• 제목/요약/키워드: ATROPHY

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상악동 골이식술을 동반한 임플란트 식립 시 골이식재의 높이 변화에 대한 방사선학적 평가 (A radiographic evaluation of graft height changes after maxillary sinus augmentation and placement of dental implants)

  • 김지선;이서경;채경준;정의원;김창성;최성호;조규성;채중규;김종관;방은경
    • Journal of Periodontal and Implant Science
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    • 제37권2호
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    • pp.277-286
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    • 2007
  • The edentulous posterior maxilla generally provides a limited amount of bone height because of atrophy of the ridge and pneumatization of the maxillary sinus, Maxillary sinus augmentation is one of the surgical techniques for reconstruction of the severely resorbed posterior maxilla. The purpose of this study was to evaluate the survival rate of implants and the long-term changes of graft height after maxillary sinus augmentation by lateral window approach. From September 1996 to July 2004, maxillary sinus augmentation with mixed grafts of autograft, allograft, xenograft and alloplast were performed on 45 patients and 100 implants were placed. We evaluated the survival rate of implants and the changes of BL(bone length)/IL(implant length) according to time using panoramic radiographs. The survival rate of implants was 91.0% for follow-up period. The mean reduction of graft heights was 0.34mm(3.0%) for 6 months and 1.22mm(1O.66%) for 3 years after augmentation. The total mean BL/IL was $1.34{\pm}0.21$ during 5 year observation period after augmentation and decreased slightly over time. The result means that graft materials were stable above the implant apex. BL/ILs of 1stage procedure were significantly decreased at 1-2 year, 3-4 year after augmentation and no statistically significant changes were observed in those of 2 stage procedure. The graft materials of both procedures were stable above the implant apex. No statistically significant changes of BL/IL were observed in the grafts combined with low amount of autogenous bone or without autogenous bone. The graft materials of both groups were stable above the implant apex. The results indicated that the placement of dental implants with maxillary sinus augmentation showed predictable clinical results and the grafts combined with low amount of autogenous bone or without autogenous bone had long-term resistance to resorption in maxillary sinus.

WSF(Water Soluble Fraction) 가 북방전복, Haliotis discus hannai (Ino, 1952) 의 유생 및 치패발생에 미치는 영향 (Effects of the water soluble fraction of crude oil on the abalone, Haliotis discus hannai (Ino, 1952) early life stage)

  • 진영국;정춘구;오봉세;전제천;신윤경
    • 한국패류학회지
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    • 제26권2호
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    • pp.157-163
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    • 2010
  • 원유의 WSF가 북방전복의 유생 및 치패 발생에 미치는 영향을 알아보기 위하여 발생소요시간, 발생률 및 부착률, 생존율, 유생 및 부착치패의 각성장 그리고 수온에 따른 치패의 생존율 및 아가미의 조직학적 변화를 조사하였다. 발생 소요시간은 대조구에 비해 노출구에서 느리게 나타났다. 발생률 및 부착률은 0.4 mg/L 이상의 농도에서 대조구에 비해 유의적인 감소를 보였다 (P < 0.05). 북방전복 유생의 생존율은 0.4 mg/L 이상에서, 부착치패는 2.4 mg/L 이상에서 유의적인 감소가 나타났다 (P < 0.05). 각성장은 2.4 mg/L 이상의 농도에서 대조구에 비해 감소하였다 (P < 0.05). 수온에 따른 치패의 생존율은 $17^{\circ}C$$25^{\circ}C$ 모두 노출농도에서 감소하였으며, 특히 고수온에서 전체적인 생존율이 낮게 나타났다. 또한 아가미에서 나타난 조직학적 변화는 주로 새엽 상피세포 핵의 위축 및 상피세포의 공포화 그리고 상피층의 괴사를 동반한 붕괴 등이 관찰되었으며, 이는 $17^{\circ}C$에 노출된 개체들 보다는 고수온인 $25^{\circ}C$에 노출된 개체들에서 심하게 나타났다.

운동과 활성산소 (Exercise and Reactive Oxygen Species)

  • 김혜진;이원준
    • 생명과학회지
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    • 제27권9호
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    • pp.1078-1085
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    • 2017
  • 활성산소란 세포에 손상을 가하는 모든 종류의 변형된 산소를 의미하며, 활성산소 생성의 증가는 세포 내의 산화적 스트레스를 유발하여 심혈관 질환, 암, 당뇨, 근위축 등 각종 질병의 원인이 된다. 그러나 적정 수준의 활성산소는 세포의 성장 및 발달에 중요한 역할을 담당하는 것으로 보고되어 있으며, 골격근에서의 활성산소는 근기능과 대사에 필수적인 역할을 담당한다. 규칙적인 운동은 건강상 다양한 이점을 가져다주지만, 과도한 운동은 골격근을 비롯한 다양한 체내 조직에서 활성산소의 생성을 증가시키며, 고농도의 활성산소 생성은 세포 손상을 일으키는 것으로 보고되고 있다. 따라서 운동에 의한 활성산소의 생성 증가와 그에 따른 분자적 기전은 운동이 주는 건강상의 많은 이점들을 이해하는데 있어 중요한 기전으로 받아들여지고 있다. 최근 운동 강도나 형태에 따른 활성산소의 생성 수준과 근육 관련 유전자 발현 및 대사 관련 연구에 있어 활성산소의 역할에 관한 연구들이 활발히 이루어지고 있지만 심도 있는 기전적 연구와 이해는 부족한 실정이다. 따라서 본 총설에서는 운동에 의한 활성산소 생성 기전과 그에 따른 역할에 대한 선행 연구들을 살펴보고, 운동에 의한 인슐린 신호체계의 활성 및 그에 따른 수명 조절에 있어 NADPH 산화효소의 역할에 대해서도 살펴보았다.

기욘씨관 압박 증후군에서의 척골 동맥의 폐색 (Ulnar Artery Obstruction in Guyon Canal Compression Syndrome)

  • 안희창;김종도;이장현;최승석
    • Archives of Plastic Surgery
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    • 제37권6호
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    • pp.783-787
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    • 2010
  • Purpose: There are many articles describing about Guyon canal compression syndrome. Until recently, most of these articles have been presented about the symptoms of ulnar nerve compression, but there have been no reports about ulnar artery compression. In this article, besides the nerve compression symptoms in the Guyon's canal, we represented the symptoms and treatments based on the ulnar artery obstruction. Methods: Guyon canal is composed of the hamate and pisiform, and the ligaments which connect them. The course of the ulnar nerve and artery, which passes through this narrow canal, is affected by the anatomical structure of the base of the canal. Out of 14 patients (21 cases) were retrospectively reviewed in this study from 2006 to 2009. Of 14 patients, there were 5 men and 9 women with ages between 21 to 61 years old. The symptoms had volar sensory loss of ulnar sided digits, with muscular atrophy of hypothenar muscles. Prior to surgery, most of these patients had vascular disorders which was diagnosed definitively by angiography and electromyogram. Results: The release of Guyon canal and interposition graft of the obstructed arteries was carried out to 11 patients (15 cases) who had artery (vascular) occlusive disorder, and. 12 cases had sympathectomy and interposition graft after resection of obstructed ulnar artery. Six cases had release of carpal tunnel performed simultaneously. There were no major complications after surgery. The circulation of the ulnar artery was improved along with the patients' symptoms. Conclusion: The pre-existing articles about Guyon canal compression syndrome were mainly focused on ulnar nerve compression. This study, which was carried out by our department, showed that most of these patients had ulnar artery obstruction or stenosis simultaneously with ulnar nerve compression. The vascular disorder was corrected by interposition graft after the resection of the site of ulnar artery occlusion. And to conclude, When we resolve the ulnar nerve compression, the proper diagnosis & treatment of impaired ulnar artery circulation should be carried out concomitantly.

국내 개에서 발생한 망막질환 65례 (Prevalence of Canine Retinal Diseases in Korea: 65 cases)

  • 정만복;박신애;김원태;김세은;체제민;이나영;서강문
    • 한국임상수의학회지
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    • 제24권2호
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    • pp.154-159
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    • 2007
  • The objective of this retrospective study was to investigate the prevalence of retinal diseases in dogs presented to the Veterinary Medical Teaching Hospital, Seoul National University from April 2004 to December 2005. Sixty-five dogs (120 eyes) with retinal diseases involving blindness were included in this study. Age, breed, and gender data for all breeds were collected from medical records documenting vision loss. Generalized progressive retinal atrophy (gPRA) was the most common manifestation. Other prevalent findings included sudden acquired retinal degeneration (SARD) and retinal detachment (RD). Bilateral gPRA was found in 32 dogs with a female-to-male ratio of 1 : 1. The mean $age{\pm}SD$ of all dogs in this group was $4.66{\pm}2.30$ years with a range of 3 to 12 years. Breeds with highest prevalence of gPRA were Miniature Schnauzer (24/32, $mean{\pm}SD$ age: $3.79{\pm}0.78$ yr) and Poodle (2/32, $6.50{\pm}0.71$ yr). Twelve dogs (24 eyes) were diagnosed with SARD bilateraly, ranging from 3 to 13 years of age ($mean{\pm}SD:\;6.91{\pm}2.61$ yr). There were no abnormalities in fundus of 11 dogs at presentation. Electroretinography (ERG) without anesthesia was performed in 7 dogs, and all response was totally extinguished. Retinal detachment was identified in 21 dogs (32 eyes): 11 bilateral and 10 unilateral (7 right eye, 3 left eye). The most common breed was Shih Tzu (15/21, $mean{\pm}SD$ age: $4.39{\pm}3.24$ yr). Four other breeds comprised the remaining 6 cases (8 eyes). The everall mean age of the group was: $4.18{\pm}2.89$ years (range 0.8 to 14 years) with a female-to-male ratio of 1 : 1.1 (10 females, and 11 males).

시판 사료에 오염된 Ochratoxin A와 Citrinin에 의한 개의 신부전 (Canine Renal Failure Caused by Ochratoxin A and Citrinin in the Commercial Dog Food)

  • 안소저;정석영;임만수;박선일;한정희;김두
    • 한국임상수의학회지
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    • 제24권2호
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    • pp.82-87
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    • 2007
  • 태국에서 생산된 Pedigree사의 개 사료를 1개월 이상 섭취한 5마리의 개가 식욕절폐, 쇠약, 구토, 다음다뇨 증상을 보였으며 증상이 심한 개는 혈액성 설사와 저체온증을 보였다. 특징적인 임상병리학적 소견으로 BUN과 creatinine이 높았으며 일부의 개에서는 GGT, 무기인과 lipase가 높았으나 CBC는 특이적인 임상병리학적 소견이 없었다. 요분석에서는 혈뇨, 저비중뇨, 단백뇨와 calcium oxalate와 유사한 결정이 관찰되었다. 증상이 심한 두 마리는 폐사하였으며 나머지의 개는 사료의 변경과 보조요법에 의하여 점차 회복되었다. 전형적인 병리학적 소견은 신장에서 관찰되어 신장의 위축, 일부 사구체의 모세혈관 충혈, 세뇨관의 미만성 변성과 이영양성 석회화, 세뇨관의 괴사와 재생, 세뇨관 내강 내에 황갈색 판상 형광성 물질 또는 파편이 관찰되었다. 섭취한 사료와 동일한 개봉하지 않은 사료 내의 ochratoxin A와 citrinin의 농도를 분석한 결과 각각 372.8ppb와 8.3ppb가 검출되었다. 병력, 임상증상, 임상병리소견, 병리학적 소견 및 사료 내의 곰팡이독소의 분석을 통하여 ochratoxin A와 citrinin의 중독에 의한 신부전으로 최종진단을 내렸다.

한방병원(韓方病院)에 내원(來院)한 근위숙성(筋萎縮性) 측색경화증(側索硬化症)(ALS)환자(患者)의 임상적(臨床的) 관찰(觀察) - 한방병원(韓方病院)에 입원(入院)한 환자(患者) 17명(名)을 대상(對象)으로 - (Clinical study on the ALS(Amyotrophic Lateral Sclerosis) patients in the Department of Circulatory Internal Medicine of Kyung Hee Oriental Medical Hospital)

  • 전영완;문상관;고창남;조기호;김영석;배형섭;이경섭
    • 대한한방내과학회지
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    • 제18권2호
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    • pp.236-245
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    • 1997
  • The subjects of this clinical study are 17 patients with ALS(Amyotrophic Lateral Sclerosis), who were diagnosed in other or our hospital from January 1987 to Nomember 1997. The age of onset, clinical signs, type of ALS, methods of treatment and outcomes, etc. were studied and analyzed. The data are summarized as follows ; 1) The mean age was $52.4{\pm}11.5$ years old, and the ratio of male to female was 2.4:1. There is increasing frequency with rising age. 2) Pseudopolyneuritic type(67%) is the most in male patients, bulbar type(60%) is the most in female patients, and totaly Pseudopolyneuritic type(54%) is the most. 3) In the period of hospitalization after onset, 1 year(11 cases, 64.8%) is the most frequent, and 2 year(2 cases, 11.7%), 1 month(2 cases, 11.7%), 4 years(1 case, 5.9%) and 6 months(1 case, 5.9%) in orders. 4) In the duration of admission, 10 days(8 cases, 47.2%) is the most frequent, and 30 days(4 cases 23.5%), 2 months(2 cases, 11.7%), 20 days(2 cases, 11.7%) and 3 months(1 case, 5.9%) in orders. 5) In the signs of patients, muscle weakness(17 cases, 100%), bulbar signs(14 cases, 82.4%), increased reflex of deep tendon(10 case, 58.8%), muscle atrophy (7 cases, 41.2%) and fasciculations(7 cases, 41.2%) were in orders. 6) In the methods of treatment, herb-medication(17 cases, 100%), acupuncture therapy(16 cases, 94.1%), physical therapy(7 cases, 41.2%), moxibustion therapy(5 cases, 29.4%), cupping therapy(4 case, 23.5%) and moxa-pack(1 case 5.9%) were administered in orders. 7) As to the outcome of treatment, 8(47.1%) were no changed, 4(23.5%) improved, 4(23.5%) aggravated, 1(5.9%) expired in orders.

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반하백출천마탕(半夏白朮天麻湯)이 Doxorubicin에 의해 유발(誘發)된 독성(毒性)에 미치는 영향(影響) (Effect of Banhabakchulchunma-tang on the Hepatic, Splenic and Cardiac Toxicity induced by Doxorubicin)

  • 김봉석;오중환;임희용;백정한;박치상;김상찬;변준석;황희정
    • 대한한방내과학회지
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    • 제24권2호
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    • pp.190-202
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    • 2003
  • Object : The effect of Banhabakchulchunma-tang extracts on the hepatic, splenic and cardiac toxicity induced by Doxorubicin administration(Three injection protocol) were monitored using male ICR mice. Methods : The changes of body weight, clinical signs, necropsy findings and organ weights of liver, spleen and heart were observed with blood GOT and GPT levels. Results : 1. Decrease of body weight and The degrees of anorexia, ataxia and dehydration after Doxorubicin treatment were dose-dependently inhibited by Banhabakchulchunma-tang extracts. 2. Increase of absolute and relative liver and heart weight observed in Doxorubicin treatment group were dose-dependently inhibited by Banhabakchulchunma-tang extracts. In addition, the degrees of liver congestion necrotic spot and the degrees of heart congestion enlargement were dose-dependently decreased after Banhabakchulchunma-tang extracts dosing groups compared to that of doxorubicin treatment group. It is also demonstrated that elevated serum GOT and GPT levels in doxorubicin treatment group were significantly decreased in Banhabakchulchunma-tang extracts dosing groups. 3. Decrease of absolute and relative spleen weight observed in doxorubicin treatment group were dose-dependently inhibited by Banhabakchulchunma-tang extracts. In addition, the degrees of splenic atrophy were significantly and dose-dependently decreased after Banhabakchulchunma-tang extracts dosing groups compared to that of doxorubicin treatment group. Conclusion : the toxicity of doxorubicin treatment(decrease of body weights, clinical signs such as anorexia, ataxia and dehydration, changes of organ weights of liver, spleen and heart, elevation of serum GOT and GPT levels) was inhibited and/or prevented by Banhabakchulchunma-tang extracts. According to these results, it is considered that Banhabakchulchunma-tang has some preventive effect against to doxorubicin induced toxicity.

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연교(連翹)가 만성 비세균성 전립선영 Rat의 염증발현인자 및 세포조직 변화에 미치는 영향 (The Effects of Forsythiae Frucus on Inflammatory Genes and Cyto-pathological Alterations in Chronic Non-Bacterial Prostatitis Rat Model)

  • 이진신;안영민;안세영;두호경;이병철
    • 대한한방내과학회지
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    • 제27권3호
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    • pp.639-652
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    • 2006
  • Objective : The etiology of chronic prostatitis is likely multifactorial, resulting from either a cascade of events after an initiating factor or from a variety of etiologic mechanisms. There is substantiating evidence to support the role of the inflammatory responses in its pathogenesis, and the clinical value in the evaluation of therapeutic efficacy. Forsythiae Frucus has been traditionally used in treatment of inflammatory diseases, including of prostatitis and urinary tract inflammation. In this study, we investigated the effects of Forsythiae Frucus on inflammatory cytokines and cyto-pathological alternation in the rat model of chronic non-bacterial prostatitis induced by castration and $17{\beta}$-estradiol treatment. Methods : Two-month-old rats were treated with $17{\beta}$-estradiol after castration for induction of experimental non-bacterial prostatitis. which is similar to human chronic prostatitis in histopathological profiles. Forsythiae Frucus as an experimental specimen, and testosterone as a positive control, were administered orally. The prostates were evaluated by histopathologlcal parameters including the epithelial score and epithelio-stromal ratio for glandular damage. and the expression of inflammatory cytokine genes including interleukin (IL)-$1{\beta}$, IL-5, IL-12, tumor necrosis factor (TNF)-$\alpha$. eotaxin, inducible nitric oxide synthase (iNOS) and cyclooxygenase-2(cox-2). Results : While prostates of control rats revealed severe acinar gland atrophy and stromal proliferation. the rats treated with Forsythiae Frucus showed a diminished range of tissue damage. Epithelial score was improved in the Forsythiae Frucus group over that of the control (P<0.05). The epithelia-stromal ratio was lower in the Forsythiae Frucus group when compared to that of the control (P<0.05). In the reverse transcription-polymerase chain reaction (RT-PCR) of inflammatory cytosine genes. Forsythiae Frucus inhibited the expression of IL-$1{\beta}$, TNF-$\alpha$, iNOS, cox-2 genes, while it modulated the expression of IL-5, which is an anti-inflammatory cytokine. Conclusions : These findings suggest that Forsythiae Frucus may protect the glandular epithelial cells and also inhibit stromal proliferation in association with the immune modulation including the suppression of inflammatory cytokines and increase of anti-inflammatory cytokines. From theses results. we suggest that Forsythiae Frucus could be a useful remedy agents for treating chronic non-bacterial prostatitis.

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해금사가 만성 비세균성 전립선엽 모델에서 혈액학적 및 세포조직학적 변화에 미치는 영향 (The Effects of Lygodium japonicum Treatment on Hematological and Cyto-pathological Alterations in Non-Bacterial Prostatitis Rat Model)

  • 이병철;김상우;안영민;두호경;안세영
    • 대한한방내과학회지
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    • 제27권3호
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    • pp.664-676
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    • 2006
  • Objective : Although chronic non-bacterial prostatitis is a common disease, it is very difficult to treat effectively. Lygodium japonicum has been traditionally used in treatment of urinary tract inflammation and voiding disturbance. In this study, we investigated the therapeutic effects and action mechanism of Lygodium japonicum in the rat model of non-bacterial prostatitis induced by castration and testosterone treatment. Methods : Five-month-old rats were treated with 17$\beta$-estradiol after castration for induction of experimental non-bacterial prostatitis, which is similar to human chronic prostatitis in histopathological profiles. Lygodium japonicum and testosterone were administered as an experimental specimen and a positive control. respectively. The prostates were evaluated by histopathological parameters including the epithelial score and epithelio-stromal ratio for glandular damage. PCNA labeling index for cyto-proliferation and a TUNEL(deoxyuridine triphosphate biotin nick end-labeling) assay for cell apoptosis. Results : While prostates of control rats revealed severe acinar gland atrophy and stromal proliferation, the rats treated with Lygodium japonicum showed a diminished range of tissue damage. Epithelial score was improved in the Lygodium japonicum group over that of the control (P<0.05). The epithelio-stromal ratio was lower in the Lygodiutn japonicum group when compared to that of the control (P<0.05). Although there was no difference in PCNA and TUNEL positive cells of the glandular epithelia. we found an decreased number of PCNA positive cell and concurrent increase of TUNEL positive cells in the stroma of Lygodium japonicum treated rats (P<0.01). Conclusions : These findings suggest that Lygodium japonicum may protect the glandular epithelial cells and also inhibit stromal proliferation in association with suppression of cyto-proliferation and stimulation of apoptosis. We concluded that Lygodium japonicum could be a useful remedy agents for treating chronic non-bacterial prostatitis.

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