• 제목/요약/키워드: pet care

검색결과 100건 처리시간 0.026초

핵의학 영상 검사의 중장기 추세 분석 - 서울 소재 일개 상급 종합병원을 중심으로 - (Long-Term Trend Analysis in Nuclear Medicine Examinations)

  • 정우영;심동오;최재민
    • 핵의학기술
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    • 제23권1호
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    • pp.15-28
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    • 2019
  • 핵의학은 1959년에 국내 도입되어 갑상선 기능 항진증의 치료를 위해 $^{131}I$을 경구 투여한 것으로 시작되었고, 감마카메라는 1969년에 국내 도입되어 핵의학 영상 검사를 시작한 후 지속적인 성장을 하고 있다. 서울 소재 일개 상급종합병원을 대상으로 1998년부터 2017년까지의 핵의학 영상 검사 및 치료 실적에 대해 중장기 추세를 분석하였다. 분석 도구로는 해당병원의 통계 프로그램을 이용하여 감마, PET, 골밀도, 치료로 구분하여 검사 실적 추세 및 상세 분석을 하였다. 이와 같은 실적을 바탕으로 미래 핵의학 발전에 대한 예측을 하고, 핵의학 발전 방향 및 발전 계획의 준거 틀을 마련하는데 그 목적이 있었다. 지난 20년 동안에 Bone scan, MUGA scan, Renal scan(99mTc-DTPA), $^{18}F$-FPCIT PET, 골밀도 검사 등이 상승 추세였고, Myocardium perfusion SPECT, Thyroid scan, Lung scan 등은 하락 추세였으며, Hepatobiliary scan, Renal scan(99mTc-DMSA), $^{18}F$-FDG PET 등은 정체되어 있었다. 그리고 핵의학 치료 실적은 2011년까지 상승 추세였으나 갑상선 과잉진료 논란이후에 급락한 후 회복하지 못하고 있었다. 또한 핵의학 영상 검사와 경쟁 검사 간의 건수를 분석한 결과, 반비례 관계이거나 역치 현상이 있었다. 핵의학 영상 검사 및 치료 실적은 의약 분업 도입과정에서 발생한 의사 파업(2000년), 갑상선 과잉 진료 논란(2011년, 2014년), 무증상 추적 검사를 제한한 PET 요양 급여 개정(2014년), 중동호흡기증후군 확산(2015년), 그리고 수시로 발생하는 요양 급여 삭감 등의 변수에 큰 영향을 받았다. 핵의학 영상 검사는 중장기 상승 추세에 있었으나 2012년 이후로 정체되어 있었다. 핵의학 영상검사 및 치료의 중장기 성장과 발전 방향을 위해서는 시시각각 변하는 의료 환경의 변화에 대한 적극적인 대응은 물론이고, 핵의학 영상 검사 및 치료가 타 경쟁 검사 및 치료에 대한 경쟁 우위 확보를 위한 노력, 신규 검사 및 치료의 개발, 임상적인 정량지표의 개발 및 안정적 유지에 대한 노력이 필요할 것으로 판단된다.

암 바이오마커 검출용 비색법 기반 측면 흐름 면역 크로마토그래피 분석법(LFIA) 스트립의 최신 연구 동향 (Recent Research Trend in Lateral Flow Immunoassay Strip (LFIA) with Colorimetric Method for Detection of Cancer Biomarkers)

  • 이수영;이혜진
    • 공업화학
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    • 제31권6호
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    • pp.585-590
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    • 2020
  • 암(예: 폐암, 전립선암, 간암, 부신겉질샘암종 등)의 조기 진단은 치료비용, 생존율, 완치 여부를 결정짓는 아주 중요한 단계다. 현재의 암 진단 시스템(예: 조직검사, 컴퓨터단층쵤영, 양전자방출단층쵤영, 자기공명영상, 초음파촬영 등)은 고가의 장비를 사용하거나 훈련된 고급 인력만이 수행 가능하기 때문에 신속한 조기 진단에 적합하지 못하다. 국제 의과학 사회는 현장검사(point of care) 디바이스 개발을 통한 효과적인 질병 관리 시스템 개발을 지향하고 있으며, 다양한 분석법 기반의 디바이스가 개발되어왔다. 이 중에서도 측면 흐름 면역 크로마토그래피 분석법 스트립은 경제적인 비용, 짧은 검사 시간, 사용자의 쉬운 접근성 등의 많은 이점들이 있다. 본 논문에서는 LFIA 스트립의 최신 연구 동향을 바탕으로 암 진단 관점에서의 비색법 기반 LFIA 스트립의 연구 방향 및 잠재적 응용에 대해 논의하고자 한다.

PDA기반 의료영상의 전송시스템 구현 (Implementation of PACS using PDA System on Medical Images)

  • 지연상;동경래;김창복
    • 한국콘텐츠학회논문지
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    • 제9권4호
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    • pp.247-253
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    • 2009
  • PACS(Picture archiving communication system)란 의료영상정보를 디지털 영상으로 획득, 저장하여 외래나 병동에서 언제든지 검색 및 조회가 가능한 시스템을 의미 하지만 휴일과 야간에는 의료영상정보에 대한 접근이 공간적으로 제한되어 있어서 환자의 검사결과에 대한 정보를 조회 할 수 없는 문제점이 있다. 이에 대한 해결 방안은 무선 LAN과 CDMA 전화기가 내장된 PDA를 이용하여 판독의사나 수술의사 등이 원외에서도 의료영상정보에 접근하여 환자의 처치 등에 관하여 원격으로 처방 할 수 있는 서비스 방식이 유용하다. 이런 방식은 PDA와 무선랜의 하드웨어적 특성상 JPEG 파일 형태로 서비스 할 수밖에 없는데 10:1 압축 방식에서 진단가치를 잃지 않으면서도 최대의 효과를 낼 수 있었다. 또한 추후 네트워크 속도와 하드웨어적 사양이 개선된다면 DICOM 무손실 이미지의 조회도 구현 가능함을 알 수 있었다.

Water Saving Irrigation Standard of Tomato in Greenhouse

  • Eom, Ki-Cheol;Lee, Byung-Kook;Koh, Mun-Hwan;Eom, Ho-Yong;Sonn, Yeun-Kyu
    • 한국토양비료학회지
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    • 제46권5호
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    • pp.313-321
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    • 2013
  • The Average daily PET (Potential evapotranspiration), evaluated based on the last 30 years meteorological data and the lysimeter experiment carried out by RDA during 11 years, of 9 regions in Korea for the tomato cultivated in greenhouse, was $3.41mm\;day^{-1}$. Two kinds of water saving irrigation standard (WSIS), deficit irrigation standard (DIS) and partial root-zone drying irrigation standard (PRDIS) that include the irrigation interval and the amount of irrigation water according to the region, soil texture and growing stage, were established. According to the DIS and PRDIS, the cultivator can save water up to 29.2% and 53.7%, respectively, for tomato cultivation in greenhouse compared to the full irrigation standard (FIS) which established in 1999. WSIS can be used easily by the cultivator without complicate procedures such as soil sampling and measurement of soil water status by expensive sensors. But the cultivator should care about irrigation method such as PRDI (partial root-zone drying irrigation) without yield decrease.

약물 중독 환자의 뇌신경계 핵의학 영상 (Neuroimaging in Nuclear Medicine: Drug Addicted Brain)

  • 정용안;김대진
    • Nuclear Medicine and Molecular Imaging
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    • 제40권1호
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    • pp.1-8
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    • 2006
  • Addiction to illicit drugs is one of today's most important social issues. Most addictive drugs lead to irreversible parenchymal changes in the human brain. Neuroimaging data bring to light the pharmacodynamics and pharmacokinetics of the abused drugs, and demonstrate that addiction is a disease of the brain. Continuous researches better illustrate the neurochemical alterations in brain function, and attempt to discover the links to consequent behavioral changes. Newer hypotheses and theories follow the numerous results, and more rational methods of approaching therapy are being developed. Substance abuse is on the rise in Korea, and social interest in the matter as well. On the other hand, diagnosis and treatment of drug addiction is still very difficult, because how the abused substance acts in the brain, or how it leads to behavioral problems is not widely known. Therefore, understanding the mechanism of drug addiction can improve the process of diagnosing addict patients, planning therapy, and predicting the prognosis. Neuroimaging approaches by nuclear medicine methods are expected to objectively judge behavioral and neurochemical changes, and response to treatment. In audition, as genes associated with addictive behavior are discovered, functional nuclear medicine images will aid in the assessment of individuals. Reviewing published literature on neuroimaging regarding nuclear medicine is expected to be of assistance to the management of drug addict patients. What's more, means of applying nuclear medicine to the care of drug addict patients should be investigated further.

Moderate hypofractionated image-guided thoracic radiotherapy for locally advanced node-positive non-small cell lung cancer patients with very limited lung function: a case report

  • Manapov, Farkhad;Roengvoraphoj, Olarn;Li, Minglun;Eze, Chukwuka
    • Radiation Oncology Journal
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    • 제35권2호
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    • pp.180-184
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    • 2017
  • Patients with locally advanced lung cancer and very limited pulmonary function (forced expiratory volume in 1 second $[FEV1]{\leq}1L$) have dismal prognosis and undergo palliative treatment or best supportive care. We describe two cases of locally advanced node-positive non-small cell lung cancer (NSCLC) patients with very limited lung function treated with induction chemotherapy and moderate hypofractionated image-guided radiotherapy (Hypo-IGRT). Hypo-IGRT was delivered to a total dose of 45 Gy to the primary tumor and involved lymph nodes. Planning was based on positron emission tomography-computed tomography (PET/CT) and four-dimensional computed tomography (4D-CT). Internal target volume (ITV) was defined as the overlap of gross tumor volume delineated on 10 phases of 4D-CT. ITV to planning target volume margin was 5 mm in all directions. Both patients showed good clinical and radiological response. No relevant toxicity was documented. Hypo-IGRT is feasible treatment option in locally advanced node-positive NSCLC patients with very limited lung function ($FEV1{\leq}1L$).

Data analysis for improving population management in animal shelters in Seoul

  • Cho, Yoon Ju;Lee, Young-Ah;Hwang, Bo Ram;Kim, Hyung Joon;Han, Jin Soo
    • 대한수의학회지
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    • 제55권2호
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    • pp.125-131
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    • 2015
  • A total of 11,395 animals were impounded in shelters in Seoul in 2013. The Animal Protection Division of the Seoul metropolitan government has annual contracts with local veterinary associations as well as Korean animal rescue and management organizations for providing shelter to animals, and collects monthly statistics from these groups. In 2013, the collected intake and outcome data for 25 districts were reviewed to analyze shelter capacity in terms of housing capacity (monthly daily average intake, required holding capacity, and adoption-driven capacity), staff capacity (staff hours required for daily care), and live release rate. Seasonal variations in the monthly daily average intake were observed, indicating that management of these shelters requires various strategies. This study was performed to analyze and interpret meaningful statistics for improving the efficiency of animal shelters in Seoul. However, inconsistent collection of animal statistics limited data compilation. Creation of a basic animal statistics matrix with reference to well-designed matrices from recognized professional animal shelters is essential. These complied statistical data will help plan for future animal shelter needs in Seoul.

여고생 하복의 착용만족도 및 하복용 직물의 쾌적성 평가 (The Wearing Satisfaction and Comfort-Related Properties of Highschool Girls' Summer Uniforms and The Fabrics)

  • 최종명;김희숙
    • 대한가정학회지
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    • 제38권11호
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    • pp.105-114
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    • 2000
  • The purpose of this study was to investigate the wearing satisfaction of highschool girls’summer uniforms, and to evaluate the comfort-related properties of fabrics used in the uniforms. The subjects were 441 female high school students attending three different schools in Chongju city. The data was collected using self-administered questionnaires to measure the wearing satisfaction of summer school uniforms. Factor analysis, t-test, and F-test were used for data analysis. The heat and moisture transfer properties and air permeable properties of their fabrics were evaluated to measure as comfort-related properties. 1. Most students were wearing blouses made of polyester/rayon blended fabrics and skirts made of 50% wool and 50% polyester blended fabrics. 2. Clothing care and management, and appearance of summer school uniform were assessed positively, while style and design, and the level of comfort were assessed negatively. 3. The subfactors of wearing satisfaction varied according to school, style and design, and fabrics of high school girls’summer uniforms. 4. PET fabrics were rated as having a lower value of thermal retention and a higher value of air permeability than other blouse fabrics. 5. There were not differences significantly in thermal properties according to skirt materials.

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Balloon dilatation in a chow chow dog with Cor triatriatum dexter

  • Kim, Jung-Kook;Park, Jun-Seok;Han, A-Ram;Lee, Ki-Ho;Seo, Kyoung-Won;Song, Kun-Ho
    • 한국동물위생학회지
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    • 제40권3호
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    • pp.215-217
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    • 2017
  • A 3-year-old chow chow dog with abdominal distention was referred to the Veterinary Teaching Hospital of Chungnam National University. The dog was diagnosed as Cor triatriatum dexter based on echocardiographic results, which demonstrated an abnormal membrane partitioning the right atrium. Echocardiography also revealed turbulent intra-atrial blood flow between the two chambers of the atrium. The dog was treated with balloon dilatation to enlarge the perforation in the abnormal membrane and to improve blood flow. As a result, although the membrane remained, increased perforation reduced the turbulent intra-atrial blood flow. Clinically the patient improved and eventually was discharged. This case is the first domestic Korean clinical veterinary report on the use of balloon valvuloplasty to treat Cor triatriatum dexter in a dog.

Microsporum canis에 의한 개의 피부사상균증 및 개, 고양이의 피부사상균의 보균상황 (Studies on the canine ringworm by Microsporum canis and carrier state of dermatophytes in canine and feline)

  • 최원필;윤성웅;송동준;이춘식;김영은;박철정
    • 대한수의학회지
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    • 제33권2호
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    • pp.235-239
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    • 1993
  • This study was performed to examine the distribution of dermatophytes in asymptomatic 454 dogs and 106 cats and in 19 dogs with skin lesions in Taegu The results obtained were summarized as follows ; The causative agent was identified a Microsporum(M) canis in 4 dogs with skin lesions. The isolation rates of dermatophytes were 10.1%(46/454) in asymptomatic dogs and 33.0%(35/106) in asymptomatic cats. The isolation rates of dermatophytes in dogs and cats were lower at house than that at pet cannel and animal care center, and that in females were higher than that in males. From dogs, 43(93.5%) of M canis and 3(6.5%) of M gypseum, and from cats, 33(94.2%) of M canis, 1(2.9%) of M gypseum and M nanum were isolated.

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