• Title/Summary/Keyword: Retinopathy

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A novel therapeutic approach of Hachimi-jio-gan to diabetes and its complications

  • Yokozawa, Takako;Yamabe, Noriko;Cho, Eun-Ju
    • Advances in Traditional Medicine
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    • v.5 no.2
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    • pp.75-91
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    • 2005
  • Great efforts have been made to improve both the quality of life and life expectancy of diabetes by treating problems associated with chronic complications such as neuropathy, retinopathy and nephropathy. In particular, diabetes is an increased risk of developing several types of kidney disease, and the predominant cause of end-stage renal disease in patients with this disorder is diabetic nephropathy. Therefore, prevention of the occurrence and progression of diabetes and its complications has become a very important issue. The scientific observations of an animal model of streptozotocin-induced diabetes, spontaneously occurring diabetes and diabetic nephropathy in this study suggest that one of the Kampo prescriptions, Hachimi-jio-gan comprising eight constituents, is a novel therapeutic agent.

Role of the CCN protein family in cancer

  • Kim, Hyungjoo;Son, Seogho;Shin, Incheol
    • BMB Reports
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    • v.51 no.10
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    • pp.486-492
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    • 2018
  • The CCN protein family is composed of six matricellular proteins, which serve regulatory roles rather than structural roles in the extracellular matrix. First identified as secreted proteins which are induced by oncogenes, the acronym CCN came from the names of the first three members: CYR61, CTGF, and NOV. All six members of the CCN family consist of four cysteine-rich modular domains. CCN proteins are known to regulate cell adhesion, proliferation, differentiation, and apoptosis. In addition, CCN proteins are associated with cardiovascular and skeletal development, injury repair, inflammation, and cancer. They function either through binding to integrin receptors or by regulating the expression and activity of growth factors and cytokines. Given their diverse roles related to the pathology of certain diseases such as fibrosis, arthritis, atherosclerosis, diabetic nephropathy, retinopathy, and cancer, there are many emerging studies targeting CCN protein signaling pathways in attempts to elucidate their potentials as therapeutic targets.

Optimal oxygen saturation in premature infants

  • Chang, Mea-Young
    • Clinical and Experimental Pediatrics
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    • v.54 no.9
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    • pp.359-362
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    • 2011
  • There is a delicate balance between too little and too much supplemental oxygen exposure in premature infants. Since underuse and overuse of supplemental oxygen can harm premature infants, oxygen saturation levels must be monitored and kept at less than 95% to prevent reactive oxygen species-related diseases, such as retinopathy of prematurity and bronchopulmonary dysplasia. At the same time, desaturation below 80 to 85% must be avoided to prevent adverse consequences, such as cerebral palsy. It is still unclear what range of oxygen saturation is appropriate for premature infants; however, until the results of further studies are available, a reasonable target for pulse oxygen saturation ($SpO_2$) is 90 to 93% with an intermittent review of the correlation between $SpO_2$ and the partial pressure of arterial oxygen tension ($PaO_2$). Because optimal oxygenation depends on individuals at the bedside making ongoing adjustments, each unit must define an optimal target range and set alarm limits according to their own equipment or conditions. All staff must be aware of these values and adjust the concentration of supplemental oxygen frequently.

Anti-angiogenic Activity of Ursolic Acid (우르솔릭산의 혈관형성 억제활성)

  • 손경희;이옥희;이열남;정해영;이정준;김규원
    • YAKHAK HOEJI
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    • v.37 no.5
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    • pp.532-537
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    • 1993
  • Angiogenesis refers to the formation of new capillary blood vessels, or neovascularization occurring under various physical conditions, such as development of the embryo, formation of corpus luteum, wound healing and pathological conditions including tumor growth and metastases, hemangiomas, diabetic retinopathy, rheumatoid arthritis. There are many evidences that angiogenesis is important for the progressive growth of solid tumors and also permits the shedding of metastatic tumors from the primary site. Thus, treatment of angiogenesis inhibitors might be a novel strategy for tumor growth inhibition. Normal vascular endothelial cells are in a state of differentiation and angiogenic endothelial cells migrate and proliferate, and they subsequently differentiate into vessel-forming quiescent phenotype cells, Therfore, it was speculated that a modifier of cell differentiation could also affect angiogenesis. In order to identify new antiangiogenic factors, the research was conducted to estimate the inhibitory activities of cell differentiation agents by means of chick embryo chorioallantoic membrane(CAM) assay. Hence, we have established the CAM assay for the screening of antiangiogenic agents. Using the CAM assay, we found that ursolic acid, a tumor cell differentiation-inducing agent, showed a markedly inhibitory effect on chick embryonic angiogenesis.

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Therapy of Diabetes Mellitus Using Experimental Animal Models

  • Min, T.S.;Park, Soo Hyun
    • Asian-Australasian Journal of Animal Sciences
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    • v.23 no.5
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    • pp.672-679
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    • 2010
  • Diabetes mellitus is a worldwide epidemic with high mortality. As concern over this disease rises, the number and value of research grants awarded by the National Research Foundation of Korea (NRF) have increased. Diabetes mellitus is classified into two groups. Type 1 diabetes requires insulin treatment, whereas type 2 diabetes, which is characterized by insulin resistance, can be treated using a variety of therapeutic approaches. Hyperglycemia is thought to be a primary factor in the onset of diabetes, although hyperlipidemia also plays a role. The major organs active in the regulation of blood glucose are the pancreas, liver, skeletal muscle, adipose tissue, intestine, and kidney. Diabetic complications are generally classified as macrovascular (e.g., stroke and heart disease) or microvascular (i.e., diabetic neuropathy, nephropathy, and retinopathy). Several animal models of diabetes have been used to develop oral therapeutic agents, including sulfonylureas, biguanides, thiazolidinediones, acarbose, and miglitol, for both type 1 and type 2 diseases. This review provides an overview of diabetes mellitus, describes oral therapeutic agents for diabetes and their targets, and discusses new developments in diabetic drug research.

The ETS Factor, ETV2: a Master Regulator for Vascular Endothelial Cell Development

  • Oh, Se-Yeong;Kim, Ju Young;Park, Changwon
    • Molecules and Cells
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    • v.38 no.12
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    • pp.1029-1036
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    • 2015
  • Appropriate vessel development and its coordinated function is essential for proper embryogenesis and homeostasis in the adult. Defects in vessels cause birth defects and are an important etiology of diseases such as cardiovascular disease, tumor and diabetes retinopathy. The accumulative data indicate that ETV2, an ETS transcription factor, performs a potent and indispensable function in mediating vessel development. This review discusses the recent progress of the study of ETV2 with special focus on its regulatory mechanisms and cell fate determining role in developing mouse embryos as well as somatic cells.

Dural Arteriovenous Fistula Presenting with Cerebral Infarction

  • Hwang, In-Chang;Park, In-Sung;Choi, Dae-Seob;Ryoo, Jae-Wook
    • Journal of Korean Neurosurgical Society
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    • v.41 no.6
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    • pp.411-413
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    • 2007
  • We report on a diabetic 52-year-old man who complained ocular floating sensation, headache and dizziness, in whom a left parieto-occipital dural ateriovenous fistulas [DAVFs], fed by bilateral superficial temporal arteries and occipital artery, drained into the cortical vein of the left parieto-occipital convexity. Because the patient's chief complaint was ocular symptom for diabetic retinopathy, we initially didn't consider an DAVFs until brain magnetic resonance imaging [MRI] was done. Diffusion-weighted brain MRI revealed acute cerebral infarction and microhemorrhage in the lesion. Transarterial embolization with mixture of glue and lipiodol obliterated the DAVFs completely. Although the DAVFs fed by multi-arteries, the fistulous portion has been disappeared after embolization via an only left occipital artery Endovascular embolization of the fistula led to symptomatic improvement, except ocular discomfort.

Survey of Image Segmentation Algorithms for Extracting Retinal Blood Vessels (망막혈관 검출을 위한 영상분할기법)

  • Kim, Jeong-Hwan;Seo, Seung-Yeon;Song, Chul-Gyu;Kim, Kyeong-Seop
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2019.01a
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    • pp.397-398
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    • 2019
  • 망막혈관 영상에서(retinal image) 혈관의 모양 또는 생성변화를 효과적으로 검진하기 위해서 망막혈관을 자동적으로 분리하는 영상분할 기법의 개발은 매우 중요한 사안이다. 이를 위해서 주로 망막혈관영상의 잡음을 억제하고 또한 혈관의 명암대비도(contrast)를 증가시키는 전처리 과정을 거쳐서 혈관의 국부적인 화소값의 변화, 방향성을 판별하여 혈관을 자동적으로 검출하는 방법들이 제시되어왔으며 최근에는 합성곱 신경망(CNN) 딥러닝 학습모델을 활용한 망막혈관 분리 알고리즘들이 제시되고 있다.

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Development of Retina Healthcare Service System Using Smart Phone

  • Park, Gi Hun;Han, Ju Hyuck;Kim, Yong Suk
    • International Journal of Advanced Culture Technology
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    • v.7 no.2
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    • pp.227-237
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    • 2019
  • In this paper, we have developed a Retina Healthcare Service System through which the patient himself/herself can manage his/her retina health. In the case of conventional portable ophthalmic cameras, patients cannot check their eye health on their own because most of them are used by doctor in environments where ophthalmography cannot be performed properly. This system consists of web, app and camera modules, and when a patient mounts a camera module for fundus photography on his / her smart phone and then photographs his / her fundus through the app, the image is transmitted to a server, and the transmitted image reads the fundus the patient's fundus image status in the fundus image reading model learned using deep learning. When the doctor expresses his/her opinions about the patient 's eye condition based on the reading result and the fundus photograph, the patient can check through the app and judge whether to receive ophthalmologic treatment.

Diabetic Retinopathy Classification with ResNet50 Model Based Multi-Preprocessing (당뇨병성 망막증 분류를 위한 ResNet50 모델 기반 다중 전처리 기법)

  • Da HyunMok;Gyurin Byun;Juchan Kim;Hyunseung Choo
    • Proceedings of the Korea Information Processing Society Conference
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    • 2023.11a
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    • pp.621-623
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    • 2023
  • 본 연구는 당뇨병성 망막증의 자동 분류를 위해 딥러닝 모델을 활용한다. CLAHE 를 사용한 전처리로 이미지의 대비를 향상시켰으며, ResNet50 모델을 기반으로 한 전이학습을 통해 모델의 성능을 향상했다. 또한, 데이터의 불균형을 고려하여 정확도 뿐만 아니라 민감도와 특이도를 평가함으로써 모델의 분류 성능을 종합적으로 평가하였다. 실험 결과, 제안한 방법은 당뇨병성 망막증 분류 작업에서 높은 정확도를 달성하였으나, 양성 클래스의 식별에서 일부 한계가 있었다. 이에 데이터의 품질 개선과 불균형 데이터 처리에 초점을 맞춘 향후 연구 방향을 제시하였다.