• 제목/요약/키워드: L5-S1 lesions

검색결과 65건 처리시간 0.026초

가와사끼병에서 관상동맥류 발생에 관한 혈청 Vascular Endothelial Growth Factor의 임상적 의의 (Serum Vascular Endothelial Growth Factor as a Predictive Risk Factor for the Occurrence of Coronary Artery Lesions in Kawasaki Disease)

  • 박민혁;정혜림;양주희;심정연;김덕수;심재원;박문수
    • Clinical and Experimental Pediatrics
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    • 제46권8호
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    • pp.811-816
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    • 2003
  • 목 적 : 저자들은 가와사끼병의 혈관염 발생 및 관상동맥 질환 합병증 발생에 있어서 VEGF의 역할을 알아보고자 가와사끼병에서 혈청 VEGF 농도를 측정 후 관상동맥류 등 심혈관계 합병증 발생과 다른 임상적 위험 인자들과의 상관관계를 조사하여 그 임상적 의의를 밝히고자 하였다. 방 법: 2001년 11월부터 2002년 3월까지 강북삼성병원 소아과에서 가와사끼병으로 입원 치료를 받은 11례의 환자와 건강 검진을 위해 소아과 외래를 방문하였던 건강한 어린이 11명을 대상으로 ELISA 방법으로 혈청 VEGF 농도를 측정하여 두 군 사이를 비교하였으며, 관상동맥 내경, 발열 기간, 혈색소치, 백혈구 수, 혈소판 수, ESR, CRP, LDH치와의 상관관계를 조사하였다. 결 과 : 1) 평균 혈청 VEGF 농도는 정상 대조군에서 $279.9{\pm}150.6pg/mL$, 가와사끼병 환자군에서 $847.9{\pm}495.7pg/mL$으로 대조군에 비해 가와사끼병 환자군에서 유의하게 높았다(P<0.05). 2) 환자군 중 두 번 채혈이 가능하였던 5명의 급성기 VEGF 농도는 $913.1{\pm}662.6pg/mL$이었고, 발열이 회복된 아급성기 VEGF 농도는 $1,086.2{\pm}624.7pg/mL$로서 급성기와 아급성기 두 시기에서 모두 높게 측정되었다. 3) 환자군 중 관상동맥류(CAL)가 있었던 5명의 평균 VEGF 농도는 $1,059.2{\pm}573.8pg/mL$이었고, CAL이 없었던 6명의 평균 VEGF 농도는 $671.9{\pm}382.5pg/mL$이었으나, 통계적으로 유의한 차이는 없었다. 4) 혈청 VEGF 농도와 관상 동맥의 내경 간에 유의한 상관관계를 보였다(P<0.05, $r_s=0.75$). 5) 혈청 VEGF 농도와 발열기간, 혈색소치, 백혈구 수, 혈소판 수, ESR, CRP, LDH치 사이에 의의있는 상관관계는 관찰되지 않았다. 결 론 : 가와사끼병에서 혈청 VEGF 농도의 측정은 가와사끼병의 진단과 관상동맥류 합병증 발생 예측에 유용한 지표로 사용될 수 있으리라 생각되었다.

Lumbar Spinal Extradural Angiolipoma : Case Report and Review of the Literature

  • Park, Jin-Hoon;Jeon, Sang-Ryong;Rhim, Seung-Chul;Roh, Sung-Woo
    • Journal of Korean Neurosurgical Society
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    • 제44권4호
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    • pp.265-267
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    • 2008
  • Angiolipomas in the lumbar spinal region are extremely rare. The present report describes the identification of such a tumor and its removal, and discusses the tumor characteristics and prognosis. A 74-year-old woman was presented with a 5-month history of lower back pain. Severe radiculopathy was experienced in the left leg for 5 days prior to the presentation, and there were no neurological deficits. Magnetic resonance (MR) images showed an approximately 3.5 cm heterogeneously enhanced and elongated mass at the left L5-S1 level. A portion of the mass appeared with high signal intensity on T2-weighted MR images, with low signal intensity on T1-weighted images, and with high signal intensity on T1 fat suppression enhancement images. Resection of the tumor was approached via an L5 and S1 laminectomy. A fibrous sticky yellowish hypervascular tumor was identified. Histological study revealed the tumor as an angiolipoma. Symptoms were relieved after tumor excision, and there were no neurological sequelae. Although extremely rare, lumbar epidural angiolipoma should be considered in the differential diagnosis of lumbar spinal epidural lesions. The prognosis after surgical management of this lesion is favorable.

Evaluation of host and bacterial gene modulation during Lawsonia intracellularis infection in immunocompetent C57BL/6 mouse model

  • Kirthika, Perumalraja;Park, Sungwoo;Jawalagatti, Vijayakumar;Lee, John Hwa
    • Journal of Veterinary Science
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    • 제23권3호
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    • pp.41.1-41.15
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    • 2022
  • Background: Proliferative enteritis caused by Lawsonia intracellularis undermines the economic stability of the swine industry worldwide. The development of cost-effective animal models to study the pathophysiology of the disease will help develop strategies to counter this bacterium. Objectives: This study focused on establishing a model of gastrointestinal (GI) infection of L. intracellularis in C57BL/6 mice to evaluate the disease progression and lesions of proliferative enteropathy (PE) in murine GI tissue. Methods: We assessed the murine mucosal and cell-mediated immune responses generated in response to inoculation with L. intracellularis. Results: The mice developed characteristic lesions of the disease and shed L. intracellularis in the feces following oral inoculation with 5 × 107 bacteria. An increase in L. intracellularis 16s rRNA and groEL copies in the intestine of infected mice indicated intestinal dissemination of the bacteria. The C57BL/6 mice appeared capable of modulating humoral and cell-mediated immune responses to L. intracellularis infection. Notably, the expression of genes for the vitamin B12 receptor and for secreted and membrane-bound mucins were downregulated in L. intracellularis -infected mice. Furthermore, L. intracellularis colonization of the mouse intestine was confirmed by the immunohistochemistry and western blot analyses. Conclusions: This is the first study demonstrating the contributions of bacterial chaperonin and host nutrient genes to PE using an immunocompetent mouse model. This mouse infection model may serve as a platform from which to study L. intracellularis infection and develop potential vaccination and therapeutic strategies to treat PE.

단일 폐병변에서 T1-201 SPECT를 이용한 악성 종양의 감별진단 (Thallium-201 SPECT in Differential Diagnosis of Malignancy from Benign Pathology in Patients with a Solitary Pulmonary Lesion)

  • 안병철;이재태;천경아;김동환;손상균;김창호;박재용;정태훈;이규보;김천기
    • 대한핵의학회지
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    • 제32권2호
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    • pp.143-150
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    • 1998
  • 목적: T1-201 SPECT는 악성과 양성폐질환을 감별하는데 비교적 높은 예민도를 가지는 정확한 검사법으로 보고되고 있으나, 이 검사법의 특이도 및 예측도는 대상환자군의 양성질환의 종류와 빈도에 의해 많은 영향을 받는 것으로 알려져 있다. 한국에서는 결핵에 의한 양성 폐결절이 많아 T1-201 SPECT의 악양성 감별능이 외국에서 보고되는 결과와는 많은 차이가 있을 것으로 생각되고 있다. 본 연구는 폐결절 환자를 대상으로 하여 T1-201 SPECT의 악양성감별능을 알아보고자 하였다. 대상 및 방법: 경북대학교 병원 호흡기 내과, 종양내과에서 컴퓨터 단층촬영상 단일폐결절을 가진 환자 133명을 대상으로 하였다. 이들 중 89명은 악성폐종양으로 조직학적으로 진단되었고, 44명은 양성폐결절로 확인되었다. 영상촬영은T1-201 111 MBq를 투여한 후 15분과 3시간에 영상을 촬영하였고, 판독은 2명의 핵의학과 전문의가 육안적으로 이상집적이 보인 경우를 양성으로 판독하였다, 양성으로 판독된 병변의 단위 voxel당 계수를 반대측 정상폐의 계수와 비교하여 T1-201 섭취비를 구하고, 초기영상과 지연영상의 섭취비를 이용하여 T1-201 정체율를 구하였다. 결과, 1) T1-201을 투여후 15분에 실시한 초기 T1-201 SPECT의 악성 폐질환의 진단의 예민도는 92%이고 3시간에 실시한 지연 T1-201 SPECT의 악성 폐질환의 진단율은 93%로 높았으나, 각각의 특이도는 39%와 41%로 낮았다. 2) 악성과 양성질환의 T1-201의 섭취비는 초기 및 지연영상 모두에서 악성폐질환의 섭취비가 유의하게 높았다(p=0.028, p=0.014). 그러나 중복되는 부분이 많았다. 3) T1-201 정체율은 악성질환에서 높은 경향을 보였으나, 유의한 차이는 없었다. 결론: 한국과 같이 활동성 염증성병변의 발생빈도가 높은 집단에서는 단일 폐결절환자를 대상으로한 T1-201 SPECT의 악성병변의 진단에 대한 예민도는 높으나 특이도가 낮고, T1-201 섭취비도 겹치는 부분이 많아 임상적으로 제한적인 가치를 가진다.

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Use of hot water, combination of hot water and phosphite, and 1-MCP as post-harvest treatments for passion fruit (Passiflora edulis f. flavicarpa) reduces anthracnose and does not alter fruit quality

  • Dutra, Jaqueline Barbosa;Blum, Luiz Eduardo Bassay;Lopes, Leonardo Ferreira;Cruz, Andre Freire;Uesugi, Carlos Hidemi
    • Horticulture, Environment, and Biotechnology : HEB
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    • 제59권6호
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    • pp.847-856
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    • 2018
  • This research aimed to evaluate the effectiveness of hot water ($43-53^{\circ}C{\cdot}5min^{-1}$; $47^{\circ}C{\cdot}2-6min^{-1}$), 1-methylcyclopropene (1-MCP) at $50-300nL\;L^{-1}$ and a combination of hot water ($47/49^{\circ}C{\cdot}5min^{-1}$) and phosphite $40%\;P_2O_5+20%\;K_2O$;$40%\;P_2O_5+10%\;Zn$) in anthracnose control and the effect on fruit quality [fresh weight loss (FWL-%); pH, total soluble solids ($TSS-^{\circ}Brix$), and titratable acidity (TA = % citric acid (CA)] of passion fruit ( Passiflora edulis f. flavicarpa ) at the postharvest stage. When the fruits were in the stage of 0% dehydration and fully yellow peels, they were disinfested and inoculated with Colletotrichum gloeosporioides. They were then subjected to the above mentioned treatments; this was followed by incubation for 120 h. The diameter of the disease lesions was monitored daily. After the incubation, a physico-chemical analysis was performed. Hot-water treatment resulted in disease reduction at 47 and $49^{\circ}C$ for 4 and 5 min. The combination of hot-water treatment at $47^{\circ}C$ (4 or 5 min) and application of the phosphite of K or Zn significantly reduced disease severity in fruits. The 1-MCP treatment reduced anthracnose severity in passion fruit mainly at $200nL\;L^{-1}{\cdot} 24h^{-1} $. None of the treatments significantly changed the physico-chemical characteristics of the fruit [FWL (2.6-4.1%); pH (3.2-3.5), TSS ($8.9-10.9^{\circ}Brix$), and TA (1.8-2.5% CA)].

First Report of Ampelomyces quisqualis from Sycamore and Crape Myrtle and Its Potential as a Mycoparasite of Powdery Mildew

  • Nguyen, Thi Thuong Thuong;Lee, Hyang Burm
    • 한국균학회지
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    • 제44권1호
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    • pp.64-67
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    • 2016
  • During screening fungi as potential biological control agents for plant parasitic fungi, a fungal strain, EML-FAM3, was isolated from powdery mildew leaf lesions caused by Erysiphe platani on sycamore (Platanus occidentalis L.), and another strain, EML-FAMC1, from Erysiphe australiana on crape myrtle (Lagerstroemia indica L.). Based on the morphological characteristics and phylogenetic analysis of the internal transcribed spacers (ITS1 and ITS2) and 5.8S rDNA, the strains were identified as Ampelomyces quisqualis. To our knowledge, this is the first report of new mycohosts, E. platani and E. australiana, of the mycoparasite A. quisqualis on sycamore and crape myrtle plants. The hyperparasite may represent the potential for controlling E. platani and E. australiana epidemics.

Selective Neurotomy of Sacral Lateral Branches for Pain of Sacroiliac Joint Dysfunction

  • Kim, Hyo-Joon;Shin, Dong-Gyu;Kim, Hyoung-Ihl;Shin, Dong-A
    • Journal of Korean Neurosurgical Society
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    • 제38권5호
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    • pp.338-343
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    • 2005
  • Objective : The sacroiliac joint complex is often related with functionally incapacitating pain in old aged people. The purpose of this study is to delineate the investigation strategies and to determine the long-term effect of radiofrequency [RF] neurotomies for pain arising from sacroiliac Joint dysfunction[SIJD]. Methods : Sixteen patients were diagnosed as having chronic pain from SIJD by comparative controlled blocks on L5 dorsal rami, sacroiliac Joints and deep interosseous ligaments. After confirming the positive response [more than 50% of pain relief], sensory stimulation was applied to detect the 'pathological' branches. Subsequently, RF neurotomies were performed on the selected nerve branches. Surgical outcome was graded as successful, moderate improvement, and failure after a 6month follow-up period. Results : Stimulation intensity was 0.45V to elicit pain response in the L5 dorsal rami and lateral sacral branches. The number of RF-lesioned nerve branches was 6per patient. The average number of lesions for each branch was 1.3. Most commonly selected branches were L5 dorsal ramus [88%] and S2-upper division [88%]. Ten patients [63%] reported a successful outcome according to the outcome criteria after 6months of follow-up, and five patients [31%] reported complete relief [100%]. Five patients [31%] showed moderate improvements. One patient reported failure. Conclusion : RF neurotomy of lateral sacral branches is an excellent treatment modality for the pain due to SIJD, provided that comparative controlled block shows a positive response.

서로 다른 뇌 부위 손상으로 인한 공격성에 대한 약물학적 연구 (Pharmacological Studies on Aggressive Behavior Induced by Three Different Regional Brain Lesions)

  • 이순철;T. 야마모토;S.우에끼
    • 대한약리학회지
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    • 제23권2호
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    • pp.95-100
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    • 1987
  • 본 연구는 측좌각, 봉선핵 및 후구 등 서로 다른 뇌 부위의 손상으로 야기된 공격성에 대한 약물의 효과를 비교 검토하여 다음과 같은 결과를 얻었다. 1. 측좌각, 봉선핵 및 후구 손상으로 야기된 muricide는 atropine으로 억제되었으나 hyperirritability는 억제되지 않았다. 2. 측좌각, 봉선핵 손상으로 인한 muricide는 L-DOPA, L-5-HTP에 의하여 현저히 억제되었으나 후구 손상으로 인한 muricide는 거의 억제되지 않았다. 3. 측좌각, 봉선핵 및 후구 손상으로 인한 muricide는 항우울제에 의하여 현저히 억제되었다. 특히 측좌각 및 봉선핵 손상으로 인한 muricide 억제에는 nomifensine과 clomipramine이 효과적이었으며 후구 손상으로 인한 muricide 억제에는 imipramine이 가장 효과적이었다. 그러나 hyperirritability는 항우울제에 의하여 거의 억제되지 않았다. 이상의 결과에서 측좌각 손상으로 인한 공격성의 약물학적 특징은 후구보다는 봉선핵 손상으로 인한 공격성과 유사하였으며 muricide 억제에 대한 항우울제의 효과가 서로 다른 것을 이용하여 항우울제의 작용평가에 도움이 될 것으로 사료된다.

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HPV Prevalence and Cervical Intraepithelial Neoplasia among HIV-infected Women in Yunnan Province, China: A Pilot Study

  • Zhang, Hong-Yun;Tiggelaar, Sarah M.;Sahasrabuddhe, Vikrant V.;Smith, Jennifer S.;Jiang, Cheng-Qin;Mei, Run-Bo;Wang, Xian-Guo;Li, Zu-An;Qiao, You-Lin
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권1호
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    • pp.91-96
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    • 2012
  • Objectives: To determine the prevalence of HPV and cervical neoplasia among HIV-infected women in southwestern China. Methods: Cervical cytology, HPV detection by Hybrid Capture-$2^{TM}$ assay, and diagnostic colposcopy were followed by cervical biopsy if indicated. Logistic regression analysis was used to analyze associations between HPV co-infection and cervical intraepithelial neoplasia (CIN), and HIV-related clinical and laboratory parameters. Results: Colposcopic-histopathologically proven CIN2+ lesions were present in 7/83 (8.4%) HIV-infected women. Nearly half (41/83, 43%) were co-infected with carcinogenic HPV genotypes. HPV co-infection was higher in women with colposcopic-histopathologically proven CIN2+ lesions than women with $cells/{\mu}L$ had higher CIN2+ prevalence after adjusting for current ART status and age (adjusted OR: 6.3, 95% CI: 1.1, 36.5). Conclusions: HIV/AIDS care and treatment programs should integrate effective cervical cancer prevention services to mitigate the risk of invasive cervical cancer among HIV-infected women in China.

Clinical Outcomes of Percutaneous Endoscopic Surgery for Lumbar Discal Cyst

  • Ha, Sang-Woo;Ju, Chang-Il;Kim, Seok-Won;Lee, Seung-Myung;Kim, Yong-Hyun;Kim, Hyeun-Sung
    • Journal of Korean Neurosurgical Society
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    • 제51권4호
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    • pp.208-214
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    • 2012
  • Objective : Discal cyst is rare and causes indistinguishable symptoms from lumbar disc herniation. The clinical manifestations and pathological features of discal cyst have not yet been completely known. Discal cyst has been treated with surgery or with direct intervention such as computed tomography (CT) guided aspiration and steroid injection. The purpose of this study is to evaluate the safety and efficacy of the percutaneous endoscopic surgery for lumbar discal cyst over at least 6 months follow-up. Methods: All 8 cases of discal cyst with radiculopathy were treated by percutaneous endoscopic surgery by transforaminal approach. The involved levels include L5-S1 in 1 patient, L3-4 in 2, and L4-5 in 5. The preoperative magnetic resonance imaging and 3-dimensional CT with discogram images in all cases showed a connection between the cyst and the involved intervertebral disc. Over a 6-months period, self-reported measures were assessed using an outcome questionaire that incorporated total back-related medical resource utilization and improvement of leg pain [visual analogue scale (VAS) and Macnab's criteria]. Results : All 8 patients underwent endoscopic excision of the cyst with additional partial discectomy. Seven patients obtained immediate relief of symptoms after removal of the cyst by endoscopic approach. There were no recurrent lesions during follow-up period. The mean preoperative VAS for leg pain was $8.25{\pm}0.5$. At the last examination followed longer than 6 month, the mean VAS for leg pain was $2.25{\pm}2.21$. According to MacNab' criteria, 4 patients (50%) had excellent results, 3 patients (37.5%) had good results; thus, satisfactory results were achieved in 7 patients (87.5%). However, one case had unsatisfactory result with persistent leg pain and another paresthesia. Conclusion : The radicular symptoms were remarkably improved in most patients immediately after percutaneous endoscopic cystectomy by transforaminal approach.