• Title/Summary/Keyword: Cortical damage

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외상성 뇌손상 환자에서 대뇌피질의 재조직화: 사례보고 (Medial Reorganization of Primary Motor Cortex in Patient with Traumatic Brain Injury: a fMRI Case Study)

  • 최진호;권용현
    • The Journal of Korean Physical Therapy
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    • 제17권3호
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    • pp.421-428
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    • 2005
  • The tenn 'Brain plasticity' has been identified that our central nervous system is continuously being adapted and modulated according to environmental needs and demands, and has been used to encompass the multifarious mechanisms related to learning, development, and recovery from damage to the nervous system. The purpose of this study was to demonstrate cortical reorganization in a 26-year-old right-handed hemiparetic patient with traumatic primary motor cortex (M1) injury, using functional MRI (fMRI). The unaffected (left) primary sensori-motor cortex centered on the precentral knob was activated during unaffected (right) hand movements. However, the medial area of the injured M1 was activated during affected (left) hand movements. It seems that the motor function of the affected hand in this patient was reorganized into the medial area of the injured precentral knob. These investigations provide a great useful information and clinical evidences with the specialized clinician in stroke physical therapy about patient's prognosis and therapeutic guidelines.

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Effects of Action Observation Training Combied with Auditory Cueing on Gait Ability in Patients with Stroke: a Preliminary Pilot Study

  • Kim, Hyeong-Min;Son, Sung-Min;Ko, Yu-Min
    • The Journal of Korean Physical Therapy
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    • 제34권3호
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    • pp.98-103
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    • 2022
  • Purpose: New therapeutic approaches have emerged to improve gait ability in patients with brain damage, such as action observation learning (AOT), auditory cueing, motor imagery etc. We attempted to investigate the effects of AOT with auditory cueing (AOTAC) on gait function in patients with stroke. Methods: The eighteen stroke patients with a unilateral hemiparesis were randomly divided into three groups; the AOTAC, AOT, and control groups. The AOTAC group (n=8) received training via observing a video that showed normal gait with sound of footsteps as an auditory cue; the AOT group (n=6) receive action observation without auditory stimulation; the control group (n=5) observed the landscape video image. Intervention time of three groups was 30 minutes per day, five times a week, for four weeks. Gait parameters, such as cadence, velocity, stride length, stance phase, and swing phase were collected in all patients before and after each training session. Results: Significant differences were observed among the three groups with respect to the parameters, such as cadence, velocity, stride length, and stance/swing phase. Post-hoc analysis indicated that the AOTAC group had a greater significant change in all of parameters, compared with the AOT and control groups. Conclusion: Our findings suggest that AOTAC may be an effective therapeutic approach to improve gait symmetry and function in patients with stroke. We believe that this effect is attributable to the change of cortical excitability on motor related to cortical areas.

CT 이미지를 사용한 Micro-implants 식립을 위한 매부학적 연구 (An Anatomical Study using CT Images for the Implantation of Micro-implants)

  • 박효상
    • 대한치과교정학회지
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    • 제32권6호
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    • pp.435-441
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    • 2002
  • 교정치료의 고정원으로서 수술용 Microscrew가 소개되고 사용되어 왔다. 몇몇 임상가들은 Miniscrew혹은 Microscrew를 치근의 손상을 피하기 위하여 치근 하방의 기저골에 식립하여 사용하여 왔다 그러나 저자는 Microimplant를 치근 손상없이 치근사이의 치조골에 식립하여 고정원으로 사용하여 왔다. 이렇게 하므로서 치근하방에 식립할때 생기는 문제점인 수직 분력이 커지고 수평 분력이 작아지는 것을 방지하여 상악의 경우 적절한 후상방 교정력을 가할 수 있다 그리고 치조골에 상악의 경우 치아 장축에 대하여 30-40도의 각도로, 하악의 경우 10-20도의 각도로 식립하여 교정력의 방향을 전술한 바와 같이 수평방향으로 바꾸고 긴 Micro-implant를 치근 손상의 위험성을 줄이며 식립하여 안정도를 높일 수 있었다. 그러나 Mciro-implant를 치근사이 치조골에 식립하는데 기준이 되는 어떠한 연구도 이루어 지지 않았다. 본 연구는 Micro-implant식립에 기준이 되는 즉 치근 손상 없이 비교적 안전하게 식립할 수 있는 부위의 선택을 위한 근거 자료를 얻기 위하여 시행되었다. 21명 환자를 대상으로 치조골로부터 5-7mm에 해당하는 CT 절단면을 선택하여 피질골의 두께, 피질골 표면과 치근과의 거리, 치근사이의 거리등을 측정하였다. 각 부위별 피질골의 두께, 골 표면과 치근사이의 거리, 인접 치근사이의 거리등을 구하였다. .피질골의 두께는 전치부에서 구치부로 이행할수록 두꺼웠다. 특히 하악골 구치부에서 가장 두꺼웠다. 인접 치근 사이의 거리 계측 항목에서 상악에서는 제2소구치와 제 1대구치사이, 하악에서는 제 1대구치와 제 2대구치 사이에서 가장 큰 값을 보였다.

The Effects of Melatonin on Cisplatin-Induced Renal Cortical Cell Injury in Rabbits

  • Kim, Chung-Hui;Han, Jin;Kim, Na-Ri;Park, Ju-Hee;Yang, Young-Churl;Kim, Eui-Yong
    • The Korean Journal of Physiology and Pharmacology
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    • 제5권3호
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    • pp.223-230
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    • 2001
  • Melatonin, a pineal gland hormone, is believed to act as an antioxidant via the stimulation of radical detoxifying enzymes and scavenging of free radicals. In this study, effects of in vitro and in vivo treatments of melatonin on the cisplatin-induced lipid peroxidation, LDH release and plasma creatinine were determined in rabbit renal cortical cells. The level of malondialdehyde (MDA) was assayed as an index of lipid peroxidation and the level of LDH release as an indicator of cellular damage. In in vitro studies, cisplatin increased the levels of MDA and LDH release in a concentration-and time-dependent manner. Melatonin inhibited the cisplatin-induced lipid peroxidation and LDH release in a concentration-dependent manner. The minimal effective concentration of melatonin that significantly reduced the $300\;{\mu}M$ cisplatin-induced lipid peroxidation and LDH release was 1 mM. In in vivo studies, the levels of lipid peroxidation and LDH release in renal cortical cells increased significantly 24 or 48 hours after a single injection of cisplatin (6 mg/kg). When the cisplatin-injected rabbits were pretreated with 10 mg/kg of melatonin, a significant reduction in both lipid peroxidation and LDH release was observed. The plasma creatinine level increased from $0.87{\pm}0.07$ mg/dl in control to $6.33{\pm}0.54$ mg/dl in cisplatin-injected rabbits (P<0.05). Melatonin partially prevented the increase in serum creatinine level $(1.98{\pm}0.11\;mg/dl)$ by cisplatin (P<0.05). In the proximal tubules from cisplatin-treated group, tubular cells had microvilli of variable heights. Necrotic debris was seen in tubular lumens. In most of cells, the mitochondria and lysosomes were increased in frequency. The endocytic vacuoles were not prominent and distribution of the brush border was irregular and shortened. These cisplatin-induced morphological changes were moderate in the melatonin-pretreated group. These results suggest that the toxicity of cisplatin is associated with the generation of reactive oxygen free radicals and that melatonin is a powerful antioxidant, which prevents some of the adverse effects of cisplatin.

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하악의 교정용 미니 임플랜트 식립 부위에서의 피질골 두께와 치근간 거리: 3차원으로 재구성한 CT 영상을 이용한 연구 (Cortical bone thickness and root proximity at mandibular interradicular sites: implications for orthodontic mini-implant placement)

  • 임주은;임원희;전윤식
    • 대한치과교정학회지
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    • 제38권6호
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    • pp.397-406
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    • 2008
  • 교정용 미니 임플랜트의 식립 부위에 대한 연구는 주로 구치부 치근사이 공간에 집중되어 왔다. 본 연구의 목적은 전치에서 구치에 이르는 치아간의 피질골 두께와 치근간 거리를 측정함으로써 교정용 미니 임플랜트 식립 시에 참고 할 수 있는 임상적 지침을 제공하는 것이다 연구를 위해 성인 28명(남자 14명, 여자 14명)의 CT를 V-works $4.0^{TM}$을 이용하여 3차원 영상으로 전환하였다. 중절치에서 제2대구치에 이르는 모든 치아 사이를 치간 접촉점을 지나면서 교합 평면에 수직이 되도록 잘라 $90^{\circ}$ 단면을 형성한 후 치조정으로부터 높이를 달리하여 0, 15, 30, $45^{\circ}$의 각도를 주어 피질골의 두께를 측정하였다. 또한 치조정으로부터 2, 4, 6 mm 높이에서 교합 평면에 평행하게 잘라 $90^{\circ}$ 단면을 만든 후 치근간 거리를 측정하였다. 피질골의 두께는 전 치부에서 구치부로 갈수록 두꺼워지는 경향을 보였으며, 5-6과 1-1 사이, 6-7과 1-1, 1-2, 2-3 사이에서는 유의한 차이를 보였다 (p < 0.05). 치조정으로부터 2 mm 높이를 제외한 대부분의 위치에서 각도가 증가함에 따라 피질골의 두께가 급격히 증가하는 경향을 보였고, 4 - 6 mm 높이에 식립시 $30-45^{\circ}$ 이상의 각도를 부여해야 피질골 보유량(engage 양)에 유의한 차이를 보였다. 치근간 거리 측정 결과 4-5, 5-6, 6-7 사이가 치근 손상 없이 미니 임플랜트를 식립하기에 적절한 위치라고 볼 수 있었고, 1-1과 1-2 사이는 미니 임플랜트 식립을 위한 충분한 치근간 거리를 제공하지 못하는 것으로 나타났다. 본 실험의 결과로 볼 때 피질골과 미니임플랜트의 접촉면을 증가시키기 위해서는 치조정에서 치근단부로 4와 6 mm 되는 부위에서 $30^{\circ}$ 또는 $45^{\circ}$로 식립하는 것이 유리할 것으로 보인다.

가미시호탕이 뇌허혈시 Glutamate receptor, free radical 및 뇌손상 보호에 미치는 영향 (Study on the Effect of Gamisihotang(GSHT) on Glutamate Receptor, Free Radical and Brain Damage in Rats Subjected to Brain Ischemia)

  • 오병열;김민상;유병찬;최영;설인찬
    • 대한한의학회지
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    • 제25권3호
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    • pp.32-44
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    • 2004
  • Objectives : This study was undertaken to prove the effect of GSHT on the glutamate receptor, free radical and brain damage in rats subjected to brain ischemia Methods : Levels of cultured cortical neuron death caused by toxic chemicals were measured by LDH release assay. Neuroprotective effects of GSHT on brain tissues were examined in vivo by ischemic model of middle cerebral artery (MCA) occlusion. Results : GSHT showed significant inhibitory effect on LDH release induced by NMDA-kinate-Fe/sup 2+/. GSHT remarkably decreased coma duration time in a nonfatal dose of KCN and showed higher survival rate in a fatal dose. GSHT remarkably decreased ischemic area and edema induced by the MCA blood flow block. GSHT showed high improvement of forelimb and hind limb test after MCA occlusion in neurological examination. GSHT showed no significant change after MCA occlusion in pathological observation of the normal group. Conclusions : These results indicate that GSHT can be used to treat the brain damage caused by brain ischemia. Further study will be needed about the functional mechanism, etc.

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Ascophyllum and Its Symbionts. VII. Three-way Interactions Among Ascophyllum nodosum (Phaeophyceae), Mycophycias ascophylli (Ascomycetes) and Vertebrata lanosa (Rhodophyta)

  • Garbary, David J.;Deckert, Ron J.;Hubbard, Charlene B.
    • ALGAE
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    • 제20권4호
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    • pp.353-361
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    • 2005
  • Ascophyllum nodosum (L.) Le Jolis has a systemic infection with the ascomycete Mycophycias ascophylli (Cotton) Kohlmeyer and Volkmann-Kohlmeyer with which it establishese a mutualistic symbiosis. In addition, A. nodosum is the host for the obligate red algal epiphyte, Vertebrata lanosa (L.) Christensen. Using light and electron microscopy we describe morphological and cytochemical changes occurring as a consequence of rhizoid penetration of V. lanosa into cortical host tissue. Rhizoids induce localized cell necrosis based on physical damage during rhizoid penetration. Host cells adjacent to the rhizoid selectively undergo a hypersensitive reaction in which they become darkly pigmented and become foci for hyphal development. Light and electron microscopy show that M. ascophylli forms dense hyphal aggregations on the surface of the V. lanosa rhizoid and extensive endophytic hyphal growths in the rhizoid wall. This is the first morphological evidence of an interaction between M. ascophylli and V. lanosa. We speculate that M. ascophylli may be interacting with V. lanosa to limit tissue damage to their shared host. In addition, the fungus provides a potential pathway for the transfer of materials (e.g., nutrients and photosynthate) between the two phototrophs.

퍼머 시술방법에 따른 모발표면의 변화 (The Change of Hair Surface According to Perm Treatment Method)

  • 김정해;유태순;정연
    • 한국의류산업학회지
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    • 제9권3호
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    • pp.341-346
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    • 2007
  • This research is the hair damage as treating a perm before and after that is compared the change of surface characteristics of human hair. On the basis of this, we would to show a basic data for hair damage prevention and hair improvement to keep the beautiful and healthy hair. Results are as follows; For the change of formational characteristics of hair surface, untreated hair before the perm treatment had smooth appearance overall and undamaged scale that is in pattern and finely folded was observed but damaged hair and extremely hair had uneven edge and damages throughout along with the dissolution of scale which the border of epidermal gap is unclear. Hair after a perm treatment caused cortical exposures due to extensive loss of scale during the treatment and even bubble effect. Protein perm, regular perm, soft perm, and direct heating perm, in that order, had the most damages to the hair.

Seizures and Epilepsy following Aneurysmal Subarachnoid Hemorrhage: Incidence and Risk Factors

  • Choi, Kyu-Sun;Chun, Hyoung-Joon;Yi, Hyeong-Joong;Ko, Yong;Kim, Young-Soo;Kim, Jae-Min
    • Journal of Korean Neurosurgical Society
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    • 제46권2호
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    • pp.93-98
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    • 2009
  • Objective: Although prophylactic antiepileptic drug (AED) use in patients with aneurysmal subarachnoid hemorrhage (SAH) is a common practice, lack of uniform definitions and guidelines for seizures and AEDs rendered this prescription more habitual instead of evidence-based manner. We herein evaluated the incidence and predictive factors of seizure and complications about AED use. Methods: From July 1999 to June 2007, data of a total of 547 patients with aneurysmal SAH who underwent operative treatments were reviewed. For these, the incidence and risk factors of seizures and epilepsy were assessed, in addition to complications of AEDs. Results: Eighty-three patients (15.2%) had at least one seizure following SAH. Forty-three patients (79%) had onset seizures, 34 (6.2%) had perioperative seizures, and 17 (3.1%) had late epilepsy. Younger age (< 40 years), poor clinical grade, thick hemorrhage, acute hydrocephalus, and rebleeding were related to the occurrence of onset seizures. Cortical infarction and thick hemorrhage were independent risk factors for the occurrence of late epilepsy. Onset seizures were not predictive of late epilepsy. Moreover, adverse drug effects were identified in 128 patients (23.4%) with AEDs. Conclusion: Perioperative seizures are not significant predictors for late epilepsy. Instead, initial amount of SAH and surgery-induced cortical damage should be seriously considered as risk factors for late epilepsy. Because AEDs can not prevent early postoperative seizures (< 1 week) and potentially cause unexpected side effects, long-term use should be readjusted in high-risk patients.

과산화수소수로 유도된 배양신경세포손상에 대한 참죽나무잎 추출물의 보호효과 (Extract of Cedrela sinensis Leaves Protects Neuronal Cell Damage Induced by Hydrogen Peroxide in Cultured Rat Neurons)

  • 이순복;김주연;조순옥;반주연;주현수;배기환;성연희
    • 한국약용작물학회지
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    • 제15권6호
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    • pp.444-450
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    • 2007
  • Dried leaves from Cedrela sinensis A. Juss. (CS), have been observed to possess various pharmacological activity and contain various antioxidant constituents. The protective effect of ethanol extract of CS on hydrogen peroxide $(H_2O_2)-induced$ neurotoxicity was examined using primary cultured rat cortical neurons in the present study. Exposure of cultured neurons to 100 ${\mu}M\;H_2O_2$ caused a significant neuronal death as assessed by a 3-[4,5-dimethylthiazol-2-yl]-2,5-diphenyl-tetrazolium bromide (MTT) assay and Hoechst 33342 staining. The addition of CS, over a concentration range of 10 to $50{\mu}g/m{\ell}$, concentration-dependently prevented the $H_2O_2-induced$ neuronal apoptotic death. CS $(50{\mu}g/m{\ell})$ significantly inhibited $H_2O_2-induced$ elevation of the cytosolic $Ca^{2+}$ concentration $([Ca^{2+}]_c)$, which was measured by a fluorescent dye, Fluo-4 AM. CS (30 and $50{\mu}g/m{\ell})$ inhibited glutamate release and generation of reactive oxygen species (ROS) induced by $100{\mu}M\;H_2O_2$. These results suggest that CS may mitigate the $H_2O_2-induced$ neurotoxiciy by interfering with the increase of $[Ca^{2+}]_c$, and then inhibiting glutamate release and generation of ROS in cultured neurons.