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SonazoidTM versus SonoVue® for Diagnosing Hepatocellular Carcinoma Using Contrast-Enhanced Ultrasound in At-Risk Individuals: A Prospective, Single-Center, Intraindividual, Noninferiority Study

  • Hyo-Jin Kang;Jeong Min Lee;Jeong Hee Yoon;Jeongin Yoo;Yunhee Choi;Ijin Joo;Joon Koo Han
    • Korean Journal of Radiology
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    • v.23 no.11
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    • pp.1067-1077
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    • 2022
  • Objective: To determine whether Sonazoid-enhanced ultrasound (SZUS) was noninferior to SonoVue-enhanced ultrasound (SVUS) in diagnosing hepatocellular carcinoma (HCC) using the same diagnostic criteria. Materials and Methods: This prospective, single-center, noninferiority study (NCT04847726) enrolled 105 at-risk participants (71 male; mean age ± standard deviation, 63 ± 11 years; range, 26-86 years) with treatment-naïve solid hepatic nodules (≥ 1 cm). All participants underwent same-day SZUS (experimental method) and SVUS (control method) for one representative nodule per participant. Images were interpreted by three readers (the operator and two independent readers). All malignancies were diagnosed histopathologically, while the benignity of other lesions was confirmed by follow-up stability or pathology. The primary endpoint was per-lesion diagnostic accuracy for HCC pooled across three readers using the conventional contrast-enhanced ultrasound diagnostic criteria, including arterial phase hyperenhancement followed by mild (assessed within 2 minutes after contrast injection) and late (≥ 60 seconds with a delay of 5 minutes) washout. The noninferiority delta was -10%p. Furthermore, different time delays were compared as washout criteria in SZUS, including delays of 2, 5, and > 10 minutes. Results: A total of 105 lesions (HCCs [n = 61], non-HCC malignancies [n = 19], and benign [n = 25]) were evaluated. Using the 5-minutes washout criterion, per-lesion accuracy of SZUS pooled across the three readers (72.4%; 95% confidence interval [CI], 64.1%-79.3%) was noninferior to that of SVUS (71.4%; 95% CI, 63.1%-78.6%), meeting the statistical criterion for non-inferiority (difference of 0.95%p; 95% CI, -3.8%p-5.7%p). The arterial phase hyperenhancement combined with the 5-minutes washout criterion showed the same sensitivity as that of the > 10-minutes criterion (59.0% vs. 59.0%, p = 0.989), and the specificities were not significantly different (90.9% vs. 86.4%, p = 0.072). Conclusion: SZUS was noninferior to SVUS for diagnosing HCC in at-risk patients using the same diagnostic criteria. No significant improvement in HCC diagnosis was observed by extending the washout time delay from 5 to 10 minutes.

INVESTIGATION OF EMISSION RATES OF AMMONIA, NITROUS OXIDE AND OTHER EXHAUST COMPOUNDS FROM ALTERNATIVE- FUEL VEHICLES USING A CHASSIS DYNAMOMETER

  • Huai, T.;Durbin, T.-D.;Rhee, S.-H.;Norbeck, J.-M.
    • International Journal of Automotive Technology
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    • v.4 no.1
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    • pp.9-19
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    • 2003
  • Exhaust emissions were characterized for a fleet of 10 alternative-fuel vehicles (AFVx) including 5 compressed natural gas (CNG) vehicles. 3 liquefied petroleum gas (LPG) vehicles and 2 85% methanol/15% California Phase 2 gasoline (M85) vehicles. In addition to the standard regulated emissions and detailed speciation of organic gas compounds, Fourier Transform Infrared Spectroscopy (FTIR) was used to measure ammonia (NH$_3$) and nitrous oxide ($N_2$O) emissions. NH$_3$, emissions averaged 0.124 g/mi for the vehicle fleet with a range from <0.004 to 0.540 g/mi. $N_2$O emissions averaged 0.022 g/mi over the vehicle fleet with range from <0.002 to 0.077 g/mi. Modal emissions showed that both NH$_3$, and $N_2$O emissions began during catalyst light-off and continued as the catalyst reached its operating temperature. $N_2$O emissions primarily were formed during the initial stages of catalyst light-off. Detailed speciation measurements showed that the principal component of the fuel was also the primary organic gas species found in the exhaust. In particular, methane, propane and methanol composed on average 93%, 79%, and 75% of the organic gas emissions, respectively, for the CNG, LPG. and M85 vehicles.

Thermodynamic Prediction of Groundwater-Rock Interaction Products around Underground Disposal Sites (심부 처분장 주변 지하수-암석 반응 생성물의 열역학적 예측)

  • Lee, Jong-Un
    • Economic and Environmental Geology
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    • v.48 no.2
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    • pp.131-145
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    • 2015
  • Thermodynamic prediction of weathering products from primary aquifer minerals around underground disposal sites was investigated. The distribution of solubility quotients for kaolinite-smectite reactions showed the trend of reaching at equilibrium with Ca-, Mg-, and Na-smectite for deep groundwaters in granitic aquifers. The values of $10^{-14.56}$, $10^{-15.73}$, and $10^{-7.76}$ were proposed as equilibrium constants between kaolinite and Ca-, Mg-, and Na-smectite end members, respectively. On stability diagrams, most of deep groundwaters were located at equilibrium boundaries between stability fields of kaolinite and smectites or on stability fields of smectites and illite. Shallow groundwaters in basic rock aquifer were plotted at the same stability areas of deep granitic groundwaters on stability diagrams. The results indicated that the primiary mineralogical composition may be important to predict weathering products in deep aquifers.

Effect of Hot-air Drying Temperature on Volatile Compounds in Chrysanthemum boreale M. Flowers (열풍 건조온도에 따른 산국의 휘발성 성분 변화)

  • Bae, Sung-Mun;Lee, Seung-Cheol
    • Korean Journal of Food Science and Technology
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    • v.40 no.4
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    • pp.466-469
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    • 2008
  • This study examined the effect of drying temperature on the qualitative properties of Chrysanthemum boreale M. flowers. The flower samples were dried in a hot air dryer at $40^{\circ}C$, $50^{\circ}C$, and $60^{\circ}C$, respectively, to attain a $23{\pm}1%$ moisture content. The time required to reach the target moisture content was 8.5-69 hr, and there was a very high negative correlation between log (spending time) and temperature. The Hunter color L- and b-values of the flowers were decreased with increasing drying temperature, whereas the a-value was increased. The volatile compounds contained in the dried flowers were determined by a solid-phase microextraction method. Twelve primary volatile compounds were detected and then quantified based on the GC chromatograms of the samples. The total contents of volatile compounds were increased with increasing drying temperature, and germacrene D and camphor were the main compounds in all samples.

A Clinico-Horomonal and Cytogenetic Studies in Patients with Gonadal Dysgenesis (성선 발육 부전 환자에 대한 임상 및 세포 유전학적 연구)

  • Lee, Y.J.;Yang, Y.H.;Kim, D.H.;Kim, Y.M.
    • Clinical and Experimental Reproductive Medicine
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    • v.10 no.2
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    • pp.25-37
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    • 1983
  • As the cytogenetic developed, cytogenetic study has also developed progressively. This study is a systematical cytogenetic and clinico-hormonal analysis of 20 cases Wp.ere gonadal dysgenesis was diagnosed and deferred to the Dept. of obstetrics and Gynecology, Yonsei University, Medical School from Jan. 1974 to Aug. 1983. Twenty patients with the diagnosis of gonada dysgenesis have been assesed as to possible correlations between clinical, homonal and cytogenic findings. The desults were as follows; l. Gonadal dysgenesis were found in 20 cases, consisting of 15 cases (75%) of turnurs syndrome, 4 case of pure gonadal dysgenesis (20%), 46. XX and 1 case of mixed gonadal dysgenesis, 45,XO/46,XY. 2. Patients with XO karyotype, turner's ryndorme, have a resonably constant clinical picture of sexual infantilism with streak gonads, short status and webbed neck. 3. 17 cases were found primary amenorhea and two cases were noted with 2 ndary amenorrhea. one case has been presented with menstruation. 4. The rudimentary streak gonads were found in 7 cases of 8 cases and one case has a rudimentary streak gonad on one side and a testis on the contralateral side. 5. The study showed that potients with gonadal dysgenesis had an average of about 4-8 times higher basal FSH and about 3-7 times higher basal LH than that of the early follicular phase of normal menstrual cycle. 6. Two cases of three gonadal dysgenesis patieats, who performed LH-RH challage test, showed that the serum FSH levels reached the maximal level at 30 min after injection of CHRH and the serum LH level reached the maximal level at 60 min ofter injection of LHRH one case showed no significant response to LH-RH injection. Thus, bu studying simultoneously the clinical, cytogenic, hormonal aspects and visualization of gonads, we have gained some practical insight into the requirements for proper disgnosis and treatment.

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High Temperature Corrosion of Alloy 617 in Impure Helium and Air for Very High-Temperature Gas Reactor (초고온가스로용 Alloy 617의 불순물 함유 헬륨/공기 중에서 고온부식 특성)

  • Jung, Sujin;Lee, Gyeong-Geun;Kim, Dong-Jin;Kim, Dae-Jong
    • Corrosion Science and Technology
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    • v.12 no.2
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    • pp.102-112
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    • 2013
  • A very high-temperature gas reactor (VHTR) is one of the next generation nuclear reactors owing to its safety, high energy efficiency, and proliferation-resistance. Heat is transferred from the primary helium loop to the secondary helium loop through an intermediate heat exchanger (IHX). Under VHTR environment Alloy 617 is being considered a candidate Ni-based superalloy for the IHX of a VHTR, owing to its good creep resistance, phase stability and corrosion resistance at high temperature. In this study, high-temperature corrosion tests were carried out at 850 - $950^{\circ}C$ in air and impure helium environments. Alloy 617 specimens showed a parabolic oxidation behavior for all temperatures and environments. The activation energy for oxidation was 154 kJ/mol in helium environment, and 261 kJ/mol in an air environment. The scanning electron microscope (SEM) and energy-dispersive x-ray spectroscopy (EDS) results revealed that there were a Cr-rich surface oxide layer, Al-rich internal oxides and depletion of grain boundary carbide after corrosion test. The thickness and depths of degraded layers also showed a parabolic relationship with the time. A corrosion rate of $950^{\circ}C$ in impure helium was higher than that in an air environment, caused by difference in the outer oxide morphology.

Cervical Cancer Screening in an Early Diagnosis and Screening Center in Mersin, Turkey

  • Nayir, Tufan;Okyay, Ramazan Azim;Nazlican, Ersin;Yesilyurt, Hakki;Akbaba, Muhsin;Ilhan, Berrin;Kemik, Aytekin
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.16
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    • pp.6909-6912
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    • 2015
  • Cancer is a major public health problem due to the jeavy disease burden, fatality and tendency for increased incidence. Of all cancer types, cervical cancer is reported to be the fourth most common cancer in women, and the seventh overall, with an estimated 528,000 new cases worldwide in 2012. It features a long preclinical phase with slowly progressing precancerous lesions such as CIN 2 and 3 and adenocarcinoma in situ. Therefore, screening programs such as with Pap smear tests may play an important role in cervical cancer prevention. The purpose of this study was to present results of a Pap smear screening survey for cervical cancer targeting women living in an urban area in the province of Mersin, located in the Mediterranean region of Turkey. This community-based descriptive study included women living at Akdeniz county of Mersin province. A total of 1,032 screened women between 30 and 65 ages within the routine screening programme constituted the study population. The mean age of the participants was $43.8{\pm}8.6$ (min. 30, max. 65) years. The percentage of the participants who had previously undergone smears was 40.6%. Epithelial cell changes were found in 26 (2.5%) participants, with ASC-US in 18 (1.7%), ASC-H in 2 (0.2%), LSIL in 5 (0.5%) and HSIL in 1 (0.1%). The most common clinical presentation together with epithelial changes was abnormal vaginal discharge. Taking into account the presence of women who had never undergone Pap test; it should be offered at primary level of health care in the form of a community-based service to achieve reduced morbidity and mortality rates.

PHOTOMETRIC STUDY OF NPA ROTATOR (5247) KRYLOV

  • Lee, Hee-Jae;Moon, Hong-Kyu;Kim, Myung-Jin;Kim, Chun-Hwey;Durech, Josef;Choi, Young-Jun;Oh, Young-Seok;Park, Jintae;Roh, Dong-Goo;Yim, Hong-Suh;Cha, Sang-Mok;Lee, Yongseok
    • Journal of The Korean Astronomical Society
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    • v.50 no.3
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    • pp.41-49
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    • 2017
  • We conduct BVRI and R band photometric observations of asteroid (5247) Krylov from January 2016 to April 2016 for 51 nights using the Korea Microlensing Telescope Network (KMTNet). The color indices of (5247) Krylov at the light curve maxima are determined as $B-V=0.841{\pm}0.035$, $V-R=0.418{\pm}0.031$, and $V-I=0.871{\pm}0.031$ where the phase angle is $14.1^{\circ}$. They are acquired after the standardization of BVRI instrumental measurements using the ensemble normalization technique. Based on the color indices, (5247) Krylov is classified as a S-type asteroid. Double periods, that is, a primary period $P_1=82.188{\pm}0.013h$ and a secondary period $P_2=67.13{\pm}0.20h$ are identified from period searches of its R band light curve. The light curve phases with $P_1$ and this indicate that it is a typical Non-Principal Axis (NPA) asteroid. We discuss the possible causes of its NPA rotation.

Plasma Stress Responses in Juvenile Red-Spotted Grouper (Epinephelus akaara) exposed to Abrupt Salinity Decrease

  • Lee, Jang-Won;Kim, Hyung Bae;Baek, Hea Ja
    • Development and Reproduction
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    • v.20 no.3
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    • pp.187-196
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    • 2016
  • The objective of the current study was to determine acute plasma stress responses in two size groups of juvenile Epinephelus akaara (average body weight: $8.4{\pm}2.1$ and $3.3{\pm}0.6g$; 150 and 120 days after hatch, respectively) exposed to abrupt salinity drops (from 34 practical salinity unit, PSU seawater to 18, 10 PSU (experiment 1) or 26, 18, 10 PSU (experiment 2), respectively). Plasma glucose, glutamic oxalate transaminase, glutamic pyruvate transaminase, red blood cell counts, and gill histology were determined during 72 h exposure. Significantly increased plasma glucose, glutamic oxalate transaminase levels, and red blood cell counts were observed in fish exposed to 18 or 10 PSU. Histological changes, such as hyperplasia and lifting of epithelium in the gill secondary lamellae, were also observed in fish exposed to 18 or 10 PSU at 72 h post-drop. E. akaara exposed to sudden salinity drops to 18 or 10 PSU still seems to undergo the primary adjustment phase before fish reaches a new homeostasis, whereas fish exposed to 26 PSU seems to mount osmotic changes. Therefore, the no observed adverse effect levels for 72 h acute salinity challenge was 26 PSU in our study, and salinity drop to 18 PSU and below can possibly cause acute adverse effect, in which fish could be vulnerable to additional stresses such as a temperature changes or handling stress.

Development of Real-time Subway Information Service for the Visually Impaired (시각 장애인을 위한 실시간 지하철 이용 정보 제공 서비스 개발)

  • Kim, Hyo-Rin;Yook, Ju-Hye;Park, Se-Jin;Lim, Soon-Bum
    • Journal of Korea Multimedia Society
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    • v.23 no.8
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    • pp.1099-1107
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    • 2020
  • The need for customized services providing real-time subway information through mobile devices for the blind using subway as their primary transportation method is becoming more essential. Therefore, this study is aimed at developing a mobile service to provide real-time subway information by displaying with braille and utilizing Dot Watch. The process of real-time subway information guidance mobile service is as follows: the route confirmation stage, the ride waiting & judgment stage, the on-the-go stage, and lastly, the off-road phase & wrong path state. The service provides real-time appropriate information to the visually impaired people for each situation. It receives subway information through API provided by Seoul Metropolitan Government and ODSay API. The service is developed and coded with in Java using Android Studio, and the communicating method with Dot Watch was done using Bluetooth. The usability evaluation was conducted in terms of efficiency, effectiveness, and satisfaction. The evaluation methods mentioned above were carried out by testees, and feedback was given. They assessed that the information provided was useful but still unstable to use the system. It is expected that actual usability will increase if our study is supplemented using voice output function.