FM) has anti-platelet effects. The present study was performed to determine the acute oral toxicity and quality control of a crude extract of FM in ICR mice. Methods : We investigated the in vivo single dose acute toxicity of FM 95% ethanol extract. This test was orally administered once by gavage to 20 male and 20 female mice at dose levels of 0 (control group), 1250, 2500 and 5000mg/kg body weight, respectively. Mortalities, clinical findings, autopsy findings and body weight changes were monitored daily for the 14 days following the administration. HPLC analysis was performed for the simultaneous determination of ursolic acid and p-hydroxycinnamic acid in FM. Reverse-phase chromatography using a C18 column and photodiode array detection at 211 nm was used for quantification of the two maker components. The mobile phase for gradient elution consists of water and acetonitrile. Results : We observed survival rates, general toxicity, change of body weight, and autopsy. The mice did not die after single oral administration of maximum dose of FM. Autopsy of animal revealed no abnormal gross finding. Therefore, $LD_{50}$ value of FM for ICR mice was more than 5000mg/kg on oral route. The HPLC analysis showed that ursolic acid and p-hydroxycinnamic acid amounts to 9.75- and 0.12% in the extract with the retention times of 47.99- and 15.38 minutes, respectively. Conclusions : These results suggest that no toxic dose level of FM in mice is considered to be more than 5000mg/kg. Consequently, it was concluded that FM have no effect on acute toxicity and side effect in ICR mice. For the quality control of FM extract, simultaneous determination of ursolic acid and p-hydroxycinnamic acid was established.

Macrophage Activation Syndrome Triggered by Herpes Viral Infection as the Presenting Manifestation of Juvenile Systemic Lupus Erythematosus (헤르페스 바이러스 감염으로 발생한 대식 세포 활성 증후군을 첫 증상으로 한 소아 전신 홍반 루푸스)

  • Noh, Ji Hye;Jeong, Do Young;Jeon, In Su;Kim, Hwang Min
    • Pediatric Infection and Vaccine
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    • v.22 no.3
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    • pp.210-215
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    • 2015
  • Macrophage activation syndrome (MAS) is a rare complication in systemic lupus erythematosus (SLE) that can be triggered by infections. Due to the fact that MAS may mimic clinical features of underlying rheumatic disease, or be confused with an infectious complication, its detection can prove challenging. This is particularly true when there is an unknown/undiagnosed disease; and could turn into an even greater challenge if MAS and SLE are combined with a viral infection. A-14-year-old female came to the hospital with an ongoing fever for 2 weeks and a painful facial skin rash. Hepatomegaly, pancytopenia, increased aspartate aminotransferase, elevated serum ferritin and lactate dehydrogenase were reported. No hemophagocytic infiltration of bone marrow was reported. The patient was suspected for hemophagocytic lymphohistiocytosis. Her skin rashes were eczema herpeticum, which is usually associated with immune compromised conditions. With the history of oral ulcers and malar rash, positive ANA and low C3, C4 and the evidence of hemolytic anemia, she was diagnosed as SLE. According to the diagnostic guideline for MAS in SLE, she was diagnosed MAS as well, activated by acute HSV infection. After administering steroids and antiviral agent, the fever and skin rash disappeared, and the abnormal laboratory findings normalized. Therefore, we are reporting a rare case of MAS triggered by acute HSV infection as the first manifestation of SLE.

Genetic Diagnosis of Beckwith Wiedemann Syndrome using Methylation Specific PCR-RFLP Method (Methylation Specific PCR-RFLP 방법을 이용한 Beckwith Wiedemann Syndrome의 진단)

  • Kim, Gu-Hwan;Lee, Jin-Joo;Choi, Seung-Hoon;Lee, Joo-Yeon;Lee, Beom-Hee;Yoo, Han-Wook
    • Journal of Genetic Medicine
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    • v.7 no.2
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    • pp.133-137
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    • 2010
  • Purpose: Beckwith-Wiedemann syndrome (BWS) is an overgrowth malformation syndrome caused by a methylation abnormality at chromosome 11p15, consisting of two imprinting centers, BWSIC1 (IGF2, H19) and BWSIC2 (LIT1, KvDMR). This study evaluated the applicability of a methylation-specific (MS) PCR RFLP method for the genetic diagnosis of BWS. Materials and Methods: A total of 12 patients were recruited based on clinical findings. Karyotyping was performed using peripheral blood leukocytes, and genomic DNA was treated with bisulfate and amplified using methylation-specific primers. RFLP was conducted with restriction enzymes in differentially methylated regions of LIT1, H19, and IGF2. Results: The 12 BWS patients had normal karyotypes. Abnormal methylation patterns in the BWSIC2 (LIT1) region were identified in seven patients (58.3%) using the MS-PCR RFLP method. Conclusions: The MS-PCR RFLP method is a simple, economical genetic test. It detected genetic abnormalities in 50-60% of BWS patients, suggesting that it can be used as a screening test. A more precise method is required, however, to enhance the detection rate of genetic abnormalities, especially in BWSIC1 region.

Risk Factors for Recurrence of Gastric Cancer after Curative Resection in One University Hospital (한 대학병원 위암수술 환자의 재발에 영향을 주는 요인)

  • Lee, Tae-Yong;Kim, Hyeon-Geun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.11
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    • pp.5094-5101
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    • 2011
  • In order to investigate recurrence rate and risk factors for recurrence of gastric cancer after curative resection, we examined blood biochemical profile and clinicopathological features of 386 gastric cancer patients by using medical charts and data of hospital cancer registry from September 2010 to May 2011. Chi-square test and logistic regression analyses were performed to identify risk factors. The recurrence rate of all gastric cancer patients was 2.6%; The recurrence rate by gender was 3.45% in male and 0.89% in female, and that was 4 times higher in male than in female. On univariate logistic regression analyses, lymph node metastases(OR=8.793), Helicobactor pylori infecton(OR=6.495), abnormal total cholesterol(OR=14.333) were related to recurrence. On multivariate logistic regression analyses, lymph node metastases and H. pylori infection were very important risk factors for recurrence of gastric cancer. In conclusion, lymph node metastases, H. pylori infection, and total cholesterol control were very important to prevent recurrence of gastric cancer, and it needs to monitor blood biochemical (C-reactive protein, carcinoembryonic antigen, etc) for the early detection of gastric cancer recurrence.

Sequential Changes of Plasma C-Reactive Protein, Erythrocyte Sedimentation Rate and White Blood Cell Count in Spine Surgery : Comparison between Lumbar Open Discectomy and Posterior Lumbar Interbody Fusion

  • Choi, Man Kyu;Kim, Sung Bum;Kim, Kee D.;Ament, Jared D.
    • Journal of Korean Neurosurgical Society
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    • v.56 no.3
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    • pp.218-223
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    • 2014
  • Objective : C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) are often utilized to evaluate for postoperative infection. Abnormal values may be detected after surgery even in case of non-infection because of muscle injury, transfusion, which disturbed prompt perioperative management. The purpose of this study was to evaluate and compare the perioperative CRP, ESR, and white blood cell (WBC) counts after spine surgery, which was proved to be non-infection. Methods : Twenty patients of lumbar open discectomy (LOD) and 20 patients of posterior lumbar interbody fusion (PLIF) were enrolled in this study. Preoperative and postoperative prophylactic antibiotics were administered routinely for 7 days. Blood samples were obtained one day before surgery and postoperative day (POD) 1, POD3, and POD7. Using repeated measures ANOVA, changes in effect measures over time and between groups over time were assessed. All data analysis was conducted using SAS v.9.1. Results : Changes in CRP, within treatment groups over time and between treatment groups over time were both statistically significant F(3,120)=5.05, p=0.003 and F(1,39)=7.46, p=0.01, respectively. Most dramatic changes were decreases in the LOD group on POD3 and POD7. Changes in ESR, within treatment groups over time and between treatment groups over time were also found to be statistically significant, F(3,120)=6.67, p=0.0003 and F(1,39)=3.99, p=0.01, respectively. Changes in WBC values also were be statistically significant within groups over time, F(3,120)=40.52, p<0.001, however, no significant difference was found in between groups WBC levels over time, F(1,39)=0.02, p=0.89. Conclusion : We found that, dramatic decrease of CRP was detected on POD3 and POD7 in LOD group of non-infection and dramatic increase of ESR on POD3 and POD7 in PLIF group of non-infection. We also assumed that CRP would be more effective and sensitive parameter especially in LOD than PLIF for early detection of infectious complications. Awareness of the typical pattern of CRP, ESR, and WBC may help to evaluate the early postoperative course.

Efficient Multi-spot Monitoring System Using PTZ Camera and Wireless Sensor Network (PTZ 카메라와 무선 센서 네트워크를 이용한 효율적인 다중 지역 절전형 모니터링 시스템)

  • Seo, Dong-kyu;Son, Cheol-su;Yang, Su-yeong;Cho, Byung-lok;Kim, Won-jung
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2009.10a
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    • pp.581-584
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    • 2009
  • Recently, the cameras which used for observation are installed in children protection area and local crime prevention area in order to protect life and property and by its work being recognized and are installed more. Normal cameras have cost problem to observe multiple area and detail, because they can observe only one place. PTZ camera can observe multiple area by moving focus by schedule or remote control, but it can't automatically move the focus of it to the place where event occurred, because it can't recognize the place. In this study, we can monitor multiple area effectively, by installing a wireless sensor node equipped with temperature, lighting, gas and human detection sensor to each area, to monitor many place low-price and actively and to move the focus of PTZ camera to preset position, and send recorded video to the user, when the various sensor data received from wireless sensors in observation area are to be determined abnormal by analyzing. In addition, at night we can record a scene using infrared, but to reduce power consumption of lighting system which are installed to improve resolution, it supplies power to the lighting system when event occurred. So we were able to implement low power green monitoring system.

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Study on Factors for Passenger Risk in Railway Vehicle (철도차량내 승객 위험요소 선정 연구)

  • Park, Won-Hee;Park, Sung-Joon;Kim, Hyo-Jin;Kim, HanSaem;Oh, Sechan
    • Journal of the Society of Disaster Information
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    • v.17 no.4
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    • pp.733-746
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    • 2021
  • Purpose: This study was conducted for the purpose of selecting important events from among various events that may pose a risk to railway passengers. For this purpose, opinions of various railroad vehicle passengers and railway operator workers were investigated and analyzed. Method: The survey was conducted on 1,000 men and women in their 20s and 60s and 429 workers at 11 company across the country. A survey was conducted on the dangerous situations that may occur in subways, general railroads and high-speed rail vehicles targeting passengers. For railway operator workers, the questionnaire is limited to subway vehicles. Result: Among the passenger risk factors(abnormal behavior and dangerous situations) selected based on the frequency and importance of occurrence of passenger risk factors, the main risk factors are selected 'car door jamming', 'sexual harassment', 'intoxicating behavior', 'fighting' /assault', 'wandering around', and 'not wearing a mask'. Conclusion: The major risk factors affecting passengers were selected by surveying passengers and railway operators. we plan to develop a CCTV detection system with AI technology that can quickly and continuously detect the major risk factors of railway vehicles selected as a result of this study.

Determination of Additives Content in Aviation Turbine Fuel Using Multi-dimensional GC-MS (Multi-dimensional GC-MS를 이용한 항공터빈유의 첨가제 분석)

  • Youn, Ju Min;Jang, Yoon Mi;Yim, Eui Soon;Kim, Seong Lyong;Kang, Yong
    • Journal of the Korean Applied Science and Technology
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    • v.35 no.4
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    • pp.1260-1268
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    • 2018
  • To improve fuel performance and specific characteristics of long storage and moving through fuel systems additives should be added in kerosene type aviation turbine fuel (AVTUR) such as antioxidant, fuel system icing inhibitor (FSII), electric conductivity improvers and so on. The dosage of additives has to be analyzed qualitatively and quantitatively due to inspect the quality of abnormal fuel and distinguish other petroleum products. Multi-dimensional GC-MS (MDGC-MS) with Deans switching technique are applied the determination of antioxidant and FSII, which are added with AVTUR containing complex mixture of hydrocarbons. Antioxidant and FSII in the range of 2.5-20 mg/L was quantitatively and qualitatively analyzed using MDGC-MS and the detection limit was about twice as low as that of the 1-dimensional GC-MS results. The method in this study has been higher peak resolution compared with GC-MS and could be simultaneously analyzed different two additives without sample pre-treatment.