• Title/Summary/Keyword: 폐 기능검사

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Structuring of Pulmonary Function Test Paper Using Deep Learning

  • Jo, Sang-Hyun;Kim, Dae-Hoon;Kim, Yoon;Kwon, Sung-Ok;Kim, Woo-Jin;Lee, Sang-Ah
    • Journal of the Korea Society of Computer and Information
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    • v.26 no.12
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    • pp.61-67
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    • 2021
  • In this paper, we propose a method of extracting and recognizing related information for research from images of the unstructured pulmonary function test papers using character detection and recognition techniques. Also, we develop a post-processing method to reduce the character recognition error rate. The proposed structuring method uses a character detection model for the pulmonary function test paper images to detect all characters in the test paper and passes the detected character image through the character recognition model to obtain a string. The obtained string is reviewed for validity using string matching and structuring is completed. We confirm that our proposed structuring system is a more efficient and stable method than the structuring method through manual work of professionals because our system's error rate is within about 1% and the processing speed per pulmonary function test paper is within 2 seconds.

Lung Preservation Study for Above 20 Hours of LPDG Solution in Canine Lung Allotransplactation (폐이식 실험견에서 LPDG용액을 이용한 20시간 이상 폐보존효과 관찰)

  • Park, Chang-Gwon;Gwon, Geon-Yeong;Yu, Yeong-Seon
    • Journal of Chest Surgery
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    • v.30 no.10
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    • pp.949-960
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    • 1997
  • Background. Limited ischemic tolerance of the lung has remained one of the factors that limits the expansion of pulmonary transplantation as a treatment for end-stage pulmonary disease. Numerous studies on safe long term preservation for lung transplantation has been performed for the purpose of developing ideal preservation solution with extracellular type or intracellular type solutions. In this. study, we examined the efficacy of L DG solution in lung preservation longer than 20 hours by comparison with modified Euro-Collins solution. Iwethods. Thirty-(our adult mongrel dogs were divided into two groups. Donor lungs were flushed with LPDG solution(n=9) or modified Euro-Collins(MEC) solution(n=8) and stored for 24 hours at 1$0^{\circ}C$. All donor lungs were perfused through the pulmonary arteries with solutions containing prostaglandin El and verapamil. Left canine lung allotransplantations wereperformed. Assessment(hemodynamic indices and arterial blood gas analysis) of left implanted lung was made by occluding the right pulmonary artery for ten minutes using pulmonary artery Cuff. Assessment was repeated at the interval of 30 minutes, one hour, and two hours later after reperfusion and then chest X-ray, computed tomogram and lung perfusion scan were obtained. In survival dogs follow-up studies were done with assessment with chest X-ray, computed tomogram of the chest and lung perfusion scan on 7th day postoperatively. After preservation above 20 hours, pathological examinations for ultrastructural findings on right lung were performed in each group. Results. With respect to arterial oxygen tension, LPDG group was superior to MEC but there was no statistical significance for 2 hours after reperfusion. Mean pulmonary artery pressure was less increased(p < 0.05) and cardiac output higher(p <0.05) than MEC group until 2 hours after reperfusion. After 2 hours of reperfusion, both groups showed transplanted lung function deteriorated gradually. Perfusion scan of the transplanted lung in LPDG group showed better perfusion rate in immediate post-reperfusion, 3 days and 7 days later respectively but there was no statistical significance and corelation with PaO2 and computed tomoRravhic views. In scanning electron microscopy of pulmonary artery after preservation, LPDG group relatively shows less irregular protrusion of the inner surface of endothelial cell of poulmonary artery than MEC group. Conclusions, e concluded that LPDG solution can offer safe lung preservation above 20 hours with adequate immunosuppressive therapy and prevention of the infection.

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Using CT to Evaluate Cardiac Function (CT를 이용한 심장 기능 검사)

  • Jongmin Lee
    • Journal of the Korean Society of Radiology
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    • v.85 no.2
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    • pp.308-326
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    • 2024
  • A comprehensive evaluation of cardiac function includes information in relation to cardiac output and systemic venous return. The heart is composed of four chambers: two atria and two ventricles, each with its own unique mechanical function. These four cardiac chambers, their valves, and the pulmonary circulation system are inter-related as they preload or afterload on each other. Cardiac dysfunction is a failure of global cardiac function, resulting in typical clinical manifestations. To investigate the underlying cause of cardiac dysfunction, a step-by-step evaluation of cardiac blood flow tracks is necessary. In this context, imaging markers showing details of the cardiac structures have an important role in assessing cardiac function. An image-based evaluation allows for investigation of function in terms of individual cardiac components. Evaluation of cardiac function using cardiac CT has recently been validated. This review aimed to discuss cardiac CT-based imaging markers for comprehensive and detailed cardiac function assessment.

Relationship between the Change in Body Weight or Body Mass Index and Pulmonary Function (체중 및 체질량지수 차이에 따른 폐 기능과의 연관성)

  • Kim, Taeyoung;Woo, Jeonghyun;Lee, Woohyun;Jo, Seonkyung;Chun, Hyejin
    • Korean journal of health promotion
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    • v.19 no.2
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    • pp.91-95
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    • 2019
  • Background: Obesity and deterioration of pulmonary function are known to increase all-cause mortality and morbidity associated with chronic diseases. Obesity is a known risk factor for decreasing pulmonary function; however, studies on the effect of changes in body weight or body mass index (BMI) on pulmonary function are rare. This study aimed to investigate the relationship between the change in body weight or BMI and the pulmonary function test (PFT) in Koreans who underwent consecutive screening at a health promotion center. Methods: We enrolled 5,032 patients who underwent consecutive screening health check-ups at a health promotion center in 2015 and 2017. The BMI was calculated as the body weight (kg) divided by the square of the height (m2) in 2015 and 2017. We analyzed the association between the change in body weight or BMI and PFT. Results: In males, PFT and changes in body weight were associated with forced expiratory volume in 1 second (FEV1) but not with changes in BMI. In females, FEV1/forced vital capacity and forced expiratory flow between 25-75% of vital capacity (FEF25-75%) were significantly associated with the changes in body weight and BMI. A correlation analysis between body weight and BMI showed a negative correlation with FEF25-75% in males. In females, FEV1/FVC and FEF25-75% were negatively correlated. Conclusions: We observed that the increase in body weight and BMI was significantly associated with pulmonary function. This finding suggests that careful monitoring of body weight and BMI may aid in maintaining proper pulmonary function, thereby, reducing mortality and morbidity.

Extension Feasibility on Replacement Cycle of Rotor Blade Equipped for Low Pressure First Stage in a 150 MW Gas Turbine (150 MW급 가스터빈 저압 1단 회전익 교체주기 연장 가능성 연구)

  • Lim, Jong-Ho;Lee, Jae-Heon
    • Plant Journal
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    • v.9 no.4
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    • pp.31-36
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    • 2013
  • In order to extend a hot gas parts replacement cycle of a gas turbine, blade row 1 from low pressure turbine, which has a significant impact on the cycle, has been selected from stored set after one cycle use. Taking into account the status of the first stage moving blade in LP turbine operated more than 27,000 equivalent operating hours(EOH) and the replacement cycle in the same type of gas turbine, the replacement of the high temperature components installed on the GT, a study subject, can be extended from 24,000 to 27,000 EOH.

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Lung Volume Reduction Surgery in Patients with Severe Emphysema, 7 cases (중증 폐기종 환자에서의 폐용적 감축술, 7례)

  • Jin, Ung;Lee, Sun-Hee;Kim, Si-Hoon;Wang, Young-Pil;Cho, Kyu-Do;Park, Jae-Kil;Kwak, Moon-Sub;Kim, Se-Wha
    • Journal of Chest Surgery
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    • v.32 no.6
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    • pp.543-548
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    • 1999
  • Background: These days, lung volume reduction surgery (LVRS) is used as an alternative or a bridge operation to lung transplantation in treating patients with severe emphysema. The procedure can be used in patients with pulmonary nodules combined with severe emphysema. We report the results of 21 months follow up after lung volume reduction surgery in 7 cases including 2 cases of concurrent resection of pulmonary nodules. Material and Method: Seven patients with emphysema, including 2 cases of preoperatively suspected lung cancer were operated with LVRS technique between July 1996 and June 1997. Result: Postoperative mortality was observed in a case of squamous cell carcinoma in LUL with brain metastasis, detected at postoperative 13months. Average of 21months(19-25months) follow up was done for other cases without specific events. Conclusion: LVRS is a useful operation in the treatment of patients with severe emphysema, but further evaluation should be done about the long term results and precise criteria for patient selection. Simultaneous LVRS and tumor resection could be done in patients with emphysema with marginal reserve in the hope of maximizing postoperative lung functions.

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Health-related Quality of Life Measurement with St. George's Respiratory Questionnaire in Post-tuberculous Destroyed Lung (결핵후 폐손상에서 한국어판 St. George's Respiratory Questionnaire를 이용한 건강 관련 삶의 질 평가)

  • Lee, Byoung Hoon;Kim, Young Sam;Lee, Ki Deok;Lee, Jae Hyung;Kim, Sang-Hoon
    • Tuberculosis and Respiratory Diseases
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    • v.65 no.3
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    • pp.183-190
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    • 2008
  • Background: The control of active pulmonary tuberculosis is still an issue in community medicine. But there are also considerable needs for supportive management of symptomatic patients with post-tuberculous destroyed lung. Few studies have evaluated clinical characteristics and health-related quality of life in patients with post-tuberculous destroyed lung. Methods: We evaluated lung function, exercise tolerance, HRCT and health-related quality of life measurements using the Korean version of St. George's Respiratory Questionnaire (SGRQ) in 22 patients with parenchymal damage to more than a half of one lung due to pulmonary tuberculosis. Results: In the pulmonary function test, mixed defects and obstructive defects were observed in 10 (45.0%) and 9 (40.9%) of patients, respectively. In the cardiopulmonary exercise test, the mean $VO_2max%$ predicted ($39.0%{\pm}10.9%$) and $O_2$ pulse% predicted ($61.3%{\pm}13.6%$) were markedly decreased. In the SGRQ, the impact score (mean $27.8{\pm}18.5$) was significantly lower than the symptom score (mean $53.9{\pm}20.9$) or activity score (mean $50.8{\pm}27.3$) (p<0.05, p<0.01). Cronbach's alpha coefficient value for reliability was more than 0.7 for each subscale and total score. The total score showed a significant negative correlation with $FEV_1%$ predicted (r=-0.46, p<0.05) and $SaO_2$ (r=-0.60, p<0.05). On HRCT, a median of 9 (range 5~15) bronchopulmonary segments were destroyed by less than half, which significantly correlated with SGRQ total score (r=-0.52, p=0.02). Conclusion: The reliability and validity of the Korean version of the SGRQ was acceptable for the measurement of health-related quality of life in patients with post-tuberculous destroyed lung.

T-cell Mediated Immunity in Pulmonary and Extrapulmonary Tuberculosis (폐 및 폐외결핵환자에서의 T 림프구 매개성 면역기능의 변화에 관한 연구)

  • Choi, Dong-Chull;Shim, Tae-Sun;Cho, Sang-Heon;Jung, Ki-Ho;Hyun, In-Gyu;Yoo, Chul-Gyu;Kim, Young-Whan;Shim, Young-Soo;Kim, Keun-Youl;Han, Yong-Chol
    • Tuberculosis and Respiratory Diseases
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    • v.39 no.1
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    • pp.62-72
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    • 1992
  • Background: T-cell mediated cellular immunity has been suggested as an important mechanism in mycobacterial infection and imbalance between helper/inducer and suppressor/cytotoxic T-cell has been suggested as an important immunological abnormality in the pathogenesis of tuberculosis in human. Method: To determine whether there is any difference in T-cell mediated immunity in the pathogenesis of pulmonary and extra pulmonary tuberculosis, total numbers of WBC&lymphocytes were counted and helper/inducer and suppressor/cytotoxic cells were calculated by flow cytometry. Blastogenesis after stimulation with Concanavalin-A, Phytohemagglutinin and PPD were measured by $^3H$-thymidine uptake. PPD skin test was performed as an in vivo test. Results: 1)There was no significant difference in the size of PPD skin test between pulmonary and extrapulmonary tuberculosis groups. 2)Number of total lymphocytes significantly decreased in tuberculosis patients compared with healthy control group. But there was no significant difference between pulmonary and extrapulmonary tuberculosis groups. 3) Number of HLA-DR and Interleukin-2 receptor (+) cells were significantly increased in tuberculosis patients. But there was no significant difference between pulmonary and extra pulmonary tuberculosis groups. 4) There was no significant difference in the numbers of WBC, $T_3$, $T_4$ and $T_8$ lymphocytes and $T_4/T_8$ ratio between tuberculosis patients and healthy controls. 5) There was no significant difference in the blastogenesis after stimulation with specific and non-specific blastogens between tuberculosis patients and healthy controls. 6) The percentage and absolute number of $T_4$ lymphocyte were significantly correlated with the size of PPD skin test. (r=0.689 and 0.598). Conclusion: From these results, it is concluded that there was no difference in T-cell mediated immunity between pulmonary and extra pulmonary tuberculosis group. But, because it is suspected that there might be some difference in the role of T-cell mediated immunity in the pathogenesis of pulmonary and extra pulmonary tuberculosis or even among the extrapulmonary tuberculosis patients, further studies would be required.

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STUDIES ON THE SAFETY OF KOREAN GINSENG INGESTED AS FOOD SUBSTANCE (고려인삼의 식품안전성 연구)

  • Hong Soon Keun;Lee Song Jae;Kim Young Soo;Jeon Byeong Seon;Lim Chang Hyung
    • Proceedings of the Ginseng society Conference
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    • 1984.09a
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    • pp.199-213
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    • 1984
  • 홍삼 분말을 혼합하여 제조한 사료로 $60{\~}80g$ 의 Sprague Dawley Rat(female) 12마리를 1군으로 하여 $1{\~}6$개월간 사육하였다. 사육기간동안. 체중증가, 혈청의 생화학적 분석, 장기(심장 폐, 신장, 간. 비장, 뇌)의 무게차 이들 장기의 병리조직검사를 하였다. 인삼 사육관과 대조군의 성장율, 장기 무게와 혈구수는 통계적 유의성은 없었으나 혈청중의 triglyce-ride, total cholesterol, free cholesterol 함량은 대조군과 유사하였고 total lipid, free fatty acid는 대조군에 비해 약간씩 감소하였다. 그러나 실험군의 total protein, phospholipid, HDL-cholesterol은 대조군에 비해 증가하였다. 실험군의 병리조직검사에서도 대조군과 차이가 없었으나, 특히 대조군의 비장에서는 조혈기능을 지닌 거핵구세포가 다수 출현하였으며 인삼 투여기간과 용량에는 비례하지 않았다. $F_{1},\;F_{2}$세대의 적혈구, 백혈구, 장기 무게와 병리조직검사는 대조군과 유사하였으며 외형적 기형도 발견되지 않았다. 이상의 결과들로 고려인삼은 건강식품으로도 매우 안전하며 조혈기능도 촉진시킴을 시사해 준다.

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An Implementation of ARM 920T Processor-based Ultrasonic Spirometer and Improvement of Its Sensitivity (ARM 920T 프로세서 기반의 초음파 폐활량계 구현 및 감도 향상 연구)

  • Lee, Cheul-Won;Kim, Young-Kil
    • Journal of the Korean Society for Nondestructive Testing
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    • v.25 no.4
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    • pp.268-273
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    • 2005
  • The spirometer is a medical device that measures the instantaneous velocity of the respiratory gas flow capacity. It is used for testing the condition of the lung and patient monitoring. It measures the absolute capacity difference that includes the flow capacity signal. In this paper, by using an ultrasound sensor that reduce+ the error caused by the inertia and pressure it has improved the transmission and receiving signal. This has enabled patients with weak respiratory to use the spirometer. Also, by using the ARM 920T Processor, a precise and prompt detection system was implemented.