• 제목/요약/키워드: Skin/pathology

검색결과 736건 처리시간 0.032초

표준화된 화상 모델에서 화상 후 첫 24시간 내의 화상 깊이의 변화 (The Change of Burn Depth within 24 Hours after Burn in the Standardized Burn Model)

  • 손대구;최태현;권선영
    • Archives of Plastic Surgery
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    • 제35권4호
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    • pp.373-378
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    • 2008
  • Purpose: In full thickness burn, the depth of burn is known to increase until around 1-3 days after the burn. However, no study on how the depth increase during the first 24 hours has been conducted. Therefore, the authors investigated how the depth of burn changes within the first 24 hours after the burn by using the standardized burn model. Methods: A total of four experiments on pigs were carried out for this study. Experiment 1 was performed to examine how temperature affects the depth of burn. The digitally controlled aluminum thermal block was set at different temperatures-80, 90 and 100 degrees in Celsius, respectively. Then the pig was exposed to the block for 15 seconds each time. The time exposed to heat was set as a variable for the Experiment 2. The temperature was maintained at 80 degrees Celsius, and the pig was contacted with the thermal block for 5, 10 and 20 seconds, respectively. The biopsy of the tissues were performed in one hour, 6 hours, 24 hours, and 7 days after the burn. After hematoxylin and eosin staining a percentage of the depth from a basement membrane of epidermis to the deepest tissue damaged by the burn against total dermal thickness was measured. Results: In Experiment 1, the depth of burn increased considerably as time passed by. At all three temperatures, differences in depths measured in 6 and 24 hours, and in 1 hour and 7 days were both significant. In addition, the depth deepened as the temperature went higher. In the case of Experiment 2, the depth of burn also increased significantly as time passed by. At all three times, differences in depth measured in 6 and 24 hours, and in 1 hour and 7 days were also significant. Moreover, the depth extended with longer contact time when it was compared according to the time. Conclusion: Full thickness burn progressed rapidly from 6 to 24 hours after the burn and the depth of burn was almost decided within the first 24 hours after the burn. On the other hand, partial thickness burn also advanced from 6 to 24 hours after the burn but the depth deepened at slower level.

Polydeoxyribonucleotide Improves Peripheral Tissue Oxygenation and Accelerates Angiogenesis in Diabetic Foot Ulcers

  • Kim, Seoyoung;Kim, Junhyung;Choi, Jaehoon;Jeong, Woonhyeok;Kwon, Sunyoung
    • Archives of Plastic Surgery
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    • 제44권6호
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    • pp.482-489
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    • 2017
  • Background Polydeoxyribonucleotide (PDRN) is known to have anti-inflammatory and angiogenic effects and to accelerate wound healing. The aim of this study was to investigate whether PDRN could improve peripheral tissue oxygenation and angiogenesis in diabetic foot ulcers. Methods This was a prospective randomized controlled clinical trial. Twenty patients with a non-healing diabetic foot ulcer were randomly distributed into a control group (n=10) and a PDRN group (n=10). Initial surgical debridement and secondary surgical procedures such as a split-thickness skin graft, primary closure, or local flap were performed. Between the initial surgical debridement and secondary surgical procedures, 0.9% normal saline (3 mL) or PDRN was injected for 2 weeks by the intramuscular (1 ampule, 3 mL, 5.625 mg, 5 days per week) and perilesional routes (1 ampule, 3 mL, 5.625 mg, 2 days per week). Transcutaneous oxygen tension ($TcPO_2$) was evaluated using the Periflux System 5000 with $TcPO_2/CO_2$ unit 5040 before the injections and on days 1, 3, 7, 14, and 28 after the start of the injections. A pathologic review (hematoxylin and eosin stain) of the debrided specimens was conducted by a pathologist, and vessel density (average number of vessels per visual field) was calculated. Results Compared with the control group, the PDRN-treated group showed improvements in peripheral tissue oxygenation on day 7 (P<0.01), day 14 (P<0.001), and day 28 (P<0.001). The pathologic review of the specimens from the PDRN group showed increased angiogenesis and improved inflammation compared with the control group. No statistically significant difference was found between the control group and the PDRN group in terms of vessel density (P=0.094). Complete healing was achieved in every patient. Conclusions In this study, PDRN improved peripheral tissue oxygenation. Moreover, PDRN is thought to be effective in improving inflammation and angiogenesis in diabetic foot ulcers.

후두암 감별진단에 있어 성문전도(Electroglottograph) 파라미터의 유용성 (The Effectiveness of Electroglottographic Parameters in Differential Diagnosis of Laryngeal Cancer)

  • 송인무;고의경;전경명;권순복;김기련;전계록;김광년;정동근;조철우
    • 대한후두음성언어의학회지
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    • 제14권1호
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    • pp.16-25
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    • 2003
  • 후두암은 유병율이 높지만 조기에 발견하면 90% 이상의 치유율과 발성기능의 보존이 가능하며 현재 음성분석을 이용한 진단법이 시도되고 있으나 정립된 선별검사법은 없는 실정이다. 성문전도검사(electroglottography, EGG)는 성대의 진동양상을 알 수 있는 비침습적 검사로서 발성과 음성합성의 연구에 많이 사용되고 있다. 본 연구는 EGG에서 관찰되는 파라미터들을 다층 퍼셉트론(multilayer perceptron)구조의 신경회로망(artificial neural network)으로 감별하는 기법을 이용하여 후두암 감별법에 대한 연구로서 부산대학교병원을 내원한 후두암 환자 10명과 양성후두질환 26명을 대상으로 새로 고안한 Electroglottograph(v1.0)를 이용하여 검사하고 이의 임상적 유용성을 평가하였다. EGG 파라미터인 closed quotient(CQ), speed quotient(SQ), speed index(SI), fundamental frequency(F0), Jitter, Shimmer 등은 MATLAB 6.5 (Mathwork, Inc.)로 작성한 분석 프로그램을 이용하여 추출하였다. 각 환자에서 추출된 EGG 파라미터들을 다층 퍼셉트론 구조의 신경회로망으로 감별하였다. CQ는 각 질환군 간에 유의한 차이가 없었지만 SQ, SI, Jitter, Shimmer 등은 성대질환의 특성에 따라 유의한 차이를 보였다. 신경회로망에서 감별한 결과 CQ를 제외한 SQ, SI, Jitter, Shimmer 등에서 71.3-90%의 후두암의 감별율을 보였다. 또한 SQ, SI, Jitter, Shimmer를 3개씩 조합한 실험에서는 SQ-Jitter-Shimmer와 SQ-SI-Shimmer의 후두암의 감별율이 93%로 가장 높았고, SQ-SI-Jitter 90.9%, SI-Jitter-Shimmer 88.6%로 전체적으로 85% 이상의 높은 감별율을 나타내었다. 이러한 결과는 EGG검사와 신경회로망을 이용한 양성과 악성 후두질환의 감별이 가능함을 시사한다. 향후 성대 질환의 병태생리를 대변할 수 있는 파라미터가 추가로 개발되고 분류 알고리듬이 개선된다면 EGG를 이용한 성대질환의 감별 진단이 보다 정확해질 것으로 사료되었다.

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Development of a standardized mucositis and osteoradionecrosis animal model using external radiation

  • Seo, Mi Hyun;Lee, Min Young;Eo, Mi Young;Lee, Suk Keun;Woo, Kyung Mi;Kim, Soung Min
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제46권4호
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    • pp.240-249
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    • 2020
  • Objectives: Although the side effects of radiation therapy vary from mucositis to osteomyelitis depending on the dose of radiation therapy, to date, an experimental animal model has not yet been proposed. The aim of this study was to develop an animal model for assessing complications of irradiated bone, especially to quantify the dose of radiation needed to develop a rat model. Materials and Methods: Sixteen Sprague-Dawley rats aged seven weeks with a mean weight of 267.59 g were used. Atraumatic extraction of a right mandibular first molar was performed. At one week after the extraction, the rats were randomized into four groups and received a single dose of external radiation administered to the right lower jaw at a level of 14, 16, 18, or 20 Gy, respectively. Clinical alopecia with body weight changes were compared and bony volumetric analysis with micro-computed tomography (CT), histologic analysis with H&E were performed. Results: The progression of the skin alopecia was different depending on the irradiation dose. Micro-CT parameters including bone volume, bone volume/tissue volume, bone mineral density, and trabecular spaces, showed no significant differences. The progression of osteoradionecrosis (ORN) along with that of inflammation, fibrosis, and bone resorption, was found with increased osteoclast or fibrosis in the radiated group. As the radiation dose increases, osteoclast numbers begin to decrease and osteoclast tends to increase. Osteoclasts respond more sensitively to the radiation dose, and osteoblasts are degraded at doses above 18 Gy. Conclusion: A standardized animal model clinically comparable to ORN of the jaw is a valuable tool that can be used to examine the pathophysiology of the disease and trial any potential treatment modalities. We present a methodology for the use of an experimental rat model that incorporates a guideline regarding radiation dose.

폐를 침범한 혈관내 림프종증 1예 (A Case of Pulmonary Intravascular Lymphomatosis)

  • 박상종;배상수;천은미;권오정;이종헌;한용철;김진국;이경수;고영혜
    • Tuberculosis and Respiratory Diseases
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    • 제44권6호
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    • pp.1390-1395
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    • 1997
  • 혈관내 림프종증(intravascular lymphomatosis, IVL)은 1959년 처음 보고되었으며, 주로 B 림프구의 혈관 내부에 국한된 악성 증식으로 발생하는 드문 악성 질환이다. IVL의 주된 침범 부위는 중추신경계이며 그 외 피부, 심장, 폐, 간 등 전신장기를 침범할 수 있다. IVL의 폐침범은 드문 경우로 주된 증상은 호흡곤란, 발열, 기침 등이며 방사선학적으로 간질성 침윤으로 나타난다. 최근 저자 등은 고열과 흉부 통증을 동반하여 발생한 폐를 침범한 혈관내 림프종증 1예를 경험하였기에 단순 흉부촬영에서 간질성 침윤을 동반하는 원인 미상의 발열과 호흡곤란의 드문 감별 진단의 하나로 이를 보고한다.

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A Case of Occupational Hypersensitivity Pneumonitis Associated with Trichloroethylene

  • Jae, Young;Hwang, Eu Dong;Leem, Ah Young;Kang, Beo Deul;Chang, Soo Yun;Kim, Ho Keun;Park, In Kyu;Kim, Song Yee;Kim, Eun Young;Jung, Ji Ye;Kang, Young Ae;Park, Moo Suk;Kim, Young Sam;Kim, Se Kyu;Chang, Joon;Chung, Kyung Soo
    • Tuberculosis and Respiratory Diseases
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    • 제76권2호
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    • pp.75-79
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    • 2014
  • Trichloroethylene (TCE) is a toxic chemical commonly used as a degreasing agent, and it is usually found in a colorless or blue liquid form. TCE has a sweet, chloroform-like odor, and this volatile chlorinated organic chemical can cause toxic hepatitis, neurophysiological disorders, skin disorders, and hypersensitivity syndromes. However, the hypersensitivity pneumonitis (HP) attributed to TCE has rarely been reported. We hereby describe a case of HP associated with TCE in a 29-year-old man who was employed as a lead welder at a computer repair center. He was installing the capacitors on computer chip boards and had been wiped down with TCE. He was admitted to our hospital with complaints of dry coughs, night sweats, and weight losses for the past two months. HP due to TCE exposure was being suspected due to his occupational history, and the results of a video-associated thoracoscopic biopsy confirmed the suspicions. Symptoms have resolved after the steroid pulse therapy and his occupational change. TCE should be taken into consideration as a potential trigger of HP. Early recognition and avoidance of the TCE exposure in the future is important for the treatment of TCE induced HP.

흰쥐의 감염된 전층피부결손에 미치는 은 함유 드레싱제재와 폴리우레탄 폼 드레싱제재의 비교관찰 (Comparative Study of Acticoat® & Allevyn® on Infected Full-thickness Wound of the Rat Skin)

  • 곡낙수;김한구;김승홍;김우섭;배태희;김미경
    • Archives of Plastic Surgery
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    • 제34권2호
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    • pp.169-175
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    • 2007
  • Purpose: $Allevyn^{(R)}$(Smith & Nephew, England) is a type of polyurethane foam material with good wound discharge absorption. $Acticoat^{(R)}$(Smith & Nephew, England) is a silver coated dressing material which is effective in infected wound. The purpose of this study is to compare the effects of dry gauze, $Acticoat^{(R)}$ and $Allevyn^{(R)}$ on infected full-thickness wound healing in rat. Methods: One hundred and twenty rats were divided into 3 groups: group I(dressing with dry gauze, n=40), group II(dressing with $Allevyn^{(R)}$, n=40), group III(dressing with $Acticoat^{(R)}$, n=40). A $15{\times}15mm$ square full-thickness wound was made on the dorsum and left open for 24 hours. The size of wound defects were measured each dressing changes. The histological evaluation was performed on the 3rd day, 7th day, 14th day, 21th day. Results: After the wound was left open for 24 hours, typical findings of bacterial infection was observed. After the 7th day, group III showed larger area of epithelialization, smaller defect size compared to those of two other groups. Complete replacement by fibrotic scar tissue was observed in group III with no signs of inflammation on the 14th day. By day 21, the average defect size in group III was decreased from initial 100% to 3.63%. while in group I and II, it was decreased to 62.66% and 53.62%, respectively. Conclusion: $Acticoat^{(R)}$ is an effective tool in the treatment of infected wound.

Anthracycline계 항암성 항생물질 DA-125의 Beagle dog에 대한 26주 반복정맥투여독성시험 (Toxicity Studies of DA-l25, an Anthracycline Antitumor Antibiotic : Intravenous Repeated Doses for 26 Weeks in Beagle Dogs)

  • 차신우;박종일;정태천;신호철;하창수;김형진;양중익;한상섭;노정구
    • Biomolecules & Therapeutics
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    • 제4권2호
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    • pp.127-137
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    • 1996
  • This study was performed to investigate the toxicity of DA-125 in beagle dogs, an anthracycline antitumor antibiotic. The dogs were administered DA-125 i.v. at 0.0023, 0.0375, 0.15 and 0.6 mg/kg/day, 6 days/week for 26 weeks. At 0.6 mg/kg, all male and female dogs were either sacrificed moribundly or dead during the 26-week treatment. The dogs revealed inactivity, salivation, dark bloody discharge, swelling of the subcutaneous injection site, abscess, and ulceration in the abdominal wall and legs. At 0.15 mg/kg, anorexia, salivation, and swelling of the injection site were observed. The food consumption was decreased with a statistical significance at 6 and 12 weeks treatment in males of 7.6 mg/kg. At 0.0375, 0.15 and 0.6 mg/kg, body weights were decreased significantly in a dose-related fashion after 17 weeks treatment. Total white blood cell counts for male dogs at 0.6 mg/kg were lower than those of control dogs after 13 weeks treatment, which appeared mainly due to decreased neutrophils. At 0.15 mg/kg, testicular atrophy was found in all males by gross pathology and the testicular weights were significantly decreased when compared to those of control males. Microscopically, the testis showed moderate atrophy of the seminiferous tubules and marked decrease in number of spermatozoa in the epididymal tubules. At 0.6 mg/kg, petechia or echymotic hemorrhage was observed in gastrointestinal tract, heart, lungs, and other organs at the necropsy, Marked atrophy of thymus were observed in both males and females. In addition, severe testicular atrophy was noted in all males. Microscopically, gastrointestinal tract showed hemorrhage, epithelial denudation, hypermucus secretion, and atrophy of intestinal villi. Seminiferous tubules of the atrophic testis were lined with Sertoli cells only and devoid of germ cells. Severe oligospermia or aspermia was present in the epididymal tubules. Bone marrow showed marked depletion of hemopoietic cells. In addition, marked atrophy was found in the lymphoid tissue of gastrointestinal tract, various Iymph nodes, and thymus. Injection sites showed marked inflammatory response with necrosis, necrotizing vasculitis, thrombus formation, and ulceration in the skin. According to the present results, no observed effect level appeared to be 0.0375 mg/kg. At 0.15 mg/kg, testis was a target organ, while at 0.6 mg/kg hemopoietic tissue, gastrointestinal tract, and testis were considered to be target organs. At 0.6 mg/kg the test compound seems to inflict a damage on the blood vessels causing hemorrhage in the various organs and tissues.

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알레르기성 비염 환자들의 음향음성학적 특성 및 음성장애지수 (The Phonetic Characteristics and Voice Handicap Index in Allergic Rhinitis Patients)

  • 김성태;최승호;노종렬;이봉재;심미란;김상윤;남순열
    • 대한후두음성언어의학회지
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    • 제18권1호
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    • pp.39-43
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    • 2007
  • Background and Objectives: There are few studies reported that specifically examine the phonetic characteristics and voice handicap index (VHI) in patients with Allergic Rhinitis. This study was designed to examine phonetic characteristics and VHI in adult patients with allergic rhinitis. Materials and Methods: Forty-two male patients diagnosed as allergic rhinitis were given skin-prick test and others, aged from 20 to 56 years, and were compared with a 16 male control group with no pathology and in the same age group. The VHI was used to measure the changes of patient's perception. Acoustic and aerodynamic analysis test were done, and a nasalance test performed to measure rabbit, baby, and mother passage. Acoustic rhionometry (AR) was performed to evaluate nasal volume and nasal crosssectional area. Statistical analysis was done using independent sample t-test. Results: VHI showed significantly different score in the studied group, higher than that of control group. AR graph showed that there was no significant differences of nasal volume and nasal cross-sectional area. The Shimmer and SFF value in the group of allergic patients were higher than in the control group. MPT value in the group of allergic patients was lower than in the control group. Nasalance in allergic patients showed hypernasality all passage. Conclusion: We suggest that patients with allergic rhinitis have considerable voice problems. Most of them have hypernasality, which may be a compensatory mechanism by nasal obstruction.

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황칠 추출물을 첨가한 청국장이 마우스의 면역기능에 미치는 효과 (Effect of Dendropanax morbifera extract Addition on Chungkukjang on Immune Response of Mice)

  • 김진솔;정민주;정경아;송선영;이현화
    • 한국산학기술학회논문지
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    • 제20권6호
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    • pp.430-438
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    • 2019
  • 본 연구는 황칠추출물과 청국장의 기능성 강화를 위해 황칠추출물이 첨가된 청국장의 면역 활성 효능을 검증하고자 실시하였다. 황칠추출물 250, 500, 750 mg/kg 투여군, 청국장 400 mg/kg 투여군, 청국장 400 mg/kg에 황칠추출물 500 mg/kg을 첨가한 투여군으로 나누어 9주간 마우스에 경구 투여 한 후 체중 및 장기무게, 항체 생산 세포 수, 혈청 면역글로불린의 농도를 측정하고 지라의 조직을 검사하였다. 황칠추출물과 황칠추출물을 첨가한 청국장의 투여가 수컷 마우스의 체중과 장기무게에 미치는 영향을 조사한 결과 모든 투여군에서 체중과 각 장기의 무게는 유의성 있는 차이를 보이지 않았다. 양적혈구에 대한 항체 생산 세포 수 측정에서는 황칠추출물 250 mg/kg과 500 mg/kg 투여군에서 유의성 있게 증가하였으며, 림프구은 황칠추출물 500 mg/kg 투여군이 대조군보다 증가하였다. 황칠추출물 500 mg/kg을 첨가한 청국장 400 mg/kg 투여군은 대조군에 비교하여 IgG 수치가 증가하였으며, 지라 조직 검사결과 백색수질의 증가가 관찰되었다. 이러한 결과는 황칠추출물의 영향으로 황칠 추출물을 첨가한 청국장이 생체 내 면역기능 활성에 효과가 있음을 나타내며 향후 다양한 기능성식품 개발 가능성과 면역증진 식품 소재로 활용될 수 있음을 시사한다.