• Title/Summary/Keyword: Intravascular

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Respiratory Syncytial Virus Infection Complicated by Extrapulmonary Manifestations (폐외증상을 동반한 호흡기세포융합바이러스 감염 1예)

  • Jung, Jae Ho;Kim, Yun Kyum;Choi, Hee Joung
    • Pediatric Infection and Vaccine
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    • v.24 no.3
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    • pp.188-192
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    • 2017
  • Respiratory syncytial virus (RSV) typically causes lower respiratory tract infections in children, and most patients recover successfully. However, some infants and young children can have a severe course of disease with respiratory failure, and extrapulmonary manifestations can occur in severe RSV disease. We report one case of severe RSV bronchiolitis complicated with acute myocarditis, fulminant hepatic failure, and disseminated intravascular coagulation.

A New Method for the Histological Tissue Processing of Bonghan Ducts (봉한관의 형태학적 연구를 위한 새로운 조직처리 과정의 개발)

  • Hong, Sun-Hwa;Lee, Hyun-A;Cho, Sung-Jin;Kim, Ok-Jin
    • Journal of Veterinary Clinics
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    • v.27 no.4
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    • pp.415-420
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    • 2010
  • During a last decade, there have been considerable reports of novel thread-like structures (NTSs) in animals. The NTSs are thought to be a part of the Bonghan Ducts (BHD) system, which is described as a newly-discovered circulatory system. Networks of BHD system are completely different from blood vessels or lymphatic system in animal. To demonstrate intravascular NTSs, it is necessary to develop the effective method to observe the NTSs morphology. We considered several methods to study morphologically with NTSs. There are not explaining such structure in the current knowledge of anatomy and physiology. But we found very effective and easy method to study NTSs and BHD by agar-mediated embedding method.

Extraction of Coronary Arteries Wall based on Wavelet in IVUS Image (IVUS영상에서 웨이블릿 기반의 관상동맥 벽의 추출)

  • Lee, Na-Young;Kim, Gye-Young
    • Proceedings of the Korean Information Science Society Conference
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    • 2005.11b
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    • pp.940-942
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    • 2005
  • 혈관내부의 초음파는 혈관 벽(vessel wail) 전체를 관찰할 수 있는 단면적 영상(cross-sectional image)으로부터 혈관 벽의 서로 다른 층을 평가할 수 있다. IVUS(Intravascular Ultrasound)영상은 잡음에 매우 민감하고 해상도가 낮기 때문에 혈관 벽의 서로 다른 층을 구분된다. IVUS영상이 내강, 혈관 벽, 외막을 둘러싸는 영역으로 구성되어있다고 가정하면 내부와 외부의 두 경계선으로 구분할 수 있다. 따라서 본 논문에서는 IVUS영상을 웨이블릿 변환하여 주파수 공간에서 관상동맥 벽의 두 경계선을 추출한다. 실험결과를 통하여 관상동맥 벽의 두 경계선이 잘 추출되는 것을 확인할 수 있다.

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Stellate Ganglion Phenol Block -Case reports- (성상신경절 페놀차단 -증례 보고-)

  • Kim, Dae-Young;Cho, Hee-Won;Oh, Hung-Kun
    • The Korean Journal of Pain
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    • v.8 no.2
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    • pp.312-318
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    • 1995
  • Stellate ganglion block is extensively performed in pain closing to treat a diversity of diseases. Stellate ganglion phenol neurolysis, however, has not been not popular because of risk and complications such as: permanent horner's syndrome, hoarseness, pneumothorax and intravascular or intraspinal injection. But Racz recently performed stellate ganglion phenol neurolysis successfully, under fluoroscopic guide, minus significant complication. Three patients were recently treated at our pain clinic by repeated stellate ganglion block with local anesthetics. Patients showed immediate signs of improvement but prolonged pain relief was not achieved. Therefore we reported to performing stellate ganglion phenol neurolysis following Racz's technique. We successfully treated: two cases of reflex sympathetic dystrophy of the upper extremity, and a case of postherpetic neuralgia of jaw, neck and upper chest wall, by stellate ganglion phenol neurolysis, devoid of any significant complications.

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Severe Hemolysis after St. Jude Medical Valve Replacement in the Aortic Position -A Redo Case Report - (판막치환술 후 심한 용혈 현상으로 재치환한 경험)

  • 조영철
    • Journal of Chest Surgery
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    • v.21 no.4
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    • pp.706-710
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    • 1988
  • Intravascular hemolysis occurs in the majority of patient with mechanical valve prosthesis. The primary cause is mechanical trauma to red cells from turbulent blood flow through the prosthesis. Degree of hemolysis is dependent upon the type, size and material of valve and aggravated by paravalvular leakage. Clinically important hemolytic anemia is required medical management or consideration of reoperation. In severe hemolysis, reoperation is recommended without delay when seems to be renal failure. In this case, postoperative severe mechanical hemolysis was developed immediately after aortic valve replacement with St. Jude medical valve in a 13 year-old male patient. Neither significant paravalvular leakage nor valvular dysfunction was found through redo, but the mechanical valve was strongly suspected the cause of severe hemolysis. The St. Jude Medical valve was changed with Ionescu-Shiley bioprosthesis and any significant clinical problems were not noted through the postoperative course.

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Korean Red Ginseng, a regulator of NLRP3 inflammasome, in the COVID-19 pandemic

  • Jung, Eui-Man;Lee, Geun-Shik
    • Journal of Ginseng Research
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    • v.46 no.3
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    • pp.331-336
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    • 2022
  • Coronavirus disease 2019 (COVID-19) exhibits various symptoms, ranging from asymptomatic to severe pneumonia or death. The major features of patients in severe COVID-19 are the dysregulation of cytokine secretion, pneumonia, and acute lung injury. Consequently, it leads to acute respiratory distress syndrome, disseminated intravascular coagulation, multiple organ failure, and death. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the causative virus of COVID-19, influences nucleotide-binding oligomerization domain, leucine-rich repeat, and pyrin domain containing 3 (NLRP3), the sensor of inflammasomes, directly or indirectly, culminating in the assembly of NLRP3 inflammasome and activation of inflammatory caspases, which induce the inflammatory disruption in severe COVID-19. Accordingly, the target therapeutics for inflammasome has attracted attention as a treatment for COVID-19. Korean Red Ginseng (KRG) inhibits several inflammatory responses, including the NLRP3 inflammasome signaling. This review discusses the role of KRG in the treatment and prevention of COVID-19 based on its anti-NLRP3 inflammasome efficacy.

Design of 3D printed chip for thrombus measurement and feasibility study for smoking effect (혈전 측정용 3D printed chip 설계 및 흡연의 영향 사전 연구)

  • Haebeen Kim;Eunseop Yeom
    • Journal of the Korean Society of Visualization
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    • v.21 no.1
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    • pp.74-79
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    • 2023
  • Thrombogenesis, which is the process of blood clot formation, can be initiated by platelet activation. Excessive formation of blood clot in the bloodstream can lead to thrombosis. Therefore, when dealing with patients with disseminated intravascular coagulation (DIC) or children, it is necessary to use small amounts of blood. Hence, it is important to develop methods for the rapid and accurate measurement of the platelet function using a small amount of blood. In this study, 3D printing technology was utilized to facilitate the production of micro channels. The amount of platelet adhesion in smokers and non-smokers was compared by repeatedly exposing the structure of the channel to adjust the number of blood injections and facilitate thrombosis attachment to simple stenosis structures.

Understanding the Concept of Iron Deficiency Anemia in Athletes: A Narrative Review

  • RANA, Anvi
    • Journal of Sport and Applied Science
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    • v.6 no.4
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    • pp.11-23
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    • 2022
  • New insights into the aetiology of anaemia in athletes have been discovered in recent years. From hemodilution and redistribution, which are thought to commit to so-called "sports anaemia," to iron deficiency triggered by higher requirements, dietary requirements, decreased uptake, enhanced losses, hemolysis, and sequester, to genetic factors of different types of anaemia (some related to sport), anaemia in athletes necessitates a careful and multisystem methodology. Dietary factors that hinder iron absorption and enhance iron bioavailability (e.g., phytate, polyphenols) should be considered. Celiac disease, which is more common in female athletes, may be the consequence of an iron deficiency anaemia that is unidentified. Sweating, hematuria, gastrointestinal bleeding, inflammation, and intravascular and extravascular hemolysis are all ways iron is lost during strength training. In training, evaluating the iron status, particularly in athletes at risk of iron deficiency, may work on improving iron balance and possibly effectiveness. Iron status is influenced by a healthy gut microbiome. To eliminate hemolysis, athletes at risk of iron deficiency should engage in non-weight-bearing, low-intensity sporting activities.

Endothelial cell autophagy in the context of disease development

  • Basheer Abdullah Marzoog
    • Anatomy and Cell Biology
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    • v.56 no.1
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    • pp.16-24
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    • 2023
  • Endothelial cells (EC) are the anatomical boundaries between the intravascular and extravascular space. Damage to ECs is catastrophic and induces endothelial cell dysfunction. The pathogenesis is multifactorial and involves dysregulation in the signaling pathways, membrane lipids ratio disturbance, cell-cell adhesion disturbance, unfolded protein response, lysosomal and mitochondrial stress, autophagy dysregulation, and oxidative stress. Autophagy is a lysosomal-dependent turnover of intracellular components. Autophagy was recognized early in the pathogenesis of endothelial dysfunction. Autophagy is a remarkable patho (physiological) process in the cell homeostasis regulation including EC. Regulation of autophagy rate is disease-dependent and impaired with aging. Up-regulation of autophagy induces endothelial cell regeneration/differentiation and improves the function of impaired ones. The paper scrutinizes the molecular mechanisms and triggers of EC dysregulation and current perspectives for future therapeutic strategies by autophagy targeting.

Safety of Aprotinin Under Hypothermic Circulatory Arrest (초저체온 및 순환정지하에서 Aprotinin의 안전성)

  • 장병철;김정택
    • Journal of Chest Surgery
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    • v.30 no.5
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    • pp.501-505
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    • 1997
  • It was reported that use of aprotinin in elderly patients undergoing hypothermic circulatory arrest was associated with an increased risk of renal dysfunction, and myocardial infarction as a result of intravascular coagulation. We reviewed 20 patients who received high-dose aprotinin under deep hypothermic circulatory arrest with(NP group, n= 11) or without selective cerebral perfusion(SP group, n=9). The activated clotting time was exceeded 750 seconds in all but 1 patient. After opening aortic arch, retrograde low flow perfusion was maintained through femoral artery to prevent air embolization to the visceral arteries. Four patients among 20 died during hospitalization'due to bleeding, coronary artery dissection pulmonary hemorrhage and multiple cerebral infarction. Postoperatively, cerebrovascular accidents occurred in two patients; one with preoperative carotid artery dissection and the other with unknown multiple cerebral infarction. In conclusion, use of aprotinin in young patients undergoing hypothermic circulatory arrest did not increase the risk of renal dysfunction or intravascular coagulation if ACT during circulatory arrest is maintained to exceed 750 seconds with low-flow perfusion.

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