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Arrhythmia Surgery in Fontan Operation (폰탄 수술에서의 부정맥수술)

  • 임홍국;한국남;김웅한;이정렬;노준량;김용진
    • Journal of Chest Surgery
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    • v.37 no.8
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    • pp.644-651
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    • 2004
  • Background: Refractory atrial arrhythmias in patients late after the Fontan operation result in significant morbidity and mortality. We reviewed our experience with arrhythmia surgery in patients who had Fontan operation. Material and Method: Between July 1986 and December 2003, 275 early survivors after Fontan operation were reviewed. Fourteen patients underwent. arrhythmia surgery at reoperation after Fontan operation, and mean age at reoperation was 16.8$\pm$7.1 (range: 4.5 ∼ 30.6) years. Mechanisms of arrhythmia included atrial flutter in 8 patients, and atrial fibrillation in 2. Arrhythmia surgery has evolved from isthmus cryoablation in 12 patients to right-sided maze in 2 patients. Thirty-two patients. underwent prophylactic isthmus cryoablation concomitantly at initial Fontan operation. Result: Postoperative arrhythmias occurred in 68 patients (24.7%) among 275. There was no early and late mortality after the arrhythmia surgery. After redo Fontan operation, all patients maintained normal sinus rhythm. Atrial flutter recurred in 3 patients who had sinus conversion with medication and 7 required permanent pacemakers with a mean follow-up of 26.5$\pm$29.1 (range: 2 ∼ 73) months. All patients have improved to NYHA class I or II. After prophylactic cryoablation at initial Fontan operation, 29 patients (90.6%) had sinus rhythm, 1 patient had junctional tachycardia, 1 patient had sinus nodal dysfunction, and 1 patient had AV block with a mean follow-up of 51.3$\pm$19.8 (range: 4∼80) months. Conclusion: Redo Fontan operation, and concomitant arrhythmia surgery reduced atrial arrhythmias and improved NYHA functional classification.

Significance of p53 as a Prognostic Factor in Non-Small Cell Lung Carcinoma (비소세포 폐암종에 있어서 p53의 예후 인자로서의 의의)

  • 이상호;한정호;김관민;김진국;심영목;장인석
    • Journal of Chest Surgery
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    • v.37 no.8
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    • pp.672-683
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    • 2004
  • Background: The treatment results of the advanced lung carcinoma is not satisfactory with the present therapeutic modalities: surgical resection, anti-cancer chemotherapy, and radiotherapy or combination therapy. To predict the prognosis of the non-small-cell lung carcinoma, TNM classification has been was as the basic categorization; however, it has been not satisfactory. It is necessary to consider the causes and the prognosis of the lung carcinoma from another points of view rather the conventional methods. We intended to find out the relationship between the major apoptotic factor, p53 gene and the prognosis of the patient with lung carcinoma. Material and Method: Three hundreds and fifty-nine patients with lung carcinoma who underwent surgery were analysed. We observed p53 protein accumulated in the cellular nuclei. The p53 protein was detected by immuno-histo-chemical method. We collected information of the patient retrospectively. Result: p53 protein densities were observed in 40% in average as a whole. The protein density was 44 percent in man, 25 percent in woman, 49 percent in the squamous cell carcinoma, and 38 percent in the adenocarcinoma. There were significant correlations between the p53 protein density and the mortality in the squamous cell carcinoma (p=0.025), follow-up duration in TNM stage I group (p=0.010), and follow-up duration in the lobectomy patient group (p=0.043), and tumor cell differentiation (p=0.009). p53 protein densities were significantly different between the lobectomy and the pneumonectomy group (p=0.044). Conclusion: The authors found that p53 protein had some correlations with the prognosis of the lung cancer partially in some factors. We suggest the p53 protein density could be used as a marker of prognosis in the non-small-cell lung carcinoma.

Weed-Ecological Classification of the Collected Barnyardgrass [Echinochloa crus-galli(L.) Beauv.] in Korea - III. Intra-specific variation of collected barnyardgrass species and accessions to herbicides response (한국산(韓國産) 피(Echinochloa crus-galli (L.) Beauv.) 수집종(蒐集種)의 잡초생태학적(雜草生態學的) 분류(分類)에 관(關한) 연구(硏究) - 제(第)III보(報) 수집종(蒐集種) 피의 제초제(除草劑) 반응(反應)에 대(對)한 종내변이(種內變異))

  • Im, I.B.;Guh, J.O.;Lee, D.J.
    • Korean Journal of Weed Science
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    • v.9 no.1
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    • pp.16-27
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    • 1989
  • The six barnyardgrass [Echinochloa oryzicola (vasing.) Vasing.] and seventeen barnyardgrass [Echinochloa crus-gadli (L.) Beauv.] accessions, which were collected national widely in 1986 and selected two times through 1987. To study different growth response due to herbicide, pyrazolate, bifenox, quinclorac, the experiment was conducted with herbicide agar culture without nutrients, 1. Albinistic discoloration due to pyrazolate was more sensitive in E, crus-galli than E. oryzicola and among barnyardgrass accessions, Kumi, Ichon-A, Ichon-B, Boun-B and Kwangju-B were rather susceptible than Gyongju, Ansong, Boun-A, Jongju-A and Kwangju-A. 2. Twisting and growth retardation due to bifenox was less sensitive in E. oryzicola with less intra-specific variations than in E. crus-galli. Among E. crus-galli accessions, Boun-B, Ansong, Ichon-A, Ichon-B, Wonju and Kwangju-B were particulary susceptible, and Jinyang, Jongju-B, Jongju-A, Daejon, Kurye and Kwangju-A were tolerant as much as E. oryzicola. 3. Growth retardation and withering to dead due to quinclorac was more sensitive in E. oryzicola with less intra-specific variations than in E. crus-galli. Among accessions of E. curs-galli, Boun-A, Iri, Jongju-A, Jongju-B, Kwangju-A and Kwangju-B were rather similar suseptible to E, oryzicola than kimhae, Gyongju, Kumi, Wonju, Ichon-A, Ichon-B and Ansong. 4. Most accession of E. oryzicola was tolerant to both pyrazolate and bifenox, while susceptible to quinclorac. Among other accessions of E. crus-galli, Kurye, Kimhae, and Daejon were tolerant to all experimented herbicides, and Iri, Jongju-A, Jongju-B, and Kwangju-A were only tolerant to both pyrazolate and bifenox, while Kumi, Wonju, Ichon-A, Ichon-B, Boun-B and Kwangju-B were only tolerant to quinclorac.

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Weed-Ecological Classification of the Collected Barnyardgrass [Echinochloa crus-galli (L.) Beauv]) in Korea - I. Variation of quantitative and attributable characters in collected barnyardgrass [Echinochloa crus-galli (L.) Beauv.] accessions (한국산(韓國産) 피(Echinochloa crus-galli(L.) Beauv.) 수집종(蒐集種)의 잡초생태학적(雜草生態學的) 분류(分類)에 관한 연구(硏究) - 제(第) I 보(報) 수집종(蒐集種) 피의 양적(量的) 및 질적형질(質的形質)의 변이(變異))

  • Im, I.B.;Guh, J.O.;Lee, J.Y.;Cho, Y.S.
    • Korean Journal of Weed Science
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    • v.8 no.3
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    • pp.273-282
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    • 1988
  • The seventeen barnyardgrass [Echinochloa crus-galli (L.) Beauv.] accessions, which were collected national-widely in 1986 and selected two times through 1987, were experimented at 1988. To study the degree of ecological variations of the collected accessions of native barngardgrass species as a weed, the experiment was conducted with Wagner pots in size of 1/5000a and under P.E. film house. Among 57 characters, 100 grains weight, rate of tiller increase from transplanting to 30 days, the number of the maximum tillers and rate of dry weight increase from 15 DAS to 22 DAS were become intra-specific variarions as higher coefficient of varation than 30%, the size of the first leaf, fresh weight and dry 22 seedlings, rate of productive tiller, panicle number and tillering divergence made intra-specific variations as more and less C. V. than 25%, while the required days upto heading since seeding at June 6. rate of fresh/dry weight and plant height of 22 days old seedling made intra-specific variations as the coefficient of variation of about 50%. Among the attributes the color in leaf, leaf sheath, mid-ribs, node, spike, grain, and plant type, length of leaf marginal tooth, grain shape, purple bend on leaf were seemed useful to indentify the accessible specific.

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Properties of Indigenous Korean Paper(Hanji) - Classification of Oebal(single frame)Papermaking Methods - (토착한지의 특성 - 외발 초지법 분류를 중심으로 -)

  • Cheon, Cheol;Kim, Seong-Ju;Jin, Young-Mun
    • Journal of the Korean Wood Science and Technology
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    • v.27 no.1
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    • pp.88-104
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    • 1999
  • This study was carried out to classify the Hanjis into three groups that were indigenous Hanji, traditional Hanji, and improved Hanji handmade by paper making method according to the physical properties of each paper sheet such as tensile, bursting and tearing strength, folding endurance and fiber orientation in each layer. The results obtained were summarized as follows: 1. The multi-layered Hanjis made by "Oebal" Hanji making method in different direction of fiber orientation have good properties in tearing resistance. 2. The multi-layered Hanji in different direction of fiber orientation has good properties in the tearing resistance, but the burst index and the breaking length results were lower than the single layered Hanjis. 3. The different fiber orientation and multi-layered method didn't increase, the three indexes(burst index, tear index, breaking length). Only, the different direction of fiber orientation decreased the difference of width and length strength (tensile, tear) of the Hanji. 4. "Dochim"(Korean finishing touch process for indigenous Hanji by fulling round sticks) greatly increase folding endurance(double folds, not $log_{10}$) and good effect to tensile strength and burst strength. 5. The today's Oebal Hanji were the maximum of 2 layers and the indigenous Oebal Hanji were 16 layers the maximum. In addition, average of the indigenous Oebal Hanji was 4 layers(all 4-layer Hanji were the different fiber orientation of each layer). 6, The indigenous Hanji(multi-layered, and different fiber orientation) was good condition with "Dochim". Dochim increased tensile strength and burst strength of the indigenous Hanji. So the three-strength indexes were similar level("--"). 7. When the number of layer which were same fiber orientation increase, the increased Hanji became similar strength pattern("V", breaking length and burst index was higher than tear index) with "Ssangbal" Hanji. 8. The single layered papers that made by "Oebal" Hanji making method were similar strength pattern with Ssangbal Hanji. 9. There was no way to find the width and length direction of multi-layered Hanji by comparison between the difference of tensile strength and the difference of tearing resistance. 10. The compared pattern of tensile strength and tearing resistance of indigenous Oebal Hanji was different from today's Oebal Hanji. Especially, the tearing resistance of all indigenous Oebal Hanji(16 samples) was stronger on width of tearing resistance. And in the half of indigenous Oebal Hanji samples, the width of tensile strength and tearing resistance was stronger than length strength (Indigenous Oebal: '$\ulcorner\lrcorner$' 50%, '$\bigcup$' 50% $\leftrightarrow$ Today's Oebal: '$\ulcorner\lrcorner$' 12%, '$\bigcup$'6%, '$\llcorner\urcorner$'17%, '$\bigcap$'65%). In 65% today's Oebal, the length direction of tensile strength and tearing resistance was stronger than the width direction.

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Chilling Requirement for Breaking of Internal Dormancy of Main Apple Cultivars in Korea (국내 사과 주요 품종들의 자발휴면 타파에 필요한 저온요구도)

  • Kweon, Hun-Joong;Sagong, Dong-Hoon;Song, Yang-Yik;Park, Moo-Yong;Kwon, Soon-Il;Kim, Mok-Jong
    • Horticultural Science & Technology
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    • v.31 no.6
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    • pp.666-676
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    • 2013
  • The study was carried out to examine the initial point of dormancy, breaking time of internal dormancy, and to find out the accumulated hours of low temperature (under $7.2^{\circ}C$ from $0.0^{\circ}C$ to $7.2^{\circ}C$) for bud-breaking. Over-all, the chilling requirement for breaking of internal dormancy in the commercial apple cultivars ('Fuji' and 'Tsugaru') and apple cultivars bred in Korea ('Hongro', 'Sunhong', 'Honggeum', 'Hongan', 'Hongso', 'Gamhong', 'Summer dream') at the Gunwi region for 4 years (from 2009 to 2012) was investigated. Also, the breaking time of internal dormancy in the field at the Gunwi region and the breaking time of dormancy if air temperature of Gunwi region rises $4^{\circ}C$ higher than the current one were investigated using the same data. The initial point of dormancy was set at the time when the lateral bud breaking did not occurred (when heading back cutting was done in the middle of terminal shoots). The occurrence of the breaking of internal dormancy was decided if the breaking of the terminal bud of bourse shoot occurred within 15 days or not in growth chamber. About 100 bourse shoots were collected by cultivar classification in early December every year and were stored at $5.0^{\circ}C$, and they were placed in growth chamber at one week interval. The chilling requirement of cultivars was expressed in accumulated hours in the field and in the growth chamber under $7.2^{\circ}C$ and $0.0-7.2^{\circ}C$ from the initial point of dormancy to the breaking time of internal dormancy. The results showed that the initial point of dormancy in selected cultivars could occur at the end of September. The breaking time of internal dormancy could occur from the end of January to the early of February. The accumulated hours under $7.2^{\circ}C$ for breaking of internal dormancy were 1,600-2,000 hours, while those of $0.0-7.2^{\circ}C$ were 1,300-1,800 hours. In comparing the different apple cultivars, the chilling requirement of the early flowering cultivars seemed lower than that of the late-flowering cultivars. Based on these results, if the air temperature of Gunwi region rises about $4.0^{\circ}C$ higher than the current one, the breaking time of internal dormancy will be delayed by 2-4 weeks.

Construction of cDNA Library and EST Analysis Related to Seed-hair Characteristics in Carrot (당근 종모 형질 관련 cDNA Library 작성 및 EST 분석)

  • Oh, Gyu-Dong;Shim, Eun-Jo;Jun, Sang-Jin;Park, Young-Doo
    • Horticultural Science & Technology
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    • v.31 no.6
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    • pp.782-789
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    • 2013
  • Carrot (Daucus carota L. var. sativa) is one of the most widely used crops in the world and is nutritionally important crop. However, seed-hair which is generated in epidermal cell of seeds causes the difficulty of the seedling process, because of the seed germination and absorption inhibitions. For these reasons, carrot seeds are commercialized after mechanical hair removal process. However, in this process, various damage and seed loss occur and breeding of hairless-seed carrot cultivar is needed to overcome these various weaknesses and additional seed production costs. In this study, cDNA libraries using 2 combinations, which were composed of short-hair seed CT-ATR 615 OP 666-13 & long-hair seed CT-ATR 615 OP 671-9, and short-hair seed CT-SMR 616 OP 659-1 & long-hair seed CT-SMR 616 OP 677-14, were constructed and EST sequences of each individuals were analyzed to reveal carrot seed-hair characteristics. Firstly, analyzed EST sequences were classified into FunCat functional categories. As a result, significant differences have been identified in metabolism category, protein folding and stabilization, protein binding, C-compound binding category from both of two combinations. Secondly, several candidate EST sequences related to seed trichome differentiation and cellulose biosynthetic process were selected based on GO data of EST sequences. These differences based on FunCat categories and candidate EST obtained by GO data analysis are thought to be involved in the formation of carrot seed hair. Finally, 741 SSR sites and 33 SNP sites were identified from analyzed EST sequences of two combinations. Then we designed SNP and SSR primer sets to develop molecular markers. These molecular markers will be used for classification of carrot cultivars and study seed-hair characteristic.

Molecular Identification of Zoysia japonica and Zoysia sinica (Zoysia Species) Based on ITS Sequence Analyses and CAPS (ITS 염기서열 분석 및 CAPS를 이용한 조이시아 속(Zoysia) 들잔디와 갯잔디의 구별)

  • Hong, Min-Ji;Yang, Dae-Hwa;Jeong, Ok-Cheol;Kim, Yang-Ji;Park, Mi-Young;Kang, Hong-Gyu;Sun, Hyeon-Jin;Kwon, Yong-Ik;Park, Shin-Young;Yang, Paul;Song, Pill-Soon;Ko, Suk-Min;Lee, Hyo-Yeon
    • Horticultural Science & Technology
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    • v.35 no.3
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    • pp.344-360
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    • 2017
  • Zoysiagrasses are important turf plants used for school playgrounds, parks, golf courses, and sports fields. The two most popular zoysiagrass species are Zoysia japonica and Zoysia sinica. These are widely distributed across different growing zones and are morphologically distinguishable from each other; however, it is phenotypically difficult to differentiate those that grow along the coastal line from those in beach area habitats. A combination of morphological and molecular approaches is desirable to efficiently identify these two plant cultivars. In this study, we used a rapid identification system based on DNA barcoding of the nrDNA-internal transcribed spacer (ITS) regions. The nrDNA-ITS regions of ITS1, 5.8S nrDNA, and ITS2 from Z. japonica, Z. sinica, Agrostis stolonifera, and Poa pratensis were DNA barcoded to classify these grasses according to their molecular identities. The nrDNA-ITS sequences of these species were found at 686 bp, 687 bp, 683 bp, and 681 bp, respectively. The size of ITS1 ranged from 248 to 249 bp, while ITS2 ranged from 270 to 274 bp. The 5.8S coding region ranged from 163 - 164bp. Between Z. japonica and Z. sinica, nineteen (2.8%) nucleotide sites were variable, and the G+C content of the ITS region ranged from 55.4 to 63.3%. Substitutions and insert/deletion (indel) sites in the nrDNA-ITS sequence of Z. japonica and Z. sinica were converted to cleaved amplified polymorphic sequence (CAPS) markers, and applied to the Zoysia grasses sampled to verify the presence of these markers. Among the 62 control and collected grass samples, we classified three groups: 36 Z. japonica, 22 Z. sinica, and 4 Z. japonica/Z. sinica hybrids. Morphological classification revealed only two groups; Z. japonica and Z. sinica. Our results suggest that used of the nrDNA-ITS barcode region and CAPS markers can be used to distinguish between Z. japonica and Z. sinica at the species level.

Effects of Fresh Ginseng Size and Shape on Quality of Black Ginseng (원료삼 크기와 형태가 흑삼의 품질에 미치는 영향)

  • Jin, Yan;Kim, Kyung-Tack;Lim, Tae-Gyu;Jang, Mi;Cho, Chang-Won;Rhee, Young Kyoung;Hong, Hee-Do
    • The Korean Journal of Food And Nutrition
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    • v.29 no.5
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    • pp.610-617
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    • 2016
  • Current study was performed to investigate the effect of morphological properties of black ginseng such as size and shape on the quality of black ginseng. The raw ginsengs were separated based on size (medium, large, and extra-large) and shape (straight ginseng, fibrous root ginseng). Subsequently, the raw ginsengs were steamed at $95^{\circ}C$ for 3 h and dried in the presence of heated air at $50^{\circ}C$ for 30 h. This process was repeated nine times for black ginseng production. The physiochemical properties such as the content of acidic polysaccharides, ginsenosides, and antioxidative activity were evaluated. Although minor difference in physiochemical properties such as acidic polysaccharide content in raw ginseng was observed, no statistical difference in the content of acidic polysaccharides, total phenols, and ginsenosides was observed during final black ginseng production based on size classification. The minor ginsenosides in fibrous root black ginseng, such as Rk3, Rh4, Rg3, Rk1, and Rg5 were higher in content than straight black ginseng. However, no correlation between the shape of ginseng and total phenol content and antioxidative activity was observed. Therefore, present results demonstrate that the difference in ginseng size in same-age and -production area does not affect the quality of black ginseng. Furthermore, difference in ginseng shape does not influence the overall quality of black ginseng. It is hypothesized that this study would be considered as supportive data for the production of high-quality black ginseng.

A Clinicopathologipal Study on the Prognosis of IgA Nephropathy in Children (소아 IgA 신병증의 예후와 관련한 임상병리학적 고찰)

  • Kwon Jae-Hun;Choi Eun-Na;Park Jee-Min;Jeung Hyeun-Joo;Lee Jae-Seung
    • Childhood Kidney Diseases
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    • v.7 no.1
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    • pp.23-29
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    • 2003
  • Purpose : This study was performed to determine the natural history of histologically confirmed IgA nephropathy in pediatric patients who presented with hematuria and proteinuria. Patients and Methods : We reviewed the clinical course of 57 patients diagnosed with IgA nephropathy at the age of 15 years or younger from 1981 to 2000. All patients presented with hematuria or minimal proteinuria($<40\;mg/m^2/day$) and had normal renal function and blood pressure at the time of renal biopsy. Based on the clinical and pathological findings at the time of diagnosis, we sought for complications of IgA nephropathy such as heavy proteinuria(${\ge}40\;mg/m^2/day$), hypertension, and chronic renal failure. Results : The mean age at presentation was $9.5{\pm}2.8$ years(4 to 15 years) and 42(74%) were male. Isolated gross hematuria was observed in 20 patients(35%), microscopic hematuria in 3(5%), minimal proteinuria in 4(7%), both gross hematuria and minimal proteinuria in 15(26%), and both microscopic hematuria and minimal proteinuria in 15(26%). During a median follow-up of $7.0{\pm}3.5$ years, 38(67%) had complete resolution of hematuria and proteinuria, 12(21%) had persistently abnormal urinalysis without development of adverse events. Only 7(12%) developed adverse events : 4(7%) developed severe proteinuria, 1(2%) became hypertensive, and 2(3%) developed Impaired renal function. By univariate analysis using the chisquare test, the age at presentation(>10 years)(P<0.01) and poor histological classes of the Lee or Haas classification at onset(P<0.05) were significantly correlated with adverse events, whereas sex and clinical signs at onset were less concordant. Conclusion : We can conclude that the prognosis of IgA nephropathy diagnosed in early childhood is better and a good correlation exists between the clinical manifestations of this disease and the histological classes.

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