• Title/Summary/Keyword: Transplant

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Two Cases of Tyrosinemia; One with Hepatocellular Carcinoma and the other with Acute Liver Failure (타이로신 혈증 2례; 간암이 유발된 1례와 급성 간부전으로부터 회복된 1례의 비교)

  • Kim, Sook Za;Song, Woong Ju;Jeon, Young Mi;Levy, Harvey L.
    • Journal of The Korean Society of Inherited Metabolic disease
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    • v.13 no.1
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    • pp.48-53
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    • 2013
  • Tyrosinemia I (fumarylacetoacetate hydrolase deficiency) is an autosomal recessive inborn error of tyrosine metabolism that produces liver failure in infancy or a more chronic course of liver disease with cirrhosis, often complicated by hepatocellular carcinoma in childhood or early adolescence. We studied a 37-year-old woman with tyrosinemia I whose severe liver disease in infancy and rickets during childhood were resolved with dietary therapy. From 14 years of age, she resumed unrestricted diet with the continued presence of the biochemical features of tyrosinemia, yet maintained normal liver function. In adult years, she accumulated only a small amount of succinylacetone. Despite this evolution to a mild biochemical and clinical phenotype, she eventually developed hepatocellular carcinoma. Her fumarylacetoacetate hydrolase genotype consists of a splice mutation, IVS6-1G>T, and a novel missense mutation, p.Q279R. Studies of resected liver revealed the absence of hydrolytic activity and immunological expression of fumarylacetoacetate hydrolase in tumour. In the non-tumoral areas, however, 53% of normal hydrolytic activity and immunologically present fumarylacetoacetate hydrolase were found. This case demonstrates the high risk of liver cancer in tyrosinemia I even in a seemingly favorable biological environment. In this study of tyrosinemia I, Case 2 with negative succinylacetone accumulation and the recovery of acute liver failure was compared with Case 1. Diet restriction and NTBC treatment are crucial to prevent hepatocellular carcinoma until liver transplant can take place and cure the condition. Further studies are needed to examine cases where liver cancer did not result despite clinical symptoms/signs of tyrosinemia type I.

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Microsurgical Distal Thumb Reconstruction Using a Mini Wrap-around Free Flap (Mini Wrap-around 유리 피판술을 이용한 무지 원위부 재건술)

  • Kwon, Gi-Doo;Ahn, Byung-Moon;Yeo, Yong-Bum
    • Archives of Reconstructive Microsurgery
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    • v.17 no.2
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    • pp.101-107
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    • 2008
  • Purpose: Free flaps from the great toe are an established method for reconstruction of absent or partially amputated thumbs. However, options differ as to which technique represents the ideal solution for each level of amputation. Various methods of distal thumb reconstruction have been proposed. We prefer to transplant the entire great toe nail complex with the almost all of the pulp rather than a portion of the nail. This paper reflects our experience in using the great toe mini wrap-around flap for distal thumb reconstruction. Materials and Methods: In the period from October of 2005 to July of 2007, 9 patients were treated for traumatic thumb defects localized at the distal phalanx of the thumb. The patients included seven men and two women. The mean age was 44 years (range, 21~60) and the dominant right hand was involved in seven of nine patients. Results: The transferred flaps have survived completely in all cases. The mean range of motion in the interphalangeal joints was 51o, with 73% of the normal uninjured opposite hands. The two-point discrimination was 10.5 mm (range, 5~13 mm). In Semmes-Weinstein monofilament test, the sensibility was 4.31 in 4 cases, 3.61 in 3 cases and 2.83 in 2 cases. The pinch power was 64% (range, 55~95%) of the opposite hand. All patients were satisfied with the appearance of the reconstructed thumb and felt comfortable at final follow-up. Conclusion: We have successfully reconstructed 9 cases of traumatic distal thumb defects using the mini wrap-around free flap. The mini wrap-around free flap in great toe is an excellent alternative method for distal thumb reconstruction in selected patients.

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Effect on the Growth of Chinese Cabbage and Chemical Composition of the Liquid Piggery Slurry Digested Anaerobically in Biogas Plant (바이오가스 프랜트에서 혐기 소화시킨 돈사 Slurry의 화학적 특성 및 배추생육 시용효과에 관한 연구)

  • Jeong, Chan-Seong;Bak, Jeong-Geun;Roh, Ahn-Sung;Cho, Woong-Gi;Lee, Sung-Sill;Moon, Yea-Hwang
    • Journal of Animal Environmental Science
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    • v.20 no.3
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    • pp.125-132
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    • 2014
  • This study was conducted to investigate the effects on chemical properties of soil and yield of chinese cabbage when the piggery liquid slurry (ADS) digested anaerobically in the biogas plant was sprinkled to the soils. Treatments were composed of non-nitrogen plot (PK), chemical fertilizer plot (NPK) and ADS plot, and were arranged by randomized block design with 3 replications. The ADS was an alkali (pH 8.6) fertilizer containing 0.55% of total nitrogen, optimal levels of phosphorus, potassium and other components. When based (100%) on the yield of chinese cabbage in the NPK, those of the ADS and the PK were 114% and 43%, respectively. The nitrogen absorption of chinese cabbage at 50-d after transplant was significantly greater (p<0.05) in the ADS than other treatment. Heavy metal contents of soil were not difference between before and after experiment. With supplementing phosphorus and potassium sources in it, the ADS should be an excellent fertilizer in cabbage culture.

KAPOSI'S SARCOMA OF THE ORAL CAVITY IN RENAL TRANSPLANTED PATIENT; A CASE REPORT (신장 이식 환자에서 발생한 구강내 카포시 육종; 증례 보고)

  • Jeong, Jong-Cheol;Choi, Se-Hoon;Song, Min-Soek;Jun, Chang-Hun;Kim, Hyun-Min;Jeong, Dong-Hae
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.29 no.3
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    • pp.186-190
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    • 2003
  • Kaposi's sarcoma was first descrided by Kaposi in 1872 as an idiopathic multiple hemorrhagic sarcoma. Its clinical features revealed to be erythematous red or purple macule started out, and developing into palpable dome-shaped nodules. Etiology is not defined to detail at present. Kaposi's sarcoma is classified to 4 categories; Classical, African, Epidemic and Transplant type. Epidemic or AIDS categories is found approximately 20 % of all AIDS and has strong predilection for head and neck region. The first case of Kaposi's sarcoma observed in patients with kidney transplants was reported in 1969. Kaposi's sarcoma now accounts for 5% of all tumors associated with transplanted patients and alteration of the immunosuppression may have played a key role in these recipients. The most common site of Kaposi's sarcoma in transplanted patients are extremities but rare in head and neck area. We report a case of Kaposi's sarcoma on the hard palate in the kidney transplantation patient.

BONE REGENERATION WITH MMP SENSITIVE HYALURONIC ACID-BASED HYDROGEL, rhBMP-2 AND NANOPARTICLES IN RAT CALVARIAL CRITICAL SIZE DEFECT(CSD) MODEL (Matrix metalloproteinase(MMP) sensitive hyaluronic acid hydrogel-nanoparticle complex와 rhBMP-2를 이용한 골재생)

  • Nam, Jeong-Hun;Park, Jong-Chul;Yu, Sang-Bae;Chung, Yong-Il;Tae, Gi-Yoong;Kim, Jung-Ju;Park, Yong-Doo;Jahng, Jeong-Won;Lee, Jong-Ho
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.35 no.3
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    • pp.137-145
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    • 2009
  • As an efficient controlled release system for rhBMP-2, a functional nanoparticle-hydrogel complex, incorporated with matrix metalloproteinase(MMP) sensitive peptide cross-linker, was developed and used as a bone transplant. In vivo bone formation was evaluated by soft x-ray, histology, alkaline phosphatase(ALP) activity and mineral contents analysis, based on the rat calvarial critical size defect(8mm in diameter) model. Significantly, effective bone regeneration was achieved with the rhBMP-2 loaded MMP sensitive hyaluronic acid(HA) based hydrogel-Nanoparticles(NP) complex, as compared to only MMP HA, the MMP HA-NP without rhBMP-2, or even with the rhBMP-2. These improvements included the formation pattern of bone and functional marrow, the degree of calcium quantification, and the ALP activity. These results indicate that the MMP sensitive HA with nano-particle complex can be a promising candidate for a new bone defect replacement matrix, and an enhanced rhBMP-2 scaffold.

A Study for DHRMIS S/W Quantitive Quality Evaluation (국방 인사정보 S/W체계의 정량적 품질평가 연구)

  • Rho, Seung-Dam;Park, Dea-Woo
    • Journal of the Korea Society of Computer and Information
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    • v.13 no.4
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    • pp.273-280
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    • 2008
  • This paper is thing for a quantitive quality evaluation in national Defense Human Resource Management Information S/W system development. Apply a quantitive quality evaluation way to be based on an international standard to admonish at ISO/IEC 9126. Proposed 6 basis of count, and set up sub 27 items detailed functionality, reliability, use anger, efficiency, maintenance anger, a transplant result, and inspection of quality table wrote the Matrix measured S/W quality to a chart. Studied a quantitive evaluation plan of a Defense Human Resource Management Information S/W system to see weight by the priority order that reflected a characteristic of a national defense business to a Purpose of a subject user, and Presented. It is 80% in quantitive quality evaluation application satisfied under 8, Very Satisfied 7(87.5%) Satisfied 1(12.5%) of Defense Human Resource Managers and judgment worked as marked so that satisfaction of reliability and a user regarding functionality was high and there will be contribute to an elevation of defense capabilities as analyze efficient national defense S/W use and effect.

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Determination of HLA-A*02 Alleles Using Nested PCR-SSP in Korean Population

  • Lee, Kyung-Ok;Heo, Jeong-Ho-Ho;Kim, Hye-Jin;Lee, Eun-Mi;Hong, Sung-Hoi;Kim, Yoon-Jung
    • Animal cells and systems
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    • v.1 no.1
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    • pp.129-134
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    • 1997
  • HLA-A2 is one of the most diversified HLA-class I antigen with 17 subtypes so far identified at the molecular level. HLA-A*02 subtyping has significant implications on the tissue typing for organ and bone marrow transplantations. Recently, DNA-based typing methods have been successfully applied to the elucidation of HLA gene polymorphisms. In the present study, HLA-A*O2 genotyping was established by using nested polymerase chain reaction-sequence specific primers (PCR-SSP) and distribution of A*O2 alleles were determined in Korean individuals. Genomic DNA prepared from four B-lymphoblastoid cell lines and lymphocytes from serologically defined 48 HLA-A2 Korean individuals by phenol/chloroform extractions was typed. The results of the four B-lymphoblastoid cells were consistent with the previous data typed by PCR analysis. Five A*O2 alleles-A*0201, A*0203, A*0206, A*0207 and A*0210-were commonly observed in a total of 17 A*02 alleles. Of these, A*0207 (f=49.0%) was the most frequent allele in Korean population. A*0206 (f=28.3%) and A*0201 (f=17.0%) were also found frequently while A*0203 and A*0210 types were observed in less than 5%. In conclusion, the high level of discrimination for HLA-A*O2 alleles will prove useful and informative in the study of transplant survival, and may identify the importance of allelic differences not readily detectable by serology on host and donor compatibility.

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A Study of the Factors Affecting the Term of Engraftment During Hematopoietic Stem Cell Transplantation with a Focus on the Inhibitors of Oral Intake and the Period of Nutritional Support (조혈모세포이식 시 조기생착에 영향을 주는 요인 분석 - 경구섭취 저해인자 및 영양지원 시기를 중심으로 -)

  • Kim, Hye-Jin;Noh, Min-Young;Jung, Myeong-Ji;Hong, Jeong-Im;Jung, Yeon-Sun
    • Journal of the Korean Dietetic Association
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    • v.15 no.2
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    • pp.168-178
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    • 2009
  • Hematopoietic stem cell tranntation is being widely used in an attempt to treat many hematological diseases such as leukemia, anemia, and lymphoma. To evaluate the success of hematopoietic stem cell transplantation, it is very important to determine how rapidly engraftment occurs. Therefore, this retrospective study was conducted to determine which factors affected the term of engraftment during hematopoietic stem cell transplantation, while focusing on the oral intake status. To accomplish this, 416 patients who underwent transplant operations at St. Mary's hospital from May 2006 to April 2008 were evaluated. The long-term engraftment group was characterized as having longer fasting days and more frequent vomiting, diarrhea, and oral mucositis incidences than the short-term engraftment group. In addition, the inhibitors of oral intake such as vomiting, diarrhea, and oral mucositis developed frequently between the pre-transplantation and 2 weeks after transplantation. A significantly negative correlation was observed between the oral intake volume and the duration of the oral intake inhibitors. A multiple regression analysis revealed that the frequency of vomiting and oral mucositis during hematopoietic stem cell transplantation, the length of hospitalization, and the hematocrit level in the 2 weeks after hematopoietic stem cell transplantation were significant predictors of engraftment. The results of this study could be used to establish a guideline for nutritional assessment, nutritional goals, and nutritional support for patients during hematopoietic stem cell transplantation.

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The treatment of pediatric chronic myelogenous leukemia in the imatinib era

  • Lee, Jae-Wook;Chung, Nack-Gyun
    • Clinical and Experimental Pediatrics
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    • v.54 no.3
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    • pp.111-116
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    • 2011
  • Childhood chronic myelogenous leukemia (CML) is a rare hematologic disease, with limited literature on the methods of treatment. Previously, allogeneic hematopoietic stem cell transplantation (HSCT) was considered the only curative treatment for this disease. Treatment with imatinib, a selective inhibitor of the BCR-ABL tyrosine kinase (TKI), has resulted in prolonged molecular response with limited drug toxicity. Imatinib is now implemented in the primary treatment regimen for children, but the paucity of evidence on its ability to result in permanent cure and the potential complications that may arise from long-term treatment with TKIs have prevented imatinib from superseding HSCT as the primary means of curative treatment in children. The results of allogeneic HSCT in children with CML are similar to those observed in adults; HSCT-related complications such as transplant-related mortality and graft-versus-host disease remain significant challenges. An overall consensus has been formed with regards to the need for HSCT in patients with imatinib resistance or those with advanced-phase disease. However, issues such as when to undertake HSCT in chronic-phase CML patients or how best to treat patients who have relapsed after HSCT are still controversial. The imatinib era calls for a reevaluation of the role of HSCT in the treatment of CML. Specific guidelines for the treatment of pediatric CML have not yet been formulated, underscoring the importance of prospective studies on issues such as duration of imatinib treatment, optimal timing of HSCT and the type of conditioning utilized, possible treatment pre-and post-HSCT, and the role of second-generation TKIs.

Quilitative certificational plan of Ostericum koreanum (강활(羌活)의 품질인증(品質認證) 방안(方案))

  • Lee, Young-Yong;Roh, Seong-Soo;Kil, Ki-Jeong;Lee, Young-Chul;Seo, Young-Bae
    • Journal of Haehwa Medicine
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    • v.14 no.1
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    • pp.15-22
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    • 2005
  • Source : sources used by Qianghuo is Ostericum koreanum Maximowicz, Notopterygium incisum Ting and Notopterygium forbesii Boissier etc. in Korea and China. And we cirulate a Qianghuo dividing Nanqianghuo and Beiqianghuo. Thought source of Korea Qianghuo is different from china's we use a same name. And source of Beiqianghuo has not made clear yet. According to research accomplished 2002, we have to use Nanqianghuo producted at Jinbu in aspect of aspect. but, Beiqianghuo the outside form of Beiqianghuo similar to china so we think that we have to more make clear source of domestic Qianghuo, verify a source Beiqianghuo and re-establish about effects and functions of domestic Qianghuos. Culture : A term of culture is an nearly one year. so to product Qianghuo of good quality, we must plant directly in autumn or raise seedlings and transplant in spring. Processing : To protect turning to brown, Qianghuo are cirulate mostly as the original form without washing in water, To proteet crushing of Qianghuo when we cut off, Qianghuo were cut off after being soaked in water or steamed by heat. So when we wash and cut off, it has to be made processes which have no decreases of medical effects and be suggested a proper index which verify a medical effects. In summury, after harvesting Qianghuo the first washing $\rightarrow$ the first dry $\rightarrow$ selection $\rightarrow$ the second washing $\rightarrow$ the second dry $\rightarrow$ selection $\rightarrow$ cutting off $\rightarrow$ the third dry.

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