• 제목/요약/키워드: Blood Platelet

검색결과 672건 처리시간 0.024초

Predictive Value of the Platelet-To-Lymphocyte Ratio in Diagnosis of Prostate Cancer

  • Yuksel, Ozgur Haki;Urkmez, Ahmet;Akan, Serkan;Yldirim, Caglar;Verit, Ayhan
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권15호
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    • pp.6407-6412
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    • 2015
  • Purpose: To predict prostatic carcinoma using a logistic regression model on prebiopsy peripheral blood samples. Materials and Methods: Data of a total of 873 patients who consulted Urology Outpatient Clinics of Fatih Sultan Mehmet Training and Research Hospital between February 2008 and April 2014 scheduled for prostate biopsy were screened retrospectively. PSA levels, prostate volumes, prebiopsy whole blood cell counts, neutrophil and platelet counts, neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), biopsy results and Gleason scores in patients who had established diagnosis of prostate cancer (PCa) were evaluated. Results: This study was performed on a total of 873 cases, with an age range 48-76 years, divided into three groups as for biopsy results. with diagnoses of benign prostatic hyperplasia (BPH) (n=304, 34.8 %), PCa (n=265, 30.4 %) and histological prostatitis (n=304; 34.8 %). Intra- and intergroup comparative evaluations were performed. White blood cell and neutrophil counts in the histological prostatitis group were significantly higher than those of the BPH and PCa groups (p=0.001; p=0.004; p<0.01). A statistically significant intergroup difference was found for PLR (p=0.041; p<0.05) but not lymphocyte count (p>0.05). According to pairwise comparisons, PLR were significantly higher in the PCa group relative to BPH group (p=0.018, p<0.05, respectively). Though not statistically significant, higher PLR in cases with PCa in comparison with the prostatitis group was remarkable (p=0.067, and p>0.05, respectively). Conclusions: Meta-analyses showed that in patients with PSA levels over 4 ng/ml, positive predictive value of PSA is only 25 percent. Therefore, novel markers which can both detect clinically significant prostate cancer, and also prevent unnecessary biopsies are needed. Relevant to this issue in addition to PSA density, velocity, and PCA3, various markers have been analyzed. In the present study, PLR were found to be the additional predictor of prostatic carcinoma.

제주지역 해녀의 녹차분말 섭취가 혈중 지질, 혈소판 응집성 및 항산화 효과에 미치는 영향 (Effect of green tea intake on blood lipids, platelet aggregation, antioxidant and liver parameters in Jeju volunteer diving woman)

  • 김미숙;강민숙;류성희;문영인;강정숙
    • Journal of Nutrition and Health
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    • 제46권4호
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    • pp.324-331
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    • 2013
  • We investigated dietary effects of green tea powder (GTP) on plasma lipids, platelet aggregation, hemolysis, plasma TBARS, and liver enzymes. Thirty one volunteer diving women living on Jeju island consumed 4 g green tea powder daily for a period of four weeks and data for the study subjects were analyzed on the basis of diagnostic criteria for blood pressure (BP)(${\geq}$ 140/90 mmHg), plasma total cholesterol (TC)(${\geq}$ 200 mg/dL), and triglyceride (TG)(${\geq}$ 150mg/dL). Subjects with high BP had significantly higher TC and TG than those with normal BP. Subjects with higher TC had higher TG, and those with higher TG had lower HDL cholesterol. Platelet aggregation in the initial slope was significantly higher in subjects with normal BP, normal TC, or normal TG than their counterparts in high BP, TC, and TG. HDL cholesterol after GTP intake increased only in subject groups with normal BP, normal TC, or normal TG, and plasma TG after GTP intake decreased only in groups with higher BP, higher TG, or higher TC. Plasma TC and TG in subjects with normal BP increased after GTP intake. GTP intake caused a decrease in the initial slope of platelet aggregation in all subject groups with little effect on maximum aggregation. Total bilirubin showed a significant increase and GOT increased in all subject groups after GTP intake. Beneficial effects of short term intake of green tea powder might differ depending on the subject conditions in terms of blood pressure, plasma lipids, and other cardiovascular conditions. However, with the hypolipidemic, antithrombotic, and antioxidant actions of its bioactive flavonoids, long term usage of GTP or brewed green tea may provide preventive effects against cardiovascular disease.

감염된 미성숙 영구치에서 platelet-rich fibrin과 double antibiotic paste를 이용한 치수 재혈관화 : 증례 보고 (Pulp Revascularization of Infected Immature Permanent Teeth Using Platelet-Rich Fibrin and Double Antibiotic Paste : Case Report)

  • 전상윤;이난영;이상호
    • 대한소아치과학회지
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    • 제40권3호
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    • pp.216-222
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    • 2013
  • 감염된 미성숙 영구치의 치수치료에 있어 줄기세포의 분화를 유도하는 생활조직의 재생과 지속적인 치근형성을 도모하는 방향으로 패러다임이 전환되고 있는데, 여기에서는 소독, 스캐폴드(scaffold), 그리고 폐쇄가 중요하다. 소독을 위해 triple antibiotics가 널리 사용되고 있으며, 스캐폴드로써 기존의 혈병대신 platelet-rich fibrin의 사용이 보고되었다. 본 증례보고에서는 치외치 파절에 의해 치수가 감염된 미성숙 영구치에서 platelet-rich fibrin을 스캐폴드로써 이용한 치수 재혈관화를 시행하였다. 발수와 근관세척 후 첫 증례에서 국소적 항생제의 적용 없이 platelet-rich fibrin을 단독 사용하였고 두 번째와 세 번째 증례에서는 국소적 항생제 적용 후 platelet-rich fibrin을 적용하였는데 모두 양호한 치유 결과를 얻었다.

체외순환도관의 혈액적합성 평가 - 방사선 동위원소(Tc99m) 활성화 혈소판의 생체 내 주입을 이용한 정량분석법의 개발 - (Evaluation of Biocompatibility of Extracorporeal Circuit - Development of a Quantification Technique using in-vivo Injection of Tc99m Radioactive Platelets -)

  • 이성호;선경;최재걸;손호성;정재승;안상수;오혜정;이환성;이혜원;김광택;정윤섭;김영하;김형묵
    • Journal of Chest Surgery
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    • 제35권3호
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    • pp.171-176
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    • 2002
  • 배경: 혈액이 이물질과 접촉을 하면 체내에서 응고 및 염증기전을 활성화 시키게 되고 임상적으로 폐 및 신장 기능의 저하, 출혈 등을 유발할 수 있고 심한 경우 다발성 장기기능 저하까지 발생할 수 있다. 이 때문에 혈액-이물질 접촉표면을 개선하는 여러 가지 시도들이 이루어지고 있고 혈액접촉표면의 적합성을 평가하는 지표의 선택은 대단히 중요하다. 접촉면의 응고기전에서 혈소판의 침착이 가장 중요한 단계이고 혈소판의 침착을 확인하기 위하여 표면흡착 정도를 비교하는 방법이 흔히 사용되고 있는데, 대부분 in-vitro 혹은ex-vivo조건에서 시행되고 있으므로 생체 내 in-vivo상황을 정확히 대변한다고 보기 힘들다. 따라서 본 연구는 in-vivo 실험조건에서 동위원소(radioisotope)를 이용하여 혈소판의 표면흡착 정도를 정량 분석하는 방법의 유용성을 분석하고자 계획되었다. 대상 및 방법: 돼지(20-25 kg, n=6)를 이용하여 하행대동맥 우회회로를 구성하였다. 우회회로는 헤파린 표면처리가 안된 일반 PVC 도관(대조군; Capiox, Terumo, Japan)과 이온결합 헤파린 표면 처리된 PVC 도관(실험군; Duraflo ll, Baxter, USA)을 Y-connector로 연결하여 2개의 회로를 동시에 구성하였다. 수술 전날 동종의 실험동물로부터 혈액을 채취하여 원심분리를 통해 고농도 혈소판 용액(platelet concentrate)을 추출하였고, 수술 당일 동위원소(Tc-99m-HMPAO, 180 $\mu$Ci)을 섞어 30분간 방치한 다음, 10분간 원심분리하여 침전층의 labeling efficiency를 측정하였다. 분리된 침전층에 혈장을 섞어(5 ml) 실험동물에 정맥주사한 후, 전신 헤파린 처치 상태에서(1 mg/kg) 하행대동맥을 차단하여 우회도관 쪽으로 2시간 동안 혈액을 순환시키고 분리하였다. 각 도관의 내강을 생리식염수 500 ml로 동시에 세척한 다음, 일정 간격으로10$\times$10 mm 크기의 절편을 5개 채취하였다. 절편을 세분하여 측정튜브에 담아 동위원소 측정기(gamma counter, Cobra II , Packard ,USA)를 이용하여 Tc-99m-HMPAO의 분당 count수를 측정함으로써 혈소판의 흡착정도를 정량분석 비교하였다. 결과: 동위원소 측정기를 이용한 평균 count수는 각각의 실험군과 대조군의 비율을 이용하여 비교하였다. 평균 count수는 대조군에서 537.3 Ci/min였고 실험군에서는 311.1Ci/min로 측정되었으며, 두 군 사이의 비율은 대조군에 비하여 실험군이 1: 0.58로 통계적으로 유의하였다.(p=0.004) 결론: 위결과를 통하여 실험군이 대조군에 비하여 혈소판 표면흡착측면에서 우수하다는 것을 정량적으로 증명할 수 있었다. 저자 등이 사용한 in-vivo 동위원소 측정법으로 혈소판 흡착정도의 생체 내 실험으로 유용하며 의료용 고분자 재료의 혈액적합성 판정의 지표로 제시하고자 한다.

불포화 지방산의 종류와 사육기간이 흰쥐의 항혈전 작용, 혈액구성 및 혈소판의 지방산 조성 변화에 미치는 영향 (Effects of Unsaturated Fatty Acid Diets Feeding PEriods on the Antithrombosis the Hematological Changes in the Blood and Fatty Acid Compositions of Platelets in Rats)

  • 김정선
    • Journal of Nutrition and Health
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    • 제25권5호
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    • pp.339-350
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    • 1992
  • This study was performed to investigate the effect on polyunsaturate fatty acid diets and feeding periods on the antithrombosis. the hematological changes in the blood and fatty acid compositions of platelets in rats. Each group of rats was fed a diet containing 20%(W/W) corn oil beef tallow sardine oil and the general stock diet for 10, 20. 40 and 80 days. Rats fed sardine oil diet showed significantly longer bleeding time than any other diet groups after 20 days feeding The whole blood clotting time of sardine oil group fed for 80 days was increased significantly. The number of platelet and the concentration of hemoglobin showed no significant difference among all groups. The number of white blood cell was decreased continously in sardine oil group after 10 days feeding. The level of malondialdehyde generation during thrombin-induced aggregation of platelets was decreased continously in sardine oil grou after 20 days feeding. With regard to the composition of platelet fatty acid the ratio of eicosapentaenoic acid(EPA 20: 5 $\omega$-3) to arachidonic acid(AA 20:4 $\omega$-6) was increased in sardine oil group but decreased in corn oil groups and beef tallow groups with days. In conclusion the rats fed sardine oil diet for more than 20 days showed the fact that EPA induced the antithrombosis. the changes in number of white blood cell and the fatty acid composition of platelets.

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일부 대학생들의 치주건강에 대한 주관적 인식과 혈구수치와의 상관관계 (A study on correlation between subjective consciousness on periodontal health status and blood cell count of college students)

  • 이선미;임미희;조윤경
    • 한국치위생학회지
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    • 제13권3호
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    • pp.431-438
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    • 2013
  • Objectives : The purpose of this study was to examine the periodontal health indexes of some college students and awareness of periodontal health by conducting a survey and complete blood count(CBC) to evaluate periodontal health status. Methods : The study subjects were 133 college students. After receiving informed consent, the health-related majoring students voluntarily participated in this study from May 1 to 30, 2012. Results : 1. In order to assess periodontal health indexes, total scores of all the 15 items were calculated and mean was 3.06 of 5 points. Mean of periodontal health was 3.48. 2. High hemoglobin and high hematocrit revealed high periodontal health indexes and high platelet resulted in low peridontal health indexes. 3. Red blood cell, hemoglobin, and hematocrit of the male, older, smoking, and high periodontal index students showed higher range of score in the meanwhile white blood cell and platelet was low range. The range of female students were not statistically significant. Conclusions : Periodontal health education program is very important to periodontal care and can motivate the oral health behavior change.

Immunosuppressive Effect of the Intraperitonially Injected Pine Needle Distillate in Mice

  • Chung, Young-Jin;Bae, Myung-Won;Chung, Kyeong-Soo
    • Preventive Nutrition and Food Science
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    • 제8권1호
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    • pp.7-12
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    • 2003
  • This study examined the effect of pine needle distillate (Pinus densiflora Sieb. et Zucc) on the immune system and hematological parameters. C57BL/6 male mice weighing 20 ~21 g were divided into 3 groups and intraperitonially injected with either 200 $\mu$L of saline (control), 50% diluted (P50) or 100% pine needle distillate (P100) once a day for 24 days. At the end of the experiment, the mice were anesthetized by ether and peripheral blood was collected from the femoral artery and the spleen was excised. Spleen weight decreased significantly (p<0.001) in the pine needle groups compared to the control group. The blood was used for a complete blood count and flow cytometrical analysis after immunofluorescence staining. The pine needle distillate dose-dependently decreased the CD4$^{+}$/CD8 sup +/ ratio (p <0.05), and showed a tendency to increase the mean FSC (forward scatter) values of the CD8$^{+}$T cells, while decrease the values of the CD4$^{+}$T cells. There were no significant differences in WBC, RBC and platelet counts among the three groups, but hemoglobin and hemoglobin-related parameters and platelet volume increased and red blood cell volumes decreased with the administration of the pine needle distillate. These results suggest that the pine needle distillate may have immunosuppressive effects.

개심술에서의 자가수혈기(Cell Saver)를 이용한 자가수혈 (Autotransfusion Using Ccell Saver in Cardiac Surgery)

  • 육을수
    • Journal of Chest Surgery
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    • 제28권2호
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    • pp.125-130
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    • 1995
  • Autotransfusion system is a common method of reducing the need of intraoperative and postoperative homologous blood transfusion in cardiac operation. Between August 1991 and August 1993, a series of 51 adults undergoing open heart surgery was selected. Autotransfusion using Cell Saver [COBE Baylor Rapid Autologous Transfusion System was done with homologous blood transfusion in 15 cases [Group II or without homologous blood transfusion in 17 cases [Group III . The other 19 cases were taken without Cell Saver for control [Group I . The shed blood in the operative field, remained blood in the oxygenator after cardiopulmonary bypass, and blood drained from chest tubes in postoperative care were aspirated by means of a locally heparinized collection system. After the salvaged blood was washed and centrifuged, the processed blood subsequently reinfused. Composition of processed blood by Cell Saver was hemoglobin 16.9gm%, hematocrit 49%, RBC 5,140,000/ml, WBC 670/ml, and platelet 30,000/ml. In three group, hemoglobin, hematocrit, and platelet counts were decreased postoperatively, but no significant differences between three group. Postoperatively, the amounts of drainage from chest tubes was 543$\pm$121ml in Group I, 809$\pm$201ml in Group II, and 631$\pm$147ml in Group III. In Group II, there was large amount of drainage compared with Group I [p<0.05 . The amount of homologous blood transfused was 1116$\pm$219 ml in Group I, 791$\pm$183 ml in Group II [p<0.05 . The homologous blood was not transfused in 17 cases [53% with Cell Saver.Preoperative and postoperative, coagulation parameters showed no significant differences between three group. And there was no complication related to Cell Saver. We conclude that the autotransfusion using Cell Saver is effective for reducing the homologous blood transfusion in cardiac surgery.

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마우스의 혈전증 및 내독소 쇼크 모델에 있어서 Higenamine에 의한 사망률 저하효과 (Higenamine Reduced Mortalities in the Mouse Models of Thrombosis and Endotoxic Shock)

  • 윤혜숙;김문희
    • 약학회지
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    • 제38권2호
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    • pp.191-196
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    • 1994
  • Higenamine is a tetrahydroisoquinoline alkaloid which was isolated as a cardiotonic principle from Aconiti tuber. 1.v. injection of higenamine was reported to increase the cardiac output and heart rate and to decrease the blood pressure and the systemic vascular resistance presumably by stimulating the adrenergic ${\beta}-receptors$. The anti-platelet and anti-thrombotic effects of higenamine were investigated in this paper. Higenamine(0.5 mg/ml) showed mild inhibitory effect against collagen induced platelet aggregation in vitro and the inhibito교 effect was increased with the pre-incubation$(5{\sim}30\;min)$ of platelet rich plasma(PRP) with higenamine. With the 30 min incubation, the platelet aggregation was almost completely inhibited. And the oral administration of higenamine$(50{\sim}200\;mg/kg)$ enhanced the survival in the mouse model of thrombosis and that of endotoxic shock. The anti-thrombotic and anti-septic effects of higenamine thus appear to be due to the ${\beta}-agonistic$ and the anti-platelet effects of this compound.

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천마(Gastrodia elata Blume)의 항혈소판, 항혈전활성 (Anti-platelet and Anti-thrombotic Effects of Gastrodia elata)

  • 백영숙;송재경;윤춘희;정교순;윤혜숙
    • 생약학회지
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    • 제26권4호
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    • pp.385-389
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    • 1995
  • MeOH extract of Gastrodia elata was fractionated to five solvent fractions, hexane fr (fr I), 90% MeOH fr (fr II), EtOAc fr (fr III), BuOH fr (fr IV) and $H_2O$ fr (fr V). Among the five fractions, fr II, III and IV showed platelet anti-aggregating effects against ADP or collagen induced rat platelet aggregation in vitro. Fr II , III and IV were also tested in vivo, in the mouse and rat models of thrombosis. Oral administration of fr II, III or IV enhanced the recovery from the thrombotic shock in the mouse model of thrombosis to 32-40% from 17% of recovery with the control group of mice. Treatment with fr II, III or IV also attenuated the sudden reduction in the blood platelet count following intravenous collagen injection to rat. The above results were indicative of the presence of anti-platelet and anti-thrombotic components in this plant.

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