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역행성 동맥 혈류를 이용한 원위 유리피판술의 실험적 연구 (Experimental Study on Distally Based Free Flap Using Retrograde Arterial Flow)

  • 이민구;민경원
    • Archives of Reconstructive Microsurgery
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    • 제7권1호
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    • pp.15-19
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    • 1998
  • Microsurgical free-tissue transfer has allowed surgeons to salvage injured limbs but choosing appropriate healthy recipient vessels has proved to be a difficult problem. Retrograde flow flaps are established in island flaps. Retrograde flow anastomosis could prevent the possible kinking and twisting of the arterial anastomosis. By not interrupting the proximal blood flow to the fracture or soft tissue defect site, the compromise of fracture or wound healing might be prevented. We wished to estabilish an animal model in rat for a retrograde arterial flow based free flap. Nembutal-anesthetized male rats; weighing 250 to 300 gm, were used. The femoral artery and common carotid artery were exposed and divided. The systemic and retrograde arterial pressure were quantified by utilizing a parallel tubing system connected with peripheral arterial line. In this study, the retrograde flow was not pulsatile and the retrograde arterial pressure was 64-65mmHg, with a mean arterial pressure of 106-109mmHg. An epigastiic skin flap, measuring $3{\times}3cm$, was raised with its vascular pedicle. The epigastric free flap was transfered in the same rat from femoral vessels to carotid vessels in end to end fashion. We anastomosed the donor arteries to the distal parts of the divided recipient arteries and the donor veins to the proximal parts of the recipient veins. Twelve experiments were performed and the transplantations succeeded in 75 percent of them. In the remaining 25 percent, the experiments failed due to thrombosis at the site of anastpmosis, or other causes. This animal model represents an excellent example of retrograde arterial flow free flap transfer that is reliable.

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Stewartia pseudocamellia and Torilis japonica Extracts Inhibit RANKL-induced Osteoclastogenesis in RAW 264.7 Cells

  • Anh-Thu Nguyen;Chun Soo Na;Ki-Young Kim
    • 대한화학회지
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    • 제67권2호
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    • pp.120-128
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    • 2023
  • Osteoporosis is a disease that causes the weakening of bone by increasing porosity, which often results in fractures. Osteoporosis treatment measures include the use of Bisphosphonates and estrogen. However, these treatments cannot be used in the long term as these treatments have adverse side effects. Therefore, there is a need to identify better and safer treatment options. For this, 63 plant extracts were screened and among them, six extracts showed high anti-osteoclastic activity with low cytotoxicity. Of these six extracts, three extracts, Cudrania tricuspidata (P371), Ulmus davidiana var. japonica (P401), and Torilis japonica (P411), showed more than 50 percent osteoclast inhibition. While the remaining, Stewartia pseudocamellia extracts I and II (P370, P397) and Cuscuta chinensis (P418), showed moderate or between 40-50 percent osteoclast inhibition. Among all the extracts, Torilis japonica (P411) showed the highest inhibitory action against osteoclast development. Torilis japonica (P411) primary components include Kaempferol, Quercetin, and Luteolin, all proven to inhibit osteoclastogenesis. Stewartia pseudocamellia extracts I and II (P370 and P397) showed moderate or 44% osteoclast inhibition. Stewartia pseudocamellia extract II (P397) enhanced the growth of RAW 264.7 cells by 19%. Torilis japonica (P411) and Stewartia pseudocamellia extract II (P397) suppressed the expression of osteoclast-specific genes in RANKL-induced osteoclastogenesis in RAW 246.7 cells. Torilis japonica (P411) extracts even increased osteoblast-specific RUNX2 gene expression. This results provide that six extracts could be used as a potential treatment option for osteoporosis disease with the extracts of Torilis japonica (P411) and Stewartia pseudocamellia (P397) as an ideal candidates. However, the combination of the extract with higher osteoclastic inhibition and less toxic effects with further analysis should be recommended.

$^{85}Sr$, $^{103}Ru$, $^{134}Cs$의 엽면처리 시기에 따른 배추의 방사능 오염 (Contamination of Chinese Cabbage with $^{85}Sr$, $^{103}Ru$ and $^{134}Cs$ Related to Time of Foliar Application)

  • 최용호;임광묵;박효국;이원윤;이창우
    • Journal of Radiation Protection and Research
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    • 제23권4호
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    • pp.219-227
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    • 1998
  • 온실내에서 $^{85}Sr$, $^{103}Ru$, $^{134}Cs$의 혼합용액을 배추의 생육중 다섯 차례에 걸쳐 엽면에 분무처리 하였다. 처리된 핵종이 작물체에 의해 차단되는 정도는 핵종간에 차이가 없었고 처리시기가 수확기에 가까울수록 점점 증가하였다. 측정된 차단계수의 최고치는 0.87이었다. 작물체에 침적한 핵종의 수확시 잔류율은 처리시기에 따라 전체잎의 경우 $^{85}Sr$$16{\sim}58%$, $^{103}Ru$$15{\sim}73%$, $^{134}Cs$$33{\sim}64%$ 였고 속잎(6장의 겉잎 제거)의 경우 각각 $2{\sim}35%$, $0.4{\sim}46%$$14{\sim}40%$였다. 강우가 방사성 핵종의 환경제거 정도를 결정하는 데 중요한 역할을 한다는 것이 확인되었다. 배추의 생육후기 처리시 상단부를 묶었을 때 차단계수와 속잎 잔류율이 서너배씩 감소되었다 본 연구결과는 배추의 생육중 사고방출시 배추내 핵종농도 예측 및 대책수립에 활용될 수 있다.

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공주와 진주지역에서 상수리나무 낙엽의 분해율 및 분해과정에 따른 영양염류 함량 변화 (Decay Rate and Nutrient Dynamics during Litter Decomposition of Quercus acutissima in Gongju and Jinju)

  • 원호연;오경환;문형태
    • 한국습지학회지
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    • 제14권4호
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    • pp.537-545
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    • 2012
  • 낙엽활엽수인 상수리나무 낙엽의 지역에 따른 분해율 및 분해과정에 따른 영양염류의 함량 변화를 파악하기 위해 2008년 12월 공주의 상수리나무림과 진주지역의 낙엽-상록침엽수 혼효림 임상에 낙엽주머니를 설치하고 2011년 3월까지 33개월 동안 분해율, 분해상수 (k), 그리고 분해과정에 따른 C/N 비, C/P 비의 변화와 영양염류의 동태를 조사하여 비교하였다. 33개월경과 후 공주와 진주에서 상수리나무 낙엽 잔존률은 각각 $41.2{\pm}0.4%$$28.3{\pm}0.6%$, 분해상수 (k)는 각각 0.39와 0.61로 진주지역이 공주지역에 비해 분해가 빠른 것으로 나타났다. 이것은 진주지역이 공주에 비해 연중 기온과 강수량이 높기 때문인 것으로 판단된다. 상수리나무 낙엽의 분해과정에 따른 C/N. C/P 비율은 초기에 각각 46.8, 270.9 이었으나 33개월경과 후에는 공주지역에서 각각 22.0과 106.8, 진주지역에서는 각각 19.2와 170.2로 낮아졌다. 낙엽의 초기 N, P, K, Ca, Mg 함량은 각각 8.31, 0.44, 4.18, 9.38, 1.37 mg/g이었으며, 33개월경과 후 N, P, K, Ca, Mg의 잔존률은 공주지역에서 각각 91.0, 85.4, 30.2, 47.9, 11.7 %, 진주지역에서는 각각 67.0, 54.2, 19.9, 30.0, 40.8%로 Mg을 제외하고 진주지역의 잔존률이 낮았다. 조사기간 동안에 질소와 인은 부동화 후 무기화가, 칼륨, 칼슘, 마그네슘은 지속적인 무기화가 진행되었다.

개심술후 출혈로 인한 응급개흉술의 임상적 고찰 (Emergency Reexploration for Bleeding after Open Heart Surgery wth Cardiopulmonary Bypass -A Report of 16 Cases-)

  • 유재현
    • Journal of Chest Surgery
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    • 제24권11호
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    • pp.1068-1073
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    • 1991
  • Bleeding after open heart surgery with cardiopulmonary bypass was a cause of concern. requiring reexploration of the chest in approximately 8 percent of patients who have had operations on the heart. From April., 1983 to October, 1991, 16 patients[2%] out of 777 patients who underwent open cardiac surgery had emergency reexploration with bleeding at the Department of Thoracic and Cardiovascular Surgery, Chungnam National University Hospital. In 12 cases[75%], reexploration was performed for continuous bleeding and the reminder[4 cases] were performed for suspected tamponade & hypotension. There were 9 cases[56%] of congenital heart disease and 7 cases of acquired heart disease. The mean blood loss were 997$\pm$472ml /sq. M in total cases and 1442$\pm$ 647ml /sq. M in cases repair of cyanotic heart disease. The mean interval till reoperation was 16.6hr [1hr~72hr] and 41 hr[12~72hr] in tamponade cases and 8.4hr[1hr~24hr] in continuous bleeding cases. The bleeding sites were identified in 7 cases: aortotomy site in 2 cases, ventriculotomy site, SVC, thymus, pleura and sternum wiring site in each other case. But no specific sites was found in the remaining 9 cases. The 8 cases had complications but all except 1 cases with hypoxic brain damage were recovered without sequale. We conclude that emergency thoractomy after open heart surgery may be lifesaving and-/or diminishing complications with bleeding if performed promptly with excessive bleeding, tamponade and unexpected hypotension.

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청색증 심장기형에 대한 Modified Blalock-Taussig shunt의 효과 (The Effect of Modified Blalock-Taussig Shunt to Cyanotic Heart Disease)

  • 김경렬
    • Journal of Chest Surgery
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    • 제28권8호
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    • pp.754-758
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    • 1995
  • Between February 1987 and April 1994,30 modified Blalock- Taussing shunts[MBTS were carried out at the Department of Thoracic and Cardiovascular Surgery of the Keimyung University Dongsan Medical Center.The operation consists of interposing between the subclavian artery and the pulmonary artery a polytetrafluoroethylene graft.There were 19 boys and 11 girls.The average age at the time of shunt construction was 14 months [range 4 days to 5 years .Seventy-six percent [23/30 were less than 1 year of age.Cardiac defects treated with MBTS included tetralogy of Fallot[10 , pulmonary atresia with ventricular septal defect[8 , pulmonary atresia with intact ventricular septum[4 , uni-ventricular heart[3 , and other complex cardiac anomalies[5 .Prosthesis of 4mm were used in 13 cases, and 5mm in 17.Of the 30 operations, 21 were performed on the right side and 9 on the left side.The hemoglobin level decreased from 21.1 gm/dl preoperatively to 16.3 gm/dl postoperatively and systemic oxygen saturation level increased from 60.5 % preoperatively to 85.4 % postoperatively.In the 30 patients who recieved MBTS, there were one early [3% and three late deaths [10% .Seven patients have had an corrective operation and two patient required second palliative procedure.The remaining patients are awaiting further operation with ingestion of aspirin [5 mg/kg/day as an antiplatelet agent.These results indicate that the MBTS provide excellent palliation at a low operative mortality for most patients.

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Effect of Spacer Grids on CHF at PWR Operating Conditions

  • Ahn, Seung-Hoon;Jeun, Gyoo-Dong
    • Nuclear Engineering and Technology
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    • 제33권3호
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    • pp.283-297
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    • 2001
  • The CHF in PWR rod bundles is usually predicted by the local flow correlation approach based on subchannel analysis while difficulty exists due to the existence of spacer grids especially with mixing vanes. In order to evaluate the effect of spacer grids on CHF, the experimental rod bundle data with various types of spacer grids were analyzed using the subchannel code, COBRA-IV-i. For the Plain grid data, a CHF correlation was described as a function of local flow conditions and heated length, and then the residuals of the CHF in mixing vaned grids predicted by the correlation were examined in various kinds of grids. In order to compensate for the residual, three parameters, distances between grids and from the last grids to the CHF site, and equivalent hydraulic diameter were introduced into a grid parameter function representing the remaining effect of spacer grids predicted most of the CHF data points in plaing grids within $\pm$20 percent error band. Good agreement with the CHF data was also shown when the grid parameter function for mixing vaned grids of a specific design was used to compensate for the residuals of the CHF data predicted by the correlation.

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Use of GIS to Develop a Multivariate Habitat Model for the Leopard Cat (Prionailurus bengalensis) in Mountainous Region of Korea

  • Rho, Paik-Ho
    • Journal of Ecology and Environment
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    • 제32권4호
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    • pp.229-236
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    • 2009
  • A habitat model was developed to delineate potential habitat of the leopard cat (Prionailurus bengalensis) in a mountainous region of Kangwon Province, Korea. Between 1997 and 2005, 224 leopard cat presence sites were recorded in the province in the Nationwide Survey on Natural Environments. Fifty percent of the sites were used to develop a habitat model, and the remaining sites were used to test the model. Fourteen environmental variables related to topographic features, water resources, vegetation and human disturbance were quantified for 112 of the leopard cat presence sites and an equal number of randomly selected sites. Statistical analyses (e.g., t-tests, and Pearson correlation analysis) showed that elevation, ridges, plains, % water cover, distance to water source, vegetated area, deciduous forest, coniferous forest, and distance to paved road differed significantly (P < 0.01) between presence and random sites. Stepwise logistic regression was used to develop a habitat model. Landform type (e.g., ridges vs. plains) is the major topographic factor affecting leopard cat presence. The species also appears to prefer deciduous forests and areas far from paved roads. The habitat map derived from the model correctly classified 93.75% of data from an independent sample of leopard cat presence sites, and the map at a regional scale showed that the cat's habitats are highly fragmented. Protection and restoration of connectivity of critical habitats should be implemented to preserve the leopard cat in mountainous regions of Korea.

단축형 사상체질 진단설문지(KS-15)의 문항 축소 연구 (The Reduction of Question Items in Korea Sasang Constitutional Diagnostic Questionnaire (KS-15))

  • 김상혁;박기현;백영화;장은수;이시우
    • 사상체질의학회지
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    • 제32권1호
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    • pp.30-38
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    • 2020
  • Objectives The purpose of this study is to reduce the question items in Korea Sasang Constitutional Diagnostic Questionnaire (KS-15) and to assess the validity. Methods The subjects of this study were 1,553 people who had information on body shape, personality, and symptoms among the data established at the Korean Medicine Data Center. Among them, 155 people were separated into a test group to assess the validity, and the remaining 1,398 were used as training groups for model development. The reduction question items were finally confirmed through discussion by two experts. The model development went through Multinomial Logistic Regression. Results & Conclusions The Percent Correctly Predicted (PCP) in the test group was 60.00% (58.49% in men and 60.78% in women). The PCP of each constitution was 72.6% in Taeeumin, 53.3% in Soeumin, and 50% in Soyangin. The accuracy rate of KS-10 seems to be reasonable considering the ease of use of reduced time required.

인삼 조사포닌의 조제 방법 개선 (Improved Method for the Preparation of Crude Ginseng Saponin)

  • 김시관;곽이성
    • Journal of Ginseng Research
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    • 제22권3호
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    • pp.155-160
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    • 1998
  • This stuffy was carried to establish a new efficient method for the preparation of edible crude ginseng saponin. The conventional butanol extraction and resin adsorption methods were compared for the contents of total crude ginseng saponin and major ginsenosides. Seventy- percent methanol extract was applied to Diaion HP-20 column and the resin was washed with Hn and eluted with absolute methanol. The methanol elute was dried in vivo and analyzed for its ginsenosides. Use of ethanol instead of methanol to make edible crude ginseng saponin gave a similar result. Butanol extraction was performed by the conventional method. The final aqueous layer from butanol extraction was passed through Diaion HP-20 column followed by elution with methanol and Diaion HP-20 passed fraction was extracted with butanol to recover remaining components, respectively, in order to determine saponin loss. TLC and HPLC qualitatively and quantitatively monitored Ginsenosides, respectively. Loss of ginsenosides was higher in butanol extraction method than in Diction HP-20 adsorption method. In addition, saponin fractions prepared by Diction HP-20 adsorption method showed higher content of each ginsenoside, showing 8.2% higher purity than that of butanol extracted fraction. From these results, we propose the resin adsorption method as a new efficient measure for the preparation of crude ginseng saponin, which is edible by using spirit instead of methanol.

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