• 제목/요약/키워드: blood exchange

검색결과 170건 처리시간 0.022초

Exchange Transfusion Treatment for Dapsone-induced Methemoglobinemia

  • ;이장영
    • 대한임상독성학회지
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    • 제6권1호
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    • pp.37-41
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    • 2008
  • Methemoglobinemia can be caused by dapsone toxicity. We report a case dapsone induced methemoglobinemia unresponsive to methylene blue successfully treated by exchange transfusion. A 52-year-old male ingested a handful of dapsone. He presented with severe peripheral cyanosis in lips and fingertips and his methemoglobin level was found to be 21.9%. After admission, methylene blue (1%) at 1 mg/kg was injected each time peripheral cyanosis and rising serum methemoglobin occurred. Despite methylene blue therapy, the patient‘s methemoglobin level continued to fluctuate. Five days after the injections of methylene blue, many Heinz bodies were visualized in the peripheral blood, suggestive of hemolytic anemia occurrence. By hospital day 6, serum methemoglobine levels were elevated and not measurable (> 50%) and the patient was constantly in a semi-comatose mental state. An exchange transfusion carried out by utilizing 6 units of packed red blood cells and 4 units of fresh frozen plasma was performed. The patient's methemoglobin levels were subsequently kept up below 20% and his peripheral cyanosis receded. Physicians should recognize the important role of exchange transfusion in refractory dapsoneinduced methemoglobinemia.

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HPLC 형광검출법에 의한 Glyphosate의 혈중농도 측정 (Determination of Glyphosate in Whole Blood by HPLC-fluorescence Detection)

  • 이상기;김기욱;양자열;인상환;이수연
    • 약학회지
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    • 제45권4호
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    • pp.347-351
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    • 2001
  • A rapid and sensitive method for the determination of glyphosate, a phosphated amino acid herbicide, in whole blood is presented. After removal of protein, the whale blood was purified by using the anion exchange resin (Dowex 1), and derivatized with 9-fluorenylmethyl chloroformate (FMCL). Derivatized glyphosate from blood sample was injected onto a Whatman partisil 10SAX column and separated with 0.1M phosphate buffer (pH 2.5) and acetonitrile (ratio=3:1). The high performance liquid chromatography-fluorescence detection gave the detection limit of 86pg and linearity of 0.9999 in the range of 0.25 $\mu$g/ml and 25 $\mu$g/ml. The recoveries of glyphosate added to the blood samples were ranged from 75.3% to 100.4% compared to the samples prepared in water. The derivatized glyphosate was stable at various acidity and temperature. This method has been successfully applied to the blood samples of lethal intoxication with the herbicide glyphosate.

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규칙적인 저항 운동이 심폐 능력과 뇌혈류 속도에 미치는 영향 (The Effects of Regular Resistive Exercise on Cardiopulmonary Ability and Cerebral Blood Flow Velocity)

  • 유재호;이석민
    • 대한물리의학회지
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    • 제5권2호
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    • pp.255-264
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    • 2010
  • Purpose : The purpose of this study is to analysis effects of resistive exercise on cardiopulmonary fitness and cerebral artery blood flow velocity. Methods : Ten healthy university students had done resistive exercise without aerobic exercise over one year participated resistive exercise group and ten general university students, then were calculated oxygen consumption ($VO_2$) and respiratory exchange rate($VO_2/VCO_2$). After a week, they were measured Transcranial Doppler Ultrasonography(TCD) at moderate exercise(HRmax 50%), maximal exercise (HRmax 100%) for taking cerebral blood flow velocity. Results : In the comparison between groups, resistive exercise group showed significant higher oxygen consumption and lower respiratory exchange than controls(p<0.05). In resistive exercise group, oxygen consumption was significant negative correlation with cerebral artery pulsatory index(p<0.05). but, oxygen consumption was significant positive correlation with systolic blood flow velocity in controls(p<0.05). Conclusions : After considering all the factors, important value in resistive exercise is regular participation and help us increasing contingency response ability.

Increased Sister Chromatid Exchange in Peripheral Blood Lymphocytes from Humans Exposed to Pesticide: Evidence Based on a Meta-analysis

  • Yang, Hai-Yan;Liu, Jing;Yang, Si-Yu;Wang, Hai-Yu;Wang, Ya-Dong
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권22호
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    • pp.9725-9730
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    • 2014
  • Background: Sister chromatid exchange (SCE) in human peripheral blood lymphocytes is one of the most extensively studied biomarkers employed to evaluate genetic damage subsequent to pesticide exposure. Objective: To estimate the pooled levels of SCE in human peripheral blood lymphocytes among population exposed to pesticide. Materials and Methods: Meta-analysis on the association between SCE frequency and pesticide exposure was performed with STATA 10.0 software package and Review Manager 5.0.24 in this study. Results: The overall means of SCE were 7.88 [95% confidence intervals (95%CI): 6.71-9.04] for exposure group and 6.05 (95%CI: 5.13-6.95) for controls, respectively. There was statistically significant difference in the SCE frequency in human peripheral blood lymphocytes between pesticide-exposed groups and control groups, and the summary estimate of weighted mean difference was 1.69 (95%CI: 1.01-2.38). We also observed that pesticide-exposed population had significantly higher SCE frequency than control groups among smokers, nonsmokers, pesticide applicator, pesticide producer, other exposure population and Asian population in stratified analyses. Conclusions: Data indicate that the SCE frequency in human peripheral blood lymphocytes might be an indicator of early genetic esffects for pesticide-exposed populations.

혈관내의 폐보조장치에서 혈액대용물질을 사용한 기체전달 효율향상 (Enhancement of Gas Transfer Efficiency in an Intravascular Lung Assist Device using Blood Substitutes)

  • 김기범;박재관;권대규;정경락;이삼철
    • 대한의용생체공학회:의공학회지
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    • 제24권5호
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    • pp.391-399
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    • 2003
  • 혈관내 산화는 급성 호흡 곤란 증후군 (ARDS)의 치료를 위해 관심을 갖고 있는 호흡보조방법이다. 그러나 ARDS 치료에 효과적인 임상적용을 위해서는 더 많은 기체교환을 통한 혈관내 산화가 필요했다. 본 연구에서는 헤모글로빈의 미세캡슐화가 혈액의 손상을 줄여줌으로 미세캡슐화를 통하여 진동형 혈관내 폐보조장치 (VIVLAD)의 기체교환을 향상시키고자 시도하였으며 또한 perfluorocarbone 유화액(PFC 유화액)을 사용하여 기체교환을 향상시키고자 하였다. 혈액 기체 측정은 순환장치의 정맥혈과 동맥혈 시료 채취구에서 채취하여 혈액./기체 분석기를 이용하여 수행하였다. Hemosome. 혈액/hemosome 혼합액과 혈액/PFC 유화액 혼합액의 기능은 혈액/기체 분석기를 사용한 산소 해리 곡선에 의하여 평가되었다. 그 결과. hemosome과 혈액/hemosome 혼합액의 산소 전달은 전혈의 산소전달보다 각각 더 효과적이었으며 또한 PFC 유화액의 이산화탄소 전달속도는 다른 용액들보다 우수하였다. 그러므로 hemosome 용액과 PFC 유화액은 산소전달속도와 이산화탄소 전달속도를 각각 향상시킬 수 있으리라 판단하였다.

2종류의 양말착의행동이 인체생리반응에 미치는 효과 (Effects of Two Kifferent Kinds of Socks on Physiologrical Responses)

  • 김희은;권오경
    • 한국의류학회지
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    • 제23권2호
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    • pp.242-249
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    • 1999
  • The purpose of this study was to investigate two different kinds of socks on physiological responses at an ambient temperature of 35$\pm$1$^{\circ}C$ and relative humidity of 50$\pm$5% Five healthy women wearing normal socks or toes socks participated as the subjects. Rectal temperature skin temperatures sweat rate blood pressure pulse rate and questionnaire wee measured. Rectal temperature skin temperature sweat rate blood pressure pulse rate and questionnaire were measured. Rectal temperature and mean skin temperature were lower after exercise at wearing toes socks . Sweat rate was higher at wearing normal socks and blood pressure and pulse rate were tend to higher at wearing toes socks. Thermal comfort temperature sensation and humidity sensation were better wearing toes socks. Thermal comfort temperature sensation and humidity sensation were better wearing toes socks than wearing normal socks but wearing comfort was better at wearing normal socks. These results will be discussed form the viewpoint of thermoregulation AVA(Arterio venous Anastomosis) and count current heat exchange.

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개체병렬결합(parabiosis)실험모델과 혈액교환을 이용한 노화(aging)연구 분석 (Parabiosis and Blood Exchange Techniques in Aging Research)

  • 정경태
    • 생명과학회지
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    • 제33권2호
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    • pp.208-215
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    • 2023
  • 최근 수십년간 노화연구의 영역은 유전자 수준에서부터 세포 수준을 거쳐 혈액을 교환하는 in vivo 모델까지 진보를 거듭하면서 발전하고 있다. 예쁜꼬마선충에서 수명을 연장시킬 수 있는 유전자의 존재가 알려지면서, 유전체학, 단백질체학, 대사체학, 전사체학과 같은 다양한 분석방법이 사용되면서 보다 다양한 노화 연관 표적분자들이 발견되었다. 따라서, 표적분자들 간의 상호관계에 대한 연구결과도 증가하고 있다. 또한, 두 실험동물을 외과적으로 결합시킨 개체병렬결합 방법을 사용한 노화연구로 노화 현상을 역행시킬 수도 있는 인자가 보고되었고, 젊은 개체의 혈액 내에 존재할 수 있는 노화 역행 인자를 찾기 위한 더 정확하고, 효과적인 연구로 확장되면서, 노화연구의 방법에 새로운 패러다임이 확립되었다. 2022년 실험동물에 정교하게 혈액을 교환할 수 있는 장치에 대한 논문이 발표되었고, 이 장치를 사용한 연구가 노화 역행에 영향을 줄 수 있는 새로운 결과를 제시하였다. 새롭게 고안된 장치와 그로 인한 결과뿐만 아니라 젊은 혈액 또는 조건화된 혈액을 주입하여 얻은 최신 연구결과로 처음 발표되었던 GDF11 외에도 혈액 내에 존재하는 노화 역행 후보물질로서 β2m, TIMP2, VCAM1, Gpld1, clusterin과 같은 혈액 내 용해성 인자뿐만 아니라 mcicroglia 세포와 neuroinflammation과 같은 생화학적 현상이 직접적으로 노화요인으로 증명되고 있다. 이 총설에서는 이 같은 노화연구에 대한 최신 결과에 대해 논의하고자 한다.

Successful treatment by exchange transfusion of a young infant with sodium nitroprusside poisoning

  • Baek, Jong-Geun;Jeong, Hoar-Lim;Park, Ji-Sook;Seo, Ji-Hyun;Park, Eun-Sil;Lim, Jae-Young;Park, Chan-Hoo;Woo, Hyang-Ok;Youn, Hee-Shang;Yeom, Jung-Sook
    • Clinical and Experimental Pediatrics
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    • 제53권8호
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    • pp.805-808
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    • 2010
  • Although sodium nitroprusside (SNP) is often used in pediatric intensive care units, cyanide toxicity can occur after SNP treatment. To treat SNP-induced cyanide poisoning, antidotes such as amyl nitrite, sodium nitrite, sodium thiosulfate, and hydroxycobalamin should be administered immediately after diagnosis. Here, we report the first case of a very young infant whose SNP-induced cyanide poisoning was successfully treated by exchange transfusion. The success of this alternative method may be related to the fact that exchange transfusion not only removes the cyanide from the blood but also activates detoxification systems by supplying sulfur-rich plasma. Moreover, exchange transfusion replaces cyanide-contaminated erythrocytes with fresh erythrocytes, thereby improving the blood's oxygen carrying capacity more rapidly than antidote therapy. Therefore, we believe that exchange transfusion might be an effective therapeutic modality for critical cases of cyanide poisoning.

영양상담이 제2형 당뇨병 환자의 혈당과 식사요법에 대한 지식과 실천에 미치는 영향 (Effects of Nutrition Counseling on Diabetes Management in Type 2 Diabetes Mellitus Patients)

  • 이승림
    • 대한영양사협회학술지
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    • 제15권2호
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    • pp.188-196
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    • 2009
  • The purpose of this study was to investigate the effects of nutrition counseling on diabetes management by determining changes in anthropometry and blood components as well as knowledge and practice of diet therapy and nutrient intake in 34 (male 11, female 23) type 2 diabetes patients. The knowledge and the practice of diet therapy, drinking, smoking and exercise were analyzed by questionnaires. Dietary nutrient intake were obtained from the patients by the 1 day 24-hr recall. Blood glucose level and blood pressure were measured before and 3 months after the treatment. The results are summarized as follows: Average weight (p<0.05) and body mass index (p<0.05) were significantly lower post-counseling. Fasting blood glucose levels (p<0.01) and postprandial-2hour blood glucose levels (p<0.01) were also significantly lower post-counseling. In lifestyle changes for self-management the patients showed significantly higher exercise habits post-counseling (p<0.01). Regarding their level of diet knowledge, they showed significantly higher levels post-counseling in six items such as importance of diet therapy for diabetes (p<0.001), principles of diet therapy (p<0.001), nutrient composition of foods (p<0.01), carbohydrate composition of foods (p<0.001), the prescribed calories (p<0.001) understanding food item and exchange units of cereals, grains (p<0.001) and fruits, juices (p<0.001). Regarding their diet practices, the patients showed significantly higher levels of practice post-counseling in keeping within permitted meal size (p<0.001), using food exchange lists (p<0.001), keeping exact meal times (p<0.01), and controling sweet foods (p<0.001). Protein (p<0.05), animal lipid (p<0.05), and vitamin C (p<0.05) intakes were significantly higher post-counseling.

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