• Title/Summary/Keyword: NEC

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Frequency of Platelet Transfusions and Outcome in Neonates with Thrombocytopenia (혈소판 감소증이 있는 신생아에서 혈소판 수혈 횟수와 예후)

  • Lim, Suk-Hwan;Kook, Jin-Hwa;Cho, Chang-Yee;Choi, Young-Youn;Hwang, Tai-Ju
    • Clinical and Experimental Pediatrics
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    • v.45 no.8
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    • pp.961-966
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    • 2002
  • Purpose : We compared the underlying or associated diseases according to the frequency of platelet transfusions in neonates with thrombocytopenia to know the factors predicting which patients will require multiple platelet transfusions. We also compared mortality. Methods : A retrospective study was performed in 72 neonates who received the platelet transfusions in neonatal intensive care unit(NICU) between August 1996 and July 2001. Group I received one platelet transfusion and group II received two or more. We compared the frequency of underlying or assodiated diseases such as sepsis/disseminated intravascular coagulopathy(DIC), respiratory distress syndrome(RDS), intraventricular hemorrhage(IVH), patent ductus arteriosus (PDA), necrotizing enterocolitis(NEC), liver or renal disease, and mortality between two groups. Results : Of the 72 patients, 29(40.2%) received one and 43(59.7%) received two or more transfusions; 16(22.2%) received four or more. There were no statistically significant differences in gestational age, birth weight, sex, and maternal history between two groups. C-section rate was higher in group II(20.7% vs. 55.8%, P<0.05) and the incidence of PDA was higher in group I (55.2% vs. 30.2%, P<0.05). Otherwise, there were no statistically significant differences in the incidence of sepsis/DIC, RDS, IVH, RDS, CLD, NEC, liver or renal disease, pulmonary hemorrhage and hypoxic ischemic encephalopathy, and mortality between group I and group II. Conclusion : There was no significant difference in clinical morbidity and mortality according to the frequency of platelet transfusion in neonates with thrombocytopenia. Further study is needed to know the predicting factor for multiple platelet transfusions in neonates with thrombocytopenia.

Effect of Stevia rebaudiana Bertoni Leaf Extract on Antiobesity in C57BL/6J Mice (C57BL/6J Mice에서 스테비아(Stevia rebaudiana bertoni) 잎 추출물의 항비만 효과)

  • Park, Jeong-Eun;Kee, Hee-Jin;Cha, Youn-Soo
    • Korean Journal of Food Science and Technology
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    • v.42 no.5
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    • pp.586-592
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    • 2010
  • This study investigated the effects of Stevia rebaudian bertoni leaf extract on lipid profiles in C57BL/6J mice, as compared to stevioside. Fourty mice were divided into four groups: NC (normal diet and DW), HC (high fat diet and DW), HLSV (high fat diet and stevia leaf extract, 1 mL/kg/day), and HSS (high fat diet and stevioside, 1 mL/kg/day). Serum triglyceride concentrations were significantly lower in the HLSV and HSS groups than in the HC group. Epididymal fat pad weights were significantly lower in the HLSV and HSS groups than in the HC group. We also evaluated the serum and liver carnitine levels (NEC, AIAC, ASAC, TCNE) of all the groups. These results were supported by the mRNA expression of enzymes related to lipid metabolism (ACC, PPAR${\alpha}$, ACS, CPT-I) assessed by RT-PCR. Overall, the results show the antiobesity effects of stevia leaf extract as compared to stevioside in high fat diet induced obese mice.

Distribution and Remineralization Ratio of Inorganic Nutrients in the Divergence Zone($7^{\circ}{\sim}10.5^{\circ}N$), Northeastern Pacific (북동태평양 발산대 해역($7^{\circ}{\sim}10.5^{\circ}N$)의 무기영양염 분포와 재무기질화 비율)

  • Son, Ju-Won;Kim, Kyeong-Hong;Kim, Mi-Jin;Son, Seung-Kyu;Chi, Sang-Bum;Hwang, Keun-Choon;Park, Yong-Chul
    • The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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    • v.13 no.3
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    • pp.178-189
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    • 2008
  • The distribution of inorganic nutrients and their remineralization ratio in the divergence zone ($7^{\circ}{\sim}10.5^{\circ}N$) of the northeastern Pacific were investigated from July 2003 to July 2007. A divergence zone along the boundary of the North Equatorial Counter Current (NECC) and North Equatorial Current (NEC) at $10^{\circ}N$ was observed in July 2007 when the La Nina event and divergence-related upwelling was strong. The mean depth of oligotrophic surface mixed layer in the divergence zone was 46, 61, and 30 m in July 2003, August 2005, and July 2007, respectively. Below the surface mixed layer, a nutricline was clearly observed. The depth integrated value of nitrate including nitrite (DIVn) in the upper layer($0{\sim}100$ m depth) ranged from 5.51 to 21.71 $gN/m^2$(mean 12.82 $gN/m^2$) in July 2003, from 5.62 to 8.46 $gN/m^2$ (mean 7.15 $gN/m^2$) in August 2005, and from 8.98 to 27.80 $gN/m^2$(mean 21.12 $gN/m^2$) in July 2007. The maximum DIVn was observed at the divergence zone. The distributions of phosphate(DIVp) and silicate(DIVsi) were similar to that of DIVn and the DIVn/DIVsi ratio was $0.87{\pm}0.11$ in the upper layer. The limiting nutrient for phytoplankton growth in the study area was identified as nitrogen(N/P ratio=14.6). The nitrate (including nitrite) concentrations were lower in the region mainly affected by NEC than in the region affected by NECC. The study area of low silicate concentrations was also considered to be Si-limiting environment. The remineralization ratios of nutrients were $P/N/-O_2=1/14.6{\pm}1.1/100.4{\pm}8.8(23.44{\leq}Sigma-{\theta}{\leq}26.38)$ in the study area. These ratios suggested remineralization process in the surface layer of divergence zone.

Stereotactic Radiosurgery for Recurrent Glioblastoma Multiforme using Yeungnam Localization Device - Technical note and Clinical trial - (뇌정위적 방사선 절제술에 필요한 위치선정용기구 제작과 치험 2예)

  • Shin, Sei-One;Kim, Sung-Kyu;Kim, Myung-Se;Kim, Oh-Lyong;Cho, Soo-Ho
    • Radiation Oncology Journal
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    • v.10 no.1
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    • pp.101-105
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    • 1992
  • Authors performed a stereotactic radiosurgery with multiple noncoplanar convergent photon beams of linear accelerator (NELAC-1018 18 MeV, NEC) using a specially designed Yeungnam localization device for two patients with recurrent glioblastoma multiforme. One patient had 2 cm sized and the other 4 cm sized mass on the CT images. After single session of treatment with 15 and 20 Gy, headache was improved in a few days after radiosurgery with no remarkable untoward reactions. Our experience with these two patients were encouraging and we found that our localization device, which is easily adjustable and inexpensive, could be a valuable tool for stereotactic radiosurgery particularly in the treatment of recurrent brain tumor.

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Potential Meso-scale Coupling of Benthic-Pelagic Production in the Northeast Equatorial Pacific (북동 적도 태평양에서 수층 기초 생산력과 심해저 퇴적물내 미생물 생산력과의 상관성)

  • Kim, Kyeong-Hong;Son, Ju-Won;Son, Seung-Kyu;Chi, Sang-Bum;Hyun, Jung-Ho
    • Ocean and Polar Research
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    • v.33 no.1
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    • pp.21-34
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    • 2011
  • We determined potential meso-scale benthic-pelagic ecosystem coupling in the north equatorial Pacific by comparing surface chl-a concentration with sediment bacterial abundance and adenosine triphosphate (ATP) concentration (indication of active biomass). Water and sediment samples were latitudinally collected between 5 and $11^{\circ}N$ along $131.5^{\circ}W$. Physical water properties of this area are characterized with three major currents: North Equatorial Current (NEC), North Equatorial Count Current (NECC), and South Equatorial Current (SEC). The divergence and convergence of the surface water occur at the boundaries where these currents anti-flow. This low latitude area ($5{\sim}7^{\circ}N$) appears to show high pelagic productivity (mean phytoplankton biomass=$1266.0\;mgC\;m^{-2}$) due to the supplement of high nutrients from nutrient-enriched deep-water via vertical mixing. But the high latitude area ($9{\sim}11^{\circ}N$) with the strong stratification exhibits low surface productivity (mean phytoplankton biomass=$603.1\;mgC\;m^{-2}$). Bacterial cell number (BCN) and ATP appeared to be the highest at the superficial layer and reduced with depth of sediment. Latitudinally, sediment BCN from low latitude ($5{\sim}7^{\circ}N$) was $9.8{\times}10^8\;cells\;cm^{-2}$, which appeared to be 3-times higher than that from high latitude ($9{\sim}11^{\circ}N$; $2.9{\times}10^8\;cells\;cm^{-2}$). Furthermore, sedimentary ATP at the low latitude ($56.2\;ng\;cm^{-2}$) appeared to be much higher than that of the high latitude ($3.3\;ng\;cm^{-2}$). According to regression analysis of these data, more than 85% of the spatial variation of benthic microbial biomass was significantly explained by the phytoplankton biomass in surface water. Therefore, the results of this study suggest that benthic productivity in this area is strongly coupled with pelagic productivity.

Development of 3-D Stereotactic Localization System and Radiation Measurement for Stereotactic Radiosurgery (방사선수술을 위한 3차원 정위 시스템 및 방사선량 측정 시스템 개발)

  • Suh, Tae-Suk;Suh, Doug-Young;Park, Sung-Hun;Jang, Hong-Seok;Choe, Bo-Young;Yoon, Sei-Chul;Shinn, Kyung-Sub;Bahk, Yong-Whee;Kim, Il-Hwan;Kang, Wee-Sang;Ha, Sung-Whan;Park, Charn-Il
    • Journal of Radiation Protection and Research
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    • v.20 no.1
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    • pp.25-36
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    • 1995
  • The purpose of this research is to develop stereotactic localization and radiation measurement system for the efficient and precise radiosurgery. The algorithm to obtain a 3-D stereotactic coordinates of the target has been developed using a Fisher CT or angio localization. The procedure of stereotactic localization was programmed with PC computer, and consists of three steps: (1) transferring patient images into PC; (2) marking the position of target and reference points of the localizer from the patient image; (3) computing the stereotactic 3-D coordinates of target associated with position information of localizer. Coordinate transformation was quickly done on a real time base. The difference of coordinates computed from between Angio and CT localization method was within 2 mm, which could be generally accepted for the reliability of the localization system developed. We measured dose distribution in small fields of NEC 6 MVX linear accelerator using various detector; ion chamber, film, diode. Specific quantities measured include output factor, percent depth dose (PDD), tissue maximum ratio (TMR), off-axis ratio (OAR). There was small variation of measured data according to the different kinds of detectors used. The overall trends of measured beam data were similar enough to rely on our measurement. The measurement was performed with the use of hand-made spherical water phantom and film for standard arc set-up. We obtained the dose distribution as we expected. In conclusion, PC-based 3-D stereotactic localization system was developed to determine the stereotactic coordinate of the target. A convenient technique for the small field measurement was demonstrated. Those methods will be much helpful for the stereotactic radiosurgery.

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Research on the Transfer Factor for $C^{14}$ Ingestion Dose Evaluation in PWR plant (PWR 발전소에서 $C^{14}$ 섭취선량 평가를 위한 전이계수 연구)

  • Kim Soong-Pyung;Han Young-Ok;Park Kyeong-Rok
    • Proceedings of the Korean Radioactive Waste Society Conference
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    • 2005.06a
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    • pp.476-484
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    • 2005
  • This paper is to evaluate rather correctly $C^{14}$ ingestion dose that inhabitants around PWR plants can receive, and draw how to apply TF(Transfer Factor) to evaluate dose by the ingestion of animal products. For this, in this paper, dose assessment and analysis about existing materials related to TF were carried out, and the methodology to present TF was based on dose assessment and analysis result. The ingestion dose calculated using TFs presented by CSA and KEPRI was high or equal compared with SAM(Specific Activity Model) which is the most conservative, on the other hand, TFs given by NEC did not consider the effect according to volume change of animal at all, Therefore, it is judged that models used in the existing codes to asses the $C^{14}$ concentration into animal products must be improved to apply fundamentally hybrid model using transfer factors, that transfer factor on each animal products have to be developed through experiment for applying to our county.

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Longitudinal Distribution of Zooplankton at 10.5°N in the Northeastern Pacific (북동태평양 북위 10.5°에서 동물플랑크톤의 경도별 분포 특성)

  • Kang, Jung-Hoon;Cho, Kyu-Hee;Son, Ju-Won;Kim, Woong-Seo
    • Ocean and Polar Research
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    • v.29 no.4
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    • pp.283-295
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    • 2007
  • We investigated the longitudinal variations in zooplankton abundances and their related physicochemical properties at nine stations located between $136^{\circ}W$ and $128^{\circ}W$ at $10.5^{\circ}N$ in the northeastern Pacific in summer 2004. Temperature, salinity, inorganic nutrients, chlorophyll-a (hereafter chl-a) and zooplankton ($>200\;{\mu}m$) were sampled within the depth from the surface to 200 m depth at $1^{\circ}$ longitude intervals. Zooplankton($>200\;{\mu}m$) samples were vertically collected at two depth intervals from surface to 200 m, consisting of surface mixed and lower layers (thermocline$\sim$200 m). Longitudinal distributional pattern of hydrological parameters (especially salinity) was physically influenced by the intensity of westward geostrophic current passage relating to the NEC (North Equatorial Current). Data from the longitudinal survey showed clear zonal distributions in the hydrological parameters(temperature, salinity and nutrients). However, spatial patterns of the chl-a concentrations and zooplankton abundances were mostly independent of the zonal distributions of hydrological parameters. The two peaks of zooplankton abundance in the surface mixed layer were characterized by different controlling factors such as bottom-up control from nutrients to zooplankton ($129^{\circ}W$) and accumulation by increment of friction force and taxonomic interrelationship ($133^{\circ}$ and $134^{\circ}W$). Divergence-related upwelling caused introduction of nutrients into surface waters leading to the increment of chl-a concentration and zooplankton abundances ($129^{\circ}W$). Increased friction force in relation to reduced flow rates of geostrophic currents caused accumulation of zooplankton drifting from eastern stations of study area($133^{\circ}$ and $134^{\circ}W$). Besides, high correlation between immature copepods and carnivorous groups such as chaetognaths and cyclopoids also possibly contributed to the enhanced total abundance of zooplankton in the surface mixed layer (p<0.05). Zooplankton community was divided into three groups (A, B, C) which consecutively included the eastern peak of zooplankton($129^{\circ}W$), the western peak($133^{\circ}$ and $134^{\circ}W$) and high nutrient but low chl-a concentration and zooplankton abundance ($136^{\circ}W$). Moreover, Group B corresponded to the westward movement of low saline waters(<33.6 psu) from 128 to $132^{\circ}W$. In summary, longitudinal distributions of zooplankton community was characterized by three different controlling factors: bottom-up control ($129^{\circ}W$), accumulation by increased friction force and relationships among zooplankton groups ($133^{\circ}$ and $134^{\circ}W$), and mismatch between hydrological parameters and zooplankton in the high nutrient low chlorophyll area ($136^{\circ}W$) during the study period.

The Clinicopathologic Characteristics of Neuroendocrine Tumor of the Stomach (위에 발생한 신경내분비 종양의 임상병리학적 고찰)

  • Lee, Chul-Min;Shin, Yeon-Myung
    • Journal of Gastric Cancer
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    • v.8 no.4
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    • pp.204-209
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    • 2008
  • Purpose: The goal of this study was to review the clinicopathologic characteristics of neuroendocrine tumor (NET) of the stomach. Materials and Methods: We retrospectively reviewed the medical records of 13 patients who were diagnosed with neuroendocrine tumor from January 1999 to August 2007 at Kosin Medical Center; 4,159 gastric cancer patients were treated surgically during the same time. The average follow up period was 14.3 months. Results: The majority of 13 patients were men (male-female ratio: 11:2) and the average age of patients with NET was 59.4 years (range: 42~72 years). The presenting symptoms were mostly epigastric pain and soreness. The tumor was limited to the mucosa or submucosa in two cases, and the tumor extended beyond the muscle layer in 11 cases. The mean size of the tumor was 7.0 cm, ranging from 0.7 cm to 15 cm. The type of the NEC (according to the WHO classification) was type 3 for eight patients, type 4 for four patients and type 1 for one patient. Regional lymph node metastasis was noted in 11 patients. Four cases showed recurrence of disease and the site of recurrence included liver in two patients, multiple organs (including the peritoneum and lung) in one patient and multiple organs (including liver, pancreas and duodenum) in one patient. The recurrent cases were type 3 and type 4 and the average survival period of the recurrent patients was 12.8 months. Conclusion: The majority of neuroendocrine tumors of the stomach were at an advanced stage at the time of diagnosis. These tumors frequently recurred in the liver and they have a poor prognosis.

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Clinical Evaluation of Dose Distribution in High Dose Rate Intracavitary Irradiation in the Treatment of Cervical Cancer (고선량 강내 조사법을 이용한 자궁 경부암의 방사선 치료 계획에 대한 임상적 고찰)

  • Shin, Sei-One;Kim, Myung-Se
    • Journal of Yeungnam Medical Science
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    • v.6 no.1
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    • pp.87-98
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    • 1989
  • Clinical estimation of bladder and rectal doses from high dose rate intracavitary irradiation in carcinoma of the cervix uteri has been initiated on a routine basis in an effort to obtain the optimum radiotherapeutic dose. Simulation films with contrast media are used to image the bladder and rectum, and dose rates are estimated at various interesting points with the aid of treatment planning computer, NEC Therac-2300. Fifty-three patients have been reviewed in order to ascertain the correlation between radiation dose at interesting points in the bladder and rectum and the dose at Point A and B. The dose ratio between doses at Point A 'and interesting points is an important clinical factor in evaluating the treatment planning. This also serves as documentation of the dose to normal structures within the treatment volume. Authors conclude that obtained data are within acceptable ranges and routine simulation films of the bladder and rectum after administration of contrast media with dose calculations at interesting points provide important information for optimizing radiotherapy planning in the treatment of cervical carcinoma without increased time and effort or patient's discomfort.

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