• Title/Summary/Keyword: FeNO

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Fractional exhaled nitric oxide and forced expiratory flow between 25% and 75% of vital capacity in children with controlled asthma

  • Yoon, Ji-Yong;Woo, Sung-Il;Kim, Heon;Sun, Yong-Han;Hahn, Youn-Soo
    • Clinical and Experimental Pediatrics
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    • v.55 no.9
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    • pp.330-336
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    • 2012
  • Purpose: Fractional exhaled nitric oxide (FeNO) and forced expiratory flow between 25% and 75% of vital capacity ($FEF_{25-75}$) are not included in routine monitoring of asthma control. We observed changes in FeNO level and $FEF_{25-75}$ after FeNO-based treatment with inhaled corticosteroid (ICS) in children with controlled asthma (CA). Methods: We recruited 148 children with asthma (age, 8 to 16 years) who had maintained asthma control and normal forced expiratory volume in the first second ($FEV_1$) without control medication for ${\geq}3$ months. Patients with FeNO levels >25 ppb were allocated to the ICS-treated (FeNO-based management) or untreated group (guideline-based management). Changes in spirometric values and FeNO levels from baseline were evaluated after 6 weeks. Results: Ninety-three patients had FeNO levels >25 ppb. These patients had lower $FEF_{25-75}$ % predicted values than those with FeNO levels ${\leq}25$ ppb (P<0.01). After 6 weeks, the geometric mean (GM) FeNO level in the ICS-treated group was 45% lower than the baseline value, and the mean percent increase in $FEF_{25-75}$ was 18.7% which was greater than that in other spirometric values. There was a negative correlation between percent changes in $FEF_{25-75}$ and FeNO (r=-0.368, P=0.001). In contrast, the GM FeNO and spirometric values were not significantly different from the baseline values in the untreated group. Conclusion: The anti-inflammatory treatment simultaneously improved the FeNO levels and $FEF_{25-75}$ in CA patients when their FeNO levels were >25 ppb.

The Effect of Promoter on the SO2-resistance of Fe/zeolite Catalysts for Selective Catalytic Reduction of NO with Ammonia (NO의 암모니아 선택적 촉매환원반응을 위한 철 제올라이트 촉매의 내황성에 미치는 조촉매 효과)

  • Ha, Ho-Jung;Choi, Joon-Hwan;Han, Jong-Dae
    • Clean Technology
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    • v.21 no.3
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    • pp.153-163
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    • 2015
  • The effects of H2O and residue SO2 in flue gases on the activity of the Fe/zeolite catalysts for low-temperature NH3-SCR of NO were investigated. And the addition effect of Mn, Zr and Ce to Fe/zeolite for low-temperature NH3-SCR of NO in the presence of H2O and SO2 was investigated. Fe/zeolite catalysts were prepared by liquid ion exchange and promoted Fe/zeolite catatysts were prepared by liquid ion exchange and doping of Mn, Zr and Ce by incipient wetness impregnation. Zeolite NH4-BEA and NH4-ZSM-5 were used to adapt the SCR technology for mobile diesel engines. The catalysts were characterized by BET, X-ray diffraction (XRD), SEM/EDS, TEM/EDS. The NO conversion at 200 ℃ over Fe/BEA decreased from 77% to 47% owing to the presence of 5% H2O and 100 ppm SO2 in the flue gas. The Mn promoted MnFe/BEA catalyst exhibited NO conversion higher than 53% at 200 ℃ and superior to that of Fe/BEA in the presence of H2O and SO2. The addition of Mn increased the Fe dispersion and prevented Fe aggregation. The promoting effect of Mn was higher than Zr and Ce. Fe/BEA catalyst exhibited good activity in comparison with Fe/ZSM-5 catalyst at low temperature below 250 ℃.

Association of wheezing phenotypes with fractional exhaled nitric oxide in children

  • Shim, Jung Yeon
    • Clinical and Experimental Pediatrics
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    • v.57 no.5
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    • pp.211-216
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    • 2014
  • Asthma comprises a heterogeneous group of disorders characterized by airway inflammation, airway obstruction, and airway hyperresponsiveness (AHR). Airway inflammation, which induces AHR and recurrence of asthma, is the main pathophysiology of asthma. The fractional exhaled nitric oxide (FeNO) level is a noninvasive, reproducible measurement of eosinophilic airway inflammation that is easy to perform in young children. As airway inflammation precedes asthma attacks and airway obstruction, elevated FeNO levels may be useful as predictive markers for risk of recurrence of asthma. This review discusses FeNO measurements among early-childhood wheezing phenotypes that have been identified in large-scale longitudinal studies. These wheezing phenotypes are classified into three to six categories based on the onset and persistence of wheezing from birth to later childhood. Each phenotype has characteristic findings for atopic sensitization, lung function, AHR, or FeNO. For example, in one birth cohort study, children with asthma and persistent wheezing at 7 years had higher FeNO levels at 4 years compared to children without wheezing, which suggested that FeNO could be a predictive marker for later development of asthma. Preschool-aged children with recurrent wheezing and stringent asthma predictive indices also had higher FeNO levels in the first 4 years of life compared to children with wheezing and loose indices or children with no wheeze, suggesting that FeNO measurements may provide an additional parameter for predicting persistent wheezing in preschool children. Additional large-scale longitudinal studies are required to establish cutoff levels for FeNO as a risk factor for persistent asthma.

Effect of Nitrate on Iron Reduction and Phosphorus Release in Flooded Paddy Soil (논토양에서 질산 이온이 철의 환원과 인의 용출에 미치는 영향)

  • Chung, Jong-Bae
    • Korean Journal of Environmental Agriculture
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    • v.28 no.2
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    • pp.165-170
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    • 2009
  • The increase in P availability to rice under flooded soil conditions involves the reductive dissolution of iron phosphate and iron (hydr)oxide phosphate. However, since $NO_3^-$ is a more favourable electron acceptor in anaerobic soils than Fe, high$NO_3^-$ loads function as a redox buffer limiting the reduction of Fe. The effect of adding $NO_3^-$ on Fe reduction and P release in paddy soil was investigated. Pot experiment was conducted where $NO_3^-$ was added to flooded soil and changes of redox potential and $Fe_2^+$, $NO_3^-$ and $PO_4^{3-}$ concentrations in soil solution at 10 cm depth were monitored as a function of time. Redox potential decreased with time to -96 mV, but it was temporarily poised at about 330${\sim}$360 mV when $NO_3^-$ was present. Nitrate addition to soil led to reduced release of $Fe_2^+$ and prevented the solubilization of P. Phosphate in pore water began to rise soon after incubation and reached final concentrations about 0.82 mg P/L in the soil without $NO_3^-$ addition. But, in the soil with $NO_3^-$ addition, $PO_4^{3-}$ in pore water was maintained in the range of 0.2${\sim}$0.3 mg P/L. The duration of inhibition in $Fe_2^+$ release was closely related to the presence of $NO_3^-$, and the timing of $PO_4^{3-}$ release was inversely related to the $NO_3^-$ concentration in soil solution. The results suggest that preferential use of $NO_3^-$ as an electron acceptor in anaerobic soil condition can strongly limit Fe reduction and P solubilization.

Effect of Fe Addition on Hydrogen Rich NSR Kinetics over Pt/Co/Ba/Al2O3 Catalyst (Pt/Co/Ba/Al2O3에 Fe 첨가가 수소 풍부 NSR 반응성에 미치는 영향)

  • Kim, Jingul;Jeon, Jiyong;Kim, Seongsoo
    • Transactions of the Korean hydrogen and new energy society
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    • v.23 no.6
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    • pp.581-587
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    • 2012
  • Thermal aging effect on NSR kinetics was studied over Pt/Co/Fe/Ba/$Al_2O_3$ catalyst. The amount of $NO_x$ uptake over Pt/Co/Fe/Ba/$Al_2O_3$ calcined at $400^{\circ}C$ increased with increasing NSR temperature from $200^{\circ}C$ to $400^{\circ}C$, where amount of $NO_x$ uptake is the highest at $400^{\circ}C$ with mol ratio of $NO_x$/Ba = 0.5. Thereafter, the amount of $NO_x$ uptake at $400^{\circ}C$ decreased with the higher calcination temperature, where Pt/Co/Fe/Ba/$Al_2O_3$ catalyst calcined at $700^{\circ}C$ showed an amount of $NO_x$ uptake with the mol ratio of $NO_x$/Ba=0.062. Result of XRD and NSR showed that Fe addition into Pt/Co/Fe/Ba/$Al_2O_3$ suppressed sintering of Pt crystallites and make $NO_x$ uptake larger, compared to no addition of Fe into Pt/Co/Fe/Ba/$Al_2O_3$ catalyst. From BET result, it was found that the change of specific surface area was relatively small by the thermal aging process. Therefore, it was found that the sintering of Pt crystallites caused the decrease of $NO_x$ uptake during NSR reaction and Fe played a role to suppress the sintering process of Pt crystallites caused by thermal aging.

Synthesis of Fe-Mn Bimetallosilicate and Its Catalytic Performance on NO Decomposition

  • Kang, Misook
    • Journal of Korean Society for Atmospheric Environment
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    • v.15 no.E
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    • pp.9-16
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    • 1999
  • This study has been focused on NO conversion for metal-incorporated silicates(Fe-silicate, Mn-silicate, and Fe-Mn-bimetallosilicate) with a similar MFI type. Used metallosilicates were prepared by the rapid crystallization method. Their catalytic performance for the conversion of NO under excess O2(10%) condition with the addition of hydrocarbon of low concentration(1,100ppm n-C8H18) were investigated. As a result, the NO conversion on the Fe-Mn-bimetallosilicate was enhanced compared with on the Fe- or Mn-silicates. Furthermore, the performances for NO concentration on Fe-Mn-bimetallosilicate more increased with an increased in n-C8H18 concentration, a decrease in NO concentration, and an increase in O2 concentration.

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Effect of Fe(NO3)2 Concentration on Electrochemical Behavior of SCM430 in Zinc Phosphate Conversion Coating Solution (아연계 인산염 피막용액에서 Fe(NO3)2 농도가 SCM430 합금의 전기화학적 거동에 미치는 영향)

  • Kwon, Duyoung;Song, Pung-Keun;Moon, Sungmo
    • Journal of the Korean institute of surface engineering
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    • v.52 no.4
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    • pp.233-238
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    • 2019
  • The formation behavior of zinc phosphate conversion coating (ZPCC) on SCM430 alloy was investigated in 25 vol.% of 1M ZnO + 170 ml/L solution containing various $Fe(NO_3)_2$ concentrations, using open-circuit potential(OCP), electrochemical impedance spectroscopy(EIS), cyclic polarization(CP) curve and tape peel test. OCP of SCM430 alloy and corrosion current density increased with increasing $Fe(NO_3)_3$ concentration. Resistance of films formed on SCM430 alloy by chemical conversion treatment decreased with increasing $Fe(NO_3)_3$ concentration. Color and adhesion of chemical conversion coatings became darker and worse, respectively, with increasing $Fe(NO_3)_3$ concentration. It is concluded that addition of $Fe(NO_3)_3$ into a zinc phosphating bath leads to faster reaction to form porous surface coatings with poor adhesion and corrosion resistance.

Exhaled Nitric Oxide in Patients with Stable Chronic Obstructive Pulmonary Disease: Clinical Implications of the Use of Inhaled Corticosteroids

  • Jo, Yong Suk;Choe, Junsu;Shin, Sun Hye;Koo, Hyeon-Kyoung;Lee, Won-Yeon;Kim, Yu Il;Ra, Seung Won;Yoo, Kwang Ha;Jung, Ki Suck;Park, Hye Yun;Park, Yong-Bum
    • Tuberculosis and Respiratory Diseases
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    • v.83 no.1
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    • pp.42-50
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    • 2020
  • Background: Fractional exhaled nitric oxide (FeNO) is regarded as a potential biomarker for identifying eosinophilic inflammation. We aimed to evaluate the clinical implication of FeNO and its influence on inhaled corticosteroids (ICS) prescription rate in Korean chronic obstructive pulmonary disease (COPD) patients. Methods: FeNO level and its association with clinical features were analyzed. Changes in the prescription rate of ICS before and after FeNO measurement were identified. Results: A total of 160 COPD patients were divided into increased (≥25 parts per billion [ppb], n=74) and normal (<25 ppb, n=86) FeNO groups according to the recommendations from the American Thoracic Society. Compared with the normal FeNO group, the adjusted odds ratio for having history of asthma without wheezing and with wheezing in the increased FeNO group were 2.96 (95% confidence interval [CI], 1.40-6.29) and 4.24 (95% CI, 1.37-13.08), respectively. Only 21 out of 74 patients (28.4%) with increased FeNO prescribed ICS-containing inhaler and 18 of 86 patients (20.9%) with normal FeNO were given ICS-containing inhaler. Previous exacerbation, asthma, and wheezing were the major factors to maintain ICS at normal FeNO level and not to initiate ICS at increased FeNO level. Conclusion: Increased FeNO was associated with the history of asthma irrespective of wheezing. However, FeNO seemed to play a subsidiary role in the use of ICS-containing inhalers in real-world clinics, which was determined with prior exacerbation and clinical features suggesting Th2 inflammation.

Accuracy of maximal expiratory flow-volume curve curvilinearity and fractional exhaled nitric oxide for detection of children with atopic asthma

  • Park, Sang Hoo;Im, Min Ji;Eom, Sang-Yong;Hahn, Youn-Soo
    • Clinical and Experimental Pediatrics
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    • v.60 no.9
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    • pp.290-295
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    • 2017
  • Purpose: Airway pathology in children with atopic asthma can be reflected by the concave shape of the maximal expiratory flow-volume (MEFV) curve and high fractional exhaled nitric oxide (FeNO) values. We evaluated the capacity of the curvilinearity of the MEFV curve, FeNO, and their combination to distinguish subjects with atopic asthma from healthy individuals. Methods: FeNO and angle ${\beta}$, which characterizes the general configuration of the MEFV curve, were determined in 119 steroid-naïve individuals with atopic asthma aged 8 to 16 years, and in 92 age-matched healthy controls. Receiver operating characteristic (ROC) curve analyses were performed to determine the cutoff points of FeNO and angle ${\beta}$ that provided the best combination of sensitivity and specificity for asthma detection. Results: Asthmatic patients had a significantly smaller angle ${\beta}$ and higher FeNO compared with healthy controls (both, P<0.001). For asthma detection, the best cutoff values of angle ${\beta}$ and FeNO were observed at $189.3^{\circ}$ and 22 parts per billion, respectively. The area under the ROC curve for the combination of angle ${\beta}$ and FeNO improved to 0.91 (95% confidence interval [CI], 0.87-0.95) from 0.80 (95% CI, 0.75-0.86; P<0.001) for angle ${\beta}$ alone and 0.86 (95% CI, 0.82-0.91; P=0.002) for FeNO alone. In addition, the combination enhanced sensitivity with no significant decrease in specificity. Conclusion: These data suggest that the combined use of the curvilinearity of the MEFV curve and FeNO is a useful tool to differentiate between children with and without atopic asthma.

Relationship between exhaled nitric oxide and pulmonary function test in children with asthma (소아 천식에서 호기산화질소와 폐기능 검사의 관계)

  • Ko, Han-Seok;Chung, Sung-Hoon;Choi, Yong-Sung;Choi, Sun-Hee;Rha, Yeong-Ho
    • Clinical and Experimental Pediatrics
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    • v.51 no.2
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    • pp.181-187
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    • 2008
  • Purpose : Asthma is characterized by reversible airway obstruction and bronchial hyperresponsiveness result from airway inflammation. Fraction of nitric oxide in expired air (FeNO) has recently been investigated as a noninvasive measure of airway inflammation. FeNO has been reported to correlate with induced sputum eosinophilia and methacholine challenge test that it is represent severity of asthma. The purpose of this study was to analyze the relationship of FeNO with pulmonary function tests in patients with intermittent asthma. Methods : Eighty children included in this study were diagnosed as asthma from April through August, 2005 in Department of Pediatrics, College of Medicine, Kyunghee University. They aged from 4 to 15 years who were able to conduct spirometry and FeNO monitoring. They did not have upper respiratory tract infection and did not use an asthma controller which contain corticosteroids within 4 weeks. Pulmonary function test was done and FeNO was measured with online tidal breathing method using a chemiluminescence NO analyzer (CLD 88 sp, Eco Medics, Duernten, Switzerland). The correlations between pulmonary function test and FeNO were analyzed using Spearman correlation coefficient method. Results : The mean of FeNO of subject was 16.88 parts per billion (ppb). The mean of forced expiratory volume in 1 second ($FEV_1$) was $0.890{\pm}0.455L$ and forced vital capacity (FVC) was $1.071{\pm}0.630L$. The mean of predicted $FEV_1%$ ($FEV_1%pred$) was $98.39{\pm}34.27%$ and $FEV_1/FVC$ was $88.53{\pm}19.49$. FeNO was significantly correlate with $FEV_1$ (r=0.345, P<0.01) and FVC (r=0.244, P<0.05). FeNO did not correlate with $FEV_1%pred$ or $FEV_1/FVC$. Conclusion : The measurement of FeNO could be a useful marker in the management of childhood asthma and it is evolving to provide a complementary role alongside existing pulmonary function test. We propose that measuring technique and establishment of normal reference range are important area for future research.