• 제목/요약/키워드: Loss of head

검색결과 671건 처리시간 0.027초

갑상선 유두상 암종을 동반한 거대 경동맥체 종양 1예 (A Case of Huge Carotid Body Tumor with Thyroid Papillary Carcinoma)

  • 전진형;박일석;이원종;김성동;오석준;윤대영;노영수
    • 대한두경부종양학회지
    • /
    • 제17권2호
    • /
    • pp.221-225
    • /
    • 2001
  • Carotid body tumor is a rare benign tumor arising from the paraganglionic tissue of neural crest. Surgical management remains the prefered treatment. Large carotid body tumors frequently encircle the internal carotid and external carotid arteries, and extensive bleeding often complicates the resection, increasing the risk of carotid artery rupture and damage to major cranial nerves. Recent improvements in surgical techniques and selective embolization have lessened the risks of surgical excision, decreased blood loss, and diminished the time required for resection. The review of literatures revealed a few cases of the carotid body tumor with papillary carcinoma of the thyroid. We report a case of the huge carotid body tumor with papillary carcinoma of the thyroid, which was removed by 4 times of preoperative embolization and transcervical approach.

  • PDF

후두암 세포주에서 $TGF-{\beta}1$에 의한 MMP2와 MMP9의 발현 양상 (The Effect of Transforming Growth Factor-${\beta}1$ on Expression of MMP 2 and MMP 9 Cell Lines)

  • 권남영;김형진;우정수;권순영;정광윤
    • 대한두경부종양학회지
    • /
    • 제18권2호
    • /
    • pp.135-141
    • /
    • 2002
  • Backgrounds and Objectives: Metastasis is a complex multistep process that requires sequential interactions between the invasive cell and the extra-cellular matrix. Transforming growth factor-${\beta}1$ ($TGF-{\beta}1$) is a multifunctional regulator of cellular differentiation, motility and growth. Loss of sensitivity to the growth inhibitory effects by $TGF-{\beta}1$ plays important roles in neoplastic progression. The aim of this study was to investigate the role of $TGF-{\beta}1$ in the neoplastic invasion and metastasis through matrix metalloproteinase (MMP) of laryngeal cancer cell lines. Material and Methods: Two laryngeal cancer cell lines, SNU-899 and SNU-1076 were treated with recombinant $TGF-{\beta}1$, and the expression of MMP-2 and MMP-9 was immunohistochemically evaluated and gelatinase activity was studied by gelatin zymogram. Results: The cell growth inhibition was evident on 4th days after 1ng/ml and 10ng/ml $TGF-{\beta}1$ treatment. The expressions of MMP-2 and MMP-9, and their gelatinase activities were increased in dose-dependent manner. Conclusion: $TGF-{\beta}1$ treatment in laryngeal cancer cell lines induces the expression of MMP-2 and MMP-9, thus playing a role in the digestion of extracellular matrix gelatin.

Positional Cloning of Novel Genes in Zebrafish Developmental Mutants

  • Kim, Cheol-Hee
    • 한국발생생물학회:학술대회논문집
    • /
    • 한국발생생물학회 2003년도 제3회 국제심포지움 및 학술대회
    • /
    • pp.24-25
    • /
    • 2003
  • The zebrafish (Danio rerio) is now the pre-eminent vertebrate model system for clarification of the roles of specific genes and signaling pathways in development. I will talk about positional cloning of two developmental mutants in zebrafish. The first mutant is headless: The vertebrate organizer can induce a complete body axis when transplanted to the ventral side of a host embryo by virtue of its distinct head and trunk inducing properties. Wingless/Wntantagonists secreted by the organizer have been identified as head inducers. Their ectopic expression can promote head formation, whereas ectopic activation of Wnt signalling during early gastrulation blocks head formation. These observations suggest that the ability of head inducers to inhibit Wntsignalling during formation of anterior structures is what distinguishes them from trunk inducers that permit the operation of posteriorizing Wnt signals. I describe the zebrafish headless (hdl) mutant and show that its severe head defects are due to a mutation in T-cell factor-3 (Tcf3), a member of the Tcf/Lef family. Loss of Tcf3 function in the hdl mutant reveals that hdl represses Wnt target genes. I provide genetic evidence that a component of the Wntsignalling pathway is essential in vertebrate head formation and patterning. Second mutant is mind bomb: Lateral inhibition, mediated by Notch signaling, leads to the selection of cells that are permitted to become neurons within domains defined by proneuralgene expression. Reduced lateral inhibition in zebrafish mib mutant embryos permits too many neural progenitors to differentiate as neurons. Positional cloning of mib revealed that it is a gene in the Notch pathway that encodes a RING ubiquitin ligase. Mib interacts with the intracellular domain of Delta to promote its ubiquitylation and internalization. Cell transplantation studies suggest that mib function is essential in the signaling cell for efficient activation of Notch in neighboring cells. (중략)

  • PDF

The Usefulness of Brain Magnetic Resonance Imaging with Mild Head Injury and the Negative Findings of Brain Computed Tomography

  • Kim, Du Su;Kong, Min Ho;Jang, Se Youn;Kim, Jung Hee;Kang, Dong Soo;Song, Kwan Young
    • Journal of Korean Neurosurgical Society
    • /
    • 제54권2호
    • /
    • pp.100-106
    • /
    • 2013
  • Objective : To investigate the cases of intracranial abnormal brain MRI findings even in the negative brain CT scan after mild head injury. Methods : During a 2-year period (January 2009-December 2010), we prospectively evaluated both brain CT and brain MRI of 180 patients with mild head injury. Patients were classified into two groups according to presence or absence of abnormal brain MRI finding even in the negative brain CT scan after mild head injury. Two neurosurgeons and one neuroradiologist validated the images from both brain CT scan and brain MRI double blindly. Results : Intracranial injury with negative brain CT scan after mild head injury occurred in 18 patients (10.0%). Headache (51.7%) without neurologic signs was the most common symptom. Locations of intracranial lesions showing abnormal brain MRI were as follows; temporal base (n=8), frontal pole (n=5), falx cerebri (n=2), basal ganglia (n=1), tentorium (n=1), and sylvian fissure (n=1). Intracranial injury was common in patients with a loss of consciousness, symptom duration >2 weeks, or in cases of patients with linear skull fracture (p=0.00013), and also more frequent in multiple associated injury than simple one (35.7%>8.6%) (p=0.105). Conclusion : Our investigation showed that patients with mild head injury even in the negative brain CT scan had a few cases of intracranial injury. These findings indicate that even though the brain CT does not show abnormal findings, they should be thoroughly watched in further study including brain MRI in cases of multiple injuries and when their complaints are sustained.

군정 시스템의 취수량 평가 (Evaluation of Pumping Rates for Multiple-Well Systems)

  • 박남식;김성윤;김부길;김일룡
    • 지질공학
    • /
    • 제18권4호
    • /
    • pp.439-446
    • /
    • 2008
  • 취수펌프 운전 조건에 따라 변화하는 군정시스템의 취수량을 종합적으로 평가할 수 있는 방법을 개발하였다 주어진 상황에서 개별 관정의 취수량에 영향을 미치는 인자는 자연수위와 관말 사이의 표고차이로 주어지는 정적양정과 지하수 강하량, 관로 마찰손실 등으로 구성되는 동적양정, 그리고 취수 펌프의 성능이다. 동적 양정과 펌프의 성능은 취수펌프 가동 대수와 가동 패턴에 따라 변하는 취수량의 함수이다. 군정 운영 시 실제 취수량은 군정 시스템의 전 양정과 펌프 성능곡선이 교차하는 점에서 결정된다. Newton-Raphson 반복법을 이용하여 복수 관정의 취수량에 대한 비선형연립방정식을 처리하였다. 가상 군정 시스템에 대한 적용을 통하여 시스템 설계 시와 운영 시에 취수량 분포에 미치는 영향을 분석하였다.

A More Detailed Classification of Mild Head Injury in Adults and Treatment Guidelines

  • Lee, Young-Bae;Kwon, Sun-Ju
    • Journal of Korean Neurosurgical Society
    • /
    • 제46권5호
    • /
    • pp.451-458
    • /
    • 2009
  • Objective : The purpose of this study was to analyze risk factors that are associated with intracranial lesion, and to propose criteria for classification of mild head injury (MHI), and appropriate treatment guidelines. Methods : The study was based on 898 patients who were admitted to our hospital with Glasgow Coma Scale (GCS) score of 13 to 15 between 2003 and 2007. The patients' initial computerized tomography (CT) findings were reviewed and clinical findings that were associated with intracranial lesions were analyzed. Results : GCS score, loss of consciousness (LOC), age and skull fracture were identified as independent risk factors for intracranial lesions. Based on the data ana lysed in this study, MHI patients were divided into four subgroups : very low risk MHI patients are those with a GCS score of 15 and without a history of LOC or headache; low risk MHI patients have a GCS score of 15 and with LOC and/or headache; medium risk MHI patients are those with a GCS score of 15 and with a skull fracture, neurological deficits or with one or more of the risk factors; high risk MHI patients are those with a GCS score of 15 with abnormal CT findings and GCS score of 14 and 13. Conclusion : A more detailed classification of MHI based on brain CT scan findings and clinical risk factors can potentially improve patient diagnosis. In light of our findings, high risk MHI patients should be admitted and treated in same manner as those with moderate head injury.

전완유리피판 공여부 재건에서 전층 피부이식술과 부분층 피부이식술의 비교 (Comparison Study Between Coverage Choices for Radial Forearm Free Flap Donor Site)

  • 정우식;최종우;오태석
    • 대한두경부종양학회지
    • /
    • 제31권1호
    • /
    • pp.5-8
    • /
    • 2015
  • Backgrounds: The purpose of this study was to compare full thickness skin graft with inguinal skin to split thickness skin graft for coverage of the radial forearm free flap donor site. Patients and Methods: 25 patients who was reconstructed with radial forearm free flap for head and neck cancer were reviewed retrospectively. Results: The graft loss rates of full thickness skin graft were less than split thickness skin graft or split thickness skin graft with dermal substitutes. The recovery times of donor site and skin graft donor site of full thickness skin graft were also shorter than split thickness skin graft or split thickness skin graft with dermal substitutes. Skin texture and aesthetic results of donor site were improved and complications as itching and pain sensation were decreased. Conclusion: Full thickness skin grafts with inguinal skin should be considered for patients requiring a radial forearm free flap.

  • PDF

Clinical outcomes of synchronous head and neck and esophageal cancer

  • Park, Jae Won;Lee, Sang-wook
    • Radiation Oncology Journal
    • /
    • 제33권3호
    • /
    • pp.172-178
    • /
    • 2015
  • Purpose: To investigate clinical outcomes of synchronous head and neck and esophageal cancer (SHNEC). Materials and Methods: We retrospectively reviewed 27 SHNEC patients treated with curative intent at a single institution. The treatment modality for individual cases was usually determined on a case by case basis. Results: The median follow-up duration for the surviving patients was 28.2 months. The most common site of head and neck cancer was hypopharyngeal carcinoma (n = 21, 77.7%). The lower esophagus was the most common location of esophageal carcinoma (n = 16, 59.3%). The 2-year progression-free survival (PFS) and overall survival (OS) rates were 57.5% and 39.6%. Major pattern of failure was locoregional recurrence in the study patients. Esophageal cancer stage, the Eastern Cooperative Oncology Group (ECOG) performance status, and pretreatment weight loss were significant prognostic factors for OS in univariate analysis. Treatment-related death was observed in two patients, and one patient developed a grade 4 late treatment-related complication. Conclusion: Although the survival outcome for SHNEC is poor, long-term survival might be achievable with aggressive treatment with stage I-II esophageal cancer and good performance.

Design and Analysis of A Pico Propeller Hydro Turbine Applied in Fish Farms using CFD and Experimental Method

  • Tran, Bao Ngoc;Kim, Jun-ho
    • 해양환경안전학회지
    • /
    • 제25권3호
    • /
    • pp.373-380
    • /
    • 2019
  • In this paper, a pico hydro turbine employing low head circulation water at fish farms is designed and evaluated. Due to the advantages of simple structures, small head requirements, and low-cost investment, the constant thickness propeller turbine is considered as a feasible solution. The design process based on the free vortex method is presented in full detail, and a 4-blade runner is built using BladeGen. The turbine performance is analyzed both numerically and via experimental methods. Despite slight differences, the results show similar trends between CFD simulations and experiments carried out on factory test-rigs in a wide range of working conditions. At the design flow rate, the turbine achieves the best efficiency of 70 %, generating 3.5 kW power when rotating at 420 rpm. The internal flow field, as well as the turbine's behavior, are investigated through the distribution of blade streamlines, pressure, and velocity around the runner. Moreover, the pressure coefficient on the blade surface at 3 span positions is plotted while the head loss for each simulation domain is calculated and displayed by charts.

광역상수도용 펌프의 전양정 결정에 관한 연구 (A Study on the Total Head Decision of Pump for Regional Water Supply Facilities)

  • 김경엽;서상호;이정우;노형운;김상균
    • 유체기계공업학회:학술대회논문집
    • /
    • 유체기계공업학회 2001년도 유체기계 연구개발 발표회 논문집
    • /
    • pp.165-170
    • /
    • 2001
  • An extensive range of pumping facilities are employed in the regional water supply system in metropolitan areas, and optimization and the systematic combination of the Pump facilities have direct bearing on the stability and economy of the water supply system concerned. These systems must be able to guarantee stability, efficiency and offer high reliability. Preparation of metropolitan area regional water supply system construction project must include a basic plan which takes into account the suitability of pumping facilities to be used, the environment in which facilities will be installed, man-power requirements and basic operational and management policies. This paper contains over-all analysis of the management of metropolitan area regional water supply systems as like Jayang, Paldang 1st pump station. In the study, it aims to prepare counterplan which will be operated and managed the pump upon the operational conditions and to suggest the proposal for water facilities codes to decides total head of pump in Korea.

  • PDF