Diagnostic Performance of a Combination of Shear Wave Elastography and B-Mode Ultrasonography in Differentiating Benign From Malignant Thyroid Nodules

Eung Koo Yeon,손유미,서미리내,김의종,은영규,박원서,윤성종 대한이비인후과학회 2020 Clinical and Experimental Otorhinolaryngology Vol.13 No.2

Objectives. This study was conducted to compare clinicopathologic and radiologic factors between benign and malignant thyroid nodules and to evaluate the diagnostic performance of shear wave elastography (SWE) combined with B-mode ultrasonography (US) in differentiating malignant from benign thyroid nodules. Methods. This retrospective study included 92 consecutive patients with 95 thyroid nodules examined on B-mode US and SWE before US-guided fine-needle aspiration biopsy or surgical excision. B-mode US findings (composition, echogenicity, margin, shape, and calcification) and SWE elasticity parameters (maximum [Emax], mean, minimum, and nodule-to-normal parenchymal ratio of elasticity) were reviewed and compared between benign and malignant thyroid nodules. The diagnostic performance of B-mode US and SWE for predicting malignant thyroid nodules was analyzed. The optimal cutoff values of elasticity parameters for identifying malignancy were determined. Diagnostic performance was compared between B-mode US only, SWE only, and the combination of B-mode US with SWE. Results. On multivariate logistic regression analysis, age (odds ratio [OR], 0.90; P=0.028), a taller-than-wide shape (OR, 11.3; P=0.040), the presence of calcifications (OR, 15.0; P=0.021), and Emax (OR, 1.22; P=0.021) were independent predictors of malignancy in thyroid nodules. The combined use of B-mode US findings and SWE yielded improvements in sensitivity, the positive predictive value, the negative predictive value, and accuracy compared with the use of B-mode US findings only, but with no statistical significance. Conclusion. When SWE was combined with B-mode US, the diagnostic performance was better than when only B-mode US was used, although the difference was not statistically significant.

De Novo Intracranial Aneurysms Detected on Imaging Follow-Up of Coiled Aneurysms in a Korean Population

Eung Koo Yeon,Young Dae Cho,Dong Hyun Yoo,Su Hwan Lee,Hyun-Seung Kang,Won-Sang Cho,Jeong Eun Kim,Moon Hee Han 대한영상의학회 2019 Korean Journal of Radiology Vol.20 No.9

ObjectiveCoiled aneurysms are known to recanalize over time, making follow-up evaluations mandatory. Although de novo intracranial aneurysms (DNIAs) are occasionally detected during routine patient monitoring, such events have not been thoroughly investigated to date. Herein, we generated estimates of DNIA development during long-term observation of coiled cerebral aneurysms, focusing on incidence and the risk factors involved. Materials and MethodsIn total, 773 patients undergoing coil embolization of intracranial aneurysms between 2008 and 2010 were reviewed retrospectively. Their medical records and radiologic data accrued over the extended period (mean, 52.7 ± 29.7 months) were analyzed. For the detection of DNIA, follow-up magnetic resonance angiography and/or conventional angiography were used. The incidence of DNIAs and related risk factors were analyzed using Cox proportional hazards regression and Kaplan-Meier product-limit estimator. ResultsIn 19 (2.5%) of the 773 patients with coiled aneurysms, DNIAs (0.56% per patient-year) developed during continued long-term monitoring (3395.3 patient-years). Of these, 9 DNIAs (47.4%) were detected within 60 months, with 10 (52.6%) emerging thereafter. The most common site involved was the posterior communicating artery (n = 6), followed by the middle cerebral artery (n = 5) and the basilar top (n = 4). Multivariate analysis indicated that younger age (< 50 years) (hazard ratio [HR] = 1.045; p = 0.010) and recanalization of coiled aneurysms (HR = 2.560; p = 0.047) were significant factors in DNIA formation, whereas female sex, smoking, and hypertension fell short of statistical significance. Cumulative survival rates without DNIA were significantly higher in older subjects (> 60 years; p < 0.001) and in the absence of post-coiling aneurysm recurrence (p = 0.006). ConclusionIn most patients with coiled aneurysms, development of DNIAs during long-term monitoring is rare. However, younger patients (< 50 years) or patients with recurring aneurysms appear to be predisposed to DNIAs.

족부종양

강응식(Eung Sick Kang),원예연(Ye Yeon Won),구태용(Tae Yong Koo) 대한정형외과학회 1994 대한정형외과학회지 Vol.29 No.3

電磁波의 生體에 미치는 影響

具然健,金應東 弘益大學校 1979 弘大論叢 Vol.11 No.-

The differential scattering characteristics of closed three dimensional dissipative dielectric objects is used to calculated electromagnetic scattering and absoption. The equations are solved for dissipative dielectric spheroids. The method developed here appears to be applicable to objectts whose physical size on the order of the wavelength of the incident waves and to be in colsed agreement with recent experimental results by O.P. GANDHI.

Low- versus Standard-Dose Intravenous Alteplase in the Context of Bridging Therapy for Acute Ischemic Stroke: A Korean ENCHANTED Study

Jong S. Kim,Yeon-Jung Kim,Kyung Bok Lee,Jae-Kwan Cha,Jong-Moo Park,Yang-Ha Hwang,Eung-Gyu Kim,Joung-Ho Rha,Jaseong Koo,Jei Kim,Yong-Jae Kim,Woo-Keun Seo,김동억,Thompson G. Robinson,Richard I. Lindley,Xia 대한뇌졸중학회 2018 Journal of stroke Vol.20 No.1

Background and Purpose Following the positive results from recent trials on endovascular therapy (EVT), bridging therapy (intravenous alteplase plus EVT) is increasingly being used for the treatment of acute ischemic stroke. However, the optimal dose of intravenous alteplase remains unknown in centers where bridging therapy is actively performed. The optimal dose for eventual recanalization and positive clinical outcomes in patients receiving bridging therapy also remains unknown. Methods In this prospective Enhanced Control of Hypertension and Thrombolysis Stroke Study (ENCHANTED) sub-study, we explored the outcomes following treatment with two different doses (low- [0.6 mg/kg] or standard-dose [0.9 mg/kg]) of intravenous alteplase across 12 Korean centers where EVT is actively performed. The primary endpoint was a favorable outcome at 90 days (modified Rankin Scale scores 0 to 1). Secondary endpoints included symptomatic intracerebral hemorrhage (ICH) in all patients, and the recanalization rate and favorable outcome in patients who underwent cerebral angiography for EVT (ClinicalTrials.gov, number NCT01422616). Results Of 351 patients, the primary outcome occurred in 46% of patients in both the standard- (80/173) and low-dose (81/178) groups (odds ratio [OR], 1.14; 95% confidence interval [CI], 0.72 to 1.81; P=0.582), although ICHs tended to occur more frequently in the standard-dose group (8% vs.3%, P=0.056). Of the 67 patients who underwent cerebral angiography, there was no significant difference in favorable functional outcome between the standard- and low-dose groups (39% vs.21%; OR, 2.39; 95% CI, 0.73 to 7.78; P=0.149). Conclusions There was no difference in functional outcome between the patients receiving different doses of alteplase in centers actively performing bridging therapy.

음식쓰레기 퇴비화시 bulking agent 의 적정 첨가량 결정메 관한 연구

신항식(Hang-Sik Shin),황응주(Eung-Ju Hwang),정연구(Yeon-Koo Jeong) 유기성자원학회 1994 유기물자원화 Vol.2 No.1

우리나라에서 발생되는 음식쓰레기는 퇴비화 처리시 높은 수분함량과 낮은 C/N비를 적정 수준으로 조절하기 위해 bulking agent를 첨가함이 필수적이며 그의 정확한 첨가량을 계산하는 것은 퇴비화에 소요되는비용을 결정하는데 중요한 요소로 작용하게 된다 (Hay et a1., 1988). 그러나 bulkíng agent의 첨가량을 계산하기 위한 기준지표 중의 하나인 C/N비의 경우 혼합되는 bulking agent 의 분해정도가 고려되지 않은 총 탄소와 질소의 비에 기준하여 적정 첨가비율이 정해지고 있기 때문에 실제 요구되는 탄소와 질소의 양을 초과 또는 미달하는 경우가 발생될 수 있으며, 이는 곧 bulking agent의 과다첨가 또는 반응속도 저하로 인한 처리비용의 상승과 직결될 수 있다. 본 연구에서는 음식쓰레기의 퇴비화를 위한 bulking agent의 정확한 첨가량을 정량적으로 제시하기 위하여 bulking agent의 첨가로 인한 반응향상 여부와 그 원인을 분석하여 이를 바탕으로 적정 첨가량 결정법을 제안하였다. 그 결과 실질적으로 분해가능한 탄소원을 포함하고 있는 쌀밥의 첨가는 C/N비가 낮은 음식쓰레기의 퇴비화반응을 향상시킬 수 있으나, 분해가 쉽지 않은 톱밥을 bulking agent로 첨가할 경우는 음식쓰레기에 탄소원을 제공함으로써 반응을 향상시킨다기 보다는 음식쓰레기의 통기성을 개선하여 줌으로써 활발한 퇴비화 반응을 유도한다는 사실을 확인할 수 있었다. 따라서, bulking agen t는 그 첨가량을 많이 할수록 퇴비화반응에 유리하며, 일반적인 적정 C/N 비값 이상의 첨가율에서도 반응 향상이 가능한 것으로 예상된다. 또한 bulking agent 첨가량의 증가로 인한 통기성의 향상효과는 해당 조건하에서의 적정 수분함량값 증가요소로 작용하는 것으로 나타나 이를 종합적으로 고려한 bulking agent첨가량 결정이 필요함을 알 수 있었 다. 이상과 같은 실험적 분석의 결과를 종합할 때, 음식쓰레기 100g당 78g 의 톱밥을 첨가하여 C/N비를 25수분함량을 56%로 각각 조절하는 것이 본 연구에서 다루어진 음식쓰레기의 활발한 퇴비화를 위해서는 적절하며, 이러한 첨가량의 계산법은 실제 퇴비화시설의 적정 운전을 위해서 적용함이 바람직한 것으로 판단되었다. Garbage composting was studied in a controlled batch reactor with the addition of cooked rice as a biodegradable carbon source to find the effect of C/N ratio control on composting. And composting of bulking agents such as sawdust and wheat straw were tested with the addition of ammonium sulfate as a nitrogen source. As expected, biodegradation of the garbage having low C/N ratio was improved to some extent when foreign carbon was added. But bulking agents used in this study exerted slightly biodegradable carbon potential, indicating that the estimation of the dose of additional carbon considering desirable C/N ratio was not reasonable when lignocellulosic bulking material was added to garbage. It was found that the optimum moisture content increased with sawdust addition meaning the C/N ratio increment. Considering the above results, it was suggested that 78g sawdust per lOOg garbage should be mixed to make C/N ratio to 25 and moisture content to 56% for effective composting of the garbage studied in this paper.

Fulminant Course of Acute Necrotizing Encephalopathy Followed by Serial MRI: A Case Report

Lee Ji Young,Lee Kyung Mi,Yeon Eung Koo,Lee Eun Hye,Kim Eui Jong 대한영상의학회 2021 대한영상의학회지 Vol.82 No.5

Acute necrotizing encephalopathy (ANE) is a rare but distinctive type of influenza-associated encephalopathy characterized by symmetric multiple lesions with an invariable thalamic involvement. Although the exact pathogenesis of ANE remains unclear, the most prevalent hypothesis is the “cytokine storm,” which results in blood-brain-barrier breakdown. We present the case of a 10-year-old boy with fulminant ANE confirmed with serial MRI studies, including diffusion-weighted imaging and susceptibility-weighted imaging. A comparison of these serial images demonstrated detailed and longitudinal changes in MRI findings during the clinical course corresponding to pathophysiological changes. Our case clarifies the pathogenesis of ANE brain lesions using serial imaging studies and suggests that early immunomodulatory therapy reduces brain damage.

음식쓰레기의 실험실 규모 퇴비화에서 셀룰로스 분해에 대한 퇴비 식종효과

신항식,정연구,황응주,Shin, Hang-Sik,Jeong, Yeon-Koo,Hwang, Eung-Ju 유기성자원학회 1998 유기물자원화 Vol.6 No.1

음식 쓰레기와 종이류의 혼합퇴비화에서 퇴비 식종 효과는 온도 변화, pH, 이산화탄소 발생량, 암모니아 발생 속도 등으로 판단하여 볼 때 유기성 질소를 비롯한 유기물의 분해를 퇴비화초기 단계에서는 촉진하는 것으로 나타났다. 하지만 이러한 퇴비식종이 최종적으로 유기물 분해율이나 질소 손실량에는 영향을 주지 않았다. 또한 퇴비를 식종함으로써 초기 고온 단계의 셀룰로스 분해가 촉진되었으며 건조 중량으로 25% 식종은 초기에 충분한 양의 셀룰로스 분해 미생물을 공급하는 것으로 나타났다. 아울러 퇴비 식종량이 증가함에 따라 초기 단계의 셀룰로스 분해 효소 활성도가 높았으며, 단시간에 최대값으로 증가하는 경향을 보였다. 그러나 최대 셀룰로스 분해효소의 활성도 유지기간이나 최대값은 대체로 비슷하였다. 또한 최종적인 셀룰로스 분해율도 비슷하여 퇴비 식종효과는 셀룰로스의 빠른 분해에 제한되며, 셀룰로스의 전반적인 분해도 향상에는 기여하지 못하는 것으로 판단된다. The effects of compost inoculation on the degradation of cellulosic fraction in composting of food waste and paper mixture were investigated by bench-scale composting. With the increase of seed inoculation, the time to reach the peaks of temperature, $CO_2$ evolution rate, and ammonia evolution rate was reduced, indicating that seed compost had beneficial effects on the enhanced degradation of organic materials at the early stage of composting. However, the final conversion of organic matters and the loss of ammonia were not affected by the amount of seed compost inoculated. The increasing of seed inoculum also resulted in the higher level of cellulase activity at initial stages and rapid rise to the maximums, suggesting that initial supply of sufficient cellulolytic microorganisms might facilitate the evolution of cellulase activity. The cellulose was degraded substantially during the increasing phase of cellulase activity, while they showed similar values at the end of 20 days composting. As a result, the seed inoculation seemed to be effective to the enhanced evolution of cellulase activity and cellulose degradation at initial stage of composting. But it did not contribute to increase the final degradation of cellulose after the entire composting reaction of 20 days.

반추가축영양 : 한우 당대검정 탈락축의 산육능력 및 육질 향상에 관한 연구

이상민 ( Sang Min Lee ),이창우 ( Chang Woo Lee ),박연수 ( Yeon Soo Park ),박병기 ( Byung Ki Park ),홍성구 ( Seong Koo Hong ),김형철 ( Hyeong Cheol Kim ),권응기 ( Eung Gi Kwon ),임석기 ( Seok Ki Kim ),전기준 ( Gi Jun Jeon ) 한국동물자원과학회 ( 구 한국축산학회 ) 2010 한국축산학회지 Vol.52 No.5

본 연구는 거세, 월령별 적정 사료 급여관리 및 아미노산 강화 반추위 보호지방산(ruminally protected amino acid-enriched fatty acid, RPAAFA)의 급여가 당대검정 탈락축의 산육능력 및 육질 향상에 미치는 영향을 조사하기 위해서 수행되었다. 당대검정 탈락축은 생후 14개월령에 거세를 실시하였다. 시험구 배치는 거세 한우 16두(15개월령, 평균 체중 412.9±24.9 kg)를 12개월 동안 RPAAFA를 급여하지 않는 대조구(control) 및 100g 급여하는 처리구(treatment)의 2처리로 완전임의 배치하였다. 거세한우는 생후 27월령에 도축하였다. 대조구에 비해 처리구의 일당증체량이 높은 경향을 보였으며, 사료요구율은 낮은 경향이었다. RPAAFA의 급여가 배최장근단면적, 등지방두께, 육색, 지방색, 조직감 및 성숙 도에 미치는 영향은 없었다. 육량 A등급 및 육질 l등급 이상의 고급육 출현률은 대조구에 비해 처리구에서 높은 경향이었다. 배최장근의 수분, 지방, 단백질 및 회분 함량은 처리간 유사한 수준이었다. RPAAFA의 급여가 배최장근의 보수력, 산화환원전위, 총육색소 및 지방산 함량에 미치는 영향은 없었다. 따라서 거세, 적정 사료급여 관리 및 RPAAFA의 급여는 당대검정 탈락축의 산육능력 및 육질등급 향상에 긍정적인 영향을 미치는 것으로 사료된다. This study was conducted to investigate the growth performance and meat quality improvement according to castration, optimal feeding management and ruminally protected amino acid-enriched fatty acid (RPAAFA) for the unselected Hanwoo bulls in the performance test. Bulls were castrated at approximately 14 months of age. Sixteen Hanwoo steers, 15 months of age and weighing 412.9±24.9 kg, were distributed into 2 groups. Steers were fed a basal diet supplemented with RPAAFA at 0 g (control) or 100 g (treatment), respectively for 12 months. Steers were slaughtered at 27 months of age. Average daily gain for treatment tended to be higher (p=0.10) than that of control, whereas feed conversion ratio tended to be lower (p=0.07) in treatment than in control. The supplementation of RPAAFA did not affect rib eye area, back fat thickness, meat color, fat color, texture and maturity. The appearance rates of yield `A` grade and high quality grade (1++, 1+ and 1) were higher in treatment than in control. The content of moisture, fat, protein and ash in longissimus muscles were similar between control and treatment. The supplementation of RPAAFA did not affect water-holding capacity, oxidation and reduction potential, myoglobin and fatty acid contents in longissimus muscles. Thus, present results indicate that castration, optimal feeding management and RPAAFA may be recommended for improving growth performance and quality grade of the unselected Hanwoo bulls in the performance test.