• Title/Summary/Keyword: Tbr2

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Postintubation Tracheal Ruptures - A case report -

  • Kim, Kyung-Hwa;Kim, Min-Ho;Choi, Jong-Bum;Kuh, Ja-Hong;Jo, Jung-Ku;Park, Hyun-Kyu
    • Journal of Chest Surgery
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    • v.44 no.3
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    • pp.260-265
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    • 2011
  • Tracheobronchial ruptures (TBR) rarely complicate surgical procedures under general anesthesia. Seemingly uneventful intubations can result in injury to the trachea, which often manifests as hemoptysis and subcutaneous emphysema. We present 2 patients with postintubation TBR who were treated surgically and discuss considerations in the management of this potentially lethal injury.

The Quantitative Evaluation of Cardiac Calcification Using 18F-Sodium fluoride PET/CT (18F-Sodium fluoride PET 이용한 심장 석회화 정량평가에 대한 고찰)

  • Choi, Yong Hoon;Lee, Seung Jae;Kang, Chun Goo;Lim, Han Sang;Kim, Jae Sam
    • The Korean Journal of Nuclear Medicine Technology
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    • v.23 no.2
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    • pp.38-42
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    • 2019
  • Purpose Although computed tomography (CT) is used for coronary artery calcification, it is difficult to differentiate between high risk microcalcifications. Studies have shown that $^{18}F$-sodium fluoride ($^{18}F-NaF$) is very useful for the diagnosis of microcalcifications. In this study, we aimed to evaluate the usefulness of $^{18}F-NaF$ PET imaging in quantitative evaluation of calcification. Materials and Methods A total of 45 patients ($67.1{\pm}6.9years\;old$) were injected with 250 MBq of $^{18}F-NaF$ for 1 hour and images were acquired for 30 minutes. All patients underwent CT angiography (CTAngiography, CTA) before the PET scan. The SUVmax of calcification was measured and the background radioactivity of the left atrium was measured to determine Target to Background (TBR) and quantitatively analyzed. High risk group was classified through ROC curve (Receiver Operating Characteristic Curve). Results There were 226 coronary artery calcifications in the cohort and SUVmax was $1.15{\pm}0.39$. Of the 28 patients (62%), 58 were classified as high risk (TBR > 1.25). The remaining 168 were $TBR{\leq}1.25$. Conclusion $^{18}F-NaF$ PET images were available for quantitative assessment of microcalcifications and could be classified into high-risk groups. The combination of angiographic CT and $^{18}F-NaF$ PET may be a new method for early diagnosis of high-risk microcalcifications.

The comparison of lesion localization methods in breast lymphoscintigraphy (Breast lymphoscintigraphy 검사 시 체표윤곽을 나타내는 방법의 비교)

  • Yeon, Joon ho;Hong, Gun chul;Kim, Soo yung;Choi, Sung wook
    • The Korean Journal of Nuclear Medicine Technology
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    • v.19 no.2
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    • pp.74-80
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    • 2015
  • Purpose Breast lymphoscintigraphy is an important technique to present for body surface precisely, which shows a lymph node metastasis of malignant tumors at an early stage and is performed before and after surgery in patients with breast cancer. In this study, we evaluated several methods of body outline imaging to present exact location of lesions, as well as compared respective exposure doses. Materials and Methods RANDO phantom and SYMBIA T-16 were used for obtaining imaging. A lesion and an injection site were created by inserting a point source of 0.11 MBq on the axillary sentinel lymph node and 37 MBq on the right breast, respectively. The first method for acquiring the image was used by drawing the body surface of phantom for 30 sec using $Na^{99m}TcO_4$ as a point source. The second, the image was acquired with $^{57}Co$ flood source for 30 seconds on the rear side and the left side of the phantom, the image as the third method was obtained using a syringe filled with 37 MBq of $Na^{99m}TcO_4$ in 10 ml of saline, and as the fourth, we used a photon energy and scatter energy of $^{99m}Tc$ emitting from phantom without any addition radiation exposure. Finally, the image was fused the scout image and the basal image of SPECT/CT using MATLAB$^{(R)}$ program. Anterior and lateral images were acquired for 3 min, and radiation exposure was measured by the personal exposure dosimeter. We conducted preference of 10 images from nuclear medicine doctors by the survey. Results TBR values of anterior and right image in the first to fifth method were 334.9 and 117.2 ($1^{st}$), 266.1 and 124.4 ($2^{nd}$), 117.4 and 99.6 ($3^{rd}$), 3.2 and 7.6 ($4^{th}$), and 565.6 and 141.8 ($5^{th}$). And also exposure doses of these method were 2, 2, 2, 0, and $30{\mu}Sv$, respectively. Among five methods, the fifth method showed the highest TBR value as well as exposure dose, where as the fourth method showed the lowest TBR value and exposure dose. As a result, the last method ($5^{th}$) is the best method and the fourth method is the worst method in this study. Conclusion Scout method of SPECT/CT can be useful that provides the best values of TBR and the best score of survey result. Even though personal exposure dose when patients take scout of SPECT/CT was higher than another scan, it was slight level comparison to 1 mSv as the dose limit to non-radiation workers. If the scout is possible to less than 80 kV, exposure dose can be reduced, and also useful lesion localization provided.

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A study of transmittance and color change of various photochromic lenses by an UVA lamp (UVA광원에 의한 Photochromic lens의 색비율 제어에 관한 연구)

  • Lim, Yong-Moo;Jung, Ju Hyun
    • Journal of Korean Ophthalmic Optics Society
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    • v.8 no.2
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    • pp.185-191
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    • 2003
  • In this study, We measured transmittance and color change of various photochromic lens as a function of temperature(6, 12, $28^{\circ}C$), irradiation time of UVA lamp and the types of materials(plastic and glass) and distribution of photochromic ingredients(coated and bulk type). The coated-type photochromic lens showed higher saturated value than bulk-type lens without regard to temperature. And darkening rate of smoke color lenses were higher compare to brown lens in case of glass photochromic lens. All of photochromic lens passed ANSI Z80.3 regulation in transmittance and color independent of temperature. The saturated values of plastic photochromic lens excluded coated-type and glass photochromic lens were ranked as cosmetic use. The saturated value of coated-type. Tbr and TMs were general applications in $6^{\circ}C$ and $12^{\circ}C$, but cosmetic purpose in $28^{\circ}C$. The darkening rate was increased with decreasing temperature, whereas the fading rate became higher with increasing temperature.

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Congenital Esophageal Stenosis (선천성 식도 협착증)

  • Lee, Seong-Cheol;Han, Won-Shik;Kim, Ki-Hong;Jung, Sung-Eun;Park, Kwi-Won;Kim, Woo-Ki
    • Advances in pediatric surgery
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    • v.6 no.1
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    • pp.40-44
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    • 2000
  • Congenital esophageal stenosis (CES) is a narrowing of the esophageal lumen from birth. Three types of CES have been described; tracheobronchial remnants (TBR), membranous web (MW), and fibromuscular stenosis (FMS). We reviewed the clinical features and the surgical outcome of 14 patients, pathologically confirmed as CES. Nine patients had TBR, 3 FMS, and 2 MVV. The mean age at operation was 3.8 years. Five patients were boys and 9 girls. Four patients had other congenital anomalies. Segmental resection of the lesion and end to end anastomosis was utilized in all cases except one who underwent myotomy. The stenotic segment was located at the distal esophagus in all patients. There were 8 complications in 6 patients, but no mortality. The mean follow-up period was 68 months. There were no feeding problems but 3 patients had minor gastroesophageal reflux. Our result indicates that segmental resection and anastomosis is a satisfactory surgical procedure in the management of CES.

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Quantitative Expression Analysis of Functional Genes in Four Dog Breeds (개의 네 품종에서 기능 유전자들에 대한 정량적 발현 분석)

  • Gim, Jeong-An;Kim, Sang-Hoon;Lee, Hee-Eun;Jeong, Hoim;Nam, Gyu-Hwi;Kim, Min Kyu;Huh, Jae-Won;Choi, Bong-Hwan;Kim, Heui-Soo
    • Journal of Life Science
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    • v.25 no.8
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    • pp.861-869
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    • 2015
  • One of the domesticated species; the dog has been selectively bred for various aims by human. The dog has many breeds, which are artificially selected for specific behaviors and morphologies. Dogs contribute their life to human as working dogs for guide, rescue, detection or etc. Working dogs requires good personality, such as gentleness, robustness and patience for performing their special duty. Many studies have concentrated on finding genetic marker for selecting the high-quality working dog. In this study, we confirmed quantitative expression patterns of eight genes (ABAT; 4-Aminobutyrate Aminotransferase, PLCB1; Phospholipase C, Beta 1, SLC10A4; Solute Carrier Family 10, Member 4, WNT1; Wingless-Type MMTV Integration Site Family, Member 1, BARX2; BarH-Like Homeobox 2, NEUROD6; Neuronal Differentiation 6, SEPT9; Septin 9 and TBR1; T-Box, Brain, 1) among brains tissues from four dog breeds (Beagle, Sapsaree, Shepherd and Jindo), because these genes were expressed and have functions in brain mostly. Specially, BARX2, SEPT9, SLC10A4, TBR1 and WNT1 genes were highly expressed in Beagle and Jindo, and Sapsaree and German Shepherd were vice versa. The biological significance of total genes was estimated by database for annotation, visualization and integrated discovery (DAVID) to determine a different gene ontology (GO) class. In these analyses, we suppose to these eight genes could provide influential information for brain development, and intelligence of organisms. Taken together, these results could provide clues to discover biomarker related to functional traits in brain, and beneficial for selecting superior working dogs.

Influence of Blending Method on the Generation of Wear Particulate Matters and Physical Properties in TBR Tire Tread Compounds

  • Sanghoon Song;Junhwan Jeong;Jin Uk Ha;Daedong Park;Gyeongchan Ryu;Donghyuk Kim;Kiwon Hwang;Sungwook Chung;Wonho Kim
    • Elastomers and Composites
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    • v.58 no.4
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    • pp.161-172
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    • 2023
  • Because particulate matter has emerged as a major contributor to air pollution, the tire industry has conducted studies to reduce particulate matters from tires by improving tire performance. In this study, we compared the conventional blending method, in which rubber, filler, and additives are mixed simultaneously, to the Y-blending method, in which masterbatches are blended. We manufactured carbon black (CB)-filled natural rubber (NR)/butadiene rubber (BR) blend and silica-filled epoxidized NR/BR blend compounds to compare the effects of the two blending methods on the physical properties of the compounds and the amount of particulate matter generated. The Y-blending method provided uniform filler distribution in the heterogeneous rubber matrix, improved processability, and exhibited low rolling resistance. This method also improved physical properties owing to the excellent filler-rubber interaction. The results obtained from measuring the generation of particulate matter indicated that, the Y-blending method reduced PM2.5 particulate matter generation from the CB-filled and silica-filled compounds by 38% and 60%, and that of PM10 by 29% and 67%, respectively. This confirmed the excellence of the Y-blending method regarding the physical properties of truck bus radial tire tread compounds and reduced particulate matter generated.

Evaluation of Standardized Uptake Value applying Prompt Gamma Correction on 68Ga-DOTATOC PET/CT Image (68Ga-DOTATOC PET/CT에서 Prompt Gamma Correction을 적용한 SUV의 평가)

  • Yoon, Seok Hwan
    • Journal of the Korean Society of Radiology
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    • v.12 no.1
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    • pp.1-7
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    • 2018
  • $^{68}Ga$ was eluted from a $^{68}Ge/^{68}Ga$ radionuclide generator. $^{68}Ga$ decays into $^{68}Zn$, with a half life=67.8min. The decay is 88.9 % by ${\beta}$+ and 11.1 % by EC. The main ${\beta}$+ decay (87.7 %) is to the ground level of $^{68}Zn$ and it is a pure positron emission branch. A small fraction decays ${\beta}$+ (1.2 %) into an excited level of $^{68}Zn$, which promptly decays into the ground level with a ${\gamma}$ (1.077 Mev). This can constitute prompt gamma contamination in the PET data, if the 1.077 Mev ${\gamma}$ has a scatter interaction in the patient, and generates a lower energy ${\gamma}$ in coincidence with the positron annihilation pair. The purpose of this study was to evaluate standardized uptake value(SUV) before and after applying prompt gamma rays correction on $^{68}Ga$-DOTATOC PET/CT image. Fifty patient underwent PET/CT 1 hour after injection of the $^{68}Ga$-DOTATOC. The SUVmax and SUVmean of lesions and normal tissues (Pituitary, Lung, Liver, Spleen, Kidney, Intestine) were evaluated before and after applying prompt gamma correction on $^{68}Ga$-DOTATOC PET/CT image. Additionally, the SUVmax of each lesions and SUVmean of the soft tissues were measured on images. and target to background ratios (TBR) were calculated as quantitative indices. Among 15 patients, 25 of lesions (Pancreas, Liver, Thoracic Spine, Brain) with increased uptake on $^{68}Ga$-DOTATOC PET/CT image. SUVmax and SUVmean were increased in lesion site and normal tissue after prompt gamma rays correction. TBR was $51.51{\pm}49.28$ and $55.50{\pm}53.12$ before and after prompt gamma rays correction, respectively. (p<0.0001)

Design and simulation of a blanket module with high efficiency cooling system of tokamak focused on DEMO reactor

  • Sadeghi, H.;Amrollahi, R.;Zare, M.;Fazelpour, S.
    • Nuclear Engineering and Technology
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    • v.52 no.2
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    • pp.323-327
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    • 2020
  • In this study, the neutronic calculation to obtain tritium breeding ratio (TBR) in a deuterium-tritium (D-T) fusion power reactor using Monte Carlo MCNPX is done. In addition, by using COMSOL software, an efficient cooling system is designed. In the proposed design, it is adequate to enrich up to 40% 6Li. Total tritium breeding ratio of 1.12 is achieved. The temperature of helium as coolant gas never exceed 687℃. As regards the tolerable temperature of beryllium (650℃), the design of blanket module is done in the way that beryllium temperature never exceed 600℃. The main feature of this design indicates the temperature of helium coolant is higher than other proposed models for blanket module, therefore power of electricity generation will increase.

Preoperative Diagnosis of Congenital Esophageal Stenosis Caused by Tracheobronchial Remnants Using Miniprobe Endoscopic Ultrasonography in a Child

  • Lee, Kun-Song
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.15 no.1
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    • pp.52-56
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    • 2012
  • Congenital esophageal stenosis (CES) can be classified into three types based on the etiology of stenosis: tracheobronchial remnants (TBRs), fibromuscular hypertrophy (FMH), and membranous diaphragm (MD). It is important to make a differential diagnosis because the therapeutic plan for CES is determined by its etiology. Most cases of FMH and MD can be managed with balloon dilatation, whereas cases of TBRs require resection and anastomosis. Thus, the preoperative distinction of TBRs is critical. Recently miniprobe endoscopic ultrasonography (EUS) with a maximum diameter of 2.5 mm has been useful for distinguishing TBRs from FMH in pediatric patients with CES. EUS shows hyperechoic lesions indicating TBR cartilage. Miniprobe EUS is recommended for choosing the correct therapeutic method for CES. We report a case of CES due to TBRs in which a preoperative diagnosis was made in a child using miniprobe EUS without any difficulties.