• 제목/요약/키워드: tissue fluid

검색결과 444건 처리시간 0.028초

지방흡입술 후 초기 대사성 변화 및 고찰 (Early Metabolic Changes and Its Considerations after Liposuction)

  • 양해원;조종제;서상원;장충현;이은정;심형보;홍윤기
    • Archives of Plastic Surgery
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    • 제35권1호
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    • pp.42-47
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    • 2008
  • Purpose: Advanced techniques now make it possible to remove considerable amounts of subcutaneous adipose tissue more safely with minimum blood loss. However, few have analyzed the metabolic consequences of liposuction. The purpose of this study was to identify the early effects of the surgical removal of subcutaneous fat on metabolic changes in patients who have undergone liposuction. Methods: Nineteen patients were evaluated from June 2005 to December 2005. Preoperative body weight, serums levels of lipids, apolipoprotein A1, dehydroepiandrosterone(DHEA), uric acid, insulin, and glucose were evaluated. Insulin resistance was determined using the homeostasis model assessment of insulin resistance (HOMA-IR), which is based on fasting glucose and insulin concentrations. All of these data were remeasured in 1 and 4 weeks postoperatively. Tumescent fluid was infiltrated using the superwet technique. The liposuction device used was a $Liposlim^{(R)}$ power-assisted unit. Results: Average volumes of infiltrate and aspirate were 3,268mL and 2,892mL, respectively. Results in 1 week postoperatively demonstrated a significant difference in high-density lipoprotein(HDL) cholesterol, apolipoprotein A1, insulin, and HOMA-IR levels. However, all values were within normal limits and returned to baseline in 4 weeks postoperatively.Conclusion: This study provides little to support the presumed therapeutic effect of liposuction. And, it is unclear whether liposuction can prevent or be used to treat the metabolic complications of obesity. However, the results of the present study lead us to believe that liposuction is a metabolically safe procedure.

관동화(款冬花)가 천식모델 생쥐의 BALF내 면역세포 및 사이토카인에 미치는 영향 (Effect of Farfarae Flos Extract Drug on Immune Cells and Cytokines in BALF of OVA-induced Asthmatic Mice)

  • 곽상교;최선미;박양춘
    • 동의생리병리학회지
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    • 제19권3호
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    • pp.716-721
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    • 2005
  • This experiment was designed to investigate the effect of Farfarae Flos(FF) on immune cells and cytokines in murine asthma model. C57BL/6 mice were sensitized and challenged with OVA(ovalbumin) for 9 weeks(3 times a week). The experimental group was treated with Farfarae Flos extract(FF) for the later 6 weeks(5 times a week). We measured IL-4, 1L-5, 1L-13, IgE, IFN-${\gamma}$ in bronchoalveolar lavage fluid of ovalbumin induced asthmatic mouse and observed murine lung tissue. The results were obtained as follows: Total leukocytes and eosinophils in BALF of the mice group treated with FF decreased significantly compared with those of control group. The concentration of IL-4, IL-5, IL-13, IgE in BALF of the mice group treated with FF decreased significantly compared with those of control group. The concentration of IFN-${\gamma}$ in BALF of the mice group treated with FF increased significantly compared with that of control group. According to the above results, it is suggested that FF extract might be useful applied for prevention and treatment of allergic asthma.

면역저하 환자에서 발생한 단순포진바이러스 폐렴 (Herpes Simplex Virus Pneumonia in Immunocopmromised Host)

  • 김진구;이충현;강경우;서지영;정만표;김호중;권오정;이종헌;한정호
    • Tuberculosis and Respiratory Diseases
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    • 제46권1호
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    • pp.82-88
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    • 1999
  • Herpes simplex virus pneumonia in immunocompromised host is difficult to diagnose with non-invasive method, and has high mortality rate. Because early diagnosis and early treatment can significantly decrease the mortality rate, the enthusiastic efforts for the early diagnosis should be done. A 41-year-old woman who took prednisolone due to mixed connective tissue disease developed gradually increasing dyspnea with radiological features of interstitial lung disease. Initially, we treated her with empirical antibiotics, but failed to improve her dyspnea. So we performed bronchoalveolar lavage and open lung biopsy. Open lung biopsy specimen showed herpes simplex virus pneumonia. Herpes simplex virus was also isolated from bronchoalveolar lavage fluid. There was both clinical and radiological improvement after treatment with acyclovir for 14 days.

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암의 복수액에 존재하는 지방분해 및 식욕감퇴 인자에 미치는 고려인삼의 영향 (EFFECT OF RED GINSENG POWDER ON LIPOLYTIC AND ANOREXIGENIC FACTOR (TOXOHORMONE-L) FROM CANCEROUS ASCITES FLUID)

  • Okuda Hiromichi;Masuno Hiroshi;Lee Song Jae
    • 고려인삼학회:학술대회논문집
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    • 고려인삼학회 1984년도 학술대회지
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    • pp.145-152
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    • 1984
  • 여러 종류의 종양 환자에서 점차적인 체중 감소가 일어나는 과정에서, 체내에 저장된 지방이 고갈됨이 관찰되었다. 종양이 커가는 동안의 체내 지방의 고갈은 혈장의 유리지방산의 증가와 연관이 있다. 최근에, 우리는 간암, 또는 난소암 환자의 복수액과 악성 임파종 환자의 늑막액은(in vitro에서) 흰쥐의 지방조직에 유리지방산의 방출을 촉진시킴을 발견하였다. Toxoh-ormone-L(독성 호르몬-L)이라고 명명한 이 지방분해 인자를 간암 환자의 복수액에서 분리, 정제하였다. 이 분리된 물질은 disc gel electrophoresis와 ${\btea}$-m-ercaptoethanol 존재하의 sodium dodecyl sulfate(SD5)-acrylamide gel electrophoresis상에서 단일띠를 나타내었다. 이것의 분자량은 각각 SDS-acrylamide gel electrophoresis와 analytical 초원심분리에 의하여 $70,000{\~}75,000$과 65,200의 분량을 가짐이 확인되었다. 흰쥐에 Toxohormone-L의 주사는 사료와 물의 섭취를 현저히 억제하였으며, 이 Toxohormone-L의 주사 5시간후에 이러한 억제효과가 나타났다. Toxohormone-L의 지방분해의 작용을 억제하는 억제물질이 고려인삼 뿌리의 물 추출물에 존재함이 입증되었다. 즉, 인삼 분말을 5배량의 증류수에 현탁시켜 추출하고 감압 농축한 다음 증류수에 투석시켰다. 투석막안의 지방 성분을 석유 에테르로 제거하고, 사포닌은 수포화된 부탄올로 제거하였다. 이렇게 제거하고 남은 여액을 활성탄으로 처리하고 DEAE-cellulose column에 통과시켰다. 이러한 과정으로 유효한 분획 (인삼분획 3)을 얻었으며, 보다 더 순수한 정제가 지금 진행중에 있다. 이러한 실험 결과를 바탕으로 볼 때, 암환자에 고려인삼 분말의 투여는 암조직에서 분비되는 Toxohormone-L(독성 호르몬-L)의 작용을 억제함으로서 암환자의 체중 감소를 방지하고, 식욕감퇴를 개선할것으로 생각된다.

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홀스타인 초산우에서 우측 자궁각의 부분무형성 일례 (Segmental Aplasia of the Right Uterine Horn in a Primiparous Holstein Cow)

  • 김일화;강현구;허태영;이혜림;모인필
    • 한국임상수의학회지
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    • 제29권5호
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    • pp.427-430
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    • 2012
  • 번식장애의 병력을 가진 3세 홀스타인 초산우가 분만 후 180일에 직장검사에 의해 자궁축농증으로 예비 진단되었다. 초음파검사 결과, 우측 자궁각의 전반 부분이 액체로 팽만, 자궁각 기저부 결손과 자궁각의 전반 부분은 치밀한 조직 띠에 의해 자궁체에 연결되어 있음을 보여 주었다. 좌측 자궁각은 정상적인 형태를 나타내었다. 사후 육안 검사는 초음파 검사 소견을 확증시켜 주었다. 벽이 얇아진 우측 자궁강 내에 진한 적갈색 점액이 차여 있었으며, 조직 병리 검사에 의해 이 부위에서 자궁소구 및 자궁샘이 관찰되지 않았다. 본 증례는 최종 우측 자궁각의 부분무형성으로 판명되었다.

Ginsenosides from Korean Red Ginseng ameliorate lung inflammatory responses: inhibition of the MAPKs/NF-κB/c-Fos pathways

  • Lee, Ju Hee;Min, Dong Suk;Lee, Chan Woo;Song, Kwang Ho;Kim, Yeong Shik;Kim, Hyun Pyo
    • Journal of Ginseng Research
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    • 제42권4호
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    • pp.476-484
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    • 2018
  • Background: Korean Red Ginseng (steamed and dried white ginseng, Panax ginseng Meyer) is well known for enhancing vital energy and immune capacity and for inhibiting cancer cell growth. Some clinical studies also demonstrated a therapeutic potential of ginseng extract for treating lung inflammatory disorders. This study was conducted to establish the therapeutic potential of ginseng saponins on the lung inflammatory response. Methods: From Korean Red Ginseng, 11 ginsenosides (Rb1, Rb2, Rb3, Rc, Rd, Re, Rf, Rg1, Rg2, Rg3, and Rh2) were isolated. Their inhibitory potential and action mechanism were evaluated using a mouse model of lung inflammation, acute lung injury induced by intranasal lipopolysaccharide administration. Their anti-inflammatory activities were also examined in lung epithelial cell line (A549) and alveolar macrophage (MH-S). Results: All ginsenosides orally administered at 20 mg/kg showed 11.5-51.6% reduction of total cell numbers in bronchoalveolar lavage fluid (BALF). Among the ginsenosides, Rc, Re, Rg1, and Rh2 exhibited significant inhibitory action by reducing total cell numbers in the BALF by 34.1-51.6% (n = 5). Particularly, Re showed strong and comparable inhibitory potency with that of dexamethasone, as judged by the number of infiltrated cells and histological observations. Re treatment clearly inhibited the activation of mitogen-activated protein kinases, nuclear factor-${\kappa}B$, and the c-Fos component in the lung tissue (n = 3). Conclusion: Certain ginsenosides inhibit lung inflammatory responses by interrupting these signaling molecules and they are potential therapeutics for inflammatory lung diseases.

구강악안면영역의 치성감염으로 인한 근막간극 감염에 대한 회귀적 연구 (THE RETROSPECTIVE STUDY OF INTRAFASCIAL INFECTION FROM ODONTOGENIC INFECTION IN ORAL AND MAXILLOFACIAL REGION)

  • 김성혁;이재훈
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제29권1호
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    • pp.42-49
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    • 2007
  • Infections in oral and maxillofacial region are relativley common and self-limiting, but in some cases, infections spread to adjacent hard and soft tissue and to cause any complication, even threaten life. So we made retrospective study of patients with interfascial infection who had been hospitalized and been treated by surgical treatment in Dankook university about 10 years. We reviewed the charts of patient with interfascial infection from 1995 to 2005. The result were as follows: 1. In gender & age distribution, male(54.2%) & fouth decade were most frequently. 2. The most common cause of infection was dental caries(55.2%) and the most of involving teeth was lower posterior teeth(44.1%). 3. Submandibular space is most frequently involving space and most infection involved mainly one space. 4. The patients with systemic disease were 38.2%. Diabetic mellitus was 87.2% of systemic diease. The admission period was 19.5 days in systemic disease. 5. The most microorganism in culture was Streptococcus Viridans(36.2%) in all patient. Klebsiella Pneumoniae was found most in Diabetic Mellitus. 6. The patient were mainly treated I&D on admission day. Of them 5(1.1%) patients were received tracheostomy. 7. Serum albumin, CRP and body weight are associated with Nutritional Risk Index(NRI). High risk patient group according to NRI classification showed higher rate of complications & mortality. 8. The patients with complication were 28(6.7%) persons. 4(0.9%) patients were expired. Nutritional Risk Index was helpful to predict the prognosis. When interfascial infection starts to spread, we must pay attention to airway management. Fluid therapy with nutritional may support to healing of wound.

진폐와 병발된 폐포단백증 1예 (A Case of Pulmonary Alveolar Proteinosis Associated With Silicosis)

  • 지동한;김현석;전정배;류정선;곽승민;이홍렬;조철호
    • Tuberculosis and Respiratory Diseases
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    • 제45권2호
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    • pp.437-443
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    • 1998
  • 노작성 호흡곤란과 흉부 X-선 사진상의 이상소견으로 입원한 환자에서 직업력상의 규사폭로력과 조직검사에서의 폐포단백증의 소견으로 이차성 폐포단백증을 진단하고 전폐세척술의 시행으로 증상의 호전을 보인 1 예를 경험하였기에 문헌고찰과 함께 보고하였다.

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골유착성 임플랜트와 자연치의 치은연하 세균조성에 대한 비교연구 (A COMPARATIVE STUDY ON SUBGINGIVAL MICROBIAL COMPOSITION BETWEEN NATURAL TEETH AND OSSEOINTEGRATED IMPLANTS)

  • 임용식;김영수;김창회
    • 대한치과보철학회지
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    • 제31권3호
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    • pp.411-422
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    • 1993
  • Osseointegrated dental implants are now an accepted part of the prosthetic treatment of fully and partially edentulous patients. Clinical studies have shown that osseointegrated dental implants may successfully be used as abutments for prosthetic rehabilitations, and that the supporting tissue can be kept in a stable and healthy clinical state for prolonged periods of time. The purpose of this study was to look for differences in the distribution in the bacterial morphotypes around natural teeth and osseointegrated dental implants. The subgingival plaque around natural teeth and implants was analysed by means of differential phase-contrast microscopy. In addition, clinical indices used to analyse natural teeth condition were used to compare the condition of natural teeth and implants. The results were as follows : 1. In implants of partially edentulous patients, the plaque index, sulcus bleeding index(P<0.05), pocket depth(P<0.01) were greater than natural teeth. 2. Gingival crevicular fluid volume was not significantly different between natural teeth and implants. 3. In implants of fully edentulous patients, the plaque index was greater than natural teeth(P<0.01) and implants of partially edentulous patients(P<0.05), but sulcus bleeding index was not significantly different. 4. In partially edentulous patient, coccoid cell proportion was greater in implants than natural teeth (P<0.05). 5. In implants of fully edentulous patients, coccid cell proportion was even greater than implants of partially edentulous patients(P<0.05) and natural teeth(P<0.01). 6. Among three groups, the proportions of non-motile rods, motile rods, spirochetes and others were not significantly different. 7. The proportion of motile bacteria was not significantly different among three group.

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섬소(蟾?)에 관(關)한 문헌적(文獻的) 고찰(考察) (Bibliographic Studies on the Bufonis Venenum)

  • 강계성;권기록
    • 대한약침학회지
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    • 제4권2호
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    • pp.35-47
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    • 2001
  • Objectives : Through the literatures on the effets of Bufonis Venenum, we are finding out the clinical possibility and revealing the more effective to intractable diseases. Methods : We investigated the literatures of Oriental Medicine and experimental reports about Bufonis Venenum. Results : 1. Bufonis Venenum is made of bufonidae bufo bufo gargarizans cantor or bufo melanostictus schneider of white serum which secreted from parotid gland or dermato gland, and it is dried for using. 2. In oriental medicine, Bufonis Venenum has been mainly used on the tumors, cacanthrax and dermatic disease, and then it has been clinically used on infantile athrepsia, tetanus, sore throat, toothache, and so on. 3. The pharmacological effects of Bufonis Venenum are cardiotonic, respiration stimulation, depressor or vasopressor, topical anesthcsia, hallucination, striped muscle stimulation, antiasthmatic, antibacterial, antiinflammatory, anticancer, diuretic, immuno effects, etc. 4. Bufonis Venenum is largely divided in ether binding steroid compound, hydroxyl steroid compound, carboxyl or aldehyde steroid compound, indole compound, and adrenaline, cholesterole, etc. 5. Symptoms of Bufonis Venenum poisoning in digestive system are vommitig, abdominal pain, diarrhea, dehydration, in circulatory system are palpitation, shock, bradycardia, in nervous system are vertigo, somnolentia, muscle-tendon reflex weakness, and critical conditions to tissue necrosis and heart attack. 6. Ways to treat Bufonis Venenum poisoning include gastric irrigation with $0.2~0.5\%$ potassium permanganate fluid and atropine $0.5{\sim}1.0mg$ subcutaneous injection. From the chinese book of Bon Cho Gang Moke(本草綱目), if white serum of Bufonis Venenum enter the eyes, it happens the edema and pain. And then washed the eyes by juice of Lithospermi Radix(紫草) that the edema is removed. Conclusions and Discussion : The results from above literary studies show that prescriptions and Aqua-acupuncture of Bufonis Venenum could be clinically used to sedative, anticonvulsant, antibacterial, antiinflammatory, anticancer and topical ataralgesia. However it is expected that pharmacological and side effects of Bufonis Venenum are further studied.