• 제목/요약/키워드: Complex exposure

검색결과 455건 처리시간 0.023초

맹출 전 치관 내 흡수에 기인한 감염 미성숙 영구치의 치험례 (Management of Infected Immature Permanent Tooth with Pre-eruptive Intracoronal Resorption : Two Case Reports)

  • 양선미;김재환;최남기;김선미
    • 대한소아치과학회지
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    • 제44권2호
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    • pp.220-227
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    • 2017
  • 맹출 전 치관 내 흡수(pre-eruptive intracoronal resorption; PEIR)는 미맹출치 치관의 법랑상아경계하방에 위치한 방사선 투과상의 흔치 않은 병소이다. 맹출 전 치아에서의 PEIR은, 흡수 진행속도에 따라 외과적 노출술 후 수복 혹은 지속적 관찰로 치료가능하다. 하지만 맹출 후에는 우식 병소 발달의 위험이 높아 임상가의 대처가 늦을 경우 근관치료 등을 포함하는 심화된 수복치료를 진행하여야 한다. 본 증례는 어린이에서 PEIR로 인해 감염된 미성숙 영구치의 임상적 특징 및 치료에 관하여 보고하고자 한다.

Inhibition of Sarcoplasmic Reticulum $Ca^{2+}$ Uptake by Pyruvate and Fatty Acid in H9c2 Cardiomyocytes: Implications for Diabetic Cardiomyopathy

  • Lee, Eun-Hee;Lee, Hye-Kyung;Kim, Hae-Won;Kim, Young-Hoon
    • The Korean Journal of Physiology and Pharmacology
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    • 제9권4호
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    • pp.195-201
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    • 2005
  • High extracellular glucose concentration was reported to suppress intracellular $Ca^{2+}$ clearing through altered sarcoplasmic reticulum (SR) function. In the present study, we attempted to elucidate the effects of pyruvate and fatty acid on SR function and reveal the mechanistic link with glucose-induced SR dysfunction. For this purpose, SR $Ca^{2+}$-uptake rate was measured in digitonin-permeabilized H9c2 cardiomyocytes cultured in various conditions. Exposure of these cells to 5 mM pyruvate for 2 days induced a significant suppression of SR $Ca^{2+}$-uptake, which was comparable to the effects of high glucose. These effects were accompanied with decreased glucose utilization. However, pyruvate could not further suppress SR $Ca^{2+}$-uptake in cells cultured in high glucose condition. Enhanced entry of pyruvate into mitochondria by dichloroacetate, an activator of pyruvate dehydrogenase complex, also induced suppression of SR $Ca^{2+}$-uptake, indicating that mitochondrial uptake of pyruvate is required in the SR dysfunction induced by pyruvate or glucose. On the other hand, augmentation of fatty acid supply by adding 0.2 to 0.8 mM oleic acid resulted in a dose-dependent suppression of SR $Ca^{2+}$-uptake. However, these effects were attenuated in high glucose-cultured cells, with no significant changes by oleic acid concentrations lower than 0.4 mM. These results demonstrate that (1) increased pyruvate oxidation is the key mechanism in the SR dysfunction observed in high glucose-cultured cardiomyocytes; (2) exogenous fatty acid also suppresses SR $Ca^{2+}$-uptake, presumably through a mechanism shared by glucose.

확장된 박근 유리 피판을 이용한 족관절 및 족배부 연부조직 결손의 치유 (Treatment of Soft Tissue Defect on Ankle or Dorsum of Foot with Extended Gracilis Muscle Free Flap)

  • 김석원;김광섭;서동완;이훈범;정윤규
    • Archives of Reconstructive Microsurgery
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    • 제9권2호
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    • pp.147-153
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    • 2000
  • Soft tissue defects of the dorsum of foot and ankle can be covered from skin graft to free tissue transfer. The extent of injury which may be complex including the exposure of paratenons or bones requires free flap reconstruction. Some of the precautions for reconstruction are providing minimal bulkiness and well conforming to irregular contour thus making normal footwear possible. Though the muscle flap having its advantages and versatility, the fascial flap such as temporoparietal fascial flap has been considered the choice for reconstruction of the dorsum of foot and ankle. The purpose of our study is to utilize the advantages and versatility of the muscle flap as a first choice for reconstruction for the defects involving the dorsum of foot and ankle. The gracilis muscle with its anatomic and donor characteristics, it can be utilized to maximal effect by expanding its slim muscle width removing the epimysium and reducing its bulk by muscle atrophy through denervation. We present our experience with ten cases of reconstruction for the dorsum of foot and ankle using the gracilis muscle free flap. Results were satisfactory without flap loss, skin loss and infection. The contour and aesthetic aspect of the foot was satisfactory. Gait analysis showed near normal gait without limitations from everyday activities. Normal footwear was tolerable in all the cases. The keys to consider in the reconstruction of the dorsum of foot and ankle are appropriate bulkiness, conforming to its contour and able to apply normal footwear. With minimal donor morbidity and satisfying results, the extended gracilis muscle should be considered as the first line for reconstruction of the ankle and dorsum of foot.

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돌발화염으로 인한 화상예측에 관한 수치해석적 연구 (Numerical Study on Skin Burn Injury due to Flash Flame Exposure)

  • 이준경;방창훈
    • 한국화재소방학회논문지
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    • 제26권5호
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    • pp.13-20
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    • 2012
  • 매년 많은 소방공무원들이 화재나 고온 조건 등에 노출되어 화상으로 고통 받고 있어, 화상 예측에 대한 연구를 통해 화상을 방지할 수 있는 방법의 개발이 매우 중요하다. 그러나 피부조직의 비선형성, 혈류에 의한 열전달 분석의 불확실성 등 인체 내부의 복잡한 물리현상으로 인해 화상에 대한 연구는 매우 부족한 것이 실정이며, 특히 국내의 경우는 이에 대한 연구가 전무한 실정이다. 본 연구에서는 특히 심각한 화상을 유발할 수 있는 돌발화염(80 kW/$m^2$ 이상의 고열 유속 조건)하에서의 2도 화상 발생에 대한 예측을 수행하였다. 생체 열전달 방정식(Bio-heat transfer)을 이용하여 지배방정식을 유도하였으며, 유한차분법(Finite Difference Method)을 활용하여 화상에 대한 예측을 수행하는 수치해석 접근법을 사용하였다. 기존의 여러 연구결과로부터 인체 피부의 열물성치를 정리하였고, 그것을 바탕으로 계산을 수행하였다. 기존의 낮은 열유속에 대한 화상 실험 결과와 예측 결과를 비교하여 가장 오차가 적은 열물성치 모델을 파악하였고, 그 결과를 바탕으로 고열유속의 돌발화염에서의 2도 화상발생 노출시간을 예측하여 제시하였다.

40세 이상 중장년의 대사증후군과 백내장과의 관련성 -제5기 국민건강영양조사 자료중심으로- (Relationship between Metabolic Syndrome and Cataract in a Middle-Aged Men over the Age of 40's -Based on the 5th Korean National Health and Nutrition Examination Survey-)

  • 황혜경;박천만
    • 한국학교ㆍ지역보건교육학회지
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    • 제16권2호
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    • pp.17-31
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    • 2015
  • Objectives: This study aimed to analyze the relationship between metabolic syndrome and cataract in a middle-aged men over the age of 40's by using the data from the 5th Korean National Health and Nutrition Examination Survey(2010~2012). Methods: The subjects for the analysis were comprised of 5,808 patients who were at least 40 years or more with metabolic syndrome and cataract. The comparison between the metabolic syndrome and ophthalmic diseases according to the health demographic characteristics, health behavior and health conditions was analyzed with ${\chi}^2-test$. The complex samples logistic regression analysis was used to calculate the odds ratio of cataract according to the health demographic characteristics, health behavior and health conditions and the combination of the comprising factors of the metabolic syndrome. Results: After controlling the confounding factors, the odds ratio of cataract in the metabolic syndrome group was OR 1.30, which was significantly high (p<0.01). Furthermore, the odds ratio of cataract was significantly high in the case of males, as the age increased, educational level decreased, with exercising habits of less than 3 days a week, sun exposure of at least 5 hours, with hypertension and diabetes (p<0.01). The results of analyzing the odds ratio for the occurrence of cataract with the components of metabolic syndrome were OR 1.36 (concurrent high fasting blood glucose, high triglycerides, low HDL cholesterol), OR 1.63 (concurrent high fasting blood glucose, high triglycerides, high waist circumference) and OR 1.33 (high triglycerides, low HDL cholesterol, high waist circumference), which showed significantly high odds ratio for cataract occurrence (p<0.05). Conclusions: We come to know that the relation between metabolic syndrome and components are associate with cataract. Therefore the thorough management of metabolic syndrome and components is needed to prevent cataract.

Biotic ligand model에 근거한 중금속 오염지역의 Pb 및 Cd 위해오염도 평가기법 개발 (Assessment of Risk Based Pollution Level of Pb and Cd in Metal Contaminated Soils Using Biotic Ligand Model)

  • 안진성;정슬기;문희선;남경필
    • 한국지하수토양환경학회지:지하수토양환경
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    • 제16권4호
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    • pp.23-30
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    • 2011
  • Risk based pollution level of Pb and Cd in metal contaminated soils depending on physicochemical properties of soil in a target site was assessed using biotic ligand model. Heavy metal activity in soil solution defined as exposure activity (EA) was assumed to be toxic to Vibrio fischeri and soil organisms. Predicted effective activity (PEA) determined by biotic ligand model was compared to EA value to calculate risk quotient. Field contaminated soils (n = 10) were collected from a formes area and their risk based pollution levels were assessed in the present study using the calculated risk quotient. Concentrations of Pb determined by aqua regia were 295, 258, and 268 mg/kg in B, H and J points and concentrations of Cd were 4.73 and 6.36 mg/kg in G and I points, respectively. These points exceeded the current soil conservation standards. However, risk based pollution levels of the ten points were not able to be calculated because concentrations of Pb and Cd in soil solution were smaller than detection limits or one (i.e., non toxic). It was because heavy metal activity in soil solution was dominant toxicological form to organisms, not a total heavy metal concentration in soil. In addition, heavy metal toxicity was decreased by competition effect of major cations and formation of complex with dissolved organic carbon in soil solution. Therefore, it is essential to consider site-specific factors affecting bioavailability and toxicity for estimating reliable risk of Pb and Cd.

소합향원(蘇合香元)이 혈액내 Free Cholesterol에 의한 혈관내피세포 손상에 미치는 영향 (The Effect of Sohaphyangwon water extract on Endothelial cells by Free choleserol in blood)

  • 이상헌;이소연;윤현덕;신오철;박창국;박치상
    • 대한한방내과학회지
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    • 제26권3호
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    • pp.575-586
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    • 2005
  • FC(free choresterol) plays an important role in normal and pathophysiological cells including that of messenger molecule or dilator of blood vessels in such illnesses as artheriosclerosis, hypertension and myocardial infarction. Smooth muscle and endothelial cell functions in the arteria wall are unified by complex intercellular signalling processes. In arteria comprised of one layer of smooth muscle cells surrounding the endothelium, the close apposition of the two cell types enables a signal derived from one cell to rapidly diffuse to neighboring cells. Experimentation was conducted to investigate the potential contribution of Sohaphyangwon(SHHW) on levels of FC generated by goaded microphages, and mechanisms of protection against ACAT inhibitor. It was found that J774 macrophages, which normally do not express FC were expressed by oxLDL and ACAT inhibitor. SHHW protected cells were found to be resistant to oxLDL and delayed death following the FC. Inhibition of FC formation abolished the protective effect against ACAT inhibitor exposure. Cadiovascular diseases include abnormalities of blood vessels dysfunction of the renin-angiotension system. What relation herbal medicine may have with vessel endothelium necrosis was here studied. In Oriental Medicine, SHHW water extract used for diseases in relation to cardiovascular systems. The resistence to cardiovascular disease of ACAT inhibitor induced J774 macrophage cells were studied through analysis of cell morphological patterns and immunochemistry of SHHW. The results of this study suggest that SHHW has protective effects on the cardiovascular system, and that it is effective in both prevention and treatment of diseases of the cardiovascular system, particularity against necrosis of blood.

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물 흡수선량 표준에 기반한 선량교정 프로그램 개발 (Development of a Dose Calibration Program Based on an Absorbed Dose-to-Water Standard)

  • 신동오;김성훈;박성용;서원섭;이창건;최진호;전하정;안희경;강진오
    • 한국의학물리학회지:의학물리
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    • 제14권3호
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    • pp.175-183
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    • 2003
  • 최근 선량측정의 정확성을 향상시키기 위하여 기존의 공기커마 교정인수에 기반한 표준측정법에서 물 흡수선량 교정인수에 기반한 표준측정법으로 변환하고 있는 추세이다. 본 연구에서는 미국의학물리학회의 AAPM TG-51과 국제원자력기구의 IAEA TRS-398 표준측정법에 대한 선량교정 프로그램을 개발하였다. 이 프로그램은 윈도우 환경에서 사용이 용이하도록 비쥬얼 C++언어를 사용하여 각각의 표준측정법에서 권고하고 있는 방법 및 절차에 따라 사용자의 편의성을 고려하여 개발하였다. 이 프로그램은 이온함에 대한 정보와 물리적인 자료에 대한 표와 그래프 값들을 수식화하여 데이터베이스화함으로써 수작업으로 인해 발생할 수 있는 실수 및 오차를 줄일 수 있다. 개발된 프로그램의 활용을 통하여 국내 실정에 적합한 물 흡수선량 표준에 기반한 표준측정법 개발에 토대를 마련하는데 있어 기여할 것으로 사료된다.

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Brilliant Cresyl Blue 염색방법과 극체 방출 여부에 따른 돼지 체외수정용 난포란 선별 방법이 배발달에 미치는 영향 (Different Developmental Competence of Porcine Oocytes Selected by Brilliant Cresyl Blue Staining and Polar Body Extrusion)

  • 김연수;김철욱;김인철;곽대오;정기화
    • Reproductive and Developmental Biology
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    • 제33권1호
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    • pp.29-33
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    • 2009
  • The brilliant cresyl blue (BCB) has been used to select the developmental competent oocytes in pigs, goats and cows. Growing oocytes have a higher level of active glucose-6-phosphate dehydrogenase(G6PDH) compare to mature oocytes and are rarely stained compared to mature oocytes, because G6PDH converts BCB to colorless. First polar body extrusion regard as a guideline of meoisis completion. Selection of polar body extrude oocyte is more developmental competent to blastocyst than unselected. This study was conducted to compare the BCB test to the polar body extrusion on selection of developmental competent porcine oocytes for the production of blastocyst. Cumulus-Oocytes complex were exposed to 26uM BCB stain diluted in NCSU-23 for 90 min. There was no significant difference embryo development to blastocysts between BCB treated and not treated($19.58{\pm}1.99$ vs $18.75{\pm}2.27%$), which means there was no detrimental effect of BCB exposure to oocytes. Normal fertilization is not differed among treatment groups from 70.0 to 78.4% development to blastocyst, beside polyspermy did not. To compare two different selection methods, BCB test and polar body extrusion, evaluate the developmental competent of IVP embryos. BCB+PB+(blue stained and polar body extruded, $20.71{\pm}0.45%$) and BCB-PB+(colorless and polar body extruded, $20.04{\pm}l.29%$) groups are significantly (p<0.05) higher developed than those of BCB+PB-(blue stained and no polar body, $13.24{\pm}0.73%$) and BCB-PB-(colorless and no poladbody, $7.25{\pm}0.77%$). These results showed that selection of polar body extruded oocytes method is more efficient than that of BCB test.

Endothelial Cell Products as a Key Player in Hypoxia-Induced Nerve Cell Injury after Stroke

  • Cho, Chul-Min;Ha, Se-Un;Bae, Hae-Rahn;Huh, Jae-Taeck
    • Journal of Korean Neurosurgical Society
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    • 제40권2호
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    • pp.103-109
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    • 2006
  • Objective : Activated endothelial cells mediate the cascade of reactions in response to hypoxia for adaptation to the stress. It has been suggested that hypoxia, by itself, without reperfusion, can activate the endothelial cells and initiate complex responses. In this study, we investigated whether hypoxia-induced endothelial products alter the endothelial permeability and have a direct cytotoxic effect on nerve cells. Methods : Hypoxic condition of primary human umbilical vein endothelial cells[HUVEC] was induced by $CoCl_2$ treatment in culture medium. Cell growth was evaluated by 3,4,5-dimethyl thiazole-3,5-diphenyl tetrazolium bromide [MTT] assay Hypoxia-induced products [$IL-1{\beta},\;TGF-{\beta}1,\;IFN-{\gamma},\;TNF-{\alpha}$, IL-10, IL-6, IL-8, MCP-l and VEGF] were assessed by enzyme-linked immunosorbent assay. Endothelial permeability was evaluated by Western blotting. Results : Prolonged hypoxia caused endothelial cells to secrete IL -6, IL -8, MCP-1 and VEGF. However, the levels of IL -1, IL -10, $TNF-{\alpha},\;TGF-{\beta},\;IFN-{\gamma}$ and nitric oxide remained unchanged over 48 h hypoxia. Hypoxic exposure to endothelial cells induced the time-dependent down regulation of the expression of cadherin and catenin protein. The conditioned medium taken from hypoxic HUVECs had the cytotoxic effect selectively on neuroblastoma cells, but not on astroglioma cells. Conclusion : These results suggest the possibility that endothelial cell derived cytokines or other secreted products with the increased endothelial permeability might directly contribute to nerve cell injury followed by hypoxia.