• Title/Summary/Keyword: thoracic region

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A Rare Human Case of Dirofilaria repens Infection in the Subcutaneous Posterior Thorax with Molecular Identification

  • Le, Tran Anh;Vi, Thuat Thang;Nguyen, Khac Luc;Le, Thanh Hoa
    • Parasites, Hosts and Diseases
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    • v.53 no.3
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    • pp.329-333
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    • 2015
  • The emergence of dirofilarial infections in Asia including Vietnam is a clinically significant threat to the community. We here report a rare case of subcutaneous Dirofilaria repens infection on the posterior thoracic wall in a young woman presenting a painful, itchy, and palpable nodule. The adult worm was identified by mitochondrial cox1 and nuclear ITS-2 sequence determination. The diagnosis was additionally confirmed by 16S rRNA sequencing of the endosymbiont Wolbachia pipientis commonly co-existing with D. repens. This is a rare case of subcutaneous human infection on the posterior thoracic region caused by D. repens.

Outcomes of open neck injuries

  • Noh, Dongsub;Choi, Jin Ho
    • Journal of Trauma and Injury
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    • v.35 no.3
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    • pp.168-172
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    • 2022
  • Purpose: The neck is a particularly critical region for penetrating injuries due to the close proximity of the trachea, esophagus, blood vessels, and the spinal cord. An open neck injury has the potential for serious morbidity and mortality. The purpose of this study is to evaluate the assessment and management of open neck injuries. Methods: In this retrospective study, open neck injury patients who were admitted to the Trauma Center of Daejeon Eulji Medical Center, Eulji University between December 2015 and December 2017 were analyzed for epidemiology, the mechanism of trauma, the injured organ, complications, and mortality. Results: Thirty-two patients presented with open neck injuries. All patients underwent computed tomographic angiography to evaluate their injuries once their vital signs stabilized. Among these patients, 27 required surgical treatment. The most commonly injured organ was the airway. There were five deaths, and the main cause of death was bleeding. Mortality was associated with the initial systolic blood pressure at the hospital and Glasgow Coma Scale. Conclusions: Mortality from open neck injuries was associated with initial systolic blood pressure at the hospital and Glasgow Coma Scale.

Retrograde Study on Thoracic Percutaneous Vertebroplasty and Kyphoplasty Done by Transpedicular Approach (흉추에서의 경척추경 접근법을 통한 경피적 척추체성형술 및 척추체 후만변형 복원술에 관한 후향성 연구)

  • Joh, Ju Yeon;Bae, Young Gon;Kim, Yang Hyun;Lee, Eun Hyung;Lee, Chul Joong;Lee, Sang Chul;Kim, Yongn Lak
    • The Korean Journal of Pain
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    • v.18 no.2
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    • pp.204-207
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    • 2005
  • Background: Transpedicular percutaneous vertebroplasty, along with kyphoplasty of the thoracic vertebrae, is technically more difficult than those of the lumbar vertebrae due to the anatomical differences. During the last four years, all the percutaneous vertebroplasty and kyphoplasty of the thoracic vertebrae carried out at our institution were performed using a transpedicular approach; therefore, we tried to find if there were any problems or complications associated with the process. Methods: The medical records of all the patients who had undergone thoracic percutaneous vertebroplasty or kyphoplasty were retrospectively reviewed. The following were looked up: the procedure name, unipedicular or bipedicular, the level of the thoracic vertebrae treated, and the pre- and postoperative changes in the Visual Analog Scales (VAS), the volume of cement injected and complications. Results: In the last four years, 58 vertebral bodies in 58 patients were treated. Twelve and 46 vertebral bodies were treated by kyphoplasty and vertebroplasty, respectively. A total of 58 mid and lower thoracic levels were treated: T5 (n=1), T6 (n=1), T7 (n=3), T8 (n=4), T9 (n=1), T10 (n=4), T11 (n=14) and T12 (n=30). The mean preoperative and postoperative VAS scores were $8.1{\pm}1.4$ and $5.2{\pm}1.7$, respectively. The mean volume of cement injected was $4.01{\pm}1.85ml$; $3.18{\pm}0.60ml$ at T5-8 and $4.22{\pm}2.27ml$ at T9-12. There were no clinical complications, such as pedicular fracture or cement leakage. Conclusions: Although transpedicular vertebroplasty and kyphoplasty at the mid to lower thoracic vertebral bodies is technically difficult compared to that at the lumbar region, the procedures can be performed safely.

Regional Morphological and Mechanical Characteristics in the Human Thoracic Vertebral Trabecular Bones (인체 흉추 해면골의 영역별 형태학적 및 기계적 특성 연구)

  • Lee, Tae-Woo;Woo, Dae-Gon;Ko, Chang-Young;Kim, Han-Sung
    • Journal of the Korean Society for Precision Engineering
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    • v.27 no.1
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    • pp.134-141
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    • 2010
  • This study analyzed the regional morphological and mechanical characteristics of vertebrae by using micro-computed tomography (micro-CT) and micro finite element analysis (FEA). For the present study, the $12^{th}$ human thoracic vertebral bones (an 85-years female and a 48-years male) were used. These were scanned by using micro-CT. Structural parameters were evaluated from the acquired 20 image data for fifteen $4{\times}4mm^2$ regions (five regions in respective layers of superior, middle and inferior part) in the thoracic vertebral trabecular bones. $4{\times}4{\times}4mm^3$ cubic finite element models of each regions were created at $70{\mu}m$ voxel resolution to investigate effective modulus ($E^+$). The present study indicated that there were significant differences in morphological and elastic mechanical characteristics of each region. There are close relationship between effective modulus and structural model index (SMI) in the bone of the 48-years male and between effective modulus and bone volume fraction (BV/TV) in the bone of the 85-years female. In addition, the effective modulus of central regions is about 80% stiffer than that of lateral regions at transverse plane. These findings may be likely to explain the previous result that a change of loading distribution of the vertebral trabecular bones is caused by spinal curvature and nucleus pulpous degeneration of the intervertebral disc.

Clinical Outcomes of Downregulation of E-cadherin Gene Expression in Non-small Cell Lung Cancer

  • Zheng, Shi-Ying;Hou, Jing-Yu;Zhao, Jun;Jiang, Dong;Ge, Jin-Feng;Chen, Sheng
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.4
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    • pp.1557-1561
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    • 2012
  • Objective: To investigate the promoter methylation status of the E-cadherin gene in non-small cell lung cancer (NSCLC) and its association with clinical pathological parameters, and to explore the relationship between downregulation of E-cadherin gene expression and the methylation status of its promoter region. Methods: Nested methylation-specific PCR was performed to examine CpG methylation within the 5' CpG island of the E-cadherin gene in lung cancer and para-cancerous tissue from 37 patients with primary non-small cell lung cancer. Quantitative real-time PCR was performed to measure the level of E-cadherin mRNA. Results: Of thirty-seven cases, 12 (32.4%) samples showed aberrant CpG methylation in tumor tissues compared with the corresponding normal tissues. In addition, a reduction in E-cadherin mRNA levels was observed in 11 of the 12 (91.7%) tumor tissues carrying a methylated E-cadherin gene. However, only 10 (43.5%) cases displayed reduced mRNA levels in tumor tissues from the remaining 23 cases (excluding 2 samples from which mRNA was unavailable) without methylation events. Downregulation of E-cadherin gene expression significantly correlated with the promoter methylation status of this gene. Conclusion: These results provide strong evidence that the methylation status of E-cadherin gene contributes to a reduction in the expression of E-cadherin mRNA, and may play a role in the development and progression of NSCLC.

Relationship between Cancer Stem Cell Marker CD133 and Cancer Germline Antigen Genes in NCI-H292 Lung Cancer Cells

  • Ko, Taek Yong;Kim, Jong In;Lee, Sang Ho
    • Journal of Chest Surgery
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    • v.53 no.1
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    • pp.22-27
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    • 2020
  • Background: Previous studies have shown that lung cancer stem cells express CD133 and that certain cancer stem cells express cancer germline antigens (CGAs). The transcriptional regulation of CD133 is complicated and poorly understood. We investigated CD133 and CGA expression in a non-small cell lung cancer cell line. Methods: The expression levels of CD133 and CGAs (MAGE-6, GAGE, SSX, and TRAG-3) were measured in an NCI-H292 lung cancer cell line. The methylation status of the CD133 gene promoter region was analyzed. The expression levels and promoter methylation statuses of CD133 and CGAs were confirmed by treatment with the demethylating agent 5-aza-2'-deoxycytidine (ADC). Results: After treatment with ADC, CD133 expression was no longer detected. MAGE-6 and TRAG-3 were detected before ADC treatment, while GAGE and SSX were not detected. ADC treatment upregulated MAGE-6 and TRAG-3 expression, while GAGE expression was still undetected after treatment, and only weak SSX expression was observed. GAGE expression was not correlated with expression of CD133, while the levels of expression of MAGE-6, TRAG-3, and SSX were inversely correlated with CD133 expression. Conclusion: These results showed that CD133 expression can be regulated by methylation. Thus, the demethylation of the CD133 promoter may compromise the treatment of lung cancer by inactivating cancer stem cells and/or activating CGAs.

Cavernous Hemangioma: one case report (해면양 임파관종 치험 1예)

  • 성시찬
    • Journal of Chest Surgery
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    • v.12 no.4
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    • pp.379-382
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    • 1979
  • Cavernous lymphangioma is a benign tumor of lymphatic origin encountering most frequently in young children, and composed of softly fluctuated monolocular or multilocular cystic masses which developed from embryonic outpouching of the venous system. The prevailing site of this tumor Is at the anterolateral neck region particularly posterior triangle, and occasionally axillary, mesentery and spleen etc. Recently, we have experienced one case of left axillary cavernous lymphangioma, which surgically removed successfully and confirmed histopathologically. We want to report one case of left axillary large cavernous lymphangioma with a brief review of the relevant literatures.

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Computer Simulation of the Electric Potential Distribution of Human Cross Section (심장 횡단면의 전위분포 컴퓨터 시뮬레이션)

  • 고용훈;박상희
    • Journal of Biomedical Engineering Research
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    • v.3 no.2
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    • pp.65-70
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    • 1982
  • This paper presents a new method of solving the electric potential distribution using the finite element method. The thoracic region surrounded by the body surface and the heart is discretized into finite elements and the Continuous Laplace-equation is transformed into one of the finite degrees of freedom. The current source density, the conductivity, and the excitable range is obtained by the references. From the result of simulation, it was revealed that the potential pattern of in homogeneity was much different from that of homogeneity.

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Protective effect of Tranilast on radiation-induced heart fibrosis in C57BL/6 mouse

  • Moon, Seongkwon
    • International Journal of Contents
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    • v.8 no.4
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    • pp.64-69
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    • 2012
  • The heart is a major dose-limiting organ for radiotherapy of cancer in the thoracic region. The purpose of this study was to examine the protective effect of tranilast on the radiation-induced heart fibrosis model using the C57BL/6 murine strain. A significant reduction in the expression of TGF-${\beta}1$, collagen type I and collagen type III was observed in the radiation plus tranilast group. The authors also suggest the use of tranilast in a clinical trial for the prevention of radiation-induced heart fibrosis.

Schistosoma Reflexum in a Korean Calf (한우에 발생한 번전성열체기형례)

  • Seo Doo-Seok;Park Jin-Yul;Kwon Nam-Seok;Kang Jae-Sun
    • Journal of the korean veterinary medical association
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    • v.15 no.6
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    • pp.331-334
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    • 1979
  • A case of schistosom a reflexum in a Korean calf was examined and the followings Were noted. 1. Failure of fissures to close in the mid-line was seen On the neck region and on the thoracic and abdominal cavities, however, the abnormality was present on th

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