• 제목/요약/키워드: lung lesion score

검색결과 15건 처리시간 0.024초

Assessment of the Severity of Coronavirus Disease: Quantitative Computed Tomography Parameters versus Semiquantitative Visual Score

  • Xi Yin;Xiangde Min;Yan Nan;Zhaoyan Feng;Basen Li;Wei Cai;Xiaoqing Xi;Liang Wang
    • Korean Journal of Radiology
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    • 제21권8호
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    • pp.998-1006
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    • 2020
  • Objective: To compare the accuracies of quantitative computed tomography (CT) parameters and semiquantitative visual score in evaluating clinical classification of severity of coronavirus disease (COVID-19). Materials and Methods: We retrospectively enrolled 187 patients with COVID-19 treated at Tongji Hospital of Tongji Medical College from February 15, 2020, to February 29, 2020. Demographic data, imaging characteristics, and clinical data were collected, and based on the clinical classification of severity, patients were divided into groups 1 (mild) and 2 (severe/critical). A semiquantitative visual score was used to estimate the lesion extent. A three-dimensional slicer was used to precisely quantify the volume and CT value of the lung and lesions. Correlation coefficients of the quantitative CT parameters, semiquantitative visual score, and clinical classification were calculated using Spearman's correlation. A receiver operating characteristic curve was used to compare the accuracies of quantitative and semi-quantitative methods. Results: There were 59 patients in group 1 and 128 patients in group 2. The mean age and sex distribution of the two groups were not significantly different. The lesions were primarily located in the subpleural area. Compared to group 1, group 2 had larger values for all volume-dependent parameters (p < 0.001). The percentage of lesions had the strongest correlation with disease severity with a correlation coefficient of 0.495. In comparison, the correlation coefficient of semiquantitative score was 0.349. To classify the severity of COVID-19, area under the curve of the percentage of lesions was the highest (0.807; 95% confidence interval, 0.744-0.861: p < 0.001) and that of the quantitative CT parameters was significantly higher than that of the semiquantitative visual score (p = 0.001). Conclusion: The classification accuracy of quantitative CT parameters was significantly superior to that of semiquantitative visual score in terms of evaluating the severity of COVID-19.

돼지 마이코플라즈마 폐렴 예방백신의 접종시기별 방어효과에 관한 연구 (Evaluation of vaccination against Mycoplasma hyopneumoniae in pigs at different vaccination time-points)

  • 이함희;제임스 라;한정희
    • 한국동물위생학회지
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    • 제31권3호
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    • pp.291-303
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    • 2008
  • This study was performed to evaluate the effect of commercial swine mycoplasma vaccine (M+$Pac^{(R)}$, Schering-Plough Animal HealthCo.) at different vaccination time points. Total 139 piglets were moved to experimental farm after weaning and were randomly allocated to 3 treatment groups and 1 control group. Piglets of 3 treatment groups (A, B and C) were vaccinated twice at 1 and 3 weeks (A group), 3 and 5 weeks (B), and 6 and 8 weeks (C), respectively. All vaccinates showed higher antibody titers compared with nonvaccinates, and maintained to finish (P<0.001). Performance and RBC/WBC count showed no significant difference between groups. Vaccinates at 6-8 weeks showed better effect on decrease of clinical sign compared with vaccinates at 1-3 weeks and 3-5 weeks and nonvaccinates. Also, lung lesion assessment showed significant difference between vaccinates at 3-5 weeks and 6-8 weeks, and nonvaccinates and vaccinates at 1-3 weeks (P<0.05). Vaccinates at 3-5 score in comparison with other groups. In conclusion, these results suggested that vaccination at 3-5 weeks or later may be more effective than earlier vaccination.

전북지역 도축 출하돈 병변 조사 (Survey on the gross lesions of slaughtered pigs in Jeonbuk area, Korea)

  • 임미나;백귀정;유기홍;조현웅
    • 한국동물위생학회지
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    • 제38권2호
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    • pp.89-94
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    • 2015
  • Respiratory disease in pigs is common in modern pork production worldwide and is often referred to as porcine respiratory disease complex (PRDC). PRDC is polymicrobial in nature, and results from infection with various combinations of primary and secondary respiratory pathogens. The control of swine respiratory disease requires an understanding of the interactions between the organisms that can cause this illness, the pig and management of the environment. This study was carried out to investigate the lesion of red internal organs in slaughtered pigs and provided assistant data for pig farms. A total of 900 lung samples, 45 farms were collected randomly from slaughtered pigs in Jeonbuk province from April to December in 2014. Gross lesions such as swine enzootic pneumonia (SEP), pleuritis, pleuropneumonia, pericarditis, liver white spots were examined for the pigs. Overall prevalence of SEP was 70.8%. According to season, the incidence occurred higher in summer than winter, fall and spring. The mean SEP score was 1.4, the highest incidence occurred in fall. The prevalence of pleuropneumonia, pleuritis, pericarditis, and milk spot was 26.1%, 71.4%, 2.8%, 21.6%, respectively. In the detection of pathogens, PRRS was not detected, PCV2 was positive in 87.6%.

사삼이 DNCB로 유발된 생쥐의 아토피 피부염에 미치는 영향 (Effects of Adenophorae Radix(AR) on Atopic Dermatitis(AD) Induced by DNCB in Mice)

  • 임경민;고홍제;최정화;박수연;김종한;정민영
    • 한방안이비인후피부과학회지
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    • 제30권3호
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    • pp.31-45
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    • 2017
  • Objectives : Adenophorae Radix(AR) is the dried root of Adenphora triphylla var. japonica HARA. AR has the efficacy of clarifying lung, emitting pus, expelling wind, stopping pruitus and so on. Recently, various studies are being done about anti-oxidative, immunomodulatory and anti-inflammatory effects of AR. So, we expected AR has an availability that can improve symptoms of atopic dermatitis(AD). Methods : In this study, we measured body weight, weight of ear, thickness of ear skin and dorsum skin, symptom score, reproduction rate of splenocytes in vivo and in vitro of mouse with AD induced by DNCB. We experimented with five groups of 9 mice, such as normal group, control group, AR spread(ARS) group, AR feeding(ARF) group, AR spread&feeding(ARSF) group. Results : Control group of body weight significantly reduced and APSF group significantly increased in the first and second week. In weight of ear and thickness of ear skin and dorsum skin, control group significantly increased and ARSF group significantly decreased. In macrophotography viewpoint of dorsal skin, ARS group, ARF group and ARSF group decreased severe pigmented skin lesion, erythema and desquamation as compared with control group. Especially ARSF group showed significant drop. ARS group, ARF group and ARSF group compared to control group were improved in histopathology observation. In vitro and in vivo, treatment group of AR increased proliferation rate of splenocytes, specially in vitro significantly. Conclusions : This experiment indicates Adenophorae Radix extracts is effective on AD induced by DNCB in mice.

근위 대퇴골 전이성 종양의 수술적 치료로서 광범위 절제술 후 재활용 자가골을 이용한 복합 고관절 성형술 (Surgical Treatment of Metastatic Tumor in Proximal Femur with Recycling Autograft Prosthetic Composite after Wide Excision)

  • 김재도;박필재;권영호;장재호;이영구
    • 대한골관절종양학회지
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    • 제11권1호
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    • pp.71-81
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    • 2005
  • 목적: 근위 대퇴골의 전이성 종양에서 소파술 후 금속 내고정술 또는 고관절 성형술을 시행했던 환자에게서 종양의 국소 재발로 인한 금속 부전을 경험한 저자들은 광범위 절제술 후 재활용 자가골 이식을 이용한 고관절 성형술을 시행하고, 술 후 국소 재발의 유무와 하지의 기능, 합병증의 발생을 통해 전이성 골종양에서 광범위 절제술 후 재활용 자가골을 이용한 재건술의 타당성에 대해 연구하고자 한다. 대상 및 방법: 2000년 5월부터 2003년 5월까지 근위 대퇴골의 전이성 종양 환자 중 광범위 절제술 후 재활용 자가골을 이용한 재건술을 시행한 6례, 5명의 환자를 대상으로 하였다. 환자의 평균 연령은 60.8세, 남녀 비는 3:2였고 술 후 평균 생존 기간은 23.2개월(7~57개월) 이었다. 원발 병소로는 폐암이 2례였고, 위암, 신장암, 다발성 골수종이 각각 1례였다. 수술은 전례에서 광범위 절제술 후 고관절 재건술을 시행하였으며, 재건술로는 체외 방사선 조사 후 자가골 이식술 및 고관절 반치환술을 4례, 저온 처리한 자가골 이식술 및 고관절 전치환술을 2례에서 시행하였다. 술 후 6개월의 Musculoskeletal Tumor Society(MSTS) 기능 평가 지수(1993년) 및 합병증, 생존 기간 동안의 국소 재발의 유무에 대해 조사하였다. 결과: 술 후 6개월에 조사한 MSTS 기능 평가 지수는 63.3%였고, 술 후 합병증으로는 고관절 탈구가 1례에서 발견되었다. 생존 기간 동안 국소 재발의 소견은 관찰되지 않았다. 결론: 술 후 생존 기간이 6개월 이상으로 추정되는 근위 대퇴골의 전이성 종양에서 소파술 후 금속 내고정술이나 고관절 성형술을 시행하는 것보다 광범위 절제술 후 재활용 자가골을 이용한 고관절 재건술을 시행하는 것이 국소 재발을 방지하여, 환자의 생존 기간동안 사지의 기능을 보존하는데 도움이 될 것으로 사료된다.

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