• 제목/요약/키워드: Occlusion Effect

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Clinical Analysis Comparing Efficacy between a Distal Filter Protection Device and Proximal Balloon Occlusion Device during Carotid Artery Stenting

  • Lee, Jong Hyeok;Sohn, Hee Eon;Chung, Seung Young;Park, Moon Sun;Kim, Seong Min;Lee, Do Sung
    • Journal of Korean Neurosurgical Society
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    • 제58권4호
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    • pp.316-320
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    • 2015
  • Objective : The main concern during transfemoral carotid artery stenting (CAS) is preventing cerebral embolus dislodgement. We compared clinical outcomes and intraprocedural embolization rates of CAS using a distal filter protection device or proximal balloon occlusion device. Methods : From January 2011 to March 2015, a series of 58 patients with symptomatic or asymptomatic internal carotid artery stenosis ${\geq}70%$ were treated with CAS with embolic protection device in single center. All patients underwent post-CAS diffusion-weighted magnetic resonance imaging (DW-MRI) to detect new ischemic lesions. We compared clinical outcomes and postprocedural embolization rates. Results : CAS was performed in all 61 patients. Distal filter protection success rate was 96.6% (28/29), whose mean age was 70.9 years, and mean stenosis was 81%. Their preprocedural infarction rate was 39% (11/28). Subsequent DW-MRI revealed 96 new ischemic lesions in 71% (20/28) patients. In contrast, the proximal balloon occlusion device success rate was 93.8% (30/32), whose mean age was 68.8 years and mean stenosis was 86%. Preprocedure infarction rate was 47% (14/30). DW-MRI revealed 45 new ischemic lesions in 57% (17/30) patients. Compared with distal filter protection device, proximal balloon occlusion device resulted in fewer ischemic lesions per patient (p=0.028). In each group, type of stent during CAS had no significant effect on number of periprocedural embolisms. Only 2 neurologic events occurred in the successfully treated patients (one from each group). Conclusion : Transfemoral CAS with proximal balloon occlusion device achieves good results. Compared with distal filter protection, proximal balloon occlusion might be more effective in reducing cerebral embolism during CAS.

흰쥐에 있어서 피부노출 차단이 피부조직의 Xanthine Oxidase 활성에 미치는 영향 (Effect of Occlusion on the Activities of Dermal Xanthine Oxidase in Rats)

  • 한선일;전태원;윤종국
    • 대한의생명과학회지
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    • 제6권1호
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    • pp.37-43
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    • 2000
  • 흰쥐에 있어서 피부의 공기차단이 피부조직의 xanthine oxidase (XO) 활성에 미치는 영향을 검토하고자 직경 46 mm, 높이 10 mm인 petri dish-shaped glass chamber에 순간접착제 ($\alpha$-cyanoacrylate)를 이용하여 실험동물의 등 부위 피부조직에 부착시켜 10일간 공기의 접촉을 차단하였다. 공기 접촉 차단 5일째에 피부의 땀 축적량은 약 400 mg 정도이었으나, 10일째에는 약 25 mg으로 감소하였다. 5일간 피부차단 시 피부조직 중 XO 활성은 대조군에 비해 증가하였으며, 그 증가율은 chamber 내의 땀 축적량과 관련하여 10일간 피부차단군 보다 높게 나타났다. 5일간 피부차단 시 XO의 기질 농도 변화에 따른 반응 속도를 관찰한 결과, 대조군에 비해 V$_{max}$ 치가 높게 나타났다. 이상 실험 결과를 보아, 피부의 공기접촉 차단으로 피부조직 중 XO효소 활성이 증가된 것은 이 효소 단백 합성 유도에 기인되며, 이는 피부조직에서 oxygen free radical의 생성을 유도하여 외부 환경에 대한 방어장벽작용에 관여할 것으로 생각된다.

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Norepinephrine, Angiotensin II 및 경동맥 폐쇄에 의한 혈압 상승작용에 대한 $K^+$ Channel 개방제인 SKP 450의 영향 (Influence of SKP 450, a $K^+$ Channel Opener, on the Pressor Actions Induced by Norepinephrine, Angiotensin II and Carotid Artery Occlusion in Rats)

  • 고석태
    • Biomolecules & Therapeutics
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    • 제9권2호
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    • pp.96-103
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    • 2001
  • These studies were investigated about influence of SKP 450, a $K^{+}$ channel opener, on the pressor actions induced by norepinephrine, angiotensin II and carotid artery occlusion in rats. Before these studies, effect of SKP 450 itself on blood pressure was examinated. SKP 450 produced the depressor action in proportionaly to dose of 0.3, 1.0 and 3.0 $\mu$g/kg given intravenously and this depressor action was weakened by pretreatment of glibenclamide, a $K^{+}$ channel blocker. The pressor action induced by norepinephrine, an alpha-adrenergic agonist, was blocked 1 hr after administation of SKP 450 in a dose of 3.0 $\mu\textrm{g}$/kg, i.v. and directly after in a dose of 6.0 $\mu\textrm{g}$/kg, i.v.. The pressor action induced by angiotensin II was blocked immediatly after treatment of SKP 450 in a dose of 3.0 $\mu\textrm{g}$/kg, i.v.. The pressor action caused by carotid artery occlusion was not affected by SKP 450 of 3.0 $\mu\textrm{g}$/kg, i.v., whereas markedly blocked by SKP 450 of 6.0 $\mu\textrm{g}$/㎦, i.v.. The potentiated-pressor actions of norepinephrine and angiotensin II by pretreatment of chlorisondamine, a autonomic ganglionic blocking agent, were also blocked by administration of SKP 450 in a dose of 6.0 $\mu\textrm{g}$/kg, i.v.. The weakened-pressor action of carotid artery occlusion by pretreatment of chlorisondamine was more weakened by SKP 450 6.0 $\mu\textrm{g}$/kg, i.v.. The results suggest that hyperpolarization formed through $K^{+}$ channel opening in cell membrane inhibits the pressor action induced norepinephrine ; angiotensin II ; and carotid artery occlusion.usion.

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흰쥐의 중대뇌동맥 결찰로 유발된 뇌허혈에서 양격산화탕(凉膈散火湯)이 신경세포에 미치는 효과 (The Effects of Yanggyuksanhwa-tang Extracts on Cerebral Ischemia Following the MCA Occlusion in Rats.)

  • 신길조;오경환;정승현;이원철
    • 대한중풍순환신경학회지
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    • 제7권1호
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    • pp.1-10
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    • 2006
  • Objectives : Yanggyuksanhwa-tang is a prescription used for cerebral infarction clinically. Methods : According to previous research data, the effect of Yanggyuksanhwa-tang on cerebral infarction, we induced cerebral infarction by middle cerebral artery occlusion(MCAO) in rats, and the rats were administered Yanggyuksanhwa-tang. Results: Infarct area, infarct volume were measured, and the level of elements such as c-Fos, Bax and caspase-3 in penumbra of infarct were expressed by immunohistochemical staining. Conclusion : Yanggyuksanhwa-tang showed neuroprotective effect through preventing neuronal cell apoptosis.

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The effect of coenzyme Q10 on endothelial function in a young population

  • Petrofsky, Jerrold;Laymon, M.;Lee, H.;Hernandez, E.;Dequine, D.;Thorsen, L.;Lovell, R.;Andrade, J.
    • Physical Therapy Rehabilitation Science
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    • 제1권1호
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    • pp.6-12
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    • 2012
  • Objective: Coenzyme (CoQ10) is an enzymatic co factor used in normal cellular metabolism. Recent evidence shows that in people with heart disease it can reverse endothelial cell damage in the blood vessels. It is also a potent antioxidant. Design: One group pretest-posttest design. Methods: In the present study, endothelial function was evaluated using the response to occlusion and heat before and 2 weeks after administration of CoQ10, 300 mg/day. Thirty Eight subjects, who are physical therapy students, participated in a series of experiments to see if taking 300 mg of CoQ10 daily for 2 weeks would impact resting blood flow in the forearm skin and the blood flow response to 4 minutes of vascular occlusion and the response to local heat ($42^{\circ}C$) for 6 minutes. Results: The results showed that, for this population, there was no difference in the response to heat. However, the response to occlusion was improved after administration of CoQ10. Conclusions: It would appear that in a young population CoQ10 has no effect on the nitric oxide vasodilator pathway in skin but does influence other vasodilator pathways.

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Effect of malocclusion or orthodontic treatment on oral health-related quality of life in adults

  • Kang, Jang-Mi;Kang, Kyung-Hwa
    • 대한치과교정학회지
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    • 제44권6호
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    • pp.304-311
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    • 2014
  • Objective: The purpose of this study was to evaluate the effect of malocclusion or orthodontic treatment on oral health-related quality of life (OHRQoL) in adults. Methods: The sample consisted of 860 adults (378 men and 482 women, aged 18-39 years) who were clinically evaluated for malocclusion or orthodontic treatment experience. Participants were divided into 4 groups as follows: normal occlusion, malocclusion, fixed treatment, and retention. OHRQoL was assessed with the short form of the Oral Health Impact Profile (OHIP-14) and Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ). Results: The malocclusion group and the fixed treatment group had significantly higher OHIP-14 scores than the normal occlusion group and the retention group (p < 0.001). The malocclusion group had the highest PIDAQ score, while the normal occlusion group and the retention group had the lowest PIDAQ score (p < 0.001). Women had higher OHIP-14 and PIDAQ scores than men. A significant positive correlation was found between OHIP-14 and PIDAQ scores (p < 0.01). Conclusions: Malocclusion has a negative impact on OHRQoL, but this could be improved in adults through orthodontic treatment. These OHRQoL questionnaires can provide additional useful information on specific aspects of orthodontic patients' psychological state.

생쥐의 하악 치아 절단으로 인한 부정교합이 뇌경색에 미치는 영향 (Effect of Tooth-Cut Induced Dental Malocclusion on Mouse Model of Ischemic Stroke)

  • 이영준;이병호;조수인
    • 턱관절균형의학회지
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    • 제9권1호
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    • pp.4-11
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    • 2019
  • Objectives: Although intraoral balancing appliance therapy has been used effective to several diseases, verification studies through cerebral diseases are poorly reported so far. Thus we investigated the effect of tooth-cut induced dental malocclusion against mouse model of ischemic stroke. Methods: Tooth-cut and 90 min middle cerebral artery occlusion (MCAO) were loaded to C57BL/6 male mice, and total infarct area, neurological deficit scores (NDS), histological change of hippocampal region were observed. Production levels of reactive oxygen species (ROS) and inducible nitric oxide synthase (iNOS) in cerebral tissue were also measured. Results: The longer the tooth-cut period, the greater the area of cerebral infarction caused by MCAO, and NDS began to increase as the tooth was cut, and the results were more negative when MCAO was loaded. Histological change of hippocampal cells was significant when tooth-cut was maintained for 7 days. Those damages were thought to depend on the generation of ROS and iNOS in brain tissue. Conclusions: Since tooth-cut increased total area of cerebral infarction due to MCAO in mice, it is able to be confirmed that anomaly of the temporomandibular occlusion can affect neurological diseases.

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임상가를 위한 특집 1 - 임플란트 고정성 보철물의 교합적 고려사항 (Considerations of Occlusion for Implant-Supported Fixed Prostheses)

  • 이규복
    • 대한치과의사협회지
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    • 제51권5호
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    • pp.242-249
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    • 2013
  • The proper occlusal design is one of the most important factors for the long-term success. The purpose of this research is to investigate and define occlusal considerations to reduce failure of implant-supported fixed prostheses. The physiological movement of implants is markedly lower than that of natural teeth and they also lack in occlusal sensitivity. Proper occulsal pattern may be assigned to compensate for the biological disadvantages and occlusal contacts must be formed where the cantilever effect is minimized. Moreover, the long-term success can be assured by reducing early occulsal loading to avoid implant overloading and selecting appropriate occlusion material.

운동 중첩에 의한 직선적 윤곽의 방위 지각 (Perceiving the Orientation of Linear Edges from Kinetic Occlusion)

  • 정우현;정찬섭
    • 인지과학
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    • 제17권3호
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    • pp.151-175
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    • 2006
  • 운동 중첩에 의해 배경의 유도 요소들이 차례로 사라질 때 유도 요소들이 사라지는 순서와 이들이 이루는 각도는 직선적 윤곽의 방위가 존재할 수 있는 범위를 한정시켜 준다. 이러한 제약 범위의 시간적 통합에 의해 운동중첩에 의한 윤곽 추출 과정을 설명하는 공통 제약 범위 모형을 제안하고 그것의 타당성을 검증하기 위해 다섯 편의 실험을 수행하였다. 실험 결과 윤곽 방위에 대한 공통 제약 범위 각의 크기가 작을수록 윤곽 방위 지각의 정확율이 높은 것으로 나타났다. 운동 중첩 요소의 수를 증가시키거나 요소들 사이의 거리를 변화시키더라도 제약 범위가 일정하다면 윤곽지각의 정확율은 높아지지 않는 것으로 나타났다. 이러한 실험 결과는 윤곽 방위에 대한 공통 제약 범위 모형을 지지해주는 것으로 해석될 수 있으며 운동 중첩에 의해 윤곽을 지각하는 과정에 배경 텍스쳐의 밀도 자체보다 운동 중첩에 의해 결정되는 공통 제약 범위 각의 크기가 더 중요한 역할을 할 수 있다는 것을 시사한다.

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