• 제목/요약/키워드: partial changes

검색결과 817건 처리시간 0.036초

양에서 막형 산화기를 사용하여 심폐바이패스할 경우 백혈구격리 및 자유라디칼로 중재되는 폐손상 (Leukocyte Sequestration and Free Radical-Mediated Lung Injury in Ovine Cardiopulmonary bypass Using Membrane Oxygenator)

  • 김원곤;신윤철;서정욱
    • Journal of Chest Surgery
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    • 제32권11호
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    • pp.978-983
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    • 1999
  • Background: Complement activation with transpulmonary leukocyte sequestration is considered a main mediator leading to ischemia-reperfusion lung(I-R) injury. We studied the role of leukocytes in the formation of I-R injury in ovine cardiopulmonary bypass(CPB) model with a membrane oxygenator. Material and Method: Five sheep were used. CPB circuitry consisted of a roller pump(American Optical Corp., Greenwich, CT, USA) and a membrane oxygenator(UNIVOX-IC, Bentley, Baxter Health Corp, Irvine, CA, USA). The CPB time was fixed at 120 min. Ten minutes after the start of CPB, total CPB was established. Thereafter a total CPB of 100 min was performed, followed by another 10 min of partial CPB. The CPB was discontinued and the animals were fully recovered. For measuring left and right atrial leukocyte counts, blood samples were taken before thoracotomy, 5 min and 109 in after the start of CPB, and 30 min and 120 min after weaning. C3a was measured before thoracotomy, 109 min after the start of CPB, and 30 min and 120 min after weaning. Plasma malondialdehyde(MDA) was checked before thoracotomy, 109 min after the start of CPB, and 30 min after weaning. One to two grams of lung tissue were taken for water content measurement before thoracotomy, 109 min after the start of CPB, and 30 min after weaning. Lung biopsy specimens were examined by light and electron microscopy. Result: Of 5 animals, 4 survived the experimental procedures. Of these, 3 animals survived on a long-term basis. No significant differences in transpulmonary gradients of leukocyte were found and no significant complement activation was expressed by C3a levels. MDA level did not show significant changes related to lung reperfusion despite an increase after the start of CPB. On both light and electron microscopic examinations, mild to moderate acute lung change was observed. Interstitial edema, leakage of erythrocytes into the alveolar space and endothelial cell swelling were the main findings. Water content of the lung showed a slight increase after the start of CPB, but there was no statistical significance. Conclusion: These findings indicate that ischemia-repersusion lung injury may not be from complement activation-leukocyte sequestration but from another source of oxygen free radicals related to CPB.

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산소중독시 가토의 [A-a] gas Gradient 의 변화 (Changes of [A-a] gas Gradient in Rabbits with Oxygen Toxicity)

  • 이두연
    • Journal of Chest Surgery
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    • 제20권1호
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    • pp.1-12
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    • 1987
  • Respiratory care with oxygen inhalation is often a necessity to maintain life, and it is one of the important therapeutic adjuncts in respiratory disease and in intensive care after surgery. However, it has been reported that oxygen toxicity occurs after prolonged exposure to 100% 0, [Smith, 1899; Kistler et al. 1967; Schaffner et al. 1967; Rowland and Newman, 1969. Subjective symptoms of oxygen toxicity include tracheal irritation, frequent cough, some burning sensation in the trachea, tachypnea, severe dyspnea, etc. [Welch, 1963; Fisher et al, 1968; Milier et al, 1970; Clark and Lambertsen, 1971; Sackner, 1975]. Pathologic findings are atelectasis, injuries to the pulmonary capillaries and hemorrhage in the alveoli in gross specimens. There can be inflammation, proliferation of fibrin, thickening of alveolar membranes, degeneration of collagen fibers and interstitial edema in the microscopic findings. [Penrod, 1956; Cedergren, 1959; Bean, 1965; Schaffner, 1967]. Dubois and colleagues [1961] found that the amount of pulmonary surfactant was decreased in oxygen toxicity and atelectasis followed by the decreased pulmonary surfactant. Many authors reported that vital capacity, inspiratory force, pulmonary compliance, pulmonary capillary blood flow and pulmonary elasticity were deceased and arteriovenous shunting increased. [Comroe et al, 1945; Fuson et al, 1965; Kistler et al, 1966; Knowles and Blenner-hassett, 1967; Barber et al, 1978]. Many human volunteers were examined after prolonged exposure in a high oxygenated chamber and there were a few reports on animals with oxygen toxicity, subjects including rabbits. Gas partial pressures of alveoli and arteries were measured in rabbits exposed to 100% $O_2$ and the alveolar-arterial gas gradients were analyzed, which is the basis for the study of oxygen toxicity. These rabbits were divided into two groups; rabbits under natural respiration, and second group under artificial respiration with a respirator. The alveolar $PO_2$ [$P]AO_2$] and $PCO_2$ [$PACO_2$], and the arterial $PO_2$ [$PaO_2$] were measured under varying $O_2$ pressures; 15% $O_2$, 21% $O_2$ and 100% $O_2$.

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풍(風)의 병리적(病理的) 의미규명(意味糾明)과 중풍(中風)의 원인(原因) 및 치료(治療)에 대한 동서의학적(東西醫學的) 비교(比較). (The study of comparison of Eastern-Western Medicine on the pathological concept of the Pung(風) and the cause and therapy of Jung Pung(中風) showed the following results.)

  • 김세길
    • 대한한의학회지
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    • 제16권1호통권29호
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    • pp.96-117
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    • 1995
  • 1. The Pung(風) is the necessary power for growth and maintenance of life. 2. The characteristics of the Pung(風) is the Yang evil, the features for opening and excretion, mobility and rapid change. That is the major cause of all diseases, and its mobility is the main character. 3. Jung Pung(中風) is the same concept of apoplexy in Western medicine. 4. Jung Pung(中風) is classified on the basis of pathology, anatomy, and histology in Western Medicine, but In Oriental Medicine that is classified on the basis of symptom and severity of disease. 5. In Western Medicine, Jung Pung(中風) was regarded as the local cause of disease, but in Oriental Medicine regarded as the physiological changes caused by the weakness of the whole body. 6. In the emergency care, the method of GaeKeum is compared to Levin tubing, the method of to the use of urokinase for the promotion of cerebrovascular circulatio, and the method of To(吐法) to suction for the elimination of Dam(痰), the method of Hun(熏法) to the use of solution for the improvement of circulation. 7. With the comparison of the cause and diagnosis, the hemorrhagic disease and infarction were regarded as the major agents in Western Medicine and the symptom appeared in the patient was the standard of diagnosis and therapy in Oriental Medicine. 8. In the Western therapy of cerebral hemorrhage, the method of coagulation and hemostasis was used for the elimination of hematoma and cerebral edema, but in Oriental Medicine, the method of YanghaelGiHael(凉血止血) was used for descending the PungHwa(風火) and hemostasis. 9. In the period of recovering injury, the physical therapy was underlined for the recovering of partial function in Western Medicine, the method of accupuncture and drug therapy was adapted for the normal function of the whole body.

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삼부탕(蔘附湯)이 실험동물(實驗動物)의 혈장지질함량(血漿脂質含量) 및 심혈관계(心血管系)에 미치는 영향(影響) (Effect of Sambutang on the Serum Cholesterol Levels and the Cardiovascular System in Experimental Animals)

  • 최철원;신선호;문병순
    • 대한한방내과학회지
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    • 제18권1호
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    • pp.97-113
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    • 1997
  • The present experiment was designed to investigate the effects of Sambutang water extracts on the serum cholesterol levels and the cardiovascular system in the experimental animals. Thus, the changes of blood pressure and heart rate were measured after oral administration. Measurment of Mortality rate was observed for measuring the effect of Sambutang water extract. Sambutang water extract against pulmonary thromboembolism induced by collagen the mixture(0.1 ml/10 g, 2 mg/kg) plus serotonin(5 mg/kg) in mouse. The effect of Sambutang water extract was examined by observing the change of collagen-induced platelet aggregation, coagulation activity, ex vivo and in vitro fibrinolytic activity of euglobulin fraction in rats. The results were summarized as follows. 1. Sambutang decreased the serum cholesterol levels in rats. 2. Sambutang dropped the blood pressure in spontaneous hypertensive rat. 3. The drug increased the auricular blood flow in rabbit. 4. The drug relaxed the artery contraction by pretreated norepinephrine in rat. 5. The drug inhibited the death rate of mouse which was led to thromboembolism by serotonin and collagen. 6. The drug inhibited the platelet aggregation in rat. 7. The drug prolonged the prothrombin time and activated partial thromboplastin time on the test of plasma coagulation factor activity in rat, but was not valuable. 8. The drug increased the antithrombin activity in rat and the fibrinogen lysis time was reduced and lysis area was increased. 9. Sambutang reduced fibrinogen lysis time of rat in vitro assay. According to the above mentioned results. Sambutang increased the blood flow and dropped the blood pressure by the dilation of blood vessel. And the drug presented the antithrombin activity, inhibited the platelet aggregation.

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센서를 이용한 수면환경 개선 (Enhancement of Sleep Environment Using Sensor)

  • 신성윤;신광성;이양원
    • 한국정보통신학회논문지
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    • 제14권11호
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    • pp.2485-2490
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    • 2010
  • 본 논문에서는, 수면을 이루는 침실의 수면 환경 데이터를 채취하고 얻은 조건 데이터들과 수면 사이의 관계를 분석하였다. 이것을 기초로, 모의실험 모델을 추출하여 개인별 최적의 수면 환경을 제공하도록 한다. 시스템의 실험은 온/습도 센서와 조도 센서로 구성된 H-MOTE2420 센서를 이용하였다. 수면 중 뒤척임의 추출을 위하여 비디오에서 움직임을 추출하는 차영상 방법을 이용하였다. 또한, 수면에 영향을 끼칠만한 가중치의 정보로 피로한 정도, 음주의 정도, 공복의 정도 등의 정보를 입력 받는다. 실험 결과 최적의 수면환경을 추출할 수 있었다. 향후, 수면의 특수한 상황뿐만 아니라 식사나 출근과 같은 유기적인 생활환경의 한 부분에도 상황에 따른 적절한 실내 환경 변화를 제공해 주어서 좀더 쾌적한 일상생활을 영위할 수 있도록 도움을 주도록 개선하려 할 것이다.

실버패션디자인 연구 - 노년여성의 의복디자인선호도를 중심으로: 델파이법의 적용 - (A Study on Fashion Design of Silver Age -Focused on Elderly Women's Clothing Design Preference : An Application of Delphi Method-)

  • 장안화
    • 한국의류산업학회지
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    • 제7권6호
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    • pp.577-584
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    • 2005
  • The aims of this study are primary data offer to silver fashion enterprise. In order to deduce design from diverse needs of silver generation, this study is required expert knowledge. For this purpose, this study applied two rounded Delphi method in which 31 experts. As a result, the following findings were obtained; From the previous studies, we found the physical changes of women in silver generation; i.e. the size of their waist and abdomen gets larger, their breasts are sagging, their limbs are thinner, upper body is bending, their height and weight get shorter and lighter. Their choice criterion of design of clothing is hide their weak points in body, youthfulness, moderate, and fashion style. Youthful design but patterns should agree with their body line so that they should be easily fit and look young. They like a jacket and pants set best regardless of spring or summer and as upper garment, they like semi fit, as pants, they prefer straight line of ankle length, and as skirts, partial elastic band and pleats, and the length of the skirts just cover their knees. This pattern in choosing their clothes represents they consider functionality as well as the aesthetics. Their preferred color for spring is lt/pink, lt/violet lt/green for summer, white and blue. Their preferred materials are wool/poly/spandex and cotton/spandex for functionality for spring, and for summer, linen poly and cotton poly seersucker for cool feeling and stability. In both top and bottom item, solid pattern follows small one in their preference on patterns, which shows that they are in pursuit of an elegant style. Our research based on this survey tries to establish what the fashion design for the silver generation should take into consideration.

철릭의 연대별 치수비교 연구 (Study on Chronological Comparison of Cheollik Size)

  • 하지현;김희은
    • 한국의류산업학회지
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    • 제19권5호
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    • pp.589-594
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    • 2017
  • The purpose of this study is to provide basic data for design and pattern development research in the modernization of Cheollik by comparing and analyzing the interrelationships between the components of the Cheollik. The 237 pieces of excavated costume Cheollik in the museums were surveyed. The size of the Cheollik components were examined by 100 year unit from 1400s to after 1800s. In the 1400s, the length of Cheollik was the shortest and the length of top was longer than the bottom. In the 1700s, the total length was the longest and the bottom was longer than the top. As the age increases, the total length and the bottom become longer and the length of the top becomes shorter. Poom and Gutseop were the largest in the 1400s and the smallest the after 1800s. As the age of the Poom and Gutseop decreased, the width of the Anseop increased. Gutseop was always present but Anseop was not always present in Cheollik components. As the ages passed, Jindong and Soogu became narrower and Baerae became wider. These change of Cheollik's sleeves form were affected by GongBok(so-called official wear) sleeves. By age, Cheollik did not show any big change in the basic shape, but the partial dimensions of the components showed changes. If the design and pattern research for modernization is done based on systematic establishment of pattern dimension of Cheollik, Cheollik dress combines practicality while preserving beauty and tradition at the same time.

관찰형태에 따른 동작관찰 훈련이 뇌졸중 환자의 안정성 한계와 동적보행능력에 미치는 영향 (The Effect of Action Observation with Observation Type on Limits of Stability and Dynamic Gait Ability in Stroke Patients)

  • 양용필;김수진
    • 대한물리의학회지
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    • 제12권1호
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    • pp.67-74
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    • 2017
  • PURPOSE: The purpose of this study was to determine the effect of action observation with observation type on the limits of stability and dynamic gait ability in stroke patients. METHODS: The 20 stroke patients who participated in this study were randomly divided into two experimental groups who underwent training three times a week for 4 weeks. Their balance was tested as the limit of stability with Biorescue. Their Dynamic gait ability was tested with the Dynamic Gait Index (DGI) before the intervention, and after 4 weeks. Independent and paired t-tests were used to analyze the results. RESULTS: The results confirmed the limit of stability on the moving areas of the paralyzed and non-paralyzed sides. The limit of stability and dynamic gait index measurements confirmed that the moving area showed a significant difference after the intervention in the whole movement observation group (p<.05), but the partial movement observation group showed no significant difference (p>.05). A significant difference was also noted for the comparison between the both groups after the interventions (p<.05). The functional walking ability showed a significant difference when compared to the ability before the intervention, as determined by the changes in scores obtained for the dynamic gait index (p<.05). CONCLUSION: Interventions utilizing whole movement confirm that training improves stability and functional walking ability in stroke patients with disabilities in balance and walking ability.

HISTOPATHOLOGY AND PERCUTANEOUS ABSORPTION OF TOPICAL FORMULATION CONTAINING NEW CAPSAICIN ANALOG.

  • Kim, Chong-Hyuk;Lee, Beom-Jin;Cha, Bong-Jin;Kim, Soon-Hoe;Kim, Won-Bae
    • 한국응용약물학회:학술대회논문집
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    • 한국응용약물학회 1997년도 춘계학술대회
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    • pp.115-115
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    • 1997
  • A new capsaicin analog modified with 4-hydroxyl and alkyl chain of capsaicin was a very potent antiinflammatory analgesic drug and may be clinically useful for those who have rheumatoid arthritis, diabetic neuropathy and cancer. The purpose of this study was to investigate histopathology after short and long term application of poloxamer-based gels, and percutaneous absorption of various topical formulations. Poloxamer-based gel was prepared by cold method using poloxamer 407. The poloxamer gels was applied to dorsal sites of hairless mouse skin during one week or one month for the evaluation of skin irritation. The applied site was then sectioned for histopathologic examination. The topical formulations were also prepared using CMC, HPMC, MC, carbopol and glycerylmono stearate. Skin variation of poloxamer gels was studied using excised hairless mouse, rat, hamster and human penis skin. Franz-type diffusion cells were used far skin penetration of drug against receptor phase filled with about 10$m\ell$ of 0.9% saline solution kept at 32$^{\circ}C$. The concentration of drug was determined by the reverse phased C18, Symmetry HPLC with fluorometeric detector. No skin erythema was observed after dorsal application of poloxamer-based gels for one week or one month. No histopathologic changes was also examined, suggesting no skin toxicity of poloxamer-based gels. The order of flux rate was HPMC > MC ( CMC > poloxamer >> glycerylmono stearate ( carbopol. There was a skin variation of poloxamer gels. The flux rate of poloxamer gels was highest in case of hairless mouse followed by rat, human and hamster skin. The Partial support-Ministry of Science and Engineering (HAN project).

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자가 머리뼈 이식 후 뼈결손부의 면적 변화 (A Size Change of Bone Defect Area after Autogenous Calvarial Bone Graft)

  • 현경배;김동석;유선국;김희중;김용욱;박병윤
    • Archives of Plastic Surgery
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    • 제32권4호
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    • pp.467-473
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    • 2005
  • Calvarial bone grafting in craniomaxillofacial trauma and facial reconstructive surgery is now widely recognized and accepted as a standard procedure. One of the commonly reported problems of calvarial bone graft is the contour defect caused by partial resorption of the graft. But, there are few reports that discuss the fate of the calvarial bone graft based on the quantitative data. In this article, the changes of grafted calvarial bone were evaluated using 3-dimensional computed tomography(CT). 9 patients were observed with the CT scans at 2mm thickness immediately after operation and at the time of last follow-up. The area of the bone defect was segmented on the 3-dimensional CT image and calculated by AnalyzeDirect 5.0 software. The immediate postoperative bone defect area of the recipient site and the donor site were $612.9mm^2$ and $441.5mm^2$, respectively, which became $1028.1mm^2$ and $268.8mm^2$, respectively at the last follow-up. In conclusion, the bone defect area was less increased on the donor site of calvarial bone graft than on the recipient site. And the CT scan is a valuable imaging method to assess and follow-up the clinical outcome of calvarial bone grafting.