• 제목/요약/키워드: blood vessels

검색결과 919건 처리시간 0.031초

성상신경절 차단 후 발생한 심한 경부혈종 -증례 보고- (Severe Hematoma in the Neck Following the Stellate Ganglion Block -A case report-)

  • 강형창;김유재
    • The Korean Journal of Pain
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    • 제11권2호
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    • pp.346-349
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    • 1998
  • The technique of the stellate ganglion block is widely used as it is relatively simple and safe. But it can cause severe complications because there are major blood vessels and nerves around the stellate ganglion. We practiced CPR because of the respiratory failure caused by severe hematoma in the neck following the stellate ganglion block. A 46-year-old male patient admitted to ENT department because of the both sudden sensorineural hearing loss that happened after URI. He was referred to Pain Clinic for further evaluation and treatment. We decided to block the stellate ganglion. We injected 6ml of 0.5% mepivacaine on both sides of the stellate ganglion. There were no blood aspiration and abnormal vital signs during the 30 minute observation, either. Three hours after he went to the private room, he had pain and edema in his neck, but no respiratory defficulty. But later, respiratory failure was suddenly followed. So we practiced CPR. We confirmed severe hematomas in the neck through CT scanning. Hematomas is removed and the ruptured blood vessels which is supposed to be muscular branch of vertebral artery is ligated under general anesthesia. The patient was discharged from hospital after the treatment of pneumonia and duodenal ulcer as complications. We recommand you to compress the block site more than five minutes and not to prick with the needle several times at one point to prevent the formation of hematomas.

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갱년기 여성을 위한 발건강 관리방법에 관한 문헌연구 (A Study on Foot Reflexology Therapy for Climacteric Women)

  • 이계숙
    • 한국패션뷰티학회지
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    • 제2권2호
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    • pp.12-22
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    • 2004
  • The purpose of this study is to present various ways for women to prevent and remedy the climacteric symptoms and to increase the health and quality of life of the women. The reason of this study focuses on this matter is that the conditions of climacteric era is connecter into the health of golden age. After examining the symptoms of the period, the researcher went over the foot heal care even recognized to the public. When the study considered the foot care as a medical service for the climacteric women, the method was expected as a way to improve the symptoms related to the climacteric diseases. This effect is also supported by the results of the clinical experiment and book media materials concerned. The main symptoms of climacteric period such as insomnia, irregular menstruation, stomach chill, stress were able to be decreased by feet bathing, and massage therapy on feet could also decrease pain of arms and legs, menstruation, headache and insomnia. The foot reflexology therapy made strengthen the periphery nerve, capillary vessels, and immune system, and increased the elasticity of blood vessels and the speed of the blood corpuscle, so they could enable to the blood circulation. The study expects the foot care to be positively method for climacteric symptoms with regular breathing, muscle relaxing exercise, acupuncture, exercise and alimentotherapy. The foot care doesn't have any side effects and could ives up to the modern people who want to keep their health and live long.

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PLGA Microspheres in Hyaluronic Acid Gel as a Potential Bulking Agent for Urologic and Dermatologic Injection Therapies

  • KANG SUN-WOONG;CHO EUI RI;KIM BYUNG-SOO
    • Journal of Microbiology and Biotechnology
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    • 제15권3호
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    • pp.510-518
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    • 2005
  • In this study, we investigated whether PLGA microspheres in combination with hyaluronic acid (HA) gel have appropriate properties as a bulking agent for urologic injection therapies and whether the implantation of PLGA microspheres and HA gel induces angiogenesis in the newly formed tissues. In order to investigate whether this bulking agent is injectable, this material was injected through 24-gauge needles into the subcutaneous dorsum of the mouse. The bulking agent was easily injected without needle obstruction. Histological analyses of the hybrid tissues at 2 weeks showed that host cells at the surrounding tissues migrated into the spaces between the implanted PLGA microspheres and formed tissue-like structures. An inflammatory response to the implants was mild at 2 weeks and diminished at 8 weeks. Importantly, extensive ingrowth of blood vessels was observed in the hybrid tissues formed by the injection of PLGA microspheres and HA, whereas blood vessels rarely formed in the hybrid tissues formed by the injection of PLGA microspheres only. The implant volume was conserved for almost the entire implantation period. Histological analyses of the distant organs of the bulking agent-implanted animals, such as the lungs, liver, heart, brain, kidney, and spleen, showed no evidence of the injected microsphere migration. These results show that PLGA microspheres in combination with HA possess the appropriate characteristics for a bulking agent for urologic injection therapies and induce extensive blood vessel formation in the hybrid tissues.

진세노사이드의 혈관확장작용과 분자기전 (Ginsenosides-mediated Vascular Relaxation and Its Molecular Mechanisms)

  • 김낙두
    • Journal of Ginseng Research
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    • 제32권2호
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    • pp.89-98
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    • 2008
  • There are increasing evidences in the literatures on the potential role of ginsenosides in treating cardiovascular diseases. In this article, current information about ginsenosides-mediated vascular relaxation are reviewed. From the published studies using isolated organs, cell culture systems and animal models, ginsenosides are shown to relax blood vessels and improve blood flow through diverse mechanisms, including nitric oxide release by activating eNOS phosphorylation via PI3K/Akt and/or ERK1/2 pathways in endothelial cells, induction of inducible nitric oxide synthase through activation of NF-${\kappa}$B, reducing the intracelluar Ca$^{2+}$ levels by activating Ca$^{2+}$-activated K$^{+}$ channels in vascular smooth muscle cells and reducing platelet aggregation by decreasing thromboxane A$_2$ formation and intracelluar Ca$^{2+}$in platelets. In addition, the relevant clinical trials regarding the effects of ginsenosides on the cardiovascular disease are summarized, particulary focusing on managing hypertension and improving thrombotic disorders. Finally, antagonistic effects of ginsenosides on the prostaglandin H$_2$ receptor and scavenging effects on the generation of oxygen-derived free radicals in spontaneously hypertensive rats (SHR) are discussed.

혈관계의 특성이 반영된 심혈관계 시뮬레이터의 개발 (Development of a Cardiovascular Simulator with Cardiovascular Characteristics)

  • 이주연;신상훈
    • 대한한의진단학회지
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    • 제16권3호
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    • pp.33-40
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    • 2012
  • Objectives: Existing cardiovascular simulators are used to evaluate artificial organs such as artificial hearts, prosthetic valves, and artificial blood vessels, and pulses are typically triggered using artificial hearts. However, the forms of pulse waves vary according to the location of arteries, and for precise assessment of artificial blood vessels, the development of simulators that generate diverse pressure pulse waves is necessary. This study developed a novel cardiovascular simulator that generates different forms of pulse waves. Methods: This simulator consists of a stepping motor, a slider-crank mechanism that transforms the rotation movement of a motor into the straight-line motion of a piston, a piston that generates pulsatile flows, a water tank that supplies fluids, an elastic tube made of silicon, and a device that adjusts the terminal resistance of fluids. Results & Conclusion: This study examined motor rotation and its operation under conditions similar to the physiological conditions of the heart. The simulator developed in this study produced diverse forms of waves, and the generated pressure waves well satisfied physiological conditions.

An automatic detection method for lung nodules based on multi-scale enhancement filters and 3D shape features

  • Hao, Rui;Qiang, Yan;Liao, Xiaolei;Yan, Xiaofei;Ji, Guohua
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제13권1호
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    • pp.347-370
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    • 2019
  • In the computer-aided detection (CAD) system of pulmonary nodules, a high false positive rate is common because the density and the computed tomography (CT) values of the vessel and the nodule in the CT images are similar, which affects the detection accuracy of pulmonary nodules. In this paper, a method of automatic detection of pulmonary nodules based on multi-scale enhancement filters and 3D shape features is proposed. The method uses an iterative threshold and a region growing algorithm to segment lung parenchyma. Two types of multi-scale enhancement filters are constructed to enhance the images of nodules and blood vessels in 3D lung images, and most of the blood vessel images in the nodular images are removed to obtain a suspected nodule image. An 18 neighborhood region growing algorithm is then used to extract the lung nodules. A new pulmonary nodules feature descriptor is proposed, and the features of the suspected nodules are extracted. A support vector machine (SVM) classifier is used to classify the pulmonary nodules. The experimental results show that our method can effectively detect pulmonary nodules and reduce false positive rates, and the feature descriptor proposed in this paper is valid which can be used to distinguish between nodules and blood vessels.

형광과 레이저 스펙클 대조도 이미징을 결합한 실시간 의료영상 시스템 개발 (Development of a Real-time Medical Imaging System Combined with Laser Speckle Contrast Imaging and Fluorescence Imaging)

  • 심민재;김이근;고택용;최진혁;안예찬
    • 대한의용생체공학회:의공학회지
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    • 제42권3호
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    • pp.116-124
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    • 2021
  • It is important to differentiate between the target tissue (or organ) and the rest of the tissue before incision during surgery. And when it is necessary to preserve the differentiated tissues, the blood vessels connected to the tissue must be preserved together. Various non-invasive medical imaging methods have been developed for this purpose. We aimed to develop a medical imaging system that can simultaneously apply fluorescence imaging using indocyanine green (ICG) and laser speckle contrast imaging (LSCI) using laser speckle patterns. We designed to collect images directed to the two cameras on a co-axial optical path and to compensate equal optical path length for two optical designs. The light source used for fluorescence and LSCI the same 785 nm wavelength. This system outputs real-time images and is designed to intuitively distinguish target tissues or blood vessels. This system outputs LSCI images up to 37 fps through parallel processing. Fluorescence for ICG and blood flow in animal models were observed throughout the experiment.

ICG 망막영상에서 국부적 특징점 분석에 의한 혈관의 자동 추적 (Automatic Tracking of Retinal Vessels by Analyzing Local Feature Points in IndoCyanine Green Retinal Images)

  • 임문철;김우생
    • 한국정보과학회논문지:소프트웨어및응용
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    • 제29권3호
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    • pp.202-210
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    • 2002
  • 최근 수년 동안 의료영상에서 혈관의 추출 및 재구성에 관한 연구가 활발히 진행되어 오고 있으며 망막혈관 구조의 분석은 망막에 관련된 환자의 진단 및 치료에 중요한 정보를 제공하여 왔다. 본 연구에서는 ICG(Indocyanine Green) 기술에 의해 촬영된 망막영상에서 전체 망막혈관을 자동으로 추적하는 알고리즘을 제안한다 본 알고리즘은 각 혈관의 기울기크기 단면도(profile)로부터 국부적 최대점들(local maxima)과 처리방향을 평가하여 혈관의 외형과 중심을 추출하며, 국부적 최대점들의 방향성분을 비교하여 혈관의 분기점 및 교차점을 감지한다. 본 알고리즘을 환자의 ICG 망막영상에 적용하여 전체혈관이 자동으로 재구성되었으며 정확성과 연결성이 우수하다는 점을 실험결과로 제시하였다.

Expression of Bax and Bcl-2 in Tumour Cells and Blood Vessels of Breast Cancer and their Association with Angiogenesis and Hormonal Receptors

  • Jaafar, Hasnan;Abdullah, Suhaila;Murtey, Mogana Das;Idris, Fauziah M.
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권8호
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    • pp.3857-3862
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    • 2012
  • A total of 96 cases of invasive breast ductal carcinoma were examined for immunohistochemical expression of Bax and Bcl-2 in the epithelial tumor cells and endothelial cells of the blood vessels. We also investigated the association between both proteins in the epithelium in relation to tumor characteristics such as tumor size, grade, lymph node involvement, microvessel density (MVD), hormonal receptors expression and c-erbB-2 overexpression. Bax expression showed a significant association between tumor and endothelial cells (p<0.001) while Bcl-2 expression in tumor cells was inversely associated with that in the endothelial cells (p<0.001). Expression of Bcl-2 in tumor cells was strongly associated with expression of estrogen and progesterone receptors (p=0.003 and p=0.004, respectively). In addition, intratumoral MVD was significantly higher than peritumoral MVD (p<0.001) but not associated with Bax or Bcl-2 expression and other tumor characteristics. We concluded that the number of endothelial cells undergoing apoptosis was in direct linkage with the number of apoptotic tumor cells. Anti-apoptotic activity of the surviving tumor cells appears to propagate cancer progression and this was influenced by the hormonal status of the cells. Tumor angiogenesis was especially promoted in the intratumoral region and angiogenesis was independent of anti-apoptotic activity.

한국재래산양(Capra hircus)의 태아 및 신생아의 혀 발달에 관한 형태학적 연구 (Morphological study on the development of the tongue in fetuses and neonates of Korean native goat (Capra hircus))

  • 조규현;김종섭;고필옥;강병일;이종환;원청길
    • 대한수의학회지
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    • 제45권4호
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    • pp.477-483
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    • 2005
  • This study was carried out to investigate the morphological development of the tongue in the 60-, 90- and 120-day-old fetuses and neonates of Korean native goats by light microscopy. In 60-day-old fetuses, the tongue tissues were differentiated into epithelium, lamina propria, and muscle layer. The primordia of filiform, conical, lentiform, fungiform, and vallate papillae appeared by this time, and rudiments of taste buds were observed in the epithelia of the primordia gustatory papillae. The dorsal lingual epithelia were PAS positive. Collagenous fibers and blood vessels were present in the lamina propria. In 90-day-old fetuses, the gustatory glands were moderately positive for PAS and muscle fibers, and connective tissues were developed. In 120-day-old fetuses, many taste buds were observed in the gustatory papillae. The muscle bundles, collagenous fibers, blood vessels and gustatory glands were well developed. In neonates, over 40 taste buds were found in a transverse section of the vallate papillae. Muscle layers, blood vessels, collagenous fibers and gustatory glands were very well developed.