• Title/Summary/Keyword: Oral infection

검색결과 1,076건 처리시간 0.03초

두경부 악성 종양 절제술후 요골 전완 유리피판을 이용한 재건술의 평가 (The Clinical Evaluation of The Reconstruction of Radial Forearm Free Flap in the Head and Neck Cancer Surgery)

  • 김현직;임영창;송미현;이원재;최은창
    • 대한두경부종양학회지
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    • 제19권2호
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    • pp.164-169
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    • 2003
  • Background and Objectives: The reconstruction is very important in Head and neck cancer surgery to repair the defect created by resection of tumors, to enable successful wound healing, to restore function and to provide acceptable cosmesis. The radial forearm free flap has been the most useful reconstructive flap because it provides a moderate amount of thin, pliable, relatively hairless skin and comparatively simple to do with minimal morbidity. The aims of this study is to estimate the outcome of the reconstruction with radial forearm free flap with the several factors in 140 head and neck cancer cases in our hospital for last 10 years. Materials and Methods: Retrospective review of the records of 140 patients underwent resection of the head and neck tumors and reconstruction with a radial forearm free flap from 1993 to 2003. The age, sex of the patients, Primary site, the complication of donor and recipient site, flap survival rate, median time to start diet, patient subjective symtoms about swallowing and articulating and the fact of revision reconstructive surgery were analyzed. Results: In primary pathologic site, 56 cases were oral cavity cancers, 44 cases, oropharyngeal cancers and 22 cases, hypopharyngeal cancers. Flap survival rate was 93.6% (13 leases). On donor site, wound dehiscence, hematoma, sensory change and infection were noted and on recipient site, most common complication were fistula and wound dehiscence. The complication rate of recipient's site was 19.1 % and donor site, 3.5%. In 118 cases (84.3%), the patients could take all kinds of food. Swallowing difficulty were noted in 22 cases 05.7%). In 5 cases, there was articulation difficulty but most of patients except patients having total laryngectomy (18 cases) couldn't have any difficulty in articulation and speaking. Conclusion: We conclude that the radial forearm free flap is the most appropriate reconstructive material for treating the defect in head and neck reconstruction.

Bombina orientalis 피부손상 후 과립선 재생에 관한 미세구조적 연구 (Fine Structural Approach of Granular Gland Regeneration after Skin Injury in Bombina orientalis)

  • 정문진;임도선;문명진
    • Applied Microscopy
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    • 제32권3호
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    • pp.275-284
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    • 2002
  • 두꺼비 등 피부손상 후 과립선의 재생과정을 주사전자현미경과 투과전자현미경으로 관찰하였다. 절개에 의하여 피부손상을 가한 후 실험을 위하여 특수히 제작된 cage 내에서 최대 20일간 사육하였다. 투과전자현미경 관찰에서 손상 4일 후 미성숙 형태의 신생 과립선이 관찰되었으며, 상피세포는 신생 과립선의 첨단부로 이동하여 있었다. 상피세포의 표면은 편평하였으며 desmosome 에 의해 서로 연결되어 있지 않았다. 미토콘드리아를 많이 함유한 세포돌기 (MRC)들이 선의 내강을 형성하고 있었고, 이들 돌기에서는 hemidesmosome이 관찰되었다. 신생선의 기저강은 MRC, 과립형성전세포 및 과립형성 세포 등으로 이루어져 있었다. 특히, 손상 후 10일에 xanthophore가 상피세포의 기저부로 이동하여 있음이 관찰되었다. 이들 세포는 다수의 크기가 큰 pterinosome 과 중등도의 전자밀도를 가진 carotenoid vesicle을 포함하고 있었다. 손상 후 13일에, xanthophore는 많은 carotinoid vesicle과 lammelated pterinosomes을 포함하고 있었다. Iridophore는 손상 16일에 분화중인 xanthophore 주변에서 관찰되었다. 이러한 소견은 손상으로부터의 회복 과정에 선조세포(glandular precursor cell)로부터 과립선이 재생되며, 선세포의 팽대는 이들 신생 세포의 성숙 및 증식에 의한 것을 의미한다.

Dietary inclusion effect of yacon, ginger, and blueberry on growth, body composition, and disease resistance of juvenile black rockfish (Sebastes schlegeli) against Vibrio anguillarum

  • Lee, Ki Wook;Jeong, Hae Seung;Cho, Sung Hwoan
    • Fisheries and Aquatic Sciences
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    • 제23권4호
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    • pp.7.1-7.8
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    • 2020
  • Background: To minimize the use of antibiotics and to obtain a more sustainable fish culture and aquaculture industry, development of alternative natural source of immunostimulant to replace antibiotic in aquafeed is highly needed. Objective: Dietary inclusion effect of yacon (YC), ginger (GG), and blueberry (BB) on growth, body composition, and disease resistance of black rockfish against Vibrio anguillarum was compared to ethoxyquin (EQ). Methods: Four hundred eighty juvenile (an initial weight of 4.2 g) fish were randomly distributed into 12 of 50 L flowthrough tanks (forty fish per tank). Four experimental diets were prepared; the control (Con) diet with 0.01% EQ inclusion, and YC, GG, and BB diets at 1% each additive inclusion. Each additive was included into the experimental diets at the expense of wheat flour. Each diet was assigned to triplicate tanks of fish and hand-fed to satiation twice daily for 8 weeks. At the end of 8-week feeding trial, 20 fish from each tank fish were artificially infected by intraperitoneal injection with 0.1 mL of culture suspension of pathogenic V. anguillarum containing 3.3 × 106 cfu/mL respectively. Fish were monitored for the following 8 days after V. anguillarum infection and dead fish were removed every 6 h for the first 4 days and 12 h for the rest of the study. Results: Weight gain, specific growth rate (SGR), and feed efficiency ratio (FER) of fish fed the YC diet was higher than those of fish fed all other diets. However, feed consumption, protein efficiency ratio, and protein retention was not affected by dietary additive. Moisture, crude protein, and crude lipid content of the whole body of fish were affected by dietary additive. Analysis of the Kaplan-Meier survival curves showed that survival of fish fed the YC, BB, and GG diets was higher than the Con diet. Conclusion: Oral administration of YC can improve not only weight gain, SGR, and FER of black rockfish, but lower mortality of rockfish at occurrence of V. anguillarum.

성견치주질환 이환 발치와내 이식 치근과 발치와 치조골 재생에 대한 연구;I. 치근활택술의 영향 (REGENERATION OF THE ALVEOLAR BONE AND TRANSPLANTED ROOTS INTO THE PERIODONTALLY INVOLVED EXTRACTION SOCKETS IN DOGS;I : EFFECT OF ROOT PLANING PROCEDURE)

  • 김종관;채중규;조규성;김진;한수부;최상묵
    • Journal of Periodontal and Implant Science
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    • 제24권1호
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    • pp.64-86
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    • 1994
  • The authors have transplanted periodontally involved roots which had been root planed into healthy and periodontally involved extraction sockets, and studied the root resorption patterns as well as its effect on new bone formation and wound healing. Alveolar bone around mandibular premolars of 6 adult dogs has been surgically removed, followed by ligation of orthodontic elastic wires for 8 weeks inducing chronic periodontal disease. After removing the crown portions, roots were extracted, and notches were made on the root surfaces discriminating healthy and periodontally involved areas using burs. Controls and experimental groups were divided as follows. Control I : Transplantation of periodontally involved root into healthy extraction sockets. Control II : Transplantation of periodontally involved root into diseased extraction sockets. Experimental group I : Transplantation of root planed roots into healthy extraction sockets. Experimental group II : Transplantation of root planed roots into diseased extraction sockets. Extraction sockets were sutured after transplantations, completely submerging the roots. Healing progress was histologically observed at 2nd, 8th, 12th, and 20th weeks, and the results were as follows ; 1. No inflammation or infection within the extraction sockets had been observed in all groups throughout the experimental period. 2. Reversal lines were observed at week 2 in all groups, clearly discriminating socket walls and new bone, and numerous blood vessels were observed in the new bone trabeculae. 3. Experimental groups showed markedly less root resorption compared to the controls at week 2, but as time progressed, severe resorptions were present in all groups. 4. Localized areas of new bone ankylosis were observed, and the rest of the areas showed collagen fiber insertion with new bone formation at its periphery. 5. No clear differences were found in healing and alveolar bone regeneration between healthy and diseased extraction sockets. 6. The amount of root resorption and ankylosis had increased up to week 8 and 12, showing ankylosis of new bone and the roots. However, no further increase in ankylosis was observed at week 20. 7. Most of the cementum on healthy roots was directly ankylosed to new bone at week, 2, and were gradually resorbed and replaced by new bone thereafter. These results appear to indicate that root planing may inhibit early root resorption of transplanted roots, but gradual replacement by alveolar bone and collagen fibers eventually occur. Condition of the roots or presence of disease in extraction sockets do not appear to make marked differences in alveolar bone regeneration process.

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Morphological and Molecular Characterization of Apharyngostrigea pipientis Faust, 1918 (Trematoda: Diplostomidea) from Ardeacinerea jouyi, Egretta intermedia and Nycticorax nycticorax in Korea

  • Kim, Hyeon-Cheol;Hong, Eui-Ju;Ryu, Si-Yun;Choi, Kyoung-Seong;Yu, Do-Hyeon;Cho, Jeong-Gon;Park, Jinho;Chae, Joon-Seok;Park, Bae-Keun
    • 한국임상수의학회지
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    • 제37권5호
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    • pp.242-248
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    • 2020
  • An intestinal strigeiid trematode, Apharyngostrigea pipientis, was detected from Ardea cinerea jouyi, Egretta intermedia and Nycticorax nycticorax between July, 2006 and June, 2020 in Daejeon metropolitan city and Kangwon-do, Republic of Korea. It was observed with a light and scanning electron microscope (SEM), and molecularly analyzed with 18S rRNA genes. The infection rate of the strigeiid trematode was 25.9% (7/27). The body is cylindrical in whole mount, greatly elongated in outline and shows a strong dorsal curvature. The overall measurements are: length 4.1-4.8 mm; fore-body 1.00-1.20 mm by 0.8-0.9 mm; hind-body 3.2-3.6 mm by 0.43-0.46 mm. The body is covered by a relatively thick cuticle, devoid of spines. The oral sucker leads into a short esophagus that is devoid of a muscular pharynx. The holdfast organ is enormously developed. The vitelline follicles distributed dorsal wall of fore-body and hind-body. This strigeiid trematode especially differs from other species of genus Apharyngostrigea in morphology. Although these A. pipientis are several morphological distinctions from Apharyngostrigea cornu, the partial sequence of 18S rRNA showed the sequence homology of A. pipientis (99.9%) and A. cornu (99.8%), and this result revealed their conspecific relationship between A. cornu and A. pipientis. This is the first report of A. pipientis in the Republic of Korea.

요폐환자(尿閉患者) 1례(例)에 대한 임상적(臨床的) 고찰(考察) (Clinical Study on 1 Case of patient with Urinary Retention)

  • 김재형;조충식;김철중
    • 혜화의학회지
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    • 제14권1호
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    • pp.43-49
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    • 2005
  • One case of patient with urinary retention was reported in this clinical study. After the study, the results were as follows: 1. Anulesis belongs to l$\acute{o}$ng-bi(癃閉) in oriental medicine and the patient of this case belongs to chronic anulesis. 2. The patient of this case was thought as broke out anuresis by vesical nerve palsy of diabetic bladder pathy and sequela of stroke, and ischuria of long lie down 3. The patient of this case changeable process is supposed to urinary frequency, 'bi(閉)', 'l$\acute{o}$ong(癃)', urinary incontinence and urinary frequency. 4. First time of drug treatment is GAMIPHALJENG-SAN(ji$\bar{a}$-w$\grave{e}$i-b$\bar{a}$-h$\bar{e}$ng-s$\check{a}$n) by oral administration that action of alleviate a fever, water utilization and metaphase, convalescence time of drug treatment is PHALMIWANGAMI (b$\bar{a}$-w$\grave{e}$i-w$\acute{a}$n-ji$\bar{a}$-w$\grave{e}$i), YIKLUENG-TANG(yi-ling-t$\bar{a}$ng), CHUKYOO-TANG(s$\grave{u}$-ni$\grave{a}$o-t$\bar{a}$ng) that action of recreation. 5. Accupuncture treatment is s$\bar{a}$n-x$\bar{i}$ng-xuw$\acute{e}$, zw$\acute{u}$-s$\bar{a}$n-li, qi-h$\check{a}$i, gu$\bar{a}$n-yu$\acute{a}$n, zh$\bar{o}$ng-ji by mild supplementing and reducing manipulation of needle and heat accupuncture is qi-h$\check{a}$i, gu$\bar{a}$n-yu$\acute{a}$n, zh$\bar{o}$ng-ji-xu$\acute{e}$. 6. The other treatment is a sitz bath that prevent of urinary tract infection, and relieve of initial acute auresis by using of urethral catheterization.

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상악동으로 이소맹출한 견치 (ECTOPIC CANINES INTO THE MAXILLARY SINUS)

  • 김현옥;최병재;이종갑
    • 대한소아치과학회지
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    • 제27권4호
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    • pp.535-539
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    • 2000
  • 구강 내에서 치아가 이소맹출되는 것은 흔히 있는 반면에 구강외 다른 부위로의 이소맹출은 드물다. 예를 들어 비강, 턱, 하악과두, 관상돌기, 안와 또는 상악동으로 이소맹출할 수 있으며 그 원인은 불명확한데 구개열과 같은 발육장애, 외상이나 낭종에 의한 치아변위, 상악감염, 유전, 총생 또는 치밀골 등의 원인 요소가 논의되고 있지만 대부분의 증례에서 정확한 원인이 규명되지는 않았다. 치아가 상악동으로 이소맹출한 경우 무증상일 수 있지만 심각한 병적문제를 야기할 수 있다. 본 증례는 6세 1개월 남환아로 어금니가 아프다는 주소로 연세대학교 치과대학병원 소아치과에 내원하였다. 의과병력과 치과병력조사에서 특이한 사항은 없었고 통상적인 보존치료후 주기적인 임상 및 방사선 사진 검사에서 상악 좌, 우 견치의 맹출경로의 이상소견을 보였다. 13세 7개월에 촬영한 파노라마 방사선 사진에서 상악 좌, 우측 견치가 상악동으로 이소맹출되었으며 Caldwell Luc 수술법으로 제거하였다. 환자는 동통이나 불편감 등을 호소하지 않았으며 종창이나 지각과민 등의 구강내 이상소견은 없었다. 이소맹출되는 치아는 영구치, 유치 및 과잉치일 수 있으며 대부분의 과잉치는 무증상으로 주로 주기적인 방사선 검사시 발견될 수 있다. 정확한 진단 및 치료계획을 세우기 위하여 주기적 인 구강 및 방사선 사진 검사가 필요하다.

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복합 생약재 열수추출물 투여에 따른 넙치 세균성 질병에 대한 질병저항성 (Disease Resistance against Bacterial Infection on Treatment of Hot-water Extract with 6 Herbal Mixtures in Olive Flounder Paralichthys olivaceus)

  • 서정수;전은지;권문경;황지연;정승희;김나영;지보영;박명애
    • 수산해양교육연구
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    • 제28권6호
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    • pp.1715-1723
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    • 2016
  • 복합 생약재 열수추출물(6종 혼합)을 농도별 기간별로 사료에 흡습시켜 12주 동안 넙치에 급여 후 비특이적 면역 및 질병저항성에 대한 효과를 조사하였다. 복합 생약재 열수추출물의 첨가는 어류 성장에는 아무런 영향을 미치지 않았으며 혈액생화학적인, 결과도 넙치의 생리에는 아무런 영향을 미치지 않았다. 라이소자임 활성은 0.01%의 복합 생약재 열수추출물 농도로 흡습시킨 사료 그룹에서 라이소자임 활성이 증가됨을 알 수 있었다. 복합 생약재 열수추출물의 투여에 따른 넙치 장기의 병리조직에 영향이 없음을 알 수 있었다. 에드와드균의 인위감염에 의한 질병저항성은 0.01% 복합 생약재 열수추출물 농도에서 상대생존율이 높게 나타났다. 이상의 결과를 종합하여 볼 때 넙치에 복합 생약재 열수추출물을 투여시에는 어류의 비특이적 면역력 증강 및 질병 저항성 증강을 나타내는 것으로 사료되었다.

신생자돈의 콕시듐증에 대한 Baycox(Bay Vi 9142) 현탁액의 효능 (Efficacy of Baycox(Bay Vi 9142) Suspension against Coccidium Isospora suis in piglets)

  • 김병기
    • 한국임상수의학회지
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    • 제12권1호
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    • pp.917-924
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    • 1995
  • I suis cocciosis in piglets seems to occur in the majority of Korean sow herds. Cocci야osis is characterized by a pasty diarrhea in piglets appearing at 5 to 11 days old. Morbidity is variable, Mortality is usually low but piglets growth is always retarded. And, the principal source of infection is the environment because of the high resistance of oocysts. Control of coccidiosis is usually frustrated since the majority of treatment have not constant results. Mundt et al(1990) developed a new strategy by administrating toltrazuril as an oral suspension. This new anticoccidial drug reduced clinical signs and mortality. Therefore, we will try to medicate piglets with Baycox(Bay Vi 9142) suspension in a sow herd, having a problem of I suis coccidiosis. The incidences of coccidiosis in suckling piglets in C and D bleeding stock farm were from 28.6 to 42.3 and 21.1~57.9 % during 3 to 21 day-old. The body weights of suckling piglets in treated groups were higher than those of control groups at 11 and 18 day-old. Also, those of C breeding stock firm were higher than those of D farm. The body weight gains of suckling piglet of treated groups were higher than those of control groups. Also, those of C breeding stock firm were higher than those of D farm. There was no dead piglet in all experimental groups. Some atrophic piglets were done away with. In C breeding stock farm, the incidences of diarrhea in treatment groups were significantly lower an those of control groups. Also, the degrees of diarrhea in treated groups were significantly lower than those in control groups. In D breeding stock farm, the incidences of diarrhea in treated groups were a little lower than those in control groups. Also the degrees of diarrhea in treated groups were a little lower than those in control groups. In the treated groups, the incidences and degrees of diarrhea were reduced at the 4th day and increased at the 13th day after treatment. The number of litters excreted oocysts in treated groups wert lower than those in control groups after treatment. Also, the OPG in treated groups were lower than those in control groups. According to above results, the effect of Baycox suspension against swine coccidiosis was very good. If we will treat with Barcox suspension swine coccidiosis in swine stock farms, we can get good effects of the improvement of body weight gains and diarrhea and e reduce of excreted costs in faeces.

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Effect of Mass Drug Administration with a Single Dose of Albendazole on Ascaris lumbricoides and Trichuris trichiura Infection among Schoolchildren in Yangon Region, Myanmar

  • Chai, Jong-Yil;Sohn, Woon-Mok;Hong, Sung-Jong;Jung, Bong-Kwang;Hong, Sooji;Cho, Seon;Park, Jong-Bok;Kim, In-Sung;Kim, Sunkyoung;Lee, Keon-Hoon;Jeoung, Hoo-Gn;Htoon, Thi Thi;Tin, Htay Htay
    • Parasites, Hosts and Diseases
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    • 제58권2호
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    • pp.195-200
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    • 2020
  • Soil-transmitted helminths, including Ascaris lumbricoides and Trichuris trichiura, are important intestinal parasites mostly affecting younger people in developing countries. In 2014-2015, we performed mass fecal examinations targeting a total of 2,227 schoolchildren in 3 districts (South Dagon, North Dagon, and Hlaing-thar-yar) of Yangon Region, Myanmar, using the Kato-Katz thick smear technique. The egg positive children were subjected to a mass drug administration (MDA) using a single oral dose of 400 mg albendazole. The pre-treatment egg positive rate (EPG/person) of A. lumbricoides averaged 17.2% (15,532); it was 25.2% (21,796), 14.2% (11,816), and 12.8% (12,983) in 3 districts, respectively, and that of T. trichiura averaged 19.4% (1,074), and was 24.1% (1,040), 12.3% (852), and 21.2% (1,330) in 3 districts, respectively. Follow-up fecal examinations performed 4 months post-MDA revealed considerable decreases of A. lumbricoides prevalence (EPG/person) to av. 8.3% (12,429), and 13.7% (17,640), 8.0% (7,797), and 4.5% (11,849) in 3 districts, respectively. However, T. trichiura did not show any recognizable decrease in the prevalence (EPG/person) remaining at av. 18.2% (862), and 18.5% (888), 11.5% (812), and 23.3% (887) in 3 districts, respectively. The results demonstrated difficulty in short-term control of T. trichiura by MDA using albendazole and suggested necessity of either a long-term MDA (>10 years) or changing the albendazole regimen into 2~3-day course (total 800 or 1,200 mg), or using an alternative drug/drug combination.