• 제목/요약/키워드: oxygen therapy

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생쥐의 하악 치아 절단으로 인한 부정교합이 뇌경색에 미치는 영향 (Effect of Tooth-Cut Induced Dental Malocclusion on Mouse Model of Ischemic Stroke)

  • 이영준;이병호;조수인
    • 턱관절균형의학회지
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    • 제9권1호
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    • pp.4-11
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    • 2019
  • Objectives: Although intraoral balancing appliance therapy has been used effective to several diseases, verification studies through cerebral diseases are poorly reported so far. Thus we investigated the effect of tooth-cut induced dental malocclusion against mouse model of ischemic stroke. Methods: Tooth-cut and 90 min middle cerebral artery occlusion (MCAO) were loaded to C57BL/6 male mice, and total infarct area, neurological deficit scores (NDS), histological change of hippocampal region were observed. Production levels of reactive oxygen species (ROS) and inducible nitric oxide synthase (iNOS) in cerebral tissue were also measured. Results: The longer the tooth-cut period, the greater the area of cerebral infarction caused by MCAO, and NDS began to increase as the tooth was cut, and the results were more negative when MCAO was loaded. Histological change of hippocampal cells was significant when tooth-cut was maintained for 7 days. Those damages were thought to depend on the generation of ROS and iNOS in brain tissue. Conclusions: Since tooth-cut increased total area of cerebral infarction due to MCAO in mice, it is able to be confirmed that anomaly of the temporomandibular occlusion can affect neurological diseases.

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중증 폐동맥고혈압이 동반된 만성폐쇄성폐질환 1 예 (Chronic Obstructive Pulmonary Disease with Severe Pulmonary Hypertension - A Case Report -)

  • 박찬서;진현정;김석민;손창우;유성근;정진홍;이관호
    • Journal of Yeungnam Medical Science
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    • 제25권1호
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    • pp.50-57
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    • 2008
  • Pulmonary hypertension is an increase in blood pressure in the pulmonary artery, pulmonary vein or pulmonary capillaries. Depending on the cause, pulmonary hypertension can be a severe disease with markedly decreased exercise tolerance and right-sided heart failure. Pulmonary hypertension can present as one of five different types: arterial, venous, hypoxic, thromboembolic, or miscellaneous. Chronic obstructive pulmonary disease with severe pulmonary hypertension is a rare disease. A 52-year-old man presented with a complaint of aggravating dyspnea. The mean pulmonary arterial pressure was 61.5 mmHg by Doppler echocardiogram. The patient was prescribed diuretics, digoxin, bronchodilator, sildenafil, bosentan and an oxygen supply. However, he ultimately died of cor pulmonale. Thus, diagnosis and early combination therapy are important.

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Protective Effects of In Vitro Gastrointestinal Digests of Abalone (Haliotis discus hannai) Intestines against Oxidative Stress in RAW264.7 Macrophage Cells

  • Nguyen, Phuong-Hong;Kim, Sun-Ae;Choi, Il-Whan;Jung, Won-Kyo
    • Fisheries and Aquatic Sciences
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    • 제13권3호
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    • pp.216-223
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    • 2010
  • Abalone (Haliotis discus hannai), mostly distributed and maricultured in southwestern coastal areas of South Korea, is recognized as an economically important species in the fishery industry. Abalone intestines are one of the by-products of abalone processing. To investigate abalone intestines as bioactive substances, abalone intestine gastrointestinal digests (AIGIDs) of various molecular weights (MWs) were prepared using in vitro gastrointestinal digestion and an ultrafiltration system, and tested for inhibitory effects against reactive oxygen species (ROS) and oxidative stress in macrophage cells treated with hydrogen peroxide ($H_2O_2$). In our results, among AIGIDs, AIGID-III (MW=5-10 kDa) showed potent inhibitory activities for lipid peroxidation and free radicals. Additionally, the results clearly indicated that AIGID-III treatment could prevent cytotoxic damage of macrophages by $H_2O_2$-induced oxidative stress due to its potent scavenging ability against cellular ROS. These results suggest that AIGIDs may have protective and therapeutic potential for oxidative stress syndromes and immune diseases through ROS inhibition in macrophage cells.

신생아 기흉의 임상적 고찰 (Clinical Evaluation of Neonatal Pneumothorax)

  • 이석기;임진수;최형호
    • Journal of Chest Surgery
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    • 제28권12호
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    • pp.1132-1138
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    • 1995
  • From 1991 to 1994, we experienced 24 cases of neonatal pneumothorax who were admitted to the Neonatal Intensive Care Unit[NICU , Chosun University Hospital. The Following results were obtained.1 The incidence of neonatal pneumothorax was 0.70%, and there were 8 spontaneous pneumothoraces and 16 secondary pneumothoraces. 2 The clinical manifestation of neonatal pneumothorax was as followed. Male infant was dominant[M:F=2:1 , the onset was within 24 hours in the majority[83% , and the right side[62% was more frequent than the left side. The gestation duration and birth weight show no correlation with underlying neonatal pneumothorax. The pulmonary diseases were meconium aspiration syndrome and hyaline membrane disease, and the incidence of those was 58%. Meconium aspiration syndrome occurred earlier than hyaline membrane disease. Symptoms and signs were tachypnea[46% , cyanosis[21% , irritability[13% , chest retraction[8% and apnea[8% .3 The treatments performed were oxygen therapy[17% , thoracentesis[4% and closed thoracostomy with underwater seal drainage[79% . The Mean duration of air leakage was 11.7 hours, and the mean drainage time was 4.35$\pm$1.3day. 4 The overall hospital mortality was 33%, and the rate of complication was 46%. The complications were metabolic acidosis, atelectasis, pleural effusion, pulmonary hemorrhage and pneumonia. We concluded that the prognosis was related to the underlying pulmonary disease.

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급성 일산화탄소 중독 환자에서 발생한 양하지 말초 운동신경병증 1례 (Motor Peripheral Neuropathy Involved Bilateral Lower Extremities Following Acute Carbon Monoxide Poisoning: A Case Report)

  • 최재형;임훈
    • 대한임상독성학회지
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    • 제13권1호
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    • pp.46-49
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    • 2015
  • Carbon monoxide (CO) intoxication is a leading cause of severe neuropsychological impairments. Peripheral nerve injury has rarely been reported. Following are brief statements describing the motor peripheral neuropathy involved bilateral lower extremities of a patient who recovered following acute carbon monoxide poisoning. After inhalation of smoke from a fire, a 60-year-old woman experienced bilateral leg weakness without edema or injury. Neurological examination showed diplegia and deep tendon areflexia in lower limbs. There was no sensory deficit in lower extremities, and no cognitive disturbances were detected. Creatine kinase was normal. Electroneuromyogram patterns were compatible with the diagnosis of bilateral axonal injury. Clinical course after normobaric oxygen and rehabilitation therapy was marked by complete recovery of neurological disorders. Peripheral neuropathy is an unusual complication of CO intoxication. Motor peripheral neuropathy involvement of bilateral lower extremities is exceptional. Various mechanisms have been implicated, including nerve compression secondary to rhabdomyolysis, nerve ischemia due to hypoxia, and direct nerve toxicity of carbon monoxide. Prognosis is commonly excellent without sequelae. Emergency physicians should understand the possible-neurologic presentations of CO intoxication and make a proper decision regarding treatment.

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시츄개에서 발생한 비정상적 좌경동맥 분지장애를 동반한 우-좌형 동맥관 개존증 (Reverse Patent Ductus Arteriosus with an Aberrant Left Common Carotid Artery in a Shih Tzu Dog)

  • 한숙희;윤병일;현창백
    • 한국임상수의학회지
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    • 제27권5호
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    • pp.573-578
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    • 2010
  • 4살 된 시츄개(체중 5 kg)가 청색증을 동반한 심한 호흡곤란과 운동 불내성으로 내원하였다. 진단검사를 통해 우-좌형 동맥관 개존증과 비정상적인 대동맥 분지장애(좌총경정맥 잔존) 및 세균성 폐렴이 확진되었다. 환자는 이뇨제, 항생제, 산소요법 및 고칼륨혈증에 대한 처치에 불구하고 심한 고칼륨혈증에 의한 심실성 부정맥과 탈수에 의해 폐사하였다. 부검을 통해 심한 대동맥궁 확장과 비정상적인 좌총경정맥 분지 잔존을 확인하였다.

유리 복직근 피판을 이용한 중안모 결손부 재건의 2 치험례 (RECONSTRUCTION OF MIDFACIAL DEFECTS UTILIZING RECTUS ABDOMINIS FREE FLAP : REPORT OF 2 CASES)

  • 이성근;성일용;김종렬
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제22권1호
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    • pp.98-104
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    • 2000
  • Expansion in the scope and technique of head and neck tumor resection during the past two decades has paralleled precise tumor localization with advanced radiographic imaging and the availability of microvascular free tissue transfer. Especially, the defect reconstruction utilizing free flap results in improvement of patient survival due to decrease of local recurrence by wide resection of cancer. The rectus abdominis free flap has been used widely in reconstruction of the breast and extremities. However, the report of cases on its applications in the head and neck, based on the deep inferior epigastric artery and vein, is rare. This flap is one of the most versatile soft-tissue flaps. The deep inferior epigastric artery and vein are long and large-diameter vessels that are ideal for microvascular anastomosis. The skin area that can be transferred is probably the largest of all flaps presently in use. The versatility of the donor site is due to the ability to transfer large areas of skin with various thickness and amounts of underlying muscle. This article is to report reconstruction of midface defects utilizing the rectus abdominis free flap in 2 patients with maxillary squamous cell carcinoma and discuss briefly considerations in flap design and orbital exenteration, and healing of irradiated recipient site by hyperbaric oxygen therapy with literature review.

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간호학생을 대상으로 한 통합(모성-아동) 시뮬레이션 프로그램 개발 및 효과 (Development and Effects of Integrated Simulation Program (Maternal-Child) for Nursing Students)

  • 박현정;이선희
    • Child Health Nursing Research
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    • 제21권4호
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    • pp.293-301
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    • 2015
  • Purpose: This study was done to analyze the effectiveness of simulation-based integrated practice program (maternal-child) on nursing knowledge, self-confidence, and clinical competence of nursing students. Methods: A nonequivalent control group pre-post experimental design was used to compare experimental and control group. The experimental group received the integrated simulation practice and the control group received a separate simulation for maternal care and for newborn care. Results: The experimental group who had the integrated simulation had significantly higher scores for self-efficacy on nursing handover (F=0.480 p=.012) and oxygen therapy in newborn care (F=3.262 p=.037), and for clinical competence (F=2.639, p<.001) and personal satisfaction with debriefing compared to the control group (F=2.179, p=.044). But the experimental group did not have significantly higher scores in nursing knowledge. Conclusions The results indicate that an integrated simulation practice is an effective practice method to improve self-confidence, clinical competence and satisfaction. Also this study had significance in providing a setting similar to the clinical situation.

극소 체중아에 대한 임상간호 고찰 (A Study on the Very Low Birth Weight Infants)

  • 박호란;문영임
    • Child Health Nursing Research
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    • 제2권2호
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    • pp.58-65
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    • 1996
  • This study examined characteristics among 131 infants who were born at three hospitals affiliated with Catholic University. Those infants were very low birth weight infants (VLBWI ). Data were gathered through review of medical records between 1990 to 1993. The results were as follows : 1. Regarding the birth weight, 72.6% were between 1000 gm to 1500 gm and 27.4% were below 1000gm. Of the VLBWI, 27.5% had gestational age of 29-30 weeks and 22. lof had gestational age of 26 weeks and below. The birth weight of them was significantly correlated with their gestational age. 2. Most of VLBWI had been hospitalized for more than 30 days and particulaly those who were between 1100-1400gm had been hospitalized more than 60 days. And the number of clinical problem was the most influencing factor on their discharge. 3. Of the VLBWI, 28.2% were given gavage feeding. 4. Jaundice appeared predominantly on the 3rd day after birth ,with 64.1% of incidence rate. Of those infants developed jaundice, 92.9% received phototherapy 5. The most common problem after birth was respiratory conditions. And oxygen therapy was administered for 93.9% of the VLBWI while they were in the hospital.

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Intraovarian vascular enhancement via stromal injection of platelet-derived growth factors: Exploring subsequent oocyte chromosomal status and in vitro fertilization outcomes

  • Wood, Samuel H.;Sills, E. Scott
    • Clinical and Experimental Reproductive Medicine
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    • 제47권2호
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    • pp.94-100
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    • 2020
  • The inverse correlation between maternal age and pregnancy rate represents a major challenge for reproductive endocrinology. The high embryo ploidy error rate in failed in vitro fertilization (IVF) cycles reflects genetic misfires accumulated by older oocytes over time. Despite the application of different follicular recruitment protocols during IVF, gonadotropin modifications are generally futile in addressing such damage. Even when additional oocytes are retrieved, quality is frequently poor. Older oocytes with serious cytoplasmic and/or chromosomal errors are often harvested from poorly perfused follicles, and ovarian vascularity and follicular oxygenation impact embryonic chromosomal competency. Because stimulation regimens exert their effects briefly and immediately before ovulation, gonadotropins alone are an ineffective antidote to long-term hypoxic pathology. In contrast, the tissue repair properties (and particularly the angiogenic effects) of platelet-rich plasma (PRP) are well known, with applications in other clinical contexts. Injection of conventional PRP and/or its components (e.g., isolated platelet-derived growth factors as a cell-free substrate) into ovarian tissue prior to IVF has been reported to improve reproductive outcomes. Any derivative neovascularity may modulate oocyte competence by increasing cellular oxygenation and/or lowering concentrations of intraovarian reactive oxygen species. We propose a mechanism to support intrastromal angiogenesis, improved follicular perfusion, and, crucially, embryo ploidy rescue. This last effect may be explained by mRNA upregulation coordinated by PRP-associated molecular signaling, as in other tissue systems. Additionally, we outline an intraovarian injection technique for platelet-derived growth factors and present this method to help minimize reliance on donor oocytes and conventional hormone replacement therapy.