• Title/Summary/Keyword: TN-C

Search Result 386, Processing Time 0.037 seconds

Usefulness of Cardiac Troponin I as a Prognostic Marker in Noncardiac Critically Ill Patients (비순환기계 중환자의 예후인자로서 Cardiac Troponin I의 유용성)

  • Kim, Hwi Jong;Ham, Hyoun Seok;Cho, Yu Ji;Kim, Ho Cheol;Lee, Jong Deok;Hwang, Young Sil
    • Tuberculosis and Respiratory Diseases
    • /
    • v.59 no.1
    • /
    • pp.53-61
    • /
    • 2005
  • Background : Cardiac troponin I (cTnI) is a specific marker of myocardial injury. It is known that a higher level of cTnI is associated with a poor clinical outcome in patients with acute coronary syndrome. An elevation in cTnI is also observed in various noncardiac critical illnesses. This study evaluated whether cTnI is useful for predicting the prognosis in noncardiac critically ill patients. Methods : From June 2003 to July 2004 at Gyeongsang National University Hospital, we enrolled 215 patients (male:142, female:73, mean age:$63{\pm}15$ years ) who were admitted for critical illness other than acute coronary syndrome at the medical intensive care unit(ICU). The severity score of critical illness (SAPS II and SOFA) was determined and serum cTnI level was measured within 24 hours after admission to the ICU. The mortality rate was compared between the cTnI-positive (${\geq}0.1{\mu}g/L$) and cTnI-negative ($cTnI<0.1{\mu}g/L$) patients at the $10^{th}$ and $30^{th}$ day after admission to the ICU. The mean cTnI value was compared between the survivors and non-survivors at the $10^{th}$ and $30^{th}$ day after admission to the ICU in the cTnI-positive patients. The correlation between cTnI and the severity of the critical illness score (SAPS II and SOFA) was also analyzed in cTnI-positive patients. Results : 1) The number of cTnI-negative and positive patients were 95(44%) and 120(56%), respectively. 2) The mortality rate at the $10^{th}$ and $30^{th}$ day after admission to the ICU was significantly higher in the cTnI-positive patients (29%, 41%) than in the cTnI-negative patients (12%, 21%)(p<0.01). 3) In the cTnI-positive patients, the mean value of the cTnI at the $10^{th}$ and $30^{th}$ day after admission to the ICU was significantly higher in the non-survivors ($4.5{\pm}9.2{\mu}g/L$, $3.5{\pm}7.9{\mu}g/L$) than in the survivors($1.8{\pm}3.6{\mu}g/L$, $2.0{\pm}3.9{\mu}g/L$) (p < 0.05). 4) In the cTnI-positive patients, the cTnI level was significantly correlated with the SAPS II score (r=0.24, p<0.001) and SOFA score (r=0.30, p<0.001). Conclusion : The cTnI may be a useful prognostic marker in noncardiac critically ill patients.

Primary Survey of Cardiac Troponin I Elevated Groups in Trauma Patients (외상 환자에서의 cardiac troponin I 상승군에서의 기초 조사)

  • Sohn, You Dong;Lim, Kyoung Soo;Ahn, Ji Yun;Park, Jung Keun;Cho, Gyu Chong;Oh, Bum Jin;Kim, Won
    • Journal of Trauma and Injury
    • /
    • v.18 no.2
    • /
    • pp.81-86
    • /
    • 2005
  • Background: Cardiac troponin I (cTnI) is a sensitive cardiac marker of myocardial injury. In normal coronary angiogram, positive cTnI values may be detected in various events such as sepsis, stroke, trauma and so on. To investigate characteristics of cTnI positive group in trauma patients, we designed this study between cTnI positive group and cTnI negative group. Method: Trauma patients who visited emergency room within 24 hours after accidents were included. Patients who had renal failure, acute coronary syndrome, sepsis, spontaneous SAH were excluded. Retrospective study of 97 trauma patients was done. We investgated ISS (injury severity score), positive cTnI, EKG abnormality, shock class, ICU admission rate and mortality. Result: In comparing with non chest trauma group, chest trauma group, whose chest AIS (Abbreviated Injury Score) is more than 3 point, had significant values in ISS, positive cTnI, EKG abnormality, shock class and ICU admission rate. Also, in non chest trauma group, we found several patients whose cTnI level was positive. When non chest trauma group was divided into two subgroups, the mortality and shock class of positive cTnI group were higher than that of negative cTnI group. When all trauma patients were divided into two groups, a positive cTnI group had higher values in ISS, shock class, ICU admission rate and mortality than that in a negative cTnI group. Conclusion: We found that cTnI were positive in patients of cardiac contusion but also in various trauma cases. In non chest trauma patients, we assumed that hypotension caused cTnI elevating. The cTnI could play a role in predicting prognosis in trauma patients.

The Application Method of a Protection Conductor for the Prevention of Electric Shock in England (감전사고 예방을 위한 영국의 보호도체 적용 방법)

  • Jung, Jin-Soo;Jung, Jong-Wook;Han, Woon-Ki;Lee, Jun
    • Proceedings of the KIEE Conference
    • /
    • 2008.07a
    • /
    • pp.2216-2217
    • /
    • 2008
  • This paper write about earth system for the prevention electric shock and a protection of equipment in england. The IEC60364 and BSI(British Standards Institution) define earthing method(IT, TT, TN-C, TN-S, TN-C-S)-BSI is british standards and in case of england almost use the TN system. TN system can classify TN-S & TN-C-S(PME). The findings on survey in england are used the TN-S system and TN-C-S system about 70% and residue 30% are used TT system and IT system from the exiting state of things.

  • PDF

Tests for Acute Coronary Syndrome (급성관동맥증후군 관련 검사)

  • Kim, Kyung-Dong
    • Journal of Yeungnam Medical Science
    • /
    • v.18 no.1
    • /
    • pp.13-29
    • /
    • 2001
  • The enzyme activities of creatine kinase (CK), its isoenzyme MB (CK-MB) and of lactate dehydrogenase isoenzyme 1 (LD-1) have been used for years in diagnosing patients with chest pain in order to differentiate patients with acute myocardial infarction (AMI) from non-AMI patients. These methods are easy to perform as automated analyses, but they are not specific for cardiac muscle damage. During the early 90's the situation changed. First, creatine kinase ME mass (CK-MB mass) replaced the measurement of CK-MB activity. Subsequently cardiac-specific proteins, troponin T (cTnT) and troponin I (cTnI) appeared and displacing LD-1 analysis. However, troponin concentrations in blood increase only from four to six hours after onset of chest pain. Therefore a rapid marker such as myoglobin, fatty acid binding protein or glycogen phosphorylase BB could be used in early diagnosis of AMI. On the other hand, CK-MB isoforms alone may also be useful in rapid diagnosis of cardiac muscle damage. Myoglobin, CK-MB mass, cTnT and cTnI are nowadays widely used in diagnosing patients with acute chest pain. Myoglobin is not cardiac-specific and therefore requires supplementation with some other analyses such as troponins to support the myoglobin value. Troponins are very highly cardiac-specific. Only the sera of some patients with severe renal failure, which requires hemodialysis, have elevated cTnT and/or cTnI without there being any evidence of cardiac damage. The latest studies have shown that elevated troponin levels in sera of hemodialysis patients point to an increased risk of future cardiac events in a similar manner to the elevated troponin values in sera of patients with unstable angina pectoris. In addition, the bedside tests for cTnT and cTnI alone- or together with myoglobin and CK-ME mass can be used instead of quantitative analyses in the diagnosis of patients with chest pain. These rapid tests are easy to perform and they do not require expensive instrumentation. For the diagnosis of patient with chest pain, routinely myoglobin and CK-ME mass measurements should be performed whenever they are requested (24 h/day) and cTnT or cTnI on admission to the hospital and then 4-6 and 12 hours later and maintained less than 10% in imprecision.

  • PDF

The Comparison and Analysis about Earth System based on IEC60364 (IEC 60364 기반 접지계통 비교 분석)

  • Jung, Jin-Soo;Han, Woon-Ki;Kim, Oh-Hwan;Kim, Jae-Chul
    • Journal of the Korean Institute of Illuminating and Electrical Installation Engineers
    • /
    • v.24 no.1
    • /
    • pp.56-62
    • /
    • 2010
  • This paper describes the analysis of loop impedance characteristics by impedance alteration of protective conductors and operating characteristics of electric leakage circuit breaker by each earth systems(TT system, TN-S system and TN-C system) in IEC 60364. As a result, loop Impedance was affected by resistance & inductance. The current& voltage characteristics about earth system were identified that the TN-S system was high fault current & low touch voltage. TN-C system was almost same the TN-S system but TT system was low fault current & high touch voltage.

Effects of Temperature on the Changes of Enzymatic Activities and Metabolite during Wheat nuruk Fermentation (밀누룩 발효기간 동안 효소와 대사체 변화에 대한 온도의 영향)

  • Lee, Se Hee;Baek, Seong Yeol;Kang, Ji-Eun;Jeon, Che Ok;Kim, Dae-Hyuk;Kim, Myoung-Dong;Yeo, Soo-Hwan
    • Microbiology and Biotechnology Letters
    • /
    • v.43 no.4
    • /
    • pp.378-384
    • /
    • 2015
  • Nuruk is a fermentation agent, which has been used for the production of traditional Korean alcoholic beverages. The objective of this study was to investigate the effects of temperature on nuruk fermentation. One wheat nuruk sample was fermented at $36^{\circ}C$ for 30 days (TN-A) and another at $45^{\circ}C$ for 10 days followed by $36^{\circ}C$ for 20 days (TN-B). The activities of ${\alpha}$-amylase, glucoamylase, and acidic protease, as well as metabolite contents were measured. Initially, the enzymatic activities increased rapidly regardless of the fermentation temperature. After 3 days of fermentation, the enzymatic activities were maintained in TN-A, but gradually decreased in TN-B until the end of fermentation process. Metabolite analysis using $^1H$-NMR showed that the levels of glucose, glycerol, fructose, mannitol, and lactose initially increased quickly and then decreased in TN-A. However, they initially decreased and then were maintained over the fermentation period in TN-B. The contents of glycine, proline, and serine were higher in TN-A than in TN-B. This study suggests that a constant temperature of approximately $36^{\circ}C$ is appropriate for achieving high amylolytic and proteolytic activities in the production of wheat nuruk.

Hazards and Solutions of Loss of the PEN Conductor in TN-C-S System (TN-C-S계통에서 PEN도체의 단선고장의 위험성 및 보호대책)

  • Lee, Bok-Hee;Lee, Kyu-Sun;Ahn, Chang-Hwan;Kim, Han-Su
    • Journal of the Korean Institute of Illuminating and Electrical Installation Engineers
    • /
    • v.21 no.8
    • /
    • pp.113-120
    • /
    • 2007
  • This paper presents the electric shock hazards and solutions of loss of the combined protective and neutral (PEN) conductor in TN-C-S system. In order to mitigate the touch voltage on exposed-conductive-parts in a break in the PEN conductor, the touch voltages on exposed-conductive-parts in a break in the PEN conductor were experimentally investigated as a function of the ground resistances of the source grounding electrode and customer's additional grounding electrode. As a result, the equipotential bonding is one of important requirements for installations supplied by TN-C-S system. A solution of mitigating the touch voltages on exposed-conductor-parts caused by a loss of the PEN conductor would be the installation of the additional grounding electrode at the customer's service entrance. The ground resistance of additional grounding electrode necessary to limit the touch voltage to a safety voltage of less than 50[V] depends on the load and circuit parameters. In addition, the undervoltage sensing devices oner affordable solutions to detect a loss of the PEN conductor in TN-C-S system.

Initial Troponin Level as a Predictor of Prognosis in Patients with Intracerebral Hemorrhage

  • Chung, Pil-Wook;Won, Yu-Sam;Kwon, Young-Joon;Choi, Chun-Sik;Kim, Byung-Moon
    • Journal of Korean Neurosurgical Society
    • /
    • v.45 no.6
    • /
    • pp.355-359
    • /
    • 2009
  • Objective : It has been suggested that elevated cardiac troponin T (cTnT) level is a marker of increased risk of mortality in acute ischemic stroke and subarachnoid hemorrhage (SAH). However, the association of serum cTnT level and prognosis of intracerebral hemorrhage (ICH) has been sparsely investigated. The aim of this study was to identify the relationship between cTnT level and the outcome in patients with spontaneous ICH. Methods : We retrospectively investigated 253 patients identified by a database search from records of patients admitted in our department for ICH between January 1, 2003 and December 31, 2007. The patients were divided into 2 groups; the patients in group 1 (n=225) with serum cTnT values of 0.01 ng/mL or less, and those in group 2 (n=28) with serum cTnT values greater than 0.01 ng/mL. Results : The serum cTnT level was elevated in 28 patients. There were significant differences in sex, hypertension, creatine kinase-myocardial band, midline shift, side of hematoma, and presence of intraventricular hemorrhage between the 2 groups. Logistic regression analysis identified the level of consciousness on admission, cTnT and midline shift as independent predictors of hospital mortality. Conclusion : Theses results suggest that increased serum cTnT level at admission is associated with in-hospital mortality and the addition of a serum cTnT assay to routine admission testing should be considered in patients with ICH.

Electro-Optical Characteristics of TN Cell using UV Alignment Method on the a-C:H Thin Film (a-C:H 박막표면에 UV 배향법을 이용한 TN 셀의 전기광학특성)

  • Park, Chang-Joon;Hwang, Jeoung-Yeon;Kim, Jong-Hwan;Seo, Dae-Shik;Ahn, Han-Jin;Baik, Hong-Koo
    • Proceedings of the Korean Institute of Electrical and Electronic Material Engineers Conference
    • /
    • 2003.07b
    • /
    • pp.1043-1046
    • /
    • 2003
  • We investigated the EO performances of the UV aligned twisted nematic liquid crystal display (TN-LCD) with the UV exposure on a-C:H thin film surface. LC alignment using UV exposure on the a-C:H thin film surface was achieved. Monodomain alignment of the UV aligned TN-LCD can be observed. An good EO characteristics of the UV aligned TN-LCD was observed with oblique ion beam exposure on the a-C:H thin film surface. Therefore, the EO property of the UV-aligned TN-LCD with UV exposure on the a-C:H thin film surface is almost the same as that of the rubbing-aligned TN-LCD on a polyimide (PI) surface.

  • PDF

Occurrence of Tn3 Sequence Upstream of aacC2 Gene in Gentamicin Resistance R Plasmids (Gentamicin 저항성 R 플라스미드에 존재하는 aacC2 유전자의 상류부위에서 Tn3의 출현)

  • 한효심;김남덕;이영종;이효연;정재성
    • Korean Journal of Microbiology
    • /
    • v.33 no.3
    • /
    • pp.165-169
    • /
    • 1997
  • Two gentamicin resistance R plasmids, pGM5 and pGM6, containing aacC2 gene were selected from environmental isolates. The gentamicin resistance determinants of R plasmids were cloned into the BamHI site of pUC18. Restriction enzyme map of inserted region of recombinant plasmids, pSYS and pSY6, and PCR results indicated that Tn3 sequence was located upstream of gentamicin resistance gene. Based on the restriction maps and susceptibility tests, it was concluded that the sequence of bla and 3' inverted repeat of Tn3 play a important roles in the expression of gentamicin resistance gene.

  • PDF