• Title/Summary/Keyword: 생각 기록

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Clinical disease characteristics according to karyotype in Turner syndrome (터너증후군에서 핵형에 따른 임상질환의 발병양상)

  • Yeo, Chae Young;Kim, Chan Jong;Woo, Young Jong;Lee, Dae Yeol;Kim, Min Sun;Kim, Eun Young;Kim, Jong Duck
    • Clinical and Experimental Pediatrics
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    • v.53 no.2
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    • pp.158-162
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    • 2010
  • Purpose : Turner syndrome (TS) is a disorder in which various anomalies can be accompanied, especially cardiovascular, renal, thyroid and auditory problems. The aim of this study is to identify the incidence of these disorders in patients with TS according to karyotype. Methods : We reviewed medical records of 90 patients with TS diagnosed by chromosomal analysis in 4 hospitals from Jan 1998 to Dec 2007. We evaluated these cases by prepared protocol of 4 medical problems.Results : The distribution of karyotype was 45,X (47.8%), mosaic pattern (34.4%) and structural aberration group (17.8%). Renal anomalies, cardiovascular anomalies, thyroid disorders and auditory problems are accompanied in 4.4%, 10.0 %, 11.1% and 5.6%, respectively. 45,X group had renal anomalies (7.0%), cardiovascular anomalies (18.6%), thyroid disorders (9.3%) and auditory problems (11.6%). Mosaic group had renal anomalies (3.2%), thyroid disorders (12.9%), no cardiovascular anomalies and auditory problems. Structural aberration group had cardiovascular anomalies (6.3%), thyroid disorders (12.5%) and no other 2 problems. Patients with 45,X group had a significant higher incidence of cardiovascular anomalies (P =0.025). Conclusion : Our results indicate that there are differences clinically according to karyotype of TS, especially in incidence of cardiovascular anomalies.

Design and Development of University Asset Management systems (대학 자산관리 시스템의 설계 및 구현)

  • Park, Chul-Young;Park, Dae-Heon;Cho, Sung-Eon;Park, Jang-Woo
    • Journal of Advanced Navigation Technology
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    • v.13 no.6
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    • pp.971-976
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    • 2009
  • This paper demonstrates the design and development of asset management systems suitable for the universities full of very various kind of assets. Universities consists of many departments, which have a multiplicity of many experimental. It is very difficult to record and manage assets with hands. In addition, the equipments are moving freely from one lab to another inside the school, which means it is tough to find the location of the assets and so some stuffs that are given lack attention are likely to disappear. So, these things occurring frequently in the university asset management environment should be considered in the design and embodiment of the asset management system. In the proposed system, location recognition of the assets is realized based on a route tracking method, so it is possible to detect the loss of the high priced assets and entrance, export, and lending of them are controlled efficiently. The system is likely to reduce the load of a manager responsible for asset management, because configured to decrease interventions of the manager in overall asset management process. Especially, the proposed system and implementation method will be suitable for small and medium-scale asset management, path tracking, history management.

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Systematic Study of the Subfamily Leuciscinae (Cyprinidae) from Korea (한국산 황어아과어류의 계통분류학적 연구)

  • KIM Ik Soo;LEE Geum Yeong;YANG Suh Y.
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.18 no.4
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    • pp.381-400
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    • 1985
  • Twelve species of subfamily Leuciscinae from Korea are reviewed and keys to species and genera are provided. The species include Tribolodon hakonensis, T. branti, Phoxinus phoxinus, Moroco oxycephalus, M. steindachneri, M. keumgang, M. semotilus, Zacco platypus, Z. temminckii, Opsariichthys uncirostris amurensis, Aphyocypris chinensis and Squaliobarbus curriculus. In the present study M. lagowskii and O. bidens recorded previously in Korea have to be classified to M. steindachneri and O.u.amurensis based on several characters such as caudal peduncle depth, their distributions and lateral line scales, etc. A. chinensis from Korea is easily distinguished from that of mainland China in head length and caudal peduncle length. The skull and weberian apparatus of M. keumgang, endemir to Korea are described and compared with the other species of this subfamily. The diploid chromosome number of 9 species has three patterns: 2n=50 (T. hakonensis, P. phoxinus, M. oxycephalus, M. steindachneri and M. keumgang), 2n=48(Z. platypus, Z. temminckii and A. chinensis), 2n=76 (O. u. amurensis). Polyploidization or intraspecific polymorphism of chromosome was not observed in any species studied. Both species of P. phoxinus and A. chinensis are shown to be electrophoretically distinct from other taxa examined. The genera of subfamily Leuciscinae in Korea are represented by three possible groups: 1) Zacco-Opsariichthys-Tribolodon-Phoxinus-Morco, 2) Aphyocypris, and 3) Squaliobarbus.

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Diamond-Blackfan anemia: long-term follow-up of six cases (Diamond-Blackfan 빈혈: 6예 장기간 추적관찰보고)

  • Son, Young Jun;Baek, Hee Jo;Kook, Hoon
    • Clinical and Experimental Pediatrics
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    • v.51 no.11
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    • pp.1211-1216
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    • 2008
  • Purpose : Diamond-Blackfan anemia (DBA) is a rare heterogeneous genetic disorder of infancy and early childhood. It is characterized by red cell aplasia, congenital anomalies, and a predisposition to cancer. Corticosteroids and red cell transfusions are the mainstays of therapy. We describe our experience of 6 cases of DBA that were encountered over a period of 16 years. Methods : Medical records of 6 patients diagnosed to have DBA and admitted to the Chonnam National University Hospital between 1992 and 2008 were retrospectively reviewed. Results : Three patients were males. The age at diagnosis ranged from 3 to 18 months (median, 5.5 months). Heart defects were observed in 4, polydactyly in 2, and strabismus in 1 patient. The median number of transfusions was 3 (range, 2-8). All patients responded to initial treatment with steroids and had a hemoglobin level ${\geq}9g/dL$ with a median of 12.5 days (range, 7-22 days). Three patients are currently not receiving steroid therapy. A minimum dose of oral prednisolone (<5 mg per day) was required to maintain hemoglobin ${\geq}9mg/dL$ in 3 cases. Red cell transfusion was infrequently required in 1 patient. In the median follow-up of 14 years, there was no development of malignancy. No significant side effects of steroids were found, except for short stature in 2. Conclusion : The majority of DBA patients achieved complete response and under maintenance therapy with low dose of steroids. Close observation is needed to monitor steroid side effects, cardiac function, and development of malignancy. A nation-wide survey is necessary to further characterize this rare disease in Korean children.

The Research on Injury during Dehardening of Rhododendron obtusum and Rhododendron yedoense var. poukhanense (산철쭉과 왜철쭉의 Dehardening과정에서의 피해에 관한 연구)

  • Bang, Kwang-Ja;SuI, Jong-Ho;Joo, Jin-Hee
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.2 no.4
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    • pp.47-53
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    • 1999
  • In order to elucidate physiological factors involved in causing the winter injuries of evergreen Japanese rhododendron (Rhododendron obtusum cv. Hinodegiri) and semi-evergreen rhododendron (Rhododendron yedoense var. poukhanense), these studies were conducted from late winter to early spring. The results were summarized as follows; The water potential, water content in stem, water potential and content have continuously increased in both species between February and May. In R. yedoense, shading treatment had 0.3MPa upper water potential and 3% upper water content than the control. Rhododendron obtusum, the treatments with shading had 0.9MPa upper water potential and 11% upper water content that the control. The difference of water balance by treatments could be found in vitality of stem measured by TTC test. Especially R. obtusum in the treatments with shading in has higher vitality than the control. we find that winter damage of evergreen R. obtusum was determined by whether water balance could be recovered from water deficient state during the dehardening period, or not. In order to recover of the water balance, decreasing water loss more important than increasing water supply, and that was effectively acrueved by the treatment with shading.

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The Use of Nafamostat Mesilate as an Anticoagulant during Continuous Renal Replacement Therapy for Children with a High Risk of Bleeding (출혈성 경향이 높은 소아환자의 지속성 신대체 요법시 사용되는 항응고제로서 Nafamostat mesilate의 사용)

  • Lee, Sang Taek;Cho, Heeyeon
    • Childhood Kidney Diseases
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    • v.18 no.2
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    • pp.98-105
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    • 2014
  • Purpose: Nafamostat mesilate (NM), a synthetic serine protease inhibitor, has been investigated as an anticoagulant for adult patients with a high risk of bleeding, who need chronic renal replacement therapy (CRRT). However, little is known about the use of NM as an anticoagulant in pediatric CRRT. The aim of this study was to evaluate the ideal dosage, efficacy, and safety of NM in pediatric CRRT. Methods: We conducted a retrospective study of 40 pediatric patients who had undergone at least 24 h of venovenous CRRTs between January 2011 and October 2013. We divided the patients according to risk of bleeding. Those at high risk received no anticoagulation (group 1) or NM as an anticoagulant (group 2), while those at low risk received heparin (group 3). Results: Forty patients (25 male and 15 female; mean age, $8.2{\pm}6.6$ years) were enrolled. The mean duration of CRRT was 13.0 days, and the survival rate was 57.5%. The mean hemofilter lifespan was 39.3 h in group 1 and 11.3 h in group 3. In group 2, hemofilter lifespan was extended from 7.5 h to 27.4 h after the use of NM (P =0.001). The mean hemofilter lifespan with NM was greater than with heparin (P =0.018). No patient experienced a major bleeding event during treatment with NM. Conclusion: NM may be a good alternative anticoagulant in pediatric patients with a high risk of bleeding requiring CRRT, and is not associated with bleeding complications.

Effects of Isoflurane/Remifentanil and Isoflurane/Fentanyl Anesthesia in Beagle Dogs (비글견에서 아이소플루란/레미펜타닐 및 아이소플루란/펜타닐 조합의 마취 효과)

  • Park, Jiyoung;Oh, Seung-June;Lee, Hae-Beom;Jeong, Seong Mok
    • Journal of Veterinary Clinics
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    • v.32 no.2
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    • pp.148-153
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    • 2015
  • This study was performed to compare two opioid drugs with isoflurane and to determine the difference between isoflurane/remifentanil anesthesia and isoflurane/fentanyl anesthesia in terms of the anesthetic effects in beagle dogs. Isoflurane was maintained at 0.5 MAC, and the opioid drug was administered as a constant rate infusion. The anesthesia was maintained for 2 hours, and isoflurane and opioid drugs were discontinued 2 hours later. After discontinuing the anesthetics, the extremity movement time, eye global positioning time, gag reflex time, head up time, sternal recumbency time, standing time, walking time and complete recovery times were recorded for each dog. Both of the studied anesthetic protocols were suitable in beagle dogs because the anesthetic status was well maintained until the end of the procedure, and rapid recovery times were demonstrated in this experiment. And this study shows that the isoflurane/remifentanil group was more reliable than the isoflurane/fentanyl group because the recovery time CV was lower. Therefore, isoflurane/remifentanil combination anesthesia could be a better choice than isoflurane/fentanyl anesthesia if the patient is severely ill and stable recovery time is needed.

Effect of the Changes in Arterial Carbon Dioxide Pressure on the Neuronal Activities of Rostral Ventrolateral Medulla in the Cat (고양이에서 동맥혈 탄산가스 분압의 변동이 연수의 통각정보 처리과정에 미치는 영향)

  • Lee, Young-Tak;Kim, Chong-Whan;Kim, Jun
    • Journal of Chest Surgery
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    • v.29 no.5
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    • pp.477-486
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    • 1996
  • Endogenous analgesic systems are known to be activated by peripheral noxious stimulation as well as arterial carbon dioxide elevation. In the present study, neuronal Activities in the rostral ventrolateral med- ulla were identified and classified in according to their rhythmic activities, and their responses to noxious peripheral nerve stimulations before and after elevating the arterial carbon dioxide partial pressure were investigated Using extracellular recording technic, a total of 53 spontaneously active neurons were recorded from the rostral ventrolateral medulla in u-chloralose anesthetized cats. These were classified as cardiovascular (28), respiratory (16), both cardiovascular and respiratory (2) and noncardiovascular - nonrespiratory (7). - Among the 28 cardiovascular neurons eleven showed increased activities during arterial hypercapnia, thirteen showed decreased responses, and four showed no change. Nine respiratory neurons showed increased responses to arterial hypercapnia, six showed decreased responses and one showed no change. neither of the cardiovascular and respiratory neurons showed significant change in its activity during ar- terial hypercapnia, however, four of the noncardiovascular - nonrespiratory neurons exhibited decreased their activities in response to arterial hypercapnia while two exhibited increased activities. Arterial hypercapnia increased the responses of cardiovascular neurons to peripheral nerve stimulation with C-inteniity, while not changing the responses to Ak_stimulation significantly . From the above results it was conclllded that during arterial hypercapnia, some cardiovascular neurons and respiratory neurons have increased activities as well as increased reponses to C-Hber stimulation.

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Association between Maternal and Cord Blood Interleukin-10 (-819T/C and -592A/C) Gene Polymorphisms and Respiratory Distress Syndrome in Preterm Korean Infants (한국 미숙아 산모와 제대혈의 IL-10 유전자형 빈도와 신생아 호흡 곤란증 발생과의 연관성)

  • Park Eun-Ae;Cho Su-Jin;Kim Young-Ju;Park Hye-Sook;Ha Eun-Hee;Suh Young-Ju
    • Neonatal Medicine
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    • v.16 no.2
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    • pp.137-145
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    • 2009
  • Purpose: The aim of this study was to determine the genotype frequencies of interleukin 10 (IL-10) gene polymorphisms and to investigate their association with the risk of respiratory distress syndrome (RDS) in preterm Korean infants. Methods: Two hundred fourteen preterm infants born at Ewha Womans University Mok Dong Hospital between November 2003 and July 2008 were studied. The cord blood of preterm neonates and the corresponding maternal blood were analyzed by PCR for IL-10 gene (IL-10 -1082A/G, -819T/C, and -592A/C) polymorphisms. The clinical data of patients were collected retrospectively by chart review. Results: The genotype frequencies of IL-10 genes in Korean mothers with preterm infants differ from other reports. The prevalence of two promoter SNPs of the IL-10 cytokine gene was similar but none had the IL-10-1082GG homozygote. Multiple logistic regression analysis demonstrated the risk of RDS to be significantly lower in the infants of the mothers with an IL-10-592AC/CC genotype than in those with an AA genotype (P=0.033). The risk of RDS was significantly lower in the mother with an IL-10-819TC/CC genotype than in those with a TT genotype (P=0.030). However, IL-10 polymorphisms in the cord blood were not significantly different in preterm infants with RDS compared with the preterm infants without RDS. When we compared the incidence of RDS and each IL-10A-1082G/T-819C/A-592C haplotype, the ACC haplotype had a protective effect on RDS (P=0.007). Conclusion: We conclude that the maternal IL-10-592A/C and IL-10-819T/C polymorphisms may have a role in the development of the RDS in preterm infants.

Histological Examination of Tissue Isolated from Fascia with a View of Meridian System (경락의 관점에서 본 근막 분리조직의 조직학적 연구)

  • Kim, Dong-Heui;Deung, Young-Kun;Chang, Byung-Soo;Jung, Han-Suk;Jin, Dan;Kwon, Ki-Rok;Lee, Kyu-Jae
    • Applied Microscopy
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    • v.36 no.3
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    • pp.183-194
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    • 2006
  • The threadlike structures of fascia were examined by tight and electron microscopy. In order to distinguish its tissue organization, we used staining methods including hematoxylin-eosin, Masson's trichrome, Van Gieson's collagen fiber stain and Kluver-Barrera's luxol fast blue for nerve stain. Under the light microscope, the threadlike structures were composed of many collagen fibers and nerve. In higher magnification, they looked like as the bundle of tubular structures. Many myoid cell-spindle nuclei were observed in the tissue, which were taken from the fascia. It was identical with Bonghan duct known as one of meridian network theory. In the early 1960's the North Korean Bong-Han Kim showed the anatomical structures of the acupuncture points, and explained the meridian system as the concrete duct network system. According to Bonghan theory the Bonghan ducts spread throughout the body Because it is believed that the duct could have the role of signal pathway, the theory was reinvestigated in these days. All of the threadlike structures isolated from fascia shows the abundance of collagen fibers. The electron microscope examination (TEM) could confirm the well arranged collagen fiber and nerve. This investigation reveals that superficial Bohghan duct are nerve fiber parallel running with collagen fibers. We conjectured that the intermingled structure of collagen fiber, blood vessel and nerve fiber might have the role of meridian system. And the more, regardless of histological research, the study on collagen fiber as response transmitter in acupuncture treatment are in need.