• Title/Summary/Keyword: Complement activation

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Experimental Endotoxin-Induced Disseminated Intravascular Coagulation in Rat Model (쥐 모델에 있어 내독소에 의한 실험적인 범발성 혈관내 응고증)

  • Seok- Cheol Choi;Jai-Young Kim;Jin-Bog Koh;Won-Jae Lee
    • Biomedical Science Letters
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    • v.3 no.2
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    • pp.83-88
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    • 1997
  • In septic patients, disseminated intravascula. coagulation (DIC) occurs frequently and is a pathologic condition associated with a variety of critical illness. DIC may complicate the already complex clinical situations and contribute to the high mortality. Nevertheless, its pathogenic mechanisms are not completely elucidated. Present study was prospectively designed to understand the pathogenetic mechanisms involved in the development of DIC. 15 rats were subjected to study and according to the aim, they were divided into three groups: group I, control (not treated-endotoxin, n=5); group II (12 hours after endotoxin injection, n=5); group III (24 hours after endotoxin injection, n=5). Experimental DIC was induced in rats by a bolus injection of endotoxin (1mg/kg, E. coli serotype 055:B5). Blood was collected by direct puncture of the heart. Platelet count, fibrinogen and plasminogen concentration, antithrombin III, D-dimer and complement components (C3 and C4) were measured in all subjects. In group II and III, there were apparent signs of DIC, including thrombocytopenia, decreased fibrinogen (but increase in group III), reduced C3 and antithrombin III, and elevated D-dimer. These data indicated that endotoxin might induce the activation of several pathways such as coagulation, fibrinolytic and complement cascade, causing DIC and subsequent multiple organ failures. Ultimately, the increased knowledge of the various pathogenetic mechanisms of coagulation activation and fibrinolysis in endotoxin-induced DIC may have prophylactic or therapeutic implications.

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Blood Compatibility of Polyurethane-poly(vinyl alcohol) Polymer Blends (폴리우레탄-폴리비닐알콜 블렌드의 혈액적합성)

  • 김승수;유영미;신재섭;정규식
    • Polymer(Korea)
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    • v.24 no.1
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    • pp.82-89
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    • 2000
  • The blood compatibilities of PU/PVA polymer blends with different mixing ratios were evaluated using various methods, such as fibrinogen adsorption, plasma recalcification time, platelet adhesion, whole blood clotting time, and complement activation. In addition, PVA on the surface of the polymer blends was crosslinked by glutaraldehyde to restrain the mobility of PVA molecules for characterizing the effect of PVA in the polymer blends on blood compatibility. The fibrinogen adsorption on the polymer blends decreased with the increase of PVA amount in the polymer blends. The plasma recalcification times of the polymer blends with 10-50 wt% PVA were longer than those of PU, PVA, and polymer blends with higher amount of PVA. The morphological changes and adhesion of platelets on the polymer blends with 30-50 wt% PVA were less than those on the other materials. The blood clotting times and complement activation on the polymer blends with 30-50 wt% PVA were reduced, compared to the other materials. On the other hand, the blood compatibility of the crosslinked polymer blends was relatively decreased, compared to the non-crosslinked ones. According to these experimental results, the blood compatibility of the polymer blends with 30-50 wt% PVA was better than that of the other materials and such a blood compatibility of the polymer blends might be related to the mobility of PVA molecules on the surface.

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Screening and characteristics of anti-complementary polysaccharides from Chinese medicinal herbs (한약재로부터 항보체 활성 다당의 검색 및 특성)

  • Shin, Kwang-Soon;Kwon, Kyung-Sup;Yang, Han-Chul
    • Applied Biological Chemistry
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    • v.35 no.1
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    • pp.42-50
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    • 1992
  • We conducted screening on Chinese medicinal herbs to examine their anti-complementary activity by hemolytic complementary assay $(TCH_{50})$. Among 55 kinds of herbs, several herbs showed relatively potent anti-complementary activity which decreased $TCH_{50}$, more than 70% in comparison with control. Then, hot water extracts of the following herbs, Curcuma aromatica, Areca catechu, Gleditsiae spina, Euonymus alata, Acanthopanax senticous. Lonicera japonica, Aconitum carmichaeli, Curcuma zedoaria and Cinnamoum cassia, which were shown relatively potent anti-complementary activity were partially purified and analyzed their chemical properties. These activities were resistant to digestion with pronase but decreased by treatment with $NaIO_4$. These results may indicate that the complement activating ability in their herbs is due to polysaccharide. Furthermore, the anti-complementary activity of Areca catechu which was showed the most potent activity, was reduced partially in the absence of the $Ca^{++}\;ion$. After incubation of the normal human serum with partially purified polysaccharide of A. catechu in the absence of $Ca^{++}\;ion$, a cleavage of C3 in the serum was found to have occurred through immunoelectrophoresis using rabbit anti-human C3 serum. These results indicate that the mode of complement activation by polysaccharide of A. catechu is via both the alternative and classical pathway.

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A Study on Activation of Network through the Ba of Knowledge Sharing : The case of NPOs Network (지식공유의 장(場)을 통한 협력네트워크 활성화에 대한 연구 : 비영리조직 네트워크를 중심으로)

  • Jin, Ho-Seok;Park, Sang-Hyeok;Park, Jeong-Seon
    • The Journal of Information Systems
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    • v.26 no.2
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    • pp.85-104
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    • 2017
  • Purpose The purpose of this study is to improve the efficiency of the activities of loosely connected network organization through the platform(Ba) of knowledge sharing. Loosely connected network organizations have been tried to promote new work and complement the scarce resources through collaborations. NPO(Non-Profit Organization) is essential to establish cooperation networks in order to achieve the public interest on the basis of scarce resources. This study interpreted the Ba on the 'Change-On' program and analyzed the social networks of regional organizations through the activation of the Ba. The 'Change-On' program is conducted for several years to promote the efficiency of the NPO network by Daum Generation Foundation. Design/methodology/approach This study made a design to organize the Ba concept of Nonaka & Konno and presented a case of the Ba activated based on the NPO network of regional order. According to the social network analysis of regional cooperation within the network of participating organizations was extended, it was found that the principal plays a significant role as a central hub made. Findings According to the empirical analysis, this study illustrated that various types of network were formed among NPOs based on the 'Change-On'. Furthermore, the networks surrounding NPOs are extended to the other people connected to them. This means that the network of NPOs had been diversified via the facilitation of the Ba. This study throws new highlights on the new role for the Ba as a network promoter in addition to the partner as a technology-provider in the NPO ecosystem. Moreover, the network analysis between before-and-after can be used for the evaluation of the effectiveness of the various Ba programs.

A Case of Delayed Severe Hypersensitivity Reaction during $Genexol-PM^{(R)}$ Infusion (Genexol-$PM^{(R)}$ 항암치료 중 발생한 지연성 중증 과민성반응 1예)

  • Kim, Hyun-Kyung;Kim, Su-Woo;Kang, Hye-Won;Kwon, Kyoung-Joo;Park, Hye-Sung;Ryu, Yon-Ju;Lee, Jin-Hwa;Chun, Eun-Mi;Cho, Young-Joo;Chang, Jung-Hyun
    • Tuberculosis and Respiratory Diseases
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    • v.68 no.5
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    • pp.294-297
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    • 2010
  • Although $Taxo^{(R)}$ is one of the most successful drugs in current cancer chemotherapy against solid tumors, a major problem is hypersensitivity reactions that arises as a consequence of activation of the complement (C) system, "C activation-related pseudo-allergy". Most severe hypersenstivity reactions occur within the first few minutes of $Taxo^{(R)}$ administration, usually after the first or second dose. Here we report a case of a severe hypersensitivity reaction in a 72-year-old man undergoing $Genexol-PM^{(R)}$ infusion. Hypotension and polymorphic pruritic skin rash appeared 2 hours after the start of $Genexol-PM^{(R)}$ infusion (with an appropriate premedication). Treating with methylprednisolone, epinephrine and inotropic agents, reduced the hypotension and the skin rash disappeared. We report this case with a review of the literature.

Tetrachloroauric Acid Depresses the Activation Processes of Phagocytic Cells

  • Lee, Chung-Soo
    • The Korean Journal of Physiology and Pharmacology
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    • v.2 no.3
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    • pp.377-384
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    • 1998
  • Gold compounds depress phagocytic cell responses, including chemotaxis, and respiratory burst. However, the effects of gold compounds on the function of phagocytic cells are variable according to the preparation of medicine. In this study, effect of tetrachloroauric acid on activated neutrophil responses, including respiratory burst, lysosomal enzyme release and change of intracellular $Ca^{2+}$ level and on the synthesis of interleukin-8 and granulocyte-macrophage colony stimulating factor by macrophages was studied. This study further examines how gold compounds affect the activation processes. The respiratory burst stimulated by complement C5a, degraded IgG and PMA in neutrophils was inhibited by tetrachloroauric acid. In contrast to C5a and degraded IgG, PMA-stimulated superoxide production was weakly inhibited by tetrachloroauric acid. Staurosporine, genistein, EGTA and verapamil inhibited superoxide and $H_2O_2$ production caused by C5a and degraded IgG. PMA-stimulated superoxide production was inhibited by staurosporine but was not affected by genistein. Tetrachloroauric acid, genistein, EGTA and verapamil inhibited the release of acid phosphatase and myeloperoxidase, while the effect of staurosporine was not detected. The synthesis of interleukin-8 and granulocyte-macrophage colony stimulating factor by $interleukin-1{\beta}$ in macrophages was inhibited by tetrachloroauric acid. Preincubation with tetrachloroauric acid, genistein, EGTA and verapamil, the elevation of [$Ca^{2+}_i$] evoked by C5a was inhibited. Store-regulated $Ca^{2+}$ entry in thapsigargin-pretreated neutrophils was decreased by the addition of tetrachloroauric acid and genistein. The effect of staurosporine on intracellular $Ca^{2+}$ mobilization was not observed. In conclusion, tetrachloroauric acid may suppress neutrophil responses through its inhibitory action on elevation of intracellular $Ca^{2+}$ level and protein kinase C. It might exhibit an inhibitory effect on the action of protein tyrosine kinase. Tetrachloroauric acid depresses cytokine production by macrophages.

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The Effects of Heparin-Coated Circuit on the Total Amount of Heparin During Cardiopulmonary Bypass (심폐기 사용 중에 HCC가 총 Heparin사용량에 미치는 영향)

  • 이현우;이재웅;박철현;박국양
    • Journal of Chest Surgery
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    • v.33 no.12
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    • pp.954-958
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    • 2000
  • 배경: 헤파린표면처리 도관(Heparin-coated circuit: HCC)이 도관과 혈액사이의 반응(Blood-marterial reaction)을 줄여주어서 보체활성화(complement activation), 백혈구활성화(leukocyte activation)와 사이토킨 분비(cytokinerelease)등을 감소시켜 준다. 그러나 HCC가 수술 후에 출혈 양을 줄여주고 헌혈 필요량을 감소시켜 준다는 임상적 효과에 대해서는 인정된 부분이 많으나 아직까지 그 기전은 대부분은 미지의 상태로 남아있는 것이 사실이다. 본 연구는 HCC를 사용한 군(Group H)과 사용하지 않은 군(Group C)간에 심폐기 사용기간(Pumptime), 활성화 응고시간(activated clotting time: ACT)과 헤파린 사용량을 비교 분석해 봄으로서 두 군간에 존재할 수 있는 헤파린 사용량을 비교 분석해 본으로서 두 군간에 존재할 수 있는 헤파린 사용량 차이에 대하여 알아보려고 하게되었다. 대상 및 방법: 본원에서 1999년 5월 1일부터 동년 12월 31일 사이에 연령이 16세 이상인 환자에서 HCC를 사용했던 16명(Group H)과 사용하지 않았던 19명(Group C)을 대상으로 하였다. 모든 환자에서 수술 전 체중, 신장, 체표면적, 심폐기 사용시간(pumptime), 수술 중 최저체온, 대동맥 차단시간(Aortic cross clamping time. ACC time), ACT, 헤파린 및 프로타민 사용 양 등을 조사하였다. 결과: 연구대상 환자의 연령, 체중, 신장, 체표면적, 대동맥차단 시간, 체온 등은 HCC를 사용한 군(H 군)과 사용하지 않은 군(C군)간에 의미 있는 차이가 없었다(p<0.05). 헤파린 공급 전, 공급 후 20분, 40분, 60분과 프로타민 공급 후 20분에 측정한 ACT는 두 군간에 의미 있는 차이가 없었다. 두 군간의 처음에 공급한 헤파린 양과 총 프로타민 사용량은 차이가 없었으나(p>0.05), 추가 공급한 헤파린 양(11$\pm$30 versus 67$\pm$49mg, p<0.05)과 총 헤파린 사용량(176$\pm$44 versus 239$\pm$70mg, p<0.05)은 H군에서 의미 있게 적게 나왔다. 두 군간에서 심폐기 사용시간에는 차이가 없었으면서 H군에서 약 38%정도의 헤파린을 적게 사용하였다. 결론: 결론적으로 HCC의 사용으로 심폐기 사용 시간과 상관없이 추가하는 헤파린 양을 줄임으로서 총 헤파린 사용량을 줄여 줄 수 있었으며 이것이 HCC의 임상적 효과를 나타나게 하는 하나의 요소로 작용할 수 있다고 생각된다.

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An Unconventional Approach Considering Flexor Spasticity and Flexion Synergies of the Upper Extremity Following a Stroke: A Randomized Double-blind Pilot Study

  • Rha, Young Hyoun;Lee, Keun Hee;Shin, Jun Bum;Park, Kang Hui;Kim, Byung Sun;Ha, Jae Chan
    • Physical Therapy Korea
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    • v.29 no.2
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    • pp.147-155
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    • 2022
  • Background: Although various conventional approaches have been employed to reduce spasticity in neurological rehabilitation, only a few studies have shown scientific evidence for its effectiveness. Thus, we introduced a different concept (Ueda method) of rehabilitation therapy that can complement the limitations of conventional therapy. Objects: This study aimed to investigate the immediate effects of the application of the Ueda method on patients with spasticity after stroke via an electrophysiological study. Methods: We conducted a randomized double-blind pilot study in two rehabilitation hospitals involving 30 stroke patients who were randomly allocated to the Ueda (n = 15) and convention (n = 15) groups. Electromyographic data of six examined muscles in both upper extremities of all patients were recorded. The A-ApA index and activation ratios of upper extremity muscles were evaluated and compared between the groups to confirm post-intervention changes in upper-extremity flexor spasticity and flexion synergies. Repeated-measures analysis of variance was conducted to confirm the therapeutic effect (2 × 2) as a function of group (Ueda vs. convention) and time (pre-/post-intervention) on all outcome measures (p < 0.05). Results: In the Ueda group, the mean A-ApA index values differed significantly before and after the intervention (p = 0.041), indicating a weak evidence level; however, the effect size was medium (d = -0.503). The interaction effects of the A-ApA index between the Ueda and convention groups and between pre-intervention and post-intervention stages were significant (p = 0.012). The effect size was large (np2 = 0.220). In the Ueda group, the activation ratios of the anterior deltoid fiber significantly decreased after the intervention in all reaching tasks. Conclusion: The Ueda method reduces upper-extremity flexor spasticity and changes its synergy in stroke patients and should be considered a rehabilitation therapy for spastic stroke patients.

Strategy for Helicopter Industry to be a Growth Driver (헬기산업의 성장동력화 방안)

  • Park, Joong-Yong;Chang, Byeong-Hee;Lee, Dae-Sung
    • Current Industrial and Technological Trends in Aerospace
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    • v.6 no.2
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    • pp.133-142
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    • 2008
  • We study the possibility of entering into helicopter market with respect to demand, industry structure and infrastructure. In conclusion, it is possible to enter into it based on domestic demand if we complement some technology, financial assistance system and helicopter operation related regulation. Strategy is made for helicopter industry to be a growth driver and then we suggest five projects to carry out it. Those are lasting creation of helicopter demand, possession of core part material and competitive technology, construction of airworthiness certification system and infrastructure for activation of helicopter operation, improvement of financial assistance system and finally strengthening policy modulation between civil, army, and government.

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The Qualitative Study on the Evaluation and the Application of 3D scan and virtual try-on technology (3차원 스캔과 가상 착의 기술의 평가와 활용에 관한 질적연구)

  • Choi, Young-Lim;Nam, Yun-Ja
    • Fashion & Textile Research Journal
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    • v.11 no.3
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    • pp.437-444
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    • 2009
  • According to the activation of the fashion electronic commerce, this research investigated the merits and demerits and improvement plan of the 3D virtual try-on technology using the qualitative research method. This research was performed by interview with 70 evaluation group. The evaluation group of 3D virtual try-on was organized and the fit evaluation process by 3D human body scan and the 3D virtual try-on of the i-Fashion technology center were experienced. This study was performed by interview after the actual and virtual try-on about the casual shirt. The convenience and accuracy of measurement, usability in online shopping, body evaluation, complement of sizing system, and body shape management were discovered as merits. The requirement of high accuracy in sizing and avatar, limits of fabric expression, practical limitation by cost, vexatious of measurement garment, differences between real and virtual fittings, personal information leakage risk, and etc were pointed out as demerits. The mass customization, customized garment connected with medical service, humanized avatar, improved fitting report, entertainment, coordination, wardrobe manager were proposed as improvement plan.