• 제목/요약/키워드: Acute Disease

검색결과 2,222건 처리시간 0.028초

Vascular health late after Kawasaki disease: implications for accelerated atherosclerosis

  • Cheung, Yiu-Fai
    • Clinical and Experimental Pediatrics
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    • 제57권11호
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    • pp.472-478
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    • 2014
  • Kawasaki disease (KD), an acute vasculitis that primarily affects young children, is the most common acquired paediatric cardiovascular disease in developed countries. While sequelae of arterial inflammation in the acute phase of KD are well documented, its late effects on vascular health are increasingly unveiled. Late vascular dysfunction is characterized by structural alterations and functional impairment in term of arterial stiffening and endothelial dysfunction and shown to involve both coronary and systemic arteries. Further evidence suggests that continuous low grade inflammation and ongoing active remodeling of coronary arterial lesions occur late after acute illness and may play a role in structural and functional alterations of the arteries. Potential importance of genetic modulation on vascular health late after KD is implicated by associations between mannose binding lectin and inflammatory gene polymorphisms with severity of peripheral arterial stiffening and carotid intima-media thickening. The changes in cholesterol and lipoproteins levels late after KD further appear similar to those proposed to be atherogenic. While data on adverse vascular health are less controversial in patients with persistent or regressed coronary arterial aneurysms, data appear conflicting in individuals with no coronary arterial involvements or only transient coronary ectasia. Notwithstanding, concerns have been raised with regard to predisposition of KD in childhood to accelerated atherosclerosis in adulthood. Until further evidence-based data are available, however, it remains important to assess and monitor cardiovascular risk factors and to promote cardiovascular health in children with a history of KD in the long term.

Multilocus Sequence Typing of Pasteurella multocida Isolates from Acute Fowl Cholera Outbreak in Layer

  • Lai, Van Dam;Kim, Jong-Seung;Mo, In-Pil
    • 한국가금학회지
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    • 제47권2호
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    • pp.115-119
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    • 2020
  • Fowl cholera is an infectious disease caused by Pasteurella multocida that contributes to high economic loss in the commercial chicken industry. Three Pasteurella multocida strains were isolated from outbreaks of acute fowl cholera in the Korean layer farms from 2018 to 2019. One strain was identified and serotyped using capsular PCR typing. This strain was also genotyped by lipopolysaccharide (LPS) PCR typing as A: L3, whereas other strains were non-typable. The multilocus sequence typing (MLST) result showed that the A: L3 strain is sequence type (ST) 134; the non-typable strains were recorded as the following new STs: ST 366 and ST 374. Using phylogenetic tree analysis based on MLST sequences, we determined that ST 366 and ST 374 are closely related to the reference strains that were previously isolated from duck and chicken in Korea, and they were highly prevalent within the Korean cluster. In conclusion, Pasteurella multocida strains were identified and isolated in this study. Furthermore, this is the first report of using MLST to determine the prevalence of fowl cholera in Korea.

모야모야병으로 인한 출혈성 뇌졸중 환자 1례에 대한 증례보고 (Case Report on Traditional Korean Medicine of an Acute Intracerebral Hemorrhage Patient Diagnosed with Moyamoya Disease)

  • 박종일;김근엽;고흥;신선미;김기태
    • 대한한방내과학회지
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    • 제37권2호
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    • pp.420-426
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    • 2016
  • Objective: This case report examined a patient to determine if traditional Korean medicine treatment was effective for treating acute intracerebral hemorrhage (ICH) diagnosed with moyamoya disease.Method: The patient was treated with herbal medicine, acupuncture, and Western medicine and was followed up with for symptoms, vital signs, and brain computed tomography (CT) scans.Results: During the treatment, the patient’s mental state was mostly alert. The patient’s headaches were improved after the use of painkillers; the patient’s fever and blood pressure were well controlled. The cerebral hematoma was removed smoothly.Conclusion: Traditional Korean medical therapy (herbal medicine and acupuncture) along with Western methods appeared to be effective in managing the acute phase of ICH diagnosed with moyamoya disease.

Anisomycin protects against sepsis by attenuating IκB kinase-dependent NF-κB activation and inflammatory gene expression

  • Park, Gyoung Lim;Park, Minkyung;Min, Jeong-Ki;Park, Young-Jun;Chung, Su Wol;Lee, Seon-Jin
    • BMB Reports
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    • 제54권11호
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    • pp.545-550
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    • 2021
  • Anisomycin is known to inhibit eukaryotic protein synthesis and has been established as an antibiotic and anticancer drug. However, the molecular targets of anisomycin and its mechanism of action have not been explained in macrophages. Here, we demonstrated the anti-inflammatory effects of anisomycin both in vivo and in vitro. We found that anisomycin decreased the mortality rate of macrophages in cecal ligation and puncture (CLP)- and lipopolysaccharide (LPS)-induced acute sepsis. It also declined the gene expression of proinflammatory mediators such as inducible nitric oxide synthase, tumor necrosis factor-α, and interleukin-1β as well as the nitric oxide and proinflammatory cytokines production in macrophages subjected to LPS-induced acute sepsis. Furthermore, anisomycin attenuated nuclear factor (NF)-κB activation in LPS-induced macrophages, which correlated with the inhibition of phosphorylation of NF-κB-inducing kinase and IκB kinase, phosphorylation and IκBα proteolytic degradation, and NF-κB p65 subunit nuclear translocation. These results suggest that anisomycin prevented acute inflammation by inhibiting NF-κB-related inflammatory gene expression and could be a potential therapeutic candidate for sepsis.

알칼리환원수 음용이 급성 염증성장질환 생쥐 모델에 미치는 영향 (The Effect of Mineral-induced Alkaline Reduced Water on the DSS-induced Acute Inflammatory Bowel Disease Mouse Model)

  • 김단;김동희;등영건;최주봉;이규재
    • Applied Microscopy
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    • 제38권2호
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    • pp.81-87
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    • 2008
  • 알칼리환원수 (Alkaline Reduced Water: ARW)는 아시아를 비롯한 여러 나라에서 음용수로 사용되고 있으며 항산화효과와 장내이상발효 개선효과 등을 중심으로 안전성과 유효성의 검증이 이루어지고 있다. 본 연구에서는 알칼리환원수가 급성 염증성대 장질환 (Inflammatory Bowel Disease: IBD) 동물모델에 미치는 영향을 알아보기 위해, ARW를 2주 동안 급이 시킨 후 4% DDS 로 염증성 대장염을 유발시키고 대장의 길이와 조직병리학적 변화를 관찰하였다. 그 결과 대장의 길이와 육안적, 현미경적 질환점수의 수치가 대조군과 비교하여 유의한 차이를 나타내지 않았다. 이 결과는 DSS로 유도된 급성 염증성장질환 모델에서는 2주 동안의 ARW 급이가 개선효과를 나타내지 않았음을 말해준다. 그러나 ARW가 장내환경을 개선시키고 위장관의 질환을 개선시키는 효과가 있음을 고려해볼 때 급성 IBD 동물모델이 ARW의 효과를 증명 하기에 적합하지 않았거나 MARW의 급이기간이 장내환경을 개선할 만큼 충분히 길지 않았을 가능성을 추측해 볼 수 있다. 알칼리환원수의 장내이상발효 개선효과는 확인되고 있으나 그 기전은 아직까지 구체적으로 확인되어지지 않고 있다. 이번 연구결과에 의하면 인위적으로 유발시킨 급성 염증성 동물모델에서 ARW가 유의한 영향을 미치지 않았지만, 다른 장질환 모델을 이용한 효과 검증과 ARW의 장기 급이에 따른 효과, 그리고 ARW가 장내환경에 미치는 작용기전에 대한 연구가 더 깊이 있게 이루어져야 할 것으로 사료된다.

급성기 중풍 환자에게 양격산화탕(凉膈散火湯) 활용의 임상적 연구 (Study on Characteristics of Acute Stroke Patient with Yangkyuksanwha-tang)

  • 곽승혁;박수경;임정태;우수경;정우상;문상관;조기호;박성욱;고창남
    • 대한중풍순환신경학회지
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    • 제11권1호
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    • pp.46-54
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    • 2010
  • Objective : The purpose of this study was to investigate the characteristics of the acute stroke patient who take Yanggyeoksanhwa-tang, and arrange the indication of Yanggyeoksanhwa-tang. Method : We studied hospitalized patients within 4 weeks after their accident who were hospitalized at Kyunghee University Oriental Medical Center, Kyunghee University East-West Neo Medical Center, Kyungwon University Oriental Medical Center, Semyung University Oriental Medical Center from February 2010 to July 2010. We classified and found out the characteristics of acute stroke patient according to herb medicine. Result : The patient who take Yanggyeoksanhwa-tang show meaningful difference for TG, HDL-cholesterole, total lipid, AST, homocysteine, chest burning sensation, and oriental medical diagnosis. Conclusion : The result of this study show that Yanggyeoksanhwa-tang can be applied to acute stroke patient who feels chest burning sensation, and whose oriental medical diagnosis is fever type. Additory evaluations would be needed to better understand the difference between Yanggyeoksanhwa-tang group and other herb medicine group on acute stroke patients.

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은교산가미방(銀翹散加味方)으로 치료한 급성 세기관지염 3례 (Three Cases Report of Acute Bronchiolitis Children Treated by Eunkyosan-gamibang)

  • 김하얀;하수연;송인선
    • 대한한방소아과학회지
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    • 제21권3호
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    • pp.205-214
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    • 2007
  • Objectives Acute Bronchiolitis is an acute lower respiratory disease that the most often seen in children. The purpose of this study is to report three cases of acute Bronchiolitis children treated by oriental medicine. Methods The subjects are children diagnosed as having an acute Bronchiolitis. We treated three children with herbal medicine(Eunkyosan-gamibang) Results After treatment, the symptoms(cough, dyspnea, wheezing) of Acute Bronchiolitis were relieved. Conclusion This study shows that oriental medicine can be an effective treatment for Acute Bronchiolitis. Further study is needed with more cases of treatment.

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급성 췌장염 진료 권고안 (Clinical Practice Guidelines for Acute Pancreatitis)

  • 고동희
    • 대한소화기학회지
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    • 제72권6호
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    • pp.281-285
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    • 2018
  • Acute pancreatitis is a common gastrointestinal disease that is associated with significant morbidity and consumes enormous health care resources. As such, it requires up-to-date evidence-based diagnosis and standard treatment guidelines with broad support from the clinician. Korean Pancreatobiliary Association has developed clinical practice guidelines for the diagnosis and treatment of acute pancreatitis to provide a framework for clinicians to manage acute pancreatitis and to improve national health care. The guidelines were divided into four parts: the diagnosis of acute pancreatitis, the assessment of the severity, the initial management, and the treatment of necrotizing pancreatitis and local complications of acute pancreatitis. In this article, we summarize and present the diagnosis and treatment guidelines for acute pancreatitis established in Korea.

급성기 뇌경색 환자의 사상체질별 혈중 Homocysteine 농도에 대한 단면적 연구 (A Cross-sectional Study on Differences in Blood Homocysteine Levels of Acute Cerebral Infarction Patients Categorized by Sasang Constitutional Medicine)

  • 민인규;김미영;최원우;선종주;정재한;홍진우;나병조;정우상;문상관;조기호
    • 대한한방내과학회지
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    • 제28권4호
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    • pp.763-768
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    • 2007
  • Objectives : This study aimed to clarify the difference in blood homocysteine levels of acute cerebral infarction patients categorized by Sasang constitutional medicine. Methods : The subjects were recruited from patients admitted to the Oriental Internal Medical Department at Kyunghee Medical Center between October 2005 and May 2007, who were classified as small vessel occlusion (SVO) patients according to the Trial of ORG 10172 in Acute Stroke Treatment (TOAST). The general characteristics along with total homocysteine levels were recorded and analyzed according to Sasang constitutional medicine. Results : A total of 151 patients were included in the trial. The prevalence of constitution was, in order, Soyangin, Taeumin, and Soeumin. No statistical significance was noted for any characteristic except body weight. There was no significant difference in blood homocysteine levels between constitutions. Conclusion : This study investigated the difference in blood homocysteine levels of acute cerebral infarction patients categorized according to Sasang constitutional medicine. Due to many limitations, the correlation between homocysteine levels and Sasang constitution was not clarified. Nevertheless, this study is significant in that it examined the largest study group to date in Oriental Medicine research history on the relation between stroke patients' homocysteine and Sasang constitution, and can be utilized in future as a basic material. Further research on the subject is needed.

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간 질병 분류를 위한 라만 스펙트럼의 배경 잡음 제거 방법 (A method of background noise removal of Raman spectra for classification of liver disease)

  • 박아론;백성준
    • 스마트미디어저널
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    • 제2권2호
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    • pp.33-38
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    • 2013
  • 본 논문에서는 급성 알코올성 간 손상과 만성 에탄올성 간섬유증이 유도된 마우스로부터 획득한 라만 스펙트럼에서 배경 잡음을 제거하기 위한 기준선 추정 방법을 조사하였다. 기준선을 추정하기 위해 일차 미분, 선형계획법, rolling ball을 이용한 방법을 적용하였다. 각 방법의 적절한 압력 파라미터를 MAP(maximum a posteriori probability)의 훈련율에 의해 결정하였다. 실험 절과에 따르면 rolling ball 알고리즘을 이용한 기준선 추정 방법이 급성 알코올성 간 손상과 만성 에탄올성 간섬유증의 MAP 분류에서 평균 89.4%로 가장 좋은 결과를 나타냈다. 이 결과로부터 라만 스펙트럼의 기준선 추정에 적절한 방법과 파라미터를 결정하는 것이 분류 성능에 미치는 영향을 확인하였다.

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