• 제목/요약/키워드: Neck mechanism

검색결과 133건 처리시간 0.027초

Failed septal extension graft in a patient with a history of radiotherapy

  • Kang, Il Gyu;Kim, Seon Tae;Lee, Seok Ho;Baek, Min Kwan
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제38권
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    • pp.40.1-40.4
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    • 2016
  • Background: This report describes the authors' experience of "melting" septal cartilage after placement of a septal extension graft in a nasopharyngeal cancer patient that had been previously undergone radiation therapy, and provides a review of the literature. Methods: Electronic medical records were used to obtain details of the patient's clinical history. Results: A 32-year-old woman, who had previously undergone radiotherapy for nasopharyngeal cancer, visited our department to for rhinoplasty. Rhinoplasty was performed using a septal extension graft to raise the nasal tip (first operation). Five days after surgery, it was found that the septal extension graft was melting without any signs of infection, that is, the graft had softened, lost elasticity, thinned, and partially disappeared without any sign of infection at 5 days, and thus, the nasal tip was reconstructed with conchal cartilage (second operation). Five months after surgery, it was found that almost all septal cartilage had disappeared without any sign of infection, and thus, the entire nasal septum was reconstructed using 2-mm costal cartilage and an onlay graft was used for tip augmentation (third operation). Conclusions: After cartilage has been exposed to radiotherapy, its patency should be viewed with suspicion. Further studies are needed for determine the mechanism responsible for cartilage damage after radiotherapy.

보툴리눔 독소의 약리 (The Pharmacology of Botulinum Toxin)

  • 이상혁;이현섭;진성민
    • 대한후두음성언어의학회지
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    • 제23권2호
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    • pp.93-98
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    • 2012
  • Botulinum toxins are the most potent toxins known to mankind. Botulinum toxin acts by blocking the cholinergic neuromuscular or the cholinergic autonomic innervation of exocrine glands and smooth muscles. Seven distinct antigenic botulinum toxins (A, B, C, D, E, F and G) produced by different strains of Clostridium botulinum have been described and only A and B type of botulinum toxins were clinically used. Toxins were consisted of a heavy chain with a molecular weight of 100 kD and a light chain with a molecular weight of 50 kD. Toxins are bound with an astounding selectivity to glycoprotein structures located on the cholinergic nerve terminal. Subsequently light chain of toxin is internalized and cleaves different proteins of the acetylcholine transport protein cascade transporting the acetylcholine vesicle from the intracellular space into the synaptic cleft. After a decade of therapeutic application of the toxin, no anaphylaxis or deaths have been reported and systemic adverse effects have not been reported so far. However the toxin's immunologic properties can lead to the stimulation of antibody production, potentially rendering further treatments ineffective. Botulinum toxin is a safe and effective treatment. Use of botulinum toxin in clinical medicine has grown exponentially in recent years, and many parts of the human body are now being targeted for therapeutic purposes.

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사람 두경부 편평세포암종 HEp2 세포에서 BCH에 의한 세포성장 억제기전 (Mechanism of Growth Inhibition by BCH in HEp2 Human Head and Neck Squamous Cell Carcinoma)

  • 최봉규;정규용;조선호;김춘성;김도경
    • 한국식품영양과학회지
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    • 제37권5호
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    • pp.555-560
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    • 2008
  • 사람 두경부 편평세포암종 HEp2 세포를 이용하여 아미노산 수송계 L 억제제인 BCH의 암세포 성장억제에 미치는 효과와 세포성장 억제기전을 밝히기 위해 HEp2 세포에서 uptake 실험, MTT 분석, DNA fragmentation 분석 및 immunoblotting 등을 시행하여 다음과 같은 결과를 얻었다. 아미노산 수송계 L 억제제인 BCH는 L-leucine uptake를 농도 의존적으로 억제하였으며, 그 $IC_{50}$$ 51.2{\pm}3.8{\mu}M$로 산출되었다. BCH는 HEp2 세포의 성장을 시간과 농도에 의존적으로 억제하였다. BCH를 처리한 실험군에서 DNA fragmentation 현상은 볼 수 없었다. BCH를 처리한 실험군에서 procaspase-3과 procaspase-7의 proteolytic cleavage 현상은 볼 수 없었다. 본 연구의 결과로서 사람 두경부 편평세포 암종 HEp2 세포에서 아미노산 수송계 L 억제제 BCH는 LAT1 활성을 억제하여 세포성장에 필수적인 L-leucine 등 중성아미노산의 세포 내 고갈을 유도함으로써 HEp2 세포의 성장억제를 유도할 가능성이 있는 것으로 사료된다.

Cut-Through versus Cut-Out: No Easy Way to Predict How Single Lag Screw Design Cephalomedullary Nails Used for Intertrochanteric Hip Fractures Will Fail?

  • Garrett W. Esper;Nina D. Fisher;Utkarsh Anil;Abhishek Ganta;Sanjit R. Konda;Kenneth A. Egol
    • Hip & pelvis
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    • 제35권3호
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    • pp.175-182
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    • 2023
  • Purpose: This study aims to compare patients in whom fixation failure occurred via cut-out (CO) or cut-through (CT) in order to determine patient factors and radiographic parameters that may be predictive of each mechanism. Materials and Methods: This retrospective cohort study includes 18 patients with intertrochanteric (IT) hip fractures (AO/OTA classification 31A1.3) who underwent treatment using a single lag screw design intramedullary nail in whom fixation failure occurred within one year. All patients were reviewed for demographics and radiographic parameters including tip-to-apex distance (TAD), posteromedial calcar continuity, neck-shaft angle, lateral wall thickness, and others. Patients were grouped into cohorts based on the mechanism of failure, either lag screw CO or CT, and a comparison was performed. Results: No differences in demographics, injury details, fracture classifications, or radiographic parameters were observed between CO/CT cohorts. Of note, a similar rate of post-reduction TAD>25 mm (P=0.936) was observed between groups. A higher rate of DEXA (dual energy X-ray absorptiometry) confirmed osteoporosis (25.0% vs. 60.0%) was observed in the CT group, but without significance. Conclusion: The mechanism of CT failure during intramedullary nail fixation of an IT fracture did not show an association with clinical data including patient demographics, reduction accuracy, or radiographic parameters. As reported in previous biomechanical studies, the main predictive factor for patients in whom early failure might occur via the CT effect mechanism may be related to bone quality; however, conduct of larger studies will be required in order to determine whether there is a difference in bone quality.

Epidermal Growth Factor Receptor-Related DNA Repair and Radiation-Resistance Regulatory Mechanisms: A Mini-Review

  • Bai, Jing;Guo, Xiao-Guang;Bai, Xiao-Ping
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권10호
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    • pp.4879-4881
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    • 2012
  • Epidermal growth factor receptor (EGFR) overexpression is associated with resistance to chemotherapy and radiotherapy. The EGFR modulates DNA repair after radiation-induced damage through an association with the catalytic subunit of DNA protein kinase. DNA double-strand breaks (DSBs) are the most lethal type of DNA damage induced by ionizing radiation, and non-homologous end joining is the predominant pathway for repair of radiation-induced DSBs. Some cell signaling pathways that respond to normal growth factors are abnormally activated in human cancer. These pathways also invoke the cell survival mechanisms that lead to resistance to radiation. The molecular connection between the EGFR and its control over DNA repair capacity appears to be mediated by one or more signaling pathways downstream of this receptor. The purpose of this mini-review was not only to highlight the relation of the EGFR signal as a regulatory mechanism to DNA repair and radiation resistance, but also to provide clues to improving existing radiation resistance through novel therapies based on the above-mentioned mechanism.

해부생리학 해석을 통한 미용침의 연구 (A Study on Cosmetic Acupuncture Through Anatomy and Physiology Interpretation)

  • 김민식
    • Korean Journal of Acupuncture
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    • 제30권3호
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    • pp.171-177
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    • 2013
  • Objectives : The purpose of this study is to investigate the mechanism of Cosmetic Acupuncture through reinterpretation of anatomy and physiology. Methods : The causes of wrinkle increases and rapid aging of facial skin were studied and the theoretical system of Cosmetic Acupuncture treatment was analyzed through anatomy and physiology reinterpretation. Results and Conclusions : An increase in wrinkles and rapid aging of facial skin is caused by xerosis. Skin condition represents the condition of subcutaneous muscle. The reason why skin becomes easily dry is the heat produced by craniofacial part. Craniofacial part always generates lot of physiological fever because of the muscles. This physiological fever is produced from the muscles that are responsible for maintaining skull suture, controlling the movement of temporomandibular joint, maintaining head and neck posture. Controlling this fever is the crux of Cosmetic Acupuncture mechanism. These muscles correspond to Foot Taeyang meridian-muscle, Foot Soyang meridian-muscle and Foot Yangmyung meridian-muscle. Cosmetic Acupuncture is effective for preventing facial skin from aging and wrinkle increase by mechanical stimulus on facial muscles, and for controlling craniofacial part meridian-muscle system producing the heat.

격자 볼츠만법을 이용한 자동차 뒷 창문 버페팅 소음 특성해석 (Characterization of Buffeting Noise Through a Rear Window in an Automobile Using LBM)

  • 이송준;최형규;조문환;이강덕;정철웅
    • 한국소음진동공학회논문집
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    • 제25권10호
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    • pp.692-699
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    • 2015
  • Buffeting noise through a rear window in an automobile is investigated by using lattice Boltzmann method. The generation mechanism of the buffeting noise can be understood as the resonance mechanism in a Helmholtz resonator, which is driven by the convecting vortex in a shear-layer flow over the neck of the resonator. Two methods to suppress the buffeting noise are proposed, and their effects are quantitatively assessed. Opening front window reduces the observed buffeting tonal noise by 25 dB and the overall SPL by 4 dB, and the installation of a Helmholtz resonator acting as a dynamic damper reduces the tonal component that by 35 dB and the overall SPL by 10 dB.

Lightweight high-precision pedestrian tracking algorithm in complex occlusion scenarios

  • Qiang Gao;Zhicheng He;Xu Jia;Yinghong Xie;Xiaowei Han
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제17권3호
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    • pp.840-860
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    • 2023
  • Aiming at the serious occlusion and slow tracking speed in pedestrian target tracking and recognition in complex scenes, a target tracking method based on improved YOLO v5 combined with Deep SORT is proposed. By merging the attention mechanism ECA-Net with the Neck part of the YOLO v5 network, using the CIoU loss function and the method of CIoU non-maximum value suppression, connecting the Deep SORT model using Shuffle Net V2 as the appearance feature extraction network to achieve lightweight and fast speed tracking and the purpose of improving tracking under occlusion. A large number of experiments show that the improved YOLO v5 increases the average precision by 1.3% compared with other algorithms. The improved tracking model, MOTA reaches 54.3% on the MOT17 pedestrian tracking data, and the tracking accuracy is 3.7% higher than the related algorithms and The model presented in this paper improves the FPS by nearly 5 on the fps indicator.

진동이 성대세포주의 세포외기질 변화에 대한 연구 (Change of Extracellular Matrix of Human Vocal Fold Fibroblasts by Vibratory Stimulation)

  • 김지민;신성찬;권현근;천용일;노정훈;이병주
    • 대한후두음성언어의학회지
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    • 제32권1호
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    • pp.15-23
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    • 2021
  • Background and Objectives During speech, the vocal folds oscillate at frequencies ranging from 100-200 Hz with amplitudes of a few millimeters. Mechanical stimulation is an essential factor which affects metabolism of human vocal folds. The effect of mechanical vibration on the cellular response in the human vocal fold fibroblasts cells (hVFFs) was evaluated. Materials and Method We created a culture systemic device capable of generating vibratory stimulations at human phonation frequencies. To establish optimal cell culture condition, cellular proliferation and viability assay was examined. Quantitative real time polymerase chain reaction was used to assess extracellular matrix (ECM) related and growth factors expression on response to changes in vibratory frequency and amplitude. Western blot was used to investigate ECM and inflammation-related transcription factor activation and its related cellular signaling transduction pathway. Results The cell viability was stable with vibratory stimulation within 24 h. A statistically significant increase of ECM genes (collagen type I alpha 1 and collagen type I alpha 2) and growth factor [transforming growth factor β1 (TGF-β1) and fibroblast growth factor 1 (FGF-1)] observe under the experimental conditions. Vibratory stimulation induced transcriptional activation of NF-κB by phosphorylation of p65 subunit through cellular Mitogen-activated protein kinases activation by extracellular signal regulated kinase and p38 mitogen-activated protein kinases (MAPKs) phosphorylation on hVFFs. Conclusion This study confirmed enhancing synthesis of collagen, TGF-β1 and FGF was testified by vibratory stimulation on hVFFs. This mechanism is thought to be due to the activation of NF-κB and MAPKs. Taken together, these results demonstrate that vibratory bioreactor may be a suitable alternative to hVFFs for studying vocal folds cellular response to vibratory vocalization.

좌창 치험 3례 (Three cases of acne)

  • 황순이;조원준;지선영;이상곤;황보민
    • 한방안이비인후피부과학회지
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    • 제19권3호통권31호
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    • pp.215-223
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    • 2006
  • Acne, which intrucdes the pilosebaceous unit, is a chronic inflammatory disease. The symptom of comedones, papules, pustules, cysts, nodules and scar mainly raises on the face, upper back, shoulder and neck. The cause of acne is the secreting growth of sebum, abnormal follicular keratiniziation, the form of group of propionibacterium acnes, and the respones of inflammation etc. But the original mechanism of the cytobiologic level is exactly not known yet. We treated three patients suffered from acne with acupuncture, venesection, Chungsangbangpung-tang, wet dressing with Gamihwangryunhaedok-tang. After treatments we observed the improvement. Based on this study, it is considered that acupuncture, venesection, Chungsangbangpung-tang wet drssing with Gamihwangryunhaedok-tang can be applied to the management of acne.

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