• 제목/요약/키워드: DIC

검색결과 263건 처리시간 0.03초

살모사 교상 후 발생한 범발성 혈관내 응고장애 2례 (Two Cases of Disseminated Intravascular Coagulation (DIC) Following Pit Viper Envenomation)

  • 김석환;최세민;오영민;박규남;이원재;최경호
    • 대한임상독성학회지
    • /
    • 제4권2호
    • /
    • pp.137-142
    • /
    • 2006
  • Our records include two cases of DIC in snakebite patients. One patient, who was 48-years old, was bitten in his left ankle 3 days before admission to our hospital. Initial symptoms were painful swelling, extensive ecchymosis, and persistent bleeding at the bite site. He visited and was admitted to a local hospital, but his condition did not improve with supportive care that included a single dose of antivenin. He was transferred to our hospital. His condition was compatible with DIC. We tried multi-dose antivenin therapy and blood product transfusion. At the seventh hospital day, the patient's symptoms were completely resolved. The other patient, who was 75 years old, was bitten in his right thumb. Initial symptoms were painful swelling of the right arm and persistent bleeding at the bite site, and within minutes of hospital admission, the patient experienced massive hematochezia. We peformed laboratory tests, the results of which were compatible with DIC, and the next day a sigmoidscopic examination showed ischemic colitis. We administered multi-dose antivenin therapy and blood product tranfusion. At the third hospital day mild anemia still existed, but the patient's clinical condition was improved. No signs or symptoms of gastrointestinal bleeding were observed. In these two cases, multi-dose antivenin therapy and transfusion effectively resolved symptoms of DIC. Platelet concentrate transfusion was required only for acute thrombocytopenia. After resolution of DIC, platelet counts were returned to normal ranges within a few days. The authors propose that multidose antivenin therapy and coagulation factor transfusion might be useful for improving coagulopathy in snakebite patients.

  • PDF

Residential Exposure and Risk Levels to Ambient Formaldehyde and Acetaldehyde According to Distance from Industrial Area in Metropolitan City

  • Jo, Wan-Kuen;Lee, Jin-Woo
    • 한국환경과학회지
    • /
    • 제19권6호
    • /
    • pp.671-680
    • /
    • 2010
  • The present study evaluated residential exposure to atmospheric formaldehyde and acetaldehyde according to distance from the a dyeing industry complex (DIC). This purpose was achieved by measuring concurrently the outdoor air concentrations in residences near the DIC and a certain distance away, plus the outdoor air concentrations at two industrial areas within the DIC boundary. Formaldehyde concentrations (median values of 24.3 and $22.5{mu}g/m^3$ in IS1 and IS2, respectively) were higher than acetaldehyde concentrations (median values of 7.4 and $7.3{mu}g/m^3$ in IS1 and IS2, respectively) at both sites. However, there was no significant difference in the industrial outdoor air concentrations of both formaldehyde and acetaldehyde between the two sites. In addition, the median formaldehyde concentration from the residential site near the DIC (RS1) was about 1.5 times higher than that from the residential site far away from the DIC(RS2), and the median acetaldehyde concentration from RS1 was about 1.3 times higher than that from RS2. It is noteworthy that the mean or median risk as well as these maximum risks are well above the USEPA's permissible risk level of $10^{-6}$ from environmental exposure. This suggests that appropriate management for formaldehyde and acetaldehyde is necessary in order to decrease risk of the residents of study areas, regardless of the distance from the DIC.

쥐 모델에 있어 내독소에 의한 실험적인 범발성 혈관내 응고증 (Experimental Endotoxin-Induced Disseminated Intravascular Coagulation in Rat Model)

  • Seok- Cheol Choi;Jai-Young Kim;Jin-Bog Koh;Won-Jae Lee
    • 대한의생명과학회지
    • /
    • 제3권2호
    • /
    • pp.83-88
    • /
    • 1997
  • 범발성 혈관내 응고증은 패혈증 환자들에 있어 빈번히 발생하며 여러 가지 위급한 질병 상태에 관계하는 병리학적 상황이다. 범발성 혈관내 응고증은 기존의 복잡한 임상 상황을 더욱 어렵게 만들어서 높은 사망률의 원인이 된다. 그럼에도 불구하고 그것의 병인적 기전들은 완전히 규명되지 않았다. 본 연구는 범발성 혈관내 응고증의 발생에 관여하는 병인적 기전들의 이해를 위해 전향적으로 계획되었다. 15마리의 쥐를 대상으로 해서 연구목적에 따라 세 군으로 나누었다:I 군은 대조군으로서 내독소를 투여하지 않은 쥐들이고 (n=5), II 군은 내독소 투여 후 12시간이 경과한 쥐들이며 (n=5), III군은 내독소 투여 후 24시간이 경과한 쥐들이었다 (n=5). 실험적 범발성 혈관내 응고증은 일정량의 내 독소를 한번에 투여하여 유도하였다 (1mg/kg, E. coli serotype 055:B5). 실험대상 쥐들의 심장으로부터 직접 채혈하여 혈소판수, 섬유소원 농도, plasminogen 농도, 항트롬빈 III 농도, D-dimer, 보체성분 (C3 및 C4)을 측정하였다. 내독소를 투여한 II 군과 III 군에 있어 혈소판수, 섬유소원 (III 군의 경우는 오히려 증가), plasminogen, 항트롬빈 III, 그리고 C3등의 혈중 농도들이 대체로 감소하였고 D-dimer 농도는 증가함으로써 명백한 범발성 혈관내 응고증이 관찰되었다. 본 연구 결과들은 내독소에 의해 응고계, 섬유소용해계, 그리고 보체계와 같은 여러경로의 활성화가 유도될 수 있으며, 이로해서 범발성 혈관내 응고증 및 이차적인 중복 장기기능 부전이 발생하리라는 점을 시사하고 있다. 결국, 이와같은 실험적인 내독소 유도 범발성 혈관내 응고증에 있어 응고계 및 섬유소 용해계의 활성을 일으키는 다양한 기전에 관한 축척된 지식들은 그와 같은 질병의 예방 혹은 치료방법을 제공해 줄 것이다.

  • PDF

시험관내에서 돼지회충(Ascaris suum) 함자충란(L2)의 인공배양 (In vitro cultivation for development of Ascaris suum from the decoated and embryonated eggs(second-stage larva))

  • 지차호;박승준
    • 대한수의학회지
    • /
    • 제38권1호
    • /
    • pp.107-117
    • /
    • 1998
  • The cultivation for development of Ascaris suum from the second-stage larvae($L_2$) embryonated egg and the third-stage of rat-derived larvae($L_3$) recovered from lung of rats were performed to use the screening test of anthelmintics in vitro. The preparations of larvae for cultivation were that the artificially-hatched $L_2$ incubated the embryonated eggs of Ascaris suum in 0.1% formalin solution at $25^{\circ}C$ for 28 days and the rat-derived larvae($L_3$) recovered from the lung of rat infected with the embryonated eggs of Ascaris suum on 7 days after infection(DAI). The cultivation for development of Ascaris suum from the embryonated eggs($L_2$) and the rat-derived larvae($L_3$) for 14 days in RPMI medium 1640(with 5% bovine calf serum) were as follows : 1. The sizes of the liberated larvae($L_2$) which were artificially hatched from embryonated eggs with glass beads(diameter 5mm) were $190{\sim}250{\mu}m$ on 1 days in culture(DIC). The second-stage larvae were molted into third-stage larvae(early $L_3$; $250{\sim}300{\mu}m$) and the features of these larvae were first observed such as cephalic cuticle, esophageal lumen and anus etc. on 5 DIC and the sizes of late third-stage larvae were $250{\sim}450{\mu}m$ on 10 DIC. The sizes of early fourth-stage larvae($L_4$) were $500{\sim}700{\mu}m$ and the features of these larvae were more pronounced in internal organs on 15 DIC. 2. The sizes of third-stage larvae($L_3$) recovered from the lung of rats were $1,340{\sim}1,370{\mu}m$ and the feartures of cephalic cuticle, esophageal lumen, intestine, rectum, anus were visualized by inverted microscope on 1 DIC. The fourth-stage larva($L_4$) completed by third ecdysis were recognizable and sizes of early fourth-stage larvae were developed as $1,400{\sim}2,200{\mu}m$ on 5 DIC. The sizes of middle fourth-stage of larva were $1,900{\sim}2,300{\mu}m$ and the thickened epithelial rectum was observed on 10 DIC. The rectum and anus of late fourth-stage larva($L_4$ $2,500{\sim}3,200{\mu}m$) had developed completely in RPMI medium 1640 on 15 DIC.

  • PDF

Streptozotocin으로 당뇨를 유도한 생쥐의 간과 체장에서 황백피와 두릅나무 추출물이 지질과 산화물 생성과 글루타티온 의존성 효소의 활성에 미치는 효과 (Effects of Aralia canescens and Phellodendron amurense Extracts on Streptozotocin Induced Diabetic ICR Mice)

  • 서소영;김해리
    • 한국식품영양과학회지
    • /
    • 제26권4호
    • /
    • pp.689-696
    • /
    • 1997
  • 황백피와 두릅나무(AP)의 혼합 추출물이 당뇨에 미치는 영향을 알아보기 위한 실험으로 streptozotocin으로 당뇨가 유도된 생쥐에게 혼합 추출물을 5일간과 10일간 복강투여하여 다음과 같은 결과를 얻었다. 50, 150, 250mg/kg B.W. AP추출물 투여군(DI1, DI2, DI3)의 몸무게는 당뇨 대조군(DIC)에 비해 유의적 (p<0.05)인 증가를 보였으며 , 간과 췌장의 무게는 DIC군에서 증가하였으나 AP추출물의 투여로 감소되었다. 특히, 10일 복강투여군에서 장기무게의 감소정도는 5일 복강투여 군에 비해 현저하였다. 혈장 포도당수준의 변화는 AP 추출물의 투여로 유의적 (p<0.05)으로 감소하였으며 감소정도는 AP추출물의 양에 비례하는 수준이었다. 혈장 cholesterol(total, LDL, VLDL)과 TG수준은 AP추출물의 투여로 감소되었으나(p<0.05), 생쥐에는 choles-teryl ester transfer protein이 없어 HDL cholesterol의 수준은 AP추출물의 투여 후에도 변화를 보이지 않았다. TBARS 함량은 당뇨 대조군이 정상군에 비해 증가하였으나 AP추출물의 투여 후 유의적 (p<0.05)으로 감소하였다. 이러한 감소정도는 10일 복강투여군에서 현저하게 나타났으며 특히 췌장조직에서 효율적인 감소 효과를 보였다. GPx의 활성도는 DIC군에서 유의적 (p< 0.05)으로 증가하였으며 AP추출물의 투여로 감소되었다. GR의 활성도는 유의적이지 않으나 GPx와 같은 양상을 보였다. 이상의 결과에서 황백피와 두릅나무추출물은 streptozotocin으로 당뇨를 유도한 생쥐에서 몸무게의 증가, 혈당 및 혈중 지질수준의 개선, 항산화 효과를 지니고 있음이 추정되었으며, 차후 이들AP추출물의 subfraction을 통한 계속적인 연구로 혈당강하 효과의 확인 및 효과 성분의 분리에까지 연구범위를 넓힐 수 있기를 기대한다.

  • PDF

디지털 이미지 상관관계를 이용한 알루미늄 합금 판재의 성형한계도 평가 (Experimental Study on the Forming Limit Curve of Aluminum Alloy Sheets using Digital Image Correlation)

  • 김용배;박정수;송정한
    • 융복합기술연구소 논문집
    • /
    • 제5권1호
    • /
    • pp.7-12
    • /
    • 2015
  • Sheet metal formability can be defined as the ability of metal to deform without necking or fracture into desired shape. Every sheet metal can be deformed without failure only up to a certain limit, which is normally known as forming limit curve(FLC). In this paper, the dome stretching tests and tensile tests have been performed to obtain forming limit curve of aluminum alloy. During the experiment, failure strain is measured using digital image correlation(DIC) method. DIC method is a whole-field measurement technique that acquires surface displacements and strains from images information which characterized a random speckle as intensity grey levels. Recently years, this DIC method is being developed and used increasingly in various research. DIC results demonstrated the usefulness and ability to determine a strain.

Self-adaptive and Bidirectional Dynamic Subset Selection Algorithm for Digital Image Correlation

  • Zhang, Wenzhuo;Zhou, Rong;Zou, Yuanwen
    • Journal of Information Processing Systems
    • /
    • 제13권2호
    • /
    • pp.305-320
    • /
    • 2017
  • The selection of subset size is of great importance to the accuracy of digital image correlation (DIC). In the traditional DIC, a constant subset size is used for computing the entire image, which overlooks the differences among local speckle patterns of the image. Besides, it is very laborious to find the optimal global subset size of a speckle image. In this paper, a self-adaptive and bidirectional dynamic subset selection (SBDSS) algorithm is proposed to make the subset sizes vary according to their local speckle patterns, which ensures that every subset size is suitable and optimal. The sum of subset intensity variation (${\eta}$) is defined as the assessment criterion to quantify the subset information. Both the threshold and initial guess of subset size in the SBDSS algorithm are self-adaptive to different images. To analyze the performance of the proposed algorithm, both numerical and laboratory experiments were performed. In the numerical experiments, images with different speckle distribution, different deformation and noise were calculated by both the traditional DIC and the proposed algorithm. The results demonstrate that the proposed algorithm achieves higher accuracy than the traditional DIC. Laboratory experiments performed on a substrate also demonstrate that the proposed algorithm is effective in selecting appropriate subset size for each point.

Alveolar rhabdomyosarcoma with massive disseminated intravascular coagulopathy treated with systemic chemotherapy

  • Yoon, Byung Gyu;Baek, Hee Jo;Oh, Burm Seok;Han, Dong Kyun;Choi, Yoo Duk;Kook, Hoon
    • Clinical and Experimental Pediatrics
    • /
    • 제58권12호
    • /
    • pp.505-508
    • /
    • 2015
  • It is uncommon for pediatric patients with rhabdomyosarcoma to present with clinical and/or laboratory features of disseminated intravascular coagulation (DIC). We report a case of metastatic alveolar rhabdomyosarcoma with severe bleeding because of DIC in a 13-year-old boy. He experienced persistent oozing at the site of a previous operation, gross hematuria, and massive epistaxis. Two weeks after initiating combination chemotherapy consisting of vincristine, doxorubicin, and cyclophosphamide, the patients' laboratory indications of DIC began to resolve. During this period, the patient received massive blood transfusion of a total of 311 units (26 units of red blood cells, 26 units of fresh frozen plasma, 74 units of platelet concentrates, 17 units of single donor platelets, and 168 units of cryoprecipitate), antithrombin-III and a synthetic protease inhibitor. Despite chemotherapy and radiation therapy, he died 1 year later because of disease progression. In children with metastatic rhabdomyosarcoma and massive DIC, prompt chemotherapy and aggressive supportive care is important to decrease malignancy-triggered procoagulant activities.

Identification of isotropic and orthotropic constitutive parameters by FEA-free energy-based inverse characterization method

  • Shang, Shen;Yun, Gun Jin;Kunchum, Shilpa;Carletta, Joan
    • Structural Engineering and Mechanics
    • /
    • 제45권4호
    • /
    • pp.471-494
    • /
    • 2013
  • In this paper, identification of isotropic and orthotropic linear elastic material constitutive parameters has been demonstrated by a FEA-free energy-based inverse analysis method. An important feature of the proposed method is that it requires no finite element (FE) simulation of the tested material. Full-field displacements calculated using digital image correlation (DIC) are used to compute DIC stress fields enforcing the equilibrium condition and DIC strain fields using interpolation functions. Boundary tractions and displacements are implicitly recast into an objective function that measures the energy residual of external work and internal elastic strain energy. The energy conservation principle states that the residual should be zero, and so minimizing this objective function inversely identifies the constitutive parameters. Synthetic data from simulated testing of isotropic materials and orthotropic composite materials under 2D plane stress conditions are used for verification of the proposed method. When identifying the constitutive parameters, it is beneficial to apply loadings in multiple directions, and in ways that create non-uniform stress distributions. The sensitivity of the parameter identification method to noise in both the measured full-field DIC displacements and loadings has been investigated.

Numerical and experimental study on flexural behavior of reinforced concrete beams: Digital image correlation approach

  • Krishna, B. Murali;Reddy, V. Guru Prathap;Tadepalli, T.;Kumar, P. Rathish;Lahir, Yerra
    • Computers and Concrete
    • /
    • 제24권6호
    • /
    • pp.561-570
    • /
    • 2019
  • Understanding the realistic behavior of concrete up to failure under different loading conditions within the framework of damage mechanics and plasticity would lead to an enhanced design of concrete structures. In the present investigation, QR (Quick Response) code based random speckle pattern is used as a non-contact sensor, which is an innovative approach in the field of digital image correlation (DIC). A four-point bending test was performed on RC beams of size 1800 mm × 150 mm × 200 mm. Image processing was done using an open source Ncorr algorithm for the results obtained using random speckle pattern and QR code based random speckle pattern. Load-deflection curves of RC beams were plotted for the results obtained using both contact and non-contact (DIC) sensors, and further, Moment (M)-Curvature (κ) relationship of RC beams was developed. The loading curves obtained were used as input data for material model parameters in finite element analysis. In finite element method (FEM) based software, concrete damage plasticity (CDP) constitutive model is used to predict the realistic nonlinear quasi-static flexural behavior of RC beams for monotonic loading condition. The results obtained using QR code based DIC are observed to be on par with conventional results and FEM results.