• Title/Summary/Keyword: Arterial lines

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Effects of Normal Saline for Maintenance of Arterial Lines of Surgical Patients (수술환자의 동맥관 개방성 유지를 위한 생리식염수의 효용성 평가)

  • Han, Sang Sook;Park, Jee Eun;Kim, Nam Eun;Kang, Hwa Ja
    • Journal of Korean Academy of Nursing
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    • v.42 no.6
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    • pp.791-798
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    • 2012
  • Purpose: The purpose of this study was to analyze the effectiveness of saline solution vs. heparinized-saline for maintenance of arterial lines and to detect changes in platelet and aPTT as physiological indexes. Methods: In this nonequivalent control group, non-synchronized, double-blind study the effects of heparinized and saline solution on the maintenance of arterial lines were compared. Fifty five patients received the heparinized solution and fifty nine patients received the saline solution. All patients who had surgery in K-university hospital between September and December 2011 were eligible for participation in the study. Results: There was no statistically significant difference between the saline and the heparin group in the maintenance time of the arterial lines or the number of irrigations. There was no statistically significant difference between the groups in changes in the number of platelets and aPTT for interaction between the groups and time intervals. Conclusion: The results indicate that saline solution can be used as an irrigation solution for the maintenance of arterial lines of adult surgical patients, rather than heparinized-saline, in view of potential risk factors in the use of heparin.

Pharmacological Evidence that Calcitonin Gene-Related Peptide is Implicated in Cerebral Autoregulation

  • Hong, Ki-Whan;Pyo, Kwang-Min;Yu, Sung-Sook;Rhim, Byung-Yong
    • Proceedings of the Korean Society of Applied Pharmacology
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    • 1994.04a
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    • pp.287-287
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    • 1994
  • In the present study, it was aimed to asses the possibility that calcitonin gene-related peptide (CGRP) released in response to transient hypotension may contribute to the reflex autoregulation of cerebral blood flow as a putative modulator. Changes in pial arterial diameter (mean, 33.0 ${\pm}$ 1.1 $\mu\textrm{m}$) with changes in systemic arterial blood pressure (mean, 101.9 ${\pm}$ 2.7 mmHg) were observed directly through a closed cranial window in anesthetized normotensive rats. Image of the pial vessels was captured with a stereoscope connected to a CCD video camera and the diameter was measured with a microscaler. In the capsaicin-treated rats (one day prior to experiment, 50 nmol capsaicin injected intracisternally), both vasodilater and vasoconstrictor responses evoked by a transient hypotension and the reverse of blood pressure were markedly attenuated or almost abolished. When changes in pial arterial diameter were plotted as a function of changes in blood pressure, the slopes of both regression lines (for vasodilators and vasoconstrictors ) were markedly reduced. Similar reductions were evidenced under treatment wi th the CGRP antibody serum (1:1,000) and following CGRP receptor desensitization. However, the autoregulatory mechanics were neither affected by treatment wi th spantide (1 ${\mu}$M), substance P antagonist, nor by substance P receptor desensitization. Suffusion wi th mock cerebrospinal fluid containing CGRP and cromakalim caused a vasodilatation in a concentration-dependent manner, respectively and their effects were antagonized by glibenclamide. Substance P produced a vasodilatation, which was, however, little affected by glibenclamide. These observations indicate that the CGRP released from the perivascular sensory fibers in response to a hypotension is implicated in the modulation of the autoregulation of cerebral blood flow.

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The Development of Functional Beverage from the Inner Skin of the Chestnut Castanea crenata ( II ) -Physiological Effects of Chestnut Inner Skin Tea, Brown Rice-preen Tea and Cassia tora Tea in Mouse and Rat- (밤속껍질에서 기능성 음료의 개발(II) -밤차, 현미녹차 및 결명자차가 생체기능활성화에 미치는 효과-)

  • 전병관;정현우;이종률;지준명
    • The Korean Journal of Food And Nutrition
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    • v.13 no.5
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    • pp.411-418
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    • 2000
  • The purpose of this study was to investigate effects of chestnut inner skin tea, brown rice-green tea and Cassia lora tea on the activation of physiological functions (regional cerebral blood flow, mean arterial blood pressure, proliferation of immunocytes in vitro and in vitro, suppression of cancer cell proliferation) in mouse and rat. We used 8 weeks-old balb/c male mice, 300g ICR rats and L1210 cell lines. Regional cerebral blood flow(rCBF) and mean arterial blood pressure(BP) were measured using Leser-Doppler Flowmetry(LDF) and the proliferation of cells was measured using a colorimetric tetrazolium assay(MTT assay). The experimental results are as follows : 1. rCBF was increased by Cassia tora tea, but decreased by chestnut inner skin tea in rats. 2. BP was increased by brown rice-green tea in rats. 3. Proliferation of mouse thymocytes and splenocytes were significantly increased by chestnut inner skin tea in vitro. 4. Proliferation of mouse thymocytes was decreased by Cassia tora tea and brown rice-green tea in vitro. 5. Proliferation of mouse thymocytes was decreased by Cassia tora tea and brown rice-green tea in L1210 transplanted mice. 6. Proliferation of splenocytes was accelerated by chestnut inner skin tea in L1210 transplanted mice. 7. Proliferation of L1210 cells was inhibited by chestnut inner skin tea and Cassia tora tea in L1210 transplanted mice.

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Development and Evaluation of Real-time Travel Time Forecasting Model: Nonparametric Regression Analysis for the Seoul Transit System (비모수 회귀분석을 이용한 실시간 통행시간 예측 기법 개발 및 평가 (서울시 버스를 중심으로))

  • Park, Sin-Hyeong;Jeong, Yeon-Jeong;Kim, Chang-Ho
    • Journal of Korean Society of Transportation
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    • v.24 no.1 s.87
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    • pp.109-120
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    • 2006
  • Since the 1st of July, 2004, the public transport system of the Seoul metropolitan area has been rearranged. In the new system, bus lines are divided into 4 classes-wide area, arterial road, branch, and rotation lines with renewed fare system based on the total distance travelled. Since central control center known as the Bus Management System (BMS) integrates the entire system operation. it now becomes feasible to collect travel information and provide it to the users scientifically and systematically. The Purpose of this study is to forecast transit travel time using real-time traffic data coming from both buses and subway. This is significant contribution since provision of real-time transit information and easy access to it would most likely boost the use of mass transit system, alleviating roadway congestion in the metropolitan area.

Use of Intraluminal Sutureless Graft in the Surgical Treatment of Dissecting Aneurysm(Debakey type III) of the Thoracic Aorta (무봉합 혈관내 인조혈관을 사용한 박리성 하행흉부대동맥류의 치료 -2례 보고-)

  • 홍순필
    • Journal of Chest Surgery
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    • v.27 no.10
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    • pp.862-867
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    • 1994
  • We experienced two cases of dissecting aneurysm[DeBakey type III] of the thoracic aorta treated using intraluminal sutureless graft. Controversy still exists about the exact timing of surgical intervention for dissection of the descending thoracic aorta. The surgical indication of dissecting aneurysm[DeBakey type III] is continuous flow in the false lumen, continuous chest pain, compromise of arterial supply to a specific organ or limb, or extension of the dissection while the patient is receiving satisfactory medical treatment. Surgical therapy for dissection of the aorta has had a high mortality. One contributing factor has been hemorrhage from the prosthesis and the suture lines. Recently, a new method of treatment with a intraluminal sutureless graft that requires no end-to-end anastomosis has been developed. In our cases, cardiopulmonary bypass and circulatory arrest was utilized in repairing dissecting aneurysm of descending aorta[DeBakey type III] in order to avoid the aortic cross clamping because of friable aortic intima. The basic technique consists of vertical incision of descending aorta in the area of intimal tear and inserting the whole ringed graft into the true lumen of the dissected aorta and circumferentially ligating the aorta against the groove in the rings. Postoperative course was uneventful.

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Endovascular Stenting of a Traumatic Pseudoaneurysm on C5 Portion of the Internal Carotic Artery - A Case Report - (내경동맥에 발생한 외상성 가성동맥류에 대한 혈관내 스텐트 치료)

  • Jung, Hyun Ho;Kim, Hun Joo;Lee, Myeung Sub;Whang, Kum;Cho, Sung Min;Hu, Chul;Pyen, Jhin Soo;Hong, Soon Ki
    • Journal of Korean Neurosurgical Society
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    • v.30 no.sup2
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    • pp.332-336
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    • 2001
  • This 18-year-old male patient had a massive epistaxis after motorcycle traffic accident on 1st day of admission. There were no other significant brain parenchymal lesion on initial brain CT exam, except multiple pneumocephalus and basal skull fracture lines. We treated epistaxis conservatively till vital signs were corrected, and then conventional cerebral angiogram was followed. On angiogram, there was traumatic pseudoaneurysm on C5 portion(by Fischer) of ICA, so we treated it only by endovascular stenting. For the purpose of sparing parent arterial patency, endovascular stenting on pseudoaneurysm may play a role with safety and good results.

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Role of Endothelium-derived Relaxing Factor in Cerebral Autoregulation in vivo (뇌혈류 자가조절에 대한 Endothelium-derived Relaxing Factor의 역할)

  • Hong Ki-Whan;Yu Sung-Suk;Rhim Byung-Yong
    • The Korean Journal of Pharmacology
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    • v.31 no.1 s.57
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    • pp.27-37
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    • 1995
  • In anesthetized rats, we examined the possibility that endothelium-derived relaxing factor (EDRF) or nitric oxide (NO) released in response to cholinergic mechanism may contribute to the reflex autoregulation of cerebral blood flow. Suffusion with mock cerebrospinal fluid (CSF), containing acetylcholine (ACh, $10^{-9}{\sim}10^{-6}M$) evoked concentration-dependent vasodilatation of the resting pial artery (mean, $19.3{\pm}1.7{\mu}m$, n=36), which was significantly inhibited not only by $N{\omega}$-nitro-L-arginine (L-NNA, $10^{-5}M$) but also by methylene blue ($10^{-6}M$) and oxyhemoglobin ($10^{-6}M$). The muscarinic receptors in the endothelium of pial artery implicated in the release of EDRF were considered to be $M_1\;and\;M_3$ subtypes. When suffused with mock CSF containing L-arginine it caused a transient vasodilatation, which was strongly inhibited by LY 83583 ($10^{-5}M$), but not by L-NNA ($10^{-5}M$). Additionally, both ACh- and L-arginine-induced vasodilation were significantly inhibited by glibenclamide, a specific ATP-sensitive $K^+$ channel blocker. On the other hand, changes in pial arterial diameter were plotted as a function of changes in systemic arterial blood pressure. The slopes of regression lines for vasodilation and vasoconstriction were not affected by pretreatment with $10^{-5}M$ L-NNA, but significantly reduced by $3{\times}10^{-6}M$ glibenclamide. Thus it is suggested that the reflex vasodilation of rat pial arteries in response to a transient hypotension is not mediated by EDRF (NO).

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A Study on the Construction of Logistics Infrastructure Database using GIS (GIS 기반 도시물류시설 DB구축 및 활용에 관한 연구)

  • Baek, Tae-Kyung;Kim, Hung-Kwan;Shin, Yong-Eun
    • Journal of the Korean Association of Geographic Information Studies
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    • v.10 no.1
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    • pp.92-101
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    • 2007
  • Urban freight system includes not just intra-urban freight movement but also inter-urban movement as well. Hence, to make Busan a hub of North-east asia freight movement it is necessary to develop a comprehensive plan for infrastructure expansion as well as improvement of freight system based on the present facility situation. This study identifies the status of freight facilities in Busan by establishing the freight related infrastructure Database(DB) utilizing Geographic Information System(GIS), and to enable planners and decision-makers to utilize the DB to develop a future plan. The DB includes port facilities, major and minor arterial roads, railroad lines and facilities, depots, center city business areas, and urban infrastructures which are related to the freight movements. The analyses show that major transportation facilities in Busan consist of roads, railroads, coastal transportation, and international transportation, and it was found that intermodal facilities are inadequate for freight system in Busan. The results of this study will be useful for freight experts and planners to develop a comprehensive freight system plan.

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A Study on the Technique Develop for Perspective Image Generation and 3 Dimension Simulation in Jecheon (제천시 영상 조감도 생성 및 3차원 시뮬레이션 기술개발에 관한 연구)

  • 연상호;홍일화
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.21 no.1
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    • pp.45-51
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    • 2003
  • Stereo bird's-eyes-view was prepared for 3-dimensional view of various forms of Jecheon city, and 3-dimensional simulation was applied to it so as to show it in moving pictures in spatial. In manufacturing stereo bird's-eyes-view, perspective technology was used in image-making technology, and the basic material images are prepared as fellows: used EOC Images from Arirang-1 satellite, created DEM whose error was optionally geometric corrected after drawn from the contour line of the map on a scale of l/5,000 manufactured by national geography institute as a national standard map, and classified road lines which were manufactured as a road layer vector file of a map on a scale of l/l,000 and then overlay it over the three dimensional image of target area. Especially for the connectivity with address system to be used in new address, an arterial road map on a scale of l/l,000 that had been manufactured to grant new address was used in maximum in road network structure data of city area in this study.

Correlation between Cerebral Vasospasm after Subarachnoid Hemorrhage and Intercellular Adhesion Molecule-1 Levels in Serum and Cerebrospinal Fluid

  • Cheong, Jin-Hwan;Kim, Jae-Min;Bak, Koang-Hum;Kim, Choong-Hyun
    • Journal of Korean Neurosurgical Society
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    • v.38 no.1
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    • pp.1-11
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    • 2005
  • Objective : The purpose of this study is to evaluate the correlation of the ICAM-l levels in serum and CSF with cerebral vasospasm in early aneurysmal subarachnoid hemorrhage [SAH] patients. Methods : A prospective analysis was performed in thirty consecutive patients who underwent early surgery for intracranial aneurysmal SAH. The serum and CSF were obtained daily through the indwelling arterial lines and intraoperative ventriculostomy, or cisternal drain for 4 consecutive days after surgery. The ICAM-1 levels in serum and CSF samples were measured via quantitative enzyme-linked immunosorbent assay. Results : The mean concentration of serum in aneurysmal SAH patients was 207.89ng/ml compared with 132.25ng/ml in controls. The mean concentration of CSF in aneurysmal SAH patients was 76.39ng/ml compared with 3.96ng/ml in controls. There were no significant differences between serum and CSF ICAM-1 level with regards to clinical characteristics in patients with aneurysmal SAH [P>0.05]. However, CSF ICAM-1 levels increased significantly in patients with vasospasm compared with those without vasospasm [P<0.05]. Conclusion : The major result of this study shows that ICAM-1 is increased in CSF after early aneurysmal SAH and that this increase in ICAM-1 has correlation with cerebral vasospasm. Further study is needed to determine whether ICAM-1 levels may be indicator in the pathogenesis of important events leading to cerebral vasospasm.