• Neonatal Medicine
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• 제18권1호
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• pp.14-22
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• 2011

신생아 출혈은 신생아실에서 흔하게 경험하는 증상 중 하나이며 신생아중환자실에서는 특히 미숙아에게 종종 발생하므로 신속한 진단 및 즉각적인 치료가 필수적이다. 신생아 출혈은 이환율과 사망률의 중요한 원인이 되며 심한 경우 생명을 위협할 수 있다. 특히 최근 들어 비약적인 신생아학의 발달로 인해 초극소저체중출생아를 포함한 미숙아들의 생존율이 높아지고 있어 혈액응고질환의 진단 및 치료의 중요성은 날로 높아져 간다고 하겠다. 출혈이 의심되는 신생아의 정확한 진단을 위해서는 출혈의 가족력, 산모의 병력, 과거 임신력, 신생아 및 산모의 약물복용여부를 포함한 자세한 병력청취가 무엇보다 주의 깊게 시행되어야 하고 특정부위에 국한되어 증상을 보이는지 아니면 광범위한 출혈인지 감별을 해야 한다. 혈소판감소증만 단독으로 보이는 신생아의 경우 자반증(petechiae)과 반상출혈(ecchymoses), 점막출혈 등이 동반될 수 있으나 대부분은 건강해 보이며 비타민 K 결핍출혈, 혈우병 같은 선천성 응고장애를 의심해 볼 수 있으며, 아파 보이는 신생아에서 폐, 위장관, 비뇨생식기계, 천자부위 등에서 출혈이 일어나는 경우는 파종성 혈관내응고증후군을 포함한 후천성 응고이상을 의심해 볼 수 있다. 특별히 외상의 흔적이나 난산의 병력이 없는 만삭아나 준미숙아 등에서 두개 내 출혈이 보이는 경우에도 반드시 혈액응고이상 질환을 의심해봐야 한다. 저자는 본 종설을 통해 신생아출혈을 유발하는 혈액응고질환에 대해 임상유형 및 발생기전에 따라 대해 1차성 및 2차성 응고이상질환으로 나누어 알아보고 이를 다시 선천성 응고장애질환과 후천성 응고장애질환으로 나눠 각각에 대해 최신지견을 토대로 자세히 살펴보고자 한다.

• 한국식품영양과학회지
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• 제44권7호
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• pp.961-969
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• 2015

본 실험의 복분자종자유는 리놀렌산 238.3 mg/g, 리놀레산과 감마리놀렌산 427.1 mg/g을 포함하며 이는 고시된 범위내의 섭취량이므로 독성시험 없이 4주 동안 매일 경구 투여로 암컷과 수컷 쥐 모두에게 섭취하도록 하였다. 또한 성인 정상체중을 약 60 kg으로 설정하고 60 kg의 성인이 하루 1 g, 2 g을 각각 섭취할 때의 혈중 지방의 감소 효과를 알아보기 위해 급이군의 설정을 1 g/60 kg BW/d(BSO 1 g), 2 g/60 kg BW/d(BSO 2 g)로 정하였다. 양성대조군의 경우에 판매되는 연어유 1,000 mg 캡슐을 2정 섭취하는 것을 권장하였고, 이에 맞추어 2 g/60 kg BW/d로 설정하게 되었다. 실험기간 종료 후 마우스를 희생시켜 혈액을 얻었으며, 복분자종자유(BSO 2 g)를 섭취한 마우스에서 총콜레스테롤 및 HDL, LDL/VLDL-콜레스테롤과 혈중 중성지방이 유의적으로 감소하는 것을 확인할 수 있었다(P<0.05). 이를 종합해 보았을 때 복분자종자유는 고지혈증 상태를 개선하고 미약하지만 항응고 활성을 통해 혈액의 항상성을 유지하도록 돕는 작용을 한다고 할 수 있다. 따라서 앞으로 동물 유래가 아닌 식물유래 복분자종자유를 이용한다면 고지혈증 개선 효과와 혈액 항응고 활성을 조절할 수 있을 것이며, 더욱 다양한 표적 인자 분석을 통하여 복분자종자유의 고지혈, 항응고 및 혈행개선 기전연구가 가능할 것이라 판단된다.

• Journal of Ginseng Research
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• 제31권2호
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• pp.109-116
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• 2007

Korean red ginseng has broad efficacious effects against hypertension, diabetes, nociception, and cancer, and it counteracts weakness. It has been reported that Korean red ginseng is able to normalize blood pressure, improve cholesterol and lower blood glucose levels. We have recently reported that Korean red ginseng extract (KRGE) significantly prevented rat carotid arterial thrombosis in vivo, and inhibited platelet aggregation ex vivo and in vitro in a dose-dependent manner. The purpose of this study was to examine the effects of KRGE on blood circulation in human by measuring ex vivo platelet aggregation, plasma coagulation and serum lipid profiles in healthy volunteers. Subjects were randomly divided into three groups (placebo-group, KRGE-low dose group, KRGE-high dose group). Administration of KRGE to subjects significantly inhibited ADP-induced platelet aggregations both in KRGE-low dose group from $72.79{\pm}20.53$ to $62.00{\pm}23.06%$ (p=0.0009), and in KRGE-high dose group from $75.14{\pm}21.86$ to $64.52{\pm}24.72%$ (p=0.0039), respectively. Administration of KRGE to subjects also significantly inhibited collagen-induced platelet aggregations both in KRGE-low dose group from $85.52{\pm}12.57$ to $79.62{\pm}20.47%$ (p=0.0916), and in KRGE-high dose group from $80.24{\pm}18.11$ to $70.31{\pm}25.93%$ (p=0.0565), respectively. Whereas, KRGE has no significant effects on coagulation system, such as prothrombin time (PT) and activated partial thromboplastin time (APTT), and serum lipid profiles, such as total cholesterol, low density lipoprotein cholesterol, high density lipoprotein cholesterol and triglyceride. KRGE also has no significant effects on hematological and serum biochemical profiles. These results suggest that KRGE has a potential to improve blood circulation through antiplatelet activity in human, and KRGE intake may be beneficial for the individuals with high risks of thrombotic and cardiovascular diseases.

• Nutrition Research and Practice
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• 제13권5호
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• pp.393-398
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• 2019

BACKGROUND/OBJECTIVES: The association between tea consumption and risk of coronary heart disease (CHD) remains controversial. This study aimed to determine whether tea consumption has an effect on CHD risk in Chinese adults. SUBJECTS/METHODS: In this hospital-based case-control study, 267 cases of CHD and 235 non-CHD controls were enrolled. Blood samples from all cases were examined. Cardiac function indices (left ventricular ejection fraction, left ventricular end-diastolic dimension, lactate dehydrogenase, and creatine kinase of the muscle or brain type), blood lipid index (high-density lipoprotein cholesterol), and blood coagulation function indices (fibrinogen and activated partial thromboplastin time) were recorded. Tea consumption of study participants was assessed by a specifically designed questionnaire. The baseline characteristics of the study populations were recorded, and CHD-related biomarkers were detected. Differences in baseline characteristics of the study participants were examined using t-tests for continuous variables and chi-squared tests for categorical variables. Unconditional logistic regression was used to measure the association between tea and CHD. RESULTS: There were significant differences in cardiac function indices, blood lipid index, and blood coagulation indices between CHD cases and controls (P < 0.05). We found tea consumption reduced CHD risk in female participants (adjusted odds ratio (OR) = 0.484, 95% CI: 0.242-0.968, P = 0.0403). Regarding the type of tea consumed, the risk of CHD was reduced in women who drank partially fermented tea (adjusted OR = 0.210, 95% CI: 0.084-0.522, P = 0.0008). Analytic results for the amount of tea consumed per unit time showed CHD risk was reduced in women who consumed 1-2 cups of tea per day (adjusted OR = 0.291, 95% CI: 0.131-0.643, P = 0.0023). A tea-drinking frequency of > 6 days/week was beneficial for CHD prevention (adjusted OR = 0.183, 95% CI: 0.049-0.679, P = 0.0112). When analyzed according to the duration of tea consumption, the risk of CHD was reduced in participants who had been drinking tea for 10-20 years (adjusted OR = 0.360, 95% CI: 0.137-0.946, P = 0.0382). CONCLUSIONS: Tea consumption is associated with a reduced risk of CHD in female but not male populations in Guangzhou.

• 한국식품과학회지
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• 제29권2호
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• pp.369-375
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• 1997

식용버섯으로부터 항혈전제제 개발의 소재화연구로 항응고활성의 검색과정에서 높은 활성을 보였던 구름버섯에서 항응고성 다당류를 정제하여 정제다당의 화학적 특성을 검토하였다. 정제는 구름버섯의 알칼리 추출물(CV-0)을 메탄올환류, 에탄올침전 후 3개의 연속적인 DEAE-Toyopearl 650C 이온교환, Sepadex G-100 및 Sepharose CL-6B 겔여과 크로마토그래피와 HPLC에 의하여 실시하였으며 정제다당 CV-40-Va-1의 분자량은 $7.2{\times}105$으로 측정되었다. CV-40-Va-I은 구성당 잔기에 19.32%의 황산기를 함유하는 함황성다당으로서 구성당조성은 fucose:mannose:glucose:galactose가 1.00:0.22:0.20:0.11의 몰 비율로 존재하였다. CV-40-Va-1의 항응고활성은 농도의존성을 보였으며 특히 내인성경로를 통하여 혈액응고를 저해하는 것으로 확인되었다.

• Journal of Yeungnam Medical Science
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• 제28권2호
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• pp.124-132
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• 2011

Background: Antiplatelet agent administration is critical in managing coronary-artery disease, but there is a concern regarding operation-related bleeding and an increase in blood transfusion in such, especially when delivering combined antiplatelet agents. This study was conducted to evaluate the effect of the administration of antiplatelet agents on off-pump coronary-artery bypass surgery (OPCAB). Methods: From March 2003 to December 2009, 49 patients who had undergone OPCAB were collected retrospectively. The patients were divided into three groups according to the administration of antiplatelet agents before the OPCAB operation: 21 patients were given an aspirin agent (group 1), 19 patients were given combined agents (aspirin+clopidogrel) (group 2), and nine patients were not given any antiplatelet agent (group 3). The three groups' perioperative hematologic and coagulation profiles, including their platelet counts, hemoglobin levels, hematocrit, prothrombin times, and aPTTs (activated partial thromboplastin times), and their postoperative bleeding, related complications, transfusion requirements, and operation times, were compared. Results: The operation time in group 2 was 4.3 hours, longer than those in the two other groups, and urgent operation was significantly most frequent in group 2 (63%). The amount of blood loss and the number of patients who received blood transfusion were not different in the three groups. The perioperative hemoglobin level, hematocrit, platelet count, prothrombin time, and aPTT were also not significantly different among the three groups. Conclusion: The continuous administration of antiplatelet agents to the patients in this study did not increase their postoperative bleeding or operation-related complications. Therefore, OPCAB may well be considered even if combined antiplatelet agents are being administered.

• Toxicological Research
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• 제32권4호
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• pp.353-358
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• 2016

The generation and collection of cigarette smoke (CS) is a prerequisite for any toxicology study on smoking, especially an in vitro CS exposure study. In this study, the effects on blood and vascular function were tested with two widely used CS preparations to compare the biological effects of CS with respect to the CS preparation used. CS was prepared in the form of total particulate matter (TPM), which is CS trapped in a Cambridge filter pad, and cigarette smoke extract (CSE), which is CS trapped in phosphate-buffered saline. TPM potentiated platelet reactivity to thrombin and thus increased aggregation at a concentration of $25{\sim}100{\mu}g/mL$, whereas 2.5~10% CSE decreased platelet aggregation by thrombin. Both TPM and CSE inhibited vascular contraction by phenylephrine at $50{\sim}100{\mu}g/mL$ and 10%, respectively. TPM inhibited acetylcholine-induced vasorelaxation at $10{\sim}100{\mu}g/mL$, but CSE exhibited a minimal effect on relaxation at the concentration that affects vasoconstriction. Neither TPM nor CSE induced hemolysis of erythrocytes or influenced plasma coagulation, as assessed by prothrombin time (PT) and activated partial thromboplastin time (aPTT). Taken together, CS affects platelet activity and deteriorates vasomotor functions in vitro. However, the effect on blood and blood vessels may vary depending on the CS preparation. Therefore, the results of experiments conducted with CS preparations should be interpreted with caution.

• 대한수의학회지
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• 제47권4호
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• pp.475-478
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• 2007

A 4-year-old spayed female, Yorkshire terrier dog with a history of petechial and ecchymotic hemorrhages on the face, trunk and hind limb was referred to Veterinary Medical Teaching Hospital, Cheju National University. The complete blood count revealed a marked thrombocytopenia ($96{\times}10^3/{\mu}l$). The biochemical profile showed only slightly increased glucose. The coagulation profile such as prothrombin time and activated partial thromboplastin time, was within the reference range. In Giemsa staining, there were no endoparasites like as Babesia spp. on the RBC. This case was diagnosed as a idiopathic thrombocytopenia in a Yorkshire terrier dog. She was treated with prednisone (1 mg/kg BW, IM q 12 h) and cephalosporin (10 mg/kg BW, IM, q 12 h). When rechecked on day 6, the platelet was within reference range ($507{\times}10^3/{\mu}l$) and also petechial and ecchymotic hemorrhages on the body were gradually improved without any complications. The dose of prednisone was decreased to 0.5 mg/kg BW, q 24 h. On day 17, we finished treatment because all the clinical signs, blood and serum chemistry were reference range and platelet count was dramatically increased.

• 한국수산과학회지
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• 제31권3호
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• pp.447-451
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• 1998

우렁쉥이 (Halocynthia roretzi)의 껍질에서 최근 다양한 생리적 기능이 알려진 황산화다당를 분리하여 화학성 분과 조성 당을 분석하였으며 , 기능성을 살펴보았다. 황산화다당의 황산기함량은 $2.3\%$, 황산콘드로이틴은 $25.7\%$, 그리고 uronic acid의 함량은 $5.6\%$였다. 조성당 분석결과, 5탄당으로는 arabinose $0.7\%$와 xylose가 $0.4\%$였고, 6탄당으로는 glucose가 $1.5\%$였으나. 특이하게 galactose의 함량이 $60\%$이상 검출되었다. 한편, hexosamine으로는 N-acety1gucosamine이 $9.4\%$ 및 N-acetylgalactosarnine이 $14.8\%$ 검출되었으며, uronic acid로는 D-glucuronic acid가 $10.8\%$ 검출되었다. 지방흡수력은 대조구인 chitin과 chitosan에 비하여 다소 떨어졌으며, 추출한 황산화다당의 지방흡수력은 대략 $280\%$ 정도였다. 한편 포말성 및 포말안정성은 각각 0.70 과 0.50으로 비교적 우수하였다. 유화능 및 유화안정성은 $49.2\%$와 $48.3\%$ 정도였으며, 황산화다당의 항혈액응고능은 APTT가 65초로 저지효과가 인정되었으나, PT저지효과는 없었다. ACE저해능의 측정 결과. 약간의 ACE저해효과가 있었으며, 채택된 실험방법에 따라 동일시료의 경우에 있어서도 저해효과 값이 차이가 있었다.

• 한국물환경학회지
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• 제23권5호
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• pp.600-606
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• 2007

Livestock wastewater containing concentrated organic matters and nutrients has been known as one of the major pollutants. It is difficult to apply the conventional activated sludge process to treat livestock wastewater because of high Non-biodegradable (NBD) matter and ammonia. The objectives of this study are to remove NBD matters including aromatic compounds and ammonia in livestock wastewater using Coagulation-Fenton oxidation-Zeolite (CFZ) processes and ascertain applicable feasibility in the field through pilot plant experiment. NBD matters and color remained in the treated water were removed over 92% by Fenton oxidation as the second treatment process. Ammonia was removed by over 99.5% in the zeolite ion exchange process as the last treatment method. From $UV_{254}$, $E_2/E_3$ ratio and GC/MS analyses of treated water at each process, the aromatic compound was converted to aliphatic and aromaticity was decreased. In pilot scale test, organics and ammonia removal efficiencies were not much different from the result of lab-scale test at various operation conditions. Furthermore, reaction time and dosage of Fenton reagent in pilot scale experiment reduced by 40 min and 50% rather than in lab-scale test. $BOD_5$, $COD_{Mn}$, SS, T-N and T-P of treated water in the pilot-scale experiment also met the effluent standards.