• Title/Summary/Keyword: 병태생리

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Spinal Cord Injury and Neuro-Regeneration (척수 손상과 신경 재생)

  • Ahn, Joo-Hyun;Park, Hyung-Youl;Kim, Young-Hoon
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.6
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    • pp.498-508
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    • 2019
  • Recent advances in the understanding of the pathophysiology of spinal cord injury (SCI) and new therapeutic approaches have provided promising results for this incurable and debilitating central nervous system injury. Various neuro-protective and neuro-regenerative trials have been attempted to overcome SCIs. This review summarizes the reported experimental and clinical data regarding neuro-regenerative trials with the proven pathophysiology of SCI. In addition, the prerequisites for safe and effective clinical trials are discussed.

Reversible Cerebral Vasoconstriction Syndrome Presenting as Transient Vessel Wall Enhancement on Contrast-Enhanced Fluid-Attenuated Inversion Recovery Images: A Case Report and Literature Review (조영증강 유체감쇠반전회복기법 영상에서 일과성 혈관 벽 조영증강으로 나타나는 가역성 대뇌 혈관 수축 증후군: 증례 보고 및 문헌 고찰)

  • Sun Ah Heo;Eun Soo Kim;Yul Lee
    • Journal of the Korean Society of Radiology
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    • v.81 no.5
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    • pp.1239-1245
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    • 2020
  • Reversible cerebral vasoconstriction syndrome (RCVS) is a clinical and radiological syndrome with primary features that include hyperacute onset of severe headache and segmental vasoconstriction of the cerebral arteries, which resolve within 3 months. Vessel wall enhancement has been reported in some cases of RCVS; however, its pathophysiological and diagnostic implications remain unclear. We review a case of RCVS in a patient with transient vessel wall enhancement on contrast-enhanced fluid-attenuated inversion recovery images, focusing on the pathophysiological and diagnostic implications.

Expression of Endometriosis Related Genes in the Shed Endometrial Tissues from Menstrual Blood (생리혈에 존재하는 자궁내막조직에서 자궁내막증 관련 유전자의 발현 양상)

  • Park, Chan-Woo;Jun, Jin-Hyun;Koong, Mi-Kyoung;Song, In-Ok
    • Clinical and Experimental Reproductive Medicine
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    • v.34 no.4
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    • pp.275-283
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    • 2007
  • Objective: This study was performed to investigate the expressions of endometriosis related genes in shed endometrial tissues from menstrual blood of patients with or without endometriosis. Methods: The shed endometrial tissues were collected on 2$^{nd}$ or 3$^{rd}$ day of menstrual cycle with Wallace catheter in patients with endometriosis (n=16) and without endometriosis (n=26). The mRNA expressions of twelve kinds of endometriosis related genes were compared between two groups using semi-quantitative RT-PCR. Results: The collected shed endometrium was confirmed by histological observation. Expressions of telomerase, c-kit and aromatase mRNA were not detected by RT-PCR in shed endometrial tissues. The mRNA expressions of apoptosis related genes (fas, fas ligand, bcl-2, bax), stem cell factor, estrogen receptor-$\alpha$/$\alpha$, endometriosis protein-I and secretory leukocyte protease inhibitor gene were similar between shed endometrial tissues with endometriosis and without endometriosis. Conclusion: We could not find the difference of mRNA expressions of tested endometriosis related genes between shed endometrial tissues with or without endometriosis by semi-quantitative RT-PCR analysis. It may be related to the dynamical changes of gene expressions in the endometrium with menstrual cycle.

A Case of Idiopathic Hypoparathyroidism with Extensive Intracranial Calcification (광범위한 뇌 석회침착을 수반한 특발성 부갑상선 기능저하증 1례)

  • Kim, Wook-Nyeon;Hah, Jung-Sang
    • Journal of Yeungnam Medical Science
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    • v.14 no.1
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    • pp.220-226
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    • 1997
  • Idiopathic hypoparathyroidism is frequently associated with intracranial calcification and neuropsychiatric abnormalities. The most commonly recognized central nervous system manifestations of chronic hypoparathyroidism are seizure, alteration of mental function and extrapyramidal signs. We present a case of hypoparathyroidism, demonstrating extensive intracranial calcification, not only basal ganglia, but also outside the extrapyramidal system. An 58-year-old woman presented with 30 year history of seizure and memory disturbance. The physical examination and several laboratory studies disclosed normal. However hypocalcemia, hyperphosphatemia with hypocalciuria and decreased parathormone level were demonstrated. Clinical symptoms and signs showed improvement after supplementary calcium and Vit $D_3$ therapy.

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Neuroglial Cells and Schizophrenia (신경아교세포와 조현병)

  • Won, Seunghee
    • Korean Journal of Biological Psychiatry
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    • v.22 no.2
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    • pp.47-54
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    • 2015
  • In the past decade, structural, molecular, and functional changes in glial cells have become a major focus in the search for the neurobiological foundations of schizophrenia. Glial cells, consisting of oligodendrocytes, astrocytes, microglia, and nerve/glial antigen 2-positive cells, constitute a major cell population in the central nervous system. There is accumulating evidence of reduced numbers of oligodendrocytes and altered expression of myelin/oligodendrocyte-related genes that might explain the white matter abnormalities and altered inter- and intra-hemispheric connectivities that are characteristic signs of schizophrenia. Astrocytes play a key role in the synaptic metabolism of neurotransmitters ; thus, astrocyte dysfunction may contribute to certain aspects of altered neurotransmission in schizophrenia. Increased densities of microglial cells and aberrant expression of microglia-related surface markers in schizophrenia suggest that immunological/inflammatory factors are of considerable relevance to the pathophysiology of psychosis. This review describes current evidence for the multifaceted role of glial cells in schizophrenia and discusses efforts to develop glia-directed therapies for the treatment of the disease.

Deep Learning-based Automated Detection of Radio-Opaque Markers in X-Ray Images (딥러닝 기반 방사선 비투과성 표지자 자동 검출 기법)

  • Song, Youngmin;Lee, Byoung-Dai
    • Proceedings of the Korean Society of Broadcast Engineers Conference
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    • 2017.06a
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    • pp.40-43
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    • 2017
  • 본 논문은 딥러닝을 이용하여 대장통과시간(Colon Transit Time, CTT) 검사를 위한 단순복부 X-Ray 영상에서 방사선 비투과성 표지자(Radio-opaque Marker)를 자동으로 검출하는 기법을 제시한다. 대장통과시간 검사는 대장의 운동질환을 평가하는데 있어 가장 기본적인 방법으로 특히 만성 변비증 환자의 병태생리에 따른 유형 분류와 치료 계획을 설정하는데 큰 도움을 주고 있으며, 내과적 또는 외과적 치료 후 평가에도 유용한 검사이다. 대장통과시간 검사는 방사선 비투과성 표지자가 내재되어 있는 캡슐을 복용한 뒤 주기적으로 단순복부 X-Ray 촬영을 통해 구간별로 남아있는 표지자의 수를 세고, 이를 통해 구역별 통과시간을 측정한다. 이 과정에서 판독의가 직접 표지자의 위치 및 개수를 세기 때문에 많은 시간이 필요하게 된다. 따라선 본 논문에서는 이러한 단점을 보완하기 위해 딥러닝 기법을 사용하여 X-Ray 영상 내에서 표지자의 위치를 자동 파악하는 기법을 제시한다.

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Role of Serotonin in Pathophysiology and Treatment of OCD (강박장애의 병태생리와 치료에 있어 세로토닌의 역할)

  • Kim, Chan-Hyung
    • Korean Journal of Biological Psychiatry
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    • v.4 no.2
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    • pp.179-187
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    • 1997
  • The clinical efficacy of serotonin reuptake inhibitors such as clomipramine in the treatment of obsessive compulsive disorder(OCD) has fueled interest in the neurobiological basis of this illness. OCD is responsive exclucively to potent serotonin reuptake inhibitors clomipramine, fluoxetine, fluvoxamine, sertraline, and paroxetine and this point forms the important evidence supporting a cental role for serotonin in the pathogenesis of the disorder. Other serotonergic medications such as lithium, buspirone, trazodone, or fenfluramine may be useful as adjuvant treatments in treatmentrefractory OCD and adjuvant antipsychotics are useful in tic disorders, personality disorders, and psychotic disorders. This paper reviews results of treatment studies, investigations of biological markers, and neuroendocrine challenges and implications for the role of serotonin in pathophysiology and treatment of OCD.

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Role of Serotonin in Pathophysiology and Treatment of Schizophrenia (정신분열병의 병태생리 및 치료영역에서의 serotonin의 역할)

  • Park, So-Young;Hahn, Kyu-Hee
    • Korean Journal of Biological Psychiatry
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    • v.4 no.2
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    • pp.162-167
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    • 1997
  • There is no doubt that dopamine plays a critical role in the etiopathogenesis of schizophrenia. However, there appeared some limitations in explaining the complex phenomena of schizophrenia. Recent research data suggest that dysfunction in serotonergic system may be involved. Before the dopamine hypothesis of schizophrenia became established, the interest in serotonin(5-hydroxytryptamine, 5-HT) as an etiological substrate of this illness occurred. Recently the importance and extent of 5-HT's involvement in the pathophysiology and mechanism of action of antipsychotic drug is actively investigated. In recent years, therapeutic success of clozapine and risperidones has increased attention on the interaction between the 5-HT and dopamine systems in schizophrenia. This led to the concept of serotonin-dopamine antagonist for antipsychotics. The authors review the evidence for the role of 5- HT in schizophrenia and serotonin-dopamine interaction.

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Pathophysiology of Oral Mucositis induced by Anticancer Therapy (항암치료 후 발생하는 구강 점막염의 병태생리)

  • Yoon, Jung-Hoon;Choj, Jong-Hoon
    • Journal of Oral Medicine and Pain
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    • v.25 no.4
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    • pp.365-369
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    • 2000
  • Oral mucositis or stomatitis produced by stomatotoxic chemotherapy and/or radiation therapy are painful, restrict oral intake and, importantly, act as sites of secondary infection and potals of entry for the endogenous oral microflora often leading to bacteremias or sepsis. A number of clinical observations and studies of animal model suggests a pathophysiological complexity in the development of mucositis. The condition appears to represent a sequential interaction of the oral mucosal cells and tissues, pro-inflammatory cytokines, and local environmental factors in the mouth. This article discussed and reviewed biological process of the mucositis and, the role of cytokines as initiators and amplifiers of the process. The recognition that the pathophysiology of mucositis is a multifactorial process has presented opportunities for intervention based upon biological attenuation.

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Recent Advances in Regulating Energy Homeostasis and Obesity (에너지 항상성 조절 및 비만의 병태생리에 관한 최신지견)

  • Park, Mi Jung
    • Clinical and Experimental Pediatrics
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    • v.48 no.2
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    • pp.126-137
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    • 2005
  • New insights in the complex metabolic pathways and its control mechanism for energy homeostasis have refined our understanding of the pathophysiology of obesity. It is now recognized that there are several additional regulatory mechanism such as peripheral signals including leptin, ghrelin, GLP-1 and PYY and cellular signals including uncoupling proteins and ${\beta}$ Adrenergic receptors, which contribute to the regulation of food intake and energy expenditure, respectively. In addition, the function of adipocyte as an endocrine organ in energy homeostasis has been recently emphasized. Recent findings suggest that elevated levels of adipokines, such as leptin, adiponectin, resistin and TNF-${\alpha}$, in addition to increased free fatty acid level could be related to the pathophysiology of insulin resistance in obesity. For effective treatments and prevention of obesity, further studies on the circuits of neural and endocrine interactions in the regulation of energy homeostasis are needed.