• Title/Summary/Keyword: Blood Simple

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The Association between Blood Pressure and Obstructive Sleep Apnea-Hypopnea Syndrome

  • Kim, Cheon-Sik
    • Korean Journal of Clinical Laboratory Science
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    • v.46 no.3
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    • pp.106-110
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    • 2014
  • Obstructive sleep apnea-hypopnea (OSAH) is known to be related to nocturnal blood pressure (BP) and hypertension. The aim of this study was to evaluate the prevalence of hypertension according to the apnea-hypopnea grading. A total of 2,210 adults with snoring and obstructive sleep apnea were referred to our sleep center from July 2009 to May 2013. Clinical blood pressure (BP) was measured before sleeping (bedtime BP) and immediately after waking up in the next morning (morning BP). Subjects were classified into four groups based on the apnea-hypopnea index (AHI) from PSG as follows: control group (n=470) simple snoring and with AHI<5; mild group (n=577) with $AHI{\geq}5$ and <15; moderate group (n=508) $AHI{\geq}15$ and <30; and severe group (n=655) with $AHI{\geq}30$. The differences and correlations between BP and PSG parameters according to the AHI groups were analyzed. Patient's were classified as nomentensive (blood pressure <120/90 mmHg, n=700), prehypertensive (blood pressure < $140-120{\leq}mmHg$, n=1297) hypertensive (blood pressure ${\geq}140/90mmHg$, n=214) according to the office blood pressure measurements. The comparison of sleep parameters showed that OSA groups had a significantly higher stage N1 (control group vs. moderate OSA, severe OSA; $66.4{\pm}30.7$ vs. $85.5{\pm}36.6$, $128.4{\pm}57.3$, p<0.001) and total arousal number (control vs. moderate OSA, severe OSA; $110.7{\pm}47.7$ vs. $150.8{\pm}56.6$, $236.6{\pm}95.8$, p<0.001) compared to control group. The comparison of sleep parameters showed that OSA groups had a significantly lower stage N2 (control group vs. moderate OSA, severe OSA; $172.6{\pm}47.2$ vs. $150.7{\pm}50.5$, $120.3{\pm}57.4$, p<0.001), stage N3 (control group vs. moderate OSA, severe OSA; $38.4{\pm}33.4$ vs. $27.4{\pm}26.0$, $56.1{\pm}27.5$, p<0.001), REM (control group vs. moderate OSA, severe OSA; $64.3{\pm}25.5$ vs. $56.1{\pm}27.5$, $47.3{\pm}25.9$, p<0.001) and mean SaO2% (control group vs. moderate OSA, severe OSA; $90.0{\pm}3.5$ vs. $82.5{\pm}5.5$, $70.0{\pm}8.8$, p<0.001) compared to control group. The Apnea-hypopnea index was significantly higher in OSA groups, increased systolic and diastolic blood pressure than in the nomentensive group (bed time systolic pressure vs. AHI; <120 vs. 120-139, 140-159, >159; $17.5{\pm}18.6$ vs. $24.9{\pm}21.0$, $31.0{\pm}25.7$, $42.3{\pm}31.7$, p<0.001), (bed time diastolic pressure vs. AHI; 60-79 vs. 80-89, 90-99, >99; $19.3{\pm}19.7$ vs. $22.4{\pm}20.3$, $29.8{\pm}23.3$, $38.8{\pm}28.5$, p<0.001). AHI was positively correlated with morning systolic pressure, diastolic pressure, bed time systolic pressure and diastolic pressure (r=0.314, 0.279, 0.233 and 0.200, respectively, p<0.001). We conclude that BMI, Age, neck circumference and AHI increase with the blood pressure.

Measuring Intracellular Mycobacterial Killing Using a Human Whole Blood Assay (인체 전혈 모델을 이용한 세포내 결핵균 살균력에 관한 연구)

  • Cheon, Seon-Hee;Song, Ho-Yeon;Lee, Eun-Hee;Oh, Hee-Jung;Kang, In-Sook;Cho, Ji-Yoon;Hong, Young-Sun
    • Tuberculosis and Respiratory Diseases
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    • v.53 no.5
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    • pp.497-509
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    • 2002
  • Background : The mechanisms through which cellular activation results in intracellular mycobacterial killing is only partially understood. However, in vitro studies of human immunity to Mycobacterium tuberculosis have been largely modeled on the work reported by Crowle, which is complicated by several factors. The whole blood culture is simple and allows the simultaneous analysis of the relationship between bacterial killing and the effect of effector cells and humoral factors. In this study, we attempted to determine the extent to which M. tuberculosis is killed in a human whole blood culture and to explore the role of the host and microbial factor in this process. Methods : The PPD positive subject were compared to the umbilical cord blood and patients with tuberculosis, diabetes and lung cancer. The culture is performed using heparinized whole blood diluted with a culture medium and infected with a low number of M. avium or M. tuberculosis $H_{37}Ra$ for 4 days by rotating the culture in a $37^{\circ}C$, 5% $CO_2$ incubator. In some experiments, methlprednisolone- or pentoxifyline were used to inhibit the immune response. To assess the role of the T-cell subsets, CD4+, CD8+ T-cells or both were removed from the blood using magnetic beads. The ${\Delta}$ log killing ratio was defined using a CFU assay as the difference in the log number of viable organisms in the completed culture compared to the inoculum. Results : 1. A trend was noted toward the improved killing of mycobacteria in PPD+ subjects comparing to the umbilical cord blood but there was no specific difference in the patients with tuberculosis, diabetes and lung cancer. 2. Methylprednisolone and pentoxifyline adversely affected the killing in the PPD+ subjects umbilical cord blood and patients with tuberculosis. 3. The deletion of CD4+ or CD8+ T-lymphocytes adversely affected the killing of M. avium and M. tuberculosis $H_{37}Ra$ by PPD+ subjects. Deletion of both cell types had an additive effect, particularly in M. tuberculosis $H_{37}Ra$. 4. A significantly improved mycobacterial killing was noted after chemotherapy in patients with tuberculosis and the ${\Delta}$ logKR continuously decreased in a 3 and 4 days of whole blood culture. Conclusion : The in vitro bactericidal assay by human whole blood culture model was settled using a CFU assay. However, the host immunity to M. tuberculosis was not apparent in the human whole blood culture bactericidal assay, and patients with tuberculosis showed markedly improved bacterial killing after anti-tuberculous chemotherapy compared to before. The simplicity of a whole blood culture facilitates its inclusion in a clinical trial and it may have a potential role as a surrogate marker in a TB vaccine trial.

Development of Value-Added Products Using Seaweeds (해조류 가공식품 및 부산물을 이용한 제품 개발)

  • Park, Yang-Kyun;Kang, Seong-Gook;Jung, Soon-Teck;Kim, Dong-Han;Kim, Seon-Jae;Pak, Jae-In;Kim, Chang-Hyeug;Rhim, Jong-Whan;Kim, Jung-Mook
    • Journal of Marine Bioscience and Biotechnology
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    • v.2 no.3
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    • pp.133-141
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    • 2007
  • There are produced more than 600,000 tons of seaweeds every year along the coast of the Korea. Jeonnam province, south-west coast area, of Korea is producing 93% of total amounts of seaweeds. The laver, sea mustard, and tangleweed maintain stability in the output and has been exported as a simple product processing through drying or salting. It was evaluated the low value-added products and limited the expansion for the consumption of seaweeds. The seaweeds contains 40-60% carbohydrate and structurally different compared with land plant. The dietary fiber from seaweeds has been known the function of facilitating the bowl movement, excretion the heavy metal in the body, lowering the blood cholesterol level, anti-coagulant of blood, and anticancer. Especially, brown algae including sea mustard, seaweed fusiforme, and tangleweed contains alginic acid, laminarin, mannitol, fucoidan which are lowering the blood cholesterol level, lowering blood pressure, and fusion of blood clot. Agar-agar, carrageenan, and porphyran compound in red algae are known to antimutagenicity and anticoagulant function. In spite of potential of seaweed as a main bio-resource, there are lack of research to facilitate the consumption with its functional properties and consumers are unsatisfied with simple processing products. Also, the seaweed by-product dump into the sea and cause pollution of the seawater. Therefore, there are needed the scheme to promote the consumption of seaweeds. The development of value-added products, finding functional properties from seaweeds, development the functional feed for animal using seaweed by-products, and utilization of unused algae for food or other industrial uses will increase fisherman's income as well as serve as an aid for the people health due to its functional properties. Using by-product of seaweed and unexploited seaweed are needed to development of bio-degradable food packaging material and functional feed for animal.

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Esophageal Reconstruction with Isoperistaltic Interposition of Left Colon (동연동성 좌측결장을 이용한 식도재건술)

  • 성시찬
    • Journal of Chest Surgery
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    • v.24 no.9
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    • pp.895-902
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    • 1991
  • The surgical experience on 18 patients with benign or malignant stricture of the esophagus who underwent isoperistaltic interposition of left colon from April 1989 to July 1991 was reviewed. During same period 22 esophageal reconstructions with colon were performed, but 3 patients who had intraabdominal adhesion in the left upper quadrant and one patient who had uncertainty of blood supply of left colic artery could not undergo iso-peristaltic interposition of left colon. There were 12 male and 6 female patients ranging from 16 to 65 years of age. 12 patients had corrosive esophageal stricture, two had cancer of esophagus, and another two had hypopharyngeal cancer. The postoperative complications developed in 7 patients [38.8%] and most frequently encountered complication was cervical anastomotic leakage, which was successfully managed with simple drainage in all cases but one malignant patient. There was no operative mortality. The esophageal reconstruction with isoperistaltic left colon resulted in good function in 14 patients[77.8%], fair in 3 patients[16.7], and poor in 1 patient[5.6%]. In this experience esophageal reconstruction using isoperistaltic left colon is a satisfactory method that can be accomplished with acceptable morbidity and mortality.

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CFD ANALYSIS FOR THE DRAG OF AN INTERIOR BODY IN A PULSATILE FLOW WITH VARIOUS SHAPE DESIGN (맥동류 내 물체 형상에 따른 항력에 대한 CFD 계산)

  • Hwang, D.Y.;Han, Byeong-Yun;Yu, Seong-Su;Lee, Myeong-Su;Park, H.K.
    • 한국전산유체공학회:학술대회논문집
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    • 2009.11a
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    • pp.38-43
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    • 2009
  • The objective of this study is to get a fundamental data for the shape of a robot which operates in blood vessels. The overall analysis was calculated with a CFD code. The flow was idealized as a pulsatile flow, and first the robot was assumed as a simple capsule model. Then a drag of the body in the flow was calculated, and this process was repeated, varying the shape. To validate all the result, the pulastile velocity simulation was compared with the theoretical data, and the drag of a body was compared with the existing data of the other papers first. Then with the next calculation the guideline for the design of robot shape was presented.

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Study on Origin and Phylogeny Status of Hu Sheep

  • Geng, R.Q.;Chang, H.;Yang, Z.P.;Sun, W.;Wang, L.P.;Lu, S.X.;Tsunoda, K.;Ren, Z.J.
    • Asian-Australasian Journal of Animal Sciences
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    • v.16 no.5
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    • pp.743-747
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    • 2003
  • Applying simple random sampling in typical colony methods in the central area of habitat, 14 structural loci and 31 alleles in blood enzyme and other protein variations of Hu sheep population are examined. After collecting the same data of 11 loci about the 22 sheep colonies in China and other countries, it clusters the 23 sheep populations by fuzzy cluster analysis. The study proves that the phylogenetic relationship between Hu sheep population and Mongolia populations is relatively closed. This result obtained is shown to conform to the historical data.

Intravenous Regional Administration of Prostaglandin E1 for the Treatment of Buerger's Disease (Buerger법 치료를 위한 국소 정맥내 Prostaglandin E1 주입)

  • Choe, Huhn;Kim, Dong-Chan;Han, Young-Jin
    • The Korean Journal of Pain
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    • v.5 no.1
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    • pp.85-88
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    • 1992
  • Buerger's disease is a chronic occlusive arterial disease in which a non-arteriosclerotic lesion involves medium-sized arteries, veins, and nerves of the distal leg or arm. Sympathetic interruption is indicated to improve blood flow to the involved extremity, although sympathetic blockade can provide temporally relief of vasospasm and pain. Chemical or surgical sympathectomy has been performed for this purpose and intravenous regional sympathetic block(IRSB) is an alternative. Guanethidine or reserpine has been administered for IRSB. Intraarterial or intravenous systemic administration of prostaglandin E1(PGE1) has been recommended for the treatment of Buerger's disease. We used PGE1 for intravenous regional administration as an IRSB with results as good as that of intraarterial injection. The advantages of the method include that it is less expensive than systemic administration, less invasive than intra-arterial injection, and simple in technical application.

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Ocular Filariasis in Canine Anterior Chamber (개 전안방 안구사상충증)

  • 김기홍;엄혜윤;나기정;양만표
    • Journal of Veterinary Clinics
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    • v.16 no.2
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    • pp.506-508
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    • 1999
  • An one-year-old, female pointer dog with conjunctival hyperemia, corneal opaque and ocular pain in right eye was referred to Veterinary Medical Teaching Hospital, Chungbuk National University. In the ophthalmic examination the worm was observed in anterior chamber, The heart worm antigen test was positive. A modified Knott's test was negative. The values of complete blood count and serum chemistry (TP, BUN, creatinine, AST, ALT, ALP, albumin, globuline) showed normal ranges. Any abnormality was not detected in the heart using a thoracic radiography and cardiac sonography. Therefore, this dog was diagnosed as ocular filariasis. The worm was removed by surgical incision through a limbus of cornea. The closure of limbal incision was sutured in a simple interrupted suture pattern with 6-0 silk and the eye was reinflated with sterile saline solution. Antibiotics and dexamethasone ophthalmic solution were applied to right eye every 24 hours for 7 days. To prevent latent filariasis, ivermectin was also administered on day 14 of operation. The heart worm antigen test on day 60 was negative. The dog was successfully cured.

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Coarctation of the Aorta: Report of 2 Cases (대동맥 교약증의 치험 2례)

  • 김삼현
    • Journal of Chest Surgery
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    • v.11 no.1
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    • pp.75-80
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    • 1978
  • Coarctation of the aorta, a well known congenital cardiovascular defect, can be recognized in most instances by simple findings of physical examination. This condition shortens life if untreated, but it can be corrected surgically to render the patient functionally normal. It seems relatively rare in Asian. We experienced two cases of coarctation of the aorta which were treated surgically. The first case was 17 years old male with juxtaductal type of coarctation of the aorta. The second was 7 years old female with preductal type of coarctation of the aorta and combined anomaly of PDA and she had been in congestive heart failure. In both cases, coarctated segments of the aorta were resected and end to end anastomosis were performed. In the second case, PDA was closed by division before resection of the coarctated segment. The postoperative courses were uneventful. They discharged 2 weeks postoperatively without any complications. Blood pressure was nearly normalized at the time of follow up check.

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Studies on the Posterior Pituitary Hormones I. The Preparation and Assay of the Posterior Pituitary Hormones (뇌하수체 후엽홀몬에 관한 연구 (I) 후엽홀몬의 조제와 그 역가검정)

  • 김영은;이상섭;정재형
    • YAKHAK HOEJI
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    • v.6 no.1
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    • pp.28-34
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    • 1962
  • Oxytocin and vasopressin were extracted from bovine posterior pituitaries and assayed, in many ways. On the assay of oxytocic active substance, it was found the depression method of blood pressure in a chicken was the easiest one among possible methods. The potency of oxytocin which was extracted with glacial acetic acid was 14.2 I.U./mg. On the assay of vasopressin for pressor activity. A full grown healthy male rat was used. Applying a simple artificial respiratory apparatus, the assay could be carried out successfully. The potency of vasopressin was 13.2 I.U/mg.

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