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Radiation Dose and Image Quality of Low-dose Protocol in Chest CT: Comparison of Standard-dose Protocol (흉부 CT촬영에서 저선량 프로토콜의 선량과 화질: 표준선량 프로토콜과 비교)

  • Lee, Won-Jeong;Ahn, Bong-Seon;Park, Young-Sun
    • Journal of Radiation Protection and Research
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    • v.37 no.2
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    • pp.84-89
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    • 2012
  • The purpose of this study was to compare radiation dose and image quality between low-dose (LDP) and standard-dose protocol (SDP). LDP (120 kVp, 30 mAs, 2-mm thickness) and SDP (120 kVp, 180 mAs, 1.2-mm thickness) images obtained from 61 subjects were retrospectively evaluated at level of carina bifurcation, using multi-detector CT (Brilliance 16, Philips Medical Systems). Signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR) were calculated at ascending aorta and infraspinatus muscle, from CT number and back-ground noise. Radiation dose from two protocols measured at 5-point using acrylic-phantom, and CT number and noise measured at 4-point using water-phantom. All statistical analysis were performed using SPSS 19.0 program. LDP images showed significantly more noise and a significantly lower SNR and CNR than did SDP images at ascending aorta and infraspinatus muscle. Noise, SNR and CNR were significantly correlated with body mass index (p<0.001). Radiation dose, SNR and CNR from phantom were significant differences between two protocols. LDP showed a significant reduction of radiation dose with a significant change in SNR and CNR compared with SDP. Therefore, exposure dose on LDP in clinical applications needs resetting highly more considering image quality.

The Effects of Knee Sleeve with a Stimulation of Golgi Tendon Organ on One Leg Standing and Proprioception (무릎 슬리브 착용과 골지 건 기관 자극이 한 발 서기 동작과 고유수용성 감각에 미치는 영향)

  • Jeong, BoRa;Chang, YoonHee;Kim, GyuSeok;Ryu, JeiCheong;Ko, Chang-Yong
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.11 no.4
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    • pp.323-330
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    • 2017
  • Knee sleeve has been used for prevention of sport injuries as well as rehabilitation. To investigate prevention of sport injuries of knee sleeve, it is important to evaluate balance associated with proprioception. The aim of this study was to evaluate the effects of a knee sleeve with a pad that stimulate to golgi tendon organ (GTO_PAD) on proprioception and balance ability. Five healthy males were participated for the study. They were asked to reenact target angle with Biodex and perform one leg standing with knee sleeve and knee sleeve with GTO_PAD. There was no significant difference in %Target angle, but the value of %Target angle was higher in subjects wearing knee sleeve with GTO_PAD than only knee sleeve, except for one subject. During one leg standing, time duration was increased in subjects wearing knee sleeve with GTO_PAD. The length of center of pressure in x-axis (COPx) and COP in y-axis (COPy) were decreased when wearing knee sleeve with GTO_PAD (COPx : $162.06{\pm}58.99mm$ in knee sleeve vs. $149.03{\pm}45.30mm$ in knee sleeve with GTO_PAD, COPy : $310.79{\pm}115.89mm$ in knee sleeve, $291.57{\pm}76.53mm$ in knee sleeve with GTO_PAD). There was significant differences in INI_transition, steady, and LAT_transition phase (all, p < 0.05). These findings support that wearing knee sleeve with GTO_PAD might enhance proprioception and balance.

Comparing the Efficacy and Safety on Intravenous Administration of Aminoglycosides Twice versus Thrice Daily (아미노글리코사이드계 항생제의 투약간격에 따른 안전성 및 효과)

  • Lee, Ju Eun;Kim, Ho Soon;Shin, Wan Gyoon;Cho, Nam Chun
    • Korean Journal of Clinical Pharmacy
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    • v.8 no.2
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    • pp.83-88
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    • 1998
  • Improved knowledge of the time course of antimicrobial activity should provide useful information for designing optimal dosage regimen. In contrast to $\beta$-lactam, aminoglycosides tend to induce a prolonged postantibiotic effect against aerobic or facultative gram negative rods and clinical outcome was significantly correlated with achieving peak serum concentrations. The objective of this study was to compare the efficacy, safety of e same total daily dose of amikacin and gentamicin given either twice or thrice daily in the treatment of patients. Consecutive patients over 20 years old with a suspected or confirmed infection for which an aminoglycosides was indicated were eligible. Exclusion criteria were known allergy to aminoglycosides, renal impairment, granulocytopenia and pregnancy. Patients were treated with intravenous amikacin 15 mg/kg/day or gentamicin 4.5 mg/kg/day either in two devided or in three devided. Seventy-four patients with infection were enrolled in this study of amikacin twice daily (A2, n=29), gentamicin twice daily (G2, n=8) vs amikacin thrice daily (A3, n=30), gentamicin thrice daily (G3, n=7). Baseline characteristics were comparable in G2 and G3. The clinical cure rate (including partial improve) were $89.0\%\;and\;86.0\%$ in A2 group and A3 group respectively. The bacteriologic cure rate were $99.0\%\;and\;85.7\%$ in A2 group and in A3 group respectively. The clinical and bacteriologic effects were difficult to compare G2 with G3, because of the small numbers of patients. The serum creatinin rose in $3.44\%$ (1 in 29) of patients in the A2 group compared to $13.3\%$ (4 in 30) in e A3 group. Although audiometry was not performed, there was no clinical evidence of ototoxicity in any of the patients. In our opinion, twice-daily regimen of aminoglycosides is more effective and less nephrotoxic than thrice-daily regimen.

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The Spectral Characteristics of Climatological Variables over the Asian Dust Source Regions and its Association with Particle Concentrations in Busan (황사 발원지 기후자료의 시계열 특성과 부산지역 먼지 농도의 연관성 분석)

  • Son, Hye-Young;Kim, Cheol-Hee
    • Journal of the Korean earth science society
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    • v.30 no.6
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    • pp.734-743
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    • 2009
  • In order to examine how climatological condition can influence on urban scale particulate air pollutants, single and cross spectrum analysis have been performed to daily mean concentrations of particulate matters ($PM_{10}$) in Busan together with the climatological variables over the Asian dust source regions. Single power spectrum analysis of $PM_{10}$ concentrations in Busan shows that, aside from the typical and well-known periodicities, 3-4 year of peak periodicity of power spectrum density was identified. In cross spectrum analysis, this 3-4 year periodicity is found to have a strong positive correlation with the wind speed and pressure, and negative with the temperature and relative humidity, which is rather consistent with both characteristics of air mass during the Asian dust event whose periodicities have been recorded inter-annually over the Korean urban cities. Over the Asian dust source regions, $PM_{10}$ vs. precipitation shows no significant periodicity from the time series of precipitation data, but the periodicity of EDI (Effective Drought Index) shows some interannual variabilities ranging from 2 to 4 years over the various source regions, suggesting that, rather than precipitation itself, the EDI could be more closely associated with the occurrence frequency of Asian dust and interannual variability of urban particle concentrations in Korean cities.

Computational study of orientation effects on thermal performance of natural convection cooled lightweight high performance hollow hybrid fin heat sinks (자연대류 냉각되는 경량고성능 할로우 하이브리드 휜 히트싱크의 열성능에 대한 방향 영향의 전산연구)

  • Effendi, Nico Setiawan;Kim, Kyoung-Joon
    • Journal of Advanced Marine Engineering and Technology
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    • v.40 no.9
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    • pp.786-790
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    • 2016
  • This paper discusses numerically explored orientation effects on the thermal performance of hollow hybrid fin heat sinks (HHFHSs) under natural convection. A HHFHS consists of an array of hollow pin fins concatenated with plate fins and having perforations near the fin bases. Orientation effects on the footprint-based and mass-based thermal performance of the HHFHS were numerically studied for orientation angles ranging from $0^{\circ}$ to $180^{\circ}$. The performance of the HHFHS was compared with that of a pin fin heat sink (PFHS) having similar physical parameters. The results show that the thermal resistance of the HHFHS did not vary considerably from $0^{\circ}$ to $45^{\circ}$. The thermal resistance increased from $45^{\circ}$ to $90^{\circ}$, reached its maximum at $90^{\circ}$, and decreased consistently from $90^{\circ}$ to $180^{\circ}$. Dissimilar behaviors of the thermal resistance of the HHFHS vs. the PFHS resulted mainly from the effect of heat pumping induced by the internal flows of the hollow fins. Despite various orientations, the mass-based thermal resistance of the HHFHS was found to be nearly 30% smaller than that of the PFHS. This result shows the feasibility of the HHFHS for the lightweight thermal management of electronics under natural convection.

Effects of Nutrition Education at a Community Health Center on Overweight and Obese Middle-aged Women in Jeonbuk Area-Focused on Personalized Daily Energy Requirement and Food Exchange Units (전북 일부 지역 과체중 및 비만 중년 여성 대상 보건소 영양교육 효과 -개인별 하루필요에너지 및 식품군 단위수 교육을 중심으로-)

  • Kim, Se-Yeon;Kim, Sook-Bae
    • Korean Journal of Community Nutrition
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    • v.22 no.4
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    • pp.307-322
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    • 2017
  • Objectives: This study examined the effects of nutrition education focused on personalized daily energy requirement and food units using Food Exchange System on anthropometric, biochemical characteristics, nutrition knowledge, dietary attitude and nutrient intakes for overweight and obese in a public health center. Methods: The subjects were 60 overweight/obese women based on BMI (educated 30 vs. non-educated 30, 50~64 years). Educated group was provided individual and/or group lessons (40 min/lesson/week, 5 week), 'Introduction: obese & health', '6 nutrients and 6 food groups', 'My obesity & daily needed energy', 'Meal planning for personalized daily energy and food units using Food Exchange Systems', and 'Smart food choices'. After education, we examined the differences in anthropometric/biochemical characteristics, nutrition knowledge, dietary attitude and nutrient intakes between educated group and non-educated group. Results: After nutrition education, in the educated group, there were improvements on anthropometric/biochemical characteristics, nutrition knowledge, dietary attitude and nutrient intakes in the educated group compared to the non-educated group. We observed a decrease in the mean weight, total cholesterol (TC) and the incidence of overweight/obesity and hypercholesterolemia and an increase in the mean lean body mass. The scores of nutrition knowledge, 'Function of carbohydrate, protein, vitamin, mineral' and 'Food Sources of fat, vitamin, mineral' were increased. The scores of dietary attitudes, 'Taking a joyful meal, a leisurely meal, a balanced meal, a meal with sufficient vegetables, a meal with diversity, a meal with spicy foods, a meal with overeating' were increased. The intakes of energy, carbohydrate, fat, protein, vitamin A, thiamin, Zn and cholesterol were decreased. The scores of INQ, protein, vitamin A, vitamin C, thiamin, riboflavin, vitamin B6, folate, Ca, P, Fe, Zn were increased. Conclusions: The nutrition education focused on personalized daily energy requirement and food exchange unit using Food Exchange System for overweight and obese may improve food behavior, dietary intakes and symptoms of overweight and obese, even in a community health center.

Estimation of Ultimate Methane Yields and Biodegradability from Urban Stream Sediments Using BMP Test (BMP(Biochemical Methane Potential) test를 통한 도심하천 퇴적물의 최종메탄발생수율 및 생분해도 산정)

  • Song, Jaehong;Kim, Seogku;Lee, Junki;Koh, Taehoon;Lee, Taeyoon
    • Journal of the Korean GEO-environmental Society
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    • v.11 no.2
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    • pp.33-42
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    • 2010
  • The main objective of this study was to offer informations about the current conditions of stream sediments and to evaluate biochemical methane potentials of stream sediments from the urban streams in Busan city using conventional BMP tests. First we select total 5 urban streams and collect sediment samples. Then, COD, proximate analysis, volatile solid, organic carbon content and elemental analysis were conducted to determine characteristics of the sediments. Results show that COD, volatile solid and organic carbon content are determined in the range of $15.20{\sim}75.07mg\;g^{-1}$, 2.34~11.54% and 1.28~34.21%, respectively. Also, several biochemical methane potential tests were performed in a laboratory. As a result, pH values of the reactors generally increased and then stabilized at 7.11~7.35. In addition, C/N ratio, ultimate methane and carbon dioxide yield (mL/g VS) and biodegradability (%) were determined to 1.05~10.27, 10.1~179.4, 10.3~34.4 and 4.0~30.1, respectively. For the determination of the correlations between ultimate methane yield and ultimate carbon dioxide yield, C/N ratio, COD, volatile solid and organic carbon content, a linear model was fitted to the data using a least-squares algorithm. As a result, except for COD ($r^2=0.7586$) and volatile solid ($r^2=0.7876$), Linear model was well fitted to each data with good values of the correlation coefficient ($r^2=0.9795{\sim}0.9858$). Finally, we propose empirical equations, which contain C/N ratio or TOC, for the prediction of ultimate methane yield for the urban streams in Busan city.

Anaerobic Acid and Methane Fermentation using Paper Wastes (폐지를 이용한 혐기성 산 발효 및 메탄발효 특성)

  • 조건형;김중곤;김성준;김시욱
    • KSBB Journal
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    • v.18 no.4
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    • pp.318-323
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    • 2003
  • This study was carried out to investigate the possibility of reusing newspaper or paperbox waste by methane fermentation. When 15 g of newspaper and box wastes were digested separately for 24 days by batch fermentation, the amount of total organic acids produced were 2461 and 4978 mg/L, respectively. The tCOD removal rates were found to be 60.9 and 62.4%, respectively. In addition, the removal efficiencies of total solid were 34.8 and 33.4%, and those of volatile solid were 40.0 and 39.2%, respectively. During this period, the amounts of biogas produced were 6.95 and 6.43 L. In a semicontinuous reaction, tCOD removal efficiencies for newspaper and box wastes were 64.7 and 65.0%, respectively, after 14 days of digestion. After 25 days, which were needed to stabilize the methane fermentation, the amounts of biogas produced daily were 0.31 and 0.30 L/g.dry wt, respectively. Methane contents were 57.3 and 56.2%, respectively, and the pHs in the anaerobic acidogenic and methanogenic fermenters were 5.0 and 7.5, respectively.

Clinical Analysis of Marine Telemedicine Cases for Ocean-Going Vessel Crew (원양선박 선원들의 해양원격의료 실태를 통한 임상분석)

  • Lee, Chang-Min;Park, Ik-Min;Choi, Byung-Kwan
    • Journal of Navigation and Port Research
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    • v.42 no.1
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    • pp.31-38
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    • 2018
  • The purpose of this study is to contribute to the study of the prevention of diseases and promotion of health of ocean going vessel crew members, through the medical diagnosis and disease classification efforts of this study. From the second half of 2016 to 2017, the diagnosis and health characteristics of 195 crew members were collected through counseling, treatment, and emergency care for about 1 year and 2 months. As a result, it is noted that the incidence of diseases was in the order of urticaria (5.6%), lumbar sprain (4.1%), acute gastroenteritis (3.1%) and anxiety (3.1%). In categorical review, the incidence of musculo-skeletal disease was the most common (25.1%) which was followed by skin disease (17.9%) and digestive disease (11.3%). In addition, the disease that was noted as was the most common in the under 30 years old category, and the incidence of the disease was high in the crew group. Finally, there was a difference between the pathogenesis (trauma vs disease, etc.) (p <.001) and the type of vessel (merchant ship and fishing vessel) (p <.005) as noted in this case.

Comparison of Methods for Detection of Escherichia coli O157:H7 in Ground Beef and Radish Sprouts

  • Lee, Jae-Hoon;Hyeon, Ji-Yeon;Heo, Seok;Hwang, In-Gyun;Kwak, Hyo-Sun;Choi, In-Soo;Park, Chan-Kyu;Seo, Kun-Ho
    • Food Science of Animal Resources
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    • v.30 no.2
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    • pp.179-184
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    • 2010
  • Escherichia coli O157:H7 is a food-borne pathogen that causes bloody diarrhea, hemorrhagic colitis, and hemolytic uremic syndrome (HUS). We compared three selective media and evaluated the performance of immunomagnetic separation (IMS) for the detection of low levels of E. coli O157:H7 in ground beef and radish sprouts with different levels of background flora. Bulk food samples (500 g for each trial) were artificially inoculated with nalidixic acid-resistant E. coli O157:H7 at the lowest dose that would generate 20 partial-positive samples of 25 g each. All samples were homogenized in mTSB (225 mL) and incubated overnight at $37^{\circ}C$. IMS was performed using the enriched mTSB samples (1 mL) along with conventional spreads plated onto three different selective media: Sorbitol MacConkey agar (SMAC), Sorbitol MacConkey agar with cefixime and tellulite (CT-SMAC), and Sorbitol MacConkey agar with nalidixic acid (NAL-SMAC) as the gold standard. Two suspicious colonies from each medium were selected and confirmed usinga serological test after transfer to tryptic soy broth with yeast extract (TSAYE). CT-SMAC was better than SMAC for detecting E. coli O157:H7 in all food types. Although there was no statistical difference in the number of positive samples when using IMS vs. non-IMS techniques, more positive samples were detected when IMS was used in both ground beef and radish sprouts. It appears that the improvement was more significant in radish sprouts, which had a higher level of background flora than ground beef. The results also suggest that the combination of CT-SMAC and IMS is sufficient to recover low levels of E. coli O157:H7 in high background flora food samples.