• 제목/요약/키워드: Acute End

Search Result 322, Processing Time 0.028 seconds

Infarction of Renal Transplant with Extrarenal Excretion of Tc-99m $MAG_3$ Demonstrated by Renal Scintigraphy (Tc-99m $MAG_3$ 신장스캔에서 신외 배설과 함께 발견된 이식신 경색)

  • Lim, Seok-Tae;Kim, Min-Woo;Sohn, Myung-Hee
    • The Korean Journal of Nuclear Medicine
    • /
    • v.37 no.3
    • /
    • pp.199-201
    • /
    • 2003
  • A 38-year-old woman with end stage renal disease received a living related donor-renal transplant to the right iliac fossa. She developed anuria a week later Tc-99m $MAG_3$ renal scintigraphy demonstrated no perfusion, uptake, or excretion of the radioactive tracer from the renal transplant. The expected area of the renal allograft appeared as a photopenic area with increased rim activity. The gallbladder and bowel activities were observed on delayed images at 24 hours. There was no blood flow within the renal artery on renal doppler examination. This case shows total absence of perfusion and function in the infarcted renal transplant with extrarenal excretion of Tc-99m $MAG_3$ caused by acute renal artery thrombosis.

Emission Characteristics of Ultrafine particles According to Fuel Injection Type in Gasoline and LPG Vehicle (휘발유와 LPG 자동차의 연료분사방식에 따른 극미세입자 배출 특성)

  • Park, Kyoung-Gyun;Kwon, Sang-Il;Lee, Woo-Suk;Hong, Ji-Hyung
    • Journal of ILASS-Korea
    • /
    • v.14 no.4
    • /
    • pp.184-189
    • /
    • 2009
  • Recently, ultrafine particles emitted from internal combustion engine is main concern because of its well known adverse health effects. So Europe decided to start the regulation about diesel engine particle number emissions. The nanoparticles smaller than 50nm in diameter have the ability to penetrate deep into interstitial tissue of luge, where they may cause severe respiratory inflammation and acute pulmonary toxicity. Recent studies have showed that spark ignition engines emit particles number concentration comparable to those from diesel engines with DPF under high load and rich mixture conditions, including cold starts and acceleration. So this study investigated emission characteristics of ultrafine particles according to fuel injection type in gasoline vehicles and LPG vehicles. The test vehicles were tested on CVS-75 and NEDC vehicle test mode using the chassis dynamometer, CPC system applied as a particle measuring instrument at the end of dilution tunnel. As a result, the correlation between fuel injection type and particulate emission was determined. GDI vehicle emitted 10 times higher particles than PFI vehicles, and compared to Mixer and LPGI type LPG vehicle, LPLI vehicle emitted particles high.

  • PDF

Successful Treatment of a Case with Rhino-Orbital-Cerebral Mucormycosis by the Combination of Neurosurgical Intervention and the Sequential Use of Amphotericin Band Posaconazole

  • Yoon, Young-Kyung;Kim, Min-Ja;Chung, Yang-Gu;Shin, Il-Young
    • Journal of Korean Neurosurgical Society
    • /
    • v.47 no.1
    • /
    • pp.74-77
    • /
    • 2010
  • Rhino-orbital-cerebral (ROC) mucormycosis is an uncommon, acute and aggressive fungal infection. It remains a challenging problem to clinicians despite aggressive debridement surgery and antifungal therapy. The authors describe a case of ROC mucormycosis with pericranial abscess occurring in a female patient with uncontrolled diabetes mellitus. The infection initially developed in the right-sided nasal sinus and later progressed through the paranasal sinuses with the invasion of the peri-orbital and frontotemporal region, due to the delayed diagnosis and treatment. Numerous non-septate hyphae of the zygomycetes were identified by a punch biopsy from the nasal cavity and by an open biopsy of the involved dura. The patient was treated successfully with extensive debridement of her necrotic skull and surrounding tissues, drainage of her pericranial abscess and antifungal therapy, including intravenous amphotericin B for 61 days and oral posaconazole for the following 26 days. She returned to a normal life and has had no recurrence since the end of her treatment 15 months ago.

Involvement of macrophages in germ cell death in the rattestis with acute experimental testicular torsion

  • Moon, Changjong;Shin, Taekyun
    • Korean Journal of Veterinary Research
    • /
    • v.44 no.3
    • /
    • pp.329-334
    • /
    • 2004
  • Ischemia/reperfusion(I/R) injury of the rat testis causes germ cell death and infiltration of inflammatory cells. To investigate the mechanism of germ cell death in torsion of the rat testis, apoptosis and macrophage activation were studied using the terminal deoxynucleotidyl transferase-mediated dUTP nick end-labeling(TUNEL) method and immunohistochemistry in the testes of Sprague-Dawley rats subjected to 1.5 h of ischemia, followed by 0, 1, 3, 6, 12, 24, 48 and 96 h of reperfusion. Apoptotic, TUNEL-positive cells were found at the base of the seminiferous epithelia after I/R. TUNEL-positive cells were significantly increased 6 h after repair of the torsion, and there was a significant peak in apoptosis 24 h after reperfusion, as compared with normal or sham-operated controls. In contrast, histological evidence of germ cell necrosis in the seminiferous tubules was first visible 24 h after reperfusion. In the testis of sham-operated rats, ED2-positive resident macrophages were found diffusely in the interstitial space, while ED1-positive monocyte-like macrophages were rarely found. After I/R, ED1-positive cells were significantly increased beginning 12 h after reperfusion, while ED2-positive immunoreactivity did not change during the experimental period. Together, the results of this study confirmed that increased numbers of ED1-positive macrophages, but not resident ED2-positive macrophages, infiltrated the interstitial space surrounding damaged tubules and induced germcell death.

PARTICLE ACCELERATION IN SUPERNOVA REMNANTS

  • KANG, HYESUNG
    • Publications of The Korean Astronomical Society
    • /
    • v.30 no.2
    • /
    • pp.545-548
    • /
    • 2015
  • Most high energy cosmic rays (CRs) are thought to be produced by diffusive shock acceleration (DSA) in supernova remnants (SNRs) within the Galaxy. Plasma and MHD simulations have shown that the self-excitation of MHD waves and amplification of magnetic fields via plasma instabilities are an integral part of DSA for strong collisionless shocks. In this study we explore how plasma processes such as plasma instabilities and wave-particle interactions can affect the energy spectra of CR protons and electrons, using time-dependent DSA simulations of SNR shocks. We demonstrate that the time-dependent evolution of the shock dynamics, the self-amplified magnetic fields and $Alfv{\acute{e}nic$ drift govern the highest energy end of the CR energy spectra. As a result, the spectral cutoffs in nonthermal X-ray and ${\gamma}$-ray radiation spectra are regulated by the evolution of the highest energy particles, which are injected at the early phase of SNRs. We also find that the maximum energy of CR protons can be boosted significantly only if the scale height of the magnetic field precursor is long enough to contain the diffusion lengths of the particles of interests. Thus, detailed understandings of nonlinear wave-particle interactions and time-dependent DSA simulations are crucial for understanding the nonthermal radiation from CR acceleration sources.

Massive Hemoptysis Due to Impaction of Fractured Rib into the Lung Parenchyme - 1 Case Report - (폐실질내 골절된 늑골의 합입에 의한 대량각혈)

  • 이용재
    • Journal of Chest Surgery
    • /
    • v.25 no.7
    • /
    • pp.711-715
    • /
    • 1992
  • Massive hemoptysis is defined as pulmonary hemorrhage of more than 600ml to 800ml within 24hours. Among the many causes, the most common include pulmonary tuberculosis, abscess, bronchiectasis, cystic fibrosis bronchial carcinoma. Most acute episodes of hemoptysis last less than 24 hours and gradually subside. However, when the hem-optysis is massive, it carries a mortality rate of 50% to 100%. It is generally agreed that surgery is the treatment of choice for patients with massive hemoptysis. We had the one case of 39 year-old male with recurrent massive hemoptysis. In the past history, he had pulmonary tuberculosis 20 years ago but no chest trauma, Previous chest CT showed well defined cavitary lesion with calcification on RUL Under the bronchoscope finding, we indentified active bleeding from right upper lobe bronchus without end-obronchial lesion. Therefore, emergency thoracotomy was done with impression of hem-optysis due to pulmonary tuberculosis. But operative findings were as follows ; the 4th fractured rib was impacted into the lung parenchyme with severe adhesion and middle lobe was not inflated. So, Upper and middle lobectomy were performed. He was diagnosed finally by operative and pathological findings as massive hemoptysis due to impaction of fractured rib into the lung parenchyme and discharged without complication.

  • PDF

Suppurative Meckel Diiverticulum in a 3-Year-Old Girl Presenting with Periumbilical Cellulitis

  • Park, Ji Sook;Lim, Chun Woo;Park, Taejin;Cho, Jae-Min;Seo, Ji-Hyun;Youn, Hee-Shang
    • Pediatric Gastroenterology, Hepatology & Nutrition
    • /
    • v.18 no.1
    • /
    • pp.66-70
    • /
    • 2015
  • Meckel diverticulum (MD) is one of the most common congenital gastrointestinal anomalies and occurs in 1.2-2% of the general population. MD usually presents with massive painless rectal bleeding, intestinal obstruction or inflammation in children and adults. Suppurative Meckel diverticulitis is uncommon in children. An experience is described of a 3-year-old girl with suppurative inflammation in a tip of MD. She complained of acute colicky abdominal pain, vomiting and periumbilical erythema. Laparoscopic surgery found a relatively long MD with necrotic and fluid-filled cystic end, which was attatched to abdominal wall caused by inflammation. Herein, we report an interesting and unusual case of a suppurative Meckel diverticulitis presenting as periumbilical cellulitis in a child. Because of its varied presentations, MD might always be considered as one of the differential diagonosis.

Critical Care before Lung Transplantation

  • Lee, Jin Gu;Park, Moo Suk;Jeong, Su Jin;Kim, Song Yee;Na, Sungwon;Kim, Jeongmin;Paik, Hyo Chae
    • Acute and Critical Care
    • /
    • v.33 no.4
    • /
    • pp.197-205
    • /
    • 2018
  • Lung transplantation is widely accepted as the only viable treatment option for patients with end-stage lung disease. However, the imbalance between the number of suitable donor lungs available and the number of possible candidates often results in intensive care unit (ICU) admission for the latter. In the ICU setting, critical care is essential to keep these patients alive and to successfully bridge to lung transplantation. Proper management in the ICU is also one of the key factors supporting long-term success following transplantation. Critical care includes the provision of respiratory support such as mechanical ventilation (MV) and extracorporeal life support (ECLS). Accordingly, a working knowledge of the common critical care issues related to these unique patients and the early recognition and management of problems that arise before and after transplantation in the ICU setting are crucial for long-term success. In this review, we discuss the management and selection of candidates for lung transplantation as well as existing respiratory support strategies that involve MV and ECLS in the ICU setting.

Have you Exposure to a trauma and No PTSD? Which factors help and which are not?

  • Bulathwatta, Asanka;Witruk, Evelin;Reschke, Konrad
    • The Korean Journal of Food & Health Convergence
    • /
    • v.5 no.1
    • /
    • pp.21-31
    • /
    • 2019
  • Exposure to a traumatic events gives people many post traumatic conditions resulting Post Traumatic Stress Disorder (PTSD) or Post Traumatic Growth (PTG). Some of them may come up with acute Stress Disorder and some may having with grievances. But most of people overcome their traumatic condition with using their Emotional Intelligence and Resilience capacities. This article is focused on indicating basic mechanisms and resources in which can be lead to have better social rehabilitation along with the matters that can be important in trauma coping. The later part of the article appeals the concept of social work theory highlighting the psych dynamic approach which can be impact positively on psycho social rehabilitation. Traumatic experiences are really unpredictable and it can be resulted Post Traumatic Stress Disorders, Post traumatic growth in the end. But developing skills that required to overcoming trauma is facilitated by the Emotional Intelligence, Resilience, and Coping capacities that people having with. Exposure to a traumatic experience and not having a PTSD is determined by the many other factors such as social support system and government facilitation of the wellbeing afterwards the trauma. Here in this article the basic components of Emotional Intelligence, Resilience, and coping mechanisms have been considered as the major factors.

IgY: A Key Isotype and Promising Antibody for the Immunoprophylaxis Therapy of Infectious Bursal Disease Virus Infections

  • Sanaullah Sajid;Sajjad ur Rahman;Mashkoor Mohsin;Zia ud Din Sindhu
    • Microbiology and Biotechnology Letters
    • /
    • v.50 no.3
    • /
    • pp.430-435
    • /
    • 2022
  • The infectious bursal disease (IBD) is a highly contagious and acute poultry disease caused by Birnavirus. However, the vaccination is the only disease prevention, but several factors impeded vaccine development. Thus, a need for time to develop a novel technique for managing and treating respiratory diseases in poultry birds. Passive immunization is a hope and a possible alternative used in birds to meet this need. The current research attempted to produce egg yolk-based polyclonal antibodies against the IBD virus. The benefits of IgY include ease of extraction, lack of reaction with mammalian Fc receptors, and low production cost. Commercial layers were immunized with inactivated IBD virus subcutaneously according to the treatment regimen. The eggs were gathered daily, and yolk antibodies were extracted with the ammonium sulfate precipitation technique. The use of an indirect hemagglutination test demonstrated that IgY was IBD-specific. Until the end of the experiment, the specific IgY immunoglobulins did not lose activity when stored at 4℃. The specific immunoglobulin (IgY) treated challenged birds were demonstrated 92% recovery in comparison to the control group. The study implies that the IBDV specific IgY is an easily prepared and rich source of antibodies and offers an alternative therapeutic agent to cure IBD-infected birds.