• 대한핵의학회지
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• 제23권2호
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• pp.201-207
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• 1989

Patients with acute pyleonephritis may present with a spectrum of clinical symptoms and signs. There are few noninvasive diagnostic studies, however, to confirm or exclude this diagnosis. To evaluate the clinical utility of $^{99m}Tc-DMSA$ renal scan in diagnosis of acute pyelonephritis, we performed $^{99m}Tc-DMSA$ renal scan in 37 patients suspected with urinary tract infection. Simultaneously, kidney ultrasonography was done in 21 patients diagnosed with acute pyelonephritis, clinically. And we performed the followup scan after treatment in two to six weeks. The results were as follows: 1) $^{99m}Tc-DMSA$ renal scan disclosed single or multiple cortical defects and decreased radiouptake ratio of affected kidney in 23 patients among 25 patients diagnosed with acute pyleonephritis. 2) In the 21 patients with acute pyelonephritis, kidney ultrasonography showed abnormal finding in the 7 patients. And $^{99m}Tc-DMSA$ renal scan disclosed abnormal cortical defects in this 7 patients also. 3) Between the patients with acute pyelonephritis and those with lower urinary tract infection, asymptomatic bacteriuria or pyuria. right-to-left radiouptake ratios (R/L ratio) were significantly different (p < 0.001). 4) In two to six weeks after antibiotic therapy, we performed followup $^{99m}Tc-DMSA$ renal scan for 5 patients among 25 acute pyelonephritis patients. And we have found the improvement of cortical defects and the right-to-left radiouptake ratio. In conclusion, we thought that $^{99m}Tc-DMSA$ renal scan should be useful in diagnosis of acute pyelonephritis and follow-up examination.

• 핵의학기술
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• 제16권1호
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• pp.27-33
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• 2012

수신증 진단을 받은 소아 환자 $^{99m}Tc$-DMSA 신장 검사에서 영상 획득 후 좌-우측 신장의 섭취 비율을 분석하기 위해 관심영역을 설정하는데, 장비의 자동 관심영역 설정 시 수신증으로 확장되어 있는 신우 부위까지 관심영역에 포함되어 정확한 좌-우 신장의 섭취율이라 할 수 없기에 본 연구는 신장 모형과 확장된 신우의 모형을 이용한 실험을 통해 수신증으로 인해 확장된 신우를 포함한 관심영역과 포함하지 않은 관심영역을 비교하여 보다 개선된 관심영역의 설정 방법을 제시 하고자 한다. 또한, 확장된 신우에 섭취된 방사성 의약품이 신장 피질 세포에서의 섭취인지 아니면 요관의 막힘으로 인한 잔류 소변 인지를 알아 보기 위해 판독의의 도움을 받아 알아 보기로 한다. 두 개의 신장 모형에 같은 양의 물을 채우고 $^{99m}TcO_4$ 111 MBq를 각각 넣어 섞었다. 확장된 신우를 표현하기 위해 5개의 고무 풍선에 물 용량을 각각 10 mL로 채운 후 $^{99m}TcO_4$를 각각 18.5, 37, 55.5, 74, 92.5 MBq를 각각 섞어 준비 하였다. 또한, 고무 풍선에 $^{99m}TcO_4$를 37 MBq으로 고정하고 물 용량을 각각 5, 10, 15, 20, 25 mL를 섞어 준비하였다. 좌측 신장은 모양 그대로 유지하고 우측 신장 모형에 이 고무 풍선을 붙여 수신증의 신장과 비슷한 모형을 만든 후 각각 200만 계수를 수집하였다. 수집된 영상을 확장된 신우를 포함한 관심영역과 포함하지 않은 관심영역을 그려서 좌-우 신장의 섭취비율을 비교 하였고, 재현성을 위해 한 영상당 5회씩 관심 영역을 설정하였다. 환자의 경우 $^{99m}Tc$-DMSA를 1.5~1.9 MBq/kg 주사하고, 3~4시간 후에 검사하였고, 숙련된 3명의 방사선사가 각각 1회씩 관심 영역을 설정하여 비교 평가 하였다. 두 자료 간의 통계적 유의성을 알아보기 위해 SPSS (ver. 17) Wilcoxon Signed Ranks Test 사용하였다. 신장 모형 실험 결과로 확장된 신우를 포함하여 관심영역을 설정한 것과 포함하지 않고 관심영역을 설정한 두 집단간에 수집계수, 주변 계수, 섭취율을 비교해 본 결과 수집계수와 섭취율의 변화된 결과를 얻을 수 있었고, 환자 검사 영상에서 또한 섭취율의 변화된 결과를 얻을 수 있었다. 또한, 확장된 신우에 섭취된 방사성 의약품은 확장된 신우에 의해 요관으로 내려가지 못한 잔류 된 소변이라는 것이 확인되었다. 위 결과에서 보여 주듯이 신장의 좌-우측 섭취율 도출 시에 수신증으로 인해 신우가 확장된 신장에서 신우를 포함하여 관심영역을 설정했을 때의 섭취율이 포함하지 않았을 때의 섭취율에 비해 과섭취율을 보여 주고 있다. 검사자의 작업 편의성과 결과의 신속성을 위해 자동 관심영역으로 설정하여 결과를 도출해 내고 있지만, 이러한 수신증 환자의 경우에는 확장된 신우에 방사성의약품이 섭취가 되어있는 것은 잔류된 소변이므로 관심영역 설정 시에 확장된 신우 부분을 제외하고 수동으로 관심영역을 설정해야 정확한 좌-우측 신장의 섭취율을 도출할 수 있을 것이라 사료된다.

• 터널과지하공간
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• 제27권2호
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• pp.109-119
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• 2017

다양한 현장조건을 고려하기 위하여 필라 폭, 암반등급, 측압계수를 달리한 각종 병설터널을 모델링하고, 수치해석과 모형실험을 통해 필라의 안정성을 알아보았다. 수치해석을 통해 얻어진 필라 중앙부의 응력, 필라 전체의 평균응력, 필라 좌우단부의 응력을 각각 적용하여 필라의 강도/응력비를 구하였다. 이중 필라 좌우단부의 응력을 적용하였을 때의 강도/응력비는 가장 보수적인 값을 나타내었고, 분할굴착과 지보체계를 고려한 시공단계해석에서도 굴착 시점과 부합한 실제적인 값을 보였다. 또한, 병설터널의 모형실험에서 필라의 파괴균열은 필라 좌우단부로부터 필라 중앙부를 향해 점진적으로 발생하였다. 따라서 필라의 국부적 손상을 방지하고 터널 안정성을 보수적으로 평가하기 위해서는 필라 좌우단부의 응력을 적용하여 필라의 강도/응력비를 구하는 방법이 적합한 것으로 판단된다.

• 한국안광학회지
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• 제3권1호
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• pp.209-216
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• 1998

본 연구의 목적은 한국인중 성장기에 있는 연령층에서 좌,우안 크기와 동공중심간거리가 연령변화에 따라 어떻게 변화되고 있는가를 비교하는데 있다. 대상은 7세부터 30까지의 연령층으로 전국의 남,녀를 무작위로 선정하여 5그룹으로 나누어 조사대상으로 하였다. 오른쪽눈 외안각에서 왼쪽눈 외안각까지의 길이와 두눈사이 길이가 최고치를 나타낸 것은 모두 B그룹에서 각각 94.30mm, 36.66mm이었고 각 연령별로 좌,우 눈의 크기 차이가 없는 사람의 비율은 ABC 그룹이 10.0% 정도로 나타났고 E 그룹에서는 22.7%의 수치를 나타내었다. 전체 길이에서 두눈 크기의 평균값을 뺀 수치는 동공중심간 거리보다 더 넓었다. B 그룹이 5.72mm, E 그룹에서는 1.13mm의 차이를 나타내 중등학생 해당자가 만 25세 이상 해당자보다 4.00mm이상 더 큰 수치를 나타냈다. 따라서 동공 중심은 눈의 중심에서 약간 코쪽으로 치우쳐 있음을 알 수 있고 어련 연령층 해당자가 만 25세 이상 해당자보다 더 많이 치우쳐 있음을 예상할 수 있다.

• Journal of Chest Surgery
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• 제19권4호
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• pp.750-759
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• 1986

Spontaneous pneumothorax is usually seen in young adult male. And typically, the patient is a tall, thin, 20- to 30-year-old male. Usually the pneumothorax results from rupture of a pulmonary bleb. Author reviewed 66 cases of spontaneous pneumothorax experienced in the Dept. of Thoracic & Cardiovascular Surgery, Pusan National University Hospital, since Jan., 1980 to Aug., 1986. The clinical data were summarized as follows: 1. The age distribution of spontaneous pneumothorax: 17 to 34 years old and mean age was 25.3 years. 2. The sex distribution of spontaneous pneumothorax: 52 in men, 14 in women and the ratio was 3.7:1. 3. Chest dimension in male patients: Maximum posteroanterior distance [MPA], MPA/Maximum width [MW]: Significantly smaller than control group. Distance from second to tenth rib on left [L2-10], Distance from second rib on right to diaphragm [R2-D], R2-D/MW: Significantly larger than control group. 4. Chest dimension in female patients: MPA, MW: Significantly smaller than control group. Distance from second rib on left to diaphragm [L2-D], Distance from second to tenth rib on right [R2-10], R2-D, L2-10/MW, L2-D/MW, R2-10/MW, R2-D/MW: Significantly larger than control group.

• The Journal of Korean Physical Therapy
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• 제9권1호
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• pp.117-126
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• 1997

This Study was carried out to investigate the secondary cental nuclei innervating rat parotid gland. PRV-BaBlu as a neuronal tracer was injected into the left parotid gland and brains obtained through cardiac perfusion were treated by immunohistochemical staining. The results were as follows: L. The secondary central nuclei innervating rat parotid gland were paraventricular nucleus and central part of amygdaloid complex largely in diencephalon. 2. The paraventricular nucleus and central part of amygdaloid complex in diencephalon showed morphological asymmetry between PRV-BaBlu injected site and uninjected one. 3. The Ratio between total neurons and PRV-BaBlu infected neurons in paraventricular nucleus was $27.62{\pm}16.23\%$ in left and $12.78{\pm}8.69\%$ in right. 4. The Ratio between total neurons and PRV-BaBlu infected neurons in central part of amygdaloid nucleus was $14.25{\pm}9.26\%$ in left and $8.35{\pm}6.26\%$ in right.

• 치과방사선
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• 제16권1호
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• pp.25-30
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• 1986

The author studied the magnification ratio of teeth length in orthopantomogram through intraoral film taken by standardized paral1eing technique. In this study, intraoral radiograph and orthopantomogram were taken in 2 cases of dry skull and 36 adults (504 teeth). 1. The obtained results were as follows: In case of dry skull, the magnification ratio of standard films was 4.6% to 5.9% and that of Orthopantomograph 5 was 15.1% to 33.1%. The magnification ratio of to the standard film was 9.2% to 26.5% 2. In case of adults, the magnification ratio of Orthopantomograph 5 to the standard films was 9.5% to 24.6%. 3. There were no significant difference in magnification between left and right. 4. Anterior teeth had lesser magnification than posterior teeth. 5. It was considered that teeth length showed in Orthopontomograph 5 was magnified 15.4% to 31.3% than actual teeth length.

• Journal of Chest Surgery
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• 제14권1호
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• pp.49-59
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• 1981

This is one case report of surgically treated partial atrioventricular canal. The 22 year-old male patient had no definitive history of frequent respiratory infection and cyanosis in his early childhood. Since his age of 7 years, dyspnea was manifested on exertion. First appearance of congestive heart failure was at his age of 16 years old. The physical examination revealed that the neck veins were distended and heaving of precordium. A thrill was palpable on the left 3rd-4th intercostal space extending from the sternal border toward the apex and Grade IV/VI systolic ejection murmur was audible on it. Neither cyanosis nor clubbing was noted. Liver was palpable about 5 finger breadths. Chest X-ray revealed increased pulmonary vascularity and severe cardiomegaly (C-T ratio = 74%). EKG revealed LAD, clockwise rotation, LVH and trifascicular block. Echocardiogram showed paradoxical ventricular septal movement, narrowed left ventricular outflow tract and abnormal diastolic movement of the anterior leaflet of mitral valve. Right heart catheterization resulted in large left to right shunt (Qp : Qs = 5.7: 1), ASD and moderate pulfllonary hypertension. Finally, left ventriculogram revealed typical goose neck appearance of left ventrlcalar outflow tract. On Oct. 10, 1980, open heart surgery was performed. Operative findings were: 1. Large primum defect ($6{\times}5$ Cm in diameter) 2. Cleft on the anterior leaflet of mitral valve. 3. The upper portion of ventricular septum was descent but no interventricular communication. 4. Downward attachment of the atrioventricular valves on the ventricular muscular septum. 5. Medium sized secumdum defect ($2{\times}1$ Cm in diameter). The cleft was repaired with 4 interrupted sutures. The primum defect was closed with Teflon patch and the secundum defect was closed with direct suture closure. Postoperatively atrial flutter-fibrillation in EKG and Grade U/VI apical systolic murmur were found. The postoperative course was uneventful and discharged on 29th postoperative day in good general conditions.

• Journal of Chest Surgery
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• 제11권4호
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• pp.529-534
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• 1978

Recent advances in the surgical treatment of congenital disorders of the heart have necessitated an accurate preoperative diagnosis. Right heart catheterization has become widely accepted as a research tool and diagnostic test to detect the heart diseases, especially in the congenital heart anomalies. Right heart catheterizations were carried out in 50 cases of congenital heart diseases at Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital, during the period of June, 1975 through September 1978. In age distribution, 27cases were below 10 years of age, 18 cases between 11 and 20, and 5 cases above 20 male to female ratio was 2.8:1. The distribution of congenital heart diseases was VSD [42%], TOF [36%], PDA [10%], ASD [8%], and PS[4%]. Of these, 44 cases [88%], were compatible with the clinical impressions that were made preliminarily before cardiac catheterization, and all the cases except 1 case of VSD was correlated well with the postoperative diagnosis. The right heart catheterization is considered to be reliable and accurate toll in the preoperative diagnosis of congenital heart diseases. These procedures caused complications such as left side hemiplegia [lcase], occlusion of the femoral artery [lcase], and transient ventricular tachycardia [1case], and so the complication rate of right heart catheterization was 6% [3 cases]. None of patients who have undergone right heart catheterization was died.

• Journal of Chest Surgery
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• 제28권12호
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• pp.1167-1173
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• 1995

We evaluated fifty three cases of traumatic diaphragmatic injuries that we have experienced from Jan.1973 to Oct.1994. The age distribution of the pateint was ranged from 1 to 74 years. Sex ratio is 39:14 with male dominence. The traumatic diaphragmatic injuries were due to blunt trauma in 37[Left 22, Right 15 cases and penetrating trauma in 16[Left 9, Right 7 cases. In blunt trauma, Preoperative diagnosis of the diaphragmatic injuries was possible in 27 patients[72% , and in penetrating trauma, 14 patients[88% . Among 37 in blunt traumas, 22[58% cases, and among 16 in penetrating traumas, 13[88% cases were operated within 24 hours. The most common herniated abdominal organ in the thorax was stomach[14/53 . The traumatic diaphragmatic repair of 50 cases were performed by thoracic approach in 23 cases, thoracoabdominal approach in 8 cases and abdominal approach in 19 cases, and in 3 cases, not operated. Hospital mortality [including not operated patients[3 was 17%[9/53 and the causes of death were intracranial hematoma[1 , hypertensive encephalopathy[1 and asphyxia[1 , and among operated patients[6 , combined head injury[2 , multiorgan failure[2 , hypovolemic shock[1 , and pulmonary edema & renal failure[1 . All deaths had related to the severity of associated injuries.