• Title/Summary/Keyword: NARM

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Myxoinflammatory Fibroblastic Sarcoma in the Chest Wall

  • Narm, Kyoung-Shik;Park, In-Kyu;Bae, Mi-Kyung;Kim, Gi-Jeong
    • Journal of Chest Surgery
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    • v.45 no.1
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    • pp.65-68
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    • 2012
  • Myxoinflammatory fibroblastic sarcoma (MIFS) is a recently defined rare tumor. It is mainly found in the upper and lower extremities of adults. Due to its high local recurrence rate and low metastatic rate, it is classified as a low grade-malignancy. Accurate diagnosis and early, wide excision are important for prognosis. Herein, we report a case of MIFS in a 35-year-old male patient that presented in an unusual location, the left chest wall. To our knowledge, this is the first reported case of MIFS in Korea and the second case to be reported within the global scientific literature involving the chest wall.

Pulmonary Artery Embolization of Intravenous Leiomyomatosis Extending into the Right Atrium

  • Lee, Sak;Kim, Do-Kyun;Narm, Kyoung-Shik;Cho, Sang-Ho
    • Journal of Chest Surgery
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    • v.44 no.3
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    • pp.243-246
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    • 2011
  • A 43-year-old woman was diagnosed with an intravenous leiomyomatosis at a previous hospital and transferred to our hospital to undergo surgical treatment. Emergency one-stage operation for coincidental removal of intra-abdominal, right atrial, and intravenous masses were planned. Upon arriving at the operating room, she suffered a sudden onset of severe dyspnea and showed hemodynamic instability. Intraoperative TEE showed pulmonary embolization of a right atrial mass. Removal of the pulmonary artery mass and the intra-abdominal mass, and the cardiopulmonary bypass were performed without any complications.

Pneumomediastinum and Subcutaneous Emphysema after Dental Treatment (치과 수술 후 발생한 종격동 기종과 피하기종)

  • Cha, Yong-Hoon;Kim, Bum-Joon;Kim, Chang-Wan;Narm, Kyoung-Shik;Lee, Doo-Yun;Haam, Seok-Jin
    • Journal of Chest Surgery
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    • v.43 no.6
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    • pp.797-799
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    • 2010
  • The pneumomediastinum after a dental treatment occurs rarely and shows almost good prognosis, however it is potentially life-threatening complication. Here we report a case of pneumomediastinum, occurred by air bubbles originated from dental high speed equipment, via head and neck fascial space with literatures review.

Surgical Repair of a Traumatic Tracheobronchial Injury in a Pediatric Patient Assisted with Venoarterial Extracorporeal Membrane Oxygenation

  • Suh, Jee Won;Shin, Hong Ju;Lee, Chang Young;Song, Seung Hwan;Narm, Kyoung Sik;Lee, Jin Gu
    • Journal of Chest Surgery
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    • v.50 no.5
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    • pp.403-406
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    • 2017
  • Tracheobronchial rupture due to blunt chest trauma is a rare but life-threatening injury in the pediatric population. Computed tomography (CT) is not always reliable in the management of these patients. An additional concern is that ventilation may be disrupted during surgical repair of these injuries. This report presents the case of a 4 -year-old boy with an injury to the lower trachea and carina due to blunt force trauma that was missed on the initial CT scan. During surgery, he was administered venoarterial extracorporeal membrane oxygenation (ECMO). Although ECMO is not generally used in children, this case demonstrated that the short-term use of ECMO during pediatric surgery is safe and can prevent intraoperative desaturation.

Condensation Heat Transfer Characteristics of Non-Azeotropic Refrigerant Mixture(NARMs) Inside Double Pipe Heat Exchangers (2중 관형 열교환기내 비공비혼합냉매 R-22+R134a의 응축열전달 특성에 관한 연구)

  • 노건상;오후규;권옥배
    • Journal of Advanced Marine Engineering and Technology
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    • v.20 no.3
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    • pp.91-100
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    • 1996
  • Experimental results for forced convection condensation of non-azeotropic refrigerant mixtures inside a horizontal smooth tube are presented. The mixtures of R-22+R-134a and pure refrigerants R-22 and R-134a are used as the test fluids and a double pipe heat exchanger of 7.5mm ID and 4800mm long inside tube is used. The range of parameters are 100-300kg/h of mass flow rate, 0-1.0 of quality, and 0, 33, 50, 67, and 100 weight percent of R-22 mass fraction in the mixtures. The heat flux, vapor pressure, vapor temperature and tube wall temperature were measured. Using the data, the local and average heat transfer coefficients for the condensation have been obtained. In the same given experimental conditions, the liquid heat transfer coefficients for NARMs were considerally lower than that of the pure refrigerant of R-22 and R-134a. Local heat transfer characteristics for NARMs were different from pure refrigerant R-22 and R-134a. In some regions, local heat transfer coefficients for NARMs were increased in the following order ; Bottom$\rightarrow$Top$\rightarrow$Side. The condensation heat transfer coefficients for NARMs increased with mass velocity, heat flux, and quality, but were considerably lower than that of pure refigerant R-22 and R-134a.

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Establishment of Baculovirus Infected Insect Cell Line Expressing Porcine Salivary Lipocalin(SAL1) Protein

  • Seo, Hee-Won;Park, Da-Young;Kim, Min-Goo;Ahn, Mi-Hyun;Ko, Ki-Narm;Ko, Ki-Sung;Ka, Hak-Hyun
    • Reproductive and Developmental Biology
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    • v.33 no.2
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    • pp.71-76
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    • 2009
  • Salivary lipocalin (SAL1) is a member of the lipocalin protein family that has a property to associate with many lipophilic molecules. The importance of SAL1 during pregnancy in pigs has been suggested by our previous study which has shown that SAL1 is expressed in the uterine endometrium in a cell type- and implantation stage-specific manner and secreted into the uterine lumen. However, function of SAL1 in the uterus during pregnancy in pigs is not known. To understand SAL1 function in the uterus during pregnancy, we generated recombinant porcine SAL1 protein in an insect cell line. Porcine SAL1 cDNA was cloned into a baculovirus expression vector using RT-PCR and total RNA from uterine endometrium on day 12 of pregnancy, and the expression vector was used to generate recombinant Bacmid containing the SAL1 gene. The recombinant Bacmid was then transfected Sf9 cell to produce recombinant baculovirus. By infecting Sf9 cell with recombinant baculovirus, we established a SAL1-expressing insect cell expression system. Immunoblot analysis confirmed SAL1 expression in the infected cells. Recombinant SAL1 produced by the Sf9 cell line will be useful for understanding physiological function of SAL1 during pregnancy in pigs.

Effect of Juglans sinensis Dode aquacupuncture(JS) on t-butylhydroperoxide-induced alterations in membrane transport function in renal epithelial cells (신장상피세포(腎臟上皮細胞)에서 호도약침액(胡桃藥鍼液)이 t-Butylhydroperoxide에 의한 세포막물질이동계(細胞膜物質移動系)의 장애(障碍)에 미치는 영향(影響))

  • Narm, Sang-pil;Cho, Tai-sung;Kim, Cheol-hong;Youn, Hyoun-min;Jang, Kyung-jeon;Song, Choon-ho;Ahn, Chang-beohm
    • Journal of Acupuncture Research
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    • v.20 no.6
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    • pp.128-139
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    • 2003
  • Juglans sinensis Dode has been reported to have antioxidant activity. However, the effect of Juglans sinensis Dode aquacupuncture(JS) on reactive oxygen species(ROS)-induced alterations in membrane transport function in renal tubular cells. This study was performed to evaluate the effect of JS on the organic hydroperoxide t-butylhydroperoxide(tBHP)-induced inhibition of $Na^+$-dependent phosphate($Na^+$-Pi) uptake in opossum kidney (OK) cells, an established renal proximal epithelial cell line. tBHP inhibited $Na^+$-Pi uptake in a time-dependent manner. The inhibitory effect of tBHP was prevented by JS over concentration range of 0.05-1mg/100ml in a dose-dependent manner. Kinetic studies showed that tBHP caused an decrease in Vmax for $Na^+$-Pi uptake without any a significant change in Km. $Na^+$-dependent phosphonoformic acid binding, a irreversible inhibitor of renal $Na^+$-Pi uptake, was decreased by tBHP treatment. The reduction in Vmax and phosphonoformic acid binding by tBHP was prevented by JS. tBHP induced lipid peroxidation and its effect was completely inhibited by JS and antioxidant N,N'-diphenyl-p-phenylenediamine. These data suggest that the oxidant inhibits phosphate uptake by a reduction in the number of active carrier across the membrane. JS may prevent oxidant-induced inhibition of membrane transport function by a mechanism similar to antioxidants in renal epithelial cells. Although the precise constituents remain to be explored, JS may be employed as a useful candidate herb for drug development to prevent and treat oxidant-mediated renal failure.

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Clonal Selection in Early Potato Breeding Program and Determination of Plant Maturity by Using a Plug Culture System (감자(Solanum tuberosum L.)의 육종 초기세대에서 플러그 육묘법을 이용한 계통선발 및 숙기 구분)

  • Kim, Kwan-Soo;Cho, Hyun-Mook;Park, Young-Eun;Lim, Hak-Tae;Song, Yoong-Narm
    • Horticultural Science & Technology
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    • v.19 no.3
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    • pp.329-333
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    • 2001
  • The study was performed to investigate the effect of a plug culture method in the early stage of a potato breeding program. The 105, 200 and 288-cell plug trays were used for raising potato seedlings. The % germination in plug trays ranged between 94 and 96%. Percent tuberization measured at 50 and 60, and 70 days after sowing was the greatest in 105-cell and 200-cell trays, respectively. However, tuberization was most delayed in 288-cell trays. Thus, it is considered that 105-cell tray is the most effective for the selection of early maturing plants. Plant maturity was determined by the morphological characteristics at the seedling stage of stolons cultured in plug trays. Most of seedlings with shorter stolons at seedling stage (1st generation) were the early-maturing, while most of seedlings with longer stolons were the late-maturing at the clonal stage (2nd generation). These results mean that the plant maturity in the early potato breeding program can be effectively grouped by observing the morphological characteristics of stolons after plug culture.

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Early and Long-term Outcomes of Pneumonectomy for Treating Sequelae of Pulmonary Tuberculosis

  • Byun, Chun-Sung;Chung, Kyung-Young;Narm, Kyoung-Sik;Lee, Jin-Gu;Hong, Dae-Jin;Lee, Chang-Young
    • Journal of Chest Surgery
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    • v.45 no.2
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    • pp.110-115
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    • 2012
  • Background: Pneumonectomy remains the ultimate curative treatment modality for destroyed lung caused by tuberculosis despite multiple risks involved in the procedure. We retrospectively evaluated patients who underwent pneumonectomy for treatment of sequelae of pulmonary tuberculosis to determine the risk factors of early and long-term outcomes. Materials and Methods: Between January 1980 and December 2008, pneumonectomy or pleuropneumonectomy was performed in 73 consecutive patients with destroyed lung caused by tuberculosis. There were 48 patients with empyema (12 with bronchopleural fistula [BPF]), 11 with aspergilloma and 7 with multidrug resistant tuberculosis. Results: There were 5 operative mortalities (6.8%). One patient had intraoperative uncontrolled arrhythmia, one had a postoperative cardiac arrest, and three had postoperative respiratory failure. A total of 29 patients (39.7%) suffered from postoperative complications. Twelve patients (16.7%) were found to have postpneumonectomy empyema (PPE), 4 patients had wound infections (5.6%), and 7 patients required re-exploration due to postoperative bleeding (9.7%). The prevalence of PPE increased in patients with preoperative empyema (p=0.019). There were five patients with postoperative BPF, four of which occurred in right-side operation. The only risk factor for BPF was the right-side operation (p=0.023). The 5- and 10-year survival rates were 88.9% and 76.2%, respectively. The risk factors for late deaths were old age (${\geq}50$ years, p=0.02) and low predicted postoperative forced expiratory volume in one second (FEV1) (< 1.2 L, p=0.02). Conclusion: Although PPE increases in patients with preoperative empyema and postoperative BPF increases in right-side operation, the mortality rates and long-term survival rates were found to be satisfactory. However, the follow-up care for patients with low predicted postoperative FEV1 should continue for prevention and early detection of pulmonary complication related to impaired pulmonary function.