• Title/Summary/Keyword: Circulatory Flow

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Ethyl Acetate Extract from Tissue-Cultured Mountain Ginseng Adventitious Roots Inhibits In Vitro Platelet Aggregation in Whole Human Blood and Augments Peripheral Blood Flow in Mice

  • Lee, In-Sun;Kim, Seul-Ki;Jeon, Min-Hwa;Jeon, Won-Kyung
    • Journal of Ginseng Research
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    • v.35 no.4
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    • pp.442-448
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    • 2011
  • We previously reported that in vitro anti-platelet activity of tissue-cultured mountain ginseng (TCMG) ethanol extracts show improved efficacy when compared with commercial ginseng products such as Korean red ginseng and Panax ginseng. However, information on the anti-platelet activity of the ethyl acetate fraction from TCMG adventitious roots is limited. Therefore, in this study, we further investigated the effects of an ethyl acetate extract of TCMG (EA-TCMG) adventitious roots on in vitro antiplatelet activity in whole human blood and its effect on peripheral blood flow in mice. We found that EA-TCMG inhibited platelet aggregation with $IC_{50}$ values of 271, 180, and 147 ${\mu}g$/mL induced by collagen, adenosine-5'-diphosphate, and arachidonic acid, respectively. Among the three agonists used, thromboxane $A_2$ formation induced by arachidonic acid was markedly suppressed. Furthermore, EA-TCMG improved the peripheral circulatory disturbance by improving vascular blood flow. In conclusion, these results suggest that ethyl acetate extracts from TCMG adventitious roots might inhibit vascular platelet aggregation and thrombus formation.

Thermo-fluid Dynamic Analysis through a Numerical Simulation of Canister (수치 모사를 통한 사출관 내부의 열유동 해석)

  • Kim, Hyun muk;Bae, Seong hun;Park, Cheol hyeon;Jeon, Hyeok soo;Kim, Jeong Soo
    • Journal of the Korean Society of Propulsion Engineers
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    • v.21 no.1
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    • pp.72-83
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    • 2017
  • A thermo-fluid dynamic analysis was performed through the numerical simulation of a missile canister. Calculation was made in a fixed analytical volume and fully evaporated water was used as a coolant. To analyze the interaction among the hot gas, coolant, and mixture flow, Realizable $k-{\varepsilon}$ turbulence and VOF(Volume Of Fluid) model were chosen and parametric study was performed with the change of coolant flow rate. It could be found that the pressure on the canister top nonlinearly increased with the increase of coolant flow rate. Temperature and coolant distribution were closely related to the flow behavior in canister. Temperature on the canister bottom indicated a decrease being proportional to coolant flow rate in early times but after a specific time, the temperature increased with the tendency being reversed. In addition, the early part of temperature showed a fluctuating phenomenon because of the overall circulatory flow of mixture gas.

A study on post-formula instruction of Kyejitang(桂枝湯) (계지탕(桂枝湯) 방후주문(方後註文)에 관한 연구(硏究))

  • Kim, Kang;Meang, Woongjae
    • The Journal of Korean Medical History
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    • v.23 no.1
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    • pp.23-41
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    • 2010
  • Greater yang disease(太陽病) is a syndrome induced by peripheral obstruction. One of them is "wind stroke(中風)" with the obstruction in lymphatic system. The other obstruction appearing on circulatory system is called "cold damage(傷寒)." Kyejitang(桂枝湯) is the formula prescribed for greater yang wind stroke pattern(太陽中風證) which is caused by peripheral lymphatic duct obstruction. Ramulus Cinamoni acts as a vasodilator and Radix Paeoniae relieves the abdominal tension. They make blood move to the internal organ and this can remove the retention of peripheral lymphatic system. Covering the patient with a blanket and getting him/her to have hot and thin rice gruel causes slight Diaphoresis, contributing to relieving the retention of lymphatic system. Disharmony between nutrient and defense(營衛不和) means that pressure becomes different between lymphatic system and vascular system. Kyejitang(桂枝湯) is called releasing muscles formula(解肌劑) because it can resolve such pressure difference. Diaphoresis is not a means to eliminate pathogenic qi(邪氣) from the body. That is the syndrome proving that the body fluid has moved around when disordered fluid distribution is corrected. Therefore, diaphoresis should be induced weakly all the time. If diaphoresis is induced excessively, body fluid will move more than desired and then illness cannot be cured. In Sanghanlun(傷寒論), dispersing drugs aim at addressing the retention in the exterior field, but it actually applies to the entire exterior and interior to make body fluid move. Therefore, diaphoresis does not just act on exterior field, and freeing the stool does not only apply to interior field. Distribution of body fluid changed by pathogenic qi(邪氣) influences the whole body because the human body has a closed circulatory system. Sanghanlun(傷寒論) has included treatments for pathogenic disease. However, its value should not be limited to pathogenic disease. It is because controlling blood flow by sending body fluid to the place a doctor wants is certainly worth using for treatment of non-exogenous disease or chronic illnesses.

A case of the patient treated with Chunmagudung-um who was diagnosed with Vertebrobasilar insufficiency (척추기저동맥부전환자를 천마구등음(天麻鉤藤飮)으로 치료한 치험 1례)

  • Song, Cheol-Min;Chang, Tong-Young;Rhim, Eun-Kyung;Lee, Yun-Jae;Lee, Jung-Sub;Shin, Sun-Ho;Lee, In;Moon, Byung-Soon;Jeong, Hyun-Ae
    • The Journal of Internal Korean Medicine
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    • v.26 no.3
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    • pp.699-707
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    • 2005
  • Vertebrobasilar insuffciency(VBI) is also refered to as vertebrobasilar transient ischemic attack(V-B TIA). Vertebrobasilar insufficiency is often undiagnosed or misdiagnosed due to complexity of the symptoms. Transcranial doppler(TCD) can be used to possible to record the blood flow velocities in the cerebral arteries through the intact cranium. Transcranial doppler and magnetic resonance angiography(MRA) are both noninvasive techniques that can be used in vertebrobasilar insufficiency, but transcranial doppler is more sensitive with respect to evaluating stenotic lesion of the arteries than magnetic resonance angiographv. Diagnostic values of transcranial doppler were assessed in patients with vertebrobasilar insufficiency. A case of vertebrobasilar insufficiency is here reported. A 62-year-old man with dizzness, nausea and tremor because of vertebrobasilar insufficiency was admitted at Wonkwang Oriental Medicine Hospital. He was treated with the herbal medicine Chunmagudung-um and with acupunture. Results showed improvement of symptoms and favorable transcranial doppler readings. The process used in this successful treatment is here described.

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Open Heart Surgery in Infants Weighing Less than 3kg (체중 3kg 이하 소아에서의 개심술)

  • 이창하
    • Journal of Chest Surgery
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    • v.33 no.8
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    • pp.630-637
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    • 2000
  • Backgroud: There are well-known problems in the management of low weight neonates or infants with congenital heart defects. In the past, because of a perceived high risk of operations using cardiopulmonary bypass(CPB) in these patients, there was a tendency for staged palliation without the use of CPB. However, the recent trend has been toward early reparative surgery using CPB, with acceptable mortality and good long-term survival. Therefore we reviewed our results of the operations in infants weighing less than 3kg and considered the technical aspect of conducting the CPB including myocardial protection. Material and Method: Between Jan. 1995 and Jul. 1998, 28 infants weighing less than 3kg underwent open heart surgery for many cardiac anomalies with a mean body weight of 2.7kg(range; 1.9-3.0kg) and a mean age of 41days(range; 4-110days). Preoperative management in the intensive care unit was needed in 20 infants and preoperative ventilator support therapy in 11. Total correction was performed in 23 infants and the palliative procedure in 5. Total circulatory arrest was needed in 11 infants(39%). Result: There were seven hospital deaths(25%) caused by myocardial failure(n=3), surgical failure(n=2), multiorgan failure(n=1), and sudden death(n=1). The median duration of hospital stay and intensive care unit stay were 13days(range; 6-93days) and 6days(range; 2-77days) respectively. The follow-up was achieved in 21 patients and showed three cases of late mortality(15%) and a one-year survival rate of 62%. No neurologic complications such as clinical seizure and intracranial bleeding were noticed immediately after surgery and during follow-up. Conclusion: The early and late mortality rate of open heart surgery in our infants weighing less than 3 kg stood relatively high, but the improved outcomes are expected by means of the delicate conduct of cardiopulmonary bypass including myocardial protection as well as the adequate perioperative management. Also, the longer follow-up for the neurologic development and complications are needed in infants undergoing circulatory arrest and continuous low flow CPB.

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Serological evidence on the persistence of porcine epidemic diarrhea virus infection (돼지 유행성 설사병(porcine epidemic diarrhea)의 상재화에 대한 혈청학적 증명)

  • Park, Bong-kyun;Han, Kyung-soo;Lyoo, Kwang-soo;Kim, Jun-young;Jeong, Hyun-kyu
    • Korean Journal of Veterinary Research
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    • v.38 no.4
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    • pp.818-822
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    • 1998
  • The persistence of porcine epidemic diarrhea virus(PEDV) infection was demonstrated in 7 swine farms employing continuous pig flow management even after seasonal outbreaks. Clinically, sporadic postweaning diarrhea was a major concern in those farms. Subsequently circulatory antibody detection using serum neutralizing test made useful for confirmation of PEDV persistent infections. The persistence of PEDV in the premise might have induced recurrence over the period of time.

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Unstable Angina Pectoris after Lumbar Epidural Blockade in a Herpes Zoster Patient with Chronic Stable Angina Pectoris -A case report- (만성 안전형 협심증을 가진 대상포진 환자에서 요부 경막외 차단 후 발생한 불안전형 협심증 -증례 보고-)

  • Lee, Jun-Hak;Yun, Chae-Sik;Chung, Eun-Bae;Lee, Ki-Nam;Moon, Jun-Il
    • The Korean Journal of Pain
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    • v.11 no.1
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    • pp.146-149
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    • 1998
  • Herpes zoster is a viral disease characterized by skin rash and persistent pain. Early treatment with epidural analgesia provides very effective pain relief and reduces the incidence of postherpetic neuralgia. However, epidural analgesia in elderly, deliberated or hypovolemic patients may complicate circulatory depression such as hypotension and bradycardia. Even if temporary, a major decrease in blood pressure may decrease coronary blood flow of patients with arteriosclerosis and ischemic accident may occur. We experienced a case of unstable angina pectoris after lumbar epidural blockade in a herpes zoster patient with chronic stable angina pectoris.

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The Change of Derum and Urine Amylase Level Following Cardiopulmonary Bypass in the Patients with Congenital heart disease (선천성 심기형 환아에서 체외순환후 혈청 및 소변 Amylase치의 변화)

  • Baek, Hui-Jong;Kim, Yong-Jin
    • Journal of Chest Surgery
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    • v.28 no.10
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    • pp.892-899
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    • 1995
  • Pancreatitis is a known complication of cardiac surgery with cardiopulmonary bypass. Although ischemia is believed to be a factor, the exact cause of pancreatitis after cardiopulmonary bypass remains unknown.We prospectively studied 67 consecutive patients undergoing cardiac surgery with cardiopulmonary bypass for evaluation of the pancreatic injury after cardiopulmonary bypas. Serial measurement of amylase level in serum and urine was done postoperatively. Hyperamylasemia was detected in 15 patients[22.4% , of whom no patient had pancreatitis. There was no significant difference between serum amylase level and parameters such as cardiopulmonay bypass time, aortic cross clamp time, mean blood pressure, rectal temperature, flow rate, and use of circulatory arrest during cardiopulmonary bypass. Hyperamylasuria was detected in 8 patients[11.9% , and urine amylase level was elevated significantly in the groups with prolonged cardiopulmonary bypass, mean blood pressure more than 40mmHg, and rectal temperature more than 20 $^{\circ}$C. We recommend that serum amylase level and/or amylase-creatinine clearance ratio is measured for ealy detection and management of pancreatitis after cardiopulmonary bypass.

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Hemodynamic Modeling of the Pulsatile Cardiac Pulmonary Perfusion for the Patient's Heart (환자의 박동형 심장의 폐순환 혈류 모델링에 대한 연구)

  • Kim, J.S.;Kim, M.S.;Choi, S.W.
    • Proceedings of the KSME Conference
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    • 2008.11a
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    • pp.1679-1682
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    • 2008
  • Pulsatile Extracorporeal Membrane Oxygenation(ECMO) can mitigate the heart load and raise the patient's blood perfusion. But If the ECMO pulsate the blood flow during the systolic period, It can burden to the patient's heart. To avoid the heart injury, we have to consider the relation between output of ECMO, hemodynamic states and heart movement. To raise the efficacy of the pulsatile ECMO, we investigated the coronary perfusion, cardiac muscle tension and hemodynamic states during the ECMO perfusion by using the mathematical model of human blood circulatory system and ECMO. The outflow data of the pulsatile ECMO(T-PLS, Bioheartkorea, Korea) was obtained in vitro experiments. According to the phase and pumping rate of the ECMO, the heart's load and coronary perfusion could be adjusted to the proper levels. The results of the human- ECMO lumped parameter model showed that the synchronizing operation of the pulsatile ECLS can be helpful at stabilizing the patient's hemodynamic states.

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Performance Evaluation of Side Channel Type Regenerative Blower (사이드채널형 재생블로워의 성능평가)

  • Lee, Kyoung-Yong;Choi, Young-Seok
    • 유체기계공업학회:학술대회논문집
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    • 2005.12a
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    • pp.378-383
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    • 2005
  • The performances of side channel type regenerative blowers were evaluated by the blower performance test, 1-D performance prediction and CFD. The performance prediction method was modified using the results of the performance test and CFD and applied to the design of the new regenerative blowers. The major geometric parameters such as channel height, channel area and expansion angle were decided from the performance prediction method for the improved models and the predicted results were compared with CFD and experimental data. Both of the modified models showed improved efficiency at the operating condition. Especially, model3 could be possible to reduce operating rotating speed, that is benefit to noise performance, because of the high head performance at the design point. The CFD results showed that the performance of the regenerative blower was influenced by the secondary circulatory flow in the channel.

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