• Title/Summary/Keyword: 혈관성

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특집_의료진과 함께 한 제 12회 성인당뇨캠프 - 강의노트-의사가 전한 당뇨정보 - 당뇨병과 혈관합병증

  • Gwak, Jeong-Eun
    • The Monthly Diabetes
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    • s.239
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    • pp.14-16
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    • 2009
  • 당뇨병은 '혈관병'이라고 한다. 대부분의 당뇨합병증이 혈관을 통해서 나타나고, 결국에는 그 혈관문제로 사망에 이르게 돼 당뇨병환자는 혈관 관리에 소홀해서는 안 된다. 이에 한국당뇨협회 제 12회 성인당뇨캠프에서도 춘천성심병원 내분비내과 류옥현 교수의 강의로 당뇨병 혈관합병증의 위험성이 강조되었다.

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Vascular leiomyoma of the palate (구개에 발생한 혈관성 평활근종의 보고)

  • Kang, Jin-Kyu;Yoon, Jung-Hoon;Shim, Young-Joo
    • Journal of Oral Medicine and Pain
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    • v.38 no.2
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    • pp.115-119
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    • 2013
  • Leiomyoma is benign neoplasm of smooth muscle, but it is rare in the oral cavity. The most common type of leiomyoma in the oral cavity is vascular leiomyoma. Clinically, vascular leiomyoma usually grows slowly and is generally a small, painless, sessile, firm and superficial nodule like lesion, and the length of time before patients seek medical attention may span months to years. The diagnosis of oral leiomyoma is possible with only histological studies with special stains because there are no specific clinical and radiological signs. We experienced a 53-year-old woman with palatal mass. She underwent surgical excision and the final pathological result confirmed it to be vascular leiomyoma. We report this case with a review of the related literatures.

Vasomotor Regulation of the Israeli Carp (Cyprinus carpio) Ventral Aorta by Cholinergic and Adrenergic Neurotransmitters (콜린성 및 아드레날린성 신경전달물질에 의한 이스라엘잉어 복대동맥의 혈관긴장도 조절기능)

  • Park, Kwan-Ha
    • Korean Journal of Ichthyology
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    • v.12 no.1
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    • pp.38-45
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    • 2000
  • Depending on the fish species the vascular tone is distinctively regulated by numerous vasoactive substances. In most fish species the regulatory role of autonomic neurotransmitters and other vasoactive substances are not well defined. This research was designed to delineate the regulatory role of various endogenous autonomic neurotransmitters known to be important in mammalian vascular systems on isolated Israeli carp ventral aorta. Acetylcholine(ACh) contracted the aorta regardless of the pre-existing level of vascular tone, and the contraction was almost completely abolished by a cholinergic-muscarinic antagonist atropine. Endogenous, multiple receptor ($\alpha$ and $\beta$)-acting adrenergic agonist epinephrine (Epi) relaxed the vessel in the presence and absence of the pre-existing tones. Another endogenous multiple receptoracting agonist norepinephrine (NE) weakly contracted the aorta in non-preconstrcted state, but the response was reversed to relaxation when preconstricted. Isoproterenol, ${\alpha}\;{\beta}$ adrenergic receptor agonist, was a potent vasodilator whereas an ${\alpha}_1$ agonist phenyephrine was a contractor. The ${\alpha}_2$ adrenergic receptor agonist clonidine has not any significant effect in altering the vascular tone. The vasorelaxing action of Epi, NE and isoproterenol was significantly attenuated by $\beta$ receptor antagonist propranolol. These results imply that ACh may primarily play a contractor role via muscarinic receptor activation while adrenergic agonists, Epi and NE, are relaxants through activation of $\beta$ adrenergic receptors in vivo.

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Radiologic Approach for Pulmonary Vasculitis (폐혈관염의 영상의학적 접근)

  • Chohee Kim;Yoon Kyung Kim;Joungho Han
    • Journal of the Korean Society of Radiology
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    • v.82 no.4
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    • pp.791-807
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    • 2021
  • Vasculitis is a systemic disease, characterized by inflammation of the vascular wall. Although rare, it is sometimes life-threatening due to diffuse pulmonary hemorrhage or acute glomerulonephritis. Besides primary vasculitis, whose cause is unknown, numerous conditions such as autoimmune diseases, drugs, infections, and tumors can cause secondary vasculitis. Vasculitis displays various non-specific symptoms, signs, and laboratory findings; hence, diagnosis of the disease requires integration of various results including clinical features, imaging findings, autoantibody tests, and pathological findings. In this review, we have discussed the clinical, radiologic, and pathological features of vasculitis. Further, we elaborated the imaging findings and differential diagnosis of typical vasculitis that frequently involves the lung and introduced a new international classification of vasculitis, the Diagnostic and Classification Criteria in Vasculitis.

Treatment of Traumatic Vascular Injury (외상성 혈관 손상의 치료)

  • 장인석;최준영;김종우;이정은;이상호
    • Journal of Chest Surgery
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    • v.36 no.8
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    • pp.590-594
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    • 2003
  • Vascular injury has been increased with popular outside activities. However there are only a few studies for vascular trauma. We intended to find out the relationships between the vascular trauma and its prognosis. Material and Method: Forty-four patients were diagnosed and operated on for vascular injury in the Gyeongsang National University Hospital from 1992. to 1999. We reviewed their chart and analysed their data retrospectively. We studied to causes, treatments, and prognoses of traumatic vascular injury. Result: The transfer time between accident place and emergency department was mean 3,5 hour, and the operation preparing time was 8.8 hours. Five cases required amputation of extremity. All amputation cases were combined with communited bony fractures. Thirty-eight cases had combined other injuries, and almost combined injuries were muscular and neurological damages, Conclusion: The optimal treatment plan for vascular trauma was prompt diagnosis and quick management. It may decrease amputation rate and post-traumatic complications. Therefore we must be carefully evaluated the multiple traumatic patients for early diagnosis of vascular injury and operate quickly in emergency status.

The Effect of Silymarin and Ethanol Intake on Vascular Contractility (엉겅퀴 유래 Silymarin의 단독 및 알코올 병용 시 혈압 조절 효과)

  • Je, Hyun Dong;Min, Young Sil
    • Journal of Industrial Convergence
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    • v.20 no.7
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    • pp.131-137
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    • 2022
  • In the study, we endeavored to assess the convergence effect of Silybum marianum-derived silymarin and epidemiologically-correlated alcohol intake on vascular contractility and to determine the mechanism involved. There were few reports addressing the question whether thin or thick filament modulation is included in ethanol and silymarin-induced regulation. We hypothesized that ethanol at a low concentration and silymarin play a role in agonist-dependent regulation of vascular contractility. Denuded arterial muscles of Sprague-Dawley male rats were suspended in organ baths and isometric tensions were transduced and recorded using isometric transducers and an automatic data acquisition system. Interestingly, both silymarin and ethanol didn't encourage silymarin alone-induced inhibition in agonists-induced contraction suggesting that endothelial nitric oxide synthesis might be involved in ethanol or silymarin-induced modulation of vascular contractility and additional pathways besides endothelial nitric oxide synthesis such as ROCK inactivation might be involved in the silymarin-induced modulation of vascular contractility.

Clinical Analysis of Palliative Treatments in Occlusive Vascular Disease (폐쇄성 혈관 질환을 가진 환자의 고식적 치료에 관한 임상적 고찰)

  • 김학제;조원민;류세민;황재준;송영상;최영호
    • Journal of Chest Surgery
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    • v.35 no.4
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    • pp.283-289
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    • 2002
  • Backgrouds: It is almost universally accepted that occlusive vascular diseases are best managed by anatomical reconstruction. However, the mortality and the morbidity have limited this operation for patients with high operation risks. In these patients, palliative operations such as extra-anatomic bypass and lumbar sympathectomy, are accepted as useful treatment. Material and Method: A retrospective study was conducted in 38 patients who underwent palliative operations for occlusive vascular disease at Korea University Guro Hospital between 1996 and 2000. Mean age of the patients was 60.37 $\pm$ 17.65 years, and preoperative diagnoses were atherosclerosis in 32 patients, Buerger's disease in 4 patients, Raynaud's syndrome in 1 patient and SVC syndrome in 1 patient. Result: Extra-anatomic bypass(40procedures), lumbar sympathectomy(17), thromboembolectomy(7) and femoral artery graft interposition(1) were performed. Six patients were required reoperation due to graft flow failure or fistula. Three year primary patency rate of entire operations was 78.29 $\pm$ 8.81%, and the correlation between type of operation and patency rate was not statistically significant. Conclusion: Palliative operations for occlusive vascular disease are useful treatment in limited patients with high operation risks or limited life expectancy.

Different Patterns of Behavioral and Psychological Symptoms of Dementia and Caregiver Burden according to Dementia Type in Nursing Home Residents (요양시설 치매노인의 치매유형에 따른 행동심리증상 특성과 간호제공자의 업무 부담감)

  • Gang, Min-Suk;Choi, Hyun-A;Hyun, Jin-Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.5
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    • pp.459-469
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    • 2016
  • The purpose of this study was to examine different patterns of behavioral and psychological symptoms of dementia (BPSD) and caregiver burden according to dementia type. Data were collected from June 2014 to December 2014 from five nursing homes. In all, 214 patients [131 patients with Alzheimer's disease (AD) and 83 patients with Vascular dementia (VD)] were included in the study. BPSD and caregiver burden data were examined using NPI-NH (Neuropsychiatric Inventory Nursing Home Version). According to the results, both the AD and VD group showed the highest frequency in apathy/indifference and the frequency of anxiety, elation/euphoria, and irritability/lability was significantly higher in the AD group than in the VD group. The difference in total BPSD composite scores between the AD and VD groups was not significant but agitation/aggression was significantly higher in the AD group than in the VD group. The mean score for caregiver burden was significantly higher in the AD group than in the VD group, particularly in agitation/aggression. In conclusion, BPSD differed according to dementia type, and nurses should provide specific interventions to control BPSD; a program to reduce caregiver burden according to dementia type is also needed.

특집 - 당뇨가 혈관에 주는 영향

  • Son, Seok-Man
    • The Monthly Diabetes
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    • s.210
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    • pp.8-10
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    • 2007
  • 대혈관 합병증은 중간크기 이상의 혈관(동맥 및 정맥)에서 동맥경화증이나 죽상경화증에 의한 변화로 발생하는 질환으로 관상동맥, 뇌혈관 및 말초혈관에 주로 발생하며 당뇨병환자의 주된 사망원인과 관련이 있기 때문에 매우 중요합니다. 당뇨병환자에서 대혈관 합병증인 죽상경화증은 가장 흔하고 중대한 만성합병증으로 관상동맥질환에 의한 관상동맥질환, 말초혈관질환 및 뇌혈관질환이 발생합니다. 발생률은 당뇨병이 없는 사람에 비해 2$\sim$5배 높으며 제 2형 당뇨병뿐만 아니라 제 1형 당뇨병환자의 주된 사망원인이 됩니다. 대혈관 합병증과 관련된 질환은 유병기간이 오래된 당뇨병환자에서 이환율, 장애 정도, 사망률 및 치료비용에 심각한 영향을 미칩니다. 당뇨병환자의 사망은 대부분이 대혈관 합병증과 관련이 있으며, 이중에서도 관상동맥질환으로 인한 사망률이 2$\sim$4배 증가합니다. 당뇨병성 만성합병증은 건강관리를 위한 지출에 상당히 영향을 미칩니다. 총 의료관리 예산의 약 25%가 당뇨병 및 당뇨병성 만성합병증의 치료에 지출됩니다. 위험요소를 감소시키거나 제거하면 만성합병증의 85%가 지연되거나 진행을 늦출 수 있습니다. 이것으로 미국의 경우 매년 170억 달러의 의료관리 예산을 절감할 수 있다고 합니다.

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