• Title/Summary/Keyword: 혈관염

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Giant Pseudoaneurysm of Ascending Aorta complicating Recurrent Mediastinitis after Gardiac Surgery (반복된 종격동염 치료후 상행 대동맥에 발생한 거대 가성 대동맥류)

  • Kang, Jun-Gyu;Lee, Chul-Ju;Hong, Jun-Wha;Choi, Ho;So, Dong-Mun;Tak, Seung-Jae
    • Journal of Chest Surgery
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    • v.34 no.3
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    • pp.252-255
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    • 2001
  • 본 30세 여환은 류마치스성 심장판막질환 진단하네 승모판막 및 대동맥판막 치환술 시행후 종격동염 발생하여 지속적 종격동 세척 및 3주간의 항생제 치료후 퇴원하였다. 외래 추적중 다시 감염 및 염증소견 보여 입원하여 혈액배양검사와 흉부전산화 단층촬영시행하였다. 검사상 종격동염의 이후 3주간의 항생제 치료에도 염증 소견이 지속되어 다시 시행한 흉부 전산화단층촬영상 상행대동맥에 거대 가성대동맥류소견보여 재개흉술을 시행하여 초저체온 완전 순환정지 하에 가성대동맥류를 절제한 후, 우심낭편을 이용하여 대동맥 성형술을 시행하였다. 수술후 환자는 순조롭게 회복하였으며 현재 외래에서 추적관리하고 있다.

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Successful Application of Vacuum Assisted Closure in the Case of Neonatal Mediastinitis after Modified Norwood Operation (개선된 노우드 수술 후 신생아에서 발생한 종격동염의 Vacuum Assisted Closure를 이용한 치료)

  • Kim Do-Hun;Yang Ji-Hyuk;Choi Jin-Ho;Jun Tae-Gook
    • Journal of Chest Surgery
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    • v.39 no.9 s.266
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    • pp.699-701
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    • 2006
  • Mediastinitis and sternal wound infection frequently occurred after corrective surgery for complex heart anomalies. Most of the patients are neonate or infant and they have showed low oxygen tension. For that poor condition, application of invasive treatment of mediastinitis is not appropriate and recovery takes a long time. We successfully treated a mediastinitis after Norwood operation using vacuum assisted closure. So we introduce the technique and the modification of neonatal vacuum assisted closure.

Inhibitory Effect of Chloroform Extract of Marine Algae Hizikia Fusifomis on Angiogenesis (Hizikia fusiformis 클로로포름 추출물의 in vitro 및 in vivo 혈관신생 억제 연구)

  • Myeong-Eun Jegal;Yu-Seon Han;Shi-Young Park;Ji-Hyeok Lee;Eui-Yeun Yi;Yung-Jin Kim
    • Journal of Life Science
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    • v.34 no.6
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    • pp.399-407
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    • 2024
  • Angiogenesis is the process by which new blood vessels form from existing blood vessels. This phenomenon occurs during growth, healing, and menstrual cycle changes. Angiogenesis is a complex and multifaceted process that is important for the continued growth of primary tumors, metastasis promotion, the support of metastatic tumors, and cancer progression. Impaired angiogenesis can lead to cancer, autoimmune diseases, rheumatoid arthritis, cardiovascular disease, and delayed wound healing. Currently, there are only a handful of effective antiangiogenic drugs. Recent studies have shown that natural marine products exhibit antiangiogenic effects. In a previous study, we reported that the hexane extract of H. fusiformis (HFH) could inhibit the development of new blood vessels both in vitro and in vivo. The aim of this study was to describe the inhibitory effect of chloroform extracts of H. fusiformis on angiogenesis. To investigate how chloroform extract prevents blood vessel growth, we examined its effects on HUVEC, including cell migration, invasion, and tube formation. In a mouse Matrigel plug assay, H. fusiformis chloroform extract (HFC) also inhibited angiogenesis in vivo. Certain proteins associated with blood vessel growth were reduced after HFC treatment. These proteins include vascular endothelial growth factor (VEGF), mitogen-activated protein kinase (MAPK)/extracellular signal transduction kinase, and serine/threonine kinase 1 (AKT). These studies have shown that the chloroform extract of H. fusiformis can inhibit blood vessel growth both in vitro and in vivo.

Quantitative Analyses of Cells using Photoshop after the H&E Staining of the Synovia of Osteoarthritis and Rheumatoid Arthritis Patients (H&E 염색 이미지의 포토샵 분석을 이용한 골관절염과 류마티스 관절염 활막 세포의 정량 분석)

  • Park, Jin-Ah;Kim, Keun-Cheol
    • Journal of Life Science
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    • v.22 no.8
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    • pp.1034-1040
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    • 2012
  • Synovium is the soft tissue that lines the non-cartilaginous surfaces within joints. It has been reported that synovial cells are activated during the pathogenesis of rheumatoid arthritis. In this study, we quantitate and compare the cellular composition of synovia derived from individuals with non-inflammatory osteoarthritis (OA) and those with inflammatory rheumatoid arthritis (RA). Synovia from OA (n=8) and RA (n=5) patients were used for hematoxylin and eosin (H&E) staining. A light microscopic examination has shown that RA synovia were morphologically thickened and hypertrophied as compared to OA synovia. We also performed an immunohistochemistry (IHC) analysis to classify cell types in the synovia using CD68, CD90, or PGP9.5 markers. As a result, we obtained quantitative data regarding the cell populations, which are macrophages in the lining layer and FLSs in the subintimal layer of the synovium. Further Photoshop analyses of the H&E images could allow the counting of the number and layer of the cells in the synovium. The number and layers of the macrophage cells were increased in the lining layer of the RA synovia as compared to the OA synovia. FLS cells also were increased in the subintimal layer of RA synovia. Therefore, quantification of the H&E stained images via Photoshop is a possible analysis protocol for synovium study. This quantitation also supports the idea that the increases in cell number and cell activation are important processes for RA pathogenesis.

Comparative Study on Cheorwon Onion Phenolic Compounds by Phosphate Treatment (아인산염 처리에 따른 철원양파의 페놀화합물 비교 분석 연구)

  • Kim, Yeon Bok;Lee, Hee Jong;Kim, Dong Hyun;Park, Cheol Ho;Jang, Kwang Jin
    • Proceedings of the Plant Resources Society of Korea Conference
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    • 2018.10a
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    • pp.107-107
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    • 2018
  • 양파는 백합과에 속하는 여러해살이풀로 서남아시아의 페르시아가 원산인데 세계 각국의 온대지방에서 많이 재배하고 있다. 양파의 생약명은 옥총(玉憁)으로 피 속의 콜레스테롤을 떨어뜨리고 심장혈관의 혈류량을 증가시켜 성인병 예방에 좋다. 철원지역은 내륙지방이면서도 고도가 높아 기온차가 큰 대륙성 기후의 성격이 강하기 때문에 이 지역에서 재배한 양파는 남부지방에서 재배된 양파보다 당도가 높고 맛도 좋다고 알려져 있다. 인산질 성분은 특히 근의 발육을 촉진시키는 중요한 성분이다. 하지만 토양부의 인산성분이 수확 시까지 다량 지속되면 양분의 경합으로 뿌리부의 부패를 초래하기 쉽다. 따라서 수확기에 환원형 인산질을 중심으로 엽면시비 방법으로 영양균형을 유도하여 양파의 품질과 저장성을 향상시키는 것이 중요하다. 본 연구는 아인산(H3PO3)과 수산화칼륨(KOH)을 희석하여 산도조절 후, 아인산염으로 철원양파에 엽면 처리한 후 성분을 비교분석하였다. 본 연구에서 아인산염의 농도를 500, 1000, 1500배 희석하여 철원양파에 2018년 5월에 분무기를 이용하여 3회 엽면살포 한 후 6월 말경 수확한 후 HPLC를 이용하여 페놀화합물을 분석하였다. 그 결과 양파에서 중요한 물질 중의 하나인 큐에르세틴(quercetin)함량은 대조구(96.39 ug/g)에 비해 500배(179.70 ug/g), 1000배(150.27 ug/g), 1500배(105.95 ug/g) 처리구에서 높은 함량을 보였다. 또한 caffeic acid, p-coumaric acid, ferulic acid, rutin, kaempferol, 당도 함량은 처리구에서 대조구보다 높은 함량을 보였다. 따라서 아인산염 처리는 철원양파에서 페놀화합물의 함량을 높이는데 중요한 역할을 한다는 것을 알 수 있었다. 본 연구를 통하여 아인산염과 같은 환원형 엽면시비법을 이용하여 재배한다면 고품질의 기능성 양파를 생산할 수 있을 것이라 생각한다.

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Fibrosing Mediastinits Causing Obstruction of Left Lower Lobar Bronchus: A Pediatric Case Report (좌하엽 기관지 폐쇄를 유발한 섬유성 종격동염: 소아 증례 보고)

  • Young Woo Sim;Young Seon Kim;Seung Eun Lee;Min Hye Jang
    • Journal of the Korean Society of Radiology
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    • v.83 no.3
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    • pp.744-749
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    • 2022
  • Fibrosing mediastinitis is a rare benign disorder characterized by the proliferation of dense fibrous tissue within the mediastinum. It typically manifests as localized or infiltrative soft-tissue masses in the middle mediastinum or hilar area, which cause compression and encasement of adjacent mediastinal structures, such as the vessels or airway. Here, we report a rare case of fibrosing mediastinitis in a 13-year-old girl that presented as a middle mediastinal mass lesion on CT scan with obliterating left lower lobar bronchus. The patient's symptoms and follow-up chest CT showed significant improvement following systemic corticosteroid treatment. As fibrosing mediastinitis can improve with systemic steroid therapy, radiologists must be aware of its radiologic findings when discriminating between infiltrating soft tissue lesions in the mediastinum.

Pulpitis pain relief by modulating sodium channels in trigeminal ganglia (삼차신경절의 나트륨 채널 조절을 통한 치수염 통증 완화 효과)

  • Kyung-Hee Lee
    • Journal of Korean society of Dental Hygiene
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    • v.24 no.3
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    • pp.219-227
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    • 2024
  • Objectives: The pulp is the center of the tooth containing nerves and blood vessels. The condition in which the pulp becomes inflamed due to caries or periodontitis is called pulpitis. Pulpitis is a difficult-to-treat disease and causes peripheral nerve tissue changes and severe pain; however, the relationship between neuronal activity and voltage-gated sodium channel 1.7 (Nav1.7) expression in the trigeminal ganglion (TG) during pulpitis has not been well studied. In this study, we found that experimentally induced pulpitis activates Nav1.7 expression in the periphery, leading to neuronal overexpression in the TG. Thus, we sought to identify ways to regulate this process. Methods: Acute pulpitis was induced in rat maxillary molars by treating the pulp with allyl isothiocyanate (AITC). Three days later, in vivo optical imaging was used to record and compare neural activities in the TG. Western blotting was used to identify molecular changes in terms of the expression of extracellular signal-regulated kinase (ERK), c-Fos, transient receptor potential ankyrin 1 (TRPA1), and collapsin response mediator protein-2 (CRMP2) in the brain stem. Results: The results confirmed the neurological changes in the TGs of the pulpitis model, and histological and molecular biological evidence confirmed that increased Nav1.7 expression induced by pulpitis leads to pain. Furthermore, selective inhibition of Nav1.7 resulted in changes in neural activity, suggesting that pulpitis induces increased Nav1.7 expression, and that effective control of Nav1.7 could potentially reduce pain. Conclusions: The inhibition of overexpressed Nav1.7 channels may modulate nociceptive signal processing in the brain and effectively control pain associated with pulpitis.

Two cases of Kawasaki disease following pneumonia (폐렴에 속발한 가와사끼병 2예)

  • Kim, Hyun Jung;Lee, Soo Jin
    • Clinical and Experimental Pediatrics
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    • v.52 no.5
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    • pp.615-618
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    • 2009
  • Kawasaki disease (KD) causes multisystemic vasculitis but rarely manifests with pulmonary symptoms. As its etiology is still unknown, there are no specific diagnostic tools available, and KD can be diagnosed only by the symptom pattern. The presence of unusual clinical manifestations often leads to delayed diagnosis. Here, we report two cases of KD with an initial presentation of pneumonia. KD should be consideration when there is a prolonged inflammatory reaction and progressive pneumonia unresponsive to antibiotics.

Characteristic CT Images in Diffuse Lung Disease (미만성 폐질환(肺疾患)에 있어서 특징적(特徵的)인 CT상(像)에 관하여)

  • Ichikawa, Hidel;Kanamori, Isao
    • Journal of radiological science and technology
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    • v.18 no.2
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    • pp.37-48
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    • 1995
  • 1) 천식 기관지 확장증에서는 기종상 음영이나 기관지가 확장된 상이 있고, 또한 미만성 범세기관지염 5예에서는 미세 반점상 음영이 전체 예에서 인정이 되었다. 2) 폐염에서는 기관지의 확장이나 점액이 고여 침윤음영이 전체 예에 나타나고 있었다. 한편, 간질성 폐염 29예에서는 반점상 음영(불균일 CT치의 상승과 내부에 작은 기관지 확장으로 작은 air상)이 보였다. 폐섬유증 19례에서는 기종상 농포상 음영이나 혈관 기관의 부정 확장, 반점상 음영이 15예로 79 %를 차지하고 있다. 만성 폐기종에서는 기종상, 다발성 농포상 음영, 고목상 혈관이 특징적인 소견이었다. 3) 속립성결핵에서는 작은 입상 음영, 폐결핵 15예에서는 공동 음영 7예, 원형의 융합음영 8예, 침윤음영, 다수의 석회화상, 혈관 기관의 부정 확장 등이 특징적이었다. Aspergillus증에서는 공동 음영 내부에 fungus ball이 보였다. 이상은 미만성 폐질환의 특징적인 CT의 이상 소견에 대해서 검토하였으나, 꼭 일치되는 것은 아니며, 기타 기초적 검사나 임상적인 경과관찰이 필요하였다. 끝으로, 대한방사선기술학회의 발전과 학회원 여러분의 건승을 기원합니다. 그리고 한국과 일본의 우호적인 학술교류가 지속되기를 희망합니다.

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The Effect of Less Invasive Methods with VATS in the Management of Descending Necrotizing Mediastinitis (하행성 괴사성 종격동염의 치료에서의 비디오 흉강경을 이용한 저침습적 방법의 효용성)

  • 민호기;심영목;김진국
    • Journal of Chest Surgery
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    • v.35 no.8
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    • pp.630-633
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    • 2002
  • Although the incidence of descending necrotizing mediastinitis(DNM) is low, this is a serious disease because it"s mortality have been reported to be as high as 40∼50%. Currently, many authors have emphasized aggressive surgical approaches rather than medical treatment alone. We report good results in 2 DNM patients treated by less invasive approach with video-assisted thoracoscopic surgery, Less invasive methods with video-assisted thoracoscopic surgery can reduce hospital stay and morbidity if effective drainage can be achieved in selected DNM patients.