• Title/Summary/Keyword: 호흡운동

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A Case of Bronchus-Associated Lymphoid Tissue(BALT) Lymphoma in the Lung of the Patient with Primary Sj$\ddot{o}$gren's Syndrome (원발성 쇼그렌 증후군(Primary Sj$\ddot{o}$gren's Syndrome) 환자에서 발생한 Bronchus-Associated Lymphoid Tissue(BALT) 림프종 1례)

  • Kang, Min-Jong;Lee, Jae-Myung;Lee, Seung-Joon;Son, Jee-Woong;Kim, Dong-Gyu;Lee, Myung-Goo;Hyun, In-Gyu;Jung, Ki-Suck
    • Tuberculosis and Respiratory Diseases
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    • v.52 no.2
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    • pp.179-185
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    • 2002
  • A bronchus-associated lymphoid tissue(BALT) lymphoma of the lung is a rare disorder of patients with Sj$\ddot{o}$gren's syndrome. A 49-year-old woman was admitted for an evaluation of exertional dyspnea and general weakness which had persisted for two years. The patient had suffered from dry mouth and dry eyes for five years. The physical examinations showed a coarse breath sound with inspiratory crackles on the whole lung field, particularly on the both basal lungs. The laboratory data disclosed high titers of anti-nuclear antibodies, and anti-SSA (Ro), and anti-SSB (La) antibodies. Chest radiographs demonstrated the presence of bilateral, diffuse, reticulonodular densities in both lungs. Thin-section CT scans showed diffusely distributed mosaic pattern of an inhomogeneous attenuation extending over the entire lung zone. The histological findings from an open-lung biopsy specimen revealed an accumulation of lymphoid cells around the bronchioles and an extension of malignant lymphoma cells from the bronchiolar epithelium toward the alveolar space. Immunohistochemically, the neoplastic cells reacted positively to the CD 20 antigen and were focally positive for the UCHL 1 antigen. The histological diagnosis was consistent with a low grade marginal zone B-cell lymphoma originating in the BALT. Here, we present a case of a histologically proven BALT lymphoma of the lung in a patient with primary Sj$\ddot{o}$gren's Syndrome.

A Case of Idiopathic Interstitial Pneumonia in Childhood (소아 특발성 간질성 폐렴 1례)

  • Lee, Su-Jin;Shin, Eon-Woo;Park, Eun-Young;Oh, Phil-Soo;Lee, Kon-Hee;Kim, Kwang-Nam;Shin, Ho-Seung;Lee, Il-Seung
    • Clinical and Experimental Pediatrics
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    • v.48 no.3
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    • pp.327-332
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    • 2005
  • Interstitial lung disease refers to a group of pulmonary disorders characterized by inflammation of the interstitium, derangements and loss of alveolar capillary units leading to disruption of alveolar gas exchange, which induces symptoms of restrictive lung disease. Cases of interstitial pneumonia in children are uncommon and mostly have unknown causes. We have experienced an 8-year old boy who had symptoms of cyanosis, dry cough, dyspnea and abrupt weight loss. He had not been exposed to organic dusts, allergens or any other systemic disease infections. Chest radiology showed diffuse ground glass opacity in both lung fields. High resolution computed tomography(HRCT) showed multiple small patchy areas of consolidation with an underlying ground glass appearance in both lungs. The pathologic findings of lung biopsy tissue showed patchy areas of interstitial fibrosis, alveolar obliteration and nodular fibrotic areas, strongly suggesting interstitial pneumonia. No specific finding of viral inclusion or any other evidence of infection was found under electromicroscopy. We used peak flow meters to compare functional improvement. Forced expiratory volume in one second ($FEV_1$) was decreased to 25 percent of predicted value. The boy was given treatment with prednisone and showed improvements in HRCT findings after two months. He was able to tolerate easy exercise in school and showed clinical improvements after one year of follow up.

나일틸라피아 치어에 미치는 염화나트륨, 포르말린 및 과망간산칼륨의 급성독성

  • 박인석;최경철;노재구;김동수
    • Proceedings of the Korean Aquaculture Society Conference
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    • 2003.10a
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    • pp.113-113
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    • 2003
  • 본 연구에서는 나일틸라피아, Oreochomis niloticus를 대상으로 염화나트륨, 포르말린 및 과망간산칼륨에 의한 24시간 급성독성 조사를 실시하였다. 부화 후 14일의 양식산 나일틸라피아 치어(평균 전장 14.8±1.1 mm, 평균 체중 0.05±0.01 g)를 공시어로 사용하였다. 3반복 실험 후의 각 농도에 따른 24시 간 LC/sub 50/ 값과 95% 유의수준에서의 상한치와 하한치는 Litchfield and Wilcoxon 법(US EPA, 1978)에 따른 'probit analysis' software로 계산하였다. 각 처리군의 24시간 LC/sub 50/은 매우 좁은 농도 범위 내에서 급성독성 값에 대한 신뢰범위가 결정되었으며, 처리 농도 증가에 따라 매우 유의한 농도 의존성을 나타내었다. 대조군 나일틸라피아 치어는 희석수에 24시간 처리시 모두 생존하였다. 염화나트륨의 24시간 LC/sub 50/ 값은 18.6‰ 이었으며 95% 신뢰한계의 상한치는 18.7‰, 하한치는 18.5‰ 이었다. 포르말린의 24시간 LC/sub 50/ 값은 152 ppm 이었으며 95% 신뢰한계의 상한치는 156 ppm, 하한치는 148 ppm 이었다. 과망간산칼륨의 24시간 LC/sub 50/ 값은 2.09 ppm 이었으며 95% 신뢰한계 상한치는 2.11 ppm, 하한치는 2.07 ppm 이었다. 포르말린과 과망간산칼륨의 24시간 처리시 죽은 나일틸라피아 치어 개체들은 공통적으로 호흡 장애로 기인된다고 판단되는, 아가미덮개 열림과 아울러 입이 열렸고, 표피 점액에 손상을 입는 독성 증후를 보였다. 본 연구 결과와 더불어 앞으로, 1시간 혹은 2시간의 영향농도(Effect concentration) 파악, stage 민감도 조사, 처리 시간 및 처리 환경을 달리한 급성독성에 관한 연구가 필요할 것이다.}C$에서 전반적으로 증가하였으며, 저 수온인 15$^{\circ}C$는 4 시간까지 낮아지다가 이후 증가 되었다. Hb농도는 3$0^{\circ}C$$25^{\circ}C$에서 전반적으로 증가하는 경향을 보였으나 4 시간째 일시적으로 감소하는 경향을 보였다. 15$^{\circ}C$에서는 4시간째까지는 감소되었다가 6 시간째에는 높아지는 경향을 보였다. 이러한 증가된 경향은 온도가 높아질수록 용존 산소의 포화도가 낮아져 산소부족 요인에 의해 적혈구수의 증가와 함께 Ht수치도 높아지며 아가미운동을 통한 혈액으로의 산소운반이 능동적으로 이루어지고 있음을 나타내고 있다. 혈장 코티졸의 농도는 $25^{\circ}C$에서는 증가하는 경향을 보였으며, 1$0^{\circ}C$및 3$0^{\circ}C$에서는 1 시간까지 증가되었다가 회복되는 경향을 나타내었다. 신장에서의 SOD활성은 $25^{\circ}C$인 경우 대조구보다 높은 값을 유지하였다. 하지만, 30도에서는 4 시간째까지 증가하는 경향을 보였으나 이후 감소하는 경향을 보였으며, 저온인 1$0^{\circ}C$에서는 감소하였다. 간장에서의 CAT의 활성은 3$0^{\circ}C$인 경우 4시간까지 $25^{\circ}C$ 및 15$^{\circ}C$에서는 2 시간까지 증가하였다가 이후 낮아지는 경향을 보였다. 이상의 결과로 고ㆍ저 수온변화에 따른 스트레스가 장기화될 경우 어체의 건강상에 문제점의 발생하여 대량 폐사 및 질병발생의 야기될 것으로 사료된다.은 먹이 공급 6시간 후 가장 높은 값인 44.19$\pm$

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DENTAL MANAGEMENT OF A PATIENT WITH MOYAMOYA DISEASE UNDER GENERAL ANESTHESIA (모야모야병(moyamoya disease) 환자의 전신마취 하 치과 치료)

  • Sang, Eun Jung;Song, Ji-Soo;Shin, Teo Jeon;Kim, Young-Jae;Kim, Jung-Wook;Jang, Ki-Taeg;Lee, Sang-Hoon;Hyun, Hong-Keun
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.13 no.2
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    • pp.108-113
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    • 2017
  • Moyamoya disease is a disorder in which certain arteries in the brain are constricted. Blood flow can be blocked by the constriction and blood clots. The patients frequently experience transient ischemic attacks (TIA), cerebral hemorrhage, or may not experience any symptoms at all. It is reported that they have a higher risk of recurrent stroke and a distinct underlying pathophysiology. A 3-year-8-month old boy with moyamoya disease experienced cerebral infarctions five times, and he underwent a cerebrovascular anastomosis surgery four years ago. He showed swallow disturbance, general delayed development, hemiplegia, and strabismus. Also he had hypocalcified teeth with or without multiple caries lesions in all dentitions. Dental treatment under general anesthesia using sevoflurane was performed due to his lack of cooperation. Moyamoya disease is associated with various medical conditions requiring a thoughtful deliberation and a careful examination before and during dental treatment. Pain and anxiety control during dental treatment is important because hyperventilation induced by crying has been seen to trigger TIA. Both isoflurane and sevoflurane are commonly used in patients with MMD, but dynamic autoregulation is better preserved during sevoflurane than isoflurane anesthesia. So sevoflurance general anesthesia may be recommendable to manage dental patients having multiple caries with moyamoya disease.

Elementary Students' Cognitive-Emotional Rebuttals in Their Modeling Activity: Focusing on Epistemic Affect (모형 구성 과정에서 나타나는 초등학생의 인지, 감정적 반박 -인식적 감정을 중심으로-)

  • Han, Moonhyun;Kim, Heui-Baek
    • Journal of The Korean Association For Science Education
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    • v.37 no.1
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    • pp.155-168
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    • 2017
  • This study investigates how elementary students used cognitive-emotional rebuttals in the context of modeling activities, especially on how their emotional and cognitive processes lead them to use rebuttals in terms of epistemic affect. Twenty-five fifth grade elementary students participated in the study as part of their science class. During the course of their sixth periods, students constructed a human respiratory system model through continuous discussion. The research results showed that elementary students used an elaboration-oriented rebuttal, a defence-oriented rebuttal, and a blame-oriented rebuttal in their modeling activity. The elaboration-oriented rebuttal interspersed with negative epistemic affect was used to elaborate on a student's explanation, and a negative epistemic affect was elicited from their cognitive discrepancy. On the other hand, defence-oriented rebuttal and blame-oriented rebuttal entangled with negative epistemic affect were used to defeat the students rather than help rigor evaluation of students' explanation, and the negative epistemic affect was elicited from the other students' undesirable behavior. These results suggest that students' rebuttals can be elicited by epistemic dynamics related to the epistemic affect. The study shows that if negative epistemic affect were elicited from the other students' naive or false explanations, such an emotion is natural in terms of model construction, and the model can be further developed through the acceptance of the elaboration-oriented rebuttals by students' emotion regulation. In addition, we suggest that negative emotions aroused from the worsening of relationships during small group modeling activities are difficult to regulate and can have negative effects on students' cooperative model construction.

A Case of Squamous Cell Carcinoma of Thymus with Negative CD5, Cytokeratin 7 and Positive Cytokeratin 13 (CD5와 Cytokeratin 7에 음성이고 Cytokeratin 13에 양성인 흉선 편평상피세포암 1예)

  • Park, Moo-Suk;Chung, Jae-Ho;Noh, Tae-Woong;Sohn, Joo-Hyuk;Kim, Young-Sam;Chang, Joon;Chung, Kyung-Young;Kim, Joo-Hang;Kim, Sung-Kyu;Shin, Dong-Hwan;Kim, Se-Kyu
    • Tuberculosis and Respiratory Diseases
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    • v.51 no.3
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    • pp.281-288
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    • 2001
  • Background : The most common anterior mediastinal tumors originate from the thymus. Among them, thymic carcinomas occur as an early local invasion and wide spread metastases. However, when squamous cell carcinoma in the thymus or mediastinum is identified, an occult primary lung cancer must be excluded because the histologic types resemble those found more typically in the lung. CD5 and cytokeratin immunohistochemical staining is useful in evaluating biopsy samples from those tumors. Squamous cell carcinoma of an unknown primary origin in the mediastinum is a rare occurrence and there are only a handful of case reports. Here we describe a case with an anterior mediastinal mass of squamous cell carcinoma with unknown primary origin. A resection of the mediastinal mass without an association with the lung was performed. Immunohistochemical stallings were positive using cytokeratin 13, and negative using CD5 and cytokeratin 7. This was followed by chemotherapy for presumed thymic carcinoma.

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Removal of Cyanogenic Compounds in Apricot Kernel during Heating Process (가열조리방법을 통한 행인 내 시안화합물의 저감화)

  • Do, Byung-Kyung;Kwon, Hoon-Jeong;Lee, Dong-Ha;Nah, Ahn-Hee;Choi, Youn-Ju;Lee, Sook-Yeon
    • Journal of Food Hygiene and Safety
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    • v.22 no.4
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    • pp.395-400
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    • 2007
  • Apricot Kernel, consumed as herbal medicine, contains amygdalin which generate HCN upon hydrolysis. Dyspnea was reported by ingesting large amount of apricot kernel, and neurological disorders such as tropic ataxic neuropathy or konzo were known as chronic toxicity of amygdalin. Other cyanogen containing plants, including flaxseed and almond, are consumed as food around the world. Moreover, some of them are promoted as functional food, leading to higher consumption, and posing health risk by cyanogenic components. The objective of this study was to find a method for the reduction of the cyanogenic compound, using apricot kernel as a model food. The most effective reduction was obtained by boiling the slices of the kernel for one hour in pH 1 HCl solution, showing 90% removal. However, the common process known to reduce the cyanogen contents, i.e., long incubation at the low temperature, did not show significant change in cyan concentration. Our data contribute to the safety of the plants containing cyanogenic compounds if they were to be developed as foodstuff.

Development and Practical Application of Relaxation Training Contents for Middle and High School Archery Players (중.고교 양궁선수용 이완훈련 콘텐츠 개발 및 현장 적용)

  • Hong, Kil-Dong
    • The Journal of the Korea Contents Association
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    • v.8 no.4
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    • pp.237-246
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    • 2008
  • The purpose of this study was to develop relaxation training contents for middle and high school archery players with considering the ecological validity of social, cultural, and sports environment in Korean but also examine the effect of developing relaxation training contents through case study approach and interviews. The relaxation training contents was based on previous researches about relaxation program. In addition, in order to develop the program 3 archery experts and 2 sport psychologists had meetings. The relaxation training contents categorized as orientation, breathing regulation, progressive relaxation training, cognitive restructuring, meditation, heart rate biofeedback training, autogenic training, behavior therapy, self regulation. The experimental group were 6 male Korean national archery substitute players, who were selected in 2007. The effects was examined on competitive state anxiety inventory-2, heart rates, archery score and interviews. As the result of applying the developed program of this study on the field, competitive state anxiety, somatic state anxiety and heart rate were decreased. In the interviews athletes told that they were relaxed psychologically and physically. This result demonstrated the relaxation training program were effective.

A Case of Lymphocytic Interstitial Pneumonia Manifested as a Multi-focal Consolidation (다발성 경화 소견으로 발현된 림프구성 간질성 폐렴 1예)

  • Hwang, Kyu Sig;Roh, Young Wook;Song, Sung Heon;Kim, Sang Heon;Sohn, Jang Won;Yoon, Ho Joo;Shin, Dong Ho;Park, Sung Soo;Oh, Young-Ha;Kim, Tae-Hyung
    • Tuberculosis and Respiratory Diseases
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    • v.67 no.1
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    • pp.37-41
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    • 2009
  • Lymphocytic interstitial pneumonia (LIP) is a rare disorder characterized by a diffuse infiltration of the alveolar space, interstitium by lymphocytes, plasma cells, and reticuloendothelial cells. Although its etiology is unknown, LIP has been associated with autoimmune disorders and with viral infections. Because it's clinical and radiographic features are nonspecific, a confirmatory diagnosis is performed by open lung biopsy. A 59-year-old female presented dry cough, which had been present for 1 month. On initial findings of multifocal consolidation at the right middle lobe on both lower lobes in chest radiography, the first diagnosis of cryptogenic organizing pneumonia was suggested. On open lung biopsy, LIP was diagnosed. The patient had no autoimmune disease, viral infection or monoclonal gammopathy. After 3 months of corticosteroid treatment, the patient experienced improved symptoms, reduced abnormalities on chest radiography, and improved pulmonary function testing.

An Introverted Elementary Student's Construction of Epistemic Affect During Modeling Participation Patterns (모형 구성 참여 양상에서 나타나는 내성적인 초등학생의 인식적 감정 구성)

  • Han, Moonhyun;Kim, Heui-Baik
    • Journal of The Korean Association For Science Education
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    • v.38 no.2
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    • pp.171-186
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    • 2018
  • Recent research has shown that elementary school students can experience epistemic affect -emotions and feelings experienced within epistemic practices, such as the enjoyment of having a wonderful idea or uncomfortable feeling of at a cognitive dissonance- during modeling process. This study explores how an introverted elementary student could participate in the modeling process by constructing an epistemic affect. Based on the theory of constructed emotion, we analyzed one elementary student's constructed epistemic affect using data resources such as emotion diaries, video recordings, and post interviews. We selected one introverted student (a fifth grader), showing peripheral and full participation during modeling. Specifically, we explored which emotions were constructed when she participated in modeling peripherally -and which epistemic affect was constructed when she participated fully- during the construction, evaluation, and revision processes. The research results showed, first, that the introverted elementary student came to participate in the model construction process by constructing the epistemic affect called aha. Second, the results showed that she came to participate in the model revision process by constructing the epistemic affect called feeling that the reasoning was wrong when confronting the rebuttals of the other student. Finally, she came to participate in the model evaluation process by constructing the epistemic affect called dislike of another student's idea. Through our exploration of the constructed epistemic affect of the introverted elementary student, we deduced that it is important to help each student to construct an epistemic affect that facilitates his or her participation in modeling. Also, we discussed that it is important to understand the impact of the emotional load that can occur for each student, depending on the constructed past, present, and future emotions.