• 제목/요약/키워드: GV4

검색결과 300건 처리시간 0.034초

토끼의 정상 폐 모델에서 부분액체환기 시 가스교환에 영향을 주는 인자들에 대한 연구 (Evaluation of Parameters of Gas Exchange During Partial Liquid Ventilation in Normal Rabbit Lung)

  • 안창혁;고영민;박정웅;서지영;고원중;임성용;김철홍;안영미;정만표;김호중;권오정
    • Tuberculosis and Respiratory Diseases
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    • 제52권1호
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    • pp.14-23
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    • 2002
  • 배 경 : 부분액체환기 (partial liquid ventilation; PLV) 시 최적의 기계환기의 설정에 대해서는 아직 논란이 많은 상태이다. 이에 정상 폐의 PLV 시 가스교환에 영향을 주는 인자들을 관찰함으로써, PLV 시 최적의 기계환기 설정을 확립하는 데에 이용하고자 본 연구를 시행하였다. 방 법 : New Zealand 산 백색 토끼 7 마리를 기계환기를 시행하였다. 기계환기는 압력 조절 양식으로 일회호흡량 ($V_T$) 8 mL/kg, PEEP 4 $cmH_2O$, 흡기대호기비 (I: E ratio) 1:2, 흡입산소분율 ($F_IO_2$) 0.75로 설정하였고, 호흡수(RR)는 $PaCO_2$가 35~45 mmHg 사이에 유지되도록 조절하였다. 이후 30분마다 기계환기기의 설정을 protocol에 따라 변화시키면서 가스환기(gas ventilation; GV)를 시행하였는데 ; (1) 기저 설정 단계, (2) 역비환기 (inverse I: E ratio) 단계로 I:E ratio 2:1, (3) 고 PEEP 단계로 2단계와 같은 평균흡기압 (MIP)을 유지하는 정도의 PEEP 증가, (4) 고 $V_T$ 단계로 $V_T$ 15 mL/kg, (5) 고RR 단계로 4단계와 같은 분당환기량 (MV)을 유지하는 정도로 RR을 증가시켰다. 그 후 perfluorodecalin 18 mL/kg 주입 후 상기 protocol과 동일하게 PLV를 하였다. 각각에서 동맥혈가스검사와 폐역학 및 혈역학적 지표를 측정하였다. 결 과 : (1) GV 시 $PaO_2$는 다섯 단계를 거치는 동안 의미 있는 변화를 보이지 않았다. $PaCO_2$는 고 $V_T$단계와 고 RR 단계에서 의미 있게 감소하였다(p<0.05). GV 시 폐역학 및 혈역학적 지표의 의미 있는 변화는 보이지 않았다. (2) PLV 군의 기저 $PaO_2$$312{\pm}113$ mmHg로 GV군의 $504{\pm}81$ mmHg 에 비해 의미 있게 낮았다(p=0.001). PLV 시 역비환기 단계나 고 RR 단계에서는 기저설정 단계와 비교하여 $PaO_2$의 의미 있는 차이가 관찰되지 않았으나, 고 PEEP 단계 ($452{\pm}38$ mmHg)와 고 $V_T$($461{\pm}53$ mmHg) 단계에서는 기저설정 단계보다 유의한 상승이 관찰되었다. (3) $PaCO_2$는 GV군과 PLV군 모두에서 고 $V_T$ 단계와 고 RR 단계에서 기저설정 단계보다 의미 있게 낮았다. PLV군의 기저설정 단계와 고 RR 단계의 $PaCO_2$는 GV 군보다 의미 있게 증가하였다(p<0.05). (4) PLV 시 폐역학 및 혈역학적 지표의 의미 있는 변화는 보이지 않았다 결 론 : 정상 폐에서 PLV 시 최적의 가스교환을 위해서는 적절한 PEEP과 $V_T$이 중용할 것으로 사료된다.

동의보감(東醫寶鑑) 두통분류(頭痛分類)에 따른 십종두통의(十種頭痛義) 침구치료(鍼灸治療)에 대(對)한 문헌연구(文獻硏究) (A story of literature n acupuncture & moxibustion techniques to treat 10 kinds of lumbago described by Huh Jun in DongUiBoGam(東醫寶鑑))

  • 지준환;이준무
    • Korean Journal of Acupuncture
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    • 제21권4호
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    • pp.167-177
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    • 2004
  • Objective : The purpose of this study is as follows. We classify headache into ten kinds as mentioned in DongUiBoGam(東醫寶鑑), and are going to present each acupuncture & moxibustion treatment. Methods : For the purpose of looking for each treatment, we referred to a. large number of literature for headache treatment from ancient to malearn. Results : The ten kinds of headache have each treatment. above all, In treatment of headache due to middle - headache (正頭痛) and megrim(偏頭痛) have pain in the formable of ache part. Therefore, general point such as GV20, GV23, ST8, TE23, Extra Meridian are used in turn, also wind-cold-headache(風寒頭痛) and many kind of headache such as GV16, LI4, GB20 are mainly used much in turn. Especially BL is in common use. Conclusions : We conclude that ten kinds of lumbago have each different acupuncture & moxibustion points and treatment, so if we follow each treatment we might obtain more higher rate the treatment of headache.

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Mesenchymal Stem Cell Lines Isolated by Different Isolation Methods Show Variations in the Regulation of Graft-versus-host Disease

  • Yoo, Hyun Seung;Yi, TacGhee;Cho, Yun Kyoung;Kim, Woo Cheol;Song, Sun U.;Jeon, Myung-Shin
    • IMMUNE NETWORK
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    • 제13권4호
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    • pp.133-140
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    • 2013
  • Since the discovery of the immunomodulation property of mesenchymal stem cells (MSCs) about a decade ago, it has been extensively investigated whether MSCs can be used for the treatment of immune-related diseases, such as graft versus-host disease (GvHD). However, how to evaluate the efficacy of human MSCs for the clinical trial is still unclear. We used an MHC-mismatched model of GvHD (B6 into BALB/c). Surprisingly, the administration of the human MSCs (hMSCs) could reduce the GvHD-related mortality of the mouse recipients and xenogeneically inhibit mouse T-cell proliferation and $IFN-{\gamma}$ production in vitro. We recently established a new protocol for the isolation of a homogeneous population of MSCs called subfractionation culturing methods (SCM), and established a library of clonal MSC lines. Therefore, we also investigated whether MSCs isolated by the conventional gradient centrifugation method (GCM) and SCM show different efficacy in vivo. Intriguingly, clonal hMSCs (hcMSCs) isolated by SCM showed better efficacy than hMSCs isolated by GCM. Based on these results, the MHC-mismatched model of GvHD may be useful for evaluating the efficacy of human MSCs before the clinical trial. The results of this study suggest that different MSC lines may show different efficacy in vivo and in vitro.

홍화 약침의 견비통에 대한 임상적 연구 (Clinical Study on Effect of Carthmi-Flos Herbal acupuncture theraphy on shoulder pain)

  • 정동화;안호진;황규선;윤기붕;김태우;문장혁;백종엽;이상무
    • Journal of Acupuncture Research
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    • 제19권6호
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    • pp.184-192
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    • 2002
  • Objective : This study is designed to find out the effects of Carthmi-Flos Herbal acupuncture therapy on shoulder pain. Methods : Under the assumption that Bee-venom Therapy may be effective for treatment seborrheic dermatitis, Bee-venom acupuncture was injected subcutaneously into the lesion including Gv24(神庭), Gv23(上星), Gv22, Gv20(白會), B4(供差), B5(五處), B6(承光), S8(頭維), etc. Results : 1. Female patients were 18 cases and these were more 12 cases than male patients. Fifty aged patients were the most(11 cases, 36.7%). 2. Below 1 month duration of disease was the most(14 cases 46.7%). 3. The effects of treatment by condition of patients was follows : After treatment, Grade IV was decreased 26.7%, Grade III was decreased 6.6% and Grade II was increased 23.3%. 4. The effects of treatment by Duration was follow : Below 1 month & 1 month to 6 month were improved highly. 5. In evaluating of satisfaction, exellent was 6 cases, and good was 19 cases. The percentage of above good was 83.3%. Conclusions : According to the results, Carthmi-Flos Herbal acupuncture may be good effects on the decrease of shoulder pain.

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생쥐 난자와 착상전 초기배아에서 IGF-1과 IGF-1 수용체 유전자 발현 (Expression of IGF-1 and Its Receptor Genes in the Oocytes and Preimplantation Embryos in Mouse)

  • 김종월;김성례;윤현수;이정헌;채영규;김문규
    • 한국발생생물학회지:발생과생식
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    • 제3권1호
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    • pp.69-74
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    • 1999
  • 인슐린 유사 성장 호르몬 1과 2 (IGF-1 & IGF-2)는 착상 전 초기배아 발생을 조절하는 중요한 요소이다. 생쥐 착상 전 초기배아에서 IGF-1의 역할에 관한 연구를 위해, IGF-1과 IGF-1 수용체의 전사물의 존재 여부를 난자와 착상 전 초기배아에서 조사하였다. 새로이 고안된 IGF-1 primer를 이용하여 난자에서 전사물을 검출하였다. 그리고, PCR 산물을 제한효소인 Msp I으로 절단하여 확인하였다. 이 실험에서 IGF-1과 IGF-1 수용체의 전사물이 난자와 착상 전 초기배아에서 모두 검출됨을 보였다. GV-난자에 다량 존재하는 mRNA는 4- 혹은 8-세포기까지 지속적으로 감소하다가 이후에 다시 증가하는 양상을 보였다. GV-난자에서 IGF-1과 IGF-lR 전사물이 존재한다는 것은 초기배아에 존재하는 전사물이 모계유래 산물임을 암시한다. 또한, 난자와 착상 전 초기배아에 IGF-1과 IGF-1 수용체 전사물이 존재하는 것으로 보아 착상 전 초기배아에서 IGF-1은 자가 분비되어 IGF-1 수용체의 신호전달 경로를 통하여 배아발생에 작용하는 것으로 사료된다.

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油風의 病因, 病機 및 治療藥物에 關한 文獻的 考察 (A literatual studies on the yupung(油風).)

  • 김남욱;노석선
    • 한방안이비인후피부과학회지
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    • 제11권1호
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    • pp.162-179
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    • 1998
  • In the literatual studies on the yupung(油風), the results were as follows. 1. Yupung(油風) was called 'Quijidu(鬼지頭)', 'Quichedu(鬼剃頭)', 'Ballak(髮落)' etc. It was a localized loss of hair in round or oval ares without any subjective symptom 2. The etiology and pathogenesis of Yupung were disorder of vital energy& blood circulation caused by deficiency of blood and wind-dryness syndrome, energy-stagnation and blood stasis, impairment of the liver & kidney. The treatments of Yupung were invigorating the liver & kidney, clearing away heat-evil and cooling blood, nourishing the liver & kidney, activating blood circulation to dissipate blood stasis etc, 3. In the frequency of prescription, the most numerous prescription is Shineuingyangjindan(神應養眞丹) and the next are Tonggyuhwalhyultang(通竅活血湯) & Chilbomiyumdan(七寶美髥丹), 4. In the frequency of medicine, the most numerous medicine is Radix Angelicae Sinensis(當歸) and the next are Rhizoma Rehmanniae Praeparatae(熟地黃) & Rhizoma Ligusiici Chuanxiong(川芎). 5. In classification of drug action, medicines of clearing away wind-heat evil and invigorating yin used to be very busy. 6. In classification of four characters, the most parts are warm medicine. 7. In classification of five tastes, the most numerous tastes are sweet and bitter tastes. 8. In classification of toxicity, the most is non-toxic medicines. 9. In classification of the channel distribution, the most is the medicine that belongs to liver channel. 10. In acupuncture theraphy, it was used 'GV20(百會)', 'G20(風池)', 'GV16(風府)', 'GV14(大椎)', 'LI4(合谷)' etc. in body acupuncture, was used 'S25(天樞)', 'GV14(大椎)', 'B13(肺兪)', 'LI11(曲池)' etc. in moxibustion.

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Effects of prematuration culture with a phosphodiesterase-3 inhibitor on oocyte morphology and embryo quality in in vitro maturation

  • Cheruveetil, Mohammed Ashraf;Shetty, Prasanna Kumar;Rajendran, Arya;Asif, Muhammed;Rao, Kamini A
    • Clinical and Experimental Reproductive Medicine
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    • 제48권4호
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    • pp.352-361
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    • 2021
  • Objective: The study assessed the developmental potential of germinal vesicle (GV) oocytes subjected to in vitro maturation (IVM) after prematuration culture with cilostamide (a phosphodiesterase-3 inhibitor) and the impact of cilostamide exposure on the morphology of meiosis II (MII) oocytes and subsequent embryo quality. Methods: In total, 994 oocytes were collected from 63 patients. Among 307 GV oocytes, 140 oocytes were selected for the experimental group and 130 oocytes for the control group. The denuded GV-stage oocytes were cultured for 6 hours with cilostamide in the experimental group and without cilostamide in the control group. After 6 hours, the oocytes in the experimental group were washed and transferred to fresh IVM medium. The maturational status of the oocytes in both groups was examined at 26, 36, and 48 hours. Fertilization was assessed at 18 hours post-intracytoplasmic sperm injection. Embryo quality was assessed on days 3 and 5. Results: In total, 92.1% of the oocytes remained in the GV stage, while 6.4% converted to the MI stage (p<0.01) after cilostamide exposure. In both groups, more MII oocytes were observed at 36 hours (25.8% vs. 21.5%) than at 26 hours (10.8% vs. 14.6%) and 48 hours (13% vs. 7.9%) (p>0.05). With the advent of cilostamide, blastocyst quality was better in the experimental group than in the control group (p<0.05). Conclusion: Cilostamide effectively blocked nuclear maturation and promoted cytoplasmic growth. Prematuration culture with cilostamide enabled synchronization between cytoplasmic and nuclear maturity, resulting in better blastocyst outcomes.

구중질환(口中疾患)의 침구치료(鍼灸治療)에 관한 고찰(考察) (A study of Literature Review on the acupuncture and moxibution treatments for stomatopathy)

  • 윤현민;안창범;김철홍
    • Korean Journal of Acupuncture
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    • 제21권1호
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    • pp.175-199
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    • 2004
  • Objectives : To study acupuncture and moxibution treatments for stomatopathy( aphthae, oral ulceration, mycolic stomatitis, halitosis, thirst, bitter) the ancient and the present literatures were reviewed. Methods : We've got compared and analyzed 55 kinds of literatures. Results and Conclusions : 1. The acupuncture meridians used frequently for stomatopathy were $Su-yangmy\bar{o}ng-Taejang-ky\bar{o}ng(LI),\;Chok-yangmy\bar{o}ng-Wi-Ky\bar{o}ng(S),\;Immaek-Ky\bar{o}ng(CV)$. 2. The acupoints used frequently for aphthae were $Sungjang(CV_{24}),\;Yomchon(CV_{23}),\;Hapkok(LI_4),\;Nogung(P_8),\;Chok-samni(S_{36}),\;Hyopko(S_6),\;Sugu(GV_{26})$. 3. The acupoints used frequently for oral ulceration were $Hapkok(LI_4),\;Nogung(P_8),\;Chok-samni(S_{36}),\;Kokchi(LI_{11}),\;Sotaek(SI_1),\;Pisu(B_{20}),\;Wisu(B_{21}),\;Samgan(LI_3),\;Yomchon(CV_{23}),\;Chichang(S_4)$. 4. The acupoints used frequently for mycolic stomatitis were $Hapkok(L_4),\;Chichang(S_4),\;Hyopko\;(LI_4),\;Sungjang(CV_{24}),\;Samumgyo(SP_6)$. 5. The acupoints used frequently for halitosis were $Naejong(S_{44}),\;Chok-samni(S_{36}),\;Chung-wan\;(CV_{12}),\;Sang-wan(CV_{13}),\;Hawan(CV_{10}),\;Kongson(SP_4),\;Wisu(B_{21}),\;Nogung(P_8),\;Sugu(GV_{26}),\;Sungjang(CV_{24})$. 6. The acupoints used frequently for thirst were $Sosang(L_{11}),\;Sangyang(LI_1),\;Sotaek(SI_1),\;Kwanch'ung(TE_1),\;Ch'\bar{o}kt'aek(L_5),\;T'ae-gye(K_3),\;Kokt'aek(P_3),\;Sugu(GV_{26}),\;Samgan(LI_3),\;Igan(LI_2),\;T'aech'ung(Liv_3),\;Sojangsu(B_{27})$. 7. The acupoints used frequently for bitter were $Yangn\bar{u}ngch'\bar{o}n(G_{34}),\;Hy\bar{o}njong(G_{39}),\;Kwanch'ung(TE_1),\;Tamsu(B_{19}),\;Chokkyu\bar{u}m(G_{44}),\;Y\bar{o}n-gok(K_2),\;Shinmun(H_7),\;Chok-Samni(S_{36})$.

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A Case Report of an Elderly Patient with Psoriasis Treated with Jeongri-tang Gagam-bang: Focus on Digestive System Treatment

  • Do Kyung Han;Won Gun An
    • 대한한의학회지
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    • 제44권4호
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    • pp.170-181
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    • 2023
  • Objectives: This study aimed to report the efficacy of Korean medicine with Jeongri-tang Gagam-bang for treating psoriasis. Methods: A patient with psoriasis was treated with Jeongri-tang Gagam-bang (正理湯加減方). Moreover, acupuncture was performed on CV12 (中脘) and both sides of ST25 (天樞), GV20 (百會), LI4 (合谷), and LR3 (太衝) for 15 minutes. Psoriasis severity was assessed using the Psoriasis Area and Severity Index (PASI). Pruritis and dyspepsia intensities were ranked on a Visual Analog Scale (VAS) of 0–10. Results: After treatment, the PASI changed from 21.6 to 1.6. Patient's pruritus had almost disappeared and dyspepsia had improved. Conclusions: This study shows that Jeongri-tang Gagam-bang (正理湯加減方) and acupuncture on CV12 (中脘), ST25 (天樞), GV20 (百會), LI4 (合谷), and LR3 (太衝) might be helpful to treat psoriasis symptoms by improving digestive function.

Identification of Protein Candidates in Porcine Oocytes during In Vitro Maturation

  • Lee, Jae-Dal;Cui, Xiang-Shun;Im, Gi-Sun;Seong, Hwan-Hoo;Kim, Nam-Hyung
    • Reproductive and Developmental Biology
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    • 제32권2호
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    • pp.71-79
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    • 2008
  • Surface-enhanced laser desorption and ionization time-of-flight mass spectrometry (SELDI-TOF MS) is one of the recently developed proteomic technologies which is based on capturing proteins and peptides by chemically modified surfaces and highly sensitive for the analysis of complex biological samples. In the present study, to gain insights into oocyte maturation and early embryo development, SELDI-TOF-MS was used to find the protein candidates that are specifically or prominently expressed in porcine oocytes at the in vitro matured metaphase II (MIIl) and germinal vesicle (GV) stages. By selected CM10 chip, 16 candidates were found to be up-regulated in GV stage oocytes compared with in MII stage oocytes, their molecular weights were 8,180 (2 candidates), 10,226 (5 candidates), 15,767 (5 candidates) and 16,770 (4 candidates) Da respectively. And the expression of 29 candidates were higher in MII than in GV stage oocytes, their molecular weight were 10,832 (3 candidates), 17,743 (8 candidates), 20,122 (3 candidates), 22,131 (3 candidates), 24,857 (7 candidates) and 33,507 (5 candidates) Da, respectively. The expression of selected 13 candidates (0.2 and 1.0 % error tolerances) were analyzed using real time RT-PCR. The proteins that differentially regulated during oocyte in vitro maturation in the pigs may be potential biomarkers of oocyte maturation and quality.