• 제목/요약/키워드: pathway extension

검색결과 46건 처리시간 0.033초

Outcomes of the Warden Procedure for Anomalous Pulmonary Venous Return to the Superior Vena Cava: A 17-Year Experience

  • Lim, Su Chan;Kwak, Jae Gun;Cho, Sungkyu;Min, Jooncheol;Lee, Sangjun;Kwon, Hye Won;Kim, Woong-Han
    • Journal of Chest Surgery
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    • 제55권3호
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    • pp.206-213
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    • 2022
  • Background: Surgical repair of partial anomalous pulmonary venous return (PAPVR) to the superior vena cava (SVC) using the Warden procedure has favorable outcomes. However, there remain some concerns after the Warden procedure, such as sinoatrial nodal dysfunction and systemic or pulmonary venous stenosis. We investigated the outcomes of the Warden procedure for repair of PAPVR to the SVC. Methods: This retrospective study included 22 consecutive patients who underwent the Warden procedure for PAPVR between 2002 and 2018. The median age and body weight at operation were 27.5 months (interquartile range [IQR], 5.0-56.8 months) and 13.2 kg (IQR, 6.5-16.0 kg), respectively. The median follow-up duration was 6.2 years (IQR, 3.5-11.6 years). Results: There were no cases of early or late mortality. No patients had postoperative heart rhythm problems, except 1 patient who showed transient sinoatrial nodal dysfunction in the immediate postoperative period. Procedure-related complications requiring reintervention occurred in 5 patients, including 3 of 4 SVC stenosis cases and 2 pulmonary venous stenosis cases during follow-up. The rate of freedom from reintervention related to the Warden procedure was 75.9% at 10 years. Conclusion: In cases requiring extension or creation of an atrial septal defect to achieve a sufficient venous pathway, or interposition of an entire circumferential conduit between the SVC and right atrium due to the shortness of the SVC in the Warden procedure, stenotic complications of the venous pathway occurred. Careful observation of changes in the pressure gradient or anatomical stenosis is required in such patients.

제17차 유엔 기후변화 더반 당사국 총회의 평가와 정책적 시사점 (Analysis of the Durban Climate Summit and Its Implications to Climate Policies of Korea)

  • 박시원
    • 환경정책연구
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    • 제11권3호
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    • pp.149-170
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    • 2012
  • 2011년 12월 12일 남아프리카 공화국 더반에서 열린 제17차 유엔기후협약 당사국 총회가 예정보다 36시간 연장 협상 끝에 더반 플랫폼을 채택하며 폐막했다. 더반 총회는 예상과 다르게 교토의정서 연장에 합의하고 2020년부터 모든 국가가 참여하는 감축 체제 협상 출범에 합의하는 성과를 거두었다. 교토의정서의 연장과 2020년 이후 전지구적인 기후체제 출범 합의라는 성과에도 불구하고 성공적인 기후체제의 안착을 위해서는 앞으로 풀어야 할 숙제가 많다. 총회 이전부터 일부 감축 의무국들은 교토의정서 제2차 감축기간에 참여하지 않겠다고 공표하여 교토의정서 연장의 실효성을 반감시켰으며, 협상당사국들은 새로운 협약 하의 국가별 감축목표, 목표 이행의 법적 구속력 여부 등 다양한 의제를 두고 첨예하게 대립하고 있기 때문이다. 이러한 불확실한 국제 정세 속에 한국은 교토의정서 연장으로 인해 당분간 감축의무를 면제받았다는 것에 안도하지 말고 장기적인 관점에서 국내 기후변화대응정책을 재정비해야 할 것이다. 장기적인 석유 의존도를 줄이는 저탄소 경제로의 이행을 위해 기후변화대응정책의 필요성에 대한 범국민적 공감대 형성을 위해 노력하고, 국제경쟁력 제고를 위해 비용효과적인 감축정책 마련을 위해 고민하며, 국제협상에서는 전지구적인 참여를 독려하기 위해 국가 간 신뢰 형성에 일조해야 할 것이다.

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국소적 부하와 전신적 부하가 슬관절 위치 감각에 미치는 영향 (The effects of knee joint position sense following local and general load protocols)

  • 황윤태;박래준;최진호
    • The Journal of Korean Physical Therapy
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    • 제17권3호
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    • pp.429-440
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    • 2005
  • The purpose of this study was to compare the effects of knee joint position sense following local and general load protocols in 25 healthy male subjects. Proprioception of the knee joint was evaluated by measuring absolute angular errors at matching angles before, after and between 2 different types of load protocols. Proprioception tests(on the dominant knee) were performed in which proprioception of the passivepassive reproduced and active-active reproduced knee position was measured. Local load was provided with maximum isokinetic knee extension-flexion on the isokinetic dynamometer(Cybex), and general load was 10 minutes running on a treadmill. Peak torque(knee extension and flexion) and heart rate(beats per minute) was evaluated as an indicator of local and general fatigue during load protocols. The results were as follows: 1. For pasive-pasive reproduced knee position test, significant difference in absolute angular errors after general load protocol was detected compared with that before general load protocol(P<.05), significant difference in absolute angular errors after local load protocol was detected compared with that before local load protocol(P<.05). However, no significant difference in absolute angular errors of general load protocol was detected compared with that of local load protocol (P>.05), no significant difference in absolute angular errors of local load protocol was detected compared with that of general load protocol(P>.05). 2. For active-active reproduced knee position test, significant difference in absolute angular errors after general load protocol was detected compared with that before general load protocol(P<.05), significant difference in absolute angular errors after local load protocol was detected compared with that before local load protocol (P<.05). Also, significant difference in absolute angular errors of general load protocol was detected compared with that of local load protocol(P<.05), significant difference in absolute angular errors of local load protocol was detected compared with that of general load protocol(P<.05). 3. A significant decrease of peak torque of knee extensors and flexors was seen after local load, although heart rate was significantly increased(P<.05). No significant change of peak torque of knee extensors and flexors was seen after general load(P>.05), although heart rate was also significantly increased(P<.05). The previous study revealed that knee proprioception is significantly altered when the muscle mechanoreceptors are dysfunctional due to muscle fatigue, although the joint mechanoreceptors have no significantly effect on knee proprioception when the presence of knee muscle fatigue. However, the results of this study are different from those of the previous study in that muscle weakness of the knee could not be seen after general load. This study shows that general load may diminish motor control by the central nervous system. Proprioceptional decline without muscle weakness of knee after general load suggests a change in the proprioceptional pathway without influence from muscle mechanoreceptors.

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지하수 유동 특성을 이용한 심층처분의 처분공 배치 방안 (Arrangement of Disposal Holes According to the Features of Groundwater Flow)

  • 고낙열;백민훈
    • 방사성폐기물학회지
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    • 제14권4호
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    • pp.321-329
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    • 2016
  • 가상의 심층처분 부지의 지하수 유동 모의 결과를 통해 처분 심도에 위치하는 처분공 지점에서의 지하수 유동량 및 해당 지점에서 지표 환경까지 지하수가 유동하는 경로의 거리와 경로를 통과하는데 걸리는 시간에 대한 수량적, 공간적 분포를 분석하여 그 결과를 처분공의 위치 결정에 이용할 수 있는 방안을 제시하였다. 지하수 유동량은 처분공 위치에서 계산된 지하수위를, 유동 거리와 경과 시간은 입자 추적 기법(particle tracking)을 이용하여 계산하였다. 지하수 유동량 및 유동 거리와 경과 시간의 공간적 분포를 이용하여 처분시설의 성능을 유지하는데 상대적으로 유리한 위치를 선별하고 특정한 제한 조건이 주어진 경우 제외되어야 하는 처분공 위치를 결정하여 처분공 배치에 이용할 수 있은 방안을 제시하였다. 또한 세 가지 정보를 함께 고려하여, 추가적인 처분공의 위치를 선정할 필요가 있을 경우 보다 유리한 확장 방향을 제시할 수 있는 방안도 논의되었다. 처분 심도에서의 지하수 유동 정보를 활용하여 처분공의 배치 방안을 결정하는 것은 처분시설의 성능 및 안전성 확보를 위해 기여할 수 있을 것으로 생각된다.

Moringa oleifera Prolongs Lifespan via DAF-16/FOXO Transcriptional Factor in Caenorhabditis elegans

  • Im, Jun Sang;Lee, Ha Na;Oh, Jong Woo;Yoon, Young Jin;Park, Jin Suck;Park, Ji Won;Kim, Jung Hoon;Kim, Yong Sung;Cha, Dong Seok;Jeon, Hoon
    • Natural Product Sciences
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    • 제22권3호
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    • pp.201-208
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    • 2016
  • Here in this study, we investigated the lifespan-extending effect and underlying mechanism of methanolic extract of Moringa olelifa leaves (MML) using Caenorhabditis elegans (C. elegans) model system. To define the longevity properties of MML we conducted lifespan assay and MML showed significant increase in lifespan under normal culture condition. In addition, MML elevated stress tolerance of C. elegans to endure against thermal, oxidative and osmotic stress conditions. Our data also revealed that increased activities of antioxidant enzymes and expressions of stress resistance proteins were attributed to MML-mediated enhanced stress resistance. We further investigated the involvement of MML on the aging-related factors such as growth, food intake, fertility, and motility. Interestingly, MML significantly reduced growth and egg-laying, suggesting these factors were closely linked with MML-mediated longevity. We also observed the movement of aged worms to estimate the effects of MML on the health span. Herein, MML efficiently elevated motility of aged worms, indicating MML may affect health span as well as lifespan. Our genetic analysis using knockout mutants showed that lifespan-extension activity of MML was interconnected with several genes such as skn-1, sir-2.1, daf-2, age-1 and daf-16. Based on these results, we could conclude that MML prolongs the lifespan of worms via activation of SKN-1 and SIR-2.1 and inhibition of insulin/IGF pathway, followed by DAF-16 activation.

Transcriptome Analysis of Induced Systemic Drought Tolerance Elicited by Pseudomonas chlororaphis O6 in Arabidopsis thaliana

  • Cho, Song-Mi;Kang, Beom Ryong;Kim, Young Cheol
    • The Plant Pathology Journal
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    • 제29권2호
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    • pp.209-220
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    • 2013
  • Root colonization by Pseudomonas chlororaphis O6 induces systemic drought tolerance in Arabidopsis thaliana. Microarray analysis was performed using the 22,800-gene Affymetrix GeneChips to identify differentially-expressed genes from plants colonized with or without P. chlororaphis O6 under drought stressed conditions or normal growth conditions. Root colonization in plants grown under regular irrigation condition increased transcript accumulation from genes associated with defense, response to reactive oxygen species, and auxin- and jasmonic acid-responsive genes, but decreased transcription factors associated with ethylene and abscisic acid signaling. The cluster of genes involved in plant disease resistance were up-regulated, but the set of drought signaling response genes were down-regulated in the P. chlororaphis O6-colonized under drought stress plants compared to those of the drought stressed plants without bacterial treatment. Transcripts of the jasmonic acid-marker genes, VSP1 and pdf-1.2, the salicylic acid regulated gene, PR-1, and the ethylene-response gene, HEL, also were up-regulated in plants colonized by P. chlororaphis O6, but differed in their responsiveness to drought stress. These data show how gene expression in plants lacking adequate water can be remarkably influenced by microbial colonization leading to plant protection, and the activation of the plant defense signal pathway induced by root colonization of P. chlororaphis O6 might be a key element for induced systemic tolerance by microbes.

PCR-RFLP를 이용한 한우와 젖소고기의 MC1R 유전자변이 검출 (Identification of MC1R gene variants of Hanwoo and Holstein meat using PCR-RFLP)

  • 고바라다;김용환;박성도;나호명;김정남;성창민;이삼수
    • 한국동물위생학회지
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    • 제28권3호
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    • pp.259-265
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    • 2005
  • The melanocortin 1 receptor (MC1R) encoded by the coat color extension gene (E) plays a key role in the signaling pathway of melanin synthesis. The primers for the amplification of bovine MC1R gene were designed based on a bovine MC1R gene sequence (GenBank accession no. Y19103). A size of 483bp (482bp for Hanwoo) was amplified by PCR, digested with Hpa II restriction enzyme and electrophoresed in $1.5\%$ agarose gel. When the amplified DNA product (483 bp) was digested with Hpa II restriction enzyme, Hanwoo meat showed a single band of 482bp, whereas two fragments of 325bp and 158bp were detected in Holstein, Angus and meat of Hanwoo / Holstein cross cow having back coat color phenotype, respectively. The results of this experiment Indicate that new designed primers of bovine MCIR gene may be useful for identification of Hanwoo meat from Holstein, Black Angus and Hanwoo / Holstein cross cow meat.

Immunological Studies on the Antitumor Componets of the Basidiocarps of Agrocybe cylindracea

  • Kim, Byong-Kak;Hyun, Jin-won;Yoon, Jong-Myung;Choi, Eung-Chil
    • Archives of Pharmacal Research
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    • 제20권2호
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    • pp.128-137
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    • 1997
  • The effects of cylindan, a polysaccharide isolated from the basidiocarps of Agrocybe cylindracea, on murine sarcoma 180 tumor and murine immune cells were examined after intraperitoneal administration. Cylindan exhibited a marked life extension effect in mice against ascite forms of sarcoma 180 and Lewis lung carcinoma at a dose of 50 mg/kg/day, although it did not show any direct cytotoxicity against sarcoma 180, X5563, and MM46 murine tumor cells. Cylindan increased numbers of bone marrow stem cells as well as peritoneal exudate cells in flow cytometry using monoclonal antibodies. The tumor bearing mice group apparently showed the increase of macrophages and cytotoxic T lymphocytes in mouse spleen cells during the early stage of tumor growth. But during the later stage, the control group decreased immune cells and cylindan restored the decreased immune cells in the tumor bearing mice to the normal level. In non-specific immune response, cylindan stimulated the bacterial phagocytosis and acid phosphatase production in macrophages. It also activated components of the alternative complement pathway and natural killer activity against YAC-1 lymphoma. In number of plasma cells as token of stimulation of the differentiation of B lymphocytes. In cellular immunity, cylindan restored the depressed response of delayed type hypersensitivity in the tumor bearing mice to 60% of the normal level and increased the interleukin-2 (IL-2) responsiveness in the IL-2 dependent CTLL-2 cells. These results suggest that cylindan did not show direct cytotoxic effects on tumor cells but restored the decreased immune response of the tumor bearing mice.

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Ameliorative effect of Abeliophyllum distichum Nakai on benign prostatic hyperplasia in vitro and in vivo

  • Choi, Young-Jin;Fan, Meiqi;Tang, Yujiao;Moon, Sangho;Lee, Seung-Hyun;Lee, Bokyung;Bae, Sung Mun;Lee, Sang Moo;Kim, Eun-Kyung
    • Nutrition Research and Practice
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    • 제16권4호
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    • pp.419-434
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    • 2022
  • BACKGROUND/OBJECTIVES: Benign prostatic hyperplasia (BPH) is the most common prostate disease and one of the most common chronic diseases caused by aging in men. On the other hand, there has been no research on BPH using Abeliophyllum distichum Nakai (A. distichum). Therefore, this study investigated the effects of A. distichum on BPH. MATERIALS/METHODS: A. distichum leaves were extracted with distilled water, 70% ethanol, and 95% hexane as solvents. Subsequently, the inhibitory effects of each A. distichum extract on androgen receptor (AR) signaling were evaluated in vitro. The testosterone-induced BPH model was then used to confirm the efficacy of A. distichum leaves in 70% ethanol extract (ADLE). RESULTS: ADLE had the strongest inhibitory effect on AR signaling. A comparison of the activity of ADLE by harvest time showed that the leaves of A. distichum harvested in autumn had a superior inhibitory effect on AR signaling to those harvested at other times. In the BPH rat model, the administration of ADLE reduced the prostate size and prostate epithelial cell thickness significantly and inhibited AR signaling. Subsequently, the administration of ADLE also reduced the expression of growth factors, thereby inactivating the PI3K/AKT pathway. CONCLUSIONS: An analysis of the efficacy of ADLE to relieve BPH showed that the ethanol extract grown in autumn exhibited the highest inhibitory ability of the androgen-signaling related factors in vitro. ADLE also inhibited the expression of growth factors by inhibiting the expression of the androgen-signaling related factors in vivo. Overall, ADLE is proposed as a functional food that is effective in preventing BPH.

Diniconazole 엽면살포가 날개하늘나리의 내생 GA 및 ABA 함량에 미치는 영향 (Effects of Foliar-sprayed Diniconazole on Contents of Endogenous Gibberellic Acids and Abscisic Acid in Lilium davuricum)

  • 엄선정;박경일;이인중;최영준;오욱;김규원
    • 원예과학기술지
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    • 제29권3호
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    • pp.165-171
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    • 2011
  • 식물생장억제물질의 처리는 날개하늘나리의 줄기 신장을 억제시키는데, 여기에 관여하는 식물호르몬을 찾기 위해 diniconazole의 엽면살포 후 내생 GA 및 ABA의 함량 변화를 조사하였다. 그 결과, 날개하늘나리(L. dauricum)는 $GA_1$을 활성형으로 하는 early C-13 hydroxylation($GA_{19}{\rightarrow}GA_{20}{\rightarrow}GA_1$) 경로와 $GA_4$를 활성형으로 하는 non C-13 hydroxylation(NCH, $GA_{12}{\rightarrow}GA_{24}{\rightarrow}GA_9{\rightarrow}GA_4$) 경로 모두를 가지고 있었으나, 주된 경로는 NCH 경로였다. NCH 경로의 GA 생합성은 diniconazole $50mg{\cdot}L^{-1}$ 살포에 의해 초기 단계에서부터 억제되었다. 즉 diniconazole 처리구의 $GA_{12}$ 함량은 대조구에 비해 1/17로 현저히 감소되었으며, 이러한 경향은 $GA_4$까지 계속되었다. 즉 건물 1g당 $GA_{12}$ 함량은 대조구가 213.8ng인 것에 비해, diniconazole 처리구는 12.7ng이었다. ABA의 함량도 GA에서와 같이 diniconazole 살포에 의해 1/3 수준으로 크게 감소되었다. 즉 건물 1g당 ABA 함량은 대조구 37.2ng인 것에 비해, diniconazole 처리구는 14.8ng이었다. 본 연구의 결과, 내생 $GA_4$, $GA_1$, 그리고 ABA의 함량을 고려할 때 diniconazole에 의한 날개하늘나리의 초장감소는 $GA_4$의 생합성 억제에 기인한 것으로 생각된다.