• 제목/요약/키워드: Hemorrhagic growth

검색결과 21건 처리시간 0.025초

Combining Non-Contrast CT Signs With Onset-to-Imaging Time to Predict the Evolution of Intracerebral Hemorrhage

  • Lei Song;Xiaoming Qiu;Cun Zhang;Hang Zhou;Wenmin Guo;Yu Ye;Rujia Wang;Hui Xiong;Ji Zhang;Dongfang Tang;Liwei Zou;Longsheng Wang;Yongqiang Yu;Tingting Guo
    • Korean Journal of Radiology
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    • 제25권2호
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    • pp.166-178
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    • 2024
  • Objective: This study aimed to determine the predictive performance of non-contrast CT (NCCT) signs for hemorrhagic growth after intracerebral hemorrhage (ICH) when stratified by onset-to-imaging time (OIT). Materials and Methods: 1488 supratentorial ICH within 6 h of onset were consecutively recruited from six centers between January 2018 and August 2022. NCCT signs were classified according to density (hypodensities, swirl sign, black hole sign, blend sign, fluid level, and heterogeneous density) and shape (island sign, satellite sign, and irregular shape) features. Multivariable logistic regression was used to evaluate the association between NCCT signs and three types of hemorrhagic growth: hematoma expansion (HE), intraventricular hemorrhage growth (IVHG), and revised HE (RHE). The performance of the NCCT signs was evaluated using the positive predictive value (PPV) stratified by OIT. Results: Multivariable analysis showed that hypodensities were an independent predictor of HE (adjusted odds ratio [95% confidence interval] of 7.99 [4.87-13.40]), IVHG (3.64 [2.15-6.24]), and RHE (7.90 [4.93-12.90]). Similarly, OIT (for a 1-h increase) was an independent inverse predictor of HE (0.59 [0.52-0.66]), IVHG (0.72 [0.64-0.81]), and RHE (0.61 [0.54-0.67]). Blend and island signs were independently associated with HE and RHE (10.60 [7.36-15.30] and 10.10 [7.10-14.60], respectively, for the blend sign and 2.75 [1.64-4.67] and 2.62 [1.60-4.30], respectively, for the island sign). Hypodensities demonstrated low PPVs of 0.41 (110/269) or lower for IVHG when stratified by OIT. When OIT was ≤ 2 h, the PPVs of hypodensities, blend sign, and island sign for RHE were 0.80 (215/269), 0.90 (142/157), and 0.83 (103/124), respectively. Conclusion: Hypodensities, blend sign, and island sign were the best NCCT predictors of RHE when OIT was ≤ 2 h. NCCT signs may assist in earlier recognition of the risk of hemorrhagic growth and guide early intervention to prevent neurological deterioration resulting from hemorrhagic growth.

유행성 출혈형 폐염양 질환의 병원균 분리와 세균학적 특성 (Isolation and Bacteriological Characteristics of Spiral form Bacteria from Patient with Epidemic Pulmonary Hemorrhagic Fever)

  • 이봉기;유주현;이원영;김주덕
    • 미생물학회지
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    • 제23권3호
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    • pp.223-229
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    • 1985
  • 유행성 출혈형 폐염양 질환의 환자 및 논물에서 분리한 병원체의 세균학적 특성을 조사한바, 형태적 및 물리생화학적 특성이 L.inteerogans와 동일하였으며 또한 형태학적 검사에서도 분류균과 L. interrogans는 항원적으로 같은 반응을 보였다.

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Effects of substitution of viral hemorrhagic septicemia virus genotype IVa glycoprotein with vesicular stomatitis virus (VSV) glycoprotein on cell line preference

  • Kim, Min Sun;Choi, Tae-Jin;Kim, Ki Hong
    • 한국어병학회지
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    • 제30권2호
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    • pp.71-78
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    • 2017
  • The glycoprotein of novirhabdoviruses is known to play a critical role in the determination of host specificity. Viral hemorrhagic septicemia viruses (VHSVs) in different genotypes have different glycoprotein sequences and show different preferences for specific cell lines. In this study, to know whether the glycoprotein is solely responsible for the host cell preference of VHSV, a recombinant VHSV expressing vesicular stomatitis virus (VSV) glycoprotein instead of VHSV IVa glycoprotein (rVHSV-VSV-G) was generated by reverse genetics and inoculated into several fish cell lines, then, cytopathic effect (CPE) and viral growth caused by rVHSV-VSV-G infection were compared with those caused by rVHSV-wild that was previously generated and has the same genomic sequence with wild-type VHSV except a few nucleotides. The plaque numbers of rVHSV-VSV-G were significantly higher in EPC, BF-2 and GF cells than those of rVHSV-wild. However, in HINAE cells (originated from olive flounder), rVHSV-VSV-G titer was significantly lower than rVHSV-wild titer, and both recombinant VHSVs were not grown well in CHSE-214 cells. Although statistical significances were detected in the titers between rVHSV-wild and rVHSV-VSV-G in several cell lines, the cell line-preference order of rVHSV-VSV-G was not different from that of rVHSV-wild. These results suggest that the replacement of VHSV glycoprotein may not completely change host cell preference, and other regions of VHSV might also involve in the determination of host cell preference.

코로나 방전 플라즈마 처리수에 의한 어류 병원체 소독 효과 (Disinfection effect of corona discharged plasma water on fish pathogens)

  • 유진호;이지현;문성희;권세련;박태섭;권준영
    • 한국어병학회지
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    • 제33권1호
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    • pp.63-69
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    • 2020
  • Fish culture is constantly threatened by various infectious diseases which are largely transmitted by water. Plasma technology is being used to sterilize polluted water in many industries. In this study, two bacterial pathogens Aeromonas salmonicida and Streptococcus iniae, and a virus (viral hemorrhagic septicemia virus, VHSV) were subjected to plasma water that was produced by a corona discharge system. Growth of A. salmonicida was greatly inhibited from 105.61 CFU/ml in positive control to 103.51 CFU/ml in treated group by only 60 sec contact with plasma water. Similarly, S. iniae was inhibited from 105.85 CFU/ml to 103.40 CFU/ml. VHSV titer also decreased from 104.1 TCID50/ml to 101.45 TCID50/ml by the same treatment. Activation of water by the plasma was confirmed by the existence of ozone in the plasma water. These results suggest that plasma water could efficiently disinfect fish pathogens, possibly by the action of reactive oxygen species contained in the plasma water.

Temporary Surgical Management of Intraventricular Hemorrhage in Premature Infants

  • Eun-Kyung Park;Ja-Yoon Kim;Dong-Seok Kim;Kyu-Won Shim
    • Journal of Korean Neurosurgical Society
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    • 제66권3호
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    • pp.274-280
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    • 2023
  • Post-hemorrhagic hydrocephalus (PHH) in preterm infant is common, life-threatening and the main cause of bad developmental outcomes. Ventriculoperitoneal (VP) shunt is used as the ultimate treatment for PHH. Low birth weight and low gestational age are the combination of worse prognostic factors while the single most important prognostic factor of VP shunting is age. Aggressive and early intervention have better effect in intraventricular hemorrhage and intracranial pressures control. It reduces infection rate and brain damage resulted in delayed shunt insertion. It is extremely important to let PHH infants get older and gain weight to have internal organs to be matured before undergoing VP shunt. As premature infants undergo shunt after further growth, shunt-related complications would be reduced. So temporary surgical intervention is critical for PHH infants to have them enough time until permanently shunted.

The in vivo photothermal treatment of gold nanorod in the mouse ear model

  • Liu, Bruce Yao Wen;Chen, Cheng-Lung;Lee, Shin-Yu;Chang, Fu-Hsiung;Lin, Win-Li;Chia, Chih-Ta;Chen, Yang-Yuan
    • Biomaterials and Biomechanics in Bioengineering
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    • 제1권1호
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    • pp.41-50
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    • 2014
  • Gold nanorod's exceptional light to heat transduction is a robust phonomenon that has been extensively verified. The phenomenon is a trait from which many novel applications across disciplines have been proposed. In this investigation, the feasibility of utilizing heat harvested from such photothermal method to combat cancer is presented. Using non-invasive laser methods, an in vivo study is conducted on mouse ear tumors administered with gold nanorods (Au NRs). An emphasis is placed on monitoring the tumor developments after photothermal treatments, over time. The findings reveal significant tumor growth surpression at a threshold laser power of $0.6W/cm^2$ lasting 2 minutes; this energy also brought about dramatic size reduction in treated tumors. Furthermore, the apparent formation of an eschar over the laser treated region indicates extensive hemorrhagic necrosis of the tumor tissue; a phenomenon implicative to the inhibition of angiogenesis.

유방에 발생한 화생성 암종의 세침흡인 세포학적 소견 - 1증례 보고 - (Fine Needle Aspiration Cytologic Findings of Metaplastic Carcinoma of the Breast - A Case Report -)

  • 민수기;차희정;김준미;주영채
    • 대한세포병리학회지
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    • 제7권2호
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    • pp.202-206
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    • 1996
  • Metaplastic carcinoma of the breast is a morphologically heterogenous group of neoplasms characterized by ductal adenocarcinoma with extensive squamous differentiation, a spindle-cell pattern of growth, and/or heterologous mesenchymal elements. We experienced a case of metaplastic carcinoma diagnosed by fine needle aspiration(FNA) and confirmed by radical mastectomy in a 46 year-old woman. The FNA cytologic findings included atypical squamous cells with kertinization tying singly and in clusters in a necrotic background. In addition, scattered spindle cells with pleomorphic large nuclei and prominent nucleoli were present in a hemorrhagic and necrotic background. The histopathologic findings showed moderately differentiated squamous cell carcinoma and highly pleomorphic sarcoma with chondroid component. The immunohistochemical stain revealed focal positive reaction for cytokeratin as well as diffuse reactivity for vimentin in the sarcomatous area.

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산란계에서의 칸디다증 국내 발생 사례 (Candidiasis in layer chickens in Korea)

  • 성환우;권혁무;한정희;모인필
    • 대한수의학회지
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    • 제50권4호
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    • pp.323-326
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    • 2010
  • Candidiasis is a mycosis caused by the mycelial yeast of the Candida genus which is opportunistic pathogen of humans, animals, and birds. Under some conditions such as prolonged antibiotic therapy, overcrowding, and immunosuppression, the opportunistic Candida can cause disease. Chicken candidiasis is sporadically occurred and characterized by unsatisfactory growth, listlessness, roughness of feathers, and death. A case of 23 weeks old layer with history of increased mortality and anemia was submitted to our Lab. At necropsy, the characteristic lesions were observed in the crop and proventriculus. The whitish pseudomembrane, that are peeled easily, was found in the crop. Proventriculus was swollen and the mucosa was covered with hemorrhagic exudate. The histological changes of the affected crop are epithelial hyperplasia, hydropic degeneration, and mycelia formation. Smears made from the necrotic mucosal surfaces of the crop revealed the presence of large number of yeast cells and mycelia. Pure cultures of yeast colonies were obtained from the potato dextrose agar. The yeast cells were identified as Candida albicans by gene sequencing. To our knowledge, this is the first report of candidiasis in chickens with anemia in Korea.

유행성 출혈형 폐염양 질환의 병원체에 관한 연구 (Comparative Analysis of Leptospira Isolated in Korea and Leptospira from ATCC)

  • 김주덕;이태윤;이원영;이봉기
    • 대한미생물학회지
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    • 제21권2호
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    • pp.191-204
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    • 1986
  • Leptospira isolated from the patients with so called epidemic pulmonary hemorrhagic fever were comparatively studied with standard strains obtained from ATCC. The specific aim of this study was to clarify the morphologic heterogeneity of the isolates, i. e., coexistence of spiral forms in both handness, right and left, rod and spherical forms in their population by comparing them with those of the ATCC strains. No differences between our strains and ATCC strains were noticed in their growth characteristics, responses to the culture media, temperature, antibiotics and antifungal agents. Furthermore, the morphologic heterogeneity had been repeatedly observed even in cultures of standard ATCC strains, which had been noticed in the cultures of bacteria isolated in this laboratory. The serologic analysis of our isolates demonstrated that the bacteria reacted with L. icterohaemorrhagiae and L. australis regardless their differences in time of isolation(1984, 1985). Thus, it was concluded that the spiral bacteria isolated in this laboratory are Leptospira of a new serovar which still remained to be determined. And the previous reports on the morphology of the Leptospira, which described that the Leprospira population has only spiral forms with right. handed coils might be reconsidered.

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닭의 지방대사와 지방간 (Lipid Metabolism and Fatty Liver in Poultry)

  • 문양수
    • 한국가금학회지
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    • 제45권2호
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    • pp.109-118
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    • 2018
  • 현대양계산업은 육종, 영양, 관리기술의 향상에 힘입어 산란계의 생산성과 육계의 성장성이 크게 향상되었다. 이러한 닭의 생산성 향상을 뒷받침해 주기 위해서는 이들의 대사적 요구를 충족시킬 수 있는 건강한 간의 기능이 필요하다. 가금에서 지방산의 대부분은 간에서 생합성되며, 이는 간의 지방대사가 닭의 생육 및 산란능력 등에 매우 중요하다는 것을 의미한다. 간에서의 지방합성이 지방의 대사능력과 분비를 초과하게 되면 중성지방은 간에 축적되어 지방간(fatty liver)을 유발하기도 한다. 산란계의 경우 산란을 시작하게 되면 혈액 내 유리지방산, 지질 및 인지질 등이 급격히 증가한다. 산란계에서 산란율이 높은 닭은 난황합성이 활발하게 일어나기 때문에 지방간을 가지는 경우가 많으며, 심한 경우 간의 손상(liver-hemorrhage)에 의해 폐사로 이어질 수 있다. 따라서 닭의 간에서 지방합성과 합성된 지방의 분비와 이용은 건강한 닭의 성장과 생산성 향상에 주요한 열쇠로 판단되어 최근까지 연구된 닭의 지방대사와 지방간 억제 혹은 예방 등에 대하여 기술하였다.