• 생명과학회지
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• 제26권12호
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• pp.1400-1408
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• 2016

블랙커런트는 장미목 범의귀과의 낙엽관목으로, 즙이 많은 검은 열매와 잎을 주스, 잼, 젤리, 시럽 등으로 가공하여 식용하고 있다. 본 연구에서는 블랙커런트(오스트리아산)의 착즙액과 이의 순차적 유기용매 분획물인 hexane 분획물, ethylacetate (EA) 분획물, butanol 분획물 및 물 잔류물을 조제하여 각각의 성분 분석, 항산화 활성, 혈전 생성과 관련된 항응고 활성 및 혈소판 응집저해 활성을 평가하였다. 그 결과, 착즙액과 폴리페놀 및 플라보노이드 고함유 분획인 EA 분획물에서 강력한 DPPH 음이온, ABTS 양이온, nitrite 소거능과 환원력을 확인하였다. EA 분획의 $RC_{50}$ (활성 radical을 50% 제거하는 데 소요되는 시료의 양)는 각각 136.3, 66.2 및 $115.5{\mu}g/ml$ 값을 나타내어 vitamin C가 나타내는 $RC_{50}$의 각각 1/10, 1/16 및 1/7.7에 해당하는 항산화력을 나타내었다. 또한 착즙액과 이의 EA 분획물, butanol 분획물은 아스피린에 필적하는 강력한 항응고 활성을 나타내었으며, 특히 EA 분획물과 butanol 분획물은 아스피린보다 우수한 혈소판 응집억제활성을 나타내었다. 혈소판 응집을 50% 저해할 수 있는 아스피린 농도는 0.395 mg/ml인 반면, EA 분획 및 butanol 분획은 각각 0.192 및 0.261 mg/ml로 나타났다. 상기의 활성 분획물은 0.5 mg/ml 농도까지 인간 적혈구에 대한 용혈활성을 나타내지 않았다. 이러한 결과는 블랙커런트의 강력한 항산화, 항응고, 혈소판 응집저해 활성을 이용한 신규의 항혈전제 개발 및 이용이 가능함을 제시하고 있다. 본 연구는 블랙커런트의 항혈전 활성에 대한 최초의 보고이다.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제34권5호
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• pp.332-336
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• 2012

Purpose: The third molar extraction is one of the mostly performed procedures in the department of oral and maxillofacial surgery. In most of dental clinic or hospital, the third molar extraction used to be frequently performed in an office-based surgery, and most patients did not have specific medical history with young ages. Medical history taking are dependent on the only way by asking to the patients about their individual conditions. Therefore, as the specialists of the oral and maxillofacial surgery in the field of dentistry, we suggest a new policy that the preoperative lab must be performed routinely before extraction of the third molar. Methods: This study is based on 1,096 patients who have been managed with third molar extractions, from March 2008 to September 2011 by a single surgeon. The preoperative lab, including complete blood count, coagulation panel, chemistry and serology, was performed before any surgical procedures. The results were informed to the patients regardless of their abnormalities, and any abnormalities related to the surgical procedures, such as platelet count and coagulation factors, were checked and corrected safely. Results: Through the preoperative blood test, systemic diseases that the patients had not recognized before, such as anemia, leukopenia, fatty liver and chronic renal disease, were identified. Patients with acute or chronic leukemia, Hepatitis B, and HIV positive, were also detected as a small number. Also, the possibilities of the cross-infection between dentists and patients or between patients and patients, and any other emergency situations can be prevented; as well as the public health condition can be improved, too. The patients were satisfied with low cost preventive blood test and high quality of medical services. Conclusion: Therefore, routine medical lab testing, including history taking are needed before an office-based minor surgery, such as third molar extractions, and these results were suggested as a new policy in the field of dentistry.

• 한국미생물·생명공학회지
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• 제42권3호
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• pp.258-266
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• 2014

고구마 소주는 전분과 섬유질이 많은 고구마를 발효시킨 후 상압증류하여 제조되어 특유의 부드러운 맛과 향미를 가진다. 본 연구에서는 별도의 용도가 없어 폐기되고 있는 고구마 소주 주박의 효율적인 이용을 위해, 주박의 ethanol 및 열수 추출물을 조제하고 이들을 순차적 유기용매 분획하여 각각의 hexane, ethylacetate (EA), butanol 분획물과 물 잔류물을 조제하여 각 시료의 항균 및 항혈전 활성을 평가하였다. 그 결과, 주박의 ethanol 추출 효율이 열수 추출 효율보다 1.36배 높았으며, 분획물 중에서는 EA 분획물이 가장 높은 total polyphenol 함량을 나타냄을 확인하였다. 고구마 소주 주박의 추출물 및 분획물(0.5 mg/ml)은 인간 적혈구에 대한 용혈활성을 나타내지 않았으며, 열수 및 ethanol 추출물의 EA 분획물에서만 광범위 항세균 활성과 강력한 혈액응고 저해 활성이 나타났다. 또한 혈소판 응집저해 활성의 경우 열수 추출물의 EA 분획에서만 아스피린과 유사한 응집저해를 나타내었다. 본 연구결과는 폐기되고 있는 고구마 소주 주박의 열수 추출물의 EA 분획이 신규의 항세균 및 항혈전제로 개발될 수 있음을 제시하고 있다.

• 생명과학회지
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• 제25권4호
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• pp.425-432
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• 2015

각각의 나라는 민족의 공감성과 문화성이 깃든 고유의 술을 가지고 있으며, 우리나라에는 고유의 전통주 막걸리(탁주)가 있다. 본 연구에서는 주박을 이용한 고부가가치 향장소재 개발을 목표로, 상업적 시설에서 대량생산된 우국생 주박의 ethanol 및 열수 추출물로부터 n-hexane, ethylacetate, butanol을 이용한 순차적 유기용매 분획물과 물 잔류물을 조제한 후, 이들의 혈액응고 저해활성, 혈소판 응집저해 활성 및 인간 적혈구 용혈활성 및 항산화 활성을 평가하였다. 우국생 주박의 수분함량은 80.3%, pH 3.94, brix 13.0 및 알코올 함량은 약 1.8%이었으며, ethanol 추출의 경우 추출효율은 6.62%로 열수 추출의 2.1%보다 3.15배 높은 수율을 나타내었다. 총폴리페놀 및 총플라보노이드 함량 분석결과 주박 ethanol 추출물의 ethylacetate 분획물에서 가장 높은 함량을 나타내었으며, 특히 폴리페놀 함량은 매우 높게 나타났다(128 mg/g). 혈액응고 저해활성을 평가한 결과, ethanol 추출물의 ethylacetate 분획물에서는 5 mg/ml 농도에서 TT, PT, aPTT 모두 15배 이상의 연장된 응고시간을 나타내어 매우 강력한 thrombin, prothrombin 및 coagulation factor 저해활성을 나타내었다. 혈소판 응집저해능 평가에서는 ethanol 추출물의 butanol 분획 및 물 잔류물에서 항혈전제로 사용되고 있는 aspirin 보다 우수한 응집저해능을 확인하였다. 상기 10종 시료들은 0.5 mg/ml 농도까지 적혈구 용혈활성이 나타나지 않았으며, 양호한 radical 소거능을 나타내었다. 본 연구결과는 사료 및 비료로 활용되고 있는 우국생 주박의 활성분획물을 이용하는 경우 고부가가치 항혈전제 개발이 가능함을 제시하고 있다.

• 대한소아치과학회지
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• 제23권3호
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• pp.575-581
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• 1996

Hemophilia is a hereditary condition in which one of the normal blood clotting factors is absent. This sex-linked, recessive disease, transmitted by the female and expressed in some of her male offspring, is characterized by significantly delayed coagulation times and by the tendency to hemorrhage. On the dental treatment especially, surgical procedure, appropriate methods of hemorrhage control are required. These methods are replacement therapy, antifibrinolytic agents, and local hemostatic methods. In this case, we successfully extract residual roots of hemophiliac patient without eccessive post operative bleeding using replacement therapy and surgical splint.

• Journal of Trauma and Injury
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• 제26권4호
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• pp.291-296
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• 2013

Purpose: Prolonged ventilation leads to a higher incidence of ventilator-associated pneumonia (VAP), resulting in weaning failure and increased medical costs. The aim of this study was to analyze clinical results and prognostic factors of VAP in patients with blunt chest trauma. Methods: From 2007 to 2011, one hundred patients undergoing mechanical ventilation for more than 48 hours were divided into two groups: a VAP-negative group, (32 patients, mean age; 53 years, M:F=25:7) and a VAP- positive group, (68 patients, mean age; 60 years, M:F=56:12). VAP was diagnosed using clinical symptoms, radiologic findings and microorganisms. The injury severity score (ISS), shock, combined injuries, computerized tomographic pulmonary findings, transfusion, chronic obstructive lung disease (COPD), ventilation time, stay in intensive care unit (ICU) and hospital stays, complications such as sepsis or disseminated intravascular coagulation (DIC) and microorganisms were analyzed. Chi square, t-test, Mann-Whitney U test and logistic regression analysies were used with SPSS 18 software. Results: Age, sex, ISS, shock and combined injuries showed no differences between the VAP - negative group and - positive group (p>0.05), but ventilation time, ICU and hospital stays, blood transfusion and complications such as sepsis or DIC showed significant differencies (p<0.05). Four patients(13%) showed no clinical symptoms eventhough blood cultures were positive. Regardless of VAP, mortality-related factors were shock (p=0.036), transfusion (p=0.042), COPD (p=0.029), mechanical ventilation time (p=0.011), ICU stay (p=0.032), and sepsis (p=0.000). Microorgnisms were MRSA(43%), pseudomonas(24%), acinetobacter(16%), streptococcus(9%), klebsiela(4%), staphillococus aureus(4%). However there was no difference in mortality between the two groups. Conclusion: VAP itself was not related with mortality. Consideration of mortality-related factors for VAP and its aggressive treatment play important roles in improving patient outcomes.

• Tuberculosis and Respiratory Diseases
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• 제68권3호
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• pp.140-145
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• 2010

Background: Pulmonary embolism (PE) is a common clinical problem in the West that is associated with substantial morbidity and mortality. The diagnostic modality has been changed since 2001. This study retrospectively reviewed the PE mortality with the aim of identifying the risk factors associated with mortality since the multidetector computed tomography (MDCT) was introduced. Methods: We analyzed 105 patients with acute PE proven by multidetector CT or ventilation perfusion scan. The primary outcome measure was the all-cause mortality at 3 months. The prognostic effect of the baseline factors on survival was assessed by multivariate analysis. Results: The main risk factors were prolonged immobilization, stroke, cancer and obesity. Forty nine percent of patients had 3 or more risk factors. The overall mortality at 3 months was 18.1%. Multivariate analysis revealed low diastolic blood pressure and the existence of cancer to be independent factors significantly associated with mortality. Forty two PE patients were examined for the coagulation inhibitors. Four of these patients had a protein C deficiency (9.5%), and 11 had a protein S deficiency (26%). Conclusion: PE is an important clinical problem with a high mortality rate. Close monitoring may be necessary in patients with the risk factors.

• 한국콘텐츠학회논문지
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• 제22권4호
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• pp.700-705
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• 2022

혈우병은 혈액 응고에 필요한 13개의 인자들 중 1개라도 결핍될 경우 혈액 응고에 장애가 발생하여 지혈 이상을 보이는 선천성 출혈성 질환이다. 13개의 인자들 중 결핍된 응고 인자에 따라 혈우병 A(제8번 인자, factor VIII), 혈우병 B(제9번 인자, factor IX), 혈우병 C(제10번 인자, factor X)로 분류된다. 혈우병 A 진단을 받은 40대 남성 환자가 전체적인 만성 치아 주위 염증으로 인한 치조골 흡수 및 치주농양을 문제를 주소로 을지대학교병원 치과에 내원하였고, 초진당시 전반적인 골흡수 및 염증상태를 보였다. 혈액응고인자의 농도를 적절히 유지하며 관혈적 및 비관혈적 치료를 시행한 바, 10년 동안의 정기적인 내원으로 #35, #36 부위를 제외한 나머지 부위에서 별다른 합병증이나 출혈성향은 관찰되지 않았고, 전반적으로 양호한 구강 상태를 보였으며 부작용이나 합병증은 보이지 않았다.

• Journal of Korean Biological Nursing Science
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• 제1권1호
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• pp.1-24
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• 1999

The purpose of this study was to define the content of requisite human structure and function knowledge needed for clinical knowledge of nursing practice. Subjects of human structure and function were divided into 10 units, and each unit was further divided into 21 subunits, resulting in a total of 90 items. Contents of knowledge of human structure and function were constructed from syllabus of basic nursing subjects in 4 college of nursing, and textbooks published by nurse scholars prepared with basic nursing sciences. The degree of need of 90 items was measured with a 4 point scale. The subjects of this study were college graduated 136 nurses from seven university hospitals in Seoul and three university hospitals located in Chonnam Province, Kyungbook Province, and Inchon. They have been working at internal medicine ward, surgical ward, intensive care unit, obstetrics and gynecology ward, pediatrics ward, opthalmology ward, ear, nose, and throat ward, emergency room, rehabilitation ward, cancer ward, hospice ward, and their working period was mostly under 5 years. The results were as follows: 1. The highest scored items of human structure and function knowledge necessary for nursing practice were electrolyte balance, blood clotting mechanism and anticoagulation mechanism, hematopoietic function, body fluid balance, function of plasma, and anatomical terminology in the order of importance. The lowest scored items of human structure and function knowledge necessary for nursing practice was sexual factors of genetic mutation. 2. The highest order of need according to unit was membrane transport in the living unit, anatomical terminology in movement and exercise unit, mechanism of hormone function in regulation and integration unit, component and function of blood in oxygenation function unit, structure and function of digestive system in digestive and energy metabolism unit, temperature regulation in temperature regulation unit electrolyte balance in body fluid and electrolyte unit, concept of immunity in body resistance unit, and genetics terminology in genetics unit. The highest order of importance according to subunit was membrane transportation in cell subunit, classification of tissues in tissue unit, function of skin and skin in skin subunit, anatomical derivatives of the skeleton subunit, classification of joints in joint subunit, an effect of exercise on muscles in muscle subunit, function of brain in nervous system subunit, special sense in sensory subunit mechanism of hormone function in endocrine subunit, structure and function of female reproductive system in reproductive system unit, structure and function of blood in blood unit, structure of heart, electrical and mechanical function in cardiovascular system unit, structure of respiratory system in respiratory system subunit, structure and function of digestive system in digestive system subunit, hormonal regulation of metabolism in nutrition and metabolism subunit, function of kidney in urologic system subunit, electolyte balance in body fluid, electolyte and acid-base balance subunit. 3. The common content of human structure and function knowledge need for all clinical areas in nursing was structure and function of blood, hematopoietic function, function of plasm, coagulation mechanism and anticoagulation mechanism, body fluid, electrolyte balance, and acid-base balance. However, the degree of need of each human structure and function knowledge was different depending on clinical areas. 4. Significant differences in human structure and function knowledge necessary for nursing practice such as skin and derivatives of the skin, growth and development of bone, classification of joint, classification of muscle, structure of muscle, function of muscle, function of spinal cord, peripheral nerve, structure and function of pancrease, component and function of blood, function of plasma, structure and function of blood, hemodynamics, respiratory dynamics, gas transport, regulation of respiration, chemical digestion of foods, absorption of foods, characteristics of nutrients, metabolism and hormonal regulation, body energy balance were demonstrated according to the duration of work. 5. Significant differences in human structure and function knowledge necessary for nursing practice such as classification of tissue, classification of muscles, function of muscles, muscle metabolism, classification of skeletal muscles, classification of nervous system, neurotransmitters, mechanism of hormone function, pituitary and pituitary hormone, structure and function of male reproductive organ, structure and function of female reproductive organ, component and function of blood, function of plasma, coagulation mechanism and anticoagulation mechanism, gas exchange, gas transport, regulation of respiration, characteristics of nutrients, energy balance, function of kidney, concept of immunity, classification and function of immunity were shown according to the work area. Based on these findings, all the 90 items constructed by Korean Academic Society of Basic Nursing Science should be included as contents of human structure and function knowledge.

• 생명과학회지
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• 제30권5호
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• pp.443-451
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• 2020

현대사회는 고지방의 서구화된 식사, 과도한 스트레스 등으로 비정상적인 혈액응고 및 과다한 혈소판 응집이 증가되고 있으며, 이로 인한 다양한 혈전성 질환 위험성도 증가되고 있다. 본 연구에서는 제주 특용식물인 상동나무(Sageretia thea) 지상부의 항혈전 활성을 평가하기 위해 잎(ST-L), 줄기(ST-B), 열매(ST-F) 에탄올 추출물을 조제하고 이의 항혈전 활성, 인간 적혈구 용혈활성 및 flavonoids·phenolic acids 조성을 검토하였다. ST-B 추출물은 식용으로 이용되고 있는 ST-F 추출물보다 6.7배의 총 폴리페놀 함량을 보였으며, ST-L 추출물은 ST-F 추출물보다 2.7배 높은 총 플라보노이드 함량을 보였다. 혈액응고 저해활성 평가 결과, ST-F 추출물은 aPTT에서만 혈액응고시간 연장이 미약하게 나타났으나, ST-L 및 ST-B 추출물은 기존 항혈전제인 aspirin 및 베리류 및 한방 약재 추출물보다 트롬빈, 프로트롬빈, 응고인자들에 대해 강력한 저해활성을 나타내었다. 혈소판 응집저해 역시 ST-L 및 ST-B 추출물은 aspirin보다 우수한 응집저해 활성을 나타내었으며, 인간 적혈구에 대한 용혈활성은 1 mg/ml 농도까지 전혀 나타나지 않았다. ST-L 및 ST-B 추출물의 phenolic acid 및 flavonoids 분석결과, rutin, isoquercitrin 및 astragalin이 주요 활성물질로 확인되었다. 본 연구결과는 상동나무 잎과 줄기의 강력한 항혈전 활성의 최초 보고이며, 상동나무를 이용한 항혈전제 개발이 가능함을 제시하고 있다. 향후 상동나무에서 처음으로 확인된 isoquercitrin의 항혈전 기전에 대한 연구가 필요하다.