• Title/Summary/Keyword: contrast flow

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The Influence of Combined Exercise Training with and without Blood Flow Restriction on Physical Performance and Balance in Elderly Females (복합운동에 혈류제한 적용과 비적용이 여성노인들의 운동수행능력과 평형성에 미치는 영향)

  • Kim, Daeyeol;Kang, Hyo-Young;Park, Hyeok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.1
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    • pp.363-371
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    • 2021
  • The goal of this study was to investigate the influence of exercise training with or without blood flow restriction (BFR) on physical performance and balance in elderly females. Participants (N = 43) were randomly divided into combined exercise with BFR group (n = 14, EX-BFR), only combine exercise group (n =14, EX) or a non-exercise control group (n = 15, CON). Both EX-BFR and EX groups had completed exercise training for 12 weeks. During the training period, the CON group maintained their normal lives. After baseline tests, two-way repeated measures ANOVA with contrast testing was conducted using SPSS 22.0. Study results found that physical performance and balance in both EX-BFR and EX groups were significantly improved, and fall index in both EX-BFR and EX groups were significantly decreased. There were no changes in the CON group. In addition, the % change and effect size of all variables in the EX-BFR group were larger than the EX group. So, the results showed that the EX-BFR group had performed more intense exercise caused by restricted blood flow during the training period compared to the EX group. Thus, exercise with BFR training may additionally influence physical performance and balance in elderly females.

99mTc-DISIDA HEPATOBILIARY SCINTIGRAM IN EVALUATION OF CLONORCHIS SINENSIS INFESTATION IN ENDEMIC REGION (간흡충증 간염에서의 $^{99m}Tc-DISIDA$ 간담도스캔)

  • Yum, Ha-Yong
    • The Korean Journal of Nuclear Medicine
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    • v.19 no.2
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    • pp.25-41
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    • 1985
  • 간흡충증은 한국 및 동남아세아에 널리 분포되어 있는 중요한 풍토병의 하나로서 진단은 전통적으로 분변검사에 의존하여 오고 있다. 최근 들어 담관내 간흡충 및 이의 합병증의 진단을 위해 ERCP 및 contrast cholangiogram등이 시도되었으나 실제에 이용하기에는 많은 제약이 있다 하겠다. 저자는 간흡충증에 있어서 최근 소개된 $^{99m}Tc-DISIDA$ hepatobiliary scintigraphy의 진단적 의의를 규명하고자 1982년부터 1983년까지 고신의대 부속 복음병원에서 검진한 간흡충증 환자 90명을 대상으로 하여 $^{99m}Tc-DISIDA$ hepatobiliary scintigraphy와 formalin-ether 원침법에 의한 분변검사를 시행하였다. $^{99m}Tc-DISIDA$ scintigram소견은 간내 담관 bile flow 및 총수담관 bile flow defect, 그리고 간세포기능의 정도에 따라 자료를 분석하였고 그외 합병증의 진단은 병록 기록, 수술 소견, ERCP 등에 의존하여 결론을 얻었다. $^{99m}Tc-DISIDA$ scintigraphy는 특이한 양상의 bile flow dynamics를 나타내었으며 간내 주담관의 intermittent irregular focal bile flow defect 및 tile flow stasis를 나타내고 말초담관의 bile flow defect는 경미하고 60분 내에 담관 bile flow activity의 완전한 배설을 나타내는 경우를 mild pattern, 간내 담관의 심한 irregular bile flow dynamics 및 간내담관의 심한 irregularity (담관내벽의 심한 불규칙성), 총수담관, 간내 주담관 및 말초 담관까지 심하게 irregular bile flow stasis를 나타내며 bile flow activity의 완전 베설이 $60\sim90$분사이 혹은 90분이상까지 인지된 경우를 moderate-severe pattern으로 분류하였다. 1) 분변검사상 간흡충증은 95검사중 70검사(환자 86명중 67명)에서 양성을 보여 분변 충난검사의 양성율은 73.7%였고 음성율은 26.3%였다. 2) $^{99m}Tc-DISIDA$ hepatobiliary scintigraphy는 90명중 70명에서 특이한 Cs-bile flow양성을 보였으며 양성율은 77.8%였으며 음성율은 22.2%였다. 3) $^{99m}Tc-DISIDA$ hepatobiliary scintigram양성율을 나타낸 환자 70명중 11명은 mild pattern, 59명은 moderate-severe pattern을 나타냈으며 그중 21명은 여러가지 간세포 기능 및 담관에 영향을 미치는 질환과 합병했지만 특이한 Cs-bile flow pattern을 dominent하게 나타내었으며 합병된 여러 질환들도 bile flow pattern상 인지 할 수 있었다. 4) $^{99m}Tc-DISIDA$ hepatobiliary scintigram 음성율을 나타낸 환자 20명중 8명은 만성간염, 5명은 간경변증, 3명은 재발성 농양성담관염(recurrent pyogenic cholangitis)과 간내담도의 stricture 및 담관담석증이 합병되었으며 scintigram상 합병증의 pattern을 나타냈고 4명에서는 low CBD obstruction을 나타내었으며 후에 CBD stone, CBD carcinoma, gall bladder Ca.의 porta hepatis 전이 및 clonorchis worms의 cluster에 의한 obstruction이 operation 및 ERCP로서 진단 되었다. 5) $^{99m}Tc-DISIDA$ hepatobiliary scintigraphy pattern은 현재의 자각증상과 관계된 dominent disease를 나타내었으며, 공간 점유병소도 multiple project images를 시행하므로서 쉽게 발견할 수 있었다. 이와 같이 간흡충증에 있어서 $^{99m}Tc-DISIDA$ hepatobiliary scintigram은 환자의 자각증상과 관계된 질환을 규명하는 데 필요한 정보를 얻었을 수 있었으며 간내담관의 damage정도를 규명하는데 필요한 procedure임이 판명되었다.

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Prevention of Pediatric Acute Kidney Injury

  • Cho, Heeyeon
    • Childhood Kidney Diseases
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    • v.19 no.2
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    • pp.71-78
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    • 2015
  • The incidence of acute kidney injury (AKI) in critically ill pediatric patients has been reported as increasing to 25 %, depending on population characteristics. The etiology of AKI has changed over the last 10-20 years from primary renal disease to the renal conditions associated with systemic illness. The AKI in pediatric population is associated with increased mortality and morbidity, and prevention is needed to reduce the consequence of AKI. It is known that the most important risk factors for AKI in critically ill pediatric patients are clinical conditions to be associated with decreased renal blood flow, direct renal injury, and illness severity. Renal hypoperfusion leads to neurohormonal activation including renin-angiotensin-aldosterone system, sympathetic nervous system, antidiuretic hormone, and prostaglandins. Prolonged renal hypoperfusion can result in acute tubular necrosis. The direct renal injury can be predisposed under the condition of renal hypoperfusion, and appropriate treatment of volume depletion is important to prevent AKI. The preventable causes of AKI include contrast-induced nephropathy, hemodynamic instability, inappropriate mediation use, and multiple nephrotoxic insults. Given the evidence of preventable factors for AKI, several actions such as the use of protocol for prevention of contrast-induced nephropathy, appropriate treatment of volume depletion, vigorous treatment of sepsis, avoidance of combinations of nephrotoxic medications, and monitoring of levels of drugs should be recommended.

Magnetic Resonance Imaging in Thoracic Disease (흉부질환의 자기공명영상)

  • Song, Koun-Sik
    • Tuberculosis and Respiratory Diseases
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    • v.40 no.4
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    • pp.345-352
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    • 1993
  • The role of magnetic resonance(MR) imaging in the evaluation of thoracic disease has been limited Nontheless, MR has inherent properties of better contrast resolution than CT allowing tissue-specific diagnosis. MR has capability of direct imaging in sagittal, coronal, and oblique planes which provide better anatomic information than axial images of CT such as lesions in the pulmonary apex, aorticopulmonary window, peridiaphragmatic region, and subcarinal region. MR is sensitive to blood flow making it an ideal imaging modality for the evaluation of cardiovascular system of the thorax without the need for intravenous contrast media. Technical developments and better control of motion artifacts have resulted in improved image quality, and clinical applications of MR imaging in thoracic diseases have been expanded. Although MR imaging is considered as a problem-solving tool in patients with equivocal CT findings, MR should be used as the primary imaging modality in the following situations: 1) Evaluation of the cardiovascular abnormalities of the thorax 2) Evaluation of the superior sulcus tumors 3) Evaluation of the chest wall invasion or mediastinal invasion by tumor 4) Evaluation of the posterior mediastinal mass, especially neurogenic tumor 5) Differentiation of fibrosis and residual or recurrent tumor, especially in lymphoma 6) Evaluation of brachial plexopathy With technical developments and fast scan capabilities, clinical indications for MR imaging in thorax will increase in the area of pulmonary parenchymal and pulmonary vascular imaging.

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Development of a Real-time Medical Imaging System Combined with Laser Speckle Contrast Imaging and Fluorescence Imaging (형광과 레이저 스펙클 대조도 이미징을 결합한 실시간 의료영상 시스템 개발)

  • Shim, Min Jae;Kim, Yikeun;Ko, Taek Yong;Choi, Jin Hyuk;Ahn, Yeh-Chan
    • Journal of Biomedical Engineering Research
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    • v.42 no.3
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    • pp.116-124
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    • 2021
  • It is important to differentiate between the target tissue (or organ) and the rest of the tissue before incision during surgery. And when it is necessary to preserve the differentiated tissues, the blood vessels connected to the tissue must be preserved together. Various non-invasive medical imaging methods have been developed for this purpose. We aimed to develop a medical imaging system that can simultaneously apply fluorescence imaging using indocyanine green (ICG) and laser speckle contrast imaging (LSCI) using laser speckle patterns. We designed to collect images directed to the two cameras on a co-axial optical path and to compensate equal optical path length for two optical designs. The light source used for fluorescence and LSCI the same 785 nm wavelength. This system outputs real-time images and is designed to intuitively distinguish target tissues or blood vessels. This system outputs LSCI images up to 37 fps through parallel processing. Fluorescence for ICG and blood flow in animal models were observed throughout the experiment.

Experimental Analysis on the Performance Characteristics of an Ejector according to Inlet Pressure and Nozzle Position (운전조건 및 노즐위치에 따른 이젝터 성능특성에 관한 실험적 연구)

  • Lee, Jae Jun;Jeon, Yongseok;Kim, Sun Jae;Kim, Yongchan
    • Korean Journal of Air-Conditioning and Refrigeration Engineering
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    • v.27 no.5
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    • pp.263-268
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    • 2015
  • In this study, the performance of an ejector in the refrigeration cycle was experimentally studied using R600a. The performance of the ejector is analyzed according to the inlet pressure and nozzle position. The increase in the primary nozzle pressure decreased the pressure difference across the ejector. In the low entrainment region, the increased suction flow pressure led to an increase in the pressure difference. In the high entrainment region, the pressure difference was inversely proportional to the suction pressure. The effects of nozzle position ($L_n$) were also analyzed and for $L_n<0$, the decreased suction chamber volume led to a large pressure drop with the small increase in the suction mass flow rate. For $L_n>0$, the increased $L_n$ disturbed the primary nozzle flow and thus an increase in the primary nozzle flow increased the pressure lifting effect. In contrast, the increased suction mass flow rate decreased the pressure difference. When the nozzle outlet was located at the mixing part entrance ($L_n=0$), the ejector showed the highest pressure lifting effect.

An Experimental Study of Cuttings Transport in Directional Slim Hole Drilling (방향성 소구경 굴착의 입자 이송특성에 관한 연구)

  • Han, Sang-Mok;Kim, Jeong-Hwan;Hwang, Young-Kyu;Woo, Nam-Sub;Kim, Young-Ju
    • Journal of Ocean Engineering and Technology
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    • v.26 no.2
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    • pp.20-25
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    • 2012
  • During drilling, the precipitation velocity of cuttings within an annulus depends on the density and configuration of the cuttings, and on the density, viscosity, and rheological characteristics of the drilling fluid. In directional drilling in particular, it is difficult to adjust and control the cuttings. In contrast to vertical drilling, it is very important to evaluate the flow characteristics of a drilling flow field. However, research on the transfer features of cuttings is inadequate. In this study, in order to identify transfer features of cuttings, an experiment was performed under wide-ranging conditions by constructing a slim hole annulus ($44mm{\times}30mm$) device. In this experiment, the particle volume fraction were influenced by particle size, particle concentration within the flow, pipe rotation, flow volume, and inclination of the annulus. In addition, a mathematical formula for volumetric concentration was deduced and compared to the test results and behavior of cuttings under the other drilling condition was made to be predicted. Therefore, this study can provide meaningful data for vertical and horizontal drilling, and for directional drilling.

A Study on Relationship of Flow coefficient and Valve Type for Design of Butterfly Valve (Butterfly Valve 설계를 위한 Valve Type과 유량 계수의 관계에 대한 연구)

  • Oh, Seung-Hwan;Lee, Young-Hun;Kang, Hyeung-Geol;Song, Xue-Guan;Kang, Jung-Ho;Park, Young-Chul
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • v.1
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    • pp.373-377
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    • 2006
  • The valve is used on control of flow and hydraulic in a ship. Flow coefficient of valve importance in the design of valve. In this paper, three-dimensional computer simulations by commercial code CFX were conducted to observe the value type and to measure valve flow coefficient when valve with various angles and uniform incoming velocity were used in a piping system. By contrast, a group of experimental data is used to compare with the data obtained by CFX simulation to investigate the validity of numerical method.

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A Study on Relationship of Flow coefficient and Valve Type for Design of Butterfly Valve (버터플라이 밸브 설계를 위한 밸브 형과 유량 계수와의 관계)

  • Oh, Seung-Hwan;Lee, Young-Hun;Kang, Hyeung-Geol;Song, Hak-Guan;Kang, Jung-Ho;Park, Young-Chul
    • Journal of Navigation and Port Research
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    • v.31 no.1 s.117
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    • pp.49-53
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    • 2007
  • The valve is used on control of flow in a ship. Flow coefficient of valve is very importance in the design of valve. In this paper, three-dimensional computer simulations by commercial code CFX were conducted to observe the valve type and to measure flow coefficient when valves with various angles and uniform incoming velocity were used in a piping system. By contrast, a group of experimental data is used to compare with the data obtained by CFX simulation to investigate the validity of numerical method.

Optical flow of heart images by image-flow conservation equation and functional expansion (영상유체보존식과 함수전개법에 의한 심장영상의 광류)

  • Kim, Jin-Woo
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.11 no.7
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    • pp.1341-1347
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    • 2007
  • The displacement field (Optical flow) has been calculated by bottom-up approaches based on local processing. In contrast with them, in this paper, a top-down approach based on expanding in turn from the lowest order mode the whole motion in an image pair of sequential images is proposed. The intensity of medical images usually represents a quantity which is conserved during the motion. Hence sequential images are ideally related by a coordinate transformation. The displacement field can be determined from the generalized moments of the two images. The equations which transform arbitrary generalized moments from a source image to a target image are expressed as a function of the displacement field. The appareent displacement field is then computed iteratively by a projection method which utilizes the functional derivatives of the linearized moment equations. This method is demonstrated using a pair of sequential heart images. For comparative evaluation, we applied Horn and Schunck's method, a standard multigrid method, and our proposed algorithm to sequential image.