• 제목/요약/키워드: Dissecting

검색결과 212건 처리시간 0.025초

대동맥 전장 치환 치험 1례 (Total Aortic Replacement - A Case Report -)

  • 김두상;안혁
    • Journal of Chest Surgery
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    • 제31권2호
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    • pp.173-177
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    • 1998
  • 28세 여자환자가 임신중 발생한 급성 A 형 대동맥 박리증으로 응급제왕 절개술을 시행하여 아이를 분만하고 곧바로 응급 상행 및 전대동맥궁 치환술을 시행받아 별 문제없이 퇴원하였다가 수술후 1년 6개월 뒤에 만성 대동맥 박리증에 의한 하행 대동맥 및 복부 대동맥류가 재발하여 하행 대동맥으로부터 복부 대동맥을 거쳐 양쪽 총장골동맥까지 치환하는 수술을 시행하여 결국 대동맥 전장을 치환하여 이를 문헌 고찰과 함께 보고한다.

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급성 대동맥류 수술후 원위부에 발생한 Aortopulmonary Fistula 치험 1례 (Aortopulmonary Fistula after Surgical Intervention of Acute Aortic Dissection)

  • 조광조;노재욱;우종수
    • Journal of Chest Surgery
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    • 제31권2호
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    • pp.178-181
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    • 1998
  • 급성 대동맥 해리 수술후 발생할 수 있는 합병증중 원위 대동맥류의 재발로 인한 인접 폐실질과 누공이 형성되는 것은 매우 드물어서 지금까지 소수의 증례만이 보고되고 있다. 대부분의 경우 조기 진단이 실패하여 사망한 후 부검에서 발견되며 간혹 수술장에서 발견되어 수술적 요법으로 치료되는 경우가 보고되고 있어 조기 진단과 즉각적인 수술이 이러한 합병증으로 인한 사망을 막는 유일한 길이다. 본원에서는 Debakey type I급성 대동맥 해리로 인해 상행 대동맥 대치술을 받은 뒤 5개월 후 원위대동맥과 인접 폐실질사이 누공이 발생한 환자를 조기 진단하여 수술적 치료를 함으로 좋은 결과를 얻었다.

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A better facial contour accomplished by parotid duct preserving superficial parotidectomy

  • Park, Jun Ho;Choi, Chang Yong;Wee, Syeo Young;Lee, Young Man
    • 대한두개안면성형외과학회지
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    • 제19권1호
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    • pp.75-78
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    • 2018
  • Depression of facial contour after parotidectomy is still challenging to many of surgeons. A 68-year-old man presented with a 4-month history of a painless swelling in both parotid area. The mass was multiple and fixed at the parotid region. We conducted a parotid duct preserving bilateral superficial parotidectomy by one-stage operation to remove the multiple tumors. A lazy S incision was made in both preauricular area and the peripheral branches of the facial nerve were identified using surgical landmark. After dissecting the branches of the facial nerve and parotid duct, main parotid duct was preserved but only small fine ductules from the superficial lobe were ligated. Parotid gland was excised from its anterior aspect with about 1 cm of normal parotid tissue margin. The patient was followed up for 6 years to evaluate postoperative parotid gland function and the computed tomography (CT) was taken. Patient was satisfied with no significant complication such as sunken changes in facial contour, facial nerve function. As far as we know, it is the first study to compare long-term soft tissue contours of soft tissue of duct preserving superficial parotidectomy with duct sacrificing superficial parotidectomy by means of CT findings.

평택호 상류 지역 참붕어에 있어서 간흡충 피낭유충의 조사성적 (A Survey on Metacercariae Infection of Clonorchis sinensis on the Fish Host, Pseudorasbora parva from the Upper Stream of Phoung-tack Stream, Kyungki Province)

  • 전계식;김태선
    • 한국환경보건학회지
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    • 제24권2호
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    • pp.100-103
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    • 1998
  • A survey on the incidence of metacercariae infection of Clonorchis sinensis in the fresh water fish, Pseudorasbora parva which is well known as the second intermediate host for this fluke was carried out in the upper stream of Phoung-tack stream, Kyungki province during the period of October to November 1997. Forty fish in P. parva were collected by netting, or using the bait in transparent bowls from the two different districts located in Osung-myun, Phoungtack-gun and transported to the laboratory. The body length and weight were measured. They were from 5.0 to 7.6 cm in length and 1.0 to 5.0 g in weight. A total of 40 P. parva were divided 3 groups by the size (70-79, 60-69 and 50-59 mm) and were digested by artificial digestion with pepsin-Hcl solution in a 36$\circ$C incubator and then examined the infection density of metacercariae of the fresh water fish under a binocular dissecting microscope. The incidence of metacercariae infection in P. parva was 406 of 40 examined and the metacercariae detection rate showed 77.5%. The average number of metacercariae detected in P. parva was 10.2. The results of the survey indicate that Clonorchis sinensis infection may occur by consuming raw fresh water fish caught from the upper stream of Phoungtackho, Kyungki province.

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대동맥판부전이 동반된 상행대동맥류의 외과적 치험 (Surgical Management of Aneurysm of the Ascending Aorta with Aortic Insufficiency)

  • 박만실
    • Journal of Chest Surgery
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    • 제26권6호
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    • pp.457-462
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    • 1993
  • We retrospectively studied 34 patients who underwent operations of ascending aortic aneurysm and aortic valve replacement from August 1979 to July 1992 at the Yonsei Cardiovascular Center. Eight patients underwent supracoroanry non-composite graft replacement and separate aortic valve replacement[group I]. Twenty six patients underwent valved composite graft replacement with reimplantation of coronary arteries[group II]. Two cases in group II died within 1 month after the operation. Among the 32 survivors 28 patients have been followed up for an average of 59 months ranging from 1 months to 159 months. During the follow up periods, a pseudoaneurysm around the ascending aorta and a newly developed dissecting aneurysm in remaining aorta were noted in group II. There were 6 late deaths: 2 cases in group I and 4 cases in group II. Three cases among the 6 late deaths have stigmata of Marfan`s syndrome[1 cases in group I and 2 case in group II]. There was no statistically significant difference in actuarial survival rates between group I and group II[p > 0.05]. This study suggests that non-composite supracoronary graft interposition with separate aortic valve replacement is a safe surgical technique in patients who have normal aortic annulus and normal position of coronary ostia. However in degenerative disease such as cystic medial necrosis, composite graft replacement is recommended because this procedure eliminates entire abnormal tissue.But it seems to be important that the suture technique and strict follow-up in patients with diseased aortic wall.

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흰쥐에서 nifedipine으로 유발된 치은 증식증 및 하악선 분비기능에 대한 작약 추출물 저해효과 (Relation of Paeonia lactiflora Pallas to Nifedipine-induced Gingival Hyperplasia and Impaired Submandibular Glands Function in Rats)

  • 김성훈;최종원
    • 동의생리병리학회지
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    • 제24권3호
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    • pp.470-475
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    • 2010
  • Calcium-channel blockers such as nifedipine could be associated with gingival overgrowth. The aim of this study was to examine the role of Paeonia lactiflora Pallas(PLP) on nifedipine-induced gingival hyperplasia along with submandibular secretory function in rats. Animals in divided groups received nifedipine (250 mg/kg) alone and in PLP(100, 200 mg/kg) in orally administration for 3 weeks. Pure submandibular saliva was collected intraorally by micropolyethylene cannula and the mandibular gingiva was examined by means of dissecting microscope for signs of redness, tickness, inflammation and exuda. Twenty-one days nifedipine treatment induced gingival hyperplasia accompanied with reduced salivary flow rate and concentrations total protein, epidermal growth factor(EGF) and calcium in comparison with normals. Co-treatment of animals with nifedifine and PLP protected from gingival hyperplasia and retained flow rate, and concentrations of total protein, EGF and calcium in normal levels.

Prostaglandin $F_{2\alpha}$ 처리에 따른 과배란 가토의 난관내 난자운반 및 분포에 관한 연구 (The Study of Egg Transports and distribution Patterns in the Oviducts of Superovulated Rabbits by Administrations of $PGF_{2\alpha}$)

  • 변태호;심금섭;이재근
    • 한국가축번식학회지
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    • 제8권1호
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    • pp.10-15
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    • 1984
  • This experiment was carried out to study the egg transports and distribution patterns in the oviducts of superovulated rabbits by administrations of PGF2$\alpha$. Group I (3 does) and Group II (3 does) were killed at 24 hours, 48 hours after mating, respectively. Group III (6 does0 received a single injection of 5mg/Kg of body weight of PGF2$\alpha$ at 24 hours after mating and killed at 4 hours after PGF2$\alpha$ administration. The oviducts were frozen in LN-gas, thawed using Howe's method, and cleared in Benzyl-Benzoate sol. using Orsini's technique. The location of the eggs and the AIJ. were identified using transmitted light from a dissecting microscope. The results obtained were as follows: 1. The average numbers of detected eggs from the oviduct were 28.6 (26-32), 26.0 (24-29), and 27.1 (22-34) in Group I, II, and III, respectively. 2. Detection rate was 88.7%, 76.4%, and 84.9% in Group I, II, and III, respectively. 3. The positionof all AIJ. was 44.2% to 55.0%(av. 49.5%) of the distance from the fimbriae to the UTJ.(Utero-Tubal Junction). 4. The changes of egg distribution patterns were as follows: Group I Ampulla : 52.3%, Isthmus : 47.7%, Group II Ampulla : 8.9%, Isthmus : 91.1% Group III Ampulla : 8.0% Isthmus : 92.0%.

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Phospholipase A2, reactive oxygen species, and lipid peroxidation in CNS pathologies

  • Adibhatla, Rao Muralikrishna;Hatcher, J.F.
    • BMB Reports
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    • 제41권8호
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    • pp.560-567
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    • 2008
  • The importance of lipids in cell signaling and tissue physiology is demonstrated by the many CNS pathologies involving deregulated lipid metabolism. One such critical metabolic event is the activation of phospholipase $A_2$ ($PLA_2$), which results in the hydrolysis of membrane phospholipids and the release of free fatty acids, including arachidonic acid, a precursor for essential cell-signaling eicosanoids. Reactive oxygen species (ROS, a product of arachidonic acid metabolism) react with cellular lipids to generate lipid peroxides, which are degraded to reactive aldehydes (oxidized phospholipid, 4-hydroxynonenal, and acrolein) that bind covalently to proteins, thereby altering their function and inducing cellular damage. Dissecting the contribution of $PLA_2$ to lipid peroxidation in CNS injury and disorders is a challenging proposition due to the multiple forms of $PLA_2$, the diverse sources of ROS, and the lack of specific $PLA_2$ inhibitors. In this review, we summarize the role of $PLA_2$ in CNS pathologies, including stroke, spinal cord injury, Alzheimer's, Parkinson's, Multiple sclerosis-Experimental autoimmune encephalomyelitis and Wallerian degeneration.

Expression Analysis of ESTs Derived from the Leaf of Chunpoong (Panax ginseng C,A. Meyer)

  • In, Jun-Gyo;Lee, Bum-Soo;Yang, Deok-Chun
    • 한국자원식물학회:학술대회논문집
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    • 한국자원식물학회 2003년도 춘계 학술발표대회
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    • pp.122-122
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    • 2003
  • Expressed sequence tags (EST) are help to quickly identify functions of expressed genes and to understand the complexity of gene expression. In order to analyze gene expression of the leaf development in Panax ginseng, which is one of the most important medicinal plant, expressed sequence tags (EST) analysis was carried out. We constructed a cDNA library using the immature leaf of Chunpoong. Partial sequences were obtained from 3,170 clones. The ESTs could be clustered into 1,624 (56.1%) non-redundant groups. Similarity search of the non-redundant ESTs against public non-redundant databases of both protein and DNA indicated that 1,137 groups show similarity to genes of known function. These ESTs clones were divided into sixteen categories depending upon gene function. Most abundant transcripts in immature ginseng leaf were photosynthesis related protein, such as chlorophyll a/b binding protein LHCII type I (128), chlorophyll a/b binding protein (53), ribulose-1,5-bisphosphate carboxylase (41), and photosystem I psaH (26). The EST data from immature leaf generated in this study is useful in dissecting gene expression in leaf organ of ginseng.

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Proteomic Dissection of Abiotic Stress Response in Crop Plants

  • Alam, Iftekhar;Sharmin, Shamima Akhtar;Lee, Byung-Hyun
    • 한국환경농학회:학술대회논문집
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    • 한국환경농학회 2011년도 30주년 정기총회 및 국제심포지엄
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    • pp.196-204
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    • 2011
  • Abiotic stress is the primary cause of crop loss worldwide, reducing average yields for most major crop plants by more than 50%. In addition, future agricultural production and management will encounter multifaceted challenges from global climate change. Therefore, it is necessary to study the molecular response of crop plants to the stresses in order to develop appropriate strategies to sustain food production under adverse environmental conditions. We carried out a large scale proteomic analysis of soybean plants in response to various abiotic stresses, including drought, salinity, waterlogging and their interactions. Proteins were analyzed by two dimensional polyacrylamide gel electrophoresis followed by matrix-assisted laser desorption/ionization time of flight (MALDI-TOF) mass spectrometry. The identified proteins are involved in a wide range of cellular functions. In addition to the well known stress-associated proteins, we identified several novel proteins, which were not reported before. In many cases our proteomic data bridges the gap between mRNA and metabolite data. Our studie provides new insights into identification of abiotic stress responsive proteins in soybean, and demonstrates the advantages of proteomic analysis in dissecting metabolic and regulatory networks.

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