• 제목/요약/키워드: Short-segment

검색결과 196건 처리시간 0.025초

Adenosine 부하 $^{99m}Tc$-MIBI 심근 관류스캔도중 나타나는 ST절 하강과 관상동맥 질환의 중증도와의 관계 (Relationship Between Adenosine-Induced ST Segment Depression During $^{99m}Tc$-MIBI Scintigraphy and The Severity of Coronary Artery Disease)

  • 조정아;최정일;곽동석;김정균;배선근;정병천;이재태;이규보;강승완;우언조;김신우;손상균;채성철
    • 대한핵의학회지
    • /
    • 제28권2호
    • /
    • pp.177-185
    • /
    • 1994
  • Pharmacologic coronary vasodilation in conjunction with myocardial perfusion scintigraphy has become an alternative to dynamic exercise test for the diagnosis and risk stratification of coronary artery disease, especially in patients who are unable to perform adequate exercise. Dipyridamole and adenosine have been used for pharmacologic stress testing with myocardial perfusion imaging. Adenosine is a potent coronary vasodilator with rapid onset of action, short half-life, near maximal coronary vasodilation and less serious side effects. ST segment depression has been reported in about 7-15% of patients with coronary artery disease receiving dipyridamole in conjunction with myocardial perfusion imaging. The exact cause and clinical significance are not known. In order to evaluate the relationship between adenosine-induced ST segment depression during $^{99m}Tc$-MIBI myocardial perfusion scintigraphy and the severity of coronary artery disease, we performed $^{99m}Tc$-MIBI imaging after intravenous Infusion of adenosine In 120 patients with suspected coronary artery disease. Of the 120 patients, 28 also performed coronary angiography. There were 24 patients with ST segment depression during $^{99m}Tc$-MIBI scintigraphy and 96 patients without ST segment depression. Adenosine was infused Intravenously at a dose of 0.14mg/kg per minute lot 6minutes and $^{99m}Tc$-MIBI was injected at 3 minute. We then com-pared the hemodynamic changes, side effects, scintigraphic and angiographic findings. Heart rate increased $90{\pm}19$ beats/minute in the group with ST depression compared with $80{\pm}16$ beats/minute in the group without ST depression(p<0.05). Baseline systolic blood pressure was significantly higher in the group with ST depression($152{\pm}27$ mmHg) than in the group without 57 depression($140{\pm}21$mmHg, p<0.05). Double product at baseline($10.90{\pm}2.77$ versus $9.55{\pm}2.34\;beats/minute{\times}mmHg$) and during adenosine infusion($12.72{\pm}3.89$ versus $10.83{\pm}2.98\;beats/minute{\times}mmHg$) were significantly higher in the group with ST depression(p<0.05). The incidence of anginal chest pain was also significantly higher in the group with ST depression(ST versus 29%, p<0.0001). The $^{99m}Tc$-MIBI images were abnormal in 23(96%) patients with ST segment depression and 66(69%) patients without ST segment depression(p<0.05). In patients with ST segment depression, there were more reversible perfusion defects than in patients without ST segment depression(83 versus 55%, p<0.05). The number of abnormal segments were significantly higher in the group with ST depression($3.05{\pm}2.01$ versus $1.51{\pm}1.45$, p<0.005). In patients with ST segment depression, there were more segments of reversible perfusion defects than in patients without segment depression($2.15{\pm}2.11$ versus $0.89{\pm}1.24$, p<0.05). There were no differences in the angiographic severity by vessel(p ; NS). We concluded that ST segment depression during $^{99m}Tc$-MIBI myocardial perfusion scintigraphy with Intravenous adenosine is related to the severity of coronary artery disease.

  • PDF

지역분할방법에 의한 ISCST3모델로 수도권지역에서 $SO_2$ 농도 예측 연구 (A Study on the Prediction of $SO_2$ Concentrations by a Regional Segment ISCST3 Model in the Seoul Metropolitan Area)

  • 구윤서;전경석;최한영;신봉섭;신동윤;이정주
    • 한국대기환경학회:학술대회논문집
    • /
    • 한국대기환경학회 1999년도 추계학술대회 논문집
    • /
    • pp.407-408
    • /
    • 1999
  • 본 연구에서는 서울, 인천, 수원을 포함한 수도권 전지역을 대상으로 SO$_2$ 농도를 가우시안모델인 ISCST3(Industrial Source Complex for Short Term-3)로 예측하고자 한다. ISCST3 모델의 적용 영역이 넓으면 모델영역 내에서 기상조건이 상이하기 때문에 지금까지 이루어진 대부분의 연구들은 공간적으로 제한된 지역을 대상으로 해왔다.(중략)

  • PDF

식도 Achalasia 의 외과적 치료: Modified Heller`s method 에 의한 수술증예 (Surgical Treatment of Achalasia of the Esophagus: One Case Performed Modified Heller`s Operation)

  • 이동준
    • Journal of Chest Surgery
    • /
    • 제10권1호
    • /
    • pp.71-76
    • /
    • 1977
  • Achalasia is a functional disorder of a short segment of the lower esophagus showing obstruction of the esophagogastric junction. Dysphagia, regurgitation, and weight loss are outstanding features and are some times more apparent than the disease entity in children though achalasia is rarely encountered in children. A 6 years male had complained of dysphagia, regurgitation and severe weight loss and was operated by modified Heller`s operation. Before he was operated, he could swallowed only milk but swallowed all regular diet after being operated.

  • PDF

윤곽선의 선분 근사화를 활용한 양팔 화가 로봇의 개발 (Development of a Dual-Arm Drawing Robot using Line Segment Approximation of Image Edges)

  • 김정규;이상필;정혜림;조혜경
    • 로봇학회논문지
    • /
    • 제9권3호
    • /
    • pp.140-146
    • /
    • 2014
  • This paper introduces a dual-arm robot painter system which is capable of sketching a camera-captured image with short line segments. To express various curved edges in the image by combining line segments, we first apply edge detection algorithm to the entire image, split the edged image into small boxed pieces, and then apply Hough Transformation to each piece so that the edges inside the piece can be approximated with short line segments. To draw the picture within a reasonable time, we designed a simple dual-arm robot system and controlled both arms concurrently according to linear interpolation algorithm. From the experiments, we could verify that simple linear motions can describe various images effectively with a unique brush style.

Short Segment Screw Fixation without Fusion for Unstable Thoracolumbar and Lumbar Burst Fracture : A Prospective Study on Selective Consecutive Patients

  • Kim, Hee-Yul;Kim, Hyeun-Sung;Kim, Seok-Won;Ju, Chang-Il;Lee, Sung-Myung;Park, Hyun-Jong
    • Journal of Korean Neurosurgical Society
    • /
    • 제51권4호
    • /
    • pp.203-207
    • /
    • 2012
  • Objective: The purpose of this prospective study was to evaluate the efficacy and safety of screw fixation without bone fusion for unstable thoracolumbar and lumbar burst fracture. Methods: Nine patients younger than 40 years underwent screw fixation without bone fusion, following postural reduction using a soft roll at the involved vertebra, in cases of burst fracture. Their motor power was intact in spite of severe canal compromise. The surgical procedure included postural reduction for 3 days and screw fixations at one level above, one level below and at the fractured level itself. The patients underwent removal of implants 12 months after the initial operation, due to possibility of implant failure. Imaging and clinical findings, including canal encroachment, vertebral height, clinical outcome, and complications were analyzed. Results: Prior to surgery, the mean pain score (visual analogue scale) was 8.2, which decreased to 2.2 at 12 months after screw fixation. None of the patients complained of worsening of pain during 6 months after implant removal. All patients were graded as having excellent or good outcomes at 6 months after implant removal. The proportion of canal compromise at the fractured level improved from 55% to 35% at 12 months after surgery. The mean preoperative vertebral height loss was 45.3%, which improved to 20.6% at 6 months after implant removal. There were no neurological deficits related to neural injury. The improved vertebral height and canal compromise were maintained at 6 months after implant removal. Conclusion: Short segment pedicle screw fixation, including fractured level itself, without bone fusion following postural reduction can be an effective and safe operative technique in the management of selected young patients suffering from unstable burst fracture.

Effects of Short-Term Treatment with Estrogen Receptor Agonist on Morphological Changes in Reproductive Organs of Adult Male Mice

  • Choi, Hayana;Mo, Yun Jeong;Lee, Mi-Kyung;Choe, Eun Sang;Yee, Sung Tae;Cho, Hyun Wook
    • Applied Microscopy
    • /
    • 제46권4호
    • /
    • pp.193-200
    • /
    • 2016
  • Male reproductive organs are strongly affected by estrogen signaling mediated via the estrogen receptor. In this study, propyl pyrazole triol (PPT), an estrogen receptor alpha agonist, was subcutaneously injected in adult male mice every 2 days for a total duration of 8, 16, or 24 days. Histological changes in the reproductive organs, including the testes, efferent ductules, and epididymides, were observed. The weight of the reproductive organs decreased in the PPT group. In addition, the diameter of the seminiferous tubules decreased in the PPT group compared with the control group. The epithelial cell height decreased in the initial segment of the epididymis, whereas the luminal diameter increased in the efferent ductules of the PPT group. PPT induced irregular morphology of stereocilia in the luminal region of the initial segment. Therefore, PPT treatment at high concentrations had inhibitory effects in the reproductive organs of adult male mice. These findings suggest that short-term treatment with estrogen receptor agonist causes histological changes in the testes, efferent ductules, and epididymis, which are similar to those caused by estrogen receptor antagonist treatment. Therefore, the estrogen receptor may have functional roles in male reproductive organs, implying that treatment with an estrogen receptor agonist can affect male fertility.

의인성 요관손상: 언제, 어떻게 치료할 것인가? (Iatrogenic Ureteral Injury: When and How to Treat?)

  • 서강일;이종복
    • Journal of Trauma and Injury
    • /
    • 제21권1호
    • /
    • pp.8-14
    • /
    • 2008
  • Iatrogenic ureteral injury is a complication that can occur during a variety of pelvic or abdominal surgeries. The most frequent causes are gynecological ones, followed by colon and vascular surgeries. Management of ureteric injury depends on the time of diagnosis and the severity of organ damage. Injuries diagnosed intraoperatively should be treated immediately. Occasionally, intraoperative ureteral injury is overlooked, and symptoms of the late diagnosis of ureteral injury are usually nonspecific; therefore, the diagnosis is delayed for days or weeks postoperatively. Management of injuries diagnosed postoperatively is more complex. There are differing opinions on whether an initial conservative or immediate operative intervention is the best line of action. Delayed repair is suggested on the grounds that it will reduce inflammation and tissue edema. However, many authors are in favor of early repair, perhaps because tissue planes are easier to find before fibrosis becomes too dense. Ureteral injuries occurring at the level of the pelvic brim should be best managed with an end-to-end anastomosis, preferably around a ureteric stent. More distal injuries also should be ideally managed with an end-to-end anastomosis, after excision of the crushed or compromised segments. However, if the remaining distal segment is short, ureteral reimplantation is the procedure of choice. The Boari flap technique for ureteral reimplantation is invaluable in cases with a short proximal segment. Delayed recognition of iatrogenic ureteral injury may be associated with serious complications, so prompt recognition of ureteral injuries is important. Recognition of the injury before closure is the key to easy, successful, and complications-free repair. Increased awareness of the risk for ureteral damage during certain operative maneuvers is vital to prevent injury, and to decrease the incidence of iatrogenic injury. A sound knowledge of abdominal and pelvic anatomy is the best prevention.

비디오 영상에서 2차원 자세 추정과 LSTM 기반의 행동 패턴 예측 알고리즘 (Behavior Pattern Prediction Algorithm Based on 2D Pose Estimation and LSTM from Videos)

  • 최지호;황규태;이상준
    • 대한임베디드공학회논문지
    • /
    • 제17권4호
    • /
    • pp.191-197
    • /
    • 2022
  • This study proposes an image-based Pose Intention Network (PIN) algorithm for rehabilitation via patients' intentions. The purpose of the PIN algorithm is for enabling an active rehabilitation exercise, which is implemented by estimating the patient's motion and classifying the intention. Existing rehabilitation involves the inconvenience of attaching a sensor directly to the patient's skin. In addition, the rehabilitation device moves the patient, which is a passive rehabilitation method. Our algorithm consists of two steps. First, we estimate the user's joint position through the OpenPose algorithm, which is efficient in estimating 2D human pose in an image. Second, an intention classifier is constructed for classifying the motions into three categories, and a sequence of images including joint information is used as input. The intention network also learns correlations between joints and changes in joints over a short period of time, which can be easily used to determine the intention of the motion. To implement the proposed algorithm and conduct real-world experiments, we collected our own dataset, which is composed of videos of three classes. The network is trained using short segment clips of the video. Experimental results demonstrate that the proposed algorithm is effective for classifying intentions based on a short video clip.

A Histological Study on the Visual Cell Layer of the Endemic Korean Species Liobagrus mediadiposalis (Pisces: Amblycipitidae)

  • Kim, Jae Goo;Park, Jong Young
    • Applied Microscopy
    • /
    • 제47권4호
    • /
    • pp.238-241
    • /
    • 2017
  • A study on the visual cell and eyeball of the endemic Korean species Liobagrus mediadiposalis was investigated by light and electron microscopes. The retina of a small and 2 mm-diameter round eye was thin, $151.0{\pm}4.0{\mu}m$ and has two visual cells, a single cone and a rod cell. The single cone cells are short and thick, $18.0{\pm}0.9{\mu}m$ in length and $5.1{\pm}0.7{\mu}m$ (n=30) in diameter, while the rod cells are longer and thinner, $54.8{\pm}2.9{\mu}m$ in length and $3.3{\pm}0.6{\mu}m$ in diameter. The cone cells are seen an irregular and random mosaic pattern, and the rod cells are also randomly situated at between cone cells. As a rare phenomenon, such structure is one of characteristics reflecting the eye of a nocturnal and bottom-dwelling freshwater fish. The ultrastructure of visual cells was observed with scanning and transmission electron microscopy, both cone and rod cells are divided into an inner segment with numerous mitochondria and an outer segment with stacks of membrane discs.

주사전자현미경을 이용한 무당벌레에 기생하는 무당벌레기생파리(Degeeria separata)의 외부형태적 특징 (External Morphology of the Asian Ladybird-fly, Degeeria separata, with Scanning Electron Microscope)

  • 윤영남;김남성;김기덕;박수진;서미자;채순용
    • 농업과학연구
    • /
    • 제27권1호
    • /
    • pp.20-24
    • /
    • 2000
  • External morphological characteristics of male and female of Degeeria separata, which was endoparasited in adult of the Asian ladybird, were studied by using the scanning electron microscopy (SEM). The antenna of Degeeria separata was consisted of three segment and arista. Aristae were about $750{\mu}m$ length and $30{\mu}m$ in diameter. The surface of antennae was covered with many sensilla. They were long or short, slender or thick, and straight or curved. Each three morphological types of sensilla were observed on the second and third segment of antennae. The mouthpart was sponging type. It was consisted with clypeus, labellum, labium, labrum, and maxillary palp. The labellum is $400{\mu}m$ width and double folded vertically. The leg consist of tarsus, tarsus claw, pulvilli, and empodium.

  • PDF