• Journal of Yeungnam Medical Science
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• 제14권1호
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• pp.237-244
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• 1997

A 14-year old boy was admitted with stuporous mentality. CT scan, MRI and cerebral angiogram revealed SAH and a giant aneurysm of right middle cerebral artery($4{\times}5{\times}5.3cm$). To minimize surgical risk, endovascular treatment was done with MDS(mechanical detachable system)-spiral coil. Follow up MRI showed intraluminal thrombus formation of the aneurysm.

• 대한의용생체공학회:의공학회지
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• 제22권5호
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• pp.439-448
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• 2001

이식형 양심실 보조 장치 (Biventricular Assist Device, BVAD)에서 판막이 닫힐 때 나는 소리의 특성과 판막의 물리적인 상태의 상관성을 고찰하였다. 본 연구에서 Bj rk Shiley Convexo Concave tilting disk 판막을 사용했으며, 모의 순환계와 양의 체내에서 동작하는 BVAD 에서 판막음을 측정하였다. 모의 순환계에서는 정상 판막. 기계적으로 손상된 판막. 모의 혈전이 형성된 판막의 3가지를 고려하였다. 양에 이식된 BVAD의 경우, 이식 후 1일부터 5일 동안 규칙적인 간격으로 판막음을 측정하였다. 측정된 신호의 스펙트럼 특성은 Multiple Signal Classification (MUSIC)을 이용하여 추정하였다. MUSIC의 최적 차수는 Bayesian Information Criterion (BIC)을 이용하여 계산하였다. 실험 결과, 판막의 기계적인 손상은 판막 폐쇄음의 주파수 스펙트럼 구조를 변화시키고 있으며, 혈전의 형성은 판막음 스펙트럼의 기본 구조는 유지하지만 피크 주파수와 에너지의 크기를 변화시키는 것으로 관찰되었다. 최대 에너지를 가지는 MSP (maximum spectral peak)는 정상 판막에서는 2 kHz에 위치하고 있으나 모의 혈전을 부탁한 판막에서는 3 kHz로 이동하였다. 손상된 판막은 7 kHz 부근에서 강한 피크 보이고 있다 실험 동물 내에서 판막에 혈전이 형성되어감에 따라 판막음은 저주파 성분 (〈 2kHz)이 상대적으로 크게 감소하였고, Ist 2nd. 3rd MSP 주파수는 약간씩 상승하였다. 또한 혈전이 형성되어 감에 따라 반복해서 측정된 판막음의 1st, 2nd. 3rd MSP 주파수의 변화 정도 및 BIC 차수는 감소하는 것으로 나타났다

• Journal of Applied Biological Chemistry
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• 제65권4호
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• pp.239-245
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• 2022

지혈이 일어나는 과정에서 혈소판의 정상적인 활성화가 중요하지만, 혈소판의 과도하거나 비정상적인 활성화는 뇌졸중, 죽상동맥 경화증 및 혈전증과 같은 심혈관 질환을 유발할 수 있다. 따라서, 혈소판 활성화를 조절하거나 억제할 수 있는 새로운 물질의 발견은 심혈관 질환의 예방 및 치료에 도움이 될 수 있다. Artemether는 Artemisia annua의 유효성분으로 알려진 artemisinin의 유도체로서 말라리아 치료에 효과적이라고 보고된 바 있고, 항산화 및 대사 효소 억제를 통해 기능하는 것으로 알려져 있다. 그런데, 혈소판 활성화 및 응집에 있어서의 artemether의 역할과 collagen으로 유도한 사람 혈소판에서 artemether의 작용기전은 현재까지 알려진 바가 없다. 본 연구는 artemether가 collagen에 의해 유도된 혈소판 활성화와 혈전 형성에 어떤 영향을 미치는 지 연구하였다. 그 결과, cAMP level이 artemether에 의해 유의하게 증가되었고, cAMP-의존성 kinase의 기질인 VASP 및 IP₃R이 인산화되었다. Artemether에 의한 IP₃R 인산화는 세포질 내로의 Ca²⁺ 동원을 억제하였고, 인산화된 VASP는 혈소판 막에 위치한 αIIb/β₃ 불활성화를 일으켜 fibrinogen 결합을 억제하였다. 결과적으로, artemether는 thrombin으로 유도한 fibrin clot의 형성을 억제하였다. 따라서, 우리는 artemether가 과도한 혈소판 활성화 및 혈전 형성으로 인한 심혈관 질환의 효과적인 예방 및 치료제로 작용할 수 있음을 제안한다.

• 대한의용생체공학회:의공학회지
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• 제25권5호
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• pp.421-430
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• 2004

임상적으로 의사가 청진기를 이용해 초기 혈전이 생긴 기계식 판막 음향신호의 변화를 구분하기는 쉽지 않다. 기계식 판막의 이상은 환자의 죽음을 의미하기 때문에 기계식 판막의 신뢰성과 초기 혈전 현상을 비관혈적으로 조기 진단하는 방법은 매우 중요하다. 이 논문은 컴퓨터 보조진단 시스템과 음향신호의 주파수 스펙트럼의 이동을 관찰하여 기계식 판막의 혈전 현상을 비관혈적으로 평가하는 것을 목적으로 한다. 혈전 모델은 상용화된 기계식 판막에 폴리우레세인과 실리콘을 이용하여 제작하였다. 판막의 표면에는 폴리우레세인을 코팅하고, 봉합링에는 실리콘을 코팅하였다. 봉합링의 주위에서 혈전이 발생하고, 20％, 40％, 60％로 자라나는 현상은 실리콘을 이용하여 제작하였다. 실험 시스템에서 판막의 음향 신호는 마이크로폰과 증폭기를 사용하여 측정하였고, 마이크로폰에는 주위잡음을 제거하기 위해 커플러를 장착하였다. 측정된 음향신호는 A/D 컨버터를 이용하여 샘플링하고, 스펙트럼을 분석하였다. 정상적인 판막과 혈전이 형성된 판막의 주파수 구분을 위해 인공신경망을 구성하였고, 연속적으로 판막의 운동 주기성을 확인하기 위하여 return map을 사용하였다. 생체 내 실험에서는 기계식 판막을 사용하는 순환장치를 장착한 동물과 기계식 판막을 치환 받은 지 1년 이내와 1년이 넘은 환자에게서 데이터를 채집하였다. 실험에서 얻은 데이터 스펙트럼은 두 가지 형태의 첨두치를 보였고, 이중에서 두 번째 첨두치는 혈전의 모델에 따라 변화를 보였다. 생체 내, 외 실험에서 얻은 데이터를 인공신경망에 적용한 결과 정상 판막과 혈전이 생성된 판막을 구분하였고, 환자를 대상으로 한 실험에서는 10명 중 1명이 두 번째 첨두치가 이동하는 결과를 보였지만 다른 방법으로 확인하지는 못했다. 본 논문의 결과는 기계식 판막의 혈전현상을 비침습적으로 조기 진단하고, 상태를 지속적으로 감시할 수 있는 기술적 토대를 제공할 것이다.

• Journal of Photoscience
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• 제9권2호
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• pp.518-520
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• 2002

Photodynamic therapy (PDT) is a treatment modality based on photochemical reaction and the resultant cytotoxic reactive oxygen species. The platelet thrombus formation leading to stasis observed in vivo during PDT is called vascular shut down (VSD) effect. To investigate the mechanism of the VSD effect, we observed Human Umblical Vein Endothelial Cell (HUVEC) injury induced by photochemical reaction. We observed cell retraction and blebbing after PDT. It seems that the injury was not fetal and only morphological change. Then, the cytoplasm was stained by Calcein-AM and subendothelial area was evaluated from fluorescence microscopy. The rate of subendothelial area after PDT increased significantly. Second, we investigated interaction between neutrophils and HUVEC. Human promyelocytic leukemia cells (HL-60) were differentiated into neutrophil by incubation with all-trans retinoic acid. Calcein-AM labeled neutrophil adhesion to HUVEC was evaluated from fluorescence microscopy. PDT-induced neutrophil adhesion to HUVEC depended more on the exposure of subendothlial area than on neutrophil activation. This result suggests that there is a certain interaction between neutrophil and HUVEC during PDT.

• Archives of Reconstructive Microsurgery
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• 제2권1호
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• pp.77-81
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• 1993

Free tissue transplantation is commonly performed with the brilliant achievement in microsurgery and anticoagulants and antithrombotic agents have been prescribed in the procedures. However, there is no clean-cut indication as to which agents would be more effective in every steps and final consequences. Low molecular weight heparins inhibiting coagulation in plateletrich plasma and acting on the vascular endothelium have antithrombotic and fibrinolysis action. The experiment with rat groin free flap transplantation after 6-hour ischemia and injection of the low molecular weight heparin was performed and the results between the injection and non-injection group were analysed as follows, 1. Both of the 24-hour groups, vessel patency was not proportional to color change of the groin flap. 2. On the second day after anastomois, heparin-injection group showed intact intima, patent lumen without thrombus, and mild granulomatous inflammation around the suture material and control group with doubtful patency revealed intimal loss and thrombus formation. 3. On the 5th, 7th, and 9th postoperative day, heparin group was patent in anastomosis and showed acute inflammatory cells. 4. The 7th-week period, heparin-injection group showed intact flap color, patent lumen with intact intima and persistent foreign body granuloma.

• 대한기계학회:학술대회논문집
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• 대한기계학회 2002년도 학술대회지
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• pp.703-704
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• 2002

The two major problems related to the blood flow in a floating type polymer valve are thrombus formation and hemolysis. It is well known that the shear stress in the fluid and flow separation around the valve are blamed for such disastrous phenomena. In this viewpoint, through study of the flow field around the valve is imperative to improve design of the valve. The aim of this study is to investigate the fluid flow around a floating type polymer valve. The numerical method employed in this study is the finite element software called ADINA. Incompressible viscous flow is assumed for blood using the assumption of Newtonian fluid. In this study, two prominent features of the axisymmetric flow around the floating type polymer valve are observed: jet-like flows observed near the gap between the conduit and the valve, and recirculating flow downstream of the valve. We also provided a detailed description of shear stress field according to the variation of flow conditions. The shear stress in fluid has its maximum value near the gap between the valve and the conduit.

• 한국임상수의학회지
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• 제34권4호
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• pp.275-278
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• 2017

An 8-year old female Korean Short Hair cat with a history of paralysis of both hind limbs less than 1 hour before admission was referred. On physical examination, the left hind limb was cold and there was no pulsation or mobility. On abdominal ultrasound examination, a thrombus 8 mm in length was found at the aortic bifurcation. The patient was diagnosed with hypertrophic cardiomyopathy (HCM) and cardiogenic pulmonary edema through radiologic evaluation and echocardiography. A tissue plasminogen activator (tPA) was applied intravenously using an accelerated dosing protocol (1 mg administered intravenously [IV] bolus, 2.5 mg IV over 30 min, 1.5 mg IV over 1 h) to treat the feline arterial thromboembolism. Within 12 h after administration of tPA, pulsation and mobility of both hind limbs were normal, without any noticeable complications. Clopidogrel was prescribed to prevent additional thrombus formation, and pimobendan, benazepril, and furosemide were prescribed for administration at home. The patient was discharged and survived 377 days.

• 생약학회지
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• 제52권1호
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• pp.26-33
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• 2021

During blood vessel damage, an essential step in the hemostatic process is platelet activation. However, it is important to properly control platelet activation, as various cardiovascular diseases, such as stroke, atherosclerosis, and myocardial infarction, are also caused by excessive platelet activation. Found primarily in the roots of plants of the genus Artemisia or Scopolia, isoscopoletin has been studied to demonstrate its potential pharmacological effects against Alzheimer's disease and anticancer, but the mechanisms and roles involved in thrombus formation and platelet aggregation are insufficient. This study investigated the effect of isoscopoletin on U46619-induced human platelet activation. As a result, isoscopoletin significantly increased the levels of cyclic adenosine monophosphate (cAMP) and cyclic guanosine monophosphate (cGMP) dose-dependently. In addition, isoscopoletin significantly phosphorylated inositol 1, 4, 5-triphosphate receptor (IP3R) and vasodilator-stimulated phosphprotein (VASP), which are known substrates for cAMP-dependent kinases and cGMP-dependent kinases. Phosphorylated IP3R by isoscopoletin inhibited Ca2+ mobilization from the dense tubular system Ca2+ channels to cytosol, and phosphorylated VASP was involved in the inhibition of fibrinogen binding through αIIb/β3 inactivation in the platelet membrane. Isoscopoletin finally reduced thrombin-induced fibrin clotting production. Therefore, this study suggests that isoscopoletin has a potent antiplatelet effect and may be helpful for platelet-related thrombotic diseases.

• 대한수의학회지
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• 제55권4호
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• pp.233-240
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• 2015

Although the effects of the rice bran have recently been investigated, there is no information regarding platelet physiology available. However, it is well known that fermented natural plants have a beneficial effect on cardiovascular diseases. Therefore, this study was conducted to investigate whether fermented rice bran extract (FRBE) with several plants (Artemisia princeps, Angelica Gigantis Radix, Cnidium officinale, and Camellia sinensis) affected agonist-induced platelet aggregation, and if so, what the underlying mechanism of its activity was. We performed several experiments, including in vitro platelet aggregation, intracellular calcium concentration and adenosine triphosphate release. In addition, the activation of integrin ${\alpha}_{II}b{\beta}3$ was determined using fibrinogen binding. Thrombus formation was also evaluated in vivo using an arterio-venous shunt model. The FRBE inhibited collagen-induced platelet aggregation in a concentration-dependent manner. FRBE significantly and dose dependently attenuated thrombus formation using rat arterio-venous shunt. FRBE suppressed the intracellular calcium mobilization in collagen-stimulated platelets. We also found that FRBE inhibited extracellular stimuli-responsive kinase 1/2, p38-mitogen-activated protein kinases and c-Jun N-terminal kinase phosphorylation. These results suggested that FRBE inhibited collagen-induced platelet aggregation, which was mediated by modulation of downstream signaling molecules. In conclusion, FRBE could be developed as a functional food against aberrant platelet activation-related cardiovascular diseases.