• 제목/요약/키워드: Visceral

검색결과 820건 처리시간 0.023초

Update on Transradial Access for Percutaneous Transcatheter Visceral Artery Embolization

  • Hee Ho Chu;Jong Woo Kim;Ji Hoon Shin;Soo Buem Cho
    • Korean Journal of Radiology
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    • 제22권1호
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    • pp.72-85
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    • 2021
  • Transfemoral access (TFA) is a widely used first-line approach for most peripheral vascular interventions. Since its introduction in cardiologic and neurointerventional procedures, several advantages of transradial access (TRA) over TFA have been demonstrated, such as patient preference, lower complication rates, early ambulation, and shorter hospital stay. However, studies reporting the safety and efficacy of this approach for peripheral vascular interventions performed by interventional radiologists are relatively few. This review aimed to summarize the technique and clinical applications of TRA in percutaneous transcatheter visceral artery embolization and the management of complications.

완전 절제된 IB 비소세포암에서 재발의 예후인자로의 장측늑막 침범 (Visceral Pleural Invasion as a Prognostic Factor for Recurrence in Resected IB Non-small Cell Lung Cancer)

  • 김석;박기성;금윤섭;이섭;배지훈;현대성
    • Journal of Chest Surgery
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    • 제42권5호
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    • pp.610-614
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    • 2009
  • 배경: 완전 절제된 IB 비소세포암에서 항암요법의 반드시 필요한가에 대한 여러 보고가 있다. 그래서 본 연구는 완전 절제된 IB 비소세포암 환자에서 재발에 관여하는 예후인자를 찾고 항암요법의 필요성을 알아보았다. 대상 및 방법: 1997년부터 2006년까지 모두 48명의 환자를 후향적으로 조사하였다. 전체생존율과 무병생존율을 위해 Kaplan-Meier method를 사용하였고 단변량 분석은 log rank, 다변량 분석은 Cox 회귀모형을 사용하였다. 결과: 추적중앙값은 48개월, 5년 전체생존율은 55.9%, 5년 무병생존율은 48.6%였다. 단변량 분석에서 장측늑막과 임파혈관 침범이 재발에 유의한 인자였고, 다변량분석에서는 장측늑막침범이 예후인자였다. 또한 장측늑막, 임파혈관 침범 중 한 개 이상의 경우, 없는 경우와 비교하여 전체 생존율에서 의미 있는 차이가 있었다. 결론: 장측늑막침범은 재발 및 생존에 관여하는 불량한 예후인자이며, 항암요법이 필요한 환자를 선택할 때 도움 되는 인자로 생각된다.

iOS GUI 디자인의 변화에 대한 어포던스 관점의 고찰 (A Study on Transformation of iOS GUI Design in the view of Affordance)

  • 양운;김형우
    • 스마트미디어저널
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    • 제5권4호
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    • pp.96-102
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    • 2016
  • 본 연구는 iOS GUI 디자인의 변화에 함의된 어포던스의 변화와 이를 통한 어포던스 간의 관계를 고찰하는 것을 목적으로 하였다. 선행연구를 통해 다양한 어포던스 개념을 도출하고 연구에 사용될 6가지 어포던스(본능적, 행동적, 반성적, 명시적, 메타포적, 패턴 어포던스)를 선정하고 iOS의 GUI 디자인 변화를 어포던스 관점에서 고찰하여 다음과 같이 그 결과를 도출하였다. 첫째, iOS GUI 디자인의 본능적 어포던스는 이미 충분한 반성적 어포던스를 형성하고 있어 이를 과감히 생략하거나 제거하고 있으며 이로 인해 보다 명확한 명시적 어포던스의 제공이 가능하다. 둘째, iOS의 행동적 어포던스와 패턴 어포던스는 사용 경험의 누적으로 인해 반성적 어포던스를 형성하고 있으며 이를 통해 새로운 패턴 어포던스를 형성하고 있으며 이는 또한 메타포적 어포던스의 기반 영역으로도 활용된다. 셋째, iOS의 플랫 디자인을 어포던스 관점에서 고찰해 본 결과, 본능적 어포던스의 감소로 인하여 시각적 표현 상의 제약이 줄어들게 되어 화면 공간의 여유, 컬러 변화의 자유, 명시적 어포던스의 제공 등이 가능하게 된 것도 그 원인 중 하나임을 알 수 있었다. 또한 본 연구에서는 본능적 어포던스가 사용경험 누적에 따라 반성적 어포던스를 형성하고 이는 메타포적 어포던스의 기반 영역으로 활용되며, 본능적 어포던스의 제거나 감소는 보다 명확한 명시적 어포던스를 제공하고 있으며 이를 통해 새로운 패턴 어포던스가 생성되는 어포던스 간의 상호작용에 의한 관계 변화 또한 고찰할 수 있었다.

Combined Trial of Fish Oil and Exercise Training Prevents Impairment in Insulin Action on Glucose Transport of Skeletal Muscle Induced by High-Fat Diet in Rats

  • Lee, Ji-Hyun;Kim, Jong-Yeon;Kim, Yong-Woon;Park, So-Young;Youn, Woon-Ki;Jang, Eung-Chan;Park, Deok-Il;Kim, Suck-Jun;Kim, Eun-Jung;Lee, Suck-Kang
    • The Korean Journal of Physiology and Pharmacology
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    • 제4권2호
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    • pp.91-97
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    • 2000
  • The purpose of the present study was to determine the preventive effects of combined interventional trial of fish oil treatment and exercise training on insulin resistance of skeletal muscle in high-fat fed rats. Male Wistar rats were randomly divided into chow diet (CD), high-fat diet (HF), high-fat diet with fish oil (FO), high-fat diet with exercise training (EX), and FO+EX groups. The rats in control group were fed chow diet containing, as percents of calories, 58.9% carbohydrate, 12.4% fat, and 28.7% protein. High-fat diet provided 32% energy as lard, 18% as corn oil, 27% as carbohydrate and 23% as casein. The fish oil diet had the same composition as the high fat diet except that 100 g menhaden oil was substituted for corn oil. Insulin sensitivity was assessed by in vitro glucose transport in the soleus muscle after diet treatment and treadmill running for 4 weeks. While the FO or EX only partially prevented insulin resistance on glucose transport and visceral obesity induced by high-fat diet, these interventions completely corrected hyperinsulinemia and hyperglycemia from the high-fat diet. The rats in the FO+EX showed normalized insulin action on glucose transport, plasma chemicals and visceral fat mass. Insulin-mediated glucose transport was negatively associated with total visceral fat mass (r=-0.734; p<0.000), plasma triglyceride (r=-0.403; p<0.05) and lepin (r=-0.583; p<0.001) concentrations with significance. Multiple stepwise regression analysis showed that only total visceral fat mass was independently associated with insulin-mediated glucose transport (r=-0.668; p<0.000). In conclusion, combined interventional trial of FO+EX recovered insulin resistance on glucose transport of skeletal muscle induced by high-fat diet. Visceral fat mass might be more important factor than plasma TG and leptin to induce insulin resistance on glucose transport of skeletal muscle in high-fat fed rats.

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가막만 피조개 Scapharca broughtonii의 생식소 발달과 체성분의 계절적 변화 (Seasonal variation in biochemical composition and gonadal development of ark shell, Scapharca broughtonii (Bivalvia: Arcidae) from Gamag bay of Southern coast, Korea)

  • 신윤경;임재현;손맹현;김응오
    • 한국패류학회지
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    • 제28권1호
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    • pp.73-79
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    • 2012
  • 전남 여수시 가막만에서 양식되고 있는 피조개를 대상으로 2008년 12월부터 2009년 11월 동안 근육, 내장낭 및 몸체의 생화학적 체성분의 변동과 생식주기간의 관계를 계절적인 변동과 관련하여 조사하였다. 피조개 양식장의 월별 평균 수온은 겨울에 $7-12^{\circ}C$, 여름에 $20-25^{\circ}C$였으며, 염분은 평균 30.1-33.8‰에서 변화하였다. 영양염의 계절적 변화는 9월에 최대 ($13.04{\mu}g/L$) 를 보였으며, 연 평균농도는 $4.6{\mu}g/L$였다. 피조개의 주산란기는 7-8월이었으며, 겨울동안 생식소는 불활성기를 나타내었다. 단백질함량은 내장낭에서 낮았다. 체성분 가운데 가장 큰 변화는 내장낭내 지질과 탄수화물이었으며, 기관별 단백질은 연중 비교적 일정하였다. 내장낭은 생식주기 동안 가장 큰 변화를 보였으며, 내장낭내 수분과 지방의 함량은 다소 역관계를 보였다. 지방함량의 최대시기인 불활성기에 수분이 최소였으며, 산란 직후 지방함항은 가장 낮았으며, 지방이 소모되면서 수분함량이 증가하였다. 내장낭내 단백질 량은 근육에 비해 낮았다. 내장낭의 탄수화물, 지방 단백질은 생식소 발달과정동안 에너지원으로서 주요한 역할을 하며, 먹이가 부족한 시기에 기초대사유지를 위해 이용될 것으로 여겨진다.

MicroRNA-200a Targets Cannabinoid Receptor 1 and Serotonin Transporter to Increase Visceral Hyperalgesia in Diarrhea-predominant Irritable Bowel Syndrome Rats

  • Hou, Qiuke;Huang, Yongquan;Zhang, Changrong;Zhu, Shuilian;Li, Peiwu;Chen, Xinlin;Hou, Zhengkun;Liu, Fengbin
    • Journal of Neurogastroenterology and Motility
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    • 제24권4호
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    • pp.656-668
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    • 2018
  • Background/Aims MicroRNAs (miRNAs) were reported to be responsible for intestinal permeability in diarrhea-predominant irritable bowel syndrome (IBS-D) rats in our previous study. However, whether and how miRNAs regulate visceral hypersensitivity in IBS-D remains largely unknown. Methods We established the IBS-D rat model and evaluated it using the nociceptive visceral hypersensitivity test, myeloperoxidase activity assay, restraint stress-induced defecation, and electromyographic (EMG) activity. The distal colon was subjected to miRNA microarray analysis followed by isolation and culture of colonic epithelial cells (CECs). Bioinformatic analysis and further experiments, including dual luciferase assays, quantitative real-time polymerase chain reaction, western blot, and enzyme-linked immunosorbent assay, were used to detect the expression of miRNAs and how it regulates visceral hypersensitivity in IBS-D rats. Results The IBS-D rat model was successfully established. A total of 24 miRNAs were differentially expressed in the distal colon of IBS-D rats; 9 were upregulated and 15 were downregulated. Among them, the most significant upregulation was miR-200a, accompanied by downregulation of cannabinoid receptor 1 (CNR1) and serotonin transporter (SERT). MiR-200a mimic markedly inhibited the expression of CNR1/SERT. Bioinformatic analysis and luciferase assay confirmed that CNR1/SERT are direct targets of miR-200a. Rescue experiments that overexpressed CNR1/SERT significantly abolished the inhibitory effect of miR-200a on the IBS-D rats CECs. Conclusions This study suggests that miR-200a could induce visceral hyperalgesia by targeting the downregulation of CNR1 and SERT, aggravating or leading to the development and progression of IBS-D. MiR-200a may be a regulator of visceral hypersensitivity, which provides potential targets for the treatment of IBS-D.

Imaging Assessment of Visceral Pleural Surface Invasion by Lung Cancer: Comparison of CT and Contrast-Enhanced Radial T1-Weighted Gradient Echo 3-Tesla MRI

  • Yu Zhang;Woocheol Kwon;Ho Yun Lee;Sung Min Ko;Sang-Ha Kim;Won-Yeon Lee;Suk Joong Yong;Soon-Hee Jung;Chun Sung Byun;JunHyeok Lee;Honglei Yang;Junhee Han;Jeanne B. Ackman
    • Korean Journal of Radiology
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    • 제22권5호
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    • pp.829-839
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    • 2021
  • Objective: To compare the diagnostic performance of contrast-enhanced radial T1-weighted gradient-echo 3-tesla (3T) magnetic resonance imaging (MRI) and computed tomography (CT) for the detection of visceral pleural surface invasion (VPSI). Visceral pleural invasion by non-small-cell lung cancer (NSCLC) can be classified into two types: PL1 (without VPSI), invasion of the elastic layer of the visceral pleura without reaching the visceral pleural surface, and PL2 (with VPSI), full invasion of the visceral pleura. Materials and Methods: Thirty-three patients with pathologically confirmed VPSI by NSCLC were retrospectively reviewed. Multidetector CT and contrast-enhanced 3T MRI with a free-breathing radial three-dimensional fat-suppressed volumetric interpolated breath-hold examination (VIBE) pulse sequence were compared in terms of the length of contact, angle of mass margin, and arch distance-to-maximum tumor diameter ratio. Supplemental evaluation of the tumor-pleura interface (smooth versus irregular) could only be performed with MRI (not discernible on CT). Results: At the tumor-pleura interface, radial VIBE MRI revealed a smooth margin in 20 of 21 patients without VPSI and an irregular margin in 10 of 12 patients with VPSI, yielding an accuracy, sensitivity, specificity, positive predictive value, negative predictive value, and F-score for VPSI detection of 91%, 83%, 95%, 91%, 91%, and 87%, respectively. The McNemar test and receiver operating characteristics curve analysis revealed no significant differences between the diagnostic accuracies of CT and MRI for evaluating the contact length, angle of mass margin, or arch distance-to-maximum tumor diameter ratio as predictors of VPSI. Conclusion: The diagnostic performance of contrast-enhanced radial T1-weighted gradient-echo 3T MRI and CT were equal in terms of the contact length, angle of mass margin, and arch distance-to-maximum tumor diameter ratio. The advantage of MRI is its clear depiction of the tumor-pleura interface margin, facilitating VPSI detection.

Seasonal Variation in Fatty Acid Composition in Female Pen Shell (Atrina Pectinata)

  • Baik Sung-Hyun;Kim Kang-Jeon;Choo Jong-Jae;Choe Sun-Nam;Chung Ee-Yung;Park Kwan Ha
    • Fisheries and Aquatic Sciences
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    • 제4권4호
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    • pp.261-264
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    • 2001
  • Seasonal variation in fatty acid profiles was examined in the visceral mass and the posterior adductor muscle of the female pen shell, Atrina pectinata. Total percentages of saturated fatty acids were similar between the two organs, and there was not a prominent seasonal change in both tissues. While the percentages of highly unsaturated fatty acids (HUFAs) in the visceral mass were higher than those in the posterior adductor muscle, monounsaturated fatty acids (MUFAs) were high in the posterior adductor muscle. HUFA contents, especially in $20: 5\omega3$, $22: 5\omega3$ and $22: 6\omega3$, markedly decreased in September in the visceral mass, and this decrease was associated with a corresponding total MUFAs in the same organ. A similar pattern of change in September was noted in the posterior adductor muscle MUFAs and HUFAs. These results indicate that $20:\omega3$ and $22:\omega3$ HUFA changes in the visceral mass and posterior adductor muscle reflect the reproductive stages in pen shell.

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개회충에 의한 유충 내장 이행증 1예 (A Case of Pulmonary Infiltration with Eosinophilia in Visceral Larval Migrans by Toxocara Canis)

  • 김영찬;신성준;이재형;김미옥;손장원;양석철;윤호주;신동호;박성수;류재숙;정명숙
    • Tuberculosis and Respiratory Diseases
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    • 제53권1호
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    • pp.71-78
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    • 2002
  • Human toxocariasis is a zoonotic parasitic disease caused by the larva of toxocara canis or cati. It is one of the most commonly reported zoonotic helminth infection in the world. Human are infected mainly by the accidental ingestion of embryonated eggs due to the pica, geophagia, the consumption of contaminated raw vegetables and poor personal hygiene particularly in childhood. In adults, the consumption of raw meat from potential paratenic hosts e.g. chickens, lambs, rabbits and dogs is a major cause of human toxocariasis. The larva can reach various organs such as the liver, lung, brain, and eye by the hematogenous spread and cause visceral larva migrans. We experience a case of pulmonary infiltration with eosinophilia by visceral larva migrans after eating the raw liver and kidney of a dog.