• 제목/요약/키워드: PCT curve

검색결과 23건 처리시간 0.022초

발열이 있는 6개월 미만의 영아에서 세균성 감염에 대한 procalcitonin의 진단적 가치 (Diagnostic Value of Serum Procalcitonin in Febrile Infants Under 6 Months of Age for the Detection of Bacterial Infections)

  • 김남효;김지희;이택진
    • Pediatric Infection and Vaccine
    • /
    • 제16권2호
    • /
    • pp.142-149
    • /
    • 2009
  • 목 적: 6개월 미만의 열이 있는 영아에서 세균성 감염을 진단하는 데 있어서 C-반응 단백질(CRP), 전백혈구 수치(WBC)와 비교하여 혈청 procalcitonin (PCT)가 진단적 가치가 있는지 알아보고자 연구를 시행하였다. 방 법 : 전향적인 연구방법을 채택해 2008년 7월부터 9월까지 분당차병원 소아청소년과에 발열을 주소로 내원한 6개월 미만의 영아를 대상으로 하였다. 내원 당시 체온, 흉부방사선 검사, 뇨분석검사 및 배양검사와 함께 말초 혈액에서 WBC를 포함한 전혈구 검사, CRP, PCT, 혈액배양검사를 진행하였고, 임상 증상과 이학적 검사에 따라서 대변검사와 복부방사선 검사, 수막염 진단을 위한 뇌척수액 검사도 진행하였다. 결 과: 총 71명의 영아가 연구에 포함되었고 이 중에서 26명(36.6%)이 요로감염을 진단받았으며, 22명(31.0%)이 바이러스성 수막염을 진단받았다. 다른 질환으로는 급성 인두염과 포진성 구협염이 각각 1명씩 진단되었고, 상부 호흡기 감염증 7명, 급성 세기관지염 8명, 급성 위장관염 4명, 균혈증 2명이 진단되었다. 요로감염군과 바이러스성 수막염군을 비교했을때, WBC와 CRP수치는 요로감염군에서 통계적으로 유의하게 더 높은 수치를 보였으나, PCT수치는 두 군 사이에서 통계적으로 유의한 차이를 보이지 않았다. ROC 곡선 분석에 의해 산출한 곡선 아래 면적은 WBC 0.792 (95% CI, 0.65-0.896), CRP 0.77 (95% CI, 0.626-0.879), PCT 0.568 (95% CI, 0.417-0.710)로 측정되었으며, 다중 로지스틱 회귀분석에 의해 WBC가 11,920/${\mu}L$보다 큰 경우와 CRP가 1.06g/dL보다 큰 경우는 요로감염을 진단하는 데 있어서 진단적 가치가 있음을 확인하였다. 결 론: 6개월 미만의 발열을 주소로 내원한 영아에서 세균성 감염을 예측하기 위한 인자로서 혈청 PCT수치에 대한 연구가 부족하고 진단적 기준 역시 명확하지 않으므로 단독으로 해석함에 있어서 주의를 기울여야 한다.

  • PDF

Hydriding Chemical Vapor Deposition 방법으로 제조된 MgH2의 수소저장 특성 (Hydrogen Storage Property of MgH2 Synthesized by Hydriding Chemical Vapor Deposition)

  • 박경덕;한정섭;김진호;김병관
    • 한국수소및신에너지학회논문집
    • /
    • 제22권3호
    • /
    • pp.380-385
    • /
    • 2011
  • $MgH_2$ was synthesized by hydriding chemical vapor deposition (HCVD). In this study, we examined the hydrogen storage property of $MgH_2$ synthesized by HCVD. The results of pressure-composition-temperature (PCT) measurement showed that the HCVDed $MgH_2$ reversibly absorbed hydrogen as much as 6 wt%. Each hydrogenation rate was very greater than the conventional alloy methods. The reason was that the particle size made by HCVD was small as approximately 1 ${\mu}m$. The PCT of $MgH_2$ made by HCVD methode was similar to a commercial $MgH_2$. The ${\Delta}H$ and ${\Delta}S$ value are respectively -76.8 $kJ/mol{\cdot}H_2$ and -137.4 $kJ/mol{\cdot}H_2$. Mg made by HCVD methode was activated easily than commercial Mg. Also the initial reaction rate was faster than that of commercial $MgH_2$. 70% of the total storage were stored during 400s.

입자크기를 달리한 Cp-Ti의 미세구조 관찰 및 SBF하에서의 부식거동 (Microstructure and Corrosion Behavior of Various Grain Size Cp-Ti)

  • 이승우;김윤종;류재경;박중근;김원수;김택남
    • 한국재료학회지
    • /
    • 제15권9호
    • /
    • pp.585-588
    • /
    • 2005
  • Titanium and Titanium alloys are widely used as an orthopedic and dental implant material because of their excellent biocompatibility and mechanical strength. In this study, ECAP Cp-Ti and Cp-Ti were heat treated for different annealing time of 30 min, 90 min and 3 hours. The grain size for each condition was studied. The micro-Vicker hardness test was carried out f3r each different heat treated samples. The micro-Vicker hardness test for ECAP Cp-Ti, Cp-Ti and Cp-Ti (3hr) revealed hardness values of 239.5, 182 and 144 Hv, respectively. The grain size was increased from approximately $70{\mu}m\;to\;300{\mu}m$ with the increase in heat treatment time from 30 min to 3 hours. The heat treated samples were tested for their biocompatibility in simulated body fluid (SBF) and corrosion rates was determined using Polarization Curve test (PCT). The PCT results showed Cp-Ti with comparatively high corrosion potential of -0.18 V and corresponding corrosion current of $2\times10^{-6}$ A, while the corrosion rate in ECAP Cp-Ti and Cp-Ti (30 min annealed) showed very similar results of corrosion potential about -0.47 V with corresponding corrosion current of $7\times10^{-8}$ A.

ECAP-Ti와 Alloy의 미세구조와 생체유사용액에서의 부식거동 (Corrosion behavior in SBF and Microstructure of ECAP- Ti and Ti Alloys)

  • 김일용;;김윤종;이승우;신종우;박중근;이성호;김택남
    • 한국재료학회지
    • /
    • 제14권6호
    • /
    • pp.432-435
    • /
    • 2004
  • Ti and Ti alloys are important materials for medical and dental applications. The effect of equal channel angular process(ECAP) and addition of Fe in Ti were studied with optical microstructure and corrosion behavior. Fine grains in Ti was obtained after ECAP. Corrosion behavior of commercial pure(CP)-Ti and Ti alloys was studied by open circuit test and polarization curve test(PCT) at $36.5^{\circ}C$ with SBF in biological environment. The corrosion behavior of ECAP-Ti was similar to that of CP-Ti in PCT, but Ti-Fe alloys were observed to become more corrosive with increasing Fe content.

박테리아성 지역사회획득 폐렴과 2009 H1N1 바이러스성 감염의 감별에 있어 C-Reactive Protein, Procalcitonin, Lipopolysaccharide-Binding Protein의 역할 (Diagnostic Role of C-reactive Protein, Procalcitonin and Lipopolysaccharide-Binding Protein in Discriminating Bacterial-Community Acquired Pneumonia from 2009 H1N1 Influenza A Infection)

  • 한선숙;김세현;김우진;이승준;유숙원;천명주
    • Tuberculosis and Respiratory Diseases
    • /
    • 제70권6호
    • /
    • pp.490-497
    • /
    • 2011
  • Background: It is difficult but important to differentiate between bacterial and viral infections, especially for respiratory infections. Hence, there is an ongoing need for sensitive and specific markers of bacterial infections. We investigated novel biomarkers for discriminating community acquired bacterial pneumonia from 2009 H1N1 influenza A infections. Methods: This was a prospective, observational study of patients with community acquired bacterial pneumonia, 2009 H1N1 Influenza A infection, and healthy controls. Serum samples were obtained on the initial visit to the hospital and stored at $-80^{\circ}C$. We evaluated CRP (C-reactive protein), PCT (procalcitonin), LBP (lipopolysaccharide-binding protein) and copeptin. These analytes were all evaluated retrospectively except CRP. Receiver operating characteristic curve (ROC) analyses were performed on the resulting data. Results: Enrolled patients included 27 with community acquired bacterial pneumonia, 20 with 2009 H1N1 Influenza A infection, and 26 who were healthy controls. In an ROC analysis for discriminating community acquired bacterial pneumonia from 2009 H1N1 influenza A infection, areas under the curve (AUCs) were 0.799 for CRP (95% Confidence interval [CI], 0.664~0.934), 0.753 for PCT (95% CI, 0.613~0.892) and 0.684 for LBP (95% CI, 0.531~0.837). Copeptin was not different among the three groups. Conclusion: These findings suggest that serum CRP, PCT and LBP can assist physicians in discriminating community acquired bacterial pneumonia from 2009 H1N1 influenza A infection.

지역사회 획득 폐렴환자의 중증도 평가에서 혈청 코티졸의 유용성 (Usefulness of Serum Cortisol in Assessment for the Severity of Community-Acquired Pneumonia)

  • 윤경화;김연재;김미영;김은영;배명남;배상묵;김민수;박훈표
    • Tuberculosis and Respiratory Diseases
    • /
    • 제69권6호
    • /
    • pp.450-455
    • /
    • 2010
  • Background: High cortisol levels are frequently observed in patients with severe infections are of prognostic value in sepsis. The aim of this study was to evaluate the clinical usefulness of serum cortisol in assessment for the severity of community-acquired pneumonia (CAP). Methods: This study analyzed the results of 52 CAP subjects admitted in Changwon Fatima Hospital between July 2008 to May 2010. Total serum cortisol, infection markers such as C-reactive protein (CRP), procalcitonin (PCT) and CURB (Confusion, Uremia, Respiratory rate, Blood pressure)-65 were examined retrospectively. Results: In clinically unstable subjects on admission day 4, baseline serum cortisol, CURB-65, and CRP were elevated significantly compared to those of stable subjects. Area under curve (AUC) of cortisol, CRP, and CURB-65 from ROC curves were 0.847, 0.783, and 0.724 respectively. In the subjects with serum cortisol ${\geq}22.82{\mu}g/dL$, CRP, PCT, CURB-65 score, and mortality were significantly elevated. Conclusion: These findings suggest that measurement of serum cortisol in early stage may provide helpful information in the assessment of CAP severity.

Ti과 Ti합금의 SBF에서 Apatite 형성 관찰 및 부식거동 테스트 (Corrosion Analysis and Apatite Forming Ability of Ti and Ti-Alloys in SBF Solution)

  • 이승우;김윤종;최재우;박중근;김원수;김택남
    • 한국재료학회지
    • /
    • 제15권10호
    • /
    • pp.671-677
    • /
    • 2005
  • Ti and Ti alloys are known to have excellent corrosion properties, which is an important aspect for biocompability of these implants in human body. In our study, four types of samples (Cp-Ti, Ti-6Al-4V, $0.5wt.\%$ Fe-Ti and ECAP Ti) were tested for their apatite forming ability and corrosion properties. The micropolished samples were treated with 5M NaOH solution at $60^{\circ}C$ for 24 hours. Each samples was gently washed with distilled water and heat-treated at 600"C for 1 hour. The heat-treated samples were soaked in Simulated Body Fluid (SBF) solution at $36.5^{\circ}C$ in an incubator for different period of time. The test revealed that $0.5 wt.\%$ Fe-Ti showing faster apatite growth on the surface (7th day) compared to other samples. Polarization curve test (PCT) was also carried out to determine the corrosion resistance of each samples in SBF solution. ECAP-Ti showed highest corrosion resistance compared to any other samples. $0.5wt.\%Fe-Ti$ showed higher corrosion potential and corrosion current compared to other samples.

변형가공도를 이용한 AI 5083 합금의 고온변형거동 (High Temperature Deformation Behavior of Al 5083 Alloy Using Deformation Processing Maps)

  • 고병철;김종현;유연철
    • 소성∙가공
    • /
    • 제7권5호
    • /
    • pp.450-458
    • /
    • 1998
  • The high temperature deformation behavior of Al 5083 alloy has been studied in the temperature range of 350 to 520 ${\circ}C$ and strain rate range of 0.2 to 3.0/sec by torsion test. The strain rate sensitivity(m) of the material was evaluated and used for estabilishing power dissipation maps following the dynamic material model. These maps show the variation of efficiency of power dissipation(${\eta}$=2m/(2m+1)) with temperature and strain rate. Hot restoration of dynamic recrystallization (DRX) was analyzed from the flow curve, deformed microstructure, and processing maps during hot deformation. Also, the effect of deformation strain on the efficiency of power dissipation of the alloy was analysed using the processing maps. Moreover relationship between the hot-ductility and efficiency of power dissipation of the alloy depending on thmperature and strain rate was studied using the Zener-Hollomon parameter(Z=${\varepsilon}$exp(Q/RT) It is found that the maximum efficiency of power dissipation for DRX in Al 5083 alloy is about 74.6 pct at the strain of 0.2. The strain rate and temperature at which the efficiency peak occurred in the DRX domain is found to be ∼0.1/sec and ∼450${\circ}C$ respectively.

  • PDF

Pleural Fluid Pentraxin-3 for the Differential Diagnosis of Pleural Effusions

  • Yeo, Chang Dong;Kim, Jin Woo;Cho, Mi Ran;Kang, Ji Young;Kim, Seung Joon;Kim, Young Kyoon;Lee, Sang Haak;Park, Chan Kwon;Kim, Sang Ho;Park, Mi Sun;Yim, Hyeon Woo;Park, Jong Y.
    • Tuberculosis and Respiratory Diseases
    • /
    • 제75권6호
    • /
    • pp.244-249
    • /
    • 2013
  • Background: Conventional biomarkers cannot always establish the cause of pleural effusions; thus, alternative tests permitting rapid and accurate diagnosis are required. The primary aim of this study is to assess the ability of pentraxin-3 (PTX3) in order to diagnose the cause of pleural effusion and compare its efficacy to that of other previously identified biomarkers. Methods: We studied 118 patients with pleural effusion, classified as transudates and exudates including malignant, tuberculous, and parapneumonic effusions (MPE, TPE, and PPE). The levels of PTX3, C-reactive protein (CRP), procalcitonin (PCT) and lactate in the pleural fluid were assessed. Results: The levels of pleural fluid PTX3 were significantly higher in patients with PPE than in those with MPE or TPE. PTX3 yielded the most favorable discriminating ability to predict PPE from MPE or TPE by providing the following: area under the curve, 0.74 (95% confidence interval, 0.63-0.84), sensitivity, 62.07%; and specificity, 81.08% with a cut-off point of 25.00 ng/mL. Conclusion: Our data suggests that PTX3 may allow improved differentiation of PPE from MPE or TPE compared to the previously identified biomarkers CRP and PCT.

Mg2NiHx-5wt% CaO 복합재료의 수소화 속도 (Hydriding Kinetics on Mg2NiHx-5wt% CaO Composites)

  • 신효원;황준현;김은아;홍태환
    • 한국수소및신에너지학회논문집
    • /
    • 제32권3호
    • /
    • pp.156-162
    • /
    • 2021
  • Mg hydride has a relatively high hydrogen storage amount of 7.6wt%, and inexpensive due to abundant resources, but has high reaction temperature and long reaction time because of treble oxidation reactivity and upper activation energy. Their range of applications could be further extended if their hydrogenation kinetics and degradation behavior could be improved. Therefore, the effect of CaO has improved the hydrogenation kinetics and slowed down the degradation. This study focused on investigating whether to improve the hydrogenation kinetics by synthesizing Mg2NiHx-5wt% CaO composites. The Mg2NiHx-5wt% CaO composites have been synthesized by hydrogen induced mechanical alloying. The synthesized composites were characterized by performing X-ray diffraction, Scanning Electron Microscopy, Brunauer-Emmett-Teller, Thermogravimetric, and Sivert's type automatic pressure-composition-temperature analysis. Hydriding kinetics were performed using an automatic PCT measurement system and evaluated over the temperature range of 423 K, 523 K, and 623 K. As a result of calculating the hydrogen adsorption amount through the hydrogenation kinetics curve, it was calculated as about 0.42wt%, 0.91wt%, and 1.15wt%, the highest at 623 K and the lowest at 423 K.