• Title/Summary/Keyword: DIC

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Group A ${\beta}$-hemolytic Streptococcal Meningoencephalitis with Unilateral Hemiparesis (일측성 편마비를 동반한 A군 ${\beta}$-용혈성 사슬알균 수막뇌염 1례)

  • Kim, Ki-Won;Soon, Eu-Gene;Cha, Byung Ho;Lee, Hae Yong;Uh, Young;Kim, Sunjoo;Chun, Jin-Kyong
    • Pediatric Infection and Vaccine
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    • v.16 no.2
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    • pp.210-214
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    • 2009
  • Group A streptococcus (GAS) rarely causes meningoencephalitis in children without risk factors. A previously healthy 8 year-old child presented with lethargy, high fever, and vomiting. The clinical course was unusual including intractable seizures, disseminated intravascular coagulation (DIC), and left hemiparesis in spite of the appropriate and timely administration of antibiotics and corticosteroids. The microbiologic studies revealed that the pathogen was susceptible to penicillin and GAS M18 strains. This case showed the importance of the GAS vaccine in addition to appropriate antibiotics.

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Semen Quality of the Black Bengal Bucks Used at Commercial Artificial Insemination

  • Dhar, Ajoy Chandra;Talukder, Anup Kumar;Rahman, Mohammad Bozlur;Al-Mamun, Abdullah;Shamsuddin, Mohammed
    • Journal of Embryo Transfer
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    • v.25 no.4
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    • pp.237-245
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    • 2010
  • Only an optimum number of viable spermatozoa in a frozen-thawed insemination dose can ensure conception at artificial insemination (AI). We report here the percentages of normal, abnormal and viable spermatozoa present in the frozen-thawed semen of 20 Black Bengal bucks used for commercial AI. Bucks in this experiment were of 19.3~46.1 months old and 25~42 kg body weight. Four semen straws (0.25 ml) from each buck were collected for evaluation of their kinetic parameters. Scrotal circumference was measured by using a scrotal tape, sperm motility was estimated on eye estimation and sperm concentration was determined by using a haemocytometer. Sperm morphology was studied in paraformaldehyde fixed spermatozoa under differential interference contrast (DIC) microscope. To determine the proportion of live (plasma membrane intact) spermatozoa, semen was stained with SYBR-14 and propidium iodide and examined under fluorescent microscope. Scrotal circumference, post-thaw sperm motility, sperm concentration per insemination dose and proportion of normal spermatozoa were $21.5{\pm}0.7\;cm$, $43.5 {\pm}5.4%$, $83.5{\pm}6.7$ million and $88.3{\pm}4.1%$, respectively. The percentages of spermatozoa with head shape and acrosome abnormalities were lower ($2.7{\pm}1.1$ and $1.4{\pm}1.3$, respectively), whereas higher percentages of abnormalities ($7.0{\pm}1.8$) were observed in mid piece and tail portion. The proportion of live spermatozoa was $28.5{\pm}5.4$. It is concluded that although a good number of morphologically normal spermatozoa are present in the insemination dose, the proportion of live spermatozoa is low, which warrants further improvements of buck semen freezing procedures to ensure good quality at AI.

Estimation of CO2 Emission from a Eutrophic Reservoir in Temperate Region (온대지역 부영양 저수지의 이산화탄소 배출량 산정)

  • Chung, Se-Woong;Yoo, Ji-Su;Park, Hyung-Seok;Schladow, S. Geoffrey
    • Journal of Korean Society on Water Environment
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    • v.32 no.5
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    • pp.433-441
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    • 2016
  • Many large dams have been constructed for water supply, irrigation, flood control and hydropower in Korea for the last century. Meanwhile, recent studies indicated that the artificial reservoirs impounded by these dams are major sources of carbon dioxide (CO2) to the atmosphere and relevant to global budget of green house gases. However, limited information is available on the seasonal variations of CO2 evasion from the reservoirs located in the temperate monsoon regions including Korea. The objectives of this study were to estimate daily Net Atmospheric Flux (NAF) of CO2 in Daecheong Reservoir located in Geum River basin of Korea, and analyze the influencing parameters that characterize the variation of NAF. Daily pH and alkalinity (Alk) data collected in wet year (2012) and dry year (2013) were used for estimating the NAFs in the reservoir. The dissolved inorganic carbon (DIC) was computed using the pH and Alk measurements supposing an equilibrium state among the carbonate species. The results showed seasonal variations of NAF; negative NAFs from May to October when the primary production of the reservoir increased with water temperature increase, while positive NAF for the rest of the period. Overall the reservoir acted as sources of CO2 to the atmosphere. The estimated NAFs were 2,590 and 771 mg CO2 m-2d-1 in 2012 and 2013, respectively, indicating that the NAFs vary a large extent for different hydrological years. Statistical analysis indicated that the NAFs are negatively correlated to pH, water temperature, and Chl-a concentration of the reservoir.

A Case of Trousseau's Syndrome Associated with Lung Cancer (폐암과 동반된 Trousseau 증후군 1예)

  • Song, Min-Kyung;Kim, Young-Sam;Lee, Kee-Myung;Kim, Se-Kyu;Chang, Joon;Kim, Sung-Kyu;Lee, Won-Young
    • Tuberculosis and Respiratory Diseases
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    • v.42 no.6
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    • pp.941-946
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    • 1995
  • The association between hypercoagulability and malignant disease was first described by Armand Trousseau in 1865. According to Trousseau, the thrombophlebitis was usually/migratory and recurrent and involved both venous and arterial system. Thrombosis remains the hallmark of Trousseau's syndrome, although a wide variety of coagulation disorders including disseminated intravascular coagulation(DIC), pulmonary embolism, thrombotic endocarditis, and bleeding have been associated with the syndrome. Since then, abnormalities of the coagulation system have been repeatedly demonstrated in patients with cancer. Pancreatic carcinoma is thought to carry the highest risk of Trousseau's syndrome although the number of cases of Trousseau's syndrome is actually higher in patients with lung cancer because of the greater prevalence of this tumor. We report a thirty-five year old male patient with Trousseau's syndrome associated with lung cancer initially presenting deep vein thrombosis.

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A Case of Hantavirus Pulmonary Syndrome (한타바이러스 폐 증후군)

  • Lee, Kye-Young;Kim, Yun-Seup;Jee, Young-Koo;Bai, Hyun-Ju;Yun, Sung-Cheul;Kim, Keun-Youl
    • Tuberculosis and Respiratory Diseases
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    • v.44 no.6
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    • pp.1382-1389
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    • 1997
  • Hantavirus pulmonary syndrome(HPS) is a systemic disease that is caused by a newly discorved and characterized virus of the Hantavirus genus, which is most frequently referred to as the sin nombre virus. The clinical syndrome resembles other hantavirus syndromes worldwide, except that it is characterized by a brief prodromal illness followed by rapidly progressive, noncardiogenic edema, and that it is more deadly than any previously recognized hantavirus infection. The clinical manifestations of HPS are characterized by four clinical phases : prodrome, pulmonary edema and shock, diuresis, and convalescence. Mortality is greatest in the first 24 hours of the pulmonary edema and shock phase of the illness. These phases are strikingly similar to the clinical phases of Hemorrhagic fever with renal syndrome(HFRS) induced by Hantaan virus, except that HPS has not been associated with renal failure and Disseminated intravascular coagulation(DIC). We here report a case of hantavirus pulmonary syndrome developed in a 58 year-old man. He had a flu-like illness followed by the rapid onset of respiratory failure due to noncardiogenic pulmonary edema. HPS was diagnosed by clinical manifestations, identification of high titer antibody to Hantaan virus antigen and histologic finding of transbronchial lung biopsy (TBLB) specimen. The patient was treated with mechanical ventilation and initial corticosteroid pulse therapy resulting in successful outcome.

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Crack Resistance Behavior Using Digital Image Correlation and Crack Tip Opening Angle on Particulate Reinforced Composite (디지털 화상관련법 및 균열선단열림각도를 이용한 입자강화 복합재료의 균열저항거동)

  • Na, Seong Hyeon;Lee, Jeong Won;Kim, Jae Hoon
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.40 no.12
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    • pp.1021-1026
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    • 2016
  • In this study, crack resistance is evaluated by the crack tip opening angle (CTOA) using a wedge splitting test (WST) on a viscoelastic particulate reinforced composite based on an HTPB binder. Generally, CTOA, as a function of crack extension, is used in order to determinate fracture resistance and has a steady state relative angle. Digital image correlation (DIC) is used to measure the crack tip opening displacement (CTOD) and crack extension for the critical crack tip opening angle (CTOAc). In these results, the CTOAc value of a particulate reinforced composite tends to approach a constant angle after a small amount of crack extension. The CTOAc value increases with decreasing temperature, from $50^{\circ}C$ to $-40^{\circ}C$. These CTOAc values may be used to measure fracture mechanics parameters for particulate reinforced composite.

Colour Interpolation of Tongue Image in Digital Tongue Image System Blocking Out External Light (디지털 설진 시스템의 색상 보정)

  • Kim, Ji-Hye;Nam, Dong-Hyun
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.16 no.1
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    • pp.9-18
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    • 2012
  • Objectives The aim of this study is to propose an optimized tongue colour interpolation method to achieve accurate tongue image rendering. Methods We selected 60 colour chips in the chips of DIC color guide selector, and then divided randomly the colour chips into two groups. The colour chips of a group (Gr I) were used for finding the optimized colour correction factor of error and those of the other group (Gr II) were used for verifying the correction factor. We measured colour value of the Gr I colour chips with spectrophotometer, and took the colour chips image with a digital tongue image system (DTIS). We adjusted colour correction factor of error to equal the chip colour from each method. Through that process, we obtained the optimized colour correction factor. To verify the correction factor, we measured colour value of the Gr II colour chips with a spectrophotometer, and took the colour chips image with the DTIS in the two types of colour interpolation mode (auto white balance mode and optimized colour correction factor mode). And then we calculated the CIE-$L^*ab$ colour difference (${\Delta}E$) between colour values measured with the spectrophotometer and those from images taken with the DTIS. Results In auto white balance mode, The mean ${\Delta}E$ between colour values measured with the spectrophotometer and those from images taken with the DTIS was 13.95. On the other hand, in optimized colour correction factor mode, The mean ${\Delta}E$ was 9.55. The correction rate was over 30%. Conclusions In case of interpolating colour of images taken with the DTIS, we suggest that procedure to search the optimized colour correction factor of error should be done first.

Clinical Experiences of Open Heart Surgery [50 Cases] (개심술 치험 50례)

  • 임진수
    • Journal of Chest Surgery
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    • v.18 no.4
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    • pp.692-699
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    • 1985
  • Fifty cases of Open Heart Surgery due to congenital and acquired heart disease were done using the cardiopulmonary bypass in the Department of Thoracic and Cardiovascular surgery, Chosun University Hospital from November, 1980 to June, 1985. 1. The age of the congenital heart disease was from 7 to 29 years, the mean age was 14.5 years. In the acquired heart disease, the age was from 14 to 48 years, and the mean age was 22.3 years. The ratio of male to female was about 1.8:1. 2. The number of congenital cyanotic heart disease were 7 patients, congenital acyanotic heart disease were 17 patients and acquired valvular heart disease were 26 patients. All of the acquired heart disease was one or more valve disease. 3. Preoperative symptoms of the congenital heart disease were exertional dyspnea [cyanotic 100%, acyanotic 70.6%] and palpitation [cyanotic 28.6%, acyanotic 76.1%], and the acquired heart diseases were exertional dyspnea [92.3%], palpitation [34.1 %], and chest discomfort [30.8%]. 4. The method of the myocardial protection during the cardiopulmonary bypass were mild or moderate hypothermia, intermittent coronary perfusion of the cardioplegic solution, topical myocardial hypothermia with 4oC Hartmann`s solution. 5. In the cases of the valve replacement, postoperative oral anticoagulant therapy was started at oral intake of food using the warfarin and persantin, and the prothrombin time was maintained 30-50% of control value during 3-6 months for tissue valve replacement and permanently for metal valve replacement. 6. The postoperative complications were appeared in 24 cases and the complications were wound infection, occipital alopecia, hemorrhage etc. 7. The mortality after open heart surgery was 8 percents and the cause of death was low cardiac output syndrome, right heart failure, DIC, and Left ventricle rupture.

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Keratitis by Acanthamoeba triangularis: Report of Cases and Characterization of Isolates

  • Xuan, Ying-Hua;Chung, Byung-Suk;Hong, Yeon-Chul;Kong, Hyun-Hee;Hahn, Tae-Won;Chung, Dong-Il
    • Parasites, Hosts and Diseases
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    • v.46 no.3
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    • pp.157-164
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    • 2008
  • Three Acanthamoeba isolates (KA/E9, KA/E17, and KA/E23) from patients with keratitis were identified as Acanthamoeba triangularis by analysis of their molecular characteristics, a species not previously recognized to be a corneal pathogen. Epidemiologic significance of A. triangularis as a keratopathogen in Korea has been discussed. Morphologic features of Acanthamoeba cysts were examined under a microscope with differential interference contrast (DIC) optics. Mitochondrial DNA (mtDNA) of the ocular isolates KA/E9, KA/E17, and KA/E23 were digested with restriction enzymes, and the restriction patterns were compared with those of reference strains. Complete nuclear 188 and mitochondrial (mt) 16S rDNA sequences were subjected to phylogenetic analysis and species identification. mtDNA RFLP of 3 isolates showed very similar patterns to those of SH621, the type strain of A. triangularis. 16S and 18S rDNA sequence analysis confirmed 3 isolates to be A. triangularis. 18S rDNA sequence differences of the isolates were 1.3% to 1.6% and those of 16S rDNA, 0.4% to 0.9% from A. triangularis SH621. To the best of our knowledge, this is the first report, confirmed by 18S and 16S rDNA sequence analysis, of keratitis caused by A. triangularis of which the type strain was isolated from human feces. Six isolates of A. triangularis had been reported from contaminated contact lens cases in southeastern Korea.

A Case of Acrodermatitis Enteropathica Associated with CMV Hepatitis (거대세포 바이러스 간염이 동반된 장성 선단 피부염 1례)

  • Kim, Kwang-Yeol;Park, Jae-Ock;Shin, Sang-Mann
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.2 no.2
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    • pp.233-239
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    • 1999
  • Acrodermatitis enteropethica (AE) is a rare autosomal recessive disorder of zinc absorption leading to chronic diarrhea and characteristic skin lesion. The term is also applied to any acquired zinc deficiency state resulting in the same clinical pictures. We experienced one case of AE in 1 month old male infant who had bacterial enterocolitis. The skin around mouth, anus, eyes, ears, hands and legs became reddish, vesicular and eczematoid. Serum zinc level was decreased to $51.4\;{\mu}g/dL$ (N=70~150). Endoscopic finding revealed pale gastric mucosa and villous atrophy of small intestine. Biopsy finding of small intestine showed no villi due to mucosal atrophy. On 13 day of admission jaundice with DIC were noted and AST & ALT were elevated to 110 & 36.8 IU/L, respectively. Diarrhea was improved but jaundice and liver function were not recovered until discharge from hospital. After discharge when the patient was 4 months of age serum bilirubin and AST/ALT had not been normalized. CMV shell vial culture of urine and CMV Ig G antibody were positive. So intravenous ganciclovir injection of 7.5 mg/kg, two times a day for 2 weeks and then 10 mg/kg/day for 3 months was done from 4 to 6 months of age. No virus was found in the urine and AST & ALT were normalized at 2 months after stopping ganciclovir treatment.

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