• 제목/요약/키워드: organ

검색결과 4,220건 처리시간 0.046초

고형 장기 이식 후 발생하는 피부암과 피부암 전구증으로 최근 22년간 단일 기관을 방문한 환자들에 대한 임상 양상과 인구통계학적 고찰(1995~2017) (Clinical Features and Incidence of Skin Cancer and Precancerous Lesions after Solid Organ Transplantation: A 22-year Single-center Experience in Korea)

  • 박찬성;박지혜;이종희;이동윤;이주흥;양준모
    • 대한피부과학회지
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    • 제56권10호
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    • pp.603-608
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    • 2018
  • Background: It is well known that skin cancer and precancerous disease develop more frequently in patients undergoing solid organ transplantation than normal populations in the normal population in Western countries. However, to date, the clinical and demographic features of skin cancer and precancerous disease after solid organ transplantation are not established in Asian countries. We evaluated the clinical and demographic features of primary skin cancer and precancerous lesions after solid organ transplantation and compared these with the trends observed in Western countries. Methods: We retrospectively reviewed the medical records of patients who underwent kidney, liver, heart, and lung transplantation between January 1995 and April 2017 and who developed skin cancer or precancerous lesions after transplantation. The various lesions observed were squamous and basal cell carcinoma, malignant melanoma, Kaposi sarcoma, Bowen's disease, and actinic keratosis. Results: We identified 4604 patients who received organ transplant. The mean age of patients was 44.8 years (male, 64.6%; female, 35.4%), and the sum of the person-year of observation time was 31,024 person-years. The incidence rate per 100,000 person-years was 29.01 for squamous cell carcinoma, 19.34 for basal cell carcinoma, 6.45 for malignant melanoma 3.22 for Kaposi sarcoma, and 74.17 for Bowen's disease and actinic keratosis. The incidence rate per 100,000 person-years was the highest in patients undergoing heart transplantation (610.50), followed by those who underwent kidney transplantation (136.54) and liver transplantation (90.15). Koreans showed lower incidence rates than those observed in Westerners. Conclusion: The incidence of primary skin cancer and precancerous lesions after solid organ transplantation in Koreans was lower than that in Westerners. Squamous cell carcinoma was the most common skin cancer in patients undergoing solid organ transplantation and the incidence rate of skin cancer and precancerous lesions was the highest in patients undergoing heart transplantation.

음성장애의 병인 집단 간 추정 발화 기본주파수 절대 오차 비교 (A comparison of the absolute error of estimated speaking fundamental frequency (AEF0) among etiological groups of voice disorders)

  • 이승진;임재열;김재옥
    • 말소리와 음성과학
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    • 제15권4호
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    • pp.53-60
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    • 2023
  • 본 연구에서는 음성장애 환자에서 음성 범위 프로파일(voice range profile, VRP)과 말 범위 프로파일(speech range profile, SRP)을 이용한 추정 발화 기본주파수 절대 오차(absolute error of estimated speaking fundamental frequency, AEF0)를 음성장애의 병인 집단 간에 비교하여 차이를 확인하고,각 병인 집단 별로 AEF0와 관련된 변수들 간의 상관관계를 살펴보고자 하였다. 연구대상은 음성장애로 진단된 기능적(functional, FUNC), 기질적(organic, ORGAN), 신경학적(neurogenic, NEUR) 음성장애 환자군과 정상군(normal control, NC) 각 30명(남 15명, 여 15명)으로 총 120명이었다. 각 대상자로 하여금 음성, 말 범위 프로파일 과제를 수행하도록 하고 전기성문파형검사(electroglottography, EGG)를 통해 발화 기본주파수를 측정하였다. 병인 집단 간 AEF0의 비교 결과, Grade와 Severity는 병인 집단 간 차이가 없었던 반면, AEF0VRP와 AEF0SUM에서 병인 집단 간 차이가 있어 AEF0VRP는 ORGAN이 FUNC와 NC보다 높았으며, AEF0SUM은 ORGAN이 NC보다 높았다. 또한 FUNC와 NEUR에서는 AEF0가 Grade와 양의 상관관계를 보인 반면, ORGAN은 CQ(closed quotient)와 양의 상관관계가 있었다. 따라서 병인 집단에 따라 AEF0의 적용과 관련 음성 변수를 살펴보는 데 주의를 기울여야 할 것으로 보이며, 본 연구는 이러한 임상적 판단에 대한 기초 자료를 마련하는 데 일조한 것으로 여겨진다.

장기기증에 대한 대학생들의 지식수준과 태도 (Level of Knowledge and Attitude about Organ Donation in An University Students)

  • 박휘향;김연주;김진희;박미현;김연경;김연빈;김윤서;김지안;민지현;배성철;김진아;안성아;김은희
    • 한국임상보건과학회지
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    • 제3권1호
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    • pp.299-310
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    • 2015
  • Purpose. The purpose of this study was to investigate level of knowledge and attitude about organ donation in university and provide basic information on correct education and promotion. Method. The sample is consisted of 90 the students related to health and 90 general college students ; total 180 students in J city. The questionnaires were used to obtain the results. Data was collected from November 6th to 8th, 2013. For data analysis, the SPSS for window 12.0 K program was utilized to get descriptive statistics including the percentage, average, standard deviation and t-test. Results. Comparing the results between a series of health students and general college students, a series of health students showed high level of more knowledge and more positive attitude about organ donation than general college students. A series of health showed significant correlation but general college didn't show significant correlation. Conclusion. To educate correct knowledge draw positive attitude about organ donation is needed to improve the level of Knowledge and Attitude about organ donation.

Rebamipide의 생식기관 내 흡수, 배설 및 항산화제로서 불임치료효과 (Absorption, Excretion and Antioxidative Effect of Rebamipide on Reproductive Organ)

  • 김종일;박현준;박남철
    • Clinical and Experimental Reproductive Medicine
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    • 제32권4호
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    • pp.301-314
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    • 2005
  • Objective: Rebamipide is a propionic acid derivative that has an action of the inhibition of superoxide production and removal of hydroxyl radical with the sperm incubation and cryopreservation. In the present study, to investigate whether rebamipide is useful to treat male infertility and sterility, the author observed the antioxidative effects in patient with male infertility and also examined its absorption and distribution in rat genital organ. Methods: To measure the distribution of rebamipide in reproductive organ in the rat, carbon indicated rebamipide, $^{14}C-OPC-12759$, was orally administered to 10 Spraque-Dawley rats and its organ concentration in serum, liver, kidney, stomach, duodenum, colon, urinary bladder, seminal vesicle, epididymis and testicle were measured each time after 0.5, 1, 2, 4, 8 and 24 hours by using HPLC fluorescent method. The concentrations in semen were measured by HPLC fluorescent method in a sample of 50 infertile males who took 900 mg of rebamipide daily for 3 months. To measure the antioxidative effect and fertility rate for 3 months, each month before and after the treatment, sperm motility, vitality, the oxygen free radical formation, level of peroxidation, fetilizing capacity of semen sample which were obtained from infertile male patients by masturbation after at least 48 hours abstinence were analyzed by computer assisted semen analyzer, eosin-nigrosin stain, chemiluminescence, thiobarbituric acid method and hypo-osmotic swelling test. Simultaneously in a sample that wanted baby, both pregnancy and delivery were researched. Results: The $^{14}C-OPC-12759$ concentration in the body of white rats was highest in gastrointestinal organ like stomach, smal intestine and duodenum and followed by genital organ like seminal vesicle, testis and epididymis. The rebamipide concentration in semen of infertile males was $220.77{\pm}327.84ng/mL$ (SD) which showed a large deviation but it was higher than serum which was $126{\pm}76ng/mL$ (SD). In the infertile males, after the treatment with rebamipide, the level of seminal reactive oxygen species (ROS) and lipid peroxidation have significantly decreased in duration of the treatment (p<0.05) and sperm vitality and fertilizing capacity except sperm motility significantly improved on post treatment of 2~3 months (p<0.05). Out of the 41 cases who hoped for pregnancy, 15 cases (36.6%) became pregnant and 12 cases had childbrith, 2 cases had miscarriage and one case is ongoing. The side effect was observed in 1 case (2%) which experienced diarrhea but it was lost spontaneously. Conclusions: We conclude from this study that rebamipide showed relatively high tendancy of absorption and excretion in the genital organ. In infertile males who had elevated ROS in semen, by specifically inhibiting the cell damage from the antioxidation, a way to preserve sperm motility, vitality and fertilizing capacity was confirmed.

Clinical Practice of Blood Transfusion in Orthotopic Organ Transplantation: A Single Institution Experience

  • Tsai, Huang-Wen;Hsieh, Fu-Chien;Chang, Chih-Chun;Su, Ming-Jang;Chu, Fang-Yeh;Chen, Kuo-Hsin;Jeng, Kuo-Shyang;Chen, Yun
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권17호
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    • pp.8009-8013
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    • 2015
  • Background: Orthotopic organ transplantation, a treatment option for irreversible organ dysfunction according to organ failure, severe damaged organ or malignancy in situ, was usually accompanied with massive blood loss thus transfusion was required. We aimed to evaluate the adverse impact of blood transfusion on solid organ transplantation. Materials and Methods: From January, 2009 to December, 2014, patients who received orthotopic organ transplantation at Far Eastern Memorial Hospital medical center were enrolled. Clinical data regarding anemia status and red blood cell (RBC) transfusion before, during and after operation, as well as patient outcomes were collected for further univariate analysis. Results: A total of 105 patients who underwent orthotopic transplantation, including liver, kidney and small intestine were registered. The mean hemoglobin (Hb) level upon admission and before operation were $11.6{\pm}1.8g/dL$ and $11.7{\pm}1.7g/dL$, respectively; and the nadir Hb level post operation and the final Hb level before discharge were $8.3{\pm}1.6g/dL$ and $10.2{\pm}1.6g/dL$, respectively. The median units (interquartile range) of RBC transfusion in pre-operative, peri-operative and post-operative periods were 0 (0-0), 2 (0-12), and 2 (0-6) units, respectively. Furthermore, the median (interquartile range) length of hospital stay (LHS) from admission to discharge and from operation to discharge were 28 (17-44) and 24 (16-37) days, respectively. Both peri-operative and post-operative RBC transfusion were associated with longer LHS from admission to discharge and from operation to discharge. Furthermore, it increased the risk of post-operative septicemia. While peri-operative RBC transfusion elevated the risk of acute graft rejection in patients who received orthotopic transplantation. Conclusions: Worse outcome could be anticipated in those who had received massive RBC transfusion in transplantation operation. Hence, peri-operative RBC transfusion should be avoided as much as possible.

Effects of Low Level Water-soluble Pentosans, Alkaline-extractable Pentosans, and Xylanase on the Growth and Development of Broiler Chicks

  • Sheng, Q.K.;Yang, L.Q.;Zhao, H.B.;Wang, X.L.;Wang, K.
    • Asian-Australasian Journal of Animal Sciences
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    • 제26권9호
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    • pp.1313-1319
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    • 2013
  • This study investigated the effects of low levels of water-soluble pentosans (WSP), alkaline-extractable pentosans (AEP), and xylanase on the growth and organ development of broiler chicks. Three hundred and fifty 1-d-old female broiler chicks were randomly allocated into seven experimental groups of five pen replicates, with ten chicks per replicate. The control group consumed a corn-soybean meal-based diet. Six dietary treatment groups consumed the basal diet supplemented with one of the following: WSP at 50 mg/kg (WSP50) or 100 mg/kg (WSP100); AEP at 50 mg/kg (AEP50) or 100 mg/kg (AEP100); or xylanase at 3 mg/kg (Xase3) or 6 mg/kg (Xase6). Data including the body weight, digestive organ weights, gut length, rectal digesta viscosity, and gut microflora and pH were collected on d 5, 10, and 15. When compared to the control group, WSP50 promoted body weight gain and organ growth throughout the study, calculated as 3-d averages (p<0.05). WSP100 increased weight gain and enhanced organ development (proventriculus, gizzard, and gut) on d 10 (p<0.05), but the 3-d averages were not different from the control group except for the weight of gizzard. Both Xase3 and Xase6 increased the 3-d average weight gain and the growth of the gizzard (p<0.05). WSP50 increased the digesta viscosity compared to Xase3 on d 10 and 15 (p<0.05). WSP50, Xase3, and Xase6 increased the concentration of Lactobacillus in the rectum when compared to the control group (p<0.05), but only Xase3 lowered the digesta pH in the ileum and cecum on d 10 and 15. AEP had minimal influence on the growth and organ development of broilers. The results showed that low levels of WSP, AEP, and xylanase had different effects and underlying mechanisms on the growth and organ development of broiler chicks. WSP50 could increase the growth performance of broilers fed a corn-soybean meal-based diet.

애반딧불이의 발광기관 구조 (Studies on the Light Organ of the Firefly, Luciola lateralis Motschulsky)

  • 이대우;부경생
    • 한국응용곤충학회지
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    • 제30권1호
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    • pp.29-36
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    • 1991
  • 애반닷불이 (Luciola lateraιs Mot.) 성충과 유충 발광기관의 현미경 관찰결과와 발광기관과 신경계의 관계는 다음파 같다. 유충의 발광기관은 복부 8번째 마디 좌우 등쪽 측면에 한 쌍이 존재하였으며 복부 8번째 신경 절로부터 나온 한쌍의 말초신경에 지배받는다. 발광기관의 모양은 구형 혹은 구형과 유사한 형태이며 발광기관 주변에는 과립들이 있었다. 이러한 과립들은 유충령기가 높아갈수록 많아져 용화하기 위하여 지상에 상륙한 유충의 경우, 하나의 층을 형성하고 있는 것처럼 보였다. 그리고 발광기관에는 근육이 존재하며 기관과 기관소지도 발견되었다. 성층의 발광기관은 수컷의 경우 복부 5, 6째 마디에 있으며 암컷의 경우는 5째마디에만 존재했다. 성충의 발광기관은 발광세포 충(약 70$\mu m$의 두께)과 반사충(약 40$\mu m$의 두께)으로 구성되어 있었다. 그리고 유충의 발광기관 에서는 볼 수 없었던 기관지소기관(tracheal end organ)이 존재하였다. 복부 5째 마디의 발광기관 은 복합신경절 (유층의 6째, 7째,8째 복부마디의 신경절들이 융합된) 앞쪽에서 나온 두 쌍의 말 초신경에 의해 지배되며, 복부 6째 마디(수컷)의 발광기관은 복합신경절의 뒤쪽에서 나온 한쌍 의 말초신경에 지배받는다.

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애엽(艾葉) 약침액(藥鍼液)의 급성(急性)·아급성(亞急性) 독성(毒性)에 관한 연구(硏究) (Acute and Subacute Toxicity Study of Artemisia asistica Nakai Aqua-acupuncture Solution in Mice)

  • 윤성묵;임종국
    • Journal of Acupuncture Research
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    • 제17권1호
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    • pp.143-151
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    • 2000
  • Acute and subacute toxicity of Artemisia asistica Nakai Aqua-acupuncture Solution (ANAS) were studied in ICR mice. In acute toxicity test, mice were injected intraperitoneally with single dose of $1{\times}$, $5{\times}$, $10{\times}$ ANAS, and toxicological responeses were observed for consecutive 14 days. Mortality, body weight changes, organ weight, and serum chemistry were performed. The mortality and body weight changes of mice treated with $1{\times}$ and $5{\times}$ ANAS were not affected during the experimental periods. With the $10{\times}$ ANAS treatment, there were dead animals and changes of body weight, organ weight and serum biochemical values were observed during the experimental period. In subacute toxicity test, mice were injected intraperitoneally with doses of $1{\times}$, $10{\times}$ ANAS for 14 days. No difference was found between control and $1{\times}$ ANAS treated group in mortality, changes of body weight and organ weight, and serum biochemical values. However, Dead animals, changes of body weight and organ weight, and increased serum biochemical values were observed with $10{\times}$ ANAS treated groups. These results suggest that $1{\times}$ ANAS causes no toxicity in acute and subacute toxicity tests. However $10{\times}$ ANAS causes toxicity in both tests.

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