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Complete Transposition of Great Arteries Combined with VSD and Pulmonic Stenosis (S.D.D.) -One Case Report- (대혈관전위증 (S.D.D.) 치험 1례)

  • 강면식
    • Journal of Chest Surgery
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    • v.12 no.3
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    • pp.207-214
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    • 1979
  • This 3-year-old girl was observed frequent exertional dyspnea and cyanosis at crying since birth. She was not premature baby and delivered at full term normally. On physical examination, she was underdeveloped-body weight 13.5 kg, height 99 cm.- and cyanotic. There was severe clubbing on fingers. There was grade II/VI ejection systolic murmur on left lateral border of the sternum. The preoperative examinations [EKG, echocardiogram, cardiac catheterization and biventriculogram] showed that complicated T.G.A. combined vena cava[S.D.D.]. Preoperatively, we decided the corrective surgery of Rastelli operation using a. pulmonary valved conduit. The operation was performed under total circulatory arrest using deep profound hypothermia combining with extracorporeal circulation. On operation, the anatomy of the heart showed that, 1. The subaortic conus was seen and subaortic muscles were hypertrophied. 2. The VSD[type II], behind the subaortic conus-about 1 cm. in diameter, was visible only through LV cavity and, 3. The pulmonary valve ring was hypoplastic and pulmonary valvular stenosis was seen also. The subpulmonic area [LV outflow tract] was obstructed with hypertrophied muscle and mitral valve. 4. Left superior vena cava was drained to RA via coronary sinus. 5. LAD coronary artery was originated from right coronary artery and ran anterior to the pulmonary artery. According to above anatomy, we performed the VSD closure with Teflon patch, and Mustard operation combined with LV-to-pulmonary artery bypass graft using the valve contained [Hancock 16 mm] conduit. Postoperatively, adequate blood pressure could be maintained under the state of using inotropic agent [epinephrine]. On the second postoperative day, the patient died of cardiac arrest due to low cardiac output syndrome, acute renal failure and pulmonary edema.

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Pharmacokinetic Characterization of Nano-emulsion Vitamin A, D and E (LaVita) in Rats

  • Lee, Young-Ju;Kwon, Min;Kim, Tae-Hwan;Kim, Kyun;Jeong, Sang-Hee;Chang, Hee-Ra
    • Korean Journal of Environmental Agriculture
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    • v.30 no.2
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    • pp.196-201
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    • 2011
  • BACKGROUND: Bioavailability enhancement by solubilization of lipophilic drugs in nano-emulsion has been reported and it may be useful in pharmaceutical and nutraceutical products. This study was performed to compare in vivo bioavailability of nano-emulsion formulation with that of the general product as control. METHODS AND RESULTS: The pharmacokinetics assessment of Vitamin A, D and E complex of nanoemulsion formulation (LaVita), in comparison to the general product, was performed in the male rat plasma by a single oral dose at 20 mL/kg body weight (n=3/group). For nano-emulsion formulation (LaVita), $C_{max}$ of vitamin A and E in plasma were much higher and the area under the curve (AUC) of vitamin A, D and E were 14-63% higher, and the half-life of vitamin E was 2-fold longer than the general product. According to statistical analysis, each $C_{max}$ of vitamin A, D & E was significantly higher (p<0.01, 0.05 and 0.01, respectively) than that of general product. Half-life of vitamin A was significantly higher (p<0.01) and AUC of vitamin A and D were also significantly higher than the general product. CONCLUSION(s): Considering significant increment of $C_{max}$ and AUC, LaVita made of nano-emulsion could be more effective the absorption rate and extent for bioavailability of vitamin A, D & E than those of general product.

The mechanical properties of 3D printed denture base resin incorporating essential oil microcapsules

  • Steve An;Jane Lesleigh Evans;Stephen Hamlet;Robert Matthew Love
    • The Journal of Advanced Prosthodontics
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    • v.15 no.4
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    • pp.189-201
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    • 2023
  • PURPOSE. The aim of this study was to investigate the mechanical properties of three-dimensional (3D) printed denture base resin incorporating microcapsules containing plant essential oils. MATERIALS AND METHODS. Denture base specimens containing up to 3% w/v essential oil microcapsule powders (MCPs), i.e., eucalyptus, geranium, lavender, menthol, and tea tree, in two resins (Detax and NextDent 3D+) were 3D printed using two printers (Asiga and NextDent 5100). The dispersion and interaction of the MCPs in the resin were assessed by SEM while the mechanical properties of the incorporated denture base including flexural strength (MPa), flexural modulus (MPa), Vickers hardness (VHN), and surface roughness (Ra) were also subsequently evaluated. Statistical analysis of any differences in mean values was determined using a two-way ANOVA with Tukey's post hoc testing (α = .05). RESULTS. The spherical shape of the MCPs was maintained during the mixing and polymerization/printing process. However, the Detax-Asiga group showed significant agglomeration of the MCPs even at the lowest MCP concentration levels (0.5% w/v). Overall, as the microcapsule concentration increased, the mean flexural strength decreased, though the menthol MCP groups remained compliant with the ISO standard. The flexural modulus and harness remained relatively unchanged, and the flexural modulus complied with the ISO standard regardless of the MCP concentration. Surface roughness increased with the addition of the MCPs but also remained below that required for clinical acceptance. CONCLUSION. Incorporation of microencapsulated plant essential oils into 3D printed denture base resin was successfully achieved. While incorporation negatively influenced flexural strength and surface roughness, little effect on flexural modulus and Vickers hardness was demonstrated.

Effect of Horizontal Pitch-to-Diameter Ratio on the Natural-Convection Heat Transfer of Two Staggered Cylinders (엇갈리게 배열된 두 개의 수평관에서 수평 피치-직경비에 따른 자연대류 열전달 영향)

  • Chae, Myeong-Seon;Heo, Jeong-Hwan;Chung, Bum-Jin
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.36 no.3
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    • pp.259-268
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    • 2012
  • This study measured the natural-convection heat transfer of two vertically staggered cylinders with varying vertical pitch-to-diameter ($P_v$/D) and horizontal pitch-to-diameter ($P_h$/D) ratios. The measured heat-transfer rates for the lower cylinder agreed well with the existing heat-transfer correlations for a single cylinder. At the smallest $P_v$/D, the rising plume from the lower cylinder provides the upper cylinder with a preheated flow, and the heat-transfer rates of the upper cylinder decrease, but increase very sensitively with $P_h$/D. However, at the largest $P_v$/D, the velocity effect dominates, and the heat-transfer rates of the upper cylinder are larger than that of a single cylinder, and decrease less sensitively with $P_h$/D. Even if $P_h$/D is increased, the heat-transfer rate of the upper cylinder is higher than that of the lower cylinder because of the chimney and side flow effects. This work expanded the flow ranges to turbulent flows. The cupric acid-copper sulfate ($H_2SO_4-CuSO_4$) electroplating system was adopted for the measurements of the mass-transfer rates instead of the heat-transfer experiments based on the analogy concept. The measurements were made by varying $P_v$/D (1.02-5) and $P_h$/D (0-2) in both laminar and turbulent flows. The Rayleigh number ranged from $1.5{\times}10^8$ to $2.5{\times}10^{10}$, and the Prandtl number was 2,014.

Physiological Characteristics of Resistant Starch (HI-MAIZE DIET) Fortified with Other Dietary Fiber Components (식이섬유의 기능이 강화된 저항전분 (HI-MAIZE DIET)의 생리적 특성)

  • Choi, Yang-Mun;Oh, Sung-Hoon;Yu, Kwang-Won;Shin, Kwang-Soon;Ra, Kyung-Soo;Park, Chul-Soo;Kim, Kyung-Mi;Suh, Hyung-Joo
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.34 no.3
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    • pp.351-355
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    • 2005
  • This study was performed to investigate the influences of resistant starch (HM: HI-MAIZE) and HM-D (HI-MAIZE DIET) fortified with D-factor (consisted of Psyliium husk, polydextrose and hydrocitric acid) on the glucose and bile acid absorption and production of short chain fatty acids (SCFA). HM-D absorbed more glucose and bile acid than did HM. The glucose transport of HM and HM-D against dialysis membrane showed 77% and 68% for 4h, respectively. After 24h, bile acid transport of HM and HM -D showed 65% and 62.3%, respectively. The HM and HM-D produced 217.8 mM and 264.0mM of SCFA, respectively. The production of butyric acid in HM-D (32.7mM) showed higher than that of HM (26.9mM). The addition of D-factor to HM increased the physiological function of dietary fiber through the glucose and bile acid absorption and production of SCFA.

Anti Photoaging Effects of Hyaluronic Acid following Oral Administration in SKH-1 Hairless Mice (SKH-1 Hairless Mice에서의 히알루론산 경구 투여를 통한 피부 광노화 개선 효과)

  • Lee, Sung-jin;Seo, YoonHee;Yun, Min-kyu;Yu, Heui-jong;Choe, Soo-Young
    • The Korean Journal of Food And Nutrition
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    • v.28 no.6
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    • pp.941-946
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    • 2015
  • Photoaging is the main extrinsic aging factor that is induced due to UVB. Many studies have revealed that application of hyaluronic acid to the skin is effective in healing photoaging. However, the effect of hyaluronic acid through oral administration is unclear. The aim of this research was to investigate the effect on skin photoaging after oral administration of hyaluronic acid. During a ten week study, hyaluronic acid was fed to hairless mice, which were illuminated by UV radiation. After ten weeks, wrinkle indicator and histological changes were determined. Compared with the control group, the sample group had a decrease in wrinkle depth, thickness, and number. Especially, the HA 160 mg/kg group had a similar value of wrinkle depth ($19.44{\pm}0.75{\mu}m$), number ($654.00{\pm}98.34$), and thickness ($1.35{\pm}0.08mm$), when compared with the RA (retinoic acid) group ($19.28{\pm}0.95{\mu}m$, $653.57{\pm}83.54$, and $1.34{\pm}0.07mm$ respectively). Also, the treated group showed improved elastosis and decreased collagen degradation resulting from UV irradiation. Thus, we can conclude that hyaluronic acid has a positive effect in improving skin photoaging induced by UV radiation. Hyaluronic acid therefore has the potential to be an ingredient in skin health function foods.

Physical Property of Aramid ATY filament According to the ATY Nozzle Diameter (ATY Nozzle 직경변화에 따른 Aramid 단사의 ATY 물성)

  • Choi, La-Hee;Park, Mi-Ra;Ma, Hye-Young;Kang, Yun-Hwa;Kim, Seung-Jin
    • Proceedings of the Korean Society of Dyers and Finishers Conference
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    • 2012.03a
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    • pp.65-65
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    • 2012
  • The air texturing공정은 노즐에서 전달되는 초음속 에어기류에 의해 overfeed를 수반하여 yarn속 fiber가 뒤얽혀 loop와 crimp를 발달시키는데, 고강력 고탄성율 고내열성 내절단성 등의 특성을 가지는 아라미드섬유를 에어 가공사로 가공 할 경우 가공 전 필라멘트 상태일 때 보다 표면에 생기는 loop로 인하여 촉감이 좋아지고 또한 타 소재와 접착 시 접착제 담지 성능이 향상 되어 접착력이 상승되고, 이를 통해 보강재로서의 기능이 강화되는 반면 역학물성이 기존의 아라미드 보다 저하되는 약점을 가지고 있어 최근 ATY 공정조건이 ATY 사의 구조와 물성변화에 미치는 영향에 대한 많은 연구결과가 발표되고 있다. 본 연구에서는 Aiki air jet texturing machine에서 $Heracron^{(R)}$ para-aramid(840, 1000d, 1500d)를 사용하여 ATY nozzle의 직경을 0.6, 0.75, 1, 1.2mm로 변화를 주어 12개의 para-aramid ATY 시료를 제조하여 이들의 섬도, 강신도, 초기탄성률, 열수축률 그리고 형태불안정성(instability)등의 물성변화를 분석하여 다음과 같은 결과를 얻었다. 노즐의 직경이 증가함에 따라 사 내의 filament간의 움직임이 자유로워 교락이 증가하고 루프가 형성되어 단위길이 당 mass가 커지므로 섬도가 미세하게 증가하는 것을 볼 수 있다. 또한 직경이 증가할수록 절단강도와 초기탄성률은 감소하고 절단신도가 증가하는 경향을 볼 수 있는데 이는 축 방향으로의 배열이 적어져 하중을 분담하는 portion이 감소하고 사의 loop형성이 많아짐으로서 상대적으로 인장력에 대응하는 fiber의 수가 적어지기 때문으로 사료된다. 이는 현미경 관찰로 확인할 수 있는데 직경이 증가함에 따라 사의 loop의 엉킴이 증가하고 filament가 조밀한 것을 확인할 수 있다. 직경 변화에 따른 건 습열 수축률은 1% 미만의 매우 낮은 값으로 영향을 받지 않는 것을 확인 할 수 있는데 para-aramid의 열적특성의 안정성에 기인하는 것으로 사료되며 ATY의 불안정성은 노즐 직경 증가에 따른 어떤 경향성을 찾아볼 수 없었지만 840d, 1000d, 1500d로 섬도가 증가함에 따라 사의 불안정성이 증가하였다.

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Effect of Vigna angularis Ethanol Extract on Papain-induced Arthritis in Mice (팥 에탄올 추출물의 Papain 유도 관절염 마우스에서의 항 골관절염 효과)

  • Jeoung, See Hwa;Kim, Seung Hyung;Kim, Hyun Kyu;Yun, Bo Ra;Lee, Hee Woong;Lim, Ju Hwan;Rho, Mun Chual;Kim, Dong Hee
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.26 no.5
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    • pp.665-671
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    • 2012
  • The purpose of this study is to examine the effect of Vigna angularis ethanol extract (VA-E) on papain induced arthritis in C57BL/10 mice. The C57BL/10 mice were injected with papain and oral administration of Vigna angularis ethanol extract (VA-E) at different doses (100 and 200 mg/kg) once a day for 42 days and compared with untreated mice. Histological examination and the measurement of inflammatory cytokine release were performed. The results showed that comparing with untreated mice, the treatment with Vigna angularis ethanol extract (VA-E) decreased the pathological changes of knee joint tissue. The level of inflammatory cytokine secreted from the tissues, such as IL-$1{\beta}$ (interleukin-$1{\beta}$), IL-6 (interleukin-6), TNF-${\alpha}$ (Tumor Necrosis Factor-${\alpha}$), were decreased. These results were confirmed by the quantification of cartilage volume using micro CT scanning. Consequently, Vigna angularis ethanol extract (VA-E) has a therapeutic potential in inflammatory joint diseases such as osteoarthritis.

Tetany in a 13-Year-Old Girl with Wilson's Disease (테타니가 발생한 윌슨병 1예)

  • Ra, Chae-Ik;Kim, Sang-Yong;Koh, Hong
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.14 no.1
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    • pp.86-90
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    • 2011
  • Wilson's disease is an autosomal recessive disorder of copper metabolism consequence of which leads to accumulation of copper in the liver, brain, cornea and other tissues. The manifestations are more likely to be hepatic in the early childhood and neurological in the adolescents. In addition, the abnormalities that develop during disease progression may result in other manifestations such as hematologic, endocrine, or renal findings. We report a thirteen year-old girl who manifested tetany shortly after the initial diagnosis of Wilson's disease. Despite aggressive calcium, magnesium and vitamin D replacement, the hypocalcemia and hypomagnesemia did not respond to the therapy promptly. It took more than three weeks for blood levels of the minerals to be normal. We concluded that tetany occurred in our patient because of hypoparathyroidism as a rare complication of Wilson disease, vitamin D deficiency resulting from various conditions, and inconclusive hypomagnesemia.

Investigation of Dirofilaria immitis infection in stray dogs from public animal shelters in Seoul (서울지역 동물보호소 내 유기견의 개 심장사상충 감염 실태조사)

  • Kim, Neung-Hee;Kwak, Jeong-Yeon;Kim, Hye-Ra;Park, Hyeong-Suk;Kim, Doo-Hwan;Lee, Ju-Hyung
    • Korean Journal of Veterinary Service
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    • v.37 no.3
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    • pp.197-202
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    • 2014
  • Dirofilaria immitis infection is one of the most important parasitic diseases in dogs and public health. It often elicits nodules in the pulmonary parenchyma and in the subcutaneous tissues of human. In this study, we investigated the prevalence of D. immitis infection among 754 dogs in Seoul area from April to December 2012. The infection rate of 754 dogs was 9.8% (74/754) by the antigen test (canine SNAP 4Dx). The infection rates of D. immitis in dogs at the age of < 2, 2~4, 5~7, 8~10, and > 10 years were 3.7% (7/189), 12.9% (30/233), 15.0% (19/127), 9.8% (18/184), and 0% (0/21), respectively. The infection rates in the female and male dogs were 9.7% (33/340) and 9.9% (41/414), respectively. The regional infection rates in northern and southern Han river region of Seoul were 10.7% (44/410) and 8.7% (30/344), respectively. In order to confirm D. immitis infection, we performed PCR on serum samples of 74 dogs which tested positive for D. immitis antigen by the antigen test and we detected a specific gene ITS-2 in 59 serum samples. In conclusion, this study suggests that treatment and preventive care on the D. immitis infection should be considered in dogs of Seoul area.