• Title/Summary/Keyword: 혈액유출

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Freezing and Washing of Red Blood Cells Using Haemonetics ACP 215 (Haemonetics ACP 215를 이용한 적혈구의 동결과 세척)

  • Youn, Kyoung Won;Choi, Kyoung Young;Lee, Sun Ah;Min, Hyuk Ki;Kim, Jaehyun
    • The Korean Journal of Blood Transfusion
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    • v.29 no.3
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    • pp.291-300
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    • 2018
  • Background: The use of a functionally closed system for the glycerolization and deglycerolization of red blood cells (RBCs) allows for prolonged post-thaw storage for more than 24 hours. The aim of this study was to assess glycerolization and deglycerolization processing for RBCs using a high glycerol method in the automated, closed system provided by Haemonetics ACP 215. Methods: Thirty-five packed RBCs were glycerolized using the ACP 215 to a final concentration of 40% (wt/vol). The units were either frozen as such (n=30) or excess glycerol was removed (n=5) before freezing. After storage at $-80^{\circ}C$, the units were thawed, deglycerolized and resuspended in SAG-M. The frozen-thawed RBCs were stored at $4^{\circ}C$, and analyzed for their stability and in vitro quality. Results: No prefreeze excess glycerol removal units showed significantly less potassium leakage during post-thaw storage compared to the prefreeze excess glycerol removal units. All measurements of the stability and in vitro quality of thawed RBCs prepared from frozen RBCs without the prefreeze removal of excess glycerol during post-thaw storage at $4^{\circ}C$ for 7 days were acceptable to the American Blood Bank Association's standards and European standards. Conclusion: RBCs frozen without prefreeze removal of excess glycerol and the ACP 215 simplifies cryopreservation procedure and increases the stability of frozen-thawed RBCs. This increases the practical applicability of cryopreserved RBCs in blood transfusion practice.

The Effects of Autologous Blood Pleurodesis in the Pneumothorax with Persistent Air Leak (지속성 기흉에서 자가혈액을 이용한 흉막유착술의 효과)

  • Yoon, Su-Mi;Shin, Sung-Joon;Kim, Young-Chan;Shon, Jang-Won;Yang, Seok-Chul;Yoon, Ho-Joo;Shin, Dong-Ho;Chung, Won-Sang;Park, Sung-Soo
    • Tuberculosis and Respiratory Diseases
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    • v.49 no.6
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    • pp.724-732
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    • 2000
  • Background : In patients with severe chronic lung diseases even a small pneumothorax can result in life-threatening respiratory distress. It is important to treat the attack by chest tube drainage until the lung expands. Pneumothorax with a persistent air leak that does not resolve under prolonged tube thoracostomy suction is usually treated by open operation to excise or oversew a bulla or cluster of blebs to stop the air leak. Pleurodesis by the instillation of chemical agents is used for the patient who has persistent air leak and is not good candidate for surgical treatment. When the primary trial of pleurodesis with common agent fails, it is uncertain which agent should be used f or stopping the air leak by pleurodesis. It is well known that inappropriate drainage of hemothorax results in severe pleural adhesion and thickening. Based on this idea, some reports described a successful treatment with autologous blood instillation for pneumothorax patients with or without residual pleural space. We tried pleurodesis with autologous bood for pneumothorax with persistent air leak and then we evaluated the efficacy and safety. Methods : Fifteen patients who had persistent air leak in the pneumothorax complicated from the severe chronic lung disease were enrolled. They were not good candidates for surgical treatment and doxycycline pleurodesis failed to stop up their air leaks. We used a mixture of autologous blood and 50% dextrose for pleurodesis. Effect and complications were assessed by clinical out∞me, chest radiography and pulmonary function tests. Results : The mean duration of air leak was 18.4${\pm}$6.16 days before ABP (autologous blood and dextrose pleurodesis) and $5.2{\pm}1.68$ days after ABP. The mean severity of pain was $2.3{\pm}0.70$ for DP(doxycycline pleurodesis) and $1.7{\pm}0.59$ for ABDP (p<0.05). There was no other complication except mild fever. Pleural adhesion grade was a mean of $0.6{\pm}0.63$. The mean dyspnea scale was $1.7{\pm}0.46$ before pneumothrax and $2.0{\pm}0.59$ after ABDP (p>0.05). The mean $FEV_1$ was $1.47{\pm}1.01$ before pneumothorax and $1.44{\pm}1.00$ after ABDP (p>0.05). Except in 1 patient, 14 patients had no recurrent pneumothorax. Conclusion : Autologous blood pleurodesis (ABP) was successful for treatment of persistent air leak in the pneumothorax. It was easy and inexpensive and involved less pain than doxycycline pleurodesis. It did not cause complications and severe pleural adhesion. We report that ABP can be considered as a useful treatment for persistent air leak in the pneumothorax complicated from the severe chronic lung disease.

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Change of Hematological Characteristic and Heavy Metal Concentration on Rockfish (Sebastes schlegeli) Rearing in the Copper Alloy Mesh (동합금 가두리 망 사육어류, 조피볼락(Sebastes schlegeli)의 혈액 성상과 중금속 축적률)

  • Yang, Sung-Jin;Jun, Je-Cheon;Park, Jung-Jun;Myeong, Jeong-In;Shin, Yun-Kyung
    • Korean Journal of Ichthyology
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    • v.26 no.3
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    • pp.159-170
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    • 2014
  • The effect of substances discharged from copper alloy mesh on the survival rate, growth, and health status of Sebastes schlegeli was investigated. Survival rate of experimental group was 10% higher than control group. There was no significant difference in weight gain and SGR between control group and experiment group (P<0.05). Glucose concentration was lower in the experimental group than that in the control group. GOT and GPT contents did not show significant difference during experiment except for the early three months of experiment (P<0.05). Ammonia concentration had not significantly changed in the experimental group, but it had increased until four months of experiment and then decreased afterwards in the control group. TCHO had decreased in the experiment group compared with that of control group. Copper and zinc contents had increased as compared with those in the initial stage of experiment with no significant difference between experiment group and control group (P<0.05). Histological analysis for the liver revealed that liver tissues were not particularly different from those in control group. There were no significant differences in survival rate, growth, and hematological characteristic between control group and experiment group (P<0.05). Though copper and zinc were accumulated as compared with those during the initial stage of experiment, the levels were lower than permissible levels for copper and zinc. As a result, copper alloy mesh would not adversely affect on the survival rate, growth, and health status of fishes.

Development of Healthcare Bathing System for Improving the Multisensory Functions (복합감각 기능증진 개념의 헬스케어 목욕시스템 개발)

  • Kim, Hyung-Ji;Yu, Mi;Jin, Hea-Ryen;Kwon, Tae-Kyu
    • Science of Emotion and Sensibility
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    • v.13 no.2
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    • pp.309-316
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    • 2010
  • This paper proposes healthcare bathing system for improving the multisensory function and not washing. We designed various types of bathtub for developing bathing system. This system consists of whirlpool bathtub for multisensory stimulation, a cover of bathtub with visual-auditory stimulation function, a small size PC for main control, touch panel, digital multimedia broadcasting (DMB), color-changeable LED mood lighting system for improving visual sensibility and speaker. We investigate the effects on autonomic nervous system during bathing with healthcare bathing system for improving the multisensory functions. To analysis physiological parameter, body temperature, blood pressure, intraocular pressure and heart rate variability (HRV) were measured before, during and after bath using healthcare bathing system. Experiments were performed on partial immersion bath and the water temperature was kept $39{\pm}0.5^{\circ}C$. The body temperature and the heart rate variability of the subject were measured every 5 minutes before, during, and after the bath. In analysis of HRV, the parasympathetic nerve increased from starting bath and decreased after 15 minutes. So the subjects felt comfortable at 15 minutes after starting bath. Blood pressure decreased to 16mmHg maximumly however pulse increased. Bath using healthcare bathing system for improving the multisensory functions affects positively the circulation of the blood. From this results, it leaves something to be desired in evaluation of serviceability and physiological analysis using the healthcare bathing system, however, we expect to analyze more clearly the relationship between the serviceability of product, physiological change and sensibility by various physiological parameters.

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Effects of Ethanol Administration on Glutathione and Lipid Peroxide Levels in Rat Liver and Cerebellum (에탄을 공급이 흰쥐 조직중의 Glutathione 및 지질산화 수준에 미치는 영향)

  • 이정원
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.20 no.4
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    • pp.285-292
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    • 1991
  • The effects of acute and chronic ethanol administration on hepatic and cerebellar glutathione (GSH) statuses and lipid peroxide levels in rats were investigated. In the liver, chronic ethanol feeding (6.9 g/kg, per day) as 10% (v/v) drinking water for 4 weeks produced a slight decrease of total GSH and an increase in the ratio of GSSG/total GSH without change of GSSG (oxidized GSH). Lipid peroxide level however was not modified. Many other studies have shown the acute ethanol loading effect in the rat liver, that is moderate decrease of total GSH and elevation of lipid peroxide level. Relating to this, it was observed that total GSH in the plasma obtained from post. hepatic inferior vena cava was increased by acute ethanol injection (50 mmol/kg, i.p.). This increased hepatic efflux of GSH into blood, in addition to the promoted antioxidative utilization of GSH, could be suggested as one of the possible reasons for the decrease of hepatic GSH induced by ethanol load. In the cerebellum, acute ethanol load did not change the total GSH and GSSG, but increased the lipid peroxidation rate. In the chronic, neither GSH pattern nor lipid peroxidation rate was changed.

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Right-to-left Shunting Ventricular Septal Defect in a Dog (개에서 발생한 우-좌 단락 심실 중격 결손 증례)

  • Yun, Sookyung;Kim, Boeun;Youn, Hwayoung;Choi, Mincheol;Yoon, Junghee
    • Journal of Veterinary Clinics
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    • v.32 no.4
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    • pp.343-346
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    • 2015
  • A 4-year-old castrated male Dachshund was presented with a chronic history of dyspnea and cyanosis. Complete blood count revealed marked polycythemia with a hematocrit of 79.7%. Thoracic radiographs showed mild right-sided cardiac enlargement. Echocardiography showed a large ventricular septal defect in the left ventricular outflow tract region just proximal to the aortic valve. On Doppler echocardiography, right-to-left shunt flow through the defect was found and confirmed by contrast echocardiography. Based on these diagnostic findings and clinical signs, the dog was diagnosed as right-to-left shunting ventricular septal defect. Phlebotomy and oxygen supplement were performed, but the dog died the day after presentation.

Single Incision Flexible Endoscopic Cholecystectomy in Dogs : Feasibility Study (개에서 단일 통로 유연 내시경 담낭 절제술 : 유용성 연구)

  • Lee, So-Yeon;Shin, Beom-Jun;Jeong, Seong-Mok
    • Journal of Veterinary Clinics
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    • v.28 no.6
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    • pp.555-561
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    • 2011
  • Laparoscopic surgery is a well-established alternative to open surgery across disciplines. However, in veterinary medicine, laparoscopic surgery in dogs was rarely reported because of small abdominal size for multiple ports insertion. The concept of single-incision laparoscopic surgery (SILS) is to perform the entire laparoscopic operation through a single incision rather than conventional multiple small skin incisions. Indirect evidence of potential benefits of SILS, decreases operative morbidity related to reduction in port size, already exists. Therefore, this study was performed to evaluate the safety and feasibility of the modified form of SILS using flexible endoscope in Cholecystectomy before clinical adoption. A 2 cm single periumbilical incision was performed, and flexible endoscope was introduced into the abdominal cavity. A laparoscopic grasper was inserted into the abdominal cavity for the traction of gall bladder. Cystic duct and artery were ligated by 5 mm Hem-o-lok$^{(R)}$. Then, gall bladder was dissected and resected from the liver with 5 mm Autonomy Laparo-Angle Maryland dissector and endoscopic needle knife. Resected gall bladder was wrapped by using specimen pouch and was retrieved through abdominal incision from the cavity. All three gall bladders were successfully removed. Hematological changes were not observed during examination periods. No leakage sign was identified at necropsy. The flexible endoscope, as distinct from conventional rigid laparoscope, allows the visualization from various angles and the wide range of motion, result in less crowding.

The Effect of Addition of Cyclic Adenosine Monophosphate and Nitric Oxide in Low Potassium Dextran Solution for Lung Preservation in an Isolated Rabbit Lung Perfusion Model. (토끼 폐장 분리관류 모형에서 Low Potassium Dextran 용액에 Cyclic Adenosine Monophosphate와 Nitric Oxide의 첨가가 폐보존에 미치는 영향)

  • 조덕곤;조규도;김영두;곽문섭
    • Journal of Chest Surgery
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    • v.34 no.3
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    • pp.212-223
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    • 2001
  • 배경: 이식폐의 보존 및 재관류 동안 cyclic adenosine monophosphate(cAMP)와 nitric oxide(NO)는 폐혈관 내 순환조절을 유지하는데 있어 중심적인 역할을 한다. 그러나 내치세포내의 cAMP와 NO 모두 허혈-재관류 과정 동안에 현저하게 감소한다. 이에 저자는 low potassium dextran(LPD) 폐조본액에 cAMP의 유사체인 dibutyry1 cAMP(db-cAMP)와 NO의 공여물질인 nitroglycerin(NTG)을 첨가하여 이들의 폐보존 효과를 알아보고, 이들은 첨가한 폐보존액 들의 효과를 비교하였다. 대상 및 방법: 토끼 폐장 분리관류 모형에 실험군은 각각 6마리씩 4개군으로 단순 LPD 페보존액만 사용한 경우(I군), LPD 용액에 NTG 만 참가한 경우(II군), cAMP 만 첨가한 겨우(III군) 그리고 두가지 모두를 첨가한 경우는 IV군으로 분류하였으며, 폐보존액이 주입된 심폐블록은 영상 1$0^{\circ}C$에서 24시간 동안 보관한 다음 100% 산소농도에서 기계호흡을 하면서 신선 정맥혈로 30분 동안 재관류를 시행하였다. 재관류폐의 평가를 위해 폐기능 및 폐부종 정도를 정량 측정하였으며, 유출로 혈액으로부터 tumor necrosis factor $\alpha$(TNF-$\alpha$)와 간접적인 NO의 총량을 알기 위해 nitrite/nitrate의 양을 측정하였다. 또한 재관류가 끝난 후 광학 및 전자현미경학적 소견을 관찰하였다. 결과: 모든 실험군 중 제 IV군 의 폐보존 능력이 가장 우수하였으나, 제 II, III, IV군 사이는 통RP적으로 유의한 차이가 없었다. 제 I군은 제 II, III, IV군들에 비해 유의하게 폐기능이 가장 나쁘고 폐부종 정도가 가장 심했다(p<0.05). 제 II군은 제 III군에 비해 더 좋은 폐기능을 보였고, 폐부종 정도가 덜 하였으나 통계적은 유의성은 없었다. TNF-$\alpha$ 는 제 IV 군이 Irns에 비해 유의하게 분비량이 적었다. (p<0.05). 총 NO의 양은 제 II군과 IV 군이 제 I 군과 III군보다 유의하게 높았으나(p<0.001), 제 II군과 IV군, 제 I군과 III군 사이 비교에서 유의한 차이는 없었다. 또한 제 I 군과 III군에서는 시간이 지남에 따라 유의하게 NO의 양이 점차 감소하였다. (p<0.05). 광학 및 전자현민경 소견상 폐포 및 폐혈관 구조가 제 II, III, IV 군이 I 군에 비해 더 잘 보존되어있었다. 결론: LPD 폐보존액에 db-cAMP 및 NTG의 첨가는 폐보존 효과가 모두 우수함을 확인하였고 이들의 폐보존 효과 차이는 거의 없음을 알수 있었다. 그렇지만 이들의 병합사용이 폐혈관 항상성을 더 잘 유지시킬 수 있고 허혈-재관류 손상을 줄여 폐보존 효과를 높일 수 있을 것이라고 기대된다.

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Surgical Treatment of Pulmonary Mucormycosis (폐 모균증의 외과적 치료)

  • Kim, Ju-Hyeon;Park, Seong-Sik;Sin, Yun-Cheol;Seong, Suk-Hwan
    • Journal of Chest Surgery
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    • v.29 no.3
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    • pp.350-354
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    • 1996
  • Pulmonary mucormycosis is a very rare but often fatal opportunistic fungal infection caused by the order Mucorales in class Zygomycetes. Reported overall mortality exceeds 70% and the diagnosis is often made post-mortem. We experienced 2 cases of typical form of pulmonary mucormycosis. One patient was a poorly controlled diabetic and the other suffered from acute Iymphocytic leukemia (ALL). The former was diagnosed by a bronchoscopic biopsy and the latter by a pathologic examination from the percutaneous drain of a subphrenic abscess. Both of them underwent a surgical excision of the involved lung tissue. The patient with diabetes mellitus was successfully treated by surgical resection and discharged without complications. The other with ALL underwent a second operation and was transferred to the department of internal medicine for further management of his relapse of lettkemia. Recent literat re suggests that early aggressive diagnostic effort and treatment including surgical resection in the case of localized forms of the disease results in a good prognosis.

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Driving Properties of Diesel Injection System using the Multilayer Actuator Structured-ultrasonic Nozzle (적층액츄에이터형 초음파 노즐을 이용한 경유분사 시스템의 구동특성)

  • Kim, Do-Hyung;Kim, Hwa-Soo;Kang, Jin-Hee;Lee, Yu-Hyong;Hwang, Lark-Hoon;Yoo, Ju-Hyun;Hong, Jae-Il
    • Proceedings of the Korean Institute of Electrical and Electronic Material Engineers Conference
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    • 2008.11a
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    • pp.174-174
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    • 2008
  • 초음파를 이용하여 액체 연료를 분사하면 균일한 입경과 미립화가 우수하며 에너지 절약과 공해방지등을 할 수 있다. 또한 유속과 유량에 관계없이 이용할 수 있어 반도체 분야의 웨이퍼와 평판 표시기상에 사진 석판용 화학물질의 균일도포 컴퓨터 하드 디스크의 광택제 도포등에 사용할 수 있다. 이처럼 초저의 유출 용량을 요구하는 모든 공정 및 액체연료의 분사가 요구되는 모든 산업에 적용할 수 있는 장점을 가지고 있다. 하지만 현제까지 주로 사용되고 있는 초음파노즐의 액츄에이터는 단판액츄에이터형로 높은 교류전압을 인가해주어야 하는 단점을 가지고 있다. 이 단점을 해결하기 위해 적층액츄에이터형을 사용하여 초음파 노즐 구동하면 낮은 교류 입력전압에서도 단판액츄에이터형 초음파 노즐과 같은 특성을 가질 수 있다. 또한 초음파 노즐의 구동시 기계적인 진동을 이용하므로 많은 열을 발생시켜 노즐의 온도가 상승하여 세라믹 액츄에이터에도 그 영향을 미치게 되어 열적 열화 현상이 일어날 수 있기에 높은 큐리온도를 가지는 액츄에이터가 필요하다. 본 실험에서는 $Pb(Mn_{1/3}Nb_{2/3})_{0.02}(Ni_{1/3}Nb_{2/3})_{0.12}(Zr_{0.50}Ti_{0.50})_{0.86}O_3$ 조성을 사용하여 $900^{\circ}C$의 저온에서 액상 소결하여 적층혈액츄에이터를 제작하였으며 압전 및 유전 특성을 조사하였다. 제작된 초음파노즐을 구동하기 위해서는 약 36kHz의 30V이상의 교류입력전압 할 수 있는 구동회로가 필요로 한다. 압전액츄에이터의 구동을 위해서는 정확한 정현파 입력이 필요 없다. 압전액츄에이터의 특성상 유사 정현파 입력 만으로도 임피던스 매칭이 이루어지기 때문에 설계가 쉽고 간편한 Push-Pull 방식을 이용한 PWM인버터를 사용하였고 인버터의 출력 주파수를 34~38kHz까지 가변 할 수 있게 설계하였다. 제작된 적층액츄에이터형 초음파 노즐을 PWM인버터로 실제 액체 연료인 경유를 분사하였을 때의 액츄에이터의 온도 변화에 따른 공진주파수와 온도 의존성, 전기적 특성을 조사하고 미립화 분사되는 경유의 미립자 크기 및 최대 분사량을 조사 하였다.

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