• Title/Summary/Keyword: Hypothermia

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Unusual Presentation of a Penetrating Aortic Arch Injury

  • Vural, Fikret Sami;Patel, Atul Kumar;Mustafa, Kashif
    • Journal of Chest Surgery
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    • v.50 no.4
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    • pp.295-297
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    • 2017
  • A 27-year-old man was admitted with a penetrating injury at the mid-manubrium. Computed tomographic (CT) angiography showed a f illing def ect in the aortic arch. This was evaluated as a sign of injury and the patient underwent an emergency operation. No active bleeding or clot was f ound in the mediastinum during the operation. The laceration point was between the innominate and the left carotid artery posteriorly. The injury was approached using hypothermic circulatory arrest. Aortotomy and exploration showed a 2-cm-long full-thickness aortic injury with an overlying clot. A filling defect on angiography as a sign of a penetrating arch injury has never been reported previously, but was the main pathological finding on CT angiography in our case. The aorta is a high-pressure system and injuries to it should be treated aggressively.

An experimental study of HwaYul(火熱) theory on the "SoMunHyunKiWonByungSik(素問玄機原病式)" ("소문현기원병식(素問玄機原病式)"에 기재된 중풍(中風)의 화열(火熱) 병인론(病因論)에 대한 저체온요법을 통한 실험적 고찰)

  • Choi, Seong-Hun
    • Journal of Korean Medical classics
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    • v.20 no.2
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    • pp.53-59
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    • 2007
  • In Oriental medicine, different suggestions regarding how cerebrovascular accident(CVA) may develop have been offered by several physicians. In Jin(金)Yuan(元) dynasty, Liu Wan Su(劉完素) asserted that CVA was not developed by external PungSa(風邪) but internal HwaYul, which was noted in the "SoMunHyunKiWonByungSik". To verify experimentally Liu's HwaYul theory in rats, normothermic control group (37$^{circ}C$) and hypothermic test group (32$^{circ}C$) were subjected to transient middle cerebral artery occlusion(MCAO) of 1hour. In 7days after MCAO, the rats were sacrified and the volume of infarct and the size of edema were measured. The present findings expand our understanding of the pathophysiology as to the CVA which is related to the HwaYul theory.

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Chain-branched Acyclic Phenethylthiocarbamates as Vanilloid Receptor Antagonists

  • Kim, Hee-Doo;Yoon, Jung-Wha;Choi, Hye-Young;Lee, Hyun-Joo;Ryu, Chong-Hyun;Park, Young-Ho;Suh, Young-Ger;Oh, Uh-Taek;Park, Hyeung-Guen
    • Proceedings of the PSK Conference
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    • 2003.04a
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    • pp.241.3-242
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    • 2003
  • By acting on vanilloid receptor(VR1). capsaicin excites and then desensitizes a subset of primary neurons involved in nociception, neurogenic inflammation, and a variety of local regulatory functions. Due to this unique biological activity, VR1 is at present one of the most attractive targets for the treatment of pain. However, despite the concentrated effort on agonists, they have been exposed to the side effects such as pungency and/or hypothermia responses. (omitted)

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Effect of Drugs on the Cardiac Transport, Metabolism and Action of Idarubicin: Pharmacokinetic and Pharmacodynamic Modeling

  • Kang, Won-Ku
    • Proceedings of the PSK Conference
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    • 2002.10a
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    • pp.212-213
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    • 2002
  • Using the isolated perfused rat heart this study investigated 1) the cardiac uptake of idarubicin (IDA), 2) the role of P-glycoprotein (P-gp) in the uptake process, 3) the formation of IDOL from IDA in the heart, and 4) the effect of P-gp inhibitors (verapamil, amiodarone, PSC 833), doxorubicin, hypothermia, xanthine derivatives (caffeine, theophylline) and metabolism inhibitors (rutin, phenobarbital) on the pharmacokinetics and pharmacodynamics of IDA using a mathematical modeling approach. A minimal model was constructed; the differential equations were numerically solved and fitted to the data using the ADAPT II-software package using maximum likelihood estimation assuming that the measurement error has a standard deviation which is a linear function of the measured quantity[1]. (omitted)

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Successful Surgical Resection of Left Atrial Myxoma by Total Cardiopulmonary Bypass - Report of a Case- (좌심방점액종의 개심술절제치험예)

  • 김근호
    • Journal of Chest Surgery
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    • v.10 no.1
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    • pp.164-172
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    • 1977
  • This is a report of a case in which a left atrial myxoma was successfully removed by total cardiopulmonary bypass with total hemodilution and moderate hypothermia. The patient was a 17 old girl with mitral valvular symptoms that occured suddenly three months prior to operation. After the onset of symptoms. it was progressively aggravated to serious general condition. The preoperative diagnosis of left atrial tumor was made from echocardiography. and the tumor was confirmed as myxoma by the histopathological examination of the tumor tissue removed during operation. The myxoma was unusually originated from posterior wall of the left atrium. which was located between drainage orifices of right and left pulmonary veins, The tumor developed in the left atrial cavity and one of the polypoid processes of the myxoma was prolapsed into the the left ventricle through the mitral orifice. Following operation. there was no evidence for peripheral vascular embolism, and all valvular symptoms disappeared. The postoperative course was uneventful.

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Surgical Repair of Atrial Septal Defect Using Extracorporeal Circulation: One Case Report (심폐기를 이용한 심방중격결손의 외과적 교정: 1례 보고)

  • 이동준
    • Journal of Chest Surgery
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    • v.10 no.1
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    • pp.143-147
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    • 1977
  • Atrial septal defect is the most common of the congenital heart disease in the adult. Since the first description of atrial septal defect by Rokitansky in 1857, this anomaly has been studied by many workers in past one century. In 1953, Lewis had first corrected the atrial septal defect under direct vision with deep hypothermia, and Gibbon [1954] had first done the atrial septal defect under direct vision with extracorporeal circulation. In our college [May 2’ 1977], we have first repaired the A.S.D. under direct vision with artificial heart-lung machine and, the defect was 4x5cm in size which was closed by Dacron patch. This patient was 12 year old girl who is well now. [postoperative 13 days]

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Mitral Valve Replacement with Star-Edwards Ball Valve -Report of A Case- (승모판 폐쇄부전에 대한 인공판막대치술 1예)

  • 김근호
    • Journal of Chest Surgery
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    • v.10 no.1
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    • pp.156-163
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    • 1977
  • This is a report of a case in which mitral valve replacement was performed using Starr-Edwards ball valve [model 6230] by total cardiopulmonary bypass with total hemodilution prime and moderate hypothermia. The patient was 21 year old girl, and mitral valvular symptoms occurred 5 years ago. According to clinical features of the disease, the patient was classified as the class IV of N.Y.H. A. cla3sification. The preoperative diagnosis of mitral insufficiency was made mainly by left ventriculography of roentgenologic study. The mitral valve was highly deformed due to scar contraction of valve leaflets and shortening of chordae tendineae. After prosthetic valve replacement, no abnormal hemodynamic signs were observed. The postoperative course was uneventful.

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Anomalous origin of the right pulmonary artery from the ascending aorta - a new modified surgical technique - (상행대동맥에서의 우폐동맥 이상기시증에 대한 교정수술 1례: 직접문합의 한 변형)

  • 진성훈
    • Journal of Chest Surgery
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    • v.20 no.2
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    • pp.416-422
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    • 1987
  • Anomalous origin of a pulmonary artery from the ascending aorta is a rare congenital cardiovascular anomaly which usually involves the right pulmonary artery. For operative reconstruction, the surgical technique of choice used to be a direct end-to-side anastomosis of the ectopic pulmonary artery to the main pulmonary artery. A case of right pulmonary artery arising from the ascending aorta associated with a contralateral patent ductus arteriosus is presented, with description of a new modified surgical technique. The operation was done on cardiopulmonary bypass with deep hypothermia. After closure of PDA, a side-to-side anastomosis between the RPA and MPA, roofed with Gore-Tex patch, was established. The postoperative course was excellent, and the postoperative angiography revealed complete anatomic correction.

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DIGITAL INFRARED THERMAL IMAGING IN OSTEOPOROSIS

  • Lee, Kyung-Sub;Kim, Yong-Suk
    • Journal of Oriental Medical Thermology
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    • v.1 no.1
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    • pp.1-6
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    • 2002
  • This study examined the relationship between bone mineral density and DITI in the diagnosis of osteoporosis. An analysis was performed on the thermographic findings of 20 patients without osteoporosis, 20 with osteopenia and 20 with osteoporosis at the Kangnam Korean Hospital, KyungHee University, Seoul, Korea, from June 1998 to February 1999. The osteoporosis was measured by LUNAR PIXI and the body temperature was assessed by DITI. Thermogrphic measurements were performed on 4 areas(acupuncture point: CV12, CV4, BL23 and BL26). All data were coded for computer analysis and significances were tested by Duncan test. There was no significant difference in age among the three groups of patients. DITI revealed the significant hypothermia (p<0.001) on the osteoporosis patients compared with osteopenia and normal bone density patients. It is believed that DITI may be a favorable alternative to the diagnosis of osteoporosis.

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Effects of Ginseng Saponin on Morphine Physical Dependence (몰핀의 신체적 의존성에 미치는 인삼 Saponin의 효과)

  • 김학성;오기완
    • Journal of Ginseng Research
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    • v.16 no.1
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    • pp.13-17
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    • 1992
  • The present experiments were performed to investigate the effects of the ginseng total saponin on the development of physical dependence on morphine via intracerebroventricular (i.c.v) route. Morphine (10 $\mu\textrm{g}$/${mu}ell$/hr) was continuously infused via osmotic minipumps into lateral cerebral ventricle of male Sprague Dawley rats for 7 days. Concurrent ginseng total saponin (100, 200 $\mu\textrm{g}$/10${mu}ell$/hr) was infused intraperitoneally (i.p) via osmotic pumps for 7 days. Treatment with ginseng total saponin (200$\mu\textrm{g}$/10${mu}ell$/hr) significantly diminished jumping, teeth chattering, hypothermia and weight loss precipitated by naloxone, compared with those animals received only morphine infusion. These results suggest that ginseng total saponin has central effect on the inhibition of physical dependence on morphine, as systemic ginseng total saponin inhibits the development of physical dependence in rats infused with morphine intracerebroventricularly.

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