• 제목/요약/키워드: prophylactic

검색결과 482건 처리시간 0.032초

신생아 혈액 응고질환: 출혈 경향을 보이는 신생아에 대한 진단적 접근 (Neonatal Coagulation Disorder: Diagnostic Approaches for Bleeding Neonates)

  • 김천수
    • Neonatal Medicine
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    • 제18권1호
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    • pp.6-13
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    • 2011
  • All newborn infants with clinically significant bleeding should be evaluated for a hemostatic deficit. Medical history should include the following data: familial bleeding disorders, maternal illness and medication, age of bleeding onset, and prophylactic administration of vitamin K. The first essential step for evaluating bleeding neonates is determining whether the baby is sick or well. The physician should also evaluate the extent of the bleeding, features of bleeding lesions, and other abnormal findings from the physical examination. Skeletal anomalies may provide diagnostic clues. Depending on the clinical features and results of screening tests, other tests including coagulation factors may be useful for determining the diagnosis. All laboratory results must be considered in the context of age-related reference values. The platelet function analyzer provides a promising alternative to bleeding time. Fibrin degradation products and D-dimers are used for screening and specially testing fibrinolytic activity, respectively. The Apt test may help to rule out factors derived from maternal blood. Radiologic imaging studies are important because asymptomatic intracranial hemorrhages are common in neonates.

Chorioamnionitis: Is a major player in the development of bronchopulmonary dysplasia?

  • Choi, Chang Won
    • Clinical and Experimental Pediatrics
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    • 제60권7호
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    • pp.203-207
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    • 2017
  • Chorioamnionitis is an inflammation in the fetal membranes or placenta. When chorioamnionitis develops, fetal lungs are exposed to inflammatory cytokines and mediators via amniotic fluid. Because inflammation plays a pivotal role in the development of bronchopulmonary dysplasia (BPD), a chronic lung disease of prematurity, fetal lung inflammation induced by chorioamnionitis has been considered to be one of the major pathogenetic factors for BPD. Although there have been a number of studies that demonstrated the relationship between chorioamnionitis and BPD, there are still controversies on this issue. The controversies on the relationship between chorioamnionitis and BPD arise from not-unified definitions of chorioamnionitis and BPD, different study populations, and the proportion of contribution between inflammation and infectious microorganisms. The publication bias also contributes to the controversies. Clinical trials targeting chorioamnionitis or microorganisms that cause chorioamnionitis will answer on the actual relationship between chorioamnionitis and BPD and provide a novel prophylactic strategy against BPD based on that relationship.

Herpes Zoster and Postherpetic Neuralgia: Practical Consideration for Prevention and Treatment

  • Jeon, Young Hoon
    • The Korean Journal of Pain
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    • 제28권3호
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    • pp.177-184
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    • 2015
  • Herpes zoster (HZ) is a transient disease caused by the reactivation of latent varicella zoster virus (VZV) in spinal or cranial sensory ganglia. It is characterized by a painful rash in the affected dermatome. Postherpetic neuralgia (PHN) is the most troublesome side effect associated with HZ. However, PHN is often resistant to current analgesic treatments such as antidepressants, anticonvulsants, opioids, and topical agents including lidocaine patches and capsaicin cream and can persist for several years. The risk factors for reactivation of HZ include advanced age and compromised cell-mediated immunity (CMI). Early diagnosis and treatment with antiviral agents plus intervention treatments is believed to shorten the duration and severity of acute HZ and reduce the risk of PHN. Prophylactic vaccination against VZV can be the best option to prevent or reduce the incidence of HZ and PHN. This review focuses on the pathophysiology, clinical features, and management of HZ and PHN, as well as the efficacy of the HZ vaccine.

Chemical Control of Leaf Spot of Date Palm (Phoenix dactylifera) in Sultanate of Oman

  • Livingston, Sam;Mufargi, Khamis-Al;Sunkeli, Mehmood-Al
    • The Plant Pathology Journal
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    • 제18권3호
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    • pp.165-167
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    • 2002
  • Date palm (Phoenix dactylifera) is an important fruit and cash crop in Sultanate of Oman, occupying nearly 60% of the total cultivated area. However, leaf spots caused by Mycosphaerella tassiana, Alternaria spp., and Dreshcleri sp. have become a threat to date palm's cultivation in recent years. In this study, a field experiment was conducted to find out a suitable chemical spray program to control the disease. A prophylactic spray schedule with mancozeb (Dithane M45), copper oxychloride (Champion), and mancozeb+copper (Trimiltox) effectively controlled the disease when applied at a time when the disease severity index (DSI) was low, ranging from 0 to 1.68. Meanwhile, the disease did not decrease, but instead increased gradually, when the fungicide combination was applied when DSI was high, ranging from 1.78 to 5.37. It was concluded that fungicides should be applied at the early stage or before disease initiation in order to control the disease effectively.

Grape Seed Extract Protects Mice against Disseminated Candidiasis

  • Han, Yong-Moon
    • Natural Product Sciences
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    • 제9권2호
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    • pp.60-63
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    • 2003
  • Effect of grape seed extract (GSE) against Candida albicans was examined under in-vitro and in-vivo conditions. The GSE was extracted in ethanol. In-vitro results from an agar diffusion susceptibility assay showed the GSE inhibited C. albicans growth. This anticandidal effect was at dose-dependency. In experiments with animals, mice that received the GSE (0.5 mg per mice), intravenously (i.v.), before i.v.-infection wish viable C. albicans yeast cells survived longer than diluent (buffer)-received control mice. In contrast, when GSE was given to mice after the mice were infected with the yeast cells, these mice showed a similar survival rate as compared to control mice that received no treatment with the GSE. Taken together, these data indicate that GSE has prophylactic effect but not therapeutic effect against disseminated candidiasis.

인공심장판막의 재치환술 (Replacement of the Prosthetic Heart Valves -Clinical analysis of 12 cases-)

  • 김덕실;전상훈
    • Journal of Chest Surgery
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    • 제29권2호
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    • pp.164-170
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    • 1996
  • From January 1986 to June 1993, 12 patients Aad required reoperation: 9 had undergone mitral and 3 aortic valve replacement. Five were male and 7 female, and ages ranged from 29 to 61 years. Replacement of the prosthetic heart valve was performed at a mean interval of 98 $\pm$ 1 months after the Hrst operation. In aortic valve replacement patients the mean interval was 115 $\pm$ 2 months and in mitral valve replacement patients 98 $\pm$ 4 months. Primary tissue failure was the most frequent reason of replacement (10 patients) followed by valve thrombosis (1 patient) and prophylactic replacement (1 patient) in order. The most pronounced pathology of the failed prosthetic heart valves seen in the primary tissue failure group was calcification, perforation, shrinkage and tearing of the cusps. There was one early operative death (8.3%) due to intractable low cardiac output and acute renal failure. Eleven early survivors had successful operative results and there was no late death.

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Effect of a Pholiota adiposa Extract on Fat Mass in Hyperlipidemic Mice

  • Cho, Soo-Muk;Lee, Young-Min;Lee, Dae-Hyoung;Chun, Hye-Kyung;Lee, Jong-Soo
    • Mycobiology
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    • 제34권4호
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    • pp.236-239
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    • 2006
  • The purpose of this study was to investigate the effect of a Pholiota adiposa extract on fat mass in hyperlipidemic mice fed on a high-fat diet. The water extracts from P. adiposa (ASI 24018) were not affected in the total triglyceride contents and epididymal fat mass in mice fed on a high-fat diet, but the retroperitoneal fat mass decreased significantly. This result suggests that the P. adiposa extract may be a potential candidate for use as a functional food that can act as a prophylactic against hyperlipidemia. However, the P. adiposa extract showed no effect in the total triglyceride contents and epididymal fat mass.

Outerbridge - Kashiwagi 술식 후 발생한 급성 척골 신경 마비 - 증례보고 - (Acute Ulnar Nerve Palsy after Outerbridge-Kashiwagi Procedure - A Case Report -)

  • 전인호;민우기;오창욱;황인환;김풍택
    • Clinics in Shoulder and Elbow
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    • 제8권2호
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    • pp.176-180
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    • 2005
  • The Outerbridge-Kashiwagi (O-K) procedure is one of popular procedures for the treatment of osteoarthritis of the elbow. Although reliable outcome has been reported in the literature, intraoperative and postoperative complications may occur. Acute postoperative neurologic complications are rarely reported in the literature. We report a case of acute complete ulnar neuropathy following O-K procedure in the elbow with longstanding flexion loss. Prophylactic ulnar nerve decompression during the O-K procedure should be considered in the elbows with osteoarthritis and prolonged severe flexion contracture.

대장균에서 한타바이러스 뉴클레오캡시드 유전자의 발현에 관한 연구 (Cloning and Expression of Nucleocapsid Genes of Hantaviruses in Escherichia coli)

  • 노갑수;하석훈;김종완;홍선표;김형배;최차용
    • KSBB Journal
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    • 제13권6호
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    • pp.649-655
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    • 1998
  • Hantaviruses are rodent hosts-borne viruses belonging to the family Bunyaviridae, and are etiologic agents for two acute diseases, i.e., Haemorrhagic Fever with Renal Syndrome (HFRS) and Hantavirus Pulmonary Syndrome (HPS). There have been a lot of reports on prophylactic vaccines and diagnostics for the diseases, but most of viral antigens have been prepared by eukaryotic cell culture. Nucleocapsid proteins of Hantaviruses are known as the major viral antigens. Thereby, we prepared nucleocapsid genes of Hantaan virus and Seoul virus by RT-PCR and cloned into plasmid vectors, pET-3a and pKK223-3. Both genes were expressed in Escherichia coli with higher expression level of Seoul viral nucleocapsid protein compared to that of Hantaan in pET-3a. Hantaan viral gene was expressed much higher level in plasmid pET-3a that in pKK223-3. About 30% of expressed nucleocapsid protein was soluble and the rest was remained in insoluble fraction.

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악골에 발생된 방사선골괴사 (Osteoradionecrosis of the jaws)

  • 안현숙;고광준
    • Imaging Science in Dentistry
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    • 제31권1호
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    • pp.57-65
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    • 2001
  • Osteoradionecrosis is one of the most serious complication after heavy irradiation of bone and most particularly following treatment of cancers within the head and neck. The irradiated bone has the decreased vascularity and is easily infected. As a result, the spread of infection may cause a nonhealing wound that is very difficult to be treated. A comprehensive prophylactic dental care as well as proper blocking of the radiation field before radiotherapy must be considered to reduce the risk of osteoradionecrosis. We present three cases of osteoradionecrosis which developed after extraction of teeth in irradiated patients.

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