• Title/Summary/Keyword: General university

Search Result 34,258, Processing Time 0.058 seconds

Cabrol Technique Application in Off-pump Coronary Artery Bypass Grafting Using Radial Artery (인공심폐기를 이용하지 않는 관상동맥우회술 시 요골동맥을 이용한 Cabrol 술식의 응용)

  • Na, Chan-Young;Oh, Sam-Se;Kim, Soo-Cheol;Kim, Jae-Hyun;Jo, Won-Min;Seo, Hong-Ju;Lee, Cheul;Chang, Yun-Hee;Kang, Chang-Hyun;Lim, Cheong;Baek, Man-Jong;Whang, Song-Wok;Choi, In-Seok;Kim, Woong-Han;Park, Yoon-Ock;Moon, Hyun-Soo;Park, Young-Kwang;Kim, Chong-Whan
    • Journal of Chest Surgery
    • /
    • v.36 no.8
    • /
    • pp.630-632
    • /
    • 2003
  • In off-pump coronary artery bypass grafting (CABG), multiple proximal anastomosis may increase the risk of cerebral embolism (air, debris) and aortic injury (dissection, pseudoaneurysm). Radial artery (RA) has no intraluminal valve such as saphenous vein. We applied Cabrol technique using aortic root replacement for proximal anastomosis in off-pump CABG. Cabrol technique using RA graft can reduce numbers of proximal anastomosis and reduce number of aortic manipulation in off-pump CABG. We report a Cabrol technique for proximal anastomosis in off-pump CABG with RA graft.

Delayed bleeding after implant surgery in patients taking novel oral anticoagulants: a case report

  • Kim, Chihun;Dam, Chugeum;Jeong, Jieun;Kwak, Eun-Jung;Park, Wonse
    • Journal of Dental Anesthesia and Pain Medicine
    • /
    • v.17 no.2
    • /
    • pp.143-147
    • /
    • 2017
  • The use of novel oral anticoagulants (NOACs) has increased in recent times in an effort to overcome the shortcomings of warfarin. They are being used primarily for the prevention of thrombosis caused by atrial fibrillation and offer the advantages of having fewer drug interactions than warfarin, no dietary restrictions, and no requirement for regular blood tests. Although there is reportedly less postoperative bleeding even if the drug is not discontinued during procedures that can cause local bleeding, such as dental procedures, no well-designed clinical studies have assessed postoperative bleeding associated with the use of these drugs. This article reports a case of a 74-year-old male patient who was taking rivaroxaban. The patient underwent a dental implant procedure after discontinuing rivaroxaban for one day and subsequently suffered delayed bleeding on postoperative day 6. Accordingly, this article also reports that the use of NOACs may also lead to delayed bleeding.

RASA1-Related Parkes Weber Syndrome in a Neonate

  • Koh, Hong Ryul;Lee, Yeon Kyung;Ko, Sun Young;Shin, Son Moon;Han, Byoung-Hee
    • Neonatal Medicine
    • /
    • v.25 no.3
    • /
    • pp.126-130
    • /
    • 2018
  • Parkes Weber syndrome is a rare congenital vascular anomaly, related to the RAS p21 protein activator 1 (RASA1) gene. It is characterized by capillary cutaneous malformations, bony and soft tissue hyperplasia, and multiple arteriovenous fistulas throughout the affected upper or lower extremity. These arteriovenous fistulas can be associated with life-threatening complications such as bleeding, thrombosis, and high output heart failure. In this report, we present a neonate who had a disproportionately hypertrophied left upper limb with port-wine stain, dystrophy of the left humerus, and hypertrophy of the left clavicle on X-ray, and arteriovenous malformation and massive dilatation of the left subclavian artery on magnetic resonance angiography. Exome sequencing analysis revealed a novel heterozygous splicing mutation (c.1776+2T>A) in the RASA1 gene. To the best of our knowledge, this report is the first case of RASA1-related Parkes Weber syndrome in Korea.

siRNA Interference with a Proliferation-Inducing Ligand Gene in the Sgr-7901 Gastric Carcinoma Cell Line

  • Ni, Shao-Zhong;Cao, Hong-Yong;Chen, Zheng;Zhu, Yi;Xu, Ze-Kuan
    • Asian Pacific Journal of Cancer Prevention
    • /
    • v.13 no.4
    • /
    • pp.1511-1514
    • /
    • 2012
  • Objective: The present study aimed to investigate the influence of siRNA interference with a proliferation-inducing ligand (APRIL) gene on gastric carcinoma sgr-7901 cell apoptosis. Correlations between APRIL silencing and tyrosine kinase (trka) expression were also explored. Methods: Two APRIL-silencing siRNA vectors were constructed, and transfected into human gastric carcinoma sgr-7901 cells, expression before and after transfection being detected using RT-PCR and western blot analyses. The expression of 15 trka genes was detected using RT-PCR and apoptotic rates of sgr-7901 were assessed by flow cytometry. Results: The expression levels of receptor trka genes were significantly decreased, and the apoptotic rate of sgr-7901 was significantly increased after transfection (P < 0.05). Conclusion: APRIL gene silencing can increase the apoptotic rate of gastric carcinoma cells, and inhibit the expression of receptor trka genes. There is a correlation between the signaling pathways of APRIL and trka.

A Case of Grayanotoxin Intoxication Presenting with Mental Changes and Vomiting (의식 변화와 구토를 주소로 내원한 Grayanotoxin Intoxication 1예)

  • Kim, Cu-Rie;Kim, Dong-Soon;Lee, Hee-Woo;Ahn, Young-Min;Uhm, Ji-Hyun
    • Pediatric Gastroenterology, Hepatology & Nutrition
    • /
    • v.11 no.2
    • /
    • pp.223-225
    • /
    • 2008
  • Rhododendron species is one of the largest and most diverse genera in the plant kingdom, comprising over 800 species and existing all over the globe. Grayanotoxin intoxication is caused by ingestion of honey and flowers. Grayanotoxin exists in honey, flowers, pollen, and nectar of the Rhododendron species. Grayanotoxin-intoxicated patients may present with nausea, vomiting, dizziness, weakness, hypotension, bradycardia, and syncope for several hours. We report a case of grayanotoxin intoxication associated with mental changes. A 9-year-old male presented with impaired consciousness and delirium 26 hours after eating about 10 rhododendron sclippenbachii flowers. A brain MRI and EEG were normal. Parenteral fluids were administered and these symptoms resolved completely in 17 hours.

  • PDF

A Case of Poliomyelitis-like Syndrome with Typical Abnormalities in MRI (자기공명영상에서 전형적인 이상 소견을 보인 소아마비양 증후군 환자 1예)

  • Kim, Seok-Il;Koo, Ja-Seong;Yoon, Doo-Sang;Kim, Byung-Kun;Bae, Hee-Joon
    • Annals of Clinical Neurophysiology
    • /
    • v.4 no.1
    • /
    • pp.56-59
    • /
    • 2002
  • A 28-year-old man presented with headache, fever, and myalgia. Subsequently, rapidly progressive quadriplegia with areflexia developed. CSF examination revealed moderate pleocytosis and protein elevation. MRI of brain and spinal cord showed hyperintense lesions on T2-weighted image at midbrain and ventral horns along the whole spinal cord. Serial serologic examinations of CSF for Epstein-Barr virus and cytomegalovirus were negative. Culture and neutralization tests of stool and CSF for enterovirus were negative. Although the etiologic pathogen was not identified, we diagnosed him as poliomyelitis-like syndrome by clinical features and findings of MRI.

  • PDF

A lateral approach to the maxillary sinus for simultaneous extraction of an ankylosed maxillary molar and sinus graft: a case report

  • Hwang, Jae-Ho;Choi, Hee-Seung;Kim, Kee-Deog;Doh, Re-Mee;Park, Won-Se
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
    • /
    • v.38 no.2
    • /
    • pp.110-115
    • /
    • 2012
  • Ankylosed tooth is defined as 'the discontinuance of normal passive tooth eruption without any mechanical barrier'. Ankylosed tooth treatment is a challenge to dental clinicians. In treatment of maxillary molar ankylosis cases there are risks of oro-antral fistula, displacement of root fragments into the maxillary sinus, as well as the necessity for providing additional sinus bone augmentation for future implant placement. In this study, we suggested a new technique using a piezoelectric device and a lateral side approach to the maxillary sinus leading to the simultaneous removal of the ankylosed maxillary molar and sinus grafting for the purpose of implant site development.

Intranasal administration of dexmedetomidine (DEX) as a premedication for pediatric patients undergoing general anesthesia for dental treatment

  • Lee, Yookyung;Kim, Jongsoo;Kim, Seungoh;Kim, Jongbin
    • Journal of Dental Anesthesia and Pain Medicine
    • /
    • v.16 no.1
    • /
    • pp.25-29
    • /
    • 2016
  • Background: The most important reason for pre-operative administration of medication is to reduce anxiety. Alleviation of fear and anxiety about surgery enables patients to remain comfortable during treatment. Dexmedetomidine (DEX) is a fast-acting drug that is used as a premedication in different circumstances because it has sedative and anti-anxiolytic effects, and stable hemodynamics. It also has the advantage of intranasal administration. The aim of this study was to investigate the effects and hemodynamic stability of DEX by retrospectively analyzing cases in which DEX was administered nasally as a premedication. Methods: Ten patients treated at Dankook University Dental Hospital, recruited between February and April 2015, received intranasal delivery of $2{\mu}g/kg$ DEX, 30 minutes prior to general anesthesia. Anesthesia records of anxiety, blood pressure, respiration, pulse, estimated arterial oxygen saturation ($SpO_2$), and partial pressure, or maximum concentration, of carbon dioxide ($ETCO_2$) were analyzed. Results: Administration of DEX prior to a general anesthetic effectively relieved anxiety. Respiratory depression, the most severe adverse effect of other sedatives, was not observed. Hemodynamic stability under general anesthesia was maintained during treatment and a reduction in emergence delirium was observed upon completion of treatment. Conclusions: Premedication administration of DEX is safe for pediatric patients undergoing dental treatment under general anesthesia.

A NOTE ON THE q-ANALOGUES OF EULER NUMBERS AND POLYNOMIALS

  • Choi, Jong-Sung;Kim, Tae-Kyun;Kim, Young-Hee
    • Honam Mathematical Journal
    • /
    • v.33 no.4
    • /
    • pp.529-534
    • /
    • 2011
  • In this paper, we consider the q-analogues of Euler numbers and polynomials using the fermionic p-adic invariant integral on $\mathbb{Z}_p$. From these numbers and polynomials, we derive some interesting identities and properties on the q-analogues of Euler numbers and polynomials.