• Title/Summary/Keyword: PCT

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Usefulness of Procalcitonin in the Assessing the Severity of Community-Acquired Pneumonia Patient (지역사회획득폐렴 환자의 중증도 평가에서 Procalcitonin 유용성)

  • Park, Hun-Pyo;Lee, Jung-Soo;Jang, Ye-Su;Kim, Min-Su
    • Tuberculosis and Respiratory Diseases
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    • v.67 no.5
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    • pp.430-435
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    • 2009
  • Background: Thus far, research studies on community-acquired pneumonia (CAP) have focused on its clinical severity. Recently, it has been determined that procalcitonin (PCT) level is correlated with severity of CAP. A retrospective study conducted at our hospital used risk predictability and PCT to determine whether or no PCT is useful in assessing the severity of CAP. Methods: This study covered 92 CAP cases that were admitted to the respiratory department at Changwon Fatima Hospital between July 1, 2008 and June 30, 2009. All enrolled subjects were measured for infection markers and risk predictability. Results: Based on hospital admission data, enrolled subjects had Pneumonia Severity Index (PSI) scores serving as risk predictors showed that both PCT and white blood cell (WBC) were statistically significant as infection markers (p=0.001, 0.037). Thus, this study used ROC curves in PSI for data analysis. As a result, it was determined that the area under curve (AUC) of PCT and WBC was 0.694 and 0.593 respectively, indicating that PCT has a higher test value for WBC, when PCT was higher than 0.745 ng/mL. In addition, it was found that PCT levels higher than 0.745 ng/mL had higher PSI scores than the group with PCT lower than 0.745 ng/mL (p=0.032). Conclusion: In order to predict risk of pneumonia cases admitted due to symptoms of CAP, it is important to consider PCT as well as PSI, and follow-up monitoring of PCT cases.

A study of the effectiveness of using the serum procalcitonin level as a predictive test for bacteremia in acute pyelonephritis

  • Lee, Ga Hee;Lee, Yoo Jin;Kim, Yang Wook;Park, Sihyung;Park, Jinhan;Park, Kang Min;Jin, Kyubok;Park, Bong Soo
    • Kosin Medical Journal
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    • v.33 no.3
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    • pp.337-346
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    • 2018
  • Objectives: Serum procalcitonin (PCT) is a specific biomarker that rises after bacterial infection, and levels of PCT are known to correlate with the severity and mortality of patients with pneumonia and sepsis. However, the usefulness of PCT levels in acute pyelonephritis is unknown. This study aimed to evaluate the effectiveness of using the PCT level as a predictive test for bacteremia in acute pyelonephritis. Methods: Between January 2012 and June 2013, 140 patients diagnosed with acute pyelonephritis were admitted to Haeundae Paik Hospital. Serum PCT, C-reactive protein (CRP), and white blood cell (WBC) levels at pre- and post- treatment were measured. Blood and urine cultures were obtained from all patients. The levels of PCT, CRP, and WBCs were each compared between the blood culture-positive and blood culture-negative groups to assess their effectiveness in predicting bacteremia. Results: Pre-treatment PCT level was 0.77 ng/mL (95% CI: 0.42-1.60 ng/mL) in the blood culture-negative group and 4.89 ng/mL (95% CI: 2.88-9.04 ng/mL) in the blood culture-positive group, and the increase between the two groups was statistically significant. The area under the receiver operating characteristic curve of PCT level for prediction of bacteremia was 0.728. A cut-off value of 1.23 ng/mL indicated a sensitivity of 79.0 % and specificity of 60.0 % for PCT level. Conclusions: Serum PCT level is a useful predictive test for bacteremia in acute pyelonephritis. Through the early detection of bacteremia, serum PCT level can help estimate the prognosis and predict complications such as sepsis.

Development of Modified Product Consistency Test

  • Park, Kwansik;Jiawei Sheng;Maeng, Sung-Jun;Song, Myung-Jae
    • Proceedings of the Korean Nuclear Society Conference
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    • 1998.05b
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    • pp.391-396
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    • 1998
  • Modified product Consistency Test (M-PCT) has been developed as an alternative to other existing methods in determining the leachability of glass. M-PCT, the leaching method, is a hybrid of MCC-l and PCT, but can provide quicker sample preparation. Larger diameter glass sample (1.0-2.0 mm) than in the PCT method can be used so that the glass beads are more easily produced and cleaned. From the M-PCT, the total mass loss (ML) of glass, the normalized elemental release rate (NLi), pH value of leachate have been obtained. For some selected glasses in which leaching rates have been known, their chemical durablility have been tested using the M-PCT method. The results are compared to the literature data for the glasses. It is found that M-PCT method is reasonable and suitable in determining the leachability of Low and Intermediate level Radioactive Waste glass form, such as the pH, elemental loss and total mass loss.

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PCT Application System (PCT국제출원 제도)

  • Won, Jeong-Uk;Lee, Sang-Mu;Song, Geun-Jang
    • Electronics and Telecommunications Trends
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    • v.12 no.5 s.47
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    • pp.121-130
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    • 1997
  • 본 고는 앞으로 자주 사용하게 될 PCT 국제특허 출원제도를 소개하여 이를 활성화하고자 작성하였다. 국제출원의 개요를 설명하고 PCT 출원 처리절차 특히 국제조사, 국제공개, 국제예비심사까지의 일련의 과정을 설명하여 연구원들의 이해를 높이고 장단점을 비교하여 어떻게 이 제도를 사용할 것인지를 설명하였다.

DB가이드 - PCT(특허협력조약) 데이터베이스

  • Lee, Ik-Sang
    • Digital Contents
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    • no.11 s.66
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    • pp.74-78
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    • 1998
  • PCT는 WIPO IPDL(WIPO Intellectual Property Digital Library) 프로젝트에 의해 만들어진 데이터베이스이며, PCT를 통해 출원된 국제특허자료를 인터넷을 통해 무료로 검색해 볼 수 있다.

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The influencing factors on procalcitonin values in newborns with noninfectious conditions during the first week of life

  • Lee, Jueseong;Bang, Yong Hyeon;Lee, Eun Hee;Choi, Byung Min;Hong, Young Sook
    • Clinical and Experimental Pediatrics
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    • v.60 no.1
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    • pp.10-16
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    • 2017
  • Purpose: Although procalcitonin (PCT) level is useful for the diagnosis of neonatal sepsis, PCT reliability is inconsistent because of the varied conditions encountered in neonatal intensive care units. This study aimed to investigate PCT levels and factors influencing increased PCT levelin newborns without bacterial infection during the first week of life. Methods: In newborns hospitalized between March 2013 and October 2015, PCT levels were measured on the first, third, and seventh days after birth. Newborns with proven bacterial (blood culture positive for bacteria) or suspicious infection (presence of C-reactive protein expression or leukocytosis/leukopenia) were excluded. Various neonatal conditions were analyzed to identify the factors influencing increased PCT level. Results: Among 292 newborns with a gestational age of $35.2{\pm}3.0$ weeks and a birth weight of $2,428{\pm}643g$, preterm newborns (n=212) had higher PCT levels than term newborns (n=80). Of the newborns, 7.9% had increased PCT level (23 of 292) on the firstday; 28.3% (81 of 286), on the third day; and 3.3% (7 of 121), on the seventh day after birth. The increased PCT level was significantly associated with prenatal disuse of antibiotics (P=0.004) and surfactant administration (P<0.001) on the first day after birth, postnatal use of antibiotics (P=0.001) and ventilator application (P=0.001) on the third day after birth, and very low birth weight (P=0.042) on the seventh day after birth. Conclusion: In newborns without bacterial infection, increased PCT level was significantly associated with lower gestational age and respiratory difficulty during the first week of life. Further studies are needed for clinical applications.

An Experimental Study on Compressive Loading Capacity of Precast Concrete Truss System (프리캐스트 콘크리트 트러스 시스템의 압축 내하력 실험 연구)

  • Han, Man-Yop;Jeon, Se-Jin
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.33 no.3
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    • pp.889-900
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    • 2013
  • In a large scale of excavation for the foundation of large-sized structures and underground structures, a considerable amount of earth pressure can occur. Steel beams that have been used to form a temporary structure to support earth pressure may be less economical and less efficient in resisting the high earth pressure. To cope with this problem, PCT(Precast Concrete Truss) system has been devised and investigated both experimentally and analytically. A proper connection method between the concrete truss members was proposed to accommodate fast assembly and disassembly. Full-scale test of PCT system was performed to verify the load-carrying capacity of the PCT system including the connections. The test results were compared with those of structural analysis. The test specimen which corresponds to PCT strut attained the ultimate load without buckling, but the detail of connector members needs to be improved. It is expected that precast concrete truss members can be efficiently incorporated into a temporary structure for deep and large excavation by replacing conventional steel beams.

Serum procalcitonin as a diagnostic marker of neonatal sepsis

  • Park, In Ho;Lee, Seung Hyun;Yu, Seung Taek;Oh, Yeon Kyun
    • Clinical and Experimental Pediatrics
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    • v.57 no.10
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    • pp.451-456
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    • 2014
  • Purpose: We evaluated serum procalcitonin (PCT) as a diagnostic marker of neonatal sepsis, and compared PCT levels with C-reactive protein (CRP) levels. Methods: We retrospectively reviewed the medical records of 269 neonates with a suspected infection, admitted to Wonkwang University School of Medicine & Hospital between January 2011 and December 2012, for whom PCT and CRP values had been obtained. Neonates were categorized into 4 groups according to infection severity. CRP and PCT values were analyzed and compared, and their effectiveness as diagnostic markers was determined by using receiver operating characteristic (ROC) curve analysis. We also calculated the sensitivity, specificity, and positive, and negative predictive values. Results: The mean PCT and CRP concentrations were respectively $56.27{\pm}81.89$ and $71.14{\pm}37.17mg/L$ in the "confirmed sepsis" group; $15.64{\pm}32.64$ and $39.23{\pm}41.41mg/L$ in the "suspected sepsis" group; $9.49{\pm}4.30$ and $0.97{\pm}1.16mg/L$ in the "mild infection" group; and $0.21{\pm}0.12$ and $0.72{\pm}0.7mg/L$ in the control group. High concentrations indicated greater severity of infection (P<0.001). Five of 18 patients with confirmed sepsis had low PCT levels (<1.0 mg/L) despite high CRP levels. In the ROC analysis, the area under the curve was 0.951 for CRP and 0.803 for PCT. The cutoff concentrations of 0.5 mg/L for PCT and 1.0 mg/L for CRP were optimal for diagnosing neonatal sepsis (sensitivity, 88.29% vs. 100%; specificity, 58.17% vs. 85.66%; positive predictive value, 13.2% vs. 33.3%; negative predictive value, 98.6% vs. 100%, respectively). Conclusion: PCT is a highly effective early diagnostic marker of neonatal infection. However, it may not be as reliable as CRP.

Diagnostic value of procalcitonin and CRP in critically ill patients admitted with suspected sepsis

  • Joen, Jae-Sik;Ji, Sung-Mi
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.15 no.3
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    • pp.135-140
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    • 2015
  • Background: Identifying early markers of septic complications can aid in the diagnosis and therapeutic management of hospitalized patients. In this study, the utility of procalcitonin (PCT) vs. C-reactive protein (CRP) as early markers of sepsis was compared. Methods: A series of 2,697 consecutive blood samples was collected from hospitalized patients and serum PCT and CRP levels were measured. Patients were categorized by PCT level as follows: < 0.05 ng/ml, 0.05-0.49 ng/ml, 0.5-1.99 ng/ml, 2-9.99 ng/ml, and > 10 ng/ml. Diagnostic utility was analyzed by receiver operating characteristic (ROC) curves. Results: Mean CRP levels varied among the five PCT categories at $0.31{\pm}2.87$, $5.65{\pm}6.26$, $13.78{\pm}8.01$, $12.15{\pm}10.16$, and $17.77{\pm}10.59$, respectively (P < 0.05). PCT and CRP differed between positive and negative blood culture groups (PCT: 15.9 vs. 4.78 mg/dl;CRP: 11.5 ng/ml vs. 9.57 ng/ml;P < 0.05). The areas under the ROC curves (PCT, 95% confidence interval [CI]: 0.743, range: 0.698-0.789 at a threshold of 0.5 ng/ml; CRP, 95% CI: 0.540, range: 0.478-0.602 at a threshold of 8 mg/l) differed for PCT and CRP (P < 0.05). Conclusions: Therefore, PCT is a reliable marker for sepsis diagnosis and is more relevant than CRP in patients with a positive blood culture. These findings can be useful for the treatment of critically ill sepsis patients.

An Experimental Study on Compressive Loading Capacity of PCT System (PCT System의 압축내하력에 관한 실험적 연구)

  • Han, Man-Yup;Kim, Jae-Hong;Kang, Sang-Hun;Jin, Kyung-Seok;Jeon, Yong-Sik;Cho, Byung-Ku
    • Proceedings of the Korea Concrete Institute Conference
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    • 2008.11a
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    • pp.41-44
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    • 2008
  • The PCT that supports the walls of long span temporary shoring facility is previously manufactured in the way of prestressing, and it which is composed of concrete is improved precast structure to satisfy enough stiffness. The components of PCT are manufactured as a fixed form, and they are close to the inner side of the wall of temporary shoring facility by fixed means in PCT. PCT system as support structure is that the ends of concrete filled segment members are united by the means of connection and also they have connection hole. In this study, PCT has enough bearing power for the long span temporary shoring facility, and also make the term of work reduce due to that the time of curing reduce through the method of precast.

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