• 한국임상수의학회지
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• 제34권1호
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• pp.39-42
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• 2017

An 8-month-old, intact male Maltese dog was referred to us because of anorexia, diarrhea, and jaundice. Hematologic examination revealed immune-mediated hemolytic anemia, and abdominal ultrasonography revealed heterogeneous changes in mesenteric fat and coarse echotexture in the splenic parenchyma. Septic peritonitis was diagnosed on the basis of a bacterial culture test of the peritoneal fluid. Exploratory laparotomy and subsequent omental biopsy and splenectomy were performed. On histopathological examination, the omental mass and splenic lesions were diagnosed as grain foreign body granulomas. This report describes a rare case in which a grain foreign body was embedded in the spleen of a dog.

• Journal of Korean Neurosurgical Society
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• 제62권1호
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• pp.123-129
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• 2019

Objective : Ventriculoperitoneal (VP) shunt surgery is a common and effective treatment for hydrocephalus and cerebrospinal fluid disorders. Infection remains a major cause of morbidity and mortality after a VP shunt. There is evidence that a deep skin flora microbiome may have a role to play in post-operative infections. In this technical note, we present a skin preparation technique that addresses the issue of the skin flora beyond the initial incision. Methods : The patient is initially prepped, as standard, with. a single layer of 2% CHG+70% isopropyl alcohol. The novel stage is the 'double incision' whereby an initial superficial incision receives a further application of povidone-iodine prior to completing the full depth incision. Results : Of the 84 shunts inserted using the double-incision method (September 2015 to September 2016), only one developed a shunt infection. Conclusion : The double incision approach to skin preparation is a unique operative stage in VP shunt surgery that may have a role to play in reducing acute shunt infection.

• 한국임상수의학회지
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• 제38권2호
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• pp.85-88
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• 2021

A 9-year-old, intact female Shih-tzu dog presented with a three-week history of anorexia, lethargy, and weight loss. Abdominal radiography revealed a mass in the right cranial quadrant of the abdomen that was displacing the right kidney caudally. Ultrasonography showed a large, irregular, heterogeneous hepatic mass and a small amount of peritoneal fluid. On computed tomography (CT), a large hypoattenuating mass with heterogeneous contrast enhancement occupied the right lateral lobe, and parts of the right medial and caudate lobes of the liver. There was no evidence of regional lymph node or pulmonary metastasis. Lobectomy of the right medial, right lateral and caudate liver lobes was performed, however, the patient did not recover from surgery. Hepatoblastoma was confirmed by histological examination. Hepatoblastoma is rare in dogs, and this is the first report describing CT imaging of hepatoblastoma in a dog.

• Journal of Gastric Cancer
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• 제24권1호
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• pp.4-28
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• 2024

Liquid biopsy, a minimally invasive procedure that causes minimal pain and complication risks to patients, has been extensively studied for cancer diagnosis and treatment. Moreover, it facilitates comprehensive quantification and serial assessment of the whole-body tumor burden. Several biosources obtained through liquid biopsy have been studied as important biomarkers for establishing early diagnosis, monitoring minimal residual disease, and predicting the prognosis and response to treatment in patients with cancer. Although the clinical application of liquid biopsy in gastric cancer is not as robust as that in other cancers, biomarker studies using liquid biopsy are being actively conducted in patients with gastric cancer. Herein, we aimed to review the role of various biosources that can be obtained from patients with gastric cancer through liquid biopsies, such as blood, saliva, gastric juice, urine, stool, peritoneal lavage fluid, and ascites, by dividing them into cellular and acellular components. In addition, we reviewed previous studies on the diagnostic, prognostic, and predictive biomarkers for gastric cancer using liquid biopsy and discussed the limitations of liquid biopsy and the challenges to overcome these limitations in patients with gastric cancer.

• Parasites, Hosts and Diseases
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• 제32권4호
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• pp.249-258
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• 1994

톡소포자충(Tomplasmngondii)은 세포내에 기생하는 구포자충(Cuidia)의 일종으로 항원은 여러 가지 단백질로 구성되어 있으며 이들 항원의 분석은 면역학적 생화학적인 면에서 시도 해 볼 필요가 있다. 톡소포자충(RH주) tachyzoite의 용해물 및 분비항원을 SDS-PAGE(sodium dodecyl sulfate polyacrylamide gel electrophoresis)로 단백질 분획을 관찰하고 면역 전기영동이적법 (EITB, enzyme-linked immunelectrohansfer blot)을 시행하여 반응대를 관찰하였다. 토끼 (New Zealand산) 또는 BALB/c마우스를 톡소포자충으로 면역 또는 감염시키고 3주 또는 7주 후에 채혈 하였다. 면역 후 토끼나 마우스 혈청은 간접형광항체법(IFA)으로 항체가 1:1024 또는 1 : 128임을 확인하였다. 톡소포자충 용해물 및 분비항원으로 SDS-PAGE를 시행하였을 때 10 kDa에서 220 kDa까지 광범위한 단백질 분포대를 보였다. 톡소포자충 용해물 항원을 IgG 항혈청과 반응시켰을 때 주요 항원의 분자량은 23에서 35 kDa까지 5개의 반응대를 관찰하였으며 IgG와 IgM의 공동반응 대는 24. 27, 30. 35 kDa에서 관찰되었다. 분비항원을 IgG 항혈청과 반응시켰을 때 감염 마우스 의 복강액을 항원으로 한 경우 33(P30), 45 kDa의 반응대가 주요 항원임을 알 수 있었고 톡소포자 충을 CHL 세포로 in vitro에서 배양시킨 후 배양액의 상청액을 항원으로 EITB를 시행하였을 때 20 kDa. 30 kDa 이하의 분획에서 반응대가 관찰되었다. 이상으로 30 kDa 항원이 톡소포자충 tachyzoite의 용해물 뿐만 아니라 분비물에서도 관찰되는 중요한 항원임을 알 수 있었다.

• Investigative Magnetic Resonance Imaging
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• 제5권2호
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• pp.116-122
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• 2001

목적 : 고식적 스핀에코, 위상 대조 경사에코, 고속 GRASS, 중T-2강조 고속스핀에코 연쇄를 각각 유동모형에 적용시켜, 저속유동에 대한 자기공명영상의 민감도를 찾아내고자 한다. 대상 및 방법 뇌실-복강 단락 도관과 GE 모형으로 이루어진 유동모형으로 싸이폰 효과에 의한 지속적인 가변 유속의 흐름을 내보내고, 각각의 유속에 위의 네 가지 자기공명영상연쇄를 적용시켰다. 0.08 ml/min 에서 1.7 ml/min 범위의 유량의 흐르는 액체와 정지된 액체에서 획득된 자기공명영상의 신호강도를 비교한 결과를 요약하면 다음과 같다. 결과 0.17 ml/min 이상의 느린 흐름에서는 고식적 스핀에코영상이 가장 우수한 정지-유동 액체사이의 겉보기대조를 보이나, 그 이하의 매우 느린 흐름에서는 GRASS 영상이 더 높은 민감도를 보였다. 결론 : 4가지 자기공명펄스연쇄는 0.08 ml/min에서 1.7 ml/min 범위의 유량의 흐름에서 서로 다른 민감도를 보였다. 이 결과는 임상적으로, 단락수술후의 뇌척수액의 흐름이나 혈관내의 혈전에 의한 흐름의 변이 등의 인체내의 저속유동을 검출하는 비침습적방법으로 유용하게 적용될 수 있을 것이다.

• Clinical and Experimental Reproductive Medicine
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• 제21권2호
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• pp.183-190
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• 1994

Purpose of the present study was to find the optimal culture conditions for the maturation and fertilization of immature oocytes by the use human body fluids and gonadotropins (Gn) in the mouse model. Cumulus-enclosed mouse immature oocytes were incubated in the medium containing various human body fluids with or without Gn in vitro, and examined to confirm nuclear maturation (NM) and fertilization. Female ICR mice were stimulated with 7.5 IU pregnant mares' serum gonadotropin (PMSG). Cumulus-enclosed immature oocytes were isolated at 48-52 hr post PMSG injection and cultured in TCM 199 supplemented with various concentrations (20, 50, and 70%) of human body fluids such as fetal cord serum (hCS), follicular fluid (hFF), peritoneal fluid (hPF) and amniotic fluid (hAF) in the presence or absence of 10 IU/ml PMSG and 10 IU/ml human chorionic gonadotropin (hCG) for 18 hr. Fetal calf serum (FCS) was used as a control for the supplements. Matured oocytes were fertilized with sperm collected from the epididymis of male mice. Fertilization was conducted in T6 medium containing 15 mgl ml bovine serum albumin, and confirmed at 6 hr post-insemination. Evaluation of nucler maturation and fertilization was carried out by rapid staining using fuchin. There was no significant difference between the effects of human body fluids and FCS supplements on nuclear maturation of cumulus enclosed mouse immature oocytes. When maturation medium was supplemented with 20% hPF or 20% hAF, fertilization rates were significantly (P<0.01) lower than that of 20% FCS, hCS and hFF groups. However, higher concentrations of body fluids during IVM were not more beneficial on fertilizability of oocytes. The addition of Gn significantly increased the fertilization rates in hPF and hAF groups (hPF without Gn; 51.5%, compared with 85.1% for addition of Gn, and hAF without Gn; 30.1% compared with 85.8% for addition of Gn) at 20% concentration. These results suggest that human body fluids at 20% concentration and gonadotropins can be used as supplements for the maturation of mouse immature oocytes in vitro. When gonadotropins supplemented with the human body fluids in the maturation medium, fertilizability of mouse immature oocytes was increased in hPF and hAF groups. These results can be applied to maturation of human immature oocytes in vitro.

• 생명과학회지
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• 제15권4호
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• pp.664-667
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• 2005

척수공동증(hydrosyringomyelia)은 척수내의 중심관(central canal)이 확장되는 질환으로 사람에 있어서는 Dandy-walker 증후군이나 Chiari 기형과 같은 선천적인 기형에 의해 발생되거나 감염, 외상 및 종양과 관련되어서도 발생된다. 뇌수두증(hydrocephalus)은 뇌척수액이 뇌실내에 과도하게 축적되는 것을 말하며 후두골 이형성증(occipital dysplasia)은 후두공이 과도하게 위쪽으로 연장되어 열린 질병이다. 척수공동증과 뇌수두증은 컴퓨터단층촬영이나 자기공명영상 검사에 의해 확진되어질 수 있다. 3세령의 수컷 말티즈가 장기간의 발작 증세를 주증으로 내원하였다. 혈액검사상 특이소견은 없었으나 rostrodorsal-caudoventral oblique의 두개골 방사선 검사에서 심한 두개골 이형성증 소견이 확인되었고 열려진 천문을 통한 초음파 검사상 양측 외측 뇌실이 모두 심하게 확장된 것이 확인되었다. 자기공명영상 검사에서 뇌수두증과 척수공동증이 진단되었다. 이뇨제를 중심으로 한 내과적 처치에 반응을 하지 않아 외과적 감압술(ventriculo-peritoneal shunting)을 시행하였고 현재까지 잘 유지되고 있다. 자기공명영상검사법은 뇌수두증과 척수공동증을 진단하고 그에 따른 치료계획을 수립하며 예후를 평가하는데 있어 가장 우수한 진단 기법이다.

• 대한수의학회지
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• 제47권3호
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• pp.315-319
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• 2007

Fibrinopurulent peritonitis and abdominal abscesses associated with Streptococcus (S.) equi subsp. zooepidemicus is reported in a 1-year-old female thoroughbred horse. The horse died after showing 5-day history of the cold, severe abdominal distention, abdominal breathing, hyperthermia, anorexia, and loss of intestinal sound. At necropsy, several liters of turbid yellowish green fluid were seen in the abdominal cavity. Yellowish creamy and fibrinous or bloody materials were presented on the serosa of various abdominal organs that were intensively adhered with each other. Spleen and mesenteric lymph node were remarkably enlarged. Affected lobes of the lung showed severe congestion, hemorrhage and doughy consistency. Histologically, the lung showed hemorrhagic pneumonia with diffuse congestion and edema. Severe diffuse fibrinopurulent peritonitis with Gram-positive bacterial cocci and adjacent fibrosis were showed in the serosa of various abdominal organs such as liver, spleen, stomach, and intestine. And multifocal abscess pouches were presented in the granulation tissue of abdominal viscera. S. equi subsp. zooepidemicus was isolated from the peritoneal swab, abdominal organs, and lung. Hematogenous dissemination of bacteria from hemorrhagic pneumonia is proposed as the route of infection in this case.

• 대한세포병리학회지
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• 제7권1호
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• pp.69-74
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• 1996

Malignant rhabdold tumor is a distinct renal tumor in the pediatric age group. It was originally described as a rhabdomyosarcomatold variant of Wilms' tumor. However, subsequent studies fatted to confirm myogenous differentiation, so it is now considered to be a distinct and unique type of highly malignant tumor, histogenetically unrelated. Although extrarenal forms of this tumor are rare, several examples have been described in other sites, especially the liver, prostate, paravertebral area, urinary bladder and soft tissue. We experienced a case of malignant rhabdiod tumor located in the intraabdominal cavity in a 10 month-old boy. Smear of peritoneal fluid showed round, polygonal and irregular shaped cells with large nuclei, ample cytoplasm containing light pink to purple cytoplasmic inclusions, and one or a few prominent nucleoli. Immunocytochemistry revealed positivity to cytokeratin, epithelial membrane antigen and vimentin, and negativity to desmin and neuron-specific enolase. These distinct cytologic appearance and immunophenotypes were most consistent with a diagnosis of extrarenal malignant rhabdoid tumor. The cytoplasmic inclusions were correlated with eosinophilic inclusions seen in histologic section and electron microscopy confirmed this interpretation, showing filamentous aggregations in the cytoplasms of the tumor cells.