• Title/Summary/Keyword: 폐색전

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Effect of NMDA Receptor Antagonist on Local Cerebral Glucose Metabolic Rate in Focal Cerebral Ischemia (국소뇌허혈에서 NMDA 수용체 길항제가 국소 뇌포도당 대사율에 미치는 영향)

  • Kim, Sang-Eun;Hong, Seung-Bong;Yoon, Byung-Woo;Bae, Sang-Kyun;Choi, Chang-Woon;Lee, Dong-Soo;Chung, June-Key;Roh, Jae-Kyu;Lee, Myung-Chul;Koh, Chang-Soon
    • The Korean Journal of Nuclear Medicine
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    • v.29 no.3
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    • pp.294-306
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    • 1995
  • There has recently been increasing interest in the use of NMDA receptor antagonists as potential neuroprotective agents for the treatment of ischemic stroke. To evaluate the neuroprotective effect of the selective non-competitive NMDA receptor antagonist MK-801 in focal cerebral ischemia, local cerebral glucose utilization (ICGU) was examined in 15 neuroanatomically discrete regions of the conscious rat brain using the 2-deoxy-D[$^{14}C$] glucose quantitative autoradiographic technique 24 hr after left middle cerebral artery occlusion (MCAO). Animals received MK-801 (5 mg/kg i.v.) or saline vehicle before (20-30 min) or after (30 min) MCAO. Both pretreatment and posttreatment of MK-801 increased occluded/non-occluded ICGU ratio in 7 and 5 of the 15 regions measured, respectively (most notably in cortical structures). Following MK-801 pretreatment, there was evidence of widespread increases in ICGU not only in the non-occluded hemisphere (12 of the 15 areas studied) but also in the occluded hemisphere (13 of the 15 areas studied), while MK-801 postreatment did not significantly increase ICGU both in the normal and occluded hemispheres. These data indicate that MK-801 has a neuroprotective effect in focal cerebral ischemia and demonstrate that MK-801 provides widespread alterations of glucose utilization in conscious animals.

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Comparison of Bleeding Tendency Between Selective Serotonin Reuptake Inhibitors and Serotonin Norepinephrine Reuptake Inhibitors Using Platelet Function Analyzer (혈소판기능분석기를 이용한 선택적 세로토닌 재흡수 억제제와 세로토닌 노르에피네프린 재흡수 억제제의 출혈 경향성 비교)

  • Koo, Seung Mo;Kim, Hyun;Lee, Kang Joon
    • Korean Journal of Psychosomatic Medicine
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    • v.29 no.2
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    • pp.153-161
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    • 2021
  • Objectives : The purpose of this study is to compare bleeding tendency of selective serotonin reuptake inhibitor (SSRI) and serotonin norepinephrine reuptake inhibitors (SNRI) using platelet function analyzer (PFA-100) in patients with major depressive disorder. Methods : This study is a prospective open-label study conducted by a single institution. A total of 41 subjects diagnosed with major depressive disorder under the DSM-5 diagnostic criteria participated in this study. The subjects were classified into SSRI (escitalopram) groups and SNRI (duloxetine) groups, respectively, according to random assignments. The closure time (CT) was measured using a platelet function analyzer (PFA-100) before each antidepressant was administered and after 6 weeks. Paired-sample t-test was conducted within each group to determine whether a specific antidepressant had an effect on closure time. In order to confirm the relative change in platelet function between the two groups, an independent sample t-test was conducted to compare and analyze the change in closure time between the two groups. Results : There was no significant changes in closure time (CEPI-CT, CADP-CT) before and 6 weeks after drug administration in the SSRI and SNRI groups, and there was no difference in the amount of changes in closure time between the two groups. Conclusions : Our results showed no difference in bleeding tendency between SSRI and SNRI. This study suggests that further large-scale studies on bleeding tendency for various antidepressants are needed in the future.

Bearing Capacity of Model Open -Ended Steel Pipe Pile Driven into Sand Deposit (모래지반에 타입된 모형 개단강관 말뚝의 지지력 분석)

  • Baek, Gyu-Ho;Lee, Jong-Seop;Lee, Seung-Rae
    • Geotechnical Engineering
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    • v.9 no.1
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    • pp.31-44
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    • 1993
  • Model tests in calibration chamber with open -ended steel pipe pile have been performed in sand deposit to clarify effect of soil plug on bearing capacity, load transfer mechanisms in soil plug, and behavior of soil plug under dynamic and static conditions. Model piles were devised so that bearing capacity of open -ended pile could be measured separately into outside skin friction, inside skin friction due to soil plug -pile interaction and end bearing force on the section of steel pipe pile. It may be concluded, form the test results, that the plugging level of open -ended pile is more correctily defined by specific recovery ratio, y, rather than by plug length ratio, PLR, and the major part of inside skin friction is generated within the range of three times as long as the inner diameter of the pile from the pile tip. The ratio of inside skin friction to total bearing capacity is much larger than that of outside skin friction to total bearing capacity. Therefore, the bearing capacity of pile could not be well predicted, unless the inside skin friction is properly taken into account.

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Correlation Between High-Sensitive Collimator and Quantitave Analysis in Lung Ventilation SPECT (폐 환기 SPECT에서 고감도 Collimator와 정량분석의 상관관계)

  • Kim, Jung-Soo;Kim, Sang-Hyun
    • Journal of radiological science and technology
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    • v.38 no.2
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    • pp.89-99
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    • 2015
  • This study investigated the correlation between the characteristics of collimator in accordance with the efficiency of detecting photon signals and the quantitative analysis of the lung function, thereby assessing the possibility of clinically applying high sensitivity lung ventilation SPECT. From March to May, 2014, 10 subjects in normal volunteers underwent an ultra high resolution, high resolution and high sensitivity collimator planar scan and SPECT. The experiment showed that compared with the collimator scan, the quantitative analysis results were significant (p=0.89), and compared to the high resolution collimator SPECT, the time was reduced by 4.9 fold. Therefore, the lung ventilation SPECT that had not been used due to an undermined effectiveness can offer usefulness when clinically applied if a high sensitivity collimator is used since the quality and quantity of information and the duration of scan time all offer an improvement.

Surgical Treatment of Occluded Aberrant Left Subclavian Artery with Right-sided Aortic Arch -A case report- (우측 대동맥궁을 가진 환자에서 이상 기시된 좌쇄골하 동맥 폐색의 수술적 치료 - 1예 보고)

  • Cho Yang Hyun;Ryu Se Min;Kim Hyun Koo;Cho Jong Ho;Sohn Young-sang;Choi Young Ho;Kim Hark Jei
    • Journal of Chest Surgery
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    • v.38 no.3 s.248
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    • pp.241-244
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    • 2005
  • A 57-year-old man with numbness and paresthesia of left arm is presented. There was no pulse in the left arm was absent and his chest radiograph suggested right-sided aortic arch. The aortogram showed right-sided aortic arch with Kommerell's diverticulum. The proximal portion of left subclavian artery was totally occluded and blood was being supplied through vertebral arteries to distal subclavian artery. He underwent bypass grafting between both subclavian arteries by an expanded polytetrafluoroethylene graft. Because the size of Kommerell's diverticulum was small, it need to be observed closely.

Study on the effect of Buthus martensi Karsch extract on thrombosis and brian damage (전갈(全蝎) 추출물(抽出物)이 혈전증(血栓症), 전뇌허혈(全腦虛血) 및 뇌세포독성(腦細胞毒性)에 미치는 영향(影響))

  • Baek, Myung-Hyun;Hwang, Yong-Geun;Jeong, Ji-Cheon;Kang, Jeong-Jun;Kim, Sung-Hoon
    • The Journal of Dong Guk Oriental Medicine
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    • v.8 no.1
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    • pp.171-190
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    • 1999
  • This following is effect of Buthus martensi Karsch(BMK) extract on dextran-thrombus model, KCN-induced coma, cytotoxicity of brain etc. BMK extract significantly increased number of platelet and fibrogen and significantly shortened the prothrombin time as compared with control group treated with dextran. BMK extract didn't affect the changes of hematocrit as compared with control group treated with dextran. BMK extract induced a significant inhibition of human platelet aggregation induced by thrombin and ADP but did not affect human platelet aggregation induced by collagen. BMK extract showed a protective effect on pulmonary thrombosis induced by collagen and epinephrine. BMK extract prolonged the duration of KCN-induced coma and showed a protective effect on cytotoxicity of PC12 cells induced by amyloid ${\beta}$ protein(25-35) in a dose dependent manner. These results suggested that BMK extract might be usefully applied for prevention and treatment of thrombosis and brain damage.

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Surgical Treatment for Atherosclerosis of Aaortoiliac Artery (대동맥장골동맥의 죽상경화증에 대한 수술적치료)

  • 금동윤;정진악;신화균;이재원
    • Journal of Chest Surgery
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    • v.34 no.2
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    • pp.133-137
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    • 2001
  • 배경: 하지에 영향을 미치는 죽상경화증은 복부대동맥과 이에 중요분지인 총장골동맥을 침범할 수 있다. 또한 국소분절을 침범할 수 있으나 다중분절은 침범할 수도 있다. 대상 및 방법: 을지의과대학교 흉부외과학 교실에서는 1995년 1월부터 1999년 12월까지 대동맥총장골동맥의 죽상경화증을 주소로 우회술을 시행받은 23례의 환자들을 후향적으로 조사하였다. 결과: 모든 환자는 남자였고 평균연령은 60.15$\pm$8.7세였다. 전 예에서 흡연의 과거력이 있었으며 동반질환으로 당뇨병 8례, 고혈합 7례, 관상동맥질환 6례, 그리고 판막질환 1례였다. 대동맥장골동맥 죽상경화증에 대한 수술방법으로는 대동맥양측대퇴동맥 우회술(7례), 대동맥양측동맥 우회술 및 대퇴동맥슬와동맥 우회술(8례), 대동맥양측대퇴동맥 우회술(2례), 액와대퇴동맥 및 고고동맥 우회술(3례), 고고동맥 우회술(3례)였다. 훌후 합병증으로 후복막상 출혈 3례, 마비성 장폐색 3례, 폐렴3례, 뇌졸중 1례, 급성신부전 2례, 창상감염 2례였다. 해부학적 우회술을 받은 환자중 3례에서 수술 사망이 발생하였다. 결론: 해부학적 우회술은 대동맥장골동맥의 폐쇄성질환에 표준적인 수술방법이지만 또한 해부학적 우회술 역시 술후 유병률 및 사망률이 낮은 좋은 수술법으로 사료된다.

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Z-Score를 이용한 관류영상과 조영전후 감산에 의한 역동영상의 뇌관류 양상의 비교 관찰

  • 최순섭;오종영;남경진;이영일
    • Proceedings of the KSMRM Conference
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    • 2001.11a
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    • pp.171-171
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    • 2001
  • 목적: 뇌 자기공명영상에서 Z-score를 이용한 관류 영상과 조영전후의 감산에 의한 역동 영상의 관류 양상을 비교 관찰 하고자 한다. 대상 및 방법: 뇌 자기공명영상에서 이상 소견이 없는 젊은 환자 1명, Moya moya 환자 1, 중대뇌동맥 폐색 환자 1명, 외상후 증후군 1명, 뇌종양 1예를 대상으로 하여, 뇌의 routine 자기공명 영상과 함께 Gd-DTPA 0.1 mmol/kg를 급속 주사 후 자화율 대조 EPI 영상을 얻었다. 영상 기기는 Magnetom Vision(Siemens Medical Systems, Erlangen, Germany)이며, EPI 영상 지표들은 TR/TE는 0.8/29 msec, slice 두께 6 mm, slice 수 10, 화소수 128 $\times$ 128, FOV 215 $\times$ 215 mm, 영상획득 1 회, 1회 검사시간 1.32 초, 검사수 30 회로서, 총 검사시간은 40 초였다. 검사 후 영상처리(post processing)는 Magnetom Vision의 VB31D 자체 프로그램을 이용하였는데, 2-score를 이용한 관류영상은 조영제 유입전 영상들, 조영제 최대 유입기 영상들, 그리고 조영제 배출기 영상들 4-5 회를 각각 한 군으로 하여, Z-score 1.2에서 2.0 사이에서 여러번 반복하여 영상을 재구성하였다. 감산에 의한 역동영상은 조영제 도달 전의 영상으로부터 조영제 유입 후의 영상을 차례로 빼어서 영상을 재구성하였으며, 이들 영상을 재정리하여 각 단면의 시간 경과에 따른 관류 양상을 연속하여 관찰하였다 두 방법에 의한 영상 재구성은 각각 약 10분 정도가 소요되었다.

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A Case of Primary Unknown Squamous Cell Carcinoma Incidentally Found in the Thrombus After Pulmonary Embolectomy (폐색전 제거술 후 혈전에서 우연히 확인된 원발 미상 편평 상피 세포암 1예)

  • Choi, Chang-Hwan;Park, Young-Soo;Ryu, Dong-Ryeol;Park, Sung-Ha;Ko, Won-Ki;Ahn, Kang-Hyun;Park, Jae-Min;Kim, Se-Kyu;Chang, Joon;Kim, Sung-Kyu;Lee, Won-Young
    • Tuberculosis and Respiratory Diseases
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    • v.47 no.1
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    • pp.103-110
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    • 1999
  • A thromboembolic event in patients later given a diagnosis of cancer is the result rather than the cause of the cancer. The risk of hidden cancer is significantly higher for patients with recurrent idiopathic thromboembolism compared to those with secondary deep vein thrombosis. Microemboli from hepatic or adrenal metastases and large-sized emboli from the great veins invaded by the tumor are the sources of tumor embolization The intraarterial tumor emboli less likely invade the arterial wall. Thrombus formation and organization may be capable of destroying tumor cells within pulmorlary blood vessels. Therefore, all tumor emboli are not true metastases. The treatment of deep vein thrombosis and pulmonary embolism in patients with cancer consists of anticoagulation with heparin and warfarin, venacaval filters, appropriate anti-neoplastic agents, and surgical methods(embolectomy, thromboendarterectomy). However, considerable literatures suggest that oral anticoagulant such as warfarin is ineffective in the treatment of those. We report a case of primary unknown squamous cell carcinoma incidentally found in the thrombus after pulmonary embolectomy.

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The Study on Centralization & Electronic for Maintenance Efficiency of Ground Signaling System (지상신호설비의 유지보수 효율화를 위한 집중화 및 전자화 연구)

  • Baek, Jong-Hyen;Kim, Yong-Kyu;Lee, Kang-Mi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.8
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    • pp.2983-2988
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    • 2010
  • The train control system used in Gyeongbu-line is classified in ATC, IXL and CTC. Domestic railway signaling systems are being developed by electrification. In these systems the electrification of interlocking reaches 57% and the safety equipments of railway crossings in trackside devices have completed their development into an integrated system. Block systems of all the existing sections have not yet electrified and integrated so that they need a number of complement in terms of construction and maintenance. For ABS currently used in existing domestic lines, and LEU being installed in Gyeongbu and Honam lines, although a train is controlled by the signaling information of the same train in the same location, the system is separately installed so that the same information is separately divided and transmitted at the each distinct system. Therefore, in the conventional ABS and LEU, there are a lot of duplicate installed compartments such as lamp detection and a power supply unit. Hence, we have a lot of problems: for maintenance, a lot of manpower and costs need to be invested and the overall manufacturing costs get higher, as well as the construction costs by duplicate. Therefore, this paper suggest design to develop an integrated electronic Block Control Unit by the integration of the currently used ABS, and communication and electronic technology. We are to monitor and manage the block systems in the corresponding station by integrating. And we are to transmit information together with LEU, which is an ATS wayside transmitter.