• Biomolecules & Therapeutics
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• 제22권4호
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• pp.328-333
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• 2014

Vitiligo is a pigmentary disorder induced by a loss of melanocytes. In addition to replacement of pure melanocytes, cocultures of melanocytes with keratinocytes have been used to improve the repigmentation outcome in vitiligo treatment. We previously identified by in vitro studies, that adipose-derived stem cells (ADSCs) could be a potential substitute for keratinocytes in cocultures with melanocytes. In this study, the efficacy of pigmentation including durability of grafted melanocytes and short-term safety was examined in the nude mouse and Sprague-Dawley rat after grafting of primary cultured human melanocytes, with or without different ratios of primary cultured human ADSCs. Simultaneous grafting of melanocytes and ADSCs, which were separately cultured and mixed on grafting at the ratios of 1:1, 1:2, or 1:3, showed better efficacy than that of pure melanocytes. Grafting of melanocytes cocultured with ADSCs resulted in a similar outcome as the grafting of cell mixtures. Skin pigmentation by melanocytes : ADSCs at the ratios of 1:1 and 1:2 was better than at 1:3. No significant difference was observed between the 1-week and 2-week durations in coculturing. Time-course microscopic examination showed that the grafted melanocytes remained a little longer than 6-week post-grafting. No inflammatory cell infiltration was observed in the grafted skin and no melanocytes were detectable in other organs. Collectively, grafting of melanocytes and ADSCs was equally safe and more effective than grafting of melanocytes alone. Despite the absence of significant differences in efficacy between the group of 1:1 and that of 1:2 ratio, 1:2 ratio for 1-week coculturing may be better for clinical use from the cost-benefit viewpoint.

• Archives of Plastic Surgery
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• 제38권1호
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• pp.1-6
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• 2011

Purpose: Currently, soft tissue filler products based on hyaluronic acid are widely used. They are safe, effective, and convenient to use compared with bovine collagens. However, all commercially available hyaluronic acid based fillers in Korea are imported ones. The purpose of this study is to evaluate efficacy of a new hyaluronic acid filler (HyaFilia; CHA bio&Diostech Co., Seoul), which has been recently developed in Korea. Methods: Three kinds of soft tissue fillers, including Restylane (Q-Med, Uppsala, Sweden), HyaFilia (CHA bio & Diostech Co., Seoul), Juvederm (Allergan, CA, USA), were injected subdermally into the back of hairless mice at six sites. The 2 cephalic sites composed Restylane groups, the 2 middle sites HyaFilia groups, and the 2 caudal sites Juvederm groups. Six hairless mice were included in the study, therefore, a total of 12 injections per group were performed. After 16 weeks after injection, the nodular swellings that resulted from the injections were excised wide enough to include skin beyond the swelling points down to the panniculus carnosus layer using 8mm punches. Volumes and weights were measured using a stereoimage optical topometer system and a weighting machine. Histologic comparisons were also carried out. Results: The mean volumes of the Restylane, HyaFilia and Juvederm groups were $3698{\times}103$, $4820{\times}103$, and $1435{\times}103$ PI, respectively. The mean weights of the Restylane, HyaFilia and Juvederm groups were 36.08, 37.83, and 24.66 mg, respectively. Histologic examination between the 3 groups showed no significant difference in tissue compositions and inflammatory reactions. Conclusion: The results of this study shows that HyaFilia is superior to Restylane and Juvederm in longavity of filling effect. Therefore, HyaFilia may be an effective replacement for the imported materials including Restylane and Juvederm.

• Asian Pacific Journal of Cancer Prevention
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• 제16권15호
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• pp.6347-6352
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• 2015

Background: Breast malignancies are one of the leading causes of deaths in females worldwide. There are a number of risk factors associated with breast cancer but in Karachi Pakistan there are insufficient data available. Materials and Methods: A case control study was conducted on females in age group between 30-80 years. This study was accomplished by retrospective data collection in Aga Khan University Hospital Karachi, Pakistan. A total of 108 females with primary malignancy of breast were included along with 108 matched controls. Relationship of various factors with disease was studied using logistic regression to calculate odds ratios with 95 % confidence intervals. Results: A total of 14 variables were analyzed and based on and 7 were found to be risk factors: old age, family history of breast cancer, family history of other carcinomas, personal history of breast carcinoma, early age of menarche, older age of mother at first delivery and lower number of children. Five factors, parity, breast feeding, history of oral contraceptive pills intake, past history of oophorectomy and hysterectomy showed protective associations. One variable, use of hormonal replacement therapy, showed a controversial link and one other, marital status, was not significant in this study. Conclusions: It is concluded that most of the well-known risk factors for breast cancer are also associated with the disease in the female population of Karachi, Pakistan. High risk patients should be the focus with the help of this study so that screening can be more effective for early diagnosis before clinically evident breast malignancy.

• 임상간호연구
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• 제22권1호
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• pp.56-67
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• 2016

Purpose: The purpose of this study was to develop an evidence-based nursing protocol for peripheral intravenous catheter management in hospitalized children. Methods: The preliminary protocol of this study was developed based on domestic and foreign guidelines, research, a survey and an analysis of medical records in a university hospital. It is a methodological research to develop evidence-based nursing protocol of peripheral intravenous catheter management verified by content validity by a group of specialists and users. Results: The specialists' verification of validity in the preparatory protocol had a CVI level of 0.94 and the propriety and conveniency of users had an average of $3.0{\pm}0.52$. The final evidence-based nursing protocol was composed of 5 areas (education, dressing and fixation, maintenance and replacement, observation and record, and coping to complication) with 46 specific recommendations. Conclusion: Based on domestic and foreign research and guidelines verified by specialists and users, the findings in this study provide a simple, applicable and evidence-based nursing protocol for peripheral intravenous catheter management in hospitalized children. By the clinical application of this protocol, nurse tasks in managing peripheral intravenous catheter can be performed with more scientific evidence and be standardized.

• Journal of Chest Surgery
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• 제31권2호
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• pp.113-117
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• 1998

아산재단 서울중앙병원 흉부외과에서는 1993년 10월부터 1997년 4월 사이에 대동맥륜대동맥 확장환자에서 37례의 Bentall술식을 시행하였다. 환자군의 술전 호흡곤란 정도는 NYHA Class I이 4례, Class II가 10례, Class III가 20례, Class IV가 3례였다. 수술은 대동맥박리증이 동반된 경우 초저체온법(식도체온: 11.8$\pm$1.6!), 완전순환정지, 역행성 대뇌관류법을 시행하였다. 37례 모두 병변이 있는 대동맥벽을 대부분 제거하고 복합이식편이나 대동맥 인조혈관 및 인공판막을 이용하여 상행대동맥과 대동맥판막을 치환하였고, 관상동맥편을 인조혈관에 직접 연결하였다. 수술결과는 합병증은 7례 발생하였으며(18%), 수술사망은 없었으나 뇌혈관 발작으로 인한 1례의 만기 사망이 있었다(2.7%). 퇴원후 추적기간은 1개월에서 36개월까지였으며 평균 9.6개월였다. 결론적으로 대동맥륜대동맥 확장의 수술에 있어 Bentall술식은 안전하고 좋은 수술이라 할 수 있다.

• Journal of Chest Surgery
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• 제45권3호
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• pp.148-154
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• 2012

Background: The adequate management of mild to moderate dilatation of the ascending aorta during cardiac operations remains controversial. In this study, we present the short-term outcomes of 90 patients undergoing ascending aortic wrapping with a Dacron graft during other cardiac operations. Materials and Methods: From March 2008 to January 2011, 90 consecutive patients underwent treatment for ascending aortic aneurysm using the external wrapping technique during the concomitant procedure. The study group consisted of 49 male and 41 female patients with a mean age of $58.7{\pm}13$years. The primary cardiac surgical procedures were coronary artery bypass grafting (CABG) in 3, aortic valve replacement in 2, and aortic valvuloplasty in 85 patients (isolated in 62 and combined with CABG or mitral valvuloplasty in 23). The ascending aorta diameter was measured using a computed tomography scan within 4 weeks after surgery, and was compared with the preoperative value. Results: The diameters of the ascending aorta wrapped with the Dacron graft were significantly reduced within a month after surgery from $46.4{\pm}4.3$ mm to $33.0{\pm}3.5$ mm (p<0.05). There was no early mortality or major surgical complication. During the mean follow-up period of $15.4{\pm}5.2$ months, there was only one late death caused by septic multiorgan failure. Conclusion: Dacron wrapping of the ascending aorta offers excellent results with very low mortality and morbidity, and it can be regarded as a safe and effective method for the treatment of moderately dilated ascending aorta in selected patients.

• Asian-Australasian Journal of Animal Sciences
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• 제20권4호
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• pp.523-528
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• 2007

This study was conducted to evaluate the feeding value of jambo grass (Sorghum $bicolour{\times}Sorghum$ sudanefe) silage and mott grass (Pennisetum purpureum) silage as a replacement of conventional fodder (jambo grass) in the diet of lactating Nili buffaloes (Bubalus bubalis). Thirty early-lactating ($45{\pm}4$ days), multi-parous Nili buffaloes, ten in each group, were allotted to three experimental diets. Jambo grass and mott grass were ensiled with molasses (at 2% of fodder DM) in two trench silos for 30 days. The control diet (JG) contained 75% jambo grass while the other two diets contained 75% jambo grass silage (JGS) and 75% mott grass silage (MGS). The remaining 25% DM in each diet was supplied by concentrates. Diets were mixed daily and fed twice a day ad libitum for 120 days. Dry matter intake (DMI) was higher with the JG diet compared with JGS and MGS diets. However, DMI as % body weight did not differ significantly in buffaloes fed either fodder or silage based diets. Crude protein (CP), digestible CP and NDF intakes were significantly higher on JG compared with silage-based diets. Apparent total tract digestibilities of DM, CP and NDF were similar in buffaloes fed JG, JGS and MGS diets. Milk yield (4% FCM) was similar in buffaloes fed JG and silage based diets. Fat, total solids, solid not fat, CP, true protein and non-protein nitrogen content of milk were similar in buffaloes fed fodder or silage based diets. The present results indicated that jambo grass and mott grass ensiled with 2% molasses for 30 days could safely replace the conventional fresh grass fodder (75% DM) in the diet of lactating Nili buffaloes without affecting their milk yield.

• Asian-Australasian Journal of Animal Sciences
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• 제15권5호
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• pp.665-670
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• 2002

The expediency of replacing cost prohibitive and often inaccessible traditional protein supplements prompted the monitoring of hematological parameters was carried out in female goats at 0, 30, 60 and 90 days post feeding. Rumen environment was (3), respectively fed supplements containing either a leaf meal mixture (LMTM) of Leucaena leucocephala-Morus alba-Tectona grandis (2:1:1) or traditional protein supplements groundnut cake (GNC) or soybean meal (SBM) and wheat straw as basal diet. The periodic monitoring of hematological parameters was carried out in female goats at 0, 30, 60 and 90 days post feeding. Rumen environment was studied in bucks in a $3{\times}3$ switch over design. Rumen liquor was collected at 0, 2, 4, 6 and 8 h post feeding after 4 weeks of feeding. The goats fed on LMTM or GNC had similar dry matter intake (g/kg $W^{0.75}$), which was significantly (p<0.05) higher than SBM. Except for packed cell volume (PCV), none of the blood biochemical constituents (Hemoglobin, serum glucose, total protein, serum albumin (A) and globulin(G), A:G ratio, alkaline phosphatase, transaminases) varied significantly due to replacement of 50% dietary protein by LMTM throughout the experiment. GNC group had significantly higher level of PCV than other treatments. However, the level of serum total protein (p<0.01) tended to increase from 60th day onwards irrespective of dietary treatments. The average rumen pH was significantly higher (p<0.001) on SBM followed by LMTM and GNC, respectively. Total volatile fatty acid (TVFA) production was comparable in goats given LMTM or GNC supplements, the corresponding values were significantly different (p<0.001) when compared with SBM. The ammonical-N, total-N and TCA-precipitable-N (mg/100 ml SRL) did not differ significantly among dietary treatments. It may be concluded that supplementing wheat straw with LMTM based concentrate had no adverse effect on voluntary intake, blood biochemical profile and rumen fermentation pattern of the goats.

• 한국발생생물학회지:발생과생식
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• 제15권1호
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• pp.53-59
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• 2011

Sex steroid hormones are key molecules to prepare the decidual response and their levels are important in this process. Imbalances of the levels of steroid hormones are cause of implantation failure and other diseases including physical weakness. Androgen replacement therapy or selective androgen receptor modulator are used to overcome various diseases but long-term use may cause of side effects. In previous report, it is suggested that the steroid hormonal complexes derived from pig enhance the proliferation of satellite cell. Therefore, to evaluate the possible usage of steroid hormonal complex derived from pig testis (tS-C), the effects of tS-C on uterine response were studied using the model of artificial decidua. tS-C did not disturb the rhythmical estrus cycle. Artificial-induced decidual response was normally induced in tS-C administered mice. The histological characters of the decidua of tS-C administered mice were not different from the vehicle. The expression patterns of molecular markers of decidua were not different between vehicle and tS-C group. Collectively these results suggested that tS-C does not disturb the uterine responsibility to the embryo. In addition, our results suggested that tS-C can be applied to overcome the various problems such as loss of muscle mass and anemia.

• 자원환경지질
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• 제29권1호
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• pp.25-33
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• 1996

Stable isotopic ratios of the carbonate rocks and chemical compositions of the matrix of pebble bearing phyllitic rocks known as the Hwanggangri Formation, which are in hot debate on their origin such as tillite, debris flow and turbidite, were determined to interpret their depositional environment. Argillaceous matrix of the pebble bearing phyllitic rocks has a high content of CaO (av. 19.5%) and MgO (av. 8.3%), corresponding to calcareous sandy shale. No difference of chemical compositions including trace elements and REE is in the matrices between the Hwanggangri and the Kunjasan Formations. Carbonate rocks from the Okchon zone and outside of the zone range $-2.5{\sim}+6.1$‰ in ${\delta}^{13}C$ and $+5.8{\sim}+25.9$‰ in ${\delta}^{18}O$, indicating normal marine limestone. However, unusally $^{13}C$ enriched carbonate rocks might be deposited in the highly evaporated sedimentary basin. A wide variation of ${\delta}^{18}O$ values is responsible for metamorphism with a $^{18}O$ depleted meteoric water. Isotopic equilibrium temperatures by graphite-calcite geothermometer show a higher metamorphic temperature ($547{\sim}589^{\circ}C$) in the Okchon zone than those ($265{\sim}292^{\circ}C$) in the Samtaesan Formation of the Chosun group. Rhythmic alternation of relatively thin shale with thin limestone in the Kounri Formation is not cherty layer but thin limesilicate bed by metasomatic replacement. Judging from the isotopic and chemical compositions of the carbonate rocks and calcareous matrix of the pebble bearing phyllitic rocks, the Hwangganari Formation was deposited in the shallow marine environment favorable to debris flow.