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Clinical Characteristics in Patients with Kawasaki Disease Who Received Intravenous Gamma-globulin Retreatment (가와사끼병에서 감마글로불린 재투여가 필요했던 경우의 임상적 특징)

  • Kim, Deok-Soo;Hahn, Yoon-Soo;Han, Heon-Seok
    • Clinical and Experimental Pediatrics
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    • v.45 no.11
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    • pp.1411-1416
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    • 2002
  • Purpose : Although the use of intravenous gamma-globulin(IVGG) in Kawasaki disease(KD) is effective in reducing clinical symptoms and coronary artery complications, 20-30% of patients have persistent or recrudescent fever and ongoing clinical symptoms. In these patients, the additional infusion of IVGG is considered. The authors studied the characteristics of patients who received IVGG retreatment, and compared them with the patients who did not need IVGG retreatment, for determination of IVGG retreatment. Methods : We reviewed the medical records of 117 KD patients who could be followed up at least six months. We studied the conventional laboratory findings, electrocardiogram(EKG), signal averaged ECG(SAECG) and echocardiogram. Results : Twenty three patients had early cardiac complications during the six months of follow-up. Four patients had late cardiac complications after six months. The early cardiac complication rate was higher in the IVGG retreatment group than the single infusion group(P<0.0001). The late complication rate was also higher in the retreatment group(P<0.0001). The patients who received methyl-prednisolone(m-PD) pulse therapy had much higher rates of early and late cardiac complications than those who received a single IVGG infusion. Among the clinical data and laboratory findings, only CRP increased significantly in patients who have had the cardiac complications. The IVGG retreatment group had increased CRP than the single infusion group. Conclusion : The patients with increased initial CRP may have an increased incidence of complications and an increased possibility of IVGG retreatment. We thought that retreated KD patients might have inflammations severe enough to need high dose IVGG as shown by high CRP levels, and IVGG retreatment could not prevent coronary artery lesions sufficiently.

The Effects of Ethylacetate Fraction of Sanguisorba officinalis L. on Experimentally-induced Acute Gastritis and Peptic Ulcers in Rats (지유가 흰쥐의 급성위염 및 소화성 궤양에 미치는 영향)

  • Lee, Jae-Joon;Choi, Hyun-Suk;Lee, Jeong-Hwa;Jung, Chang-Joo;Lee, Myung-Yul
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.34 no.10
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    • pp.1545-1552
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    • 2005
  • Sanguisorba officinalis L. has been used as a traditional remedy for arthritis, neuralgia, diarrhea, vomiting, gastric ulcer and gastro-intestinal disorders. This study was performed to investigate the protective effects of ethylacetate fraction of Sanguisorba officinalis L. ethanol extract (SOE) on the gastric mucosal damage and gastric ulcer induced by HCI-ethanol, indomethacin, Shay-ligation method, restraint and water-immersion stress, and cysteamine in rats. The experiment animals were divided into four groups: a negative control group (CON), positive control group (cimetidine 100 mg/kg-CMT or omeprazol 100 mg/kg administrated group-OMT), SOE 200 mg/kg administrated group (SOL) and SOE 400 mg/kg administrated group (SOH), respectively. Rats were given an oral or intraduodenal administration of SOE, and all SOE treatment groups compared with the CON significantly inhibited HCI-ethanol-induced acute gastritis and indomethacin-induced gastric ulcers in dose-dependent manner, of which effects were lower in a positive control drug (CMT). The inhibition rates ($\%$) on the acute gastritis induced by HCI-ethanol and the gastric ulcers induced by indomethacin in rats, 17.66$\%$ and 48.28$\%$ in SOL, 21.71$\%$, and 51.08$\%$ in SOH, and 47.26$\%$ and 58.26$\%$ in CMT compared with CON, respectively, In pylorus ligated rats, the groups of SOE showed decreases in the volume of gastric secretion and acid output. However, no significant differences were observed in the pepsin activity between treated groups . In addition, SOH also depressed gastric ulcers induced by restraint and water-immersion stress and duodenal ulcers induced by cysteamine. These results suggest that Sanguisorba officinalis L. has remarkable antigastric ulcer effects and could be developed as a new antigastric ulcer agents.

Effect of Relative Humidity on the Changes of Lipids in Freeze-Dried Fish during Storage (동결건조 어육지질의 변화에 미치는 상대습도의 영향)

  • LEE Hyeung-Il;PARK Yeung-Ho
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.18 no.6
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    • pp.519-528
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    • 1985
  • Fillets of mackerel (Scomber japonicus) and flounder (Xystrias grigorjewi) which, are representatives in red fleshed fish and white fleshed fish, respectively, were freeze-dried and stored in tightly sealed containers which were controlled to different relative humidity at $25^{\circ}C$. The changes of lipids were examined periodically by measuring the peroxide value (POV), the thiobarbituric acid (TBA) and the acid value (AV). And the fatty acid composition of lipids was investigated by gas-liquid chromatography (GLC). The results obtained are summarized as foollows: From the changes of POV and TBA value during storage, the oxidation of lipids was distinct at the lower relative humidities, $0\%\;and\;23\%$, while inhibited at the higher relative humidities, $52\%\;and\;81\%$. The changes in acid value during storage were more prominent at the hifger relative himidites than at the lower relative humidities. The content of $C_{16:0},\;C_{18:0}\;and\;C_{22:6}$ acids in the fatty acid composition of total lipids was abundant in both fleshed fishes. The content of $C_{18:1}$ acid in the nonpolar lipid and that of $C_{16:0}$ acid in the polar lipid were higher than other fatty acids. In the fatty acid composition of total lipids during storage, polyenoic acids decreased with storage period at $0\%\;and\;23\%$ relative humidities, while the fatty acid composition didn't show a great change at $52\%\;and\;81\%$ relative humidities. In the non-polar lipid, polyenoic acids coherently decreased under all the conditions of relative humidities but the saturated acids and the monoenoic acids increased. In the polar lipid, polyenoic acids decreased at $0\%\;and\;23\%$ relative humidities, while the saturated acids and monoenoic acids decreased at $52\%\;and\;81\%$ relative humidities. On the other hand, the oxidation of lipids was more significant in mackerel than in the flounder, and the changes of fatty acid composition were shown a similar pattern.

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Preparation and Keeping Quality of Seasoned Smoked-Dried and Vacuum-Packed Squid (훈액처리에 의한 조미오징어 훈제품의 가공 및 품질안정성)

  • LEE Eung-Ho;PARK Hyang-Suk;OH Kwang-Soo;CHA Yong-Jun
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.18 no.4
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    • pp.316-324
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    • 1985
  • Vacuum-packed and seasoned smoked-dried products of red squid, Ommastrephes bartrami, caught in the Northern Pacific Ocean, were prepared and stored at room temperature for 90 days to test their keeping quality. Defrosted squids were eviscerated, skinned, and cut. The mantle meats were flavored with seasoning powders prepared from sugar, sorbitol, salt, monosodium glutamate, or smoke flavor (Smoke-EZ, Alpha Foods Co., Ltd.). After seasoning, the mantle meats were dried at $45^{\circ}C$ for 7 hours, vacuum packed in plastic film bags, and pasteurized in water at $95^{\circ}C$ for 30 minutes. Three kinds of products were prepared : control products (seasoned-dried), solid smoked seasoned-dried and liquid smoked seasoned-dried. The moisture level, water activity, color value (L, a and b value), texture, and viable cell counts of bacteria in these products were determined during storage at room temperature, $5^{\circ}C\;and\;35^{\circ}C$, respectively. The results showed that the products could be preserved at good condition for 90 days though they developed pale brown color during storage. The contents of free amino acids, nucleotides and their related compounds, and the compositions of fatty acids of raw squid and smoked products were analysed. In the amino acids, arginine, taurine, glycine and proline were abundant in raw and smoked products. The contents of hypoxanthine of raw and smoked products were higher than the other nucleotides and their related compounds. In fatty acid compositions of raw and smoked products, the dominant fatty acids were docosahexaenoic acid (22:6), hexadecanoic acid(16:0) and eicosapentaenoic acid (22:5).

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A Correlation between the Fractionation of Heavy Metals in the Paddy Soil of the Mangyeong River Basin and their Uptake by Rice Plants Grown on it (만경강 유역 논 토양 중 중금속 형태분류와 수도체의 흡수량과의 관계)

  • Kim, Seong-Jo;Baek, Seung-Hwa;Moon, Kwang-Hyun
    • Korean Journal of Environmental Agriculture
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    • v.15 no.3
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    • pp.372-382
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    • 1996
  • In order to elucidate the relationship between the mobility of heavy metals in soil and their uptake by plants, the soil samples collected from the Mangyeong River area were analyzed for the contents and existing forms of the heavy metals and the correlation between the contents of heavy metals in the soil and those in various parts of rice plants therefrom. The soil samples were collectes from ten sites in the paddy fields in 1982 and 1990, respectively, and the analysis on heavy metals including Cd, Zn, Cu and Pb was performed. The results are as follows: Total contents of heavy metals in the samples of 1990 were higher than those of 1982. The extent of increase was that Cd, Zn, Cu and Pb were 3, 29, 59 and 8% in top soil and 8, 50, 91 and 8% in sub-soil, respectively. The order of increasing ratio was Cu > Zn > Pb > Cd and the variation of Cd content by sequentially different extraction was organically bound > dilute acid-extractable=Fe-Mn oxide bound > exchangeable > residual fractions and the content of Cd with organically bound was $46.62{\sim}48.08$ and $41.18{\sim}50.18%$ of total Cd in top and sub-soil, respectively. The ratios of immobile heavy metals, Cd, Pb, Cu and Zn, bound within an oxide or silicate matrix of Fe-Mn oxide in top-soil were 21.25, 35.98, 74.18 and 82.12%, respectively, and consequently their mobile ratios of exchangeable, dilute acid-extractable and organically bound were more than 17.88%. Those of mobile Cd, Pb, Cu and Zn were 78.25, 64.02, 25.82 and 17.88%, respectively. Except for Pb a correlation between the contents of Cd, Zn, and Cu of exchangeable and dilute acid-extractable in top-soil and those in leaf blade, stem and panicle axis was significant, but was not significant in sub-soil.

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Variation of zooplankton Distribution in the Seomjin River Estuary with Respect to Season and Salinity Gradients (계절과 염분 변화에 따른 섬진강 하구역 동물플랑크톤의 분포 변화)

  • Park, Chul;Lee, Pyung-Gang;Yang, Sung-Ryull
    • The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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    • v.7 no.2
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    • pp.51-59
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    • 2002
  • The seasonal variation in species composition and abundance distribution of zooplankton was studied in the Seomjin river estuary along the salinity gradients. In this estuary, marine taxa predominated in all seasons and very limited number of freshwater species appeared. The total abundances showed a seasonal fluctuation. The highest total abundance appeared in spring with over 3,000 individuals/m$^3$. In summer, the high abundance was sustained although it decreased a little. The abundance was minimal in fall with about 500 individuals/m$^3$. When the study area was divided into three salinity regimes, oligohaline (salinity less than 5 psu), mesohaline (5${\sim}$18 psu), and polyhaline zone (over 18 psu), the zone of high abundance as well as the composition of zooplankton community in each salinity regime changed seasonally. In fall, marine copepods predominated in oligohaline zone while marine species other than crustaceans dominated in polyhaline zone. However, in winter copepods predominated in all area. In spring and summer, holozoic dinoflagellate Noctiluca scintillans dominated in higher salinity regimes. We listed major copepod species of each salinity regime for each season with the ranges of water temperatures (T) and salinities (S) of their occurrence. T, S's of maximum abundances of those major copepod species were also reported. The observed very wide tolerance ranges of major copepod species for salinity suggested that the concept of 'indicator species' should be used in quantitative context rather than qualitative.

An epidemiological study of metagonimiasis along the upper reaches of the Namhan River (남한강 상류의 Metagonimus 유행에 대한 연구)

  • Chai, Jong-Yil;Huh, Sun;Yu, Jae-Ran;Kook, Jin-A;Jung, Kyung-Chun;Park, Eun-Chan;Sohn, Woon-Mok;Hong, Sung-Tae;Lee, Soon-Hyung
    • Parasites, Hosts and Diseases
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    • v.31 no.2
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    • pp.99-108
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    • 1993
  • An epidemiological study of Metogonimus infection was undertaken along the upper reaches of the Nmhn River, with special consideration on the species (type) of the worms collected from humans. Eggs of Metogonimus spp. were detected from 15 (9.7%) of 154 people examined in Umsong-gun, and from each Infected person (5 cases) 6.015- 24,060 worms (mean 13,2331 were recovered after treatment with praziquantel (10 mg/kg). Eggs were also detected from 37 (48.1% of 77 people In Yongwol-gun, from whom (27 casesl 1-4,965 worms (mean 1,2151 were collected. The worm from Umsong-gun consisted of both Metagonimus Miyata type and Metagonimus takohashii, whereas those from Yongwol-gun consisted of only Metqsonimus Miyata type. When the uterine eggs of the two kinds and M. yokogawoi (obtained from people In Tamjin River basin) were morphologically compared, it was suggested that the egg size should be a good Indicator for discrlmination of the species or type. The source of human Infection was proved to be fresh water fleshes: 49 of 52 Znsco plntvpus examined, 6 of 8 Hemibcrbus loniroskis, 13 of 15 Pseunogobio esuinl:, 4 of 6 Odontobutis obscura intemfptn, and 17 of 18 Corqssiw carassiw were found Infected with Metosonimw metacercariae. From the results, it is concluded that the upper reaches of the Namhan River are endemic foci of Metogonimn Miyata type and M. takahashii.

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Emergence and Growth of Weeds in Paddy Fields as Affected by Cropping Pattern (수도(水稻) 재배양식(栽培樣式) 차이(差異)에 따른 잡초(雜草) 발생특성(發生特性) 연구(硏究))

  • Guh, J.O.;Kwon, S.L.
    • Korean Journal of Weed Science
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    • v.1 no.1
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    • pp.30-43
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    • 1981
  • On unwedded paddy fields, six cropping patterns of rice cultivation, namely direct broadcast seeding, direct row seeding, machine transplanting, early season hand transplanting, standard season hand transplanting, and late season hand transplanting, were detected with two representative rice cultivars (Milyang 23 and Sadominori) to estimate the comparative fluctuation patterns of weed flora. As a result, number of emerged weed species, most crowding stages, differences of weed growth among cropping patterns, possible tendencies of competition in plant heights among plant groups, variations in Importance Values, and Simpson's Index analysis were discussed, respectively.

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Weed Flora of Cultivated Land and Its Surrounding Area in Cheju Island (제주도(濟州道) 농경지(農耕地) 및 그 주변(周邊)에 발생(發生)하는 잡초종(雜草種))

  • Kim, K.U.;Kim, J.H.;Back, K.W.;Lee, I.J.;Kim, S.H.;Choi, Y.S.
    • Korean Journal of Weed Science
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    • v.9 no.3
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    • pp.201-213
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    • 1989
  • About 233 weed species belonging to 54 families mainly occurring in summer were observed in cultivated land and its surrounding area in Cheju Island. The compositae was the most widely occurring family covering 41 weed species, followed by 28 species in gramineae, 14 in labiatae, 13 in leguminasae and 12 in polygonaceae etc.. In terms of the lands classified about 126 species in 39 families were observed in upland ared and 38 species in 20 families occurred in lowland area, 108 species in 36 families in orchard and 214 species in 50 families observed in non-cultivated area. The most dominant weed species in Cheju Island were Portulaca oleracea, Digitaria sanguinalis in both the upland and orchard, Monochoria vaginalis, Cyperus amuricus in lowland, and Digitaria sanguinalis, Artemisia princeps, Partulaca oleracea in non-cultivated land area. There were two communities in upland area, such as Phyllanthus urinaria, Siegesbeckia orinexitalis etc., and Cephalonaplos segetum, Mosla dianthera etc.. The lowland area composed of one major community like Onenanthe javanica, and Eleocharis acicularis. The orchard consisted of the communities of Stellaria aquatics, Viola mandshurica etc., and Justicia procumbens, Varedellia crustacea etc.. The non-cultivated land composed of two major communities like Amplicarpaed edgeworthii, Lactuca indica etc., and Clematis appiiforia, Aster hispidus etc..

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Utility of Acetazolamide-Enhanced Brain Perfusion SPECT in Predicting Outcome of the Patients with Aneurysmal Subarachnoid Hemorrhage (뇌동맥류파열에 의한 지주막하 출혈환자의 예후평가에 있어서 아세타졸아미드 부하 뇌혈류 SPECT의 유용성)

  • Choi, Yun-Young;Kim, Jae-Min;Kim, Kwang-Myung;Choe, Il-Seung;Cho, Suk-Shin
    • The Korean Journal of Nuclear Medicine
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    • v.35 no.4
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    • pp.241-250
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    • 2001
  • Purpose: Vasospasm is a complication of aneurysmal subarachnoid hemorrhage (aSAH). We assessed the role of acetazolamide-enhanced brain perfusion SPECT (ACZ-SPECT) with Tc-99m ECD for predicting the prognosis of patients with aSAH. Materials and methods: Two SPECT studios (baseline with 740 MBq and ACZ-SPECT with 1480 MBq) with image subtraction were performed in 21 patients with aSAH. All patients had brain CT and angiogram. Vasoreactivity on ACZ-SPECT, perfusion defect on baseline SPECT, and vasospasm on angiogram were correlated with Hunt-Hess grading, extent of SAH (unilateral or bilateral) on CT, and clinical outcome. Vasoreactivity was considered decreased when cerebral/cerebellar uptake ratio difference from baseline SPECT to ACZ-SPECT was greater than 2SD of normal control values. Results: Decreased vasoreactivity was observed in 38% (8/21), perfusion defect in 81% (17/21), and vasospasm in 38% (8/21). The preserved vasoreactivity group showed better outcome scale (92%, 12/13) and the decreased vasoreactivity group showed poorer outcome scale (62.5%, 5/8) (p=0.014). Extensive SAH was more frequently seen in the decreased vasoreactlvlty group (87.5%, 7/8) than in the preserved vasoreactivity group (30.7%, 4/13)(p=0.017). The perfusion defect and vasospasm did not show good correlation with outcome scale, extent of SAH, and Hunt-Hess grading (p=ns). Vasoreactivity represented the patient's outcome better than the vasospasm in all of the vasoreactivity/vasospasm-mismatched cases (6 cases). Conclusions: Our data show that decreased vasoreactivity on ACZ-SPECT does not always represent vasospastic condition. But patients with decreased vasoreactivity reveal poorer outcome than patients with angiographic vasospasm do. Therefore ACZ-SPECT is a valuable, noninvasive test for predicting the prognosis of patients with aSAH.

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