• 제목/요약/키워드: Resting pool

검색결과 9건 처리시간 0.016초

관상동맥질환에서 휴식기 심전도게이트혈액풀스캔을 이용한 각종 심기능 지표들의 평가 및 ROC 분석 (Evaluation of Various Cardiae Indices and ROC Analysis in Coronary Artery Disease Employing Resting ECG Gated Blood Pool Scan)

  • 최창운;이동수;김상은;정준기;이명철;박영배;서정돈;이영우;고창순
    • 대한핵의학회지
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    • 제26권1호
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    • pp.40-48
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    • 1992
  • Gated blood pool scan is frequently used for evaluating the change in cardiac function in various cardiac diseases. But resting gated blood pool scan using only LVEF as a cardiac index has been consitently shown to have a low sensitivity, which is about 50%, in detecting coronary artery disease. So it is recommended to compare exercise gated blood pool scan to resting gated blood pool scan. Exercise tests, however, are not always possible, especially in patients with musculoskeletal diseases, recent myocardial infarction and in elderly persons. We studied the usefulness of resting gated blood pool scan using multiple indices in evaluating the patients with coronary artery disease. Studied cases were 185 patients with coronary artery disease (angina pectoris 31, myocardial infarction 154) and 25 normals with low likelihood of coronary artery disease. We used $^{99m}Tc-labeled$ RBC, 740 MBq labeled by in vivo method. The data were evaluated by Micro DELTA computer program. The results were as following: 1) The ejection rates (PER, AER) and filling rates (PFR, AFR) were different in normls and patients with angina pectoris or myocardial infarction. 2) Mean phase angle, ejection rates and filling rates could separate normals from coronary artery disease patients with normal LVEF. 3) Regional ejection fraction was decreased at the site of the infarct in patients with myocardial infarction. 4) Peak filling rate was the the most detectable index in evaluation of cardiac function in patients with coronary artery disease. 5) The threshold at 1.5 standard deviation of normal range was considered as the most reliable cut-off value from ROC analysis. These data suggest that the resting gated blood pool scan has an important role in the evaluation of cardiac functional changes using various cardiac indices in patients with coronary artery disease.

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관상동맥질환에서 Gated Blood Pool Scan을 이용한 좌심실 확장기능의 분석 (Analysis of Left Ventricular Diastolic Function in Coronary Artery Disease with Gated Blood Pool Scan)

  • 최창운;임상무;정준기;이명철;박영배;서정돈;이영우;고창순
    • 대한핵의학회지
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    • 제20권2호
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    • pp.39-45
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    • 1986
  • Resting gated blood pool scan was used to derive left ventricular functional changes in normals (N=13, mean age=43) and in patients with coronary artery disease (N=50, mean age=53). Peak filling rates, average filling rates, and ejection fractions were significantly depressed in coronary artery disease. (p<0.0005, each other). And in coronary artery disease with normal ejection fraction (N=21), peak filling rates and average filling rates were depressed also, and peak filling rates of coronary artery disease with normal ejection fraction were abnormal in 61.2% and average fillin rates were abnormal in 71.4%. It appears that (1) resting peak filling rates and average filling rates were sensitive and easily obtainable parameters of the diastolic dysfunction assosiated with coronary artery disease, (2) a significant proportion of coronary artery disease patients without any evidence of abnormal systolic function have depressed resting peak filling rates and average filling rates of the left ventricle.

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원형암거 어도의 효과 분석 (An analysis on effectiveness of circular culvert fishway)

  • 김기흥
    • 한국수자원학회논문집
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    • 제54권1호
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    • pp.15-25
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    • 2021
  • 본 연구는 어류소상을 위한 암거어도에 대한 설계기준이 미비함에 착안하여 그 필요성과 효과를 제시하고자 하였다. 이러한 목적을 위한 시도로서 선정된 목표어종에 맞추어 수리학적으로 원형암거 어도를 설계하였으며, 설치된 어도에 대한 효과를 확인하기 위한 모니터링을 시행하였다. 위어 배플을 설치하지 않은 일반적인 원형암거의 경우 암거 전체 구간에서 일정한 수심과 유속이 형성되기 때문에 대상어종이 소상할 수 없으므로 어류소상을 돕기 위해서는 반드시 휴게풀이 있는 어도의 설치가 필요함을 확인하였다. 위어 배플이 설치된 원형암거 경우에 휴게풀에서 수심은 240% 증가하고 유속은 70%가 감소하므로써 1 ~ 5초간 체장의 10배 이상의 돌진속도로 유영할 수 있는 피라미의 소상조건을 만족시킬 뿐 아니라 다양한 하천성 어종의 소상이 가능함을 확인하였다. 복원구간에 대한 사후 모니터링과 원형암거 어도에 대한 어류 포획 모니터링 조사에서 목표어종인 피라미가 어도를 이용하여 소상함을 입증하였다.

산지하천에 설치된 계단식 전석 어도의 수리 특성 분석 (An analysis of hydraulic characteristics of stepped boulder fishway installed in mountain stream)

  • 김기흥
    • 한국수자원학회논문집
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    • 제55권1호
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    • pp.99-109
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    • 2022
  • 본 연구는 산지하천에 설치된 기존의 콘크리트 계단식 어도의 문제점에 착안하여 전통적인 돌보의 개념을 응용한 계단식 전석 어도의 적용성을 제시하고자 하였다. 이러한 목적을 달성하기 위해 선정된 대표어종의 소상능력을 고려하여 계단식 전석 돌보를 설계, 시공하였다. 현장측정을 통하여 주어진 유량조건 하에서 어도의 수리특성을 조사하고 대표어종의 소상능력과 비교, 분석하였다. 어도의 길이가 짧고 급경사인 구조이지만, 각 배플 사이의 평균낙차가 0.15~0.29 m 범위였으며, 이 범위는 대표어종이 소상할 수 있는 낙차의 한계조건인 약 0.40 m를 만족시킬 수 있었다. 각 배플과 풀의 평균유속은 0.82~0.87 m/sec와 0.13~0.24 m/sec 이었다. 이 결과는 대표어종이 소상 가능한 돌진속도(체장의 10~30 배)와 휴식처 평균유속(돌진속도의 7~25%)의 조건을 충족시켰다. 전석으로 형성된 풀의 바닥면이 완만한 역경사면으로 되어 회전류가 발생하지 않기 때문에 어도의 효율을 증가시킬 수 있고, 또한 토사퇴적을 차단하여 어도의 유지관리 문제점을 해소할 수 있을 것이다.

Contractile and Electrical Responses of Guinea-pig Gastric Smooth Muscle to Bradykinin

  • Kim, Chul-Soo;Jun, Jae-Yeoul;Kim, Sung-Joon;So, In-Suk;Kim, Ki-Whan
    • The Korean Journal of Physiology
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    • 제29권2호
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    • pp.233-241
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    • 1995
  • The nonapeptide bradykinin has been shown to exhibit an array of biological activities including relaxation/contraction of various smooth muscles. In order to investigate the effects of bradykinin on the contractility and the electrical activity of antral circular muscle of guinea-pig stomach, the isometric contraction and membrane potential were recorded. Also, using standard patch clamp technique, the $Ca^{2+}-activated$ K currents were recorded to observe the change in cytosolic $Ca^{2+}$ concentration. $0.4 {\mu}M$ bradykinin induced a triphasic contractile response (transient contraction-transient relaxation-sustained contraction) and this response was unaffected by pretreatment with neural blockers (tetrodotoxin, atropine and guanethidine) or with apamin. Bradykinin induced hyperpolarization of resting membrane potential and enhanced the amplitude of slow waves and spike potentials. The enhancement of spike potentials was blocked by neural blockers. Both the bradykinin-induced contractions and changes in membrane potential were reversed by the selective $B_2$-receptor antagonist $(N{\alpha}-adamantaneacetyl-_{D}-Arg-[Hyp, Thy,_{D}-Phe]-bradykinin)$. In whole-cell patch clamp experiment, we held the membrane potential at -20 mV and spontaneous and transient changes of Ca-activated K currents were recorded. Bradykinin induced a large transient outward current, consistent with a calcium-releasing action of bradykinin front the intracellular calcium pool, because such change was blocked by pretreatment with caffeine. Bradykinin-induced contraction was also blocked by pretreatment with caffeine. From these results, it is suggested that bradykinin induces a calciumrelease and contraction through the $B_{2}$ receptor of guinea-pig gastric smooth muscle. Enhancement of slow wave activity is an indirect action of bradykinin through enteric nerve cells embedded in muscle strip.

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점망둑, Chasmichthys dolichognathus의 생식기구에 관한 실험적 연구 (Experimental Studios on the Mechanism of Reproductive Cycle in the Longchin Goby Chasmichthys dolichognathus (HILGENDORF))

  • 백혜자;이택열
    • 한국수산과학회지
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    • 제18권3호
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    • pp.243-252
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    • 1985
  • 해산어류의 생식주기성립기구에 관한 실험적 연구의 일환으로 부산 해운대 동백섬 연안에서 채집된 점망둑, Chasmichthys dolichognathus을 대상으로 1983년 2월부터 1984년 1월까지 자연산생식연주기를 조사하여 그 산란기를 밝혔고, 이들 성성숙에 관여하는 외적환경요인 즉 광과 수온이 미치는 영향을 실험적으로 조사하였는 바 그 결과는 다음과 같다. 1. 난소는 전형적인 낭상구조로서 많은 난소소낭으로 구성되어 있고 난원세포들은 난소소낭상피에서 분열증식하며, 성장하여 $40{\sim}150{\mu}m$의 초기난모세포로 된다. 이후 난경이 $500{\mu}m$내외가 되면 세포질에 난황구가 출현하여 난모세포의 성장과 함께 세포질 전체에 확산된다. 완숙난의 난경은 $1,000{\sim}1,100{\mu}m$ 전후이다. 2. 정소는 가느다란 관상형이며 여러개의 정소소엽으로 구성되었고, 성장할수록 각 소엽의 벽을 따라 많은 소낭을 형성하며 이 소낭상피에서 정원세포들이 분열증식하여 정모세포, 정세포로 발달한다. 정세포에서 일부 변태된 정자들은 정소소엽내강의 선세포사이에서 관찰된다. 이후 완숙상태의 정소소낭내에는 거의 변태된 완숙정자들로 가득 채워지며 방정은 수정관을 거쳐 저정낭에 밀집되었다가 방출된다. 3. 생식소숙도지수는 수온이 상승하는 4월에 최대가 되며 고수온기인 $8{\sim}9$월에 최소를 나타낸다. 4. 생식연주기는 12월부터 2월까지 초기성장기, 1월하순부터 3월에 걸쳐 후기성장기, 수온이 상승하는 2월부터 5월까지는 초기성숙기, 3월에서 8월에 걸쳐 후기성숙 및 완숙기, 4월에서 7월까지 산란기 그리고 5월부터 12월까지 퇴화 및 휴지기 등 연속적인 주기로 구분할 수 있었고, 산란성기는 4월하순에서 5월이었다. 5. 생식소를 활성화시켜 성숙촉진을 일으키는 외적환경요인으로서는 춘계 수온상승이 필수적이고 장일화가 보상적으로 작용하며, 생식소퇴화를 유도하여 산란을 종료시키는것은 일장에 관계없이 하계 고수온이 주요인인 것으로 판명되었다.

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Adipose Tissue-Derived Mesenchymal Stromal Cells from Ex-Morbidly Obese Individuals Instruct Macrophages towards a M2-Like Profile In Vitro

  • Daiana V. Lopes Alves;Cesar Claudio-da-Silva;Marcelo C. A. Souza;Rosa T. Pinho;Wellington Seguins da Silva;Periela S. Sousa-Vasconcelos;Radovan Borojevic;Carmen M. Nogueira;Helio dos S. Dutra;Christina M. Takiya;Danielle C. Bonfim;Maria Isabel D. Rossi
    • International Journal of Stem Cells
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    • 제16권4호
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    • pp.425-437
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    • 2023
  • Obesity, which continues to increase worldwide, was shown to irreversibly impair the differentiation potential and angiogenic properties of adipose tissue mesenchymal stromal cells (ADSCs). Because these cells are intended for regenerative medicine, especially for the treatment of inflammatory conditions, and the effects of obesity on the immunomodulatory properties of ADSCs are not yet clear, here we investigated how ADSCs isolated from former obese subjects (Ex-Ob) would influence macrophage differentiation and polarization, since these cells are the main instructors of inflammatory responses. Analysis of the subcutaneous adipose tissue (SAT) of overweight (OW) and Ex-Ob subjects showed the maintenance of approximately twice as many macrophages in Ex-Ob SAT, contained within the CD68+/FXIII-A- inflammatory pool. Despite it, in vitro, coculture experiments revealed that Ex-Ob ADSCs instructed monocyte differentiation into a M2-like profile, and under inflammatory conditions induced by LPS treatment, inhibited HLA-DR upregulation by resting M0 macrophages, originated a similar percentage of TNF-α+ cells, and inhibited IL-10 secretion, similar to OW-ADSCs and BMSCs, which were used for comparison, as these are the main alternative cell types available for therapeutic purposes. Our results showed that Ex-Ob ADSCs mirrored OW-ADSCs in macrophage education, favoring the M2 immunophenotype and a mixed (M1/M2) secretory response. These results have translational potential, since they provide evidence that ADSCs from both Ex-Ob and OW subjects can be used in regenerative medicine in eligible therapies. Further in vivo studies will be fundamental to validate these observations.

흡연자에서 관상동맥 내피세포 의존성 심근 혈류 예비능: $H_2^{15}O\;PET$ 찬물자극 검사에 의한 평가 (Evaluation of Endothelium-dependent Myocardial Perfusion Reserve in Healthy Smokers; Cold Pressor Test using $H_2^{15}O\;PET$)

  • 황경훈;이동수;이병일;이재성;이호영;정준기;이명철
    • 대한핵의학회지
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    • 제38권1호
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    • pp.21-29
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    • 2004
  • 목적: 젊은 흡연자 및 비흡연자에서 찬물자극 후 심근혈류 예비능을 $H_2^{15}O\;PET$을 이용하여 측정한 후 비교함으로써 흡연에 의한 관상동맥 내피세포의 기능저하를 평가하고자 하였다. 대상 및 방법: 젊은 흡연자 9명($23.8{\pm}1.1$세; $6.6{\pm}2.5$ pack-years) 및 비흡연자 9명($23.8{\pm}2.9$세)에 대하여 안정상태 및 찬물자극 후, 그리고 아데노신 주입 중에 $H_2^{15}O$를 순간주사하고 동적 PET영상을 획득한 뒤, NMF 방법으로 입력 방사능곡선 및 조직 방사능곡선을 처리하여 심근혈류량을 산출하였다. 결과: 흡연자군 및 비흡연자군 사이에 심박수혈압곱 및 안정시 혈류량에는 유의한 차이가 없었다. 그러나, 찬물자극 자극 후에는 심근혈류가 흡연자군에서 비흡연자군에 비하여 유의하게 낮았으며(흡연자군 심근혈류 : $1.25{\pm}0.34$ ml/g/min, 비흡연자군 심근혈류=$1.59{\pm}0.29$ ml/g/min ; p=0.019), 특히 안정시 심근혈류에 대한 찬물자극 후의 심근혈류의 비(내피세포 기능에 의한 심근혈류의 예비능)도 흡연자에서 유의하게 낮았다(흡연자군=$90{\pm}24%$, 비흡연자군=$122{\pm}28%$ ; p=0.024). 한편, 아데노신 주입시의 심근혈류는 두군 간에 유의한 차이가 관찰되지 않았다(흡연자군 심근혈류=$5.81{\pm}1.99$ ml/g/min, 비흡연자군 심근혈류=$5.11{\pm}1.31$ ml/g/min ; p=NS). 결론: 젊은 흡연자에서 찬물자극 후에 $H_2^{15}O\;PET$을 이용하여 측정하여 산출한 심근혈류의 예비능이 젊은 비흡연자에 비하여 감소되어 있어서 흡연에 의한 관상동맥 내피세포의 기능장애를 확인할 수 있었다.

관상동맥질환에서 심장풀 스캔의 육안적 평가에 대한 ROC 분석 (ROC Analysis of Visual Assessments Made in Gated Blood Pool Scans of Patients with Coronary Artery Disease)

  • 이경한;최윤호;이범우;문대혁;궁성수;정준기;이명철;고창순
    • 대한핵의학회지
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    • 제23권2호
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    • pp.175-181
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    • 1989
  • Visual assessment of regional wall motion abnormality (RWMA) by gated blood pol scan (GBPS) serves as an useful parameter in the diagnosis, functional evaluation, and follow up in various clinical settings, but are still subject to some inherent limitations. On important problem may be the interobserver as well as intraobsever variation that may well be present due to the subjective nature of the interpretations. This study was carried out to determine the reliability and reproducibility of visual assessments made in GBPSs, and to observe the degree to which the results would be influenced by observer variation. Fifty two patients with coronary heart disease had resting GBPS and contrast ventriculography within 4 days appall. Contrast ventriculography-showed normal wall motion in 6 patients and the remaining 46 had RWMA in one or more segments. The anterior and left anterolateral views of all 52 GBPSs were analyzed by three independent observers, who selected from 5 scales, their level of confidence that there was RWMA in that segment. Reciever operating characteristic (ROC) curves for each analysis was plotted and the area under the curve $(\theta)$ was used as a parameter representing each observer's performance in his interpretations. The findings of contrast ventriculographies were used as the standard for RWMA. The apical and inferoapical segments showed the best correlation with contrast ventriculography ($\theta=0.90-0.94$, 0.81-0.94, respectively), and the inferior wall showed the poorest correlation $(\theta=0.70-0.74)$. The interpretations of the inferior, septal, apical, and posteroinferior, segments showed no difference between the observers, but there was significantly better performance in assessment by observer A compared to that by B or C for the anterolateral segments ($\theta=0.87$, 0.78, 0.76, respectively. p<0.01 for A vs B, p<0.05 for A vs C), as well as when all segments were considered altogether ($\theta=0.88$, 0.83, 0.82, respectively. both p<0.05). This was also true for the infero-apical segment between A and C ($\theta=0.09$, 0.81, p<0.05). The intraobserver variation, however, did not appear significant, with only the inferior segment for observer B showing any significant difference when observer A and B repeated the analysis 10 days latter. There was no difference in assessing dyskinesia, with all observers showing a high performance ($\theta=0.98$, 0.87, 0.97, respectively). The visual assessment of left ventricular ejection fraction by all three observers correlated well with the calculated value from a semiautomated method (Spearman's r = 0.91, 0.83, 0.83. p<0.01, p<0.05, p < 0.05). The assessment of LV and RV size also correlated well between the three observers (Kendall's w = 0.80, 0.51, p<0.01 for both left and right ventricles). The above findings suggest that RWMA visually assessed by GBPS correlates well with that done by contrast ventriculography. And although the observer's experience or skill may influence the results in certain segments, visual analysis of GBPS may serve as a reliable and reproducible means for evaluating ventricular function.

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