• Title/Summary/Keyword: Lobes

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Differences in CT Findings According to Sputum Smear Results in Patients with Active Pulmonary Tuberculosis Having a Single Cavity (한 개의 공동이 있는 활동성폐결핵 환자에서 객담도말검사 결과에 따른 흉부CT 소견의 차이)

  • Song, In Sup;Lee, Hwa Yeun;Yoo, Seung Min
    • Tuberculosis and Respiratory Diseases
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    • v.62 no.6
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    • pp.479-485
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    • 2007
  • Background: The purpose of this study was to evaluate the differences in CT findings according to sputum smear-positive or -negative results in patients with active pulmonary tuberculosis having a single cavity. Methods: A total of 32 patients with active pulmonary tuberculosis having a single cavity on CT were classified into two groups: smear-positive (n=19) and smear-negative (n=13). The CT findings were reviewed retrospectively. The presence of consolidation, the number of lobes showing consolidation, ground-glass opacity, micronodules and nodule, the maximum diameter of the cavity, and the shape and maximum thickness of the cavity wall were assessed. Result: The maximum diameter of the cavity was $33.84{\pm}13.65mm$ and $27.08{\pm}9.04mm $ in the smear-positive and -negative groups, respectively (p>0.05). The amount of consolidation and the number of lobes with consolidation were found to be 89.5% and 30.8% (p=0.01) and $1.37{\pm}0.90$ and $0.31{\pm}0.48$ (p=0.0002) in the smear-positive and -negative groups, respectively. Consolidations in two or more lobes were only noted in 31.6% of in the sputum smear- positive group (p< 0.05). There were no other significant differences between the two groups. The sensitivity, specificity, positive and negative predictive values for the presence of consolidation were 89.5%, 69.2%, 73.9%, and 81.8%, respectively. Conclusion: While the absence of consolidation on CT may be associated with sputum smear-negative results in patients with active pulmonary tuberculosis having a single cavity, the presence of consolidation in two or more lobes on CT may be associated with spear-positive results in these patients.

Evaluation of Therapeutic Effects of Cognitive-Behavioral Therapy in Patients with Panic Disorder using Serial $^{99m}Tc-ECD$ Brain Perfusion (공황장애 환자에서 $^{99m}Tc-ECD$ 뇌관류 SPECT를 이용한 인지행동치료 효과 평가)

  • Kim, Jung-Hee;Song, Ho-Chun;Yang, Jong-Chul;Lee, Byeong-Il;Heo, Young-Jun;Bom, Hee-Seung;Park, Tae-Jin;Min, Jung-Joon
    • Nuclear Medicine and Molecular Imaging
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    • v.40 no.6
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    • pp.302-308
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    • 2006
  • Purpose: Although several neuroanatomical models of panic disorder have been proposed, little is known regarding the neurological mechanisms underlying cognitive-behavioral therapy (CBT) in patients with panic disorder. This study was performed to identify the brain structures that show changes of regnioal cerebral blood flow (rCBF) after CBT in patients with panic disorder. Materials and Methods: Seven patients who were diagnosed as panic disorder by DSM-IV were treated with CBT for 8 weeks and twelve healthy volunteers joined in this study. Serial $^{99m}Tc-ECD$ brain perfusion SPECT images were acquisited and PDSS-SR (Self-Report version of Panic Disorder Severity Scale) and ACQ (Agoraphobic Cognitive Question) scores were measured just before and after CBT in all patients. Data were analyzed using SPM2. Results: Subjective symptoms were improved, and PDSS-SR and ACQ scores were significantly reduced ($14.9{\pm}3.9\;vs.\;7.0{\pm}1.8$, p<0.05; $30.3{\pm}8.5\;vs.\;21.6{\pm}3.4$, p<0.05, respectively) after CBT in panic patients. Before CBT, a significant increase of rCBF was found in the cingulate gylus, thalamus, midbrain, both medial frontal and temporal lobes of the panic patients compared to the normal volunteers. After CBT, we observed a significant rCBF decrease in the left parahippocamus, right insula and cingulate gyrus, both frontal and temporal lobes, and a significant rCBF increase in both the occipital lobes, left insula, both frontal and left parietal lobes. Conclusion: These data suggested that CBT is effective for panic disorder and diminish the activity of the brain areas associated with fear in panic disorder.

Comparison of Three- and Four-dimensional Robotic Radiotherapy Treatment Plans for Lung Cancers (폐암환자의 종양추적 정위방사선치료를 위한 삼차원 및 사차원 방사선치료계획의 비교)

  • Chai, Gyu-Young;Lim, Young-Kyung;Kang, Ki-Mun;Jeong, Bae-Gwon;Ha, In-Bong;Park, Kyung-Bum;Jung, Jin-Myung;Kim, Dong-Wook
    • Radiation Oncology Journal
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    • v.28 no.4
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    • pp.238-248
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    • 2010
  • Purpose: To compare the dose distributions between three-dimensional (3D) and four-dimensional (4D) radiation treatment plans calculated by Ray-tracing or the Monte Carlo algorithm, and to highlight the difference of dose calculation between two algorithms for lung heterogeneity correction in lung cancers. Materials and Methods: Prospectively gated 4D CTs in seven patients were obtained with a Brilliance CT64-Channel scanner along with a respiratory bellows gating device. After 4D treatment planning with the Ray Tracing algorithm in Multiplan 3.5.1, a CyberKnife stereotactic radiotherapy planning system, 3D Ray Tracing, 3D and 4D Monte Carlo dose calculations were performed under the same beam conditions (same number, directions, monitor units of beams). The 3D plan was performed in a primary CT image setting corresponding to middle phase expiration (50%). Relative dose coverage, D95 of gross tumor volume and planning target volume, maximum doses of tumor, and the spinal cord were compared for each plan, taking into consideration the tumor location. Results: According to the Monte Carlo calculations, mean tumor volume coverage of the 4D plans was 4.4% higher than the 3D plans when tumors were located in the lower lobes of the lung, but were 4.6% lower when tumors were located in the upper lobes of the lung. Similarly, the D95 of 4D plans was 4.8% higher than 3D plans when tumors were located in the lower lobes of lung, but was 1.7% lower when tumors were located in the upper lobes of lung. This tendency was also observed at the maximum dose of the spinal cord. Lastly, a 30% reduction in the PTV volume coverage was observed for the Monte Carlo calculation compared with the Ray-tracing calculation. Conclusion: 3D and 4D robotic radiotherapy treatment plans for lung cancers were compared according to a dosimetric viewpoint for a tumor and the spinal cord. The difference of tumor dose distributions between 3D and 4D treatment plans was only significant when large tumor movement and deformation was suspected. Therefore, 4D treatment planning is only necessary for large tumor motion and deformation. However, a Monte Carlo calculation is always necessary, independent of tumor motion in the lung.

Development of a Model of Brain-based Evolutionary Scientific Teaching for Learning (뇌기반 진화적 과학 교수학습 모형의 개발)

  • Lim, Chae-Seong
    • Journal of The Korean Association For Science Education
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    • v.29 no.8
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    • pp.990-1010
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    • 2009
  • To derive brain-based evolutionary educational principles, this study examined the studies on the structural and functional characteristics of human brain, the biological evolution occurring between- and within-organism, and the evolutionary attributes embedded in science itself and individual scientist's scientific activities. On the basis of the core characteristics of human brain and the framework of universal Darwinism or universal selectionism consisted of generation-test-retention (g-t-r) processes, a Model of Brain-based Evolutionary Scientific Teaching for Learning (BEST-L) was developed. The model consists of three components, three steps, and assessment part. The three components are the affective (A), behavioral (B), and cognitive (C) components. Each component consists of three steps of Diversifying $\rightarrow$ Emulating (Executing, Estimating, Evaluating) $\rightarrow$ Furthering (ABC-DEF). The model is 'brain-based' in the aspect of consecutive incorporation of the affective component which is based on limbic system of human brain associated with emotions, the behavioral component which is associated with the occipital lobes performing visual processing, temporal lobes performing functions of language generation and understanding, and parietal lobes, which receive and process sensory information and execute motor activities of the body, and the cognitive component which is based on the prefrontal lobes involved in thinking, planning, judging, and problem solving. On the other hand, the model is 'evolutionary' in the aspect of proceeding according to the processes of the diversifying step to generate variants in each component, the emulating step to test and select useful or valuable things among the variants, and the furthering step to extend or apply the selected things. For three components of ABC, to reflect the importance of emotional factors as a starting point in scientific activity as well as the dominant role of limbic system relative to cortex of brain, the model emphasizes the DARWIN (Driving Affective Realm for Whole Intellectual Network) approach.

Fine Needle Aspiration Cytology of Primary Pulmonary Amyloidosis - A Case Report - (원발성 폐 아밀로이드증의 세침흡인 세포학적 소견 - 1예 보고 -)

  • Cho, Hyun-I;Oh, Young-Ha;Jeong, Seong-Hwan;Ha, Seung-Yeon
    • The Korean Journal of Cytopathology
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    • v.11 no.2
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    • pp.99-102
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    • 2000
  • Pulmonary amyloid deposition generally occurs with concurrent primary systemic amyloidosis. Localized forms of pulmonary amyloidosis are rare and appear most frequently as an incidental finding on chest radiographs. We present a case of nodular pulmonary amyloid tumor suggested by fine needle aspiration cytology(FNAC) and confirmed by histology examination with the polarizing light microscopy. A 41-year-old woman presented with ill-defined nodules. In the middle and lower lobes of both lungs. FNAC of the nodules revealed waxy, acellular amorphous fragments. Thoracotomy for diagnosis may be avoided by FNAC diagnosis of this unusual lesion.

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Histopathological Studies on Enzootic Pasteurellosis of Domestic Rabbits in Korea (가토(家兎)의 Pasteurella성폐염(性肺炎) (Snuffles)에 관(關)한 병리학적(病理學的) 검색(檢索))

  • Kwon, Young Bang;Lim, Chang Hyeong
    • Korean Journal of Veterinary Research
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    • v.8 no.1
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    • pp.18-23
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    • 1968
  • Pathological studies on the Enzootic Pasteurellosis of domestic rabbits were performed and discussed. The chief pathological findings were as follows: Grossly, pneumonic lesions were located mainly in apical and cardiac lobes. The lesions were well demarcated with unaffected surrounding tissue. The pleural surface of pneumonic lesions were usually appeared as yellowish~white fibrinous exudate and, in some cases, abscesses were also shown. Microscopically, various cellular exudates composed mainly of neutrophils, large monocytes and lymphocytes were observed in the alveolar spaces. Some alveolar spaces were filled mostly with fibrinous exudates. Occasionally, thrombosis accompanied with infarcts were encountered in pneumonic lesions. There were deposition of purulo-fibrinous exudates on the visceral pleura.

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A New Report of Anthurid Isopod (Crustacea, Isopoda, Anthuridae) from Korea

  • Kim, Sung Hoon;Yoon, Seong Myeong
    • Animal Systematics, Evolution and Diversity
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    • v.34 no.3
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    • pp.174-180
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    • 2018
  • In this study, Caenanthura engimatica (Kensley and Reid, 1984) is newly reported from Korea along with detailed description and illustrations. This species can be characterized by the following features: cephalon has a rostrum extending as long as anterolateral lobes; pereonites 4-6 have shallow middorsal pits; the mandible palp has 2 articles; article 1 of the mandible palp is twice longer than article 2; and the maxillipedal palp has 1-3 fused and 4-5 fused articles. This is the first report of C. engimatica beyond Arabian Gulf, the type locality, and Indian Ocean. Additionally, we proposed a revised key to known species of the genus Caenathura Kensley, 1978.

NEW PROBES OF INTERGALACTIC MAGNETIC FIELDS BY RADIOMETRY AND FARADAY ROTATION

  • KRONBERG PHILIPP P.
    • Journal of The Korean Astronomical Society
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    • v.37 no.5
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    • pp.343-347
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    • 2004
  • The energy injection of galactic black holes (BH) into the intergalactic medium via extragalactic radio source jets and lobes is sufficient to magnetize the IGM in the filaments and walls of Large Scale Structure at < [B] > ${\~}0.l{\mu}G$ or more. It appears that this process of galaxy-IGM feedback is the primary source of IGM cosmic rays(CR) and magnetic field energy. Large scale gravitational infall energy serves to re-heat the intergalactic magnetoplasma in localities of space and time, maintaining or amplifying the IGM magnetic field, but this can be thought of as a secondary process. I briefly review observations that confirm IGM fields around this level, describe further Faraday rotation measurements in progress, and also the observational evidence that magnetic fields in galaxy systems around z=2 were approximately as strong then, ${\~}$10 Gyr ago, as now.

Findings of $^{99m}TC-HMPAO$ Regional Cerebral Blood Flow SPECT in a Case of Herpes Simplex Encephalitis (단순포진 뇌염의 $^{99m}TC-HMPAO$ 국소 뇌혈류 SPECT의 소견)

  • Ahn, Myeong-Im;Lee, Sung-Yong;Kim, Jong-Woo;Bahk, Yong-Whee
    • The Korean Journal of Nuclear Medicine
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    • v.23 no.1
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    • pp.85-87
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    • 1989
  • Herpes simplex encephalitis (HSE) is one of the fulminant necrotizing, often fatal sporadic form of the encephalitis caused by herpes simplex type I virus. Characteristically, there is early and almost constant involvement of one or both temporal lobes, although there are common additional areas of involvement. Appropriate early treatment following correct diagnosis by clinical findings, CSF study, EEG and several radiological studies including angiography, redionuclide studies, CT or MRI can reduce its mortality and severity of the sequelae. We report a case of HSE diagnosed by adjuvant study of $^{99m}Tc-HMPAO$ regional cerebral blood flow SPECT, which showed a marked increase in bitemporal cerebral blood flow in a 24-year-old man.

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New Records of Two Genera Leptoseris and Phyllangia (Anthozoa: Hexacorallia: Scleractinia) from Korea

  • Choi, Eunae;Song, Jun-Im
    • Animal Systematics, Evolution and Diversity
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    • v.31 no.3
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    • pp.146-152
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    • 2015
  • Two scleractinian species are newly recorded in Korea: Leptoseris mycetoseroides Wells, 1954 and Phyllangia hayamaensis (Eguchi, 1968). The two genera Leptoseris Milne Edwards and Haime, 1849 and Phyllangia Milne Edwards and Haime, 1848 are also newly recorded in Korea. The specimens were collected from the subtidal zones of Jeju-do Island, Korea by SCUBA diving from 1991 to 2007. Leptoseris mycetoseroides is characterized by its platelike growth form, intratentacular budding, irregularly developed collines, single styliform columella, and even septa and septocostae. Phyllangia hayamaensis is distinguished by its encrusting and plocoid growth form of corallites basally united with common coenosteum, trabecular columella, and irregular septal arrangements and paliform lobes.