• Tuberculosis and Respiratory Diseases
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• 제60권6호
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• pp.690-693
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• 2006

중심정맥카테터 삽입 후 생길 수 있는 드문 합병증 중에 하나인 흉수 발생은 카테터와 관련된 혈관벽의 손상을 흉수 발생의 기전으로 설명하고 있다. 저자들은 우측 쇄골하정맥으로 이어지는 이상혈관 내로 카테터가 위치한 후 혈관 파열로 인하여 발생한 흉수 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

• Journal of Ginseng Research
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• 제46권5호
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• pp.683-689
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• 2022

Background: Since ginsenosides exert an anti-thrombotic activity, blood flow-improving effects of DK-MGAR101, an extract of mountain ginseng adventitious roots (MGAR) containing various ginsenosides, were investigated in comparison with an extract of Korean Red Ginseng (ERG). Methods: In Sprague-Dawley rats orally administered with DK-MGAR101 or ERG, oxidative carotid arterial thrombosis was induced with FeCl₃ (35%), and their blood flow and occlusion time were measured. To elucidate underlying mechanisms, the cytoprotective activities on rat aortic endothelial cells (RAOECs) exposed to hydrogen peroxide (H₂O₂) were confirmed. In addition, the inhibitory activities of DK-MGAR101 and ERG on agonist-induced platelet aggregation, thromboxane B₂ production, and ATP granule release from stimulated platelets as well as blood coagulation were analyzed. Results: DK-MGAR101 containing high concentrations of Rb1, Rg1, Rg3, Rg5, and Rk1 ginsenosides (55.07 mg/g) was more effective than ERG (ginsenosides 8.45 mg/g) in protecting RAOECs against H₂O₂ cytotoxicity. DK-MGAR101 was superior to ERG not only in suppressing platelet aggregation, thromboxane B₂ production, and granule release, but also in delaying blood coagulation, FeCl₃-induced arterial occlusion, and thrombus formation. Conclusions: The results indicate that DK-MGAR101 prevents blood vessel occlusion by suppressing platelet aggregation, thrombosis, and blood coagulation, in addition to endothelial cell injury.

• Journal of Chest Surgery
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• 제43권3호
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• pp.285-291
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• 2010

배경: 흉부외상은 개발도상국인 나라에서 이환율과 사망률의 가장 많은 원인 중에 하나이다. 흉부둔상으로 발생하는 늑골골절은 외상의 중증도를 나타내는 중요한 지표이다. 연구의 목적은 늑골 골절을 치료시 이환율과 사망률을 확인 하고자 하였다. 대상 및 방법: 2002년 5월부터 2008년 12월까지 입원 후 3일 이내 타 병원으로 전원을 간 환자를 제외한 둔상으로 인한 늑골골절이 발생한 환자를 대상으로 후향적으로 연구하였다. 이 기간 동안 474명이 입원하였고, 454명이 연구에 포함되었다. 남자가 356명 여자가 9명이었고 평균나이는 53세(5~90세)였다. 결과를 예측하는 요소로 손상기전, 늑골 골절수, 중환자실 입원기간 그리고 ISS, 입원기간, 폐 합병증과 사망률을 조사 하였다. 결과: 외상의 기전으로 교통사고 189명(41.7%), 보행 중 넘어짐 103명(22.7%), 추락 85명(18.7%) 그리고 농기계 사고 30명(6.6%), 산업재해 32명(7.0%), 폭행 15명(3.3%)였다. 흉부내 손상으로 혈흉 269명(59.3%), 기흉 144명(31.7%) 폐좌상 95명(20.9%) 그리고 피하기종 29명(6.4%), 큰 혈관손상 5명(0.1%)이 있었다. 대부분의 환자는 보존적인 치료를 하였고, 흉관 삽관술 시행은 234명(51.5%)이었으며, 개흉술은 18명(4.0%)이었다. 평균 흉관삽관 기간은 $5.2{\pm}6.2$일이었다. 대부분의 환자는 일반 병동에서 치료를 하였으며, 평균 입원기간은 $22.5{\pm}20$일이었다. 평균 ISS 수치는 $14.8{\pm}10.9$ (3~75)였고 사망률은 4.9% (22명)였다. 입원기간에 영향을 주는 것은 늑골골절 수, 흉관삽관 기간, 폐질환 동반 그리고 산재보험 이었고, 사망에 영향을 미치는 요인으로는 폐좌상, ISS가 예후에 영향을 주는 주요한 요인이었다. 결론: 늑골 골절은 중증손상을 나타내는 지표이다. 합병증과 동반된 손상 때문에 늑골골절 환자들은 입원하여 치료하는 것이 좋다고 생각한다. 최근의 연구에서 40대 이하의 젊은 환자도 노년층의 환자와 같이 늑골골절로 인한 이환율과 사망률이 증가 한다고 한다. 우리의 연구에서는 ISS와 페좌상이 사망률에 영향을 주고 있다. 늑골골절이 1개 또는 이상인 늑골 골절만 있는 환자도 입원치료를 하는 것이 좋을 것으로 생각 한다.

• 동국한의학연구소논문집
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• 제9권
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• pp.35-49
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• 2000

본 실험은 대방풍탕(大防風湯)이 혈관생성과 세포유착인자발현 억제를 통해 LPS(lipopolysaccharide)유발 관절염 완화에 미치는 영향을 조사하기 위해 LPS주사로 관절염이 유발된 생쥐에게 대방풍탕(大防風湯) 추출액을 음용 투여하였다. 실험동물은 20g된 female Balb/c계 생쥐암컷을 선별하여 아무런 처치를 하지 않은 대조군, 무릎관절에 LPS를 주사한 LPS군, LPS주사후 대방풍탕(大防風湯) 추출액을 투여한 DBP군으로 나누어, 다시 LPS와 DBP군은 LPS처리 후 시간의 경과에 따라 3, 7, 14일로 구분하였으며, 실험군 각각에는 실험동물을 10마리씩 배정하였다. 광학 현미경(BX50)으로 대방풍탕(大防風湯) 추출액 투여가 LPS주사 후 증가된 윤활 관절막내 혈관분포 증가에 미치는 영향과 아울러 윤활세포, 섬유화 및 섬유모세포, 비만세포와 염증관여세포, 세포유착인자 등의 윤활 관절막에서의 형태변화를 관찰하였다. DBP군에서는 자유면에서 윤활세포과형성의 억제와 침윤 림프구의 감소, 낮은 섬유화 양상과 침적 섬유모세포의 감소, 모세혈관 주변의 림프구 침적 감소와 비만세포 분포감소, 자유면과 섬유지역분포ICAM과 혈관주변분포VCAM 등과 같은 세포유착인자의 감소 등이 관찰되었다. 이상의 결과로 볼 때 대방풍탕(大防風湯)은 관절염 유발시 발생되는 혈관생성과 세포유착인자의 발현증가 등을 억제함으로써 이후 발생되는 윤활 관절막 손상을 완화하는 것으로 사료된다.

• 대한한방내과학회지
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• 제19권1호
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• pp.144-156
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• 1998

This study has been carried out to investigate the cause, pathological mechanism and treatment of symptoms regarded as the ischemic heart disease in Nei-jing(內經). I've got the following conclusions. 1. From the side of xing-bi(胸痺), the ischemic heart disease(IHD) was caused by that the energy in one's heart wasn't extended in the way of Yin-xie(飮邪), namely waste matter of human body and symptoms and treatment wern't written. 2. From the side of xin-bi (心痺), HID was catched by the mechanisms that the blood vessel is blocked. or the heart's blood was deficient owing to the mutation of mo-bi(脈痺), the lack of yang-ming(陽明) and excessive thoughts and worry and others. The symptoms were feeling oppressed in one's brest, palpitating, sudden dyspnea, the dryness of thorat, frequent belching and the fear by the inverse flow of the energy(氣). The treatment was that the yin(陰) was cured immediately, but the yang(陽) mustn't be attacked. 3. From the side of xing-tong(心痛), IHD was suffered from by mechanisms that following the han-sa(寒邪), namely the cold makes a invasion on humanbody, the vessel was blocked, spasm, filled and the amount of blood flow was poor, or caused by injury of vessel, the inverse flow and the disease of shi-dong(是動病) of shou-shao-xin-jing(手少陰心經) and so on. The pain was cramped into the upper and lower back or lower abdomen or throat and accompanied with nausea, abdominal dropsy, constipation, the impending of breathing and so on. The cure was mainly that acupuncture was applied at the jin-su(筋縮) region or meridian in relation to symptoms, but if the pain were severe, acupuncture mustn't be applied. The prog nosis was worse. 4. From the side of xing-tonge(心痛), IHD was divided into zhen-xing-tong(眞心痛) and jue-xing-tong(厥心痛), but pi-xiog-tong(脾心痛) and wei-xing-tong(胃心痛) out of jue-xing-tong(厥心痛) also included the symptoms of the digestive disease.

• 수산해양교육연구
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• 제27권4호
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• pp.1129-1135
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• 2015

The stow net is a stationary gear made from netting, usually in shape like trawl net without wings. The nets are fixed by means of anchors, placed according to the direction and strength of the current. And the commercial fishing is associated with high rate of fatal and non-fatal occupational injury. The hazard factors analysis for the fishermen's safety of offshore stow nets vessel was conducted to serve as a basic data for improving the healthy and safe working environment of fishermen using fishermen's occupational accidents of the national federation of fisheries cooperatives (NFFC) from 2012 to 2014 (n=1,144). As a result, the average occupational accident occurrence rate of this fishery was 206.9‰ in all industries 36.9 times the rate of that. In addition, average death and missing rate was found to have a very serious level management to 50.4‰ in all industries of death of 42.0 times. The accident occurred in 84.5 to 94.6% was happened at sea. The struck by object, slipping, contact with machinery, contact by object or gear and others occurred more frequently in order on the frequency of accident occurrence pattern. However, the occurrence rate of death and missing did not match the frequency of accident pattern. In other words, slipping occurred frequently higher while death and missing risk was not high. And the contact with fishing gear and fall in the waters was low while death and missing risk was high. The results are expected to contribute for identification and assessment of safety hazard occurred in offshore stow nets vessel.

• 해양환경안전학회지
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• 제27권2호
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• pp.238-246
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• 2021

어선과 같은 소형선박의 충돌사고는 큰 인명피해를 초래한다. 본 연구 이전에 선행된 연구에서는 충돌위험을 판단하고 경보를 발생시키는 소형선박 충돌예방 알고리즘을 개발하였다. 하지만 충돌경보와 같이 안전을 위해 제공되는 서비스는 위험을 예방할 뿐 아니라 이용자의 만족도 또한 어느 정도 수반되어야 효과적으로 기능할 수 있다. 본 연구에서는 소형선박 충돌예방 알고리즘의 실용성 향상을 위해 알고리즘을 개선하고, 알고리즘을 실제로 적용하여 개선결과 및 효과를 확인하고자 하였다. 충돌경보 서비스를 사용한 소형선박 운항자들을 대상으로 설문조사를 수행한 결과, 충돌경보의 정확도 향상과 경보 횟수 및 음량에 대한 사용자들의 요구사항이 확인되었다. 이에 따라 본 연구에서는 사용자 만족도 향상을 위해 알고리즘을 개선하였으며 실제 해상환경에서 개선된 알고리즘을 적용한 실선실험을 수행하였다. 그 결과 개선 전보다 경보 발생 빈도가 감소하였지만, 위험한 상황에서는 경보가 비교적 꾸준히 발생하였으며, 충돌경보의 정확성과 실용성이 향상된 것으로 분석되었다. 추후에는 개선된 알고리즘의 적정성에 대한 근거자료를 마련하여 알고리즘의 실용성과 신뢰성을 확보한다면 소형선박 충돌사고 예방에 효과적으로 기여할 수 있을 것이다.

• Journal of Oral Medicine and Pain
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• 제10권1호
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• pp.41-52
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• 1985

In order to observe the histopathological changes with the progress of time after formation of bite-mark, experimental bite-marks were made in female rats and histopathological examinations were performed in the given sites immediately, 5 minutes, 10 minutes, 30 minutes, I hr., 4 hrs., 8 hrs., 12 hrs., 24 hrs., and 48 hrs, after injury. Results and Summary 1. Subcutaneous loose connective tissues and fatty layers were compressed immediately after formation of bite-marks, injured epithelia showed hydropic degeneration 5 minutes later. 2. Inflammatory cells emigrated into tissues with hemorrhages in the tissues after 10 minutes, and more increased centered around the blood vessels.- These distributed most densely in the tissues, after 12 hrs., thereafter, were decreased and distributed in various groups of crowdy appearances, after 48 hrs. 3. After 10 minutes, neutrophils emigrated into tissues and disappeared gradually with an appearance of monocytes. These disappeared completely, after 24 hrs. Lymphocytes and plasma cells were see n at 48 hrs. later. 4. Adherence of mast cells to injured sites occurred immediately, and which adhered to blood vessel walls of injured sites, after 10 minutes. 8 hrs. later, degranulation in emigrated inflammatory cells showed, and these degranulation disappeared gradually with a progress of time.

• Mycobiology
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• 제48권3호
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• pp.228-232
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• 2020

Cordyceps is a genus of ascomycete fungi and is well known as one of the important medical fungi in Chinese, Korea, and other Asian countries, because of its various beneficial effects on human health. The pharmacological activities of Cordyceps extract are mainly focused on anti-cancer, anti-metastatic, and immune modulating effects. In the present study, we investigated whether the antiplatelet effect of ethanol extract of cultured Cordyceps militaris (CMEE) with FeCl₃-induced arterial thrombosis model. We observed that CMEE exhibited a significant inhibitory effect against ADP and collagen-induced platelet aggregation. However, there were no significant differences in prothrombin time (PT) and activated partial thromboplastin time (aPTT). These results suggest that antithrombotic activity of CMEE is related to antiplatelet effect rather than anticoagulation effect, and CMEE may be a positive effect on improving blood circulation against vessel injury and occlusion.

• 대한핵의학회:학술대회논문집
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• 대한핵의학회 1999년도 제38차 춘계학술대회
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• pp.228-241
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• 1999

Percutaneous coronary angioplasty is well established therapeutic modality in the management of coronary artery disease. However, the high restenosis rate of 30 to 50% limits its usefulness. The principal mechanism of restenosis, intimal hyperplasia, is the proliferative response of vessel wall to injury, which consists largely of smooth muscle cells. A large body of animal investigations and a limited number of clinical studies have established the ability of ionizing radiation to reduce neointimal proliferation and restenosis rate significantly. Human studies have been reported that intravascular radiation after first restenosis inhibits a second restenosis. Encouraged by these reports, we are also conducting a double blind, placebo-controlled, randomized trial to evaluate this new therapeutic modality in patients with coronary artery stenosis. The objective of our trial is to determine the safety and efficacy of catheter-based solutional beta emitting radioisotope system in preventing restenosis after angioplasty. This review describes the vascular brachytherapy systems and isotopes that have been utilized in the initial clinical trials performed in this area of post PTCA coronary restenosis. The results of many worldwide ongoing clinical trials will determine whether this new technology will change the future practice of vascular intervention.