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A Masked Hemophilia B, Severe Bleeding after Tonsillectomy and Adenoidectomy (잠재성 혈우병 환아에서의 편도 적출후 심한출혈의 1치험례)

  • 박영서;김기헌;김선무;이종무
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1972.03a
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    • pp.17.1-17
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    • 1972
  • Hemophilia B is hereditary disorder of blood coagulation known as a deficiency of P.T.C. or Christmas factor. Anyway it's indistinguishable clinically with hemophia A and C. Here's one of most interesting problems gave us because we could only find it out as a hemophilia B. when we stood a situation to be met continuous bleeding from the operative wound of tonsillectomy and Adenoidectomy. Wintrobe proposed that easy bruising, difficulty in stopping the bleeding from razor cuts, and prolonged bleeding after tonsillectomy or tooth extraction usually are the major manifestations. For a long time little attention was paid to reports of a milder form of the diseases. In such cases coagulation time, and even prothrombin consumption were normal and the symptoms were correspondinly mild, small wounds as a rule giving little trouble and hemoarthrosis being uncommon. In our cases, there's no specific contributory history except nasal bleeding intermittently and also no specific contributory laboratory data before the operation. After the T. & A., there's continuous bleeding from nasopharynx and the coagulas on the both tonsilar fossas being grown day by day. Therefore we suspected some abnormality of coagulation mechanism and then we could get conclusion of hemophilia B. after various laboratory tests including T.G.T., As I know, this case, hemophilia B. is 3rd one as a report in Korea. We have no data of hemophilia family at present time, so that I propose that we have to make system of hemophilia family in Korea. In a next, we have to make routinely complete laboratory test, ego routine C.B.C., bleeding time, coagulation time, prothrombine time, partial thromboplastine time, before operation of T.& A. If we can solve these problems we can get the T. & A. without any problems of bleeding according to get the operation of T. & A.

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Inhibitory Effects of Ginseng Extracts on Histamine-release from Rat's Mast Cell (인삼추출물의 랫트 비만세포 히스타민 유리 억제 효과)

  • Park, Kwang-Hyun;Kim, Young-Seon;Jeong, Jae-Hun
    • Korean Journal of Plant Resources
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    • v.24 no.1
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    • pp.98-104
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    • 2011
  • We investigated inhibitory effects of ginseng extracts against compound 48/80-induced responses in rat peritoneal mast cells. Initially, we optimized extraction condition with various temperature and time for recovery of high saponin contents in extracts. Using a primary rat peritoneal mast cells, we examined whether ginseng extracts inhibit compound 48/80-induced histamine release form rat mast cells. High red ginseng-spercific saponin containing extracts were recovered at $85^{\circ}C$ for 48 hr, and had no cytotoxicity with relatively high dose of extracts on rat peritoneal mast cells(<0.5 mg/ml). For examine of ameliorate effects of mast cells responses by ginseng extract, we pre-treated the extracts or saline to mast cells and treated compound 48/80. In results, compound 48/80 treatment was increased histamine release (approximately 30%) from mast cells than normal group, whereas ginseng treatment was completely inhibited histamine release. These results suggested that ginseng extracts inhibits the compound 48/80-induced mast cell activation, and ginseng extracts is a candidate for effective therapeutic tools of allergic diseases.

Type and Evolution of the Myeonbongsan Caldera in Southern Cheongsong, Korea (청송남부 면봉산 칼데라의 유형과 진화)

  • 황상구;김성규
    • The Journal of the Petrological Society of Korea
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    • v.8 no.3
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    • pp.171-182
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    • 1999
  • The Myeonbongsan caldera, 10.2X8.0 km, developed within older sequences of sedimentary formations and intermediate composition volcanis in the southern Cheongsong area. Volcanic rocks in the caldera block include lower intermediate volcanics, middle tuffaceous sequences and upper silicic ones. The silicic volcanics, which is named Myeonbongsan Tuff, are composed of crystal-rich ash-flow tuff(300 m) , bedded tuff(30 m) and pumice-rich ash-flow tuff(700 m) in ascending order. Several intrusions dominate the early sequences within the caldera. The caldera collapsed in a trapdoor type when silicic ash-flow tuffs erupted fro major vent area in the caldera. Normal faulting along a ring fault system except the southwestern part dropped the tuffs down to the northrase with a maximum displacement of about 820 m. The Myeonbongsan Tuff is just about 1,030 m thick inside the northeastern caldera, with its base not exposed, and southwestward thinning down. Rhyolitic plug and ring dikes are emplaced along the central vent and the caldera margins, and the ring dikes are cut by plutonic stocks in the southeastern and northwestern parts. The caldera volcanism eviscerated the magma chamber by a series of explosive eruptions during which silicic magma was erupted to form the Myeonbongsan Tuff. Following the last ash-flow eruption, collapse of the chamber roof resulted in the formation of the Myeonbongsan caldera, a subcircular trapdoor-type depression subsiding about 820 m deep. After the collapse, stony to flow-banded rhyolites were emplaced as circular plugs and ring dikes along the central vent and the caldera margins respectively. Finally after the intrusions, another plutons were emplaced as stocks outside the caldera.

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Imaging Features of Duodenal Adenocarcinoma in a Dog (개에서 발생한 십이지장 샘암종)

  • Jung, Mi-Ae;Lee, Min-Su;Lee, In-Hye;Lee, Ah-Ra;Park, Soo-Won;Lim, Chae-Young;Park, Heem-Young;Eom, Ki-Dong
    • Journal of Veterinary Clinics
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    • v.27 no.5
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    • pp.593-599
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    • 2010
  • A seven-year-old, castrated male Basset hound weighing 21.1 kg was presented for investigation of anorexia, lethargy, weight loss, melena and vomiting for 4 months. In laboratory findings, microcytic hypochromic anemia was identified, and other results were within a normal reference range. On the plain radiographs, soft tissue opacity was increased in the descending duodenal region; and on the contrast radiographs, ulcerative changes were identified in the entire segment of descending duodenum. Ultrasonographic findings included increased duodenal wall thickness and duodenal wall layering was lost. Endoscopy revealed irregular mucosal surface and luminal narrowing of the descending duodenum. There was concentrically thickened descending duodenum on the computed tomography. And the wall of the descending duodenum showed heterogenous enhancement after contrast agent injection. On histopathological findings, both chronic inflammation with mucosal proliferation and neoplastic changes with multiple small glandslike structures invading into the submucosa were identified. Based on these findings, presented case was diagnosed as an annular form duodenal adenocarcinoma. After 13 months of supportive medical treatment, the patient was expired. The purpose of this case report was to describe the duodenal adenocarcinoma in a dog.

Plant Growth Responses and Indoor Air Quality Purification in a Wall-typed Botanical Biofiltration System (벽면형 식물바이오필터 내 식물 생육 및 실내공기질 정화)

  • Jung, Seul Ki;Chun, Man Young;Lee, Chang Hee
    • Korean Journal of Plant Resources
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    • v.28 no.5
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    • pp.665-674
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    • 2015
  • The final goal of this research is to develop a botanical biofiltration system, which combines green interior, biofiltering, and automatic irrigation, which can purify indoor air pollutants according to indoor space and the size of biofilter. The biofilter used in this experiment was designed as an integral form of water metering pump, water tank, blower, humidifier, and multi-level planting space in order to be more suitable for indoor space utilization. This study was performed to compare indoor air quality between the space adjacent to a botanical biofilter and the space away from the biofilter (control) without generation of artificial indoor air pollutants, and to evaluate plant growth depending on multiple floors within the biofilter. Each concentration of indoor air pollutants such as TVOCs, monoxide, and dioxide in the space treated with the biofilter was lower than that of control. Dracaena sanderiana ‘Vitoria’ and Epipremnum aureum ‘N Joy’ also showed normal growth responses regardless of multiple floors within the biofilter. Hence, it was confirmed that the wall-typed botanical biofilter suitable for indoor plants was effective for indoor air purification.

Effect of Mahuang on Heart Rate Variability in Adults : a Double-Blind, Placebo-Controlled, Randomized Trial (마황 복용이 정산인의 심박변이도에 미치는 영향에 대한 무작위배정 이중맹검 임상연구)

  • Son, Dong-Hyuk;Hsing, Li-Chang;Kim, Lak-Hyung;Jeong, Seung-Il;Seo, Eui-Seok;Jang, In-Soo
    • The Journal of Korean Medicine
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    • v.28 no.1 s.69
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    • pp.105-116
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    • 2007
  • Objectives : Mahuang (Ephedra sinica), well known as an herbal medicine in the East and West, contains a relatively high percentage of ephedrine known as sympathomimetic alkaloid. We investigated the effects of Mahuang on sympathetic nervous system with heart rate variety (HRV). Time and frequency domain analysis of HRV is a noninvasive technique capable of providing information on autonomic modulation of the sinus node. Methods : We investigated 57 healthy volunteers consisting of 37 subjects in the Mahuang group and 20 subjects in the placebo group. Study form was a randomized, placebo-controlled, double-blind clinical trial. The 37 subjects in the Mahuang group took 3 Mahuang capsules (1 capsule equivalent to 2g herb Mahuang) twice a day at 10 a.m. and 2 p.,., while the 20 subjects in the placebo group took 3 placebo-capsules filled with glutinous rice powder at the same times. Mahuang medicine and placebo medicine were made into opaque capsules. We measured HRV at 3 p.m. 1 or 2 days before medication and at 3 p.m. after medication. Results : Mean-RR and SDNN of the Mahuang group significantly decreased compared with that of the placebo group, but the heart rate of the Mahuang group significantly increased compared with the placebo. HRV-Index, RMSSD and SDSD of the Mahuang group significantly decreased compared with that of the placebo group, but PNN50 of the Mahuang group significantly increased compared with placebo. Ln(TP), Ln(VLF), Ln(LF) and Ln(HF) of the Mahuang group significantly decreased compared with those of the placebo group. There were no significant differences in normalized LF, normalized HF and LF/HF ratio between the Mahuang and placebo groups. Conclusion : The results suggest that Mahuang in healthy adults tends to reduce the autonomic nervous system within the normal range.

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The Effects of Sera from Amyotrophic Lateral Sclerosis Patients on Neuromuscular Transmission and Calcium Channels in Mice

  • Yan, Hai-Dun;Kim, Ji-Mok;Jung, Sung-Jun;Kim, Jun
    • The Korean Journal of Physiology and Pharmacology
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    • v.3 no.1
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    • pp.101-117
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    • 1999
  • Amyotrophic lateral sclerosis (ALS) is a degenerative neuromuscular disease of unknown etiology in which the upper and lower motor neurons are progressively destroyed. Recent evidences support the role of autoimmune mechanisms in the pathogenesis of ALS. This study investigated the effects of sera from ALS patients on neuromuscular transmission in phrenic nerve-hemidiaphragm preparations and on calcium currents of single isolated dorsal root ganglion (DRG) cells in mice. Mice were injected with either control sera from healthy adults or ALS sera from 18 patients with ALS of sporadic form, for three days. Miniature end plate potential (MEPP) and nerve-evoked end plate potential (EPP) were measured using intracellular recording technique and the quantal content was determined. Single isolated DRG cells were voltage-clamped with the whole-cell configuration and membrane currents were recorded. Sera from 14 of 18 ALS patients caused a significant increase in MEPP frequency in normal Ringer's solution $(4.62{\pm}0.14\;Hz)$ compared with the control $(2.18{\pm}0.15\;Hz).$ In a high $Mg^{2+}/low\;Ca^{2+}$ solution, sera from 13 of 18 ALS patients caused a significant increase in MEPP frequency, from $2.18{\pm}0.31$ Hz to $6.09{\pm}0.38$ Hz. Sera from 11 of 18 patients produced a significant increase of nerve-evoked EPP amplitude, from $0.92{\pm}0.05$ mV to $1.30{\pm}0.04$ mV, while the other seven ALS sera did not alter EPP amplitude. In the ALS group, EPP quantal content was also elevated by the sera of 14 patients (from $1.49{\pm}0.07$ to $2.35{\pm}0.07).$ MEPP frequency and amplitude in wobbler mouse were $4.03{\pm}0.53$ Hz and $1.37{\pm}0.18$ mV, respectively, which were significantly higher than those of wobbler controls (wobblers without the symptoms of wobbler). Sera from ALS patients significantly reduced HVA calcium currents of DRG cells to 42.7% at -10 mV. Furthermore, the inactivation curve shifted to more negative potentials with its half-inactivation potential changed by 6.98 mV. There were, however, significant changes neither in the reversal potential of $I_{Ca}$ nor in the I-V curve. From these results it was concluded that: 1) The serum factors of sporadic ALS patients increase neuromuscular transmission and can alter motor nerve terminal presynaptic function. This suggests that ALS serum factors may play an important role in the early stage of ALS, and 2) Calcium currents in DRG cells were reduced and rapidly inactivated by ALS sera, suggesting that in these cells, ALS serum factors may exert interaction with the calcium channel.

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Anti-microbial and Anti-thrombosis Activities of Lees of Sweet Potato Soju (고구마 소주 주박의 항균 및 항혈전 활성)

  • Kim, Mi-Sun;Lee, Ye-Seul;Kim, Jong Sik;Shin, Woo-Chang;Sohn, Ho-Yong
    • Microbiology and Biotechnology Letters
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    • v.42 no.3
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    • pp.258-266
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    • 2014
  • Sweet potato soju (SPS), a form of traditional distilled alcoholic liquor in Korea, is manufactured by the distillation of fermented broth under normal pressure, thus providing it for a uniquely smooth taste infused with the flavor of sweet potato. After distillation, the lees of SPS is produced as by-product and discarded. In this study, the ethanol and hot water extracts of lees of SPS, and their subsequent organic solvent fractions using hexane, ethylacetate (EA), butanol, and water residue were prepared in an effort at the efficient re-use of the lees of SPS. The ethanol extraction yield was 1.36-fold higher than that of the hot water extraction, and the EA fraction revealed the highest total polyphenol content among the solvent fractions. The various extracts and solvent fractions did not demonstrate hemolytic activity at up to 0.5 mg/ml concentrations against human red blood cells. In the bioactivity assay, only the EA fraction displayed a broad spectrum of anti-microbial activity against different pathogenic and food spoilage bacteria, and demonstrated significant anti-coagulation activity by inhibitions of thrombin, prothrombin and blood coagulation factors. Furthermore, only the EA fraction from the hot water extract of the lees of SPS showed anti-platelet aggregation activity, which is comparable to aspirin (a commercially available drug). Our results suggest that the EA fraction of the hot water extract prepared from the lees of SPS has a high potential as a novel resource for anti-microbial and anti-thrombosis agents.

A STUDY ON THE FRACTURE RESISTANCE AND CHARACTERISTICS OF TEETH IN CLASS II CAVITY RESTORATIONS (2급(級) 와동(窩洞) 수복시(修復時) 치아파괴(齒牙破壞) 저항성(抵抗性) 및 귀열양상(龜裂樣相)에 관(關)한 연구(硏究))

  • Joo, Ik-Nam;Park, Sang-Jin;Min, Byung-Soon;Choi, Ho-Young
    • Restorative Dentistry and Endodontics
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    • v.13 no.2
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    • pp.337-348
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    • 1988
  • The purpose of this study was to examine the fracture strength and characteristics of teeth with MOD cavity preparation. Freshly extracted sound maxillary premolars were cleaned and stored in normal saline solution $37^{\circ}C$ for 72 hours before experiments. The roots of teeth were embedded in a self-curing resin, and the exposed crown were maintained in a vertical position by a modelling wax in a brass ring. The MOD cavities were prepared with No. 57 carbide bur under high speed to a depth of 2.0mm and a width of 2.0mm(Fig.1). All the prepared teeth specimens were divided into 7 groups according to the mode of cavity form and restorative materials (Table 1, 2): Group I, unpreapred, intact teeth as control Group II, prepared cavity without restoration Group III, prepared teeth restored with amalgam Group IV, prepared teeth restored with composite resin (P-10) Group V, prepared teeth with beveled enamel margins restored with composite resin (P-10) Group VI, prepared teeth restored with light-cured composite resin (P-30) Group VII, prepard teeth with beveled enamel margins restored with light-cured composite resin (P-30) After placement of restorations, all of the specimens were stored in water at $37^{\circ}C$ for 72 hours before testing. All of the specimens were tested on the Instron Universal Testing machine (No. 6025) in order to evaluate the strength of fracture. One metal ball 5.0mm in diameter contacting the specimens parallel to the occlusal surface was used to in this study (Fig. 1). The fracture characteristics of the specimens were examined with naked eye and in the scanning electron microscope (JSM-20). The results obtained from this study were as follows: 1. The mean fracture strength was the highest in group VI and that in group II was the lowest. 2. The progress of crack of teeth propagated into the pulp cavity. 3. In case of the group of the restored teeth, the crack occurred to be accompanied with cuspal fracture. 4. The crack of restored teeth was initiated along the pulpo-axial line angle of the cavity.

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Studies on the Productive Structure and the Productivity of × Populus albaglandulosa Plantation (은수원사시나무의 조림지(造林地)의 생산구조(生産構造)와 생산성(生産性))

  • Kim, Joon Ho;Sun, Soon Hwa;Lee, Suk Koo;Kim, Chung Suk
    • Journal of Korean Society of Forest Science
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    • v.35 no.1
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    • pp.9-14
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    • 1977
  • The productive structure and the productivity of ${\times}$Populus albaglandulosa plantations, where are middle parts of the Korean peninsula, were studied by means of stratifying clip technique and of allometry. The densities of stands in the sample areas were 693 trees/ha in 6 year-old plantation and 527 or 625 trees/ha in 9 year-old one. The photosynthetic part of the productive structure was not shown normal conical form but layering. So this was efficient to transmit solar radiation into the stand floor. The standing crop of the terrestrial parts of 6 year-old plantation was 18.11 ton/ha and that of 9 year-old one 38.8 to 47.3 ton/ha. The wood volume to trunk to 6 year-old was $31.3m^3/ha$ and that of 9 year-old was 68.8 to $83.9m^3/ha$. The annual net production of 6 year-old plantation was 4.8 ton/ha/year and that of 9 year-old one was 10.0 to 11.7 ton/ha/year and its wood volume of trunks was 17.9 to $21.1m^3/ha/year$. In the 9 year-old plantation the standing crop or the annual net production was different between two sample areas. This seemed that the cause was not due to chemical character but to physical character of soil.

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