• Title/Summary/Keyword: 손상원인

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Systematic Review of the Cause of Drug-Induced Liver Injuries in Korean Literature (약인성 간손상의 원인물질에 관한 국내연구의 체계적 고찰)

  • Yun, Young-Ju;Shin, Byung-Cheul;Lee, Myeong-Soo;Cho, Sung-Il;Park, Jae-Hyeon;Lee, Hye-Jung
    • The Journal of Korean Medicine
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    • v.30 no.2
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    • pp.30-45
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    • 2009
  • Background: The safety of herbal products is an important issue in Korea. It is more complicated because of the concomitant use of conventional western drugs and herbal medicine, including prescribed medicine, folk herbs and food supplements. Although both western and traditional Korean medical doctors have studied on the safety of HMP, their results did not show relevant or consistent conclusions because of the poor quality of studies, including bias. Objectives: The aim of this study was to review the studies in Korea related to drug induced liver injury (DILI) systematically. We tried to estimate the proportion of causative materials of DILI and evaluate the clinical difference of DILIs from different materials. Methods: Systematic searches were performed on MedRIC and MEDLIS in Korea. The extraction of data as well as selective screening of the studies was carried out independently by two of the authors. There were no restrictions on the types of publication, including grey literature. Results: Twenty-one articles were included. Of them only 7 adapted prospective design and only 6 were published in peer-reviewed journals. The proportion of conventional drugs associated with hepatotoxic injuries in all DILI ranged from 15.8% to 83.3% and that of herbal medicine was from 28.9% to 44.7%. However, the criteria for herbal medicine were not clearly defined and concomitant medications were not fully investigated in most studies. There were limited objective data in the clinical differences of liver injuries from different materials and their results were conflicting. Conclusions: The causality assessments regarding DILI of herbal medicine were not performed properly and causative materials were misclassified in most of the studies published in Korea. These make the safety issue still ambiguous because of the limitations and lack of objectivity of the studies. More rigorous studies are required for clearly addressing these conflicting issues with cooperative investigation between traditional Korean and western medicine.

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Acutrak Screw Fixation for Radial Head Fracture -7 Cases Report- (Acutrak 나사를 이용한 요골두 골절의 치료 -7례 보고-)

  • Kim, Kwang-Yul;Lim, Moon-Sup;Shin, Heung-Sub;Choi, Shin-Kwon
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.5 no.1
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    • pp.75-80
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    • 2006
  • Purpose: To evaluate the efficiency of Acutrak screw fixation for radial head fracture (Mason type 2) without considering the safe Bone of radial head. Materials and Methods: Consecutive seven radial head fracture of Mason type II underwent internal fixation with Acutrak screws from May 2001 to February 2003. The mean follow-up period was 1.2years (ranged, $6 months{\sim}2.5 years$). The mean age of patients was 47 years old (ranged, $36{\sim}60years$ old). The cause of injury were fall down -4 cases and traffic accident -3 cases. The results were evaluated by Mayo Clinic results scoring system. Results: Functional Rating Index of Mayo Clinic was excellent- 2 cases and good- 5 cases. There were no nonunion, loosening, heterotopic ossification, infection or degenerative changes. The postoperative range of motion in elbow joint is nearly full for flexion, extension, pronation and supination in this study Conclusion: Consideration of safe zone is not necessary when Acutrak screws are used for radial head fracture. It seems to be a useful method that Acutrak screw fixation for radial head fracture (Mason type II) could achieve good radiologic and clinical results without influencing proximal radio-ulnar joint and has powerful fixation.

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Reversed Lateral Load Tests on RC Frames Retrofitted with BRB and FRP (좌굴방지가새와 FRP로 보강된 RC골조의 반복 횡하중 실험)

  • Lee, Han-Seon;Lee, Kyung-Bo;Hwang, Seong-Jun;Cho, Chang-Seok
    • Journal of the Korea Concrete Institute
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    • v.23 no.5
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    • pp.683-692
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    • 2011
  • In piloti-type low-rise RC residential buildings, severe damages have been usually concentrated at piloti stories under the earthquake. In this study, a piloti story was retrofitted by installation of buckling-restrained braces (BRB's) to increase strength and stiffness of piloti story and by application of fiber reinforced polymer (FRP) sheet on columns to avoid the brittle shear and axial failure of columns. To verify this retrofit performance, reversed cyclic lateral load tests were performed on 1:5 scale bare and retrofitted frames. The test results showed that yield strength (43.2 kN) appeared to be significantly larger than design value (30 kN) due to the increase of strength in the compression side, but the stiffness value (11.6 kN/mm) turned out to be approximately one-half of the design value (24.2 kN/mm). The reasons for this difference in stiffness were due to slippage at joint between the frame and the BRB's, displacement and rotation at footing. The energy absorption capacity of the retrofitted frame was 7.5 times larger than that of the bare frame. The change of the number of load cells under the footing from 2 to 1 reduced lateral stiffness from 11.6 kN/mm to 6 kN/mm, which was only three times larger than that of the bare frame (2.1 kN/mm).

Study on the production and management of aquatic animals : direct detection of Edwardsiella tarda using an enzyme linked immunosorbent assay (수생산물의 생산과 관리에 관한 기초연구 : ELISA법을 이용한 Edwardssiella tarda의 직접 검출)

  • Chung, Soon-Yoon;Sohn, Sang-Gyu;Chung, Joon-Ki;Huh, Min-Do;Jeong, Hyun-Do
    • Journal of fish pathology
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    • v.10 no.2
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    • pp.75-86
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    • 1997
  • Solid phase enzyme linked immunosorbent assay (ELISA) was developed to detect the whole cells of Edwardsiella tarda from infected tissues of flounder. Cross-reaction test was performed by ELISA against fish pathogens such as A. hydrophila ATCC7966. V. anguillarum HYUFP5001, Y, ruckeri 11-4, E. ictaluri and Streptococcus sp. NG8206. Rabbit anti-E, tarda Edk-2 sera highly cross-reacted with A. hydrophila ATCC7966 and V. anguillarum HUFP5001. However, the cross-reaction was removed by using the anti-serum pre-adsorbed with A, hydrophila ATCC7966 FKC. The intra-species cross-reaction among E. tarda isolates was very high. ELISA with the whole cell antigens present in tissue homogenate appeared with highly decreased sensitivity, presumably by the co-coating of lipid or proteins in tissues. Thus, it would be necessary to use the infected tissue homogenates diluted more than 100 times with PBS for diagnosis. Interestingly, compared with the using of FKC antigen, the direct detection of viable cells in tissue homogenate showed more sensitive results with detection limit of $1{\times}10^3$ cells/ml in buffer or diluted tissue homogenate. Consequently, the ELISA method developed in this study was specific, rapid and sensitive for diagnosing edwardsiellosis.

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Pathophysiology of olive flounder Paralichthys olivaceus suffering from emaciation (여윔증 넙치, Paralichthys olivaceus의 증상에 대한 병태생리학적 고찰)

  • Kim, Yi-Kyung;Jeong, Joon-Bum;Lee, Mu-Kun;Park, Soo-Il;Park, Myeong-Ae;Choe, Mi-Kyung;Yeo, In-Kyu
    • Journal of fish pathology
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    • v.24 no.1
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    • pp.11-18
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    • 2011
  • This study was aimed to investigate the pathophysiological changes of olive flounder, Paralichthys olivaceus suffering from emaciation. A plasma osmolality was higher in the emaciated and control flounders than that of normal teleost, suggesting osmoregulatory failure in both of them. Also, the control in the same stock with emaciated flounder seem to be classified into a primary degree of emaciation. According to microscopic observations, the inflammatory responses were observed in the submucosal layer of anterior intestine, although the some of mucosal intestinal epithelium still remained. It was suggested that the pathological changes of the anterior part give rise to malabsorption of nutrients through the mucosa. In the posterior intestine and rectum, the mucosal epithelium were almostly sloughed off and severe inflammatory responses were observed in the submucosa. Immunoreaction for NKCC was not detected in the mucosal epithelial cells in intestine because of sloughing of epithelium. These changes would lead to functional disorder in the intestine, such as malabsorption of nutrients and osmoregulatory failure. Also important is to investigate the recovery phase.

A Comparative Analysis of the Rental-car and non-Commercial Passenger Car Accident Characteristics in Jeju Island (제주지역 렌터카 및 비사업용 승용차 사고특성 비교분석)

  • KWON, Yeongmin;JANG, Kitae;SON, Sanghoon
    • Journal of Korean Society of Transportation
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    • v.35 no.2
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    • pp.105-115
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    • 2017
  • Each year, a number of tourists visit Jeju Island, a popular tourist destination in the Republic of Korea. A large portion of the tourists (about 61%) use a rental car as a means of transportation. With this reason, the number of rental cars registered in Jeju was 15,517 in 2011, while the total number of the rental car has rapidly increased to 26,338 in 2015. For the same period, the number of rental car involved traffic accidents has been doubled. Thus, this study aims to analyze the rental car accidents' characteristics, clarifying primary factors related to rental car accidents in Jeju Island. To do this, 918 rental car accidents and 4,201 non-commercial passenger car accidents that occurred in Jeju island over the two years (2014-2015) were compared, using statistical methods such as chi-square test and z-test. The results show that the characteristics of rental car involved accidents are different from those caused by the passenger cars. Most of the rental car accidents in Jeju were caused by young drivers and drivers who had just obtained their driver's licenses. This study finds that driver immaturity, unfamiliar geography, and driving an unfamiliar vehicle are the main causes of the rental car accidents. Statistical analysis confirms that the characteristics of these accidents appeared significantly different from the passenger cars in terms of human and environmental factors. On the other hand, there is no clear evidence that vehicle-related characteristics are different between rental car and non-commercial passenger car accidents. The implications on transportation safety analysis and effective solutions to prevent rental car traffic accidents are discussed.

Studies on the mass mortality of the cultured grouper, Epinephelus septemfasciatus (양식(養殖) 능성어, Epinephelus septemfasciatus 대량(大量) 폐사(斃死)에 관(關)한 연구(硏究))

  • Sohn, Sang-Gyu;Park, Myoung-Ae;Lee, Saeng-Dong;Chun, Seh-Kyu
    • Journal of fish pathology
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    • v.4 no.2
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    • pp.87-94
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    • 1991
  • In the late summer of 1990 and 1991, mass mortality occured among cage-cultured grouper, Epinephelus septemfasciatus in south cost of Korea. The moribund fish didn't feed and became pale or dark chestnut colour and irregularly swimmed due to the loss of equilibrium, finally the diseased fish fell down side away on the bottom or the surface of cage showing the bent of body and died. The diseased fish showed the extensive hemorrahge in brain, the swelling of spleen and bile duct as the specific syptoms of internal organs. So the gill, skin and other organs of the diseased fish were examined for the presence of pathogenic parasites and bacteria. The parasitic Trichodina sp. were detected only from the gill lamella of the diseased fish, but these parasites seemed to be not a direct causative agents that induced the gross mortality of the cultured grouper. because these parasites were also observed in normal grouper, yellowtail, red seabream and rock bream co-cultured with the diseased grouper in same or near cages. In the viral examination, although isolation of the causative agent by the use of estabilshed cell Lines, RTG-2 and CHSE-214, was not succeed, the normal grouper inoculated intramuscularly with the filtered homogenate of the organs of the diseased fish showed the same external and internal signs with the naturally infected grouper. They died within a week. By using the naturally and the artificially infected fishes, electron microscopic observation revealed numerous hexagonal or polygonal particles in the cytoplasm of liver cells. Based on the these results, we suggest that the mass mortality of the cultured grouper would be occurred by the infection of a viral agent.

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Primary Surgical Closure of Large Ventricular Septal Defects in Small Infants (조기 영아기 심실 중격 결손의 개심술)

  • 최종범;양현웅
    • Journal of Chest Surgery
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    • v.30 no.5
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    • pp.486-492
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    • 1997
  • We r viewed a policy of primary surgical closure of large ventricular septal defects in small infants. Sixty-three infants met criteria for inclusion in the study, and were divided into two groups based on age: group 1 infants aged less than 5 months(n = 31), and group 2 infants aged 5 months or more(n = 32). Both groups had similar variation in ventricular septal defect location(paramembranous versus muscular), and showed no significant difference in left to right shunt and in ratio of systemic and pulmonary vascualr resistance. Three early deaths(9.7%) occurred in group 1, but no death(0%) in group 2. The causes of death were preoperative cardiac arrest and cerebral injury followed by postoperative respiratory insufficiency in two patients, and preoperative tracheomalacia followed by laryngeal edema and respiratory arrest in one Two patients in group 1 showed postoperative low cardiac output syndrome(6.5% in group 1 versus 0% in group 2). There was no late death during the follow-up per od in both groups. No surviving patients had postoperative patch leakage, or required a second operation. These results indicate that primary surgical closure of large ventricular septal defects, if logical perioperative care is accompanied, can be saefly performed in small infants aged less than 5 months with low postoperative mortality or morbidity rates.

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Studies on Methacrylate Finish with Silk Fabrics and their Anticrease (Methacrylate 견직물가공과 방추도개선에 대한 연구)

  • 최병희;이양후
    • Journal of Sericultural and Entomological Science
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    • v.28 no.2
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    • pp.65-73
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    • 1986
  • These studies are carried out to improve silk availability for anticrease by useing methacrylate monomer polymerization method with in silk fiber. For this purpose, degree of anticrease, stiffness and shrinkage of various silk fabrics, included finish or not, after repeat of washings and polyster fabric was compared as standard. The adopted samples are ; 1. Polyester, Georgette, Woven density…90cm-85g/m 2. Silk, Twill, Degumed, Light, Woven density…90cm-90g/m 3. Silk, Twill, Degumed, Heavy, Woven density…90cm-200g/m 4. Silk, Stain, Degumed, Light, Woven density…90cm-90g/m The reached results are as followings. 1. The results of improving on anticrease by the finished method were about ten per cent increase against their original samples. 2. The light density silks showed satisfactory improve for anticrease, but the heavy one remained as rather poor condition. 3. The results for degree of textile stiffness were investigated to make sure reserve their textile feeling and observed to be good condition upon the finish work. 4. Textile shrinkage after the repeat of soap wash was investigated on indivisual test sample and silk fabrics showed more shrinkage than polyester which it seemed to be tentering shrinkage druning their general finishing processes. 5. The investigation showed that anticrease, stiffness and shrinkage of the sample textile were more or less deteriorated regardless silk or polyester by the repeat of washings. These matters are considered that such results were obtained because of the fiber fatigue nature. 6. The report reached that silk textiles should be used by dry cleaning methed after finish of any resin finish to reserve their improved anticrease nature.

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Arthroscopic Direct Removal of Popliteal Cyst by Posteromedial Portal (관절경하 후내측 도달법을 이용한 슬와 낭종의 직접적 제거술)

  • Cho, Jin-Ho;Kim, Yong-Hoon;Kim, Dong-Hwan
    • Journal of the Korean Arthroscopy Society
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    • v.9 no.2
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    • pp.232-237
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    • 2005
  • Purpose: To evaluate the effectiveness of arthroscopic direct cystic removal of popliteal cyst using 70 degree arthroscopy and posteromedial portal. Materials and Methods: From January 2003 to January 2004, 21 patients(23 cases) with popliteal cyst have been treated by direct cystic decompression with arthroscopy. The average age of the 21 patients was 54 years(range 35 to 78 years). There were 5 males and 16 females. Of the 23 cases,8 cases were occured in right side and 11 cases were occured in left side. 4 cases were both sides. In all cases, preoperative MRI were performed to detect combined intraarticular pathology. At 6 months and 1 year postoperatively, follow-up ultrasonography were performed to detect recurrence of cyst. We used Rauschning and Lindgren criteria for clinical evaluation. Results: All cases had no recurrence and no complaints of pain, swelling, or functional impairment at 1 year after surgery. At ultrasonography, no recurrence were founded. One complication was occurred. Postoperatively, Rauschning and Lindgren criteria were more than grade 1. Conclusion: Arthroscopic direct cystic removal using arthroscopy and posteromedial portal is an effective method in popliteal cyst surgery.

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