• 제목/요약/키워드: delayed mortality

검색결과 218건 처리시간 0.029초

향 정신성약물의 장기투여가 흰쥐 장기에 미치는 영향 (The Effects of Chronic Administration of Psychotropic Drugs on Various Organs in Rats)

  • 김혜성
    • 대한약리학회지
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    • 제9권1호
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    • pp.23-37
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    • 1973
  • This paper presents the effect of chronic administration of psychotropic drugs on rats. The experimental animals were litter mates (average initial body weight $47{\pm}1.1g$) whose mother were bred at our laboratory. Each litter mate was treated as one group. Control animals were treated with tap water and each experimental group was treated with caffeine citrate 0.1%, nialamide 0.1%, ethyl alcohol 2.5%, phenobarbital sod. 0.1%, diphenylhydantoin 0.1%, chlorpromazine 0.1%, reserpine 0.005%, diazepam 0.01%, chlorpheniramine 0.01% solutions respectively in drinking water over a period of ten weeks. All rats were allowed food and drinking water ad libitum. The mortality rate and the per cent increase of body weight were recorded weekly throughout the course of the experiment. The effects of above agents on the pentobarbital sleeping time, gastric secretion, and brain and liver weights were studied at the end of ten weeks treatment. The obtained results are summarized as follows: 1. Mortality rate was highest in the groups treated with phenobarbital and chlorpromazine respectively. Through the experimental period (ten weeks), the mortality rate was higher in earlier stage than in the later period. 2. During the period of prolonged administration of psychotropic drugs, only diazepam treated group showed remarkable difference in per cent increase of body weight from the control group of rats. 3. Acute treatment with psychotropic drugs delayed the onset of pentobarbital sleeping time. In contrast, the sleeping time was significantly shortened (p<0.001) when the rats were treated chronically with those agents. 4. The effects of chronic treatment with phenobarbital or diphenylhydantoin on the gastric secretion are as follows: the total acidity was remarkably decreased while the pH was increased. 5. The brain weight was significantly decreased in the ethyl alchol and in the chlorpheniramine treated groups, in the mean time, there was no change in liver weight treated with any psychotropic drugs.

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Drosophila melanogaster에 있어서 Methyl methane sulfonate의 영향에 대한 생리유전학적 연구 (Physiological Genetic Studies on the Erects of Methyl methanesulfonate in Drosophila melanogaster)

  • 최혜영;최영현
    • 한국환경과학회지
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    • 제6권1호
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    • pp.45-52
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    • 1997
  • Methyl methanesulfonate (MMS) was fed to Drosophila melnogaster in order to investigate its toxic capability at developmental and adult stages, and the hereditary effect of toxicity and the potency for induction of sex-linked lethal mutation during the slyer-matogenesis by the means of an attached-X method. In the control group, the egg to adult viability of D. melnogaster was 95.2%, while 3. 5mM and 5.0mM treated groups were 90.0% and 84.1%, respectively. In the case of their progenies (Fl), the viability was 96.9% in the control group, while 3.5mM and 5.0mM treated groups were 54.5% and 1.6%, respectively. Therefore, these differences between two generations show significant physiological toxic effects in the next generation. In the parental generation, the developmental time was calculated 11.05 days in the control group, 12.43 days In 3.5%mM treated group, and 13.23 days in 5.0mM. In the case of Fl it was estimated 10.35 days in the control group, and 11.43 days In 3.5mM treated group. Compared with the control groups In two generations, the developmental time generally delayed as the dose of MMS increased. As to the sex-ratio, there was no differences between the control and MMS treated groups. The toxic values of adult stage showed which increased the frequency of mortality with MMS concentrations. The mortality at 120hr In the control group was 1.67% and it in 0.5mM MMS treated group 3.33%. In 2.5mM MMS treated group, it was 33.3% at 72hr, and it 95% at 120hr The increase of the morality was shown from 72hr in 4.0mM treated group which was 100% at 96hr. There was the concentration-dependent induction of sex-linked lethal mutation during the spermatogenesis by means of an attached-X method, MMS had more pronounced effect in sperm and spermaid stages in D. melnogaster.

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하행 괴사성 종격동염: 흥부 절개에 의한 배액술의 중요성 (Descending Necrotizing Mediastinitis : Importance of Thoracotomy Incision for Mediastinal Drainage : Case Report)

  • 박일환;봉정표;서정옥;권장우
    • 대한기관식도과학회지
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    • 제15권2호
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    • pp.64-70
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    • 2009
  • Descending necrotizing mediastinitis(DNM) can occur as a complication of oropharyngeal and cervical infections that spread to the mediastinum via the cervical spaces. Delayed diagnosis and inadequate mediastinal drainage through a cervical or minor thoracic approach are the primary causes of a high mortality rate. Therefore, We emphasize that aggressive and emergent mediastinal drainage by surgical approach is most important method of DNM treatment. We studied 5cases diagnosed as DNM from 2005 through 2007. All patients underwent emergent surgical drainage of deep neck infection combined with mediastinal drainage through a thoracic approach. Primary oropharyngeal infection lead to DNM in four cases(80%) and odontogenic abscess in one case(20%). The outcomes were favorable 5patients. Overall mortality rate was 0%. The time interval from diagnosis based on manifestation of initial symptoms(oral or pharyngolaryngeal area) to surgical intervention was $7.4{\pm}4.2$days. One patient required reoperation due to remnant mediastinal abscess and pericardial effusion. Early diagnosis and emergent combined drainage with neck and chest incisions, together with broad spectrum intravenous antibiotics, should be considered standard care for this disease. And intensive postoperative care which it is continuous mediastinal irrigation and antibiotics use can significantly reduce the mortality rate.

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Major Causes of Preventable Death in Trauma Patients

  • Park, Youngeun;Lee, Gil Jae;Lee, Min A;Choi, Kang Kook;Gwak, Jihun;Hyun, Sung Youl;Jeon, Yang Bin;Yoon, Yong-Cheol;Lee, Jungnam;Yu, Byungchul
    • Journal of Trauma and Injury
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    • 제34권4호
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    • pp.225-232
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    • 2021
  • Purpose: Trauma is the top cause of death in people under 45 years of age. Deaths from severe trauma can have a negative economic impact due to the loss of people belonging to socio-economically active age groups. Therefore, efforts to reduce the mortality rate of trauma patients are essential. The purpose of this study was to investigate preventable mortality in trauma patients and to identify factors and healthcare-related challenges affecting mortality. Ultimately, these findings will help to improve the quality of trauma care. Methods: We analyzed the deaths of 411 severe trauma patients who presented to Gachon University Gil Hospital regional trauma center in South Korea from January 2015 to December 2017, using an expert panel review. Results: The preventable death rate of trauma patients treated at the Gachon University Gil Hospital regional trauma center was 8.0%. Of these, definitely preventable deaths comprised 0.5% and potentially preventable deaths 7.5%. The leading cause of death in trauma patients was traumatic brain injury. Treatment errors most commonly occurred in the intensive care unit (ICU). The most frequent management error was delayed treatment of bleeding. Conclusions: Most errors in the treatment of trauma patients occurred in early stages of the treatment process and in the ICU. By identifying the main causes of preventable death and errors during the course of treatment, our research will help to reduce the preventable death rate. Appropriate trauma care systems and ongoing education are also needed to reduce preventable deaths from trauma.

Five-year follow-up after pancreatoduodenectomy performed for malignancy: A single-centre study

  • Thomas Brendon Russell;Peter Lawrence Zaki Labib;Somaiah Aroori
    • 한국간담췌외과학회지
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    • 제27권1호
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    • pp.76-86
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    • 2023
  • Backgrounds/Aims: The aim of this study was to describe short- and long-term outcomes of patients who underwent pancreatoduodenectomy (PD) at a typical United Kingdom hepatopancreatobiliary unit. Methods: A retrospective analysis of all PD patients with histologically-confirmed pancreatic ductal adenocarcinoma (PDAC), ampullary adenocarcinoma (AA), or distal cholangiocarcinoma (CC) from September 1st, 2006 to May 31st, 2015 was carried out. The following information was obtained: demographics, comorbidities, preoperative investigations, neoadjuvant treatment, operative details, postoperative management, complications, adjuvant treatment, five-year recurrence, and five-year survival. Effects of selected preoperative variables on short- and long-term outcomes were investigated. Results: Of 271 included patients, 57.9% had PDAC, 25.8% had AA, and 16.2% had CC. In total, 67.9% experienced morbidity and 17.3% developed a Clavien-Dindo grade ≥ III complication. The 90-day mortality was 3.3%. Clinically-relevant postoperative pancreatic fistula, bile leak, gastrojejunal leak, postpancreatectomy haemorrhage and delayed gastric emptying affected 8.1%, 4.1%, 0.0%, 9.2%, and 19.9% of patients, respectively. American Society of Anesthesiologists grade III-VI correlated with overall morbidity (p = 0.002) and major morbidity (p = 0.009), but not 90-day mortality or five-year survival. The same pattern was observed in patients with a preoperative serum bilirubin > 29 µmol/L and/or a neutrophil/lymphocyte ratio > 3.1. Five-year cancer recurrence and five-year survival were 68.3% and 22.5%, respectively. PDAC patients had higher five-year recurrence but lower five-year survival rates (both p = 0.001). Conclusions: In our series, the majority of patients experienced a complication. However, few patients experienced major morbidity. Surgical risk factors did not affect five-year survival.

대학병원에서 발생하는 폐결핵 치료지연 (Delayed Treatment of Pulmonary Tuberculosis in a University Hospital)

  • 강신명;이준구;정재호;한창훈;변민광;정우영;박무석;김영삼;김세규;장준;김성규
    • Tuberculosis and Respiratory Diseases
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    • 제60권3호
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    • pp.277-284
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    • 2006
  • 연구배경: 폐결핵의 진단 및 치료지연은 결핵 환자의 사망률을 증가시키고, 결핵균 전파의 위험을 증가시킬 수 있다. 본 연구는 3차 민간의료기관에서 폐결핵 환자 치료지연의 요인을 분석하여, 결핵관리사업을 위한 기본적인 자료를 제공하고자 시행하였다. 방 법: 1999년 5월부터 10월까지 결핵균 도말 양성 혹은 배양 양성으로 새로이 진단된 폐결핵 환자 150명의 의무기록을 후향적으로 조사하였다. 지연치료군과 적절치료군으로 구분하여 환자 대조군 연구를 시행하여 치료지연의 요인을 분석하였고, 지연치료군 환자를 대상으로 전화 추적조사를 실시하여 치료적 중재를 실시하였다. 결 과: 대상 환자 150명 중 55명 (37%)이 지연치료군에 속하였다. 단변량 분석 결과 지연치료군의 의미있는 변수는 연령(61세 vs 40세; p <0.001), 항산균 도말 음성(85% vs 55%; p <0.001)과 1차 또는 2차 의료기관 미경유(56% vs 36%; p = 0.014)이었다. 다변량 분석 결과 고령 (p = 0.001), 항산균 도말 음성 (p = 0.001) 그리고 흉부사진상 하엽 침윤 소견 (p = 0.041)이 치료지연의 독립인자임을 확인하였다. 전화 추적조사 결과 치료를 받지 못한 22명의 환자 중 20명 (91%)이 병원에 다시 내원하기로 하였다. 결 론: 민간의료기관인 대학병원에서 폐결핵 치료 지연은 적지 않았다. 고령, 항산균 도말 음성, 하엽 침윤 소견이 치료지연의 위험요인이며, 체계적인 결핵 관리를 위한 조직 구성이 요구된다.

용각산의 항알레르기작용에 관한 연구 (The Studies on the Anti-allergic Property of Yonggak-san)

  • 노진우;이광규;이창현;육상원
    • 동의생리병리학회지
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    • 제16권5호
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    • pp.1009-1015
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    • 2002
  • The purpose of this research was to investigate the effect of Yonggak-san (YGS) on the anti-allergic reaction in vivo and in vitro. Administration of YGS(500 mg/kg) enhanced hemaggutination(HA)titer against SRBC. On the while, YGS inhibited hyaluronidase activity in vitro and passive cutaneous anaphylaxis reaction, lethal anaphylaxis and mortality induced by compound 48/80 in mice, YGS decreased Arthus reaction, acute hind paw edema induced by histamine. But YGS did not affect delayed type hypersensitivity induced by SRBC. These results suggest that YGS have anti-allergic action

지주막하 출혈에 따른 Vasospasm에 대한 Transcranial Doppler의 임상적 적용 (Transcranial Doppler Detection of Vasospasm Following Subarachnoid Hemorrhage)

  • 이준홍
    • Annals of Clinical Neurophysiology
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    • 제1권1호
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    • pp.55-59
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    • 1999
  • Vasoconstriction of intracerebral arteries is the leading cause of delayed cerebral infarction and mortality following aneurysmal subarachnoid hemorrhage. Transcranial Doppler studies show and increase in the flow velocities of basal cerebral arteries, which usually start around day 4 following a subarachnoid hemorrhage, and peaking by days 7 to 14. Angiographic studies confirm the presence of at least some degree of MCA vasospasm when the flow velocities are higher than 100 cm/sec. Mean velocities in the 120 to 200 cm/sec range correspond to 25 to 50% luminal narrowing. MCA and ACA vsospasm is detected with around 90% specificity. Sensitivity is 80% and 50% respectively. A 200cm/sec threshold and rapid flow velocity increase exceeding 50 cm/sec on consecutive days, has been associated with subsequent infarction. Transcranial Doppler is also used to monitor the effects of endovascular treatment of vasospasm. Flow velocities decrease following successful angioplasty or papaverine infusion. Overall, transcranial Doppler studies are considered to have acceptable accuracy for the evaluation of vasospasm in aneurysmal subarachnoid hemorrhage, with limitations that have to be taken into consideration in the clinical setting.

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Detecting Points for Ecological Disruptions and Developmental Delay Exposure to DEHP in Chironomus riparius (Diptera: Chironomidae)

  • Kwak, Inn-Sil;Lee, Wonchoel
    • 환경생물
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    • 제22권2호
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    • pp.321-328
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    • 2004
  • The effects of Di (2-ethylhexyl) phthalate (DEHP) on the fourth instar larvae of Chironomus riparius were tested in the laboratory. Employing a waterreplacement exposure setup, chironomids were subjected to various concentrations. In the most treatments mortality reached a statistically significant difference from the control conditions. As DEHP concentrations were increased, the rates of emerged adults decreased. Sex ratio was unaffected with little deviation from a 1:1 relationship (except in 1 and $30\mu{g}\;L^{-1})$. The developmental stages was delayed at low concentration (0.3 and $1\mu{g}\;L^{-1})$. Generally the emergent period was different between males and females, and the first emergent day of males was faster than females. The body shape of female adults was larger than males. Differences between males and females were found in body volume, body length and body width. In addition, the body volume showed the significant difference between controls and treatments, and those especially well observed females.

Thal 술식으로 치료한 Boerhaave 증후군 -1예 보고- (Surgical Treatment of An Unnoticed Postemetic Esophageal Perforation With Thai Method)

  • 이재동;이종태;김규태
    • Journal of Chest Surgery
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    • 제21권5호
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    • pp.935-940
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    • 1988
  • Perforated esophagus is a surgical emergency; it is the most serious and frequently the most rapidly lethal perforation of the gastrointestinal tract. Contamination of the mediastinum and often a pleural cavity with corrosive fluids, food material and bacteria leads to cardiorespiratory embarrassment, shock, major fluid losses and fulminating infection. Despite the improved diagnostic and treatment modalities, a perforation or leak from the esophagus remains a major source of morbidity and mortality. When esophageal perforation occurs, a successful outcome can be expected only when it is diagnosed soon after the event and repaired early. Esophageal perforations have a poor prognosis after delayed surgical treatment. With the use of the Thai onlay gastric patch method, a case of postemetic spontaneous perforation of the esophagus was successfully managed 6days after the event.

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