• 제목/요약/키워드: pressure injury

검색결과 468건 처리시간 0.027초

Ischemic Preconditioning Ameliorates Hepatic Injury from Cold Ischemia/Reperfusion

  • PARK Sang-Won;LEE Sun-Mee
    • Biomolecules & Therapeutics
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    • 제13권3호
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    • pp.127-132
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    • 2005
  • We investigated whether ischemic preconditioning (IPC) protects liver against cold ischemic injury using isolated perfused rat liver. Rat livers were preconditioned by 5 minutes of ischemia and 5 minutes of reperfusion and preserved for 30 hours at $4^{\circ}C$ in University of Wisconsin solution. Livers were then reperfused for 120 minutes. Oxygen uptake and bile flow in ischemic livers markedly decreased during reperfusion. These decreases were prevented by IPC. Portal pressure was elevated in cold ischemic and reperfused livers and this elevation was prevented by IPC. Lactate dehydrogenase and purine nucleoside phosphorylase activities markedly increased during reperfusion. These increases were prevented by IPC. The ratio of reduced glutathione to glutathione disulfide was lower in ischemic livers. This decrease was prevented by IPe. Our findings suggest that IPC protects the liver against the deleterious effect of cold ischemia/reperfusion, and this protection is associated with the reduced oxidative stress.

심장손상 4례에 대한 치험 (Penetrating Wounds of the Heart: A Report of Four Cases)

  • 이성구
    • Journal of Chest Surgery
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    • 제6권2호
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    • pp.189-194
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    • 1973
  • A cardiac injury is one of the most dramatic and demanding emergencies than may be cared by the surgeon. Four patients who sustained penetrating wound of the heart have been experienced in the Depart-ment of Thoracic Surgery, Kyungpook National University Hospital. They were 3 males and one female. The age was between 21 and 25. All of this series had stab wounds on the heart by instruments of scissors, gimlet, kitchen knife and glass. Injured sites were two cases of right ventricle, one of the right atrium and one of indifinitive with pericardial laceration. Three of these patients have been successfully treated by emergency thoracotomy with 3-0 silk sutures for myocardial penetrating wounds. One of these patients occurred cardiac arrest during surgery and expired, who was in penetrated right ventricular injury through which massive bleeded. The classic clinical description of tamponade, Beck`s triad, seemed to be useful for making diagnosis of the tamponade but not entirely reliable as diagnostic criterion of the tamponade. In the studing of 3 tamponade cases in these series, the triad of Beck was presented in only two cases. Elevated venous pressure was thought to be a valuable diagnostic factor in pericardial tamponade.

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이차적인 연부조직 손상을 동반한 종골 골절에 대한 유관 나사 및 단순 환상 강선 고정술을 이용한 치료: 2예 보고 (Treatment of Secondary Soft Tissue Compromised Calcaneus Fractures Using a Cannulated Screw and Simple Cerclage Wiring: A Report of Two Cases)

  • 김준겸;서재완
    • 대한족부족관절학회지
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    • 제21권4호
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    • pp.165-169
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    • 2017
  • Secondary soft tissue injuries can occur from the pressure of the displaced fragment of posterior calcaneal tuberosity in calcaneal tongue-type fractures and calcaneal tuberosity avulsion fractures. The soft tissue injury can be prevented by immediate reduction of the displaced fragments. Various techniques can be used to fix the fracture fragments, but the stability of fixation and minimal invasiveness to soft tissue should be considered. This paper reports the successful outcomes of patients with soft tissue compromises in calcaneal tongue-type fractures and calcaneal tuberosity avulsion fractures. The fixation technique of a large cannulated screw and simple cerclage wiring is believed to be a useful surgical option for the treatment of secondary soft tissue compromised calcaneal fractures.

경근추나(經筋推拿)의 한의학(韓醫學) 문헌적(文獻的) 고찰(考察) (The Study of Oriental Medical Literature Review on KYUNGKUEN CHUNA)

  • 윤종태;임형호
    • 대한추나의학회지
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    • 제2권1호
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    • pp.13-25
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    • 2001
  • Objectives KYUNGKUEN CHUNA is a kind of manipulation therapy which aims at the treatment of the soft tissue Injury. The purpose of this study is to investigate the Oriental Medical literatures on KYUNGKUEN CHUNA. Methods: We surveyed the oriental medical books concerning KYUNGKUEN CHUNA. Result & Conclusion KYUNGKUEN CHUNA is used for the treatment of the soft tissue injury. It can be classified as the wave-motion manipulations. rubbing manipulations and pressure manipulations.

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LPG 저장탱크의 폭발에 대한 정량적 영향평가에 관한 연구 (A Study on the Quantitative Analysis for Explosion of LPG Storage Tank)

  • 임사환;허용정
    • 한국가스학회지
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    • 제17권3호
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    • pp.1-7
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    • 2013
  • LPG 충전소에서 발생하는 폭발의 피해를 Hopkinson의 삼승근법을 이용하여 계산하고, 건물과 인체에 미치는 영향을 프로빗 모델에 적용하여 피해예측을 평가하였다. 현재 국내에서 가장 많이 운용하는 20ton 저장탱크를 대상으로 누출량 10%를 프로빗 모델에 적용하여 계산하면 LPG 충전소에서의 안전거리는 각각 건물(손상)은 260m 이며, 인체(폐출혈 사망)는 30m이다.

말기 압박궤양에 있어서 일측성 골반제거술의 임상례 (Clinical experience of a Hemipelvectomy in the End-Stage of the Pressure Sore)

  • 이성수;홍종원;정윤규;오진록;홍준표
    • Archives of Reconstructive Microsurgery
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    • 제11권1호
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    • pp.47-52
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    • 2002
  • One of the most common problems in cord injury is pressure sores. In the early stage of pressure sores, the wound can be covered by advancing or transpositioning a local myocutaneous flap. However, it can be a great challenge to treat end-stage paraplegic patient who underwent multiple prior flaps, where continuous treatment is needed to prevent recurrent pressure sore due to infection and metabolic drain. In these patients, a local myocutaneous flap may be very difficult for coverage of the wounds. Therefore, hemipelvectomy may be considered. The authors performed a hemipelvectomy on a 33 year-old male paraplegic patient who presented with multiple, large wounds seen in end-stage pressure sores. He had a compression fracture of the lumber spine 9 years ago during a motor vehicle accident. After a wide exicision of the wound, the anterior flap was used as a fillet-flap for reconstruction. On the sixth day postoperatively, secondary repair was done due to wound dehiscence and the postoperative results have been satisfactory thus far.

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직교 그리드 센서가 삽입된 인솔을 이용한 족압분포 연구 (A Study on Foot Pressure by using an Insole Equipped with the Orthogonal Grid Sensor)

  • 손정협;정인준;장승환
    • Composites Research
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    • 제34권3호
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    • pp.161-166
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    • 2021
  • 본 연구에서는 당뇨병 환자들의 균일한 족압 분포를 유도하여 발의 상처를 예방하는 신발을 개발하기 위한 연구방법을 제시하였다. 직교 그리드 센서를 사용하여 일반인의 직립 상태 시 족압 분포를 확인하고, 다양한 조건에 대한 족압분포의 변화를 비교하였다. 신발 바닥부에 삽입된 스프링의 스프링 상수와 인솔의 아치부 유무 등에 따른 족압 분포의 변화를 파악하여 효과적인 족압 분산 조건을 확인하였다. 인체거동의 임의성 등에 의한 실험 오차를 최소화 하기 위해, 직립 상태를 모사한 유한요소해석을 통해 특정 조건에서의 족압 분포를 예측하고 실험 결과와 비교하여 실험의 정확성을 확보할 수 있도록 하였다. 스프링의 개수와 배치에 따른 족압 분포의 변화를 유한요소해석을 통해 확인하여 보다 균일한 족압을 구현할 수 있는 조건을 제시하였다. 이러한 결과는 당뇨발을 가진 환자를 위한 신발 설계에 활용할 수 있을 것으로 기대된다.

한의 치료와 드레싱 요법을 병행한 뇌졸중 환자의 대퇴골 대전자부 3단계 욕창 치험 1례 (Case Report of Korean Medicine Treatment and Dressing Therapy for Grade III Trochanteric Pressure Sore)

  • 김광호;이영웅;김철현;임현서;강건희;이상관
    • 대한한방내과학회지
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    • 제42권2호
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    • pp.122-130
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    • 2021
  • The purpose of this study is to report the effect of Korean medicine treatment on a pressure sore in a stroke patient. An 86-year-old female patient diagnosed with spontaneous intracerebral hemorrhage in the right basal ganglia had symptoms of left hemiparesis, dysphagia, and a 4.5-cm-by-2.5-cm left trochanteric pressure sore. Clinical outcomes were measured using the National Pressure Ulcer Advisory Panel (NPUAP) pressure injury stages, the Agency for Health Care Policy and Research (AHCPR) pressure ulcer stages, and the Braden scales. Treatment with Korean medicine, including acupuncture, herbal medicine, and dressing therapy, significantly improved the trochanteric pressure sore, as reflected by a NPUAP stage change from III to I, an AHCPR stage change from III to I, and a Braden scale change from 13 to 18. These findings suggest that Korean medicine treatment may be effective to treat pressure sores in stroke patients.

시호(柴胡)가 뇌허혈유발 노령(老齡) 흰쥐의 해마 c-Fos 및 c-Jun 발현에 미치는 영향 (Effect of Bupleuri Radix on c-Fos and c-Jun Expression in Ischemic Damaged Hippocampus of the Aged BCAO Rats)

  • 박순일;오경환;유도균;한창호;정승현;신길조;이원철;황주원
    • 대한한방내과학회지
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    • 제26권3호
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    • pp.533-542
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    • 2005
  • Objectives : In this study, aged BCAO rats were used to observe the effect of Bupleuri Radix on brain ischemic injury because aging is an important factor in storke. Methods : The brain ischemic injury was induced by temporary closing carotids on both sides in a low blood pressure state, and Bupleuri Radix was orally administered to 18 month-old BCAO rats. The ischemic damaged hippocampus and c-Fos and c-Jun expression were analyzed by the immunohistochemical staining. Result and Conclusions : Results are summarized as fellows; 1. The c-Fos expression after inducing a brain ischemic injury in the hippocampus was more inhibited in the experimental group than in the control group. 2. The normalized optical density of c-Fos expression was more reduced in cornu ammonis(CA)1, dentate gyrus(DG) areas in the experimental group than in the control group. 3. The c-Jun expression after inducing a brain ischemic injury in the hippocampus was more inhibited in the experimental group than in the control group. 4. The normalized optical density of c-Jun expression was more reduced in CA1 and DG areas in the experimental group than in the control group.

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보기제통탕감미방(補氣除痛湯減味方)의 랫드 말초신경 손상에 대한 회복 효과 연구 (Therapeutic Effect of Bogijetongtanggammi-bang on Peripheral Nerve Injury)

  • 김진미;조충식;김철중
    • 대한한방내과학회지
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    • 제33권1호
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    • pp.83-101
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    • 2012
  • Objectives : This study was aimed to investigate the therapeutic effect of Bogijetongtanggammi-bang (BJTG) on injury of the peripheral nerve tissues. Methods : Rats were divided into 2 groups. The rats of the first group were injected with Taxol (1.25 mg/kg) to their sciatic nerves, once each. The sciatic nerves of the rats of the second group were crushed by forcept for 30 seconds. Rats were administered with BJTG (400 mg/kg) or 0.9% saline for 5 days. Changes of DRG neurons, Schwann cells, Cdc2, caspase 3. phospho-p44/42 Erk1/2, phospho-vimentin and ${\beta}1$ integrin were observed by fluorescent microscope and analysed in western blot. Results : In Taxol-treated SD rat models, BJTG up-regulated neurite outgrowth, Schwann cells, Cdc2 and phospho-Erk1/2, and down-regulated caspase 3. In pressure-injured rat models, BJTG up-regulated axons of sciatic nerve, Schwann cells, Cdc2, phospho-vimentin, ${\beta}1$ integrin, and down-regulated caspase 3. Conclusions : Taken together, BJTG was promotive of nerve regeneration on SNI as well as Taxol-induced nerve injury. BJTG had a pharmaceutical property enhancing recovery of injured peripheral nerves and could be a candidate for drug development after further research.