• 제목/요약/키워드: vascular resistance

검색결과 185건 처리시간 0.028초

Deep Vein Thrombosis 진단을 위한 Impedance Plethysmography의 시뮬레이션 연구 (A Simulation Study of Impedance Plethysmography for Diagnosing Deep Vein Thrombosis)

  • 이전;이경중
    • 대한전기학회논문지:시스템및제어부문D
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    • 제50권10호
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    • pp.494-501
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    • 2001
  • In this study, the effects of vascular parameter changes and electrodes on VOP measurement based on IPG were simulated mathematically. For the evaluation of the effects of hemodynamic changes on VOP, a mathematical model, which consists of cardiovascular system model and venous occlusion model, was developed and the model solution representing the blood flow and pressure in measuring point was found by 2nd order Runge-Kutta method. And, with sensitivity coefficients obtained from finite element solution of electric field in measuring point, the effects of electrode system on measurement were evaluated. As increasing the resistance, the venous capacitance was not changed but the venous outflows were decreased and the decreased compliance reduced the venous capacitance. And, for several configurations of round electrodes and band electrodes, the sensitivity coefficients were computed using the electric field distribution along deep vein. In conclusion, the proposed mathematical cardiovascular model could be applied to the simulation study on the effects of hemodynamic parameters on DVT diagnosis with IPG. And, also the sensitivity coefficients could provide effective electrode configuration for exact measurement of VOP.

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비브리오 패혈증균의 균체내독소 정제 및 특성에 관하여 (Purification and Characterization of Endotoxin from Vibrio vulnificus)

  • 김영만;정현정;신일식
    • 생명과학회지
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    • 제7권2호
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    • pp.79-87
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    • 1997
  • vibrio vulnificus의 균체내독소의 특성을 파악하여 비브리오 패혈증의 발병원인 구명을 위한 자료를 제공하고자 생균과 균체파쇄액의 치사독성과 내열성 및 혈관투과성항진작용을 실험한 결과는 다음과 같다. 1. 환자분리균(V.vulnificus CDC B3547)과 환경분리균(V.vulnificus B57)의 독력은 차이가 없었다. 2. V.vulnificus의 균수가 $10^{7}$/ml 이상일 때 강한 치사독력이 나타났다. 3. 균체파쇄액이 독성은 80$^{\circ}$C 20분에 완전히 불활성화 되었다. 4. 균체파쇄액은 용혈성은 없었으나 세포독성은 인정되었다. 5. V.vulnificus의 새앙주에 대한 주 치사독소는 균체 내에 존해했으나 LPS와 LPprotein complex는 기존의 방법으로 분리할 수 없었다.

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Peptide YY의 혈관 평활근 수축성에 미치는 효과 (Effect of Peptide YY on Vascular Smooth Muscle Contractility)

  • 이광윤;김원준;하정희;권오철
    • 대한약리학회지
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    • 제26권1호
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    • pp.25-33
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    • 1990
  • 가토의 적출동맥평활근 절편에 대한 peptide YY(PYY)의 수축작용을 관찰하고, PYY의 수축기전상 동원되는 칼슘의 기원을 조사하여 다음과 같은 결과를 얻었다. 각 동맥의 나선형 절편은 PYY의 실험조내 첨가에 의하여 농도의존적인 수축반응을 보였다. 그중 대퇴동맥이 가장 강력하고 예민한 수축경향을 보였으며, 그 다음은 대뇌의 기저동맥, 총장골동맥, 상장간막동맥, 신동맥, 총경동맥의 순으로 예민하였다. PYY에 대한 반응성을 Norepinephrine(NE)에 대한 반응성과 비교해볼때, 총경동맥과 신동맥은 PYY보다 NE에 대해서 유의하게 $(p{\leqslant}0.05)$예민하였고, 기저동맥은 NE보다 PYY에 더 예민하였다$(p{\leqslant}0.05)$. 대퇴동맥 절편에서 칼슘통로봉쇄제인 verapamil과 세포내 저장칼슘유리를 억제하는 3,4,5-Trimethoxybenzoic acid 8-(diethylamino)octyl ester ${\ulcorner}TMB-8{\lrcorner}$는 각각 PYY에 의한 수축을 억제하였는데 $(p{\leqslant}0.05)$, verapamil과 TMB-8이 동시에 존재할 때는 PYY에 의한 수축은 거의 완전히 억제되었고, ethyleneglycol-bis-(beta-aminoethyl ether), N,N,N‘,N’-tetraacetic acid${\ulcorner}EGTA{\lrcorner}$0.5mM를 첨가한 칼슘배제용액 내에서도 PYY에 의한 수축은 거의 완전히 억압되었다. 이상의 결과를 종합하면, 혈중 PYY가 증가했을 때는 교감신경계흥분시보다 강한 뇌혈관의 수축이 일어날 수 있으며, 뇌동맥압은 교감신경계 흥분시보다 더 높을 수가 있으리라 추정된다. 또 PYY에 의한 혈관 평활근 수축에는 세포외액의 칼슘과 세포내저장칼슘의 이용이 공히 필수적이라고 생각된다.

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Fusarium oxysporum f. sp. lactucae에 의한 상추 시들음병 발생 및 품종간 감수성 비교 (Occurrence of Fusarium Wilt Caused by Fusarium oxysporum f. sp. lactucae and Cultivar Susceptibility on Lettuce)

  • 김진영;홍순성;이진구;이현주;임재욱;김진원;김홍기
    • 식물병연구
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    • 제14권2호
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    • pp.79-84
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    • 2008
  • 경기도내 주요 상추 시설재배지에서의 Fusarium 시들음병 발생을 2006년과 2007년에 걸쳐 조사한 결과 3월부터 11월까지 발생하였으며, 특히 여름철에 발병주율이 크게 증가하였다. 발병된 상추는 잎이 황화되고 포기 전체가 위축되는 증상을 보였고, 줄기 부위에 뚜렷한 도관부 갈변 증상이 관찰되었다. 시들음증상을 나타내는 상추 줄기에서 Fusarium균을 분리하였고, 균학적 특징을 분석했을 때 Fusarium oxysporum f. sp. lactucae로 동정되었다. 분리된 F. oxysporum을 토양에 접종한 결과 뿌리를 통해 쉽게 균사가 침입하였고, 점차 도관부를 통해 전체 줄기로 진전되었으며, 뿌리 주변에서 후막포자를 형성하였다. 병 발생이 높은 하우스의 토양 내 Fusarium균의 밀도는 건전 또는 병 발생이 낮은 토양보다 밀도가 높고, 병 발생을 일으키는 최소 병원균 밀도는 $10^3$cfu/g 이상으로 추정하였다. 병원균에 대하여 '선풍'과 '미풍포찹' 품종이 가장 감수성이었고, '미홍적축면'과 '진자축면'이 중도저항성 이었으며, 발병은 $25^{\circ}C$ 이상의 온도에서 더 빨리 진전되었다.

The relationships of body mass index, waist-to-height ratio, and body fat percentage with blood pressure and its hemodynamic determinants in Korean adolescents: a school-based study

  • Kim, Na Young;Hong, Young Mi;Jung, Jo Won;Kim, Nam Su;Noh, Chung Il;Song, Young-Hwan
    • Clinical and Experimental Pediatrics
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    • 제56권12호
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    • pp.526-533
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    • 2013
  • Purpose: Obesity is an important risk factor for hypertension in adolescents. We investigated the relationship of obesity-related indices (body mass index [BMI], waist-to-height ratio [WHR], and body fat percentage [%BF]) with blood pressure and the hemodynamic determinants of blood pressure in Korean adolescents. Methods: In 2008, 565 adolescents, aged 12-16 years, were examined. The %BF of the participants was measured by bioelectrical impedance analysis. Echocardiography and brachial artery pulse tracing were used to estimate the stroke volume (SV), cardiac output (CO), total vascular resistance (TVR), and total arterial compliance (TAC). Results: We noted that BMI, WHR, and %BF were positively correlated with systolic blood pressure (SBP) and diastolic blood pressure (DBP). The positive correlation between BMI and blood pressure (SBP and DBP) persisted after adjustment for WHR and %BF. However, after adjustment for BMI, the positive associations between blood pressure (SBP and DBP) and WHR as well as %BF, were not noted. With regard to the hemodynamic factors, BMI, but not WHR and %BF, was an independent positive factor correlated with SV and CO. TVR had an independent negative association with BMI; however, it was not associated with WHR or %BF. Moreover, we noted that BMI, WHR, and %BF did not affect TAC. Conclusion: In Korean adolescents, BMI had an independent positive correlation with SBP and DBP, possibly because of its effects on SV, CO, and TVR. WHR and %BF are believed to indirectly affect SBP and DBP through changes in BMI.

내독소에 의한 돼지의 급성 폐손상에서 산소기의 역할에 관한 연구 (The Role of Reactive Oxygen Free Radical in the Pathogenetic Mechanism of Endotoxin-Induced Acute Lung Injury in Domestic Pigs)

  • 김영환;유철규;정기호;최형석;이혁표;한성구;심영수;김건열;한용철
    • Tuberculosis and Respiratory Diseases
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    • 제38권4호
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    • pp.357-371
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    • 1991
  • To identify the pathogenetic role of reactive oxygen free radical-induced oxidation reaction in endotoxin-induced acute lung injury, we infused endotoxin into 8 domestic pigs; endotoxin only (n=3), pretreatment with dimethylthiourea (DMTU) (n=5). We observed the sequential changes in hemodynamic parameters, the concentration of plasma oxidized glutathione (GSSG) in pulmonary arterial and venous blood, and albumin content in bronchoalveolar lavage fluid (BALF). The results were as follows. 1) While cardiac output decreased, mean pulmonary arterial pressure, pulmonary vascular resistance, and alveolar-arterial oxygen difference increased over phase 1 (0-2 hr) and phase 2 (2-4.5 hr) by endotoxin, DMTU attenuated the above changes only during phase 2. 2) While the concentration of plasma GSSG increased significantly by endotoxin during phase 2, there were no significant differences between pulmonary arterial and venous GSSG contents during both phases. The increase in plasma GSSG content was attenuated by DMTU. 3) The content of BALF albumin was significantly lower in DMTU group than that of endotoxin group. These results suggest that reactive oxygen free radical-induced oxidation reaction may have an important pathogenetic role in endotoxin-induced acute lung injury in pigs, which seems to be greater during phase 2 rather than phase 1.

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Agrobacterium 매개에 의한 고구마 형질전환 및 식물체 재분화 (Agrobacterium- mediated Genetic Transformation and Plant Regeneration of Sweetpotato (Ipomoea batatas))

  • 임순;양경실;권석윤;백기엽;곽상수;이행순
    • Journal of Plant Biotechnology
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    • 제31권4호
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    • pp.267-271
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    • 2004
  • 국내 고구마 율미 품종의 배발생 캘러스를 Agrobacterium 매개 방법을 이용하여 형질전환 식물체를 개발하였다. 배발생 캘러스를 7일 동안 전배양 한 후 Agrobacterium과 2일 간 공동배양할 경우 일시적인 형질전환 효율이 가장 높았다. Agrobacterium과의 공동배양 후 배발생 캘러스를 1mg/L 2,4-D, 100mg/L kanamycin, 400mg/L claforan 이 첨가된 선발배지에서 4주 간격으로 계대배양하였다. 선발된 kanamycin 저항성 캘러스를 2,4-D를 제거한 선발배지로 옮겨 체세포배를 유도하였으며 이후 소식물체로 발달하였다. Southern 분석으로 1-3 copy의 GUS 유전자가 고구마 염색체내로 도입되었음을 확인하였다. 또한 조직학적 분석으로 GUS 유전자가 형질전환 고구마의 배발생 캘러스, 재분화 식물체의 잎, 엽병, 및 뿌리 조직에서 강하게 발현됨을 알 수 있었다.

대량 객혈에 대한 기관지동맥 색전술 -치험 2례- (Bronchial Artery Embolization of Massive Hemoptysis -2 cases-)

  • 강경훈
    • Journal of Chest Surgery
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    • 제21권6호
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    • pp.1117-1123
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    • 1988
  • Prolapse of the aortic valve is the main cause of insufficiency of the aortic valve as a complication of ventricular septal defect. Aortic insufficiency gets worse by the progress of prolapse of aortic valve due to lack of support of the valve and the hemodynamic effect of blood flow through the ventricular septal defect. This produces typical clinical picture, that may be serious and threatening when it is untreated. Type and timing for the surgical treatment of the ventricular septal defect with aortic insufficiency is considered. Among 113 ventricular septal defect, 9 patients of ventricular septal defect with associated aortic insufficiency were experienced from June. 1983 to June 1988 at the Department of Thoracic and Cardiovascular Surgery, Chon-Buk University Hospital. Male was 6 patients and female was 3 patients. Ages were from 7 years to 24years. 5 patients were from 10 to 19 years age. 3 patients were below 10 years age. The ratio of pulmonary blood flow to systemic f low [Qp/Qs] was 1.53 and in pulmonary vascular resistance, normal or slight increase was 7 patients, moderate 1 patient, and severe 1 patient. Ventricular septal defect was subpulmonic in 5 patients and infracristal in 4 patients. Prolapse of right coronary cusp was 7 patients, right and non coronary cusp 1 patient and non coronary cusp 1 patient. Teflon patch closure of ventricular septal defect was undertaken in 3 patients and primary closure in 1 patient. Among the 4 patients of defect closure alone, one patient performed valve replacement 7 months later due to progressive regurgitation and cardiac failure and the result was good. The other 3 patients were good result. Closure of ventricular septal defect and aortic valvuloplasty performed in 4 patients. 2 patients of these required valve replacement for the sudden intractable cardiac failure and died due to low cardiac output. The cause of intractable cardiac failure was tearing of repaired valve at the fixed site. The other 2 patients were good result. Closure of ventricular septal defect and valve replacement performed in 1 patient with good result.

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평폐탕(平肺湯)이 Oleic acid로 유발(誘發)된 가견(家犬)의 급성폐수종(急性肺水腫)에 미치는 영향(影響) (Effects of Pyengpaetang Extracts on the Acute Pulmonary Edema induced by Oleic acid in dogs)

  • 정재우;한상환;최순호
    • 대한한방내과학회지
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    • 제11권2호
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    • pp.1-15
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    • 1990
  • Certain oriental medication have been shown to be effective in decreasing pulmonary vascular resistance and increasing cardiac output in primary pulmonary artery pressure secondary to pulmonary edema. So oleic acid was administered in 14 dogs in order to induce acute lung injury. And we studied the hemodynamics and blood gas changes of Pyengpaetang(50mg, 100mg) with continuous postive pressure was ventilation in pulmonary edema. The pulmonary edema group, arterial oxygenation was improved after 5 and $10cmH_2O$ PEEP(positive end expiratory pressure), but cardiovascular system was depressed. Blood pressure and cardiac output were decreased, and CVP, MP AP, PCWP were increased. In Pyengpaetang(50mg) group, mean aortic pressure was decreased and PCWP(pulmonary capillary wedge pressure) was decreased remarkably, while there was a significant increase in cardiac output. And there was improvement in $PaO_2$ and $PaCO_2$ without hemodynamic changes after applying 5cm $H_2O$ PEEP, but arterial blood gases$(PaO_2,\;PaCO_2)$ were improved, while cardiovascular effects were depressed after cm $H_2O$ PEEP. In Pyengpaetang(100mg) treated group, there was no significant hemodynamic change. But mean pulmonary arterial pressure was significantly increased, and cardiac output was decreased significantly after applying the more degree of PEEP. And blood gases were not changed significantly after applying the more degree of PEEP. The above results suggest that the effects of Pyengpaetang(50mg) group is superior to those of Pyengpaetang(100mg) group on the effects of hemodynamics and gas exchanges in acute lung injury in dogs. So we can conclude that lower degree PEEP 5cm $H_2O$ is more beneficial in Pyengpaetang(50mg) treated group.

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고형암 환자의 삽입형 포트 개방성 유지를 위한 헤파린 관류 주기 현황 (Current Status of Interval of Heparin Flushing for Maintenance of an Implanted Port in Solid Tumor Patients)

  • 김혜경;최소은;이정훈;위은숙;조혜진;김광성
    • Journal of Korean Biological Nursing Science
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    • 제16권3호
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    • pp.251-257
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    • 2014
  • Purpose: Little is known about appropriate interval periods between the heparin flushing of implanted ports after completion of chemotherapy. The purpose of this study was to describe the current status of interval of heparin flushing for maintenance of an implanted port in solid tumor patients. Methods: We performed a retrospective review of all patients who had undergone implanted port removal in 2012 at the Seoul St. Mary's Hospital. The subjects were 90 patients who, after completion of chemotherapy, retained their ports for extended periods of time. Results: The mean number of flushes of heparin was 4. Compliance with visits for implanted port maintenance varied with the individual, and the mean accession times were in the range between 13 days and 243 days. The overall mean time between flushes was 66 days. One patient showed resistance during flushing. Conclusion: Our results demonstrate that extending the flushing interval to a maximum of 8 weeks remains medically safe. Less frequent heparin flushing of an implanted port decreases medical expenditure and the workload of medical professionals; it also improves the patient's satisfaction.