• Title/Summary/Keyword: vascular connection

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The literatual study on the cerebral vascular dementia in oriental and occidental medicine (뇌혈관성(뇌혈관성) 치매(痴?)에 대(對)한 동서의학적(東西醫學的) 고찰(考察))

  • Ann, Tak-Weon;Hong, Seog;Kim, Hee-Chul
    • Korean Journal of Oriental Medicine
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    • v.2 no.1
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    • pp.40-70
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    • 1996
  • In the literatual study on the cerebral vascular dementia, the results were as follows : 1. Cerebral vascular dementia is so called apoplectic dementia, because it almost occurs after apoplexy, the attack rate has gradually increased by increase of life, so it exert a harmful influence to geriatric diseases. 2. The etiological factors are summarized on deficiency in the heart, kidney, liver(心, 腎, 肝虛), pathogenic wind(豊) pathogenic fire(火) phlegm(痰) and stagnated blood(瘀血) in the oriental medicine, and multiple cerebral infarction, cerebral anemia, decrease of cerebral vascular flow are etiological factors in the occidental medicine. 3. The region of infarction and attack of cerebral vascular dementia have a close connection, and generally the cerebral vascular dementia easily occur in injury of white matter of brain. 4. Symptoms of cerebral vascular dementia are dysphasia, walking disorder, hemiplegia, sensory paralysis, disturbance of memory, judgement, calculation, emotion incontinence, speech impediment, silence or talkative, lower thinking ability and depersonalization, and symptoms are aggravated by stage. 5. Therapeutic herb medicines are Palpungsan(八風散), Baepungsan(排風散), Jinsaanshinhwan(辰砂安神丸), Sabacksan(四白散), Kanghwalyupungsan(姜活愈風散), Woohwangchungshimhwan(牛黃淸心丸), and they are used to dispelling pathogenic wind(祛風), soothe the nerves(安神), dispel pathogenic heat from lung, nourish the blood(淸肺養血).

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Multiple Pulmonary Arteriovenous Fistula combined with Cyanosis Report of one Case (청색증을 동반한 다발성 폐동정맥루 치험 1례)

  • 조규도
    • Journal of Chest Surgery
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    • v.18 no.4
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    • pp.806-811
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    • 1985
  • Pulmonary arteriovenous fistula is a rare congenital vascular malformation in the lung, resulting from erroneous capillary development, with incomplete formation or disintegration of the vascular septa that would normally divide the primitive connection between the venous and arterial plexus. The pathogenesis of its symptom is that unoxygenated and desaturated arterial blood enter into the pulmonary venous system directly. Recently we have experienced a case of multiple pulmonary arteriovenous fistula in a 15 year old male patient, who presented the symptom of cyanosis and dyspnea on exertion. The operation revealed well circumscribed and multilobulated aneurysmal lesion in left lower lobe with its subpleural and posterolateral basal location, and another aneurysmal lesion in inferior lingular segment of left lung. There was no abnormal connection between the fistula and systemic circulation. The left lower lobectomy was performed along with local extirpation of the inferior lingular segment of left lung. Both lesions showed angiomatous dilatation of the various sized vessels embedded in the parenchyma microscopically. Postoperative clinical course disclosed much improvement in symptoms and in the value of blood gas analysis. The patient was discharged without any complication.

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Current Clinical Evidence for Korean Red Ginseng in Management of Diabetes and Vascular Disease: A Toronto's Ginseng Clinical Testing Program

  • Vuksan, Vladimir;Sievenpipper, John;Jovanovski, Elena;Jenkins, Alexandra L.
    • Journal of Ginseng Research
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    • v.34 no.4
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    • pp.264-273
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    • 2010
  • While ginseng is reported to have a wide array of applications, there is growing evidence for its indications in diabetes and vascular disease. A clear connection, however, has not been established between ginseng's composition, dose and its targeted efficacy in humans. We therefore developed and initiated the Korean Red Ginseng Clinical Testing Program for diabetes and vascular function which is an efficacy and safety-based clinical screening model for ginseng. The most efficacious sources, ginsenoside profiles, doses, and modes of administration were examined in sequential, acute, followed by long term, randomized-controlled trials to investigate the efficacy and safety profiles. This review discusses the current state of the clinical research of Korean red ginseng program conducted in Toronto, paving the way for the use of clinically selected ginseng and its ginsenoside fractions in the management of diabetes and vascular diseases.

Hybrid Approach of Ruptured Type B Aortic Dissection with an Aberrant Subclavian Artery in a Single Patient with Turner Syndrome: A Case Report

  • Son, Shin-Ah;Lim, Kyoung Hoon;Kim, Gun-Jik
    • Vascular Specialist International
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    • v.34 no.4
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    • pp.121-126
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    • 2018
  • Turner syndrome, also described as 45, X, may present with most serious cardiovascular anomalies including risk of aortic dissection and rupture. In emergency situation, management for aortic dissection with complicated anatomy accompanying vascular anomaly is challenging. Here, we report a rare case of ruptured type B aortic dissection with aberrant subclavian artery and partial anomalous pulmonary venous connection in a Turner syndrome. Through right carotid-subclavian artery bypass and thoracic endovascular aortic repair, successful hybrid endovascular management correlated with a favorable result in this emergency situation.

A Study on the Changing Pattern of the Petiole's Vascular Branch of Some Acer Species (단풍나무속(屬) 수종(數種)의 엽병(葉柄) 유관속지(維管束枝) 변화형(變化型)에 관한 연구(硏究))

  • Park, Kwang Woo;Kim, Sam Shik
    • Journal of Korean Society of Forest Science
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    • v.73 no.1
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    • pp.21-32
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    • 1986
  • This study was done to classify 15 species in the genus Acer through tracking of the changing shape of the vascular branch from the base part to the terminal part of petiole by the anatomical method. The basic vascular branches were 3 ea, except A. mandshuricum 3-4 ea. The vascular bundle was separated, moved and connected from the base part to the terminal part of petiol, the number of separated vascular branch was 11-32 ea., the number of connected vascular branch was 0-17 ea., and the ratio of the separated vascular branch to the connected was 0.00-8.00. The maximum number of vascular branch in No, 39 of cross section part was observed in 12 species; A. ginnala and A. buergerianum were No. 11, A. truncatum and A. platanoides were No. 13, A. saccharium was No. 26. The number of the connected vascular branches with the main vascular branch were 0-6, while the number of the separated vascular branch were 0-7. On the ratio of separation to connection of the base vascular branch; "A", "B" and "C", the symmetrical shapes on the basis of "B" were A>BC, AB>C shape. The classical groups by the development of main vascular branch formation were obtained 7 groups of "a" through "g" shape. Especially, A. negundo and A. saccharinum were shown to have central vascular branches with unique changing patterns.

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Results of Fontan Operation - 45 Cases Report - (Fontan 수술성적에 대한 보고 - 45례 -)

  • 원용순
    • Journal of Chest Surgery
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    • v.22 no.1
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    • pp.25-31
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    • 1989
  • Forty-five patients, aged 16 months to 15.5 years mean 69 months, with a wide variety of cardiac malformations underwent the modified Fontan operation between Sep. 1986 to Aug. 1988. Nineteen patients had previously undergone palliative operations mainly modified B-T shunt. Twenty patients had a mean pulmonary artery pressure greater than 15 mmHg, with nine operative deaths. Thirteen patients had anomalies of systemic venous connection and seven patients had anomalies of pulmonary venous connection. There were eighteen patients under the age 4 years and fifteen of them survived [83.3%]. Eighteen patients had a pulmonary vascular resistance [PVR] more than 2.5U/m, and nine died [50%] whereas two of twenty-three with a PVR less than 2.5U/m died[8.6%]. PVR and anomalies of pulmonary venous connection had a significant influence on survival, but age and anomalies of systemic venous connection did not. Amount of pleural effusion drained postoperatively and PVR had positive linear correlation. Pulmonary artery pressure was not an independent predictor of outcome and pulmonary artery pressure alone should not contraindicate a Fontan procedure if PVR is low. In general, the Fontan operation should be done at a younger age less than 4 year to avoid ventricular dysfunction due to long-standing exposure to hypoxia.

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Characteristic Species Distribution of the Baekdoo Great Mountain Chain at Kangwon Province, korea (백두대간계 중 강원도 지역의 종 분포 특성)

  • 정연숙
    • The Korean Journal of Ecology
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    • v.21 no.1
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    • pp.105-112
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    • 1998
  • Characteristics of species distribution in the Baekdoo Great Mountain Chain of Kangwon Province were discussed. Resulting from Detrending Correspondence Analysis based on the floristic composition of 48 mountains, the mountains of the Baekdoo chain tended to aggregate on DCA axis. it represented that there was the peculiar floristic composition of the Baekdoo chain separated from the other mountains. High altitude, longitude near the East Sea and large number of vascular species were main factors for the distribution pattern. And exponential relationships between endemic rare species and number of species were clarified. Even though the regions of the Baekdoo Great Mountain Chain had been conserved relatively well, many regions have been faced to be disturbed for tourism, agriculture, forestry, livestock industry and mining since the local autonomy. Thusm, the necessity for the establishment of large area network through the connection of scattered protected areas in the Baekdoo Great Mountain Chain was suggested. it would play a role as a core of nature conservation to sustain species diversity in Korea.

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Fluid Dynamic Efficiency of an Anatomically Correct Total Cavopulmonary Connection: Flow Visualizations and Computational Fluid Dynamic Studies

  • Yun, S.H.;Kim, S.Y.;Kim, Y.H.
    • International Journal of Vascular Biomedical Engineering
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    • v.1 no.2
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    • pp.36-41
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    • 2003
  • Both flow visualizations and computational fluid dynamics were performed to determine hemodynamics in a total cavopulmonary connection (TCPC) model for surgically correcting congenital heart defects. From magnetic resonance images, an anatomically correct glass model was fabricated to visualize steady flow. The total flow rates were 4, 6 and 8L/min and flow rates from SVC and IVC were 40:60. The flow split ratio between LPA and RPA was varied by 70:30, 60:40 and 50:50. A pressure-based finite-volume software was used to solve steady flow dynamics in TCPC models. Results showed that superior vena cava(SVC) and inferior vena cava(IVC) flow merged directly to the intra-atrial conduit, creating two large vortices. Significant swirl motions were observed in the intra-atrial conduit and pulmonary arteries. Flow collision or swirling flow resulted in energy loss in TCPC models. In addition, a large intra-atrial channel or a sharp bend in TCPC geometries could influence on energy losses. Energy conservation was efficient when flow rates in pulmonary branches were balanced. In order to increase energy efficiency in Fontan operations, it is necessary to remove a flow collision in the intra-atrial channel and a sharp bend in the pulmonary bifurcation.

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Robust Coronary Artery Segmentation in 2D X-ray Images using Local Patch-based Re-connection Methods (지역적 패치기반 보정기법을 활용한 2D X-ray 영상에서의 강인한 관상동맥 재연결 기법)

  • Han, Kyunghoon;Jeon, Byunghwan;Kim, Sekeun;Jang, Yeonggul;Jung, Sunghee;Shim, Hackjoon;Chang, Hyukjae
    • Journal of Broadcast Engineering
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    • v.24 no.4
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    • pp.592-601
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    • 2019
  • For coronary procedures, X-ray angiogram images are useful for diagnosing and assisting procedures. It is challenging to accurately segment a coronary artery using only a single segmentation model in 2D X-ray images due to a complex structure of three-dimensional coronary artery, especially from phenomenon of vessels being broken in the middle or end of coronary artery. In order to solve these problems, the initial segmentation is performed using an existing single model, and the candidate regions for the sophisticate correction is estimated based on the initial segment, and the local patch-based correction is performed in the candidate regions. Through this research, not only the broken coronary arteries are re-connected, but also the distal part of coronary artery that is very thin is additionally correctly found. Further, the performance can be much improved by combining the proposed correction method with any existing coronary artery segmentation method. In this paper, the U-net, a fully convolutional network was chosen as a segmentation method and the proposed correction method was combined with U-net to demonstrate a significant improvement in performance through X-ray images from several patients.

Soft Tissue Sarcomas Originating from Retroperitoneal Cavity in a Maltese Dog (후복강에서 기원한 비혈관성 연부조직 육종 증례)

  • Shin, Jung-Min;Park, Seuingjo;Lee, Sang-Kwon;Choi, Jihye
    • Journal of Veterinary Clinics
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    • v.32 no.1
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    • pp.115-119
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    • 2015
  • An 11-year-old spayed female maltese was presented for abdominal distention, dysuria and dyschezia. Panting and heart murmur was found and abdominal palpation was difficult due to increased abdominal pressure. A soft tissue mass, $6{\times}3cm$ in size, was identified radiographically in pelvic canal, displacing the descending colon to the medioventral direction and the urinary bladder cranially. On ultrasonography, the mass consisted of homogeneous hypoechoic parenchyma containing the focal hyperechoic region ($1.6{\times}1.5cm$). The mass had distinct margin and no connection with adjacent organs. It was considered as a mass originating from the retroperitoneal cavity. Additional diagnostic procedures were not advanced because of the owner's request, and only a surgical excision of the mass was performed to alleviate the dysuria and dyschezia. Histopathologic examination and immunohistochemistry determined the mass as a soft tissue sarcoma and excluded hemangiosarcoma and osteosarcoma, both are the most common types of the retroperitoneal tumors. This report described non-vascular soft tissue sarcoma originating from the retroperitoneal cavity in a maltese dog.