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        Optimal method for early detection of cardiac disorders in thalassemia major patients: magnetic resonance imaging or echocardiography?

        Farideh Moussavi,Mounes Aliyari Ghasabeh,Shahla Roodpeyma,Samin Alavi,Majid Shakiba,Riaz Gheiratmand 대한혈액학회 2014 Blood Research Vol.49 No.3

        Background Heart failure resulting from myocardial iron deposition is the most important cause of death in β-thalassemia major (TM) patients. Cardiac T2*magnetic resonance imaging (MRI), echocardiography, and serum ferritin level serve as diagnostic methods for detecting myocardial iron overload. In this study, we aimed to evaluate the relationship between the above-mentioned methods. Methods T2*MRI and echocardiographic measurement of left ventricular (LV) systolic and diastolic function were performed in 63 patients. Serum ferritin level was measured. The relationships between all assessments were evaluated. Results There were 40 women and 23 men with a mean age of 23.7±5.1 years (range, 15–35 years). There was no statistically significant correlation between serum ferritin level and LV systolic and diastolic function (P=0.994 and P=0.475, respectively). T2*MRI results had a significant correlation with ferritin level; 63.6% of patients with serum ferritin level >2,000 ng/mL had abnormal cardiac MRI, while none of the patients with ferritin level <1,000 ng/mL had abnormal cardiac MRI (P=0.001). There was no significant correlation between MRI findings and LV systolic function (P=1.00). However, we detected a significant difference between LV diastolic function and cardiac siderosis (P=0.03) Conclusion MRI findings are a good predictor of future cardiac dysfunction, even in asymptomatic TM patients; however, diastolic dysfunction may happen prior to cardiac siderosis in some patients, and echocardiography is able to diagnose this diastolic dysfunction while T2* MRI shows normal findings.

      • KCI등재

        Optimal method for early detection of cardiac disorders in thalassemia major patients: magnetic resonance imaging or echocardiography?

        Farideh Moussavi,Mounes Aliyari Ghasabeh,Shahla Roodpeyma,Samin Alavi,Majid Shakiba,Riaz Gheiratmand 대한혈액학회 2014 Blood Research Vol.49 No.3

        Background Heart failure resulting from myocardial iron deposition is the most important cause of death in β-thalassemia major (TM) patients. Cardiac T2*magnetic resonance imaging (MRI), echocardiography, and serum ferritin level serve as diagnostic methods for detecting myocardial iron overload. In this study, we aimed to evaluate the relationship between the above-mentioned methods. Methods T2*MRI and echocardiographic measurement of left ventricular (LV) systolic and diastolic function were performed in 63 patients. Serum ferritin level was measured. The relationships between all assessments were evaluated. Results There were 40 women and 23 men with a mean age of 23.7±5.1 years (range, 15–35 years). There was no statistically significant correlation between serum ferritin level and LV systolic and diastolic function (P=0.994 and P=0.475, respectively). T2*MRI results had a significant correlation with ferritin level; 63.6% of patients with serum ferritin level >2,000 ng/mL had abnormal cardiac MRI, while none of the patients with ferritin level <1,000 ng/mL had abnormal cardiac MRI (P=0.001). There was no significant correlation between MRI findings and LV systolic function (P=1.00). However, we detected a significant difference between LV diastolic function and cardiac siderosis (P=0.03) Conclusion MRI findings are a good predictor of future cardiac dysfunction, even in asymptomatic TM patients; however, diastolic dysfunction may happen prior to cardiac siderosis in some patients, and echocardiography is able to diagnose this diastolic dysfunction while T2* MRI shows normal findings.

      • KCI등재후보

        PREVENTION OF SINTERING DURING ANNEALING PROCESS OF FePt NANOPARTICLES COATED WITH ZnO SHELL

        HOSSEIN ZEYNALI,HOSSEIN AKBARI,S. ARUMUGAM,ZOHREH CHAMANZADEH,G. KALAISELVAN,REYHANEH KARIMI GHASABEH 성균관대학교(자연과학캠퍼스) 성균나노과학기술원 2012 NANO Vol.7 No.6

        Monodispersed 4.1 nm FePt nanoparticles with narrow size distribution were successfully synthesized by the chemical polyol process with co-reduction of Fe(acac)3 and Pt(acac)2 in the presence of 1,2-hexadecanediol as a reducing agent. To achieve hard ferromagnetic behavior with L10 phase and face center tetragonal (fct) structure, high temperature annealing is performed. Annealing causes the surfactant surrounding particles to decompose and agglomeration of particles occurs. In the present work, chemically synthesized FePt nanoparticles were coated with nonmagnetic ZnO oxide shell to prevent them from sintering. Coercivity of FePt and FePt/ZnO nanoparticles increases from 5 kOe to 10 kOe and 1.8 kOe to 6 kOe respectively, with the increasing annealing temperatures from 650 to 750?C.

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