• Title/Summary/Keyword: Dilated

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A Case of Bilateral Pheochromocytoma: Findings of US, CT, MRI and $^{131}I-MIBG$ Scan (양측성 갈색세포종의 초음파, CT, MRI와 $^{131}I-MIBG$ Scan 소견)

  • Yang, Seoung-Oh;Choi, Sang-Hee;Nam, Kyung-Jin;Lee, Yung-Il;Kim, Young-Dae;Kim, Jong-Seong
    • The Korean Journal of Nuclear Medicine
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    • v.24 no.2
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    • pp.332-336
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    • 1990
  • Pheochromocytoma occurs at all ages but is most common in young to midadult life. In adults 10 percent of pheochronocytoma are bilateral. And bilateral lesions are common in the familial syndromes; within Multiple Endocrine Neoplasia (MEN) kindreds over half with pheochromocytomas have bilateral lesions. We report a case of bilateral pheochromocytoma firstly detected by ultrasonogram. This 24-year-old male was normotensive and had symptoms of dilated cardiomyopathy and elevated VMA level. CT and MRI were performed to evaluate the tissue nature and associated abnormalities. $^{131}I-MIBG$ scan seems to be the imaging of choice in patients with suspected multicentric/bilateral or recurrent or metastatic pheochromocytomas.

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The First Pediatric Heart Transplantation Bridged by a Durable Left Ventricular Assist Device in Korea

  • Shin, Jung Hoon;Park, Han Ki;Jung, Se Yong;Kim, Ah Young;Jung, Jo Won;Shin, Yu Rim
    • Journal of Chest Surgery
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    • v.53 no.2
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    • pp.79-81
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    • 2020
  • Treatment options for children with end-stage heart failure are limited. We report the first case of a successful pediatric heart transplantation bridged with a durable left ventricular assist device in Korea. A 10-month-old female infant with dilated cardiomyopathy and left ventricular non-compaction was listed for heart transplantation. During the waiting period, the patient's status deteriorated. Therefore, we decided to provide support with a durable left ventricular assist device as a bridge to transplantation. The patient was successfully bridged to heart transplantation with effective support and without any major adverse events.

Effects of Cyclophosphamide in the Epididymis of the Rat II. Corpus (Cyclophosphamide가 흰쥐의 부정소에 미치는 영향 II. 체 부)

  • Cho, Kwang-Phil;Kim, Jeong-Sang;Jung, Hae-Man
    • Applied Microscopy
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    • v.22 no.2
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    • pp.127-140
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    • 1992
  • This research was undertaken to determine the effects of the cyclophosphamide (CP) on the epididymal corpus of the male rat in terms of ultrastructural alteration and protein analysis by SDS-PAGE at different groups; control group, 1 week group, 3 weeks group and 5 weeks group were treated with saline (control group) or CP at doses of 20mg/kg/week, 1 time a week, respectively. In the cytoplasm of the principal cells on the epididymal corpus, the mitochondria were significantly swollen or disrupted. The lumens of rough endoplasmic reticulum (rER) were also dilated and the number of secretory vesicles and lysosomes were increased respectively. CP caused changes in protein concentrations in the corpus of epididymis after CP treatment. Total proteins of 31 to 36 species were expressed in the corpus fluid. Then the more CP was increased, the more concentration of proteins caused to decrease, synthesize or increase in epididymal corpus. In contrast to the control group, in particular 88KD and the other 8 proteins in the corpus fluid, were decreased or disappeared respectively, whereas acid phosphatase and the other 9 proteins in the corpus fluid, were increased or synthesized respectively. The other proteins are not showed distinctive difference. It is suggested that treatment with CP alters the specific cell organelles and proteins in segment of the epididymal corpus.

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A Case of Achalasia (Achalasia(무이완증)의 일례)

  • 임의순;김진구;유방환
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1972.03a
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    • pp.16.3-17
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    • 1972
  • We experienced a case of Achalasia, who had been impressed as a bronchial asthma and treated at a local clinic. Fluoroscopic findings revealed narrowed vestibular portion with markedly dilated body of the esophagus. Hypertrophied mucosal folds on lower portion of the esophagus were noticed by the esophagoscopy but no ulcerative lesion, nor mass were found. The symptoms such as dysphagia, regurgitation, cough and retrosternal discomfortness were markedly relieved by means of daily mercury bougienage for a month duration.

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A Case Report of Traumatic Oculomotor Nerve Palsy Treated with Acupuncture and Herbal Medicine. (외상성 동안신경마비 치험 1례)

  • Kim, Hee-jeong;Lee, Gil-Young;Kim, Yoon-Bum
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.17 no.3
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    • pp.167-173
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    • 2004
  • Strabismus is a misalignment of the eyes. It is divided into paralytic strabismus and non-paralytic strabismus. There are so many causes in paralytic strabismus, and the oculomotor nerve palsy is one of them. Many studies reported the etiology and clinical features of oculomotor nerve palsy. Common causes of oculomotor nerve palsy are idiopathic, vascula.; disease, aneurysm, head trauma, neoplasm and miscellaneous. Recently the proportion of traumatic cause has been increased, but the treatment is difficult as it used to be. In this case report, one case of traumatic oculomotor nerve palsy with zygomatic arch Fx and clavicle Fx were treated by herbal medicine and acupuncture. After Treatment, symptoms- ptosis, deviation of Lt. eye to downward & outward in primary position, diplopia, limited adduction & elevation & depression, dilated pupil without pupil reflex- were improved. There are so many hypothesises but no definite guide lines are established about the oriental medical treatment of oculomotor nerve palsy, so we expect the establishment of definite guide lines by further clinical studies.

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The Effects of Acorus gramineus on Changes of Nasal Tissue in Allergic Rhinitis Model (석창포가 알레르기성 비염 유발 동물 모델에 미치는 영향)

  • Jung, Ey-Ryung;Kim, Yoon-Bum
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.21 no.1
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    • pp.16-25
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    • 2008
  • Background & Objectives : Rhinitis is an inflammation of nasal mucosa. The major symtoms are watery rhinorrhea, sneezing, itchy nose, and nasal obstruction. Allergic rhinitis is an immune reaction by allergen. So, we aimed to determine therapeutic effects of Acorus gramineus by observing changes in IL-4, $IFN-{\gamma}$ and the nasal mucosal tissue. Materials and Methods : Fifteen BALC/c mice were divided into three groups : m group(which ate low concentrated herbal medicine ), M group(which ate high concentrated herbal medicine) and control group. Control and experimental group were induced allergic rhinitis by Ovalbumin as the method of Levin and Vaz. Experimental group was orally administered the Acorus gramineus extract for 28days. We observed changes in IL-4, $IFN-{\gamma}$ and trans aminase(AST, ALT) in blood and nasal mucosa and submucosa. Results : There were no significant changes statistically in IL-4 and $IFN-{\gamma}$ in blood(p<0.05). And there were no hepatotoxicity with Acorus gramineus extract. Histologically, almost no inflammatory response in treatment group(m,M) against that there were inflammatory response(increased goblet cells, dilated vessels, edema of bowman's glands and injured olfactory hairs) in control group. Conclusion : According to above results, it is supposed that Acorus gramineus has no immunological effects on allergic rhinitis.

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A Case of Aberrant Right Subclavian Artery in a Dog (개에서 우쇄골하동맥잔존 증례)

  • Park Jin-hee;Ha Dong-soo;Lee Sang-gwan;Eom Ki-dong
    • Journal of Veterinary Clinics
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    • v.22 no.3
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    • pp.281-283
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    • 2005
  • A 3-month-old male, Cocker Spaniel with persistent regurgitation immediately after weaning and stunted growth was referred. Radiographic findings on the lateral view include ventral deviation of the thoracic trachea caused by draping of the dilated esophagus and a distinct interface of the dorsal wall of the esophagus silhouetting with the cranial thoracic hypaxial muscles. On the ventrodorsal view, the cranial mediastinum was widened with soft tissue opacity. The trachea was deviated to the right. In an esophagogram, the segmental dilation of the esophagus with constriction of the lumen just cranial to the heart base was identified. In a fluoroscopic examination, the contrast medium was massively accumulated in the cranial portion of the constricted esophagus. At surgery, it was confirmed that the esophageal tract was constricted at the cranial to the base of the heart by aberrant right subclavian artery. It was ligated and divided surgically. Current state of the referred is maintained normal condition from the surgical repair.

The morphological edge detector by using stack filters (스택여파기를 이용한 형태학적 영상 윤곽선 검출기)

  • Yoo, Ji-Sang;Kim, Sun-Yong;Moon, Gyu
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.21 no.7
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    • pp.1696-1705
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    • 1996
  • The theory of stack filtering, which is a generalization of median filtering, is used to the detection of intensity edges in noisey images. The proposed approach, called the Difference of Estimates(DoE) approach, is a new formulation of a morphological scheme which has been very sensitive to impulse noise. In this approach, stack filters are applied to a noisy image to obtain local estimates of the dilated and eroded versions of the noise-free image. Thresholding the difference between these two estimates yields the binary edge map. We find that this approach yields results comparable to those obtained with the Canny operator for images with additive Gaussian noise, burt works much better when the noise is impulsive.

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Phenolic Compounds from Cercis chinensis Leaves (박태기나무엽의 페놀성분)

  • 김강진;오인세;황완균;김일혁
    • YAKHAK HOEJI
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    • v.39 no.6
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    • pp.600-609
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    • 1995
  • Studies on the pharmaco-constituents from the leaves of Cercts chinensis which have been used for the treatment of inflammation, contusion, dilated blood, pain of heart and stomach, edema, etc. in Korean folk remedies were carried out. Dried leaves of the plant were extracted with MeOH. The MeOH extract was suspended in distilled water and subsequently fractionated with $Et_{2}O$ and n-BuOH. From the $Et_{2}O$ and n-BuOH fractions, six phenolic compounds were isolated and identified as myricitrin($C_{21}H_{20}O_{12}, {\;}m.p.{\;}199~200^{\circ}$. $4myricetin-3-O-{\alpha}-L-rhamnopyranoside$), kaempferol($C_{15}H_{10}O_{6}, {\;}m.p. 276^{\circ}$), quercetin($C_{15}Ha_{10}O_{7}, {\;}m.p.{\;}313~314^{\circ}$), quercitrin ($C_{21}H_{20}O_{12}, {\;}m.p.{\;}176~178^{\circ}, {\;}quercetin-3-O-{\alpha}-L-rhamnopyranoside$), gallicin ($C_{8}H_{8}O_{5}, {\;}m.p.{\;}202~203^{\circ}$. methyl gallate), gallic acid ($C_{7}H_{6}O_{5}, {\;}m.p.{\;}260~265^{\circ}) through their physico-chemical data and UV, IR, EI-MS, $^{13}C-NMR$, and $^{1}H-NMR$ analysis with authentics.

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Metastasis via Peritumoral Lymphatic Dilation in Oral Squamous Cell Carcinoma

  • Kim, Han-Seok;Park, Young-Wook
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.36 no.3
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    • pp.85-93
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    • 2014
  • Purpose: Nodal metastasis is the main prognostic factor in the patients with oral squamous cell carcinoma (OSCC). We investigated the association between tumor-associated lymphatics and OSCC characteristics. Methods: Thirty-four specimens were used for the immunohistochemical staining with the antibody for vascular endothelial growth factor (VEGF)-C, VEGF-D, VEGF receptor (VEGFR)-3, phosphorylated VEGFR-3, D2-40, and matrix metallproteinases (MMPs). We observed the distribution of the lymphangiogenic factors and quantified the degree of expression. We determined lymphatic vessel density (LVD) and lymphatic vessel dilatation with D2-40 immunostaining. We assessed the association of LVD or lymphatic vessel dilatation with tumor progression or tumor differentiation. Results: OSCC cells expressed lymphangiogenic ligands. Lymphangiogenic receptor, VEGFR-3, was expressed and activated in some tumor cells as well as in tumor-associated endothelial cells. LVD was not associated with tumor size or nodal status, but lymphatic vessel dilatation was higher in tumors with nodal metastasis, and also higher in poorly differentiated tumors. In stromal area of OSCC, MMP-1 and MMP-10 were up-regulated and the basement membrane of tumor-associated endothelial cells was destroyed by these collagenases. Conclusion: In the primary tumors with nodal metastasis, especially in poorly differentiated OSCC, tumor cells invaded the dilated lymphatic vessels via ruptured sites. MMP-1 and MMP-10 are important in the lysis of the glycocalyx inside the tumor-associated lymphatic endothelial cells.