• 제목/요약/키워드: Spontaneous removal

검색결과 143건 처리시간 0.021초

Stereotactic Multiplanar Reformatted Computed Tomography-Guided Catheter Placement and Thrombolysis of Spontaneous Intracerebral Hematomas

  • Hwang, Jae-Ha;Han, Jong-Woo;Park, Kyung-Bum;Lee, Chul-Hee;Park, In-Sung;Jung, Jin-Myung
    • Journal of Korean Neurosurgical Society
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    • 제44권4호
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    • pp.185-189
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    • 2008
  • Objective : The authors present their experiences with stereotactic multiplanar reformatted (MPR) computed tomography (CT)-guided catheter placement for thrombolysis of spontaneous intracerebral hematoma (sICH) and their clinical results. Methods : In 23 patients with sICH, MPR CT-guided catheter placement was used to select the trajectory and target point of hematoma drainage. This group was comprised of 11 men and 12 women, and the mean age was 57.5 years (range, 31-79 years). The patients' initial Glasgow Coma Scale scores ranged from 7 to 15 with a median of 11. The volume of the hematoma ranged from 24 mL to 86 mL (mean 44.5 mL). A trajectory along the main axis of the hematoma was considered to be optimal for thrombolytic therapy. The trajectory was calculated from the point of entry through the target point of the hematoma using reformatted images. Results : The hematoma catheter was left in place for a median duration of 48.9 hours (range 34 to 62 hours). In an average of two days, the average residual hematoma volume was 6.2 mL (range 1.4 mL to 10.2 mL) and was reduced by an average of 84.7% (range 71.6% to 96.3%). The residual hematoma at postoperative seven days was less than 5 mL in all patients. There was no treatment-related death during hospitalization. Conclusion : The present study indicates that stereotactic MPR CT-guided catheter placement for thrombolysis is an accurate and safe procedure. We suggest that this procedure for stereotactic removal of sICH should be considered for the optimization of the trajectory selection in the future.

자발성 뇌내혈종의 음압배액술 (Negative Pressure Aspiration of Spontaneous Intracerebral Hematoma)

  • 김일만;손은익;김동원;임만빈
    • Journal of Korean Neurosurgical Society
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    • 제29권6호
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    • pp.738-743
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    • 2000
  • Objectives : The less invasive stereotactic surgery of hypertensive intracerebral hematoma has been preferred. Many techniques were developed to facilitate aspiration of a dense blood clot in acute stage. Authors describe a method for evacuation of putaminal hematoma via computerized tomography(CT)-aided free-hand stereotactic infusion of urokinase and frequent negative pressure aspiration. Patients and Methods : A total of ten patients with spontaneous putaminal hematoma underwent surgery with negative pressure aspiration in the three-year period. All procedures were performed within 12 hours of insult. A silicone ventricular catheter was inserted into the center of hematoma through a burr hole at the Kocher's point under local anesthesia. In a typical case of putaminal hematoma, the trajectory of catheter was pointed the center of hematoma parallel to sagittal plane vertically and the external auditory meatus posteriorly. Immediately after the first trial of hematoma aspiration low-dose urokinase solution(2,000IU/5ml saline) was administrated through the catheter and drain was clipped for 30 minutes. Subsequently, the partially liquified hematoma was manually aspirated using a 10ml syringe with a negative pressure of less than 2 to 3ml. The procedure was carefully repeated every 1 hour until the hematoma was near totally evacuated. Results : The patients population consisted composed of 4 men and 6 women with a mean age of 61.6 years. All had major neurological deficits preoperatively. The mean hematoma volume was 44.3 ml and hematoma was drained for 20 to 48 hours. No complications such as rebleeding, meningitis, or malplaced catheter were noted. Outcome was moderately disabled in four patients and good recovery in three patients. Conclusion : Although the frequent negative pressure aspiration and low-dose urokinase infusion has the disadvantage of possbility of rebleeding and infection, it is consisdered to be an effective method because it allows a simple, safe, and complete removal of hematoma.

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Effects of Pine Needle Extract on Spontaneous Pacemaker Potentials in Interstitial Cells of Cajal from the Mouse Colon

  • Shahi, Pawan Kumar;Zuo, Dong Chaun;Choi, Seok;Lee, Mi Jung;Cheong, Hyeon Sook;Lim, Dong Yoon;Jun, Jae Yeoul
    • Natural Product Sciences
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    • 제19권4호
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    • pp.290-296
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    • 2013
  • In preliminary tests, we examined the effect of several fractions isolated from fermented pine needle extract on pacemaker potentials in cultured interstitial cells of Cajal (ICCs) from the mouse colon using a whole cell patch clamp technique. Among these fractions, Fraction 3 (F3) elicited the most powerful depolarization of membrane. Therefore, the aim of the present study was to investigate the effect of F3 obtained from fermented extract of Pinus densiflora needle on pacemaker potentials in ICCs and to establish its mechanism of action. Colonic ICCs generated spontaneous periodic pacemaker potentials in the current-clamp mode. F3 depolarized the membrane and decreased the frequency and amplitude of pacemaker potentials in a dose-dependent fashion. The F3-induced effects on pacemaker potentials were blocked by methoctramine, a muscarinic $M_2$ receptor antagonist, and by glycopyrrolate, a muscarinic $M_3$ receptor antagonist. The F3-induced effects on pacemaker potentials were blocked by external $Na^+$-free solution and by flufenamic acid, a non-selective cation channel blocker, as well as by the removal of external $Ca^{2+}$ and in the presence of thapsigargin, a $Ca^{2+}$-ATPase inhibitor in the endoplasmic reticulum. Taken together, these results suggest that F3 of pine needle extract modulates the pacemaker activity of colonic ICCs by the activation of non-selective cation channels via muscarinic $M_2$ and $M_3$ receptors. And external $Ca^{2+}$ influx and intracellular $Ca^{2+}$ release are involved in F3 actions on ICCs.

치아종에 의한 유치의 매복: 증례 보고 (IMPACTION OF PRIMARY TEETH ASSOCIATED WITH ODONTOMA: CASE REPORTS)

  • 김정우;현홍근;김영재;김정욱;장기택;김종철;한세현;이상훈
    • 대한소아치과학회지
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    • 제39권1호
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    • pp.36-42
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    • 2012
  • 치아종은 유치나 영구치배의 지속적인 치배 형성이나 법랑기 세포들의 비정상적인 증식의 결과로 발생하는 방사선 불투과성 병소로, 비교적 흔한 치원성 종양이며 인접한 치아의 맹출을 방해 할 수 있다. 치아종은 영구치열기에서 주로 관찰되고, 유치열기에서는 매우 드문 것으로 보고되고 있다. 본 증례 보고에서는 치아종에 의해 매복된 유치가 치아종의 외과적 발거 후 자연 맹출된 증례들을 보고하고자 한다. 매복유치는 계승 영구치의 발육과 맹출 문제를 야기할 수 있기 때문에 치아종이 제거된 후에도 계승 영구치가 맹출할 때까지 장기적인 검사 및 관찰이 필요하다.

Experimental determination of liquid entry pressure (LEP) in vacuum membrane distillation for oily wastewaters

  • Racz, Gabor;Kerker, Steffen;Schmitz, Oliver;Schnabel, Benjamin;Kovacs, Zoltan;Vatai, Gyula;Ebrahimi, Mehrdad;Czermak, Peter
    • Membrane and Water Treatment
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    • 제6권3호
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    • pp.237-249
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    • 2015
  • In this study we investigate a laboratory scale vacuum membrane distillation system to produce pure water from model oil in water emulsion. Experimental determination of liquid entry pressure (LEP) of a commercial Durapore$^{TM}$ GVPH flat sheet membrane using model emulsions in various oil concentrations has been carried out. Two different methods of liquid entry pressure determination - a frequently used, so-called static and a novel dynamic method - have been investigated. In case of static method, LEP value was found to be 2.3 bar. No significant effect of oil content on LEP was detected up to 3200 ppm. In contrast, LEP values determined with dynamic method showed strong dependence on the oil concentration of the feed and decreased from 2.0 bar to a spontaneous wetting at 0.2 bar in the range 0-250 ppm, respectively. Vacuum membrane distillation tests were also performed. The separation performance is evaluated in terms of flux behavior, total organic carbon removal and droplet size distribution of the feed and final retentate. No significant effect of oil content on the flux was found ($5.05{\pm}0.31kgm^{-2}h^{-1}$) up to 250 ppm, where a spontaneous wetting occurred. High separation performance was achieved along with the increasing oil concentration between 93.4-97.0%.

외과적 노출술을 이용한 매복된 하악 제1 대구치의 자발적 맹출유도 (ERUPTION GUIDANCE OF IMPACTED MANDIBULAR FIRST MOLAR BY SURGICAL EXPOSURE)

  • 김은정;김난진;조호진;김현정;김영진;남순현
    • 대한소아치과학회지
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    • 제31권4호
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    • pp.598-604
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    • 2004
  • 하악 제 1대구치 매복의 발생 빈도는 전체 인구의 0.01%로 드물게 나타난다. 매복의 원인으로는 맹출 공간의 부족, 과잉치, 치성 종양이나 낭과 같은 맹출로상의 장애물, 유전적 요인, 내분비 질환, 외상 등이 있다. 하악 제 1대구치의 매복으로 인해 하안면 고경의 감소, 낭의 형성, 치관 주위염, 인접치의 치근 흡수, 부정 교합 등의 부작용이 생길 수 있으며, 치료 방법으로는 외과적 노출술, 교정적 견인, 외과적 재위치술, 발거 등이 있다. 다음의 두 증례는 하악 제 1대구치의 미맹출을 주소로 내원한 환아에게 외과적 노출술을 시행하여 원심 경사 매복된 하악 제 1대구치의 자발적 맹출을 유도한 증례들이다.

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복잡 치아종의 외과적 적출후 미맹출치의 자발적 맹출 유도 (SPONTANEOUS ERUPTION GUIDANCE OF UNERUPTED TOOTH AFTER SURGICAL REMOVAL OF COMPLEX ODONTOMA)

  • 박성연;남동우;김현정;김영진;남순현
    • 대한소아치과학회지
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    • 제30권3호
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    • pp.489-494
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    • 2003
  • 치아종은 치성 종양 중 가장 흔한 형태로 대체로 병소의 크기나 위치에 따라 증상이 없는 경우가 대부분이며 성장이 제한적이다. 보통 10대 이전에 주로 진단되며 종종 영구치의 매복이나 맹출 지연을 유발한다. 형태에 따라 복합 치아종과 복잡 치아종으로 구별된다. 복잡 치아종은 치성 조직이 조직화되지 않은 덩어리로 형태학적으로 정상 치아 형태를 닳지 않으며 전체 치아종의 약 25%, 악골내 발생하는 치성 종양의 약 22%를 차지하고 남성에서 하악 구치부에 호발한다. 치아종의 원인은 아직 밝혀져 있지 않으나, 아마도 해당 부위의 국소적인 외상, 감염, 유전적 원인이 관여 할 것이라 추측된다. 치아종의 치료는 대부분 보존적인 외과적 적출술이 추천되며 재발은 거의 없다. 본 증례는 상악 제 1대구치의 매복을 일으킨 복잡 치아종으로 진단된 두 어린이에게서 병소의 외과적 적출술 및 개창술을 시행하고 관찰한 결과 약 2년후 제 1 대구치가 자발적으로 맹출함을 보여 이에 보고하는 바이다.

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정중 과잉치 발거 이후 정중 이개의 폐쇄 (MANAGEMENT OF DIASTEMA AFTER REMOVAL OF MESIODENS)

  • 조은주;최영철;이긍호
    • 대한소아치과학회지
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    • 제30권3호
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    • pp.348-353
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    • 2003
  • 정중 과잉치를 이른 시기에 발견하고 이를 신중하게 관리하는 것은 인접 영구 전치가 맹출하고 정상적인 위치로 자리 잡는데 미칠 수 있는 유해한 영향을 줄일 수 있다. 초기 혼합치열기에 있어 정중 이개가 정상적인 것으로 간주되지만 정중 과잉치의 존재를 이른 시기에 파악하고 이를 적절한 시기에 제거하는 것은 이어지는 영구 중절치의 자발적인 배열과 근접화를 가능하게 한다. 정중 이개의 관리에 있어서 가장 바람직한 선택은 주기적인 관찰이라 할 수 있다. 그러나 관찰 기간 동안에 정중 이개가 자발적으로 폐쇄되지 않을 때에는 교정 치료가 필요할 수 있다. 본 보고에서는 정중 과잉치로 인한 정중 이개의 폐쇄에서 정중 과잉치의 제거 이후 자발적 즉 생리적으로 폐쇄되는 증례(증례 1-3)와 함께 교정적 처치로 정중 폐쇄를 시행한 증례(증례 4)를 보고하고자 한다.

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A comparative study on defluoridation capabilities of biosorbents: Isotherm, kinetics, thermodynamics, cost estimation and regeneration study

  • Yihunu, Endashaw Workie;Yu, Haiyan;Junhe, Wen;Kai, Zhang;Teffera, Zebene Lakew;Weldegebrial, Brhane;Limin, Ma
    • Environmental Engineering Research
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    • 제25권3호
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    • pp.384-392
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    • 2020
  • The presence of high fluoride concentration (> 1.5 mg/L) in water causes serious health problems such as fluorosis, infertility, brain damage, etc., which are endemic to many places in the world. This study has investigated the fluoride removal capacity of the novel activated biochar (BTS) and hydrochar (HTS) using Teff (Eragrostis tef) straw as a precursor. Activated biochar with mesoporous structures and large specific surface area of 627.7 ㎡/g were prepared via pyrolysis process. Low-cost carbonaceous hydrochar were also synthesized by an acid assisted hydrothermal carbonization process. Results obtained from both adsorbents show that the best local maximum fluoride removal was achieved at pH 2, contact time 120 min and agitation speed 200 rpm. The thermodynamic studies proved that the adsorption process was spontaneous and exothermic in nature. Both adsorbents equilibrium data fitted to Langmuir isotherm. However, Freundlich isotherm fitted best for BTS. The maximum fluoride loading capacity of BTS and HTS was found to be 212 and 88.7 mg/g, respectively. The variation could primarily be attributed to a relatively larger Surface area for BTS. Hence, to treat fluoride contaminated water, BTS can be promising as an effective adsorbent.

시추 개에서 발생한 T-cell 유래 림프육종 증례 (Spontaneous canine T-cell lymphosarcoma in a Shih Tzu dog)

  • 오홍근;정영호;이현아;홍선화;김옥진
    • 한국동물위생학회지
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    • 제34권4호
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    • pp.403-407
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    • 2011
  • This study describes a canine lymphosarcoma with a rapid proliferation and recurrence. A 4-year-old, male, Shih Tzu dog was examined for acute swelling mass. The mass had been identified since 3 months ago and enlarged $10{\times}7$ cm and located in the right axillary region. The surgical removal was recommended when patient visited veterinarian and the operation was conducted. The removed tumor was $11{\times}8{\times}7$ cm and firm, lobulated and white cut surface. Routine screening laboratory test was assessed with blood and radiological analysis. The metastasis sign was not detected on thoracic and abdominal radiography. Blood test revealed decreased lymphocytes. After surgical removal of the mass, microscopic histopathological examination was performed to determine the final diagnosis. Histopathologically, the tumors are characterized by the same histological features, including the presence of neoplastic cellular populations, and lymphocytes infiltration in varying proportions. Also, DNA was extracted and PCR analysis was employed to analyze the origin of tumor cells. T-cell specific nucleic acid fragments were specifically amplified by PCR. On the basis of the laboratory results, the tumor was diagnosed with canine T-cell lymphosarcoma. On the basis of our knowledge, this is the first report of canine T-cell lymphosarcoma in a Shih Tzu dog.