• 한국수산과학회지
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• 제53권4호
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• pp.499-505
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• 2020

We investigated growth, survival and stress response depending on salinity changes in hybrid grouper (Epinephelus fuscoguttatus ♀×E. polyphekadion ♂, BCG) juvenile. Experiment I (Exp I), the hybrids were stocked at 32 psu and reared for 30 days under decreasing salinity at a rate of 5-7 psu per day (25, 20, 15, 10, 5 psu). Experiment II (Exp II), the salinity was decreased from 32 psu to 5 psu during a period of 24, 48 and 72 h. Experiment III (Exp III), acclimatized BCGs were exposed from 5 psu to decreasing salinity at 0, 1, 2, 3, 4 psu. In the Exp I, 90% survival only in the 5 psu. Growth were 5 and 32 psu had significantly low growth than other treatment. In the Exp II 100% survived by the end of the experiment. The plasma cortisol level was highest in the treatment the salinity rapidly dropped, but all the treatment recovered quickly after 24 h of salinity reduction. In the Exp III, the lower the salinity, the faster the mortality occurred in salinity below 5 psu. It is therefore concluded that the BCGs are highly tolerant of low salinity and the salinity tolerance threshold is 5 psu.

• Clinical and Experimental Pediatrics
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• 제61권3호
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• pp.95-100
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• 2018

Purpose: This study aimed to evaluate the clinical findings in pediatric rhabdomyolysis and the predictive factors for acute kidney injury (AKI) in Korean children. Methods: Medical records of 39 Korean children, who were newly diagnosed with rhabdomyolysis from January 2008 to December 2015, were retrospectively analyzed. The diagnosis was made from the medical history, elevated serum creatinine kinase level >1,000 IU/L, and plasma myoglobin level >150 ng/mL. Patients with muscular dystrophy and myocardial infarction were excluded. Results: The median patient age at diagnosis was 14.0 years (range, 3-18 years), and the male to female ratio was 2.5. The most common presenting symptom was myalgia (n=25, 64.1%), and 14 patients (35.9%) had rhabdomyolysis-induced AKI. Eighteen patients (46.2%) had underlying diseases, such as epilepsy and psychotic disorders. Ten of these patients showed rhabdomyolysis-induced AKI. The common causes of rhabdomyolysis were infection (n=12, 30.7%), exercise (n=9, 23.1%), and trauma (n=8, 20.5%). There was no difference in the distribution of etiology between AKI and non-AKI groups. Five patients in the AKI group showed complete recovery of renal function after stopping renal replacement therapy. The median length of hospitalization was 7.0 days, and no mortality was reported. Compared with the non-AKI group, the AKI group showed higher levels of peak creatinine kinase and myoglobin, without statistical significance. Conclusion: The clinical characteristics of pediatric rhabdomyolysis differ from those observed in adult patients. Children with underlying diseases are more vulnerable to rhabdomyolysis-induced AKI. AKI more likely develops in the presence of a high degree of albuminuria.

• Journal of Chest Surgery
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• 제30권12호
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• pp.1167-1174
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• 1997

저자들은 1991년부터 1996년까지 5년간 지연 흉골 폐쇄를 시행한 20명의 환자를 분석하고 추적 조사 하였다. 남녀비는 11:9였고 평균연령은 6.4개월(범위 7일-5년)이었다. 적응증으로는 개심술후 심근부종에 기인한장치한 불안정한 혈역학적 상태로 인한 것이 15례로 가장 많았고, 심폐기 이탈 불가로 심실 보조 장치를 경우에서가 3례, 폐동맥 밴딩술 후 저산소증으로 인한 것이 2례 등이었다. 흉골 봉합은 술후 평균 102시간(범위 4-213시간)에 이루어졌으며 시행 후 중심 정맥압의 유의한 상승이 관찰되었다. 종격 동염, 환부 감염 등은 없었으며 2례에서 패혈증이 관찰되었다. 5명이 사망하였고 생존환자 15명중 2명 이 술후 추적관찰 기간 중 사망하였다. 누적 생존률은 1년과 2년에서 각각 65.0%였다. 지연 흉골 봉합 은 혈역학적으로 불안정한 심장을 감압하는 좋은 방법이며 성공적인 결과를 얻기 위해서는 적응증에 대한 신중한 고려가 선행되어야 한다고 생각된다.

• Journal of Chest Surgery
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• 제30권12호
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• pp.1219-1224
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• 1997

1980년대 이후 임상 폐이식 예가 급속히 증가하고 그 성적도 날로 향상되어, 현재 폐이식술은 말기 폐질환 의 치료 방법으로 선택되어 지고 있으나, 아직도 거부 반응의 조기 발견 및 치료, 적출 폐장의 보존, 감염 관 리, 기관지 문합부 합병증 등 여러 면에서 해결해야 할 과제가 많이 남아 있다. 기관지 문합부 합병증은 다른 장기 이식과는 달리 폐이식에 특이한 것으로, 허혈, 거부 반응, 면역 억제제, 문합 부위의 기계적 손상, 감염 등의 여러 인자가 복합적으로 작용하여 일어난다고 생각되고 있다. 기관지 문합부 합병증을 감소시키기 위한 노력의 하나인 telescoping 기법은 Su Antonio Group에 의해 최근에 다시 소개되어 좋은 성적을 보이고 있다 이 실험은 허혈 상태의 기관 문합부 치유에 있어서 Telescoping 기법의 효과를 평가하기 위해 고안되었다. 방법 : 경부 기관을 주위 조직으로 부터 완전 박리하여 최대한의 허혈 상태를 만든 후 중간 1/3을 절제하여 절제된 기관 절편을 재문합하였는데, 그룹 I에서는 단순 단속 봉합하였고, 그룹 II에서는 telescoping 기법으로 문합하여 문합부에서의 섬유화 정도를 비교 관찰하였다. 결과 ; 양 군에서 평균 생존일, 사망 원인, 원인 불명 또는 혈종에 의한 질식으로 사망한 토끼의 술후 평균 생존 기간, 기관 합병증의 발생 빈도 등이 모두 통계적으로 유의한 차이가 없었음에도 불구하고 telescoping 기법으로 문합한 군에서 수술 조기의 문합부의 섬유화(fibroblast density, collagen formation)가 유의하게 증가 되었으며, 섬유아세포의 band-like fibrous union 현상이 문합부에서 현저하게 관찰되었다.

• 한국물환경학회지
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• 제22권2호
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• pp.364-369
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• 2006

파라치온에 노출된 붕어의 뇌, 안구, 근육 및 혈청의 AChE 활성 변화를 조사한 결과 파라치온 $63{\mu}g/L$ 농도 이상에서 유의하게 감소하는 경향을 보였다. 실험종료 시 AChE 활성은 뇌에서 79.1~92.4%, 안구에서 76.0~91.5%, 근육에서 89.7~97.6% 및 혈청에서 68.9~78.0% 감소하였다. 실험기간동안 유의한 생존율 변화는 관찰되지 않았으나, 유영이상 및 경련을 보였다. 또한 파라치온에 노출된 붕어의 형태변화는 척추측만(scoliosis)이 관찰되었는데 이러한 변화는 파라치온 $190{\mu}g/L$ 농도는 15%, $380{\mu}g/L$에서는 75%로 관찰되었다. 따라서 붕어의 AChE 활성과 그 밖의 행동 및 형태적 특성은 자연수계에서 파라치온 오염을 추정할 수 있는 생물학적 모니터닝 도구로 활용할 수 있다.

• 한국가금학회지
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• 제12권2호
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• pp.135-143
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• 1985

관절염(또는 건초담), 발육부전증을 보이는 12주령 이하의 브로일러 종계와 브로일러에서 8주의 바이러스를 분리하여 avian reovirus로 동정하였다. 부리된 reovirus는 전자현미경에서 이중막을 갖는 구형으로 virion의 직경은 81nm였으며 한천겔침강반응에서 기지의 reovirus(S-1133 주) 및 항혈청(항 S-1133주 및 R-1주)과 반응하였다. 분리된 revirus는 혈구응집능력이 없었으며 chloroform, IUdR 및 열처리(56$^{\circ}C$, 30분)에 강한 저항성을 나타내었다. Reovirus의 감염성 측정시 계 태아섬유아세포 및 가세포배양과 Vero cell 배양에서 세포분주와 동시에 바이러스를 접종하거나 단층세포가 형성된 후접종하거나 간에 별다른 차이없이 감염 4-5일후에 end point에 도달되었다. 분리된 reovirus를 계태아간세포배양에 5-10대 계대배양한 후 $10^{5.0}$ TCI $D_{50}$의 바이러스를 10일령 발육계란의 장요막상에 접종하였을 때 평균치사시간이 국내분리주는 54-59시간인데 반하여 S-1133주는 73시간으로 약간 길었다.

• Journal of Gastric Cancer
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• 제15권4호
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• pp.278-285
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• 2015

Purpose: Gastric submucosal tumors (SMTs) located very close to the esophagogastric junction (EGJ) are a challenge for gastric surgeons. Therefore, this study reports on the experience of using endoscopic and laparoscopic full-thickness resection (ELFR) with laparoscopic two-layer suturing in such tumors. Materials and Methods: Six patients with gastric SMTs very close to the EGJ underwent ELFR with laparoscopic two-layer suturing at Kyungpook National University Medical Center. With the patient under general anesthesia, the lesser curvature and posterior aspect adjacent to the EGJ were meticulously dissected and visualized using a laparoscopic approach. A partially circumferential full-thickness incision at the distal margin of the tumor was then made using an endoscopic approach under laparoscopic guidance. The SMT was resected using laparoscopic ultrasonic shears, and the gastric wall was closed using two-layer suturing. Thereafter, the patency and any leakage were checked through endoscopy. Results: All the ELFR procedures with laparoscopic two-layer suturing were performed successfully without an open conversion. The mean operation time was $139.2{\pm}30.9$ minutes and the blood loss was too minimal to be measured. The tumors from four patients were leiomyomas, while the tumors from the other two patients were gastrointestinal stromal tumors with clear resection margins. All the patients started oral intake on the third postoperative day. There was no morbidity or mortality. The mean hospital stay was $7.7{\pm}0.8$ days. Conclusions: ELFR with laparoscopic two-layer suturing is a safe treatment option for patients with an SMT close to the EGJ, as major resection of the stomach is avoided.

• Journal of Gastric Cancer
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• 제10권4호
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• pp.241-246
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• 2010

Purpose: Laparoscopy-assisted gastrectomy (LAG) has become a technically feasible and safe procedure for early gastric cancer treatment. LAG is being increasingly performed in many centers; however, there have been few reports regarding LAG at low-volume centers. The aim of this study was to report our early experience with LAG in patients with gastric cancer at a low-volume center. Materials and Methods: The clinicopathologic data and surgical outcomes of 39 patients who underwent LAG for gastric cancer between April 2007 and March 2010 were retrospectively reviewed. Results: The mean age was 68.3 years. Thirty-one patients had medical co-morbidities. The mean patient ASA score was 2.0. Among the 39 patients, 4 patients underwent total gastrectomy and 35 patients underwent distal gastrectomy. The mean blood loss was 145.4 ml and the mean operative time was 259.4 minutes. The mean time-to-first flatus, first oral intake, and the postoperative hospital stay was 2.8, 3.1, and 9.3 days, respectively. The 30-day mortality rate was 0%. Postoperative complications developed in 9 patients, as follows: anastomotic leakage, 1; wound infection, 1; gastric stasis, 2; postoperative ileus, 1; pneumonia, 1; cerebral infarction, 1; chronic renal failure, 1; and postoperative psychosis, 1. Conclusions: LAG is technically feasible and can be performed safely at a low-volume center, but an experienced surgical team and careful patient selection are necessary. Furthermore, for early mastery of the learning curve for LAG, surgeons need education and training in addition to an accumulation of cases.

• Journal of Gastric Cancer
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• 제17권4호
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• pp.354-362
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• 2017

Purpose: Laparoscopic gastrectomy is accepted as a standard treatment for patients with early gastric cancer in Korea, Japan, and China. However, duodenal stump leakage remains a fatal complication after gastrectomy. We conducted a prospective phase II study to evaluate the safety of the new technique of laparoscopic reinforcement suture (LARS) on the duodenal stump. Materials and Methods: The estimated number of patients required for this study was 100 for a period of 18 months. Inclusion criteria were histologically proven gastric adenocarcinoma treated with laparoscopic distal or total gastrectomy and Billroth II or Roux-en-Y reconstruction. The primary endpoint was the incidence of duodenal stump leakage within the first 30 postoperative days. The secondary endpoints were early postoperative outcomes until discharge. Results: One hundred patients were enrolled between February 2016 and March 2017. The study groups consisted of 65 male and 35 female patients with a mean age (years) of 62.3. Of these, 63 (63%) patients had comorbidities. The mean number of retrieved lymph nodes was 38. The mean operation time was 145 minutes including 7.8 minutes of mean LARS time. There was no occurrence of duodenal stump leakage. Thirteen complications occurred, with one case of reoperation for splenic artery rupture and one case of mortality. Conclusions: Based on the results of this prospective phase II study, LARS can be safely performed in a short operation period without development of duodenal stump leakage. A future randomized prospective controlled trial is required to confirm the surgical benefit of LARS compared to non-LARS.

• 한국응용곤충학회지
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• 제30권3호
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• pp.212-218
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• 1991

파밤나방 핵다각체병ㅂ이러스의 기주곤충 및 나비목해충에 대한 병원성과 10종 baculovirus의 파밤나방 유충에 대한 교차감염을 조사하여 방제에 이용하고자 시험을 수행하였다. 난에대한 중앙치사농도($LC_{50}$)는 2.855$\times$$10^{5}$ 다각체/ml로 유충보다 높았다. 령별 $LC_{50}$은 3령이 1.422$\times$$10^{4}$ 다각체/ml로 1령보다 1.16배, 5령보다 .11배의 높은 병원성을 나타냈다. 각 령의 중앙치사일수($LT_{50}$)은 1.56$\times$$10^{6}$ 다각체/ml에서 4.26~5.04일이었다. 8종 나비목 해충에 대한 파밤나방 핵다각체병바이러스의 병원성은 기주곤충인 파밤나방에서만 인정되었고 10종의 곤충간상바이러스 중 Autographa californica MNPV, Mamestra brassicae MNPV 및 Trichoplusia ni MNPV 등 3종이 파밤나방 유충에 대해 교차감염을 일으켰다.