• Title/Summary/Keyword: abdominal organs

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Multiple Intraabdominal Solid Organ Injuries after Blunt Trauma (외상후 복부 다발성 고형장기 손상)

  • Park, Hyung Do;Kim, Sun Hyu;Lee, Jong Hwa;Hong, Jung Seok;Hong, Eun Seog
    • Journal of Trauma and Injury
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    • v.22 no.2
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    • pp.193-198
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    • 2009
  • Purpose: This study evaluated the characteristics and the prognosis of multiple intraabdominal solid organ injuries, including those to the liver, spleen, and kidney, after blunt trauma. Methods: From January 2001 to March 2009, 39 patients with multiple intraabdominal solid organ injuries, which had been confirmed by contrast-enhanced computed tomography after blunt trauma, were included in this retrospective study. The injury severity score (ISS), abbreviated injury scale (AIS), revised trauma score (RTS), American Association for the Surgery of Trauma (AAST) injury grade of solid organs, initial hemodynamic status, blood gas analysis, blood transfusion, and the mortality were the main outcome measurements. Results: Injured groups were classified into liver/kidney (n=17), liver/spleen (n=4), spleen/kidney (n=13), and liver/kidney/spleen (n=5) groups. Patients were older in the liver/kidney group than in the liver/kidney/spleen group (43 vs 18 years, p=0.023). The initial systolic blood pressures tended to be lower in the liver/kidney group than in the other groups (84 vs 105, 112, and 114 mmHg, p=0.087). The amounts of 24-hour packed RBC transfusion were 32 units in the liver/kidney group and 4 units in the liver/kidney/spleen group, but the difference was not statistically significant. Differences were found in neither the RTS, ISS, and AIS for head, chest, abdominal, and pelvic injuries nor the AAST injury grade for solid organ, but injuries to the chest were more severe in the liver/spleen group than in the spleen/kidney group (AIS 4.0 vs 2.8, p=0.028). Conservative treatment was the most frequent applied treatment in all groups. There were 6 mortalities : 3 due to hypovolemia, 2 to sepsis, and 1 to brain injury. Mortalities occurred only in the liver/kidney group. Conclusion: Patients who had intraabdominal solid organ injuries of the liver and the kidney simultaneously, tended to be transfused more at an early time after trauma, to have lower initial systolic blood pressures, and to have a higher mortality.

Assessment of the Effective Dose to the Human Body and Estimation of Lifetime Attributable Risk by CT Examination (CT 검사별 노출되는 유효선량과 생애 암 귀속 위험도 평가)

  • Cho, Yong In;Kim, Jung Hoon
    • Journal of the Korean Society of Radiology
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    • v.14 no.2
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    • pp.169-178
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    • 2020
  • The number of CT scans is increasing every year due to the improvement of the medical standards of the public, and thus the annual dose of medical radiation is also increasing. In this study, we evaluated the effective dose of the human body exposed to CT scans and estimated LAR. First, five region were selected from the CT diagnostic reference level guideline, and the effective dose of human body exposed to each examination was evaluated by clinical CT device. Second, the human organs and effective dose were calculated using the ALARA-CT program under the same conditions. Third, lifetime attributable risk (LAR) estimated by the effective dose exposed through the previous CT scan was estimated. As a result, the most effective dose was 21.18 mSv during the abdomen 4 phase scan, and the dose level was below DRL for all other tests except for the abdominal examination. As a result of evaluating effective dose using a dose calculation program under the same conditions, the results showed about 1.1 to 1.9 times higher results for each examination. In the case of organ dose, the closer the organ to the scan site, the higher the scattering ray. The lifetime attributable risk to CT radiation dose in adults was gradually decreased with age, and the results were somewhat different according to gender.

Detection of Atherosclerotic Lesion with $^{99m}Tc-LDL$ Scintigraphy ($^{99m}Tc-LDL$ (Low Density Lipoprotein)신티그라피를 이용한 동맥경화병소 진단)

  • Kim, Deog-Yoon;Koh, Eun-Mi;Woo, Jeong-Taek;Kim, Sung-Woon;Yang, In-Myung;Kim, Jin-Woo;Kim, Young-Seol;Kim, Kwang-Won;Choi, Young-Kil
    • The Korean Journal of Nuclear Medicine
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    • v.26 no.2
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    • pp.257-264
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    • 1992
  • Diagnostic approaches such as angiography, ultrasound, computed tomography and nuclear magnetic resonance have limitation for contributing to the early clinical diagnosis of atherosclerosis. Recently, $^{99m}Tc-labelled$ low density lipoprotein was developed to detect early atherosclerotic lesion by external imaging with gamma camera. To determine whether $^{99m}Tc-LDL$ scintigraphy can visualize the active atherosclerotic lesion, rabbits were injected with $^{99m}Tc-LDL$, 3 months after feeding dietary fat (lanolin) and we obtained following results. 1) Labelling efficiency of $^{99m}Tc-LDL$ was $79\sim88%$. 2) Biodistribution study of normal rabbits with $^{99m}Tc-LDL$ revealed the high activities in spleen, adrenal gland, liver, kidney which are major organs of high metabolic rate of LDL. 3) Three months after feeding lanolin, serum cholesterol was markedly increased from $74{\pm}17mg/dl$ to $979{\pm}153mg/dl$ and histologic study of aorta after sacrificing the rabbit demonstrated marked atherosclerotic changes. 4) Atherosclerotic lesion of abdominal aorta which was confirmed with histologic study could be demonstrated in $^{99m}Tc-LDL$ scintigraphy after feeding lanolin for 3 months. In conclusion, the results of this preliminary investigation suggest that it may be possible to image active atheromatous lesion with $^{99m}Tc-LDL$. It is anticipated that this promising agent may allow the in vivo monitoring of preclinical atherosclerotic lesions and may be useful to evaluate the metabolic pathway of LDL in humans.

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Effects of Triticum aestivum sprout on Blood Glucose and Lipid Levels in the Streptozotocin-Induced Diabetic Mice (소맥엽의 섭취가 Streptozotocin 유발 당뇨 흰쥐에서 혈중 포도당 및 지질에 미치는 영향)

  • Lee, Sun-Hee;Lim, Sung-Won;Lee, Young-Mi;Kang, Chun-Sik;Cheong, Young-Keun;Park, Chul-Soo;Song, Bong-Joon;Kim, Dae-Ki
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.24 no.6
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    • pp.1012-1018
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    • 2010
  • This study investigated the functional effect by diets of Triticum aestivum sprout (TA) on the levels of blood glucose and lipid profiles in streptozotocin(STZ)-induced diabetic mice. Diabetes mellitus were induced by STZ intraperitoneal injection (50 mg/kg) into the male Balb/c mice. All mice fed AIN-93 diet for 3 weeks. Mice were divided to 4 groups: normal, diabetic control and two experimental groups (TA 5.0, diet with Triticum aestivum sprout 5.0% w/w; TA 2.5, diet with Triticum aestivum 2.5% w/w). The blood glucose level was decreased by TA intake in diabetic mice in the dose-dependant manner; 21.34% and 35.77% in TA 2.5 and TA 5.0 groups. The weight gain and feed efficiency ratio also were improved by TA intake compared with DM group. The weight gain was increased 1.28 and 1.09 folds in TA 5.0 and TA 2.5 groups, respectively. The weight of organs, including liver and kidney, was reduced but that of spleen and abdominal fat was increased by TA intake. Moreover, TA treatment increased the level of HDL but decreased the level of total cholesterol and triglycerides in the blood of diabetic mice. The blood of HbA1c also was significantly decreased without changing hematocrit by TA treatment compared with DM group. These results indicate the TA intake has the functional effects attenuating blood glucose and plasma lipid levels in insulin-dependent diabetes.

The ultrasonographic estimate of renal arteries in the dog (개에 있어서 신장혈관의 초음파적 평가에 관한 연구)

  • Kang, Suk-jae;Bae, Chun-sik;Kim, Hwi-yool;Chang, Kyung-jin
    • Korean Journal of Veterinary Research
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    • v.39 no.1
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    • pp.230-239
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    • 1999
  • Digital color doppler ultrasonographic system(DCDUS) has a lot of diagnostic functions. One of these is a detection of low velocity vessels in the organs of abdominal cavity. The purpose of study was to determine the clinical usefulness of DCDUS. Interlobar artery resistive index(RI), pulsatility index(PI) and systolic diastolic ratio(SDr) were measured for diagnosis of obstructed urinary tract. RI, PI and SDr were a measure of intrarenal blood flow impedance. This study was consisted of 2 groups. The normal group was studied in 16 normal adult dogs and the study group was studied 7 dogs with surgically induced, unilateral ureteral obstruction. In the study group, parameters were checked in normal condition and on 1, 2, 3, 5, 7 and 10th day after ligation. The result were summarized as follows. In the normal group, RI, PI and SDr of the left kidney was $0.65{\pm}0.04$, $1.25{\pm}0.12$ and $292.45{\pm}29.40$, respectively. RI, PI and SDr of the right kidney were $0.64{\pm}0.05$, $1.28{\pm}0.20$ and $282.25{\pm}37.26$, respectively. In the study group, RI of the left kidney induced ligation was increased significantly on 1, 2, 3, 5, 7 and 10th day. RI of the left kidney on 1, 2, 3, 5, 7 and 10th day were $0.75{\pm}0.05$, $0.71{\pm}0.03$, $0.74{\pm}0.04$, $0.74{\pm}0.02$, $0.73{\pm}0.02$ and $0.73{\pm}0.04$, respectively. PI of the left kidney was increased significantly on 1, 3, 5 and 7th day. PI of the left kidney on 1, 3, 5 and 7th day were $1.57{\pm}0.21$, $1.54{\pm}0.24$, $1.60{\pm}0.15$ and $1.60{\pm}0.26$, respectively. SDr of the left kidney increased significantly on 1, 2, 3, 5 and 7th day. SDr of the left kidney on 1, 2, 3, 5 and 7th day were $412.18{\pm}86.69$, $352.14{\pm}47.05$, $399.77{\pm}65.54$, $369.43{\pm}48.34$ and $365.57{\pm}22.46$, respectively(p<0.05). In the study group, RI of the left kidney was more increased than that of the right kidney on 1, 2, 3, 5, 7 and 10th day. PI of the left kidney was more increased than that of the right kidney on 1, 3, 5, and 7th day. SDr of the left kidney was more increased than that of the right kidney on 1, 2, 3, 5 and 7th day(p<0.05). RI was effective in the diagnosis of an acute unilateral ureteral obstruction. PI and SDr were insufficient in the diagnosis of an acute unilateral ureteral obstruction.

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The Effects of an Aqueous Extract from the Dried Roots of a Codonopsis pilosula (Franch.) Nannf. (CP) on the Body-weight Gains of Mice (당삼 열수 추출물이 마우스의 체중 변화에 미치는 영향)

  • Lee, Hyun-Tai
    • Journal of Life Science
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    • v.27 no.11
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    • pp.1376-1380
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    • 2017
  • This study examined how the daily administration of dried CP roots affects body-weight gains of mice. An aqueous CP extract (1 g/kg of CP-W) was orally administered to mice on a daily basis for ten weeks, and the mice's body weights and food intakes were measured throughout the period. At the end of the ten-week treatment, murine blood samples were taken and hematological and serum biochemical parameters were examined. The mice's intra-abdominal organs were weighed at necropsy. The treatment of CP-W significantly suppressed the mice's body-weight gain by about 10%. There were no changes to the food intakes of and no observable abnormal clinical signs in any of the animals throughout the experimental period. There were no significant differences between the control and CP-W mice in regards to the hematological and serum biochemical parameters and the organ weights at necropsy. The results demonstrated that the daily administration of CP-W for ten weeks suppresses body-weight gain in mice and does not change mice's food intake or cause any noticeable toxic effects.

Experimental infection of Philasterides dicentrarchi in Juvenile Olive Flounder, Paralichthys olivaceus (양식넙치에서 분리된 스쿠티카 섬모충 Philasterides dicentrarchi의 넙치 치어 인위감염)

  • Jin Chang-Nam;Kang Hyun-Sil;Lee Chang-Hoon;Lee Young-Don;Lee Je-Hee;Song Choon-Bok;Heo Moon-Soo
    • Journal of Aquaculture
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    • v.19 no.3
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    • pp.197-204
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    • 2006
  • The pathogenicity and infection route of the Scuticociliate, Philasterdies dicentrarchi, were investigated with the 3 and 5 cm-group of juvenile flounders, Paralichthys olivaceus. The infection rates of 3 cm-group were 40% four days post infection (D.P.I.) and increased to be 90.1% 24 D.P.I., whereas those of 5 cm-group were 20% 8 D.P.I., 42% 16 D.P.I., and 81% 24 D.P.I. The results showed there were several infection routes to internal organs Olive flounder. The first route was started with the infection at the soft part of caudal fin and later reached at fin ray and muscle tissue; the second one was started from lips and mouth tissue of upper jaw and later the pathogen could be observed at either muscle tissue or eyeball and brain; the third one was begun at caudal fin and later the pathogen reached at brain tissu'e through spiral cord; the fourth one was started with the infections at abdominal cavity and anus. P. dicentrarchi infected to brain tissue was first observed 14 D.P.I in 3 cm-group and 20 D.P.I. in 5 cm-group of the juvenile flounder. This indicated that the brain infection of P. dicentrarchi might occur faster in small-sized flounder than large-sized one.

Effect of Food Waste Feed and Probiotics on Growth perfermance and Body Composition in Broiler (남은음식물 사료와 생균제 첨가에 따른 육계의 성장 및 체조성에 미치는 영향)

  • Yang, Chul-Ju;Uuganbayar, D.;Sin, Young-Hwan;Park, Il-Chul;Chung, Il-Byung;Cho, Yung-Mu;Kim, Won-Ho;Nam, Byung-Sub
    • Journal of the Korea Organic Resources Recycling Association
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    • v.11 no.1
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    • pp.113-121
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    • 2003
  • The objective of this study was to determinate the effect of food waste with probiotic supplemented diets on growth performance and body composition in broiler chicks. One hundred ninety six (Ross 1 day old) broiler chicks were randomly allotted to seven treatments and raised in barely cages. As the results of the experiment the body weight gain was increased significantly in groups fed control+antibiotics supplemented diets (P<0.05), but there were no significant difference in weight gain of the chicks fed diets containing food waste with probiotic and antibiotic supplementations (P>0.05). The feed intake was increased significantly in group fed a diet containing food waste 1.5% with 0.5% probiotic supplementation but it was no significantly different for rest experimental groups (P>0.05). The feed efficiency was reduced significantly in broilers fed food waste with probiotic diets compared to groups fed control and antibiotic supplemented diets (P>0.05). The large intestine weight was increased significantly in broilers fed antibiotic supplemented diet compared to control (P<0.05). The abdominal fat was increased in groups fed diet containing food waste supplementation (P<0.05). The rest of vital organs weights was not affected by additon of food waste and probiotic supplementation in broiler diet (P>0.05).

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Blood Vessel Regeneration using Human Umbilical Cord-derived Endothelial Progenitor Cells in Cyclophosphamide-treated Immune-deficient Mice

  • Kwon, Soon-Keun;Ko, Yu-Jin;Cho, Tae-Jun;Park, Eu-Gene;Kang, Byung-Chul;Lee, Gene;Cho, Jae-Jin
    • International Journal of Oral Biology
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    • v.36 no.3
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    • pp.117-122
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    • 2011
  • Endothelial cells are a vital constituent of most mammalian organs and are required to maintain the integrity of these tissues. These cells also play a major role in angiogenesis, inflammatory reactions, and in the regulation of thrombosis. Angiogenesis facilitates pulp formation and produces the vessels which are essential for the maintenance of tooth homeostasis. These vessels can also be used in bone and tissue regeneration, and in surgical procedures to place implants or to remove cancerous tissue. Furthermore, endothelial cell regeneration is the most critical component of the tooth generation process. The aim of the present study was to stimulate endothelial regeneration at a site of acute cyclophosphamide (CP)-induced endothelial injury by treatment with human umbilical cord-derived endothelial/mesenchymal stem cells (hEPCs). We randomly assigned 16 to 20-week-old female NOD/SCID mice into three separate groups, a hEPC ($1{\times}10^5$ cells) transplanted, 300mg/kg CP treated and saline (control) group. The mice were sacrificed on days 5 and 10 and blood was collected via the abdominal aorta for analysis. The alanine transaminase (ALT), aspartate aminotransferase (AST), serum alkaline phosphatase (s-ALP), and albumin (ALB) levels were then evaluated. Tissue sections from the livers and kidneys were stained with hematoxylin and eosin (HE) for microscopic analysis and were subjected to immunohistochemistry to evaluate any changes in the endothelial layer. CP treatment caused a weight reduction after one day. The kidney/body weight ratio increased in the hEPC treated animals compared with the CP only group at 10 days. Moreover, hEPC treatment resulted in reduced s-ALP, AST, ALT levels compared with the CP only group at 10 days. The CP only animals further showed endothelial injuries at five days which were recovered by hEPC treatment at 10 days. The number of CD31-positive cells was increased by hEPC treatment at both 5 and 10 days. In conclusion, the CP-induced disruption of endothelial cells is recovered by hEPC treatment, indicating that hEPC transplantation has potential benefits in the treatment of endothelial damage.

Effect of Dietary Antibiotic Replacement with Korean Red Pine Bark Extracts in Broiler Diets (국산 적송수피 추출물의 브로일러에 대한 항생제 대체효과)

  • Park, Byung-Sung
    • Journal of Life Science
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    • v.20 no.7
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    • pp.1047-1053
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    • 2010
  • This study was conducted to evaluate the effects of dietary Korean red pine bark extract as an antibiotic replacement on cecum microflora, immune functions, blood lipids, carcass characteristics, and growth performance in broiler chickens. There were four treatment groups: a control group, an antibiotic group, and two treatment groups receiving 65 and 80 ppm Korean red pine bark extract. Growth performance, carcass weight, dressing percentage, and breast and thigh muscle weight of the broiler chickens fed 80 ppm of red pine bark extract was higher than the broilers of the control group and the antibiotic group. Abdominal fat was lower in both groups of broiler chickens fed red pine bark extract, but the growth of immune organs such as the thymus, spleen, and bursa of Fabricius was significantly higher in the group that received a diet supplemented with 80 ppm red pine bark extract than in the control group and antibiotic group. Concentrations of triacylglyceride and total cholesterol were significantly lower in both groups that received red pine bark extract when compared to the control group and the antibiotic group. The concentration of serum IgG was significantly higher in the 80 ppm red pine bark extract group than in the control group and the antibiotic group. The numbers of Bifidobacterium and Lactobacillus in the cecum digesta were significantly increased, while the numbers of Escherichia coli and Salmonella were significantly reduced in the group that received 80 ppm red pine bark extract when compared to the control group and the antibiotic group. These results suggest that the a diet with 80 ppm Korean red pine bark extract as a replacement for antibiotics improve the cecum microflora, immune functions, blood lipids, carcass characteristics and growth performance of broiler chickens.