• Journal of Chest Surgery
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• v.34 no.7
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• pp.547-551
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• 2001

The effects of deep hypothermia and circulatory arrest during aortic arch reconstruction are associated with potential neurologic and myocardial injury. We describe a surgical technique that two patients underwent a modified Norwood procedure without circulatory arrest and myocardial ischemia. One was 13-day-old female patient, weighing 3.1kg, having a variant of hypoplastic left heart syndrome and another was 38-day-old male patient, weighing 3.4 kg, diagnosed Taussig-Bing anomaly with severe aortic arch hypoplasia, coarctation of the aorta, and subaortic stenosis. The arterial cannula was inserted in innominate artery directly. During Norwood reconstruction, regional high-flow perfusion into the inominate artery and coronary perfusion were maintained and there were no neurologic, cardiac, and renal complications in two patients. This technique may help protect the brain and myocardium from ischemic injury in patients with hypoplastic left heart syndrome or other arch anomalies including coarctation or interruption.

• Proceedings of the Ginseng society Conference
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• 1984.09a
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• pp.145-152
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• 1984

Toxohormone-L (THL) elicited fatty acid release from rat epididymal adipose tissue, which is present in cancerous ascites fluids. In this study, the effect of ginseng powder on lipolysis induced by Toxohormane-L, and ACTH was studied. Korean ginseng selectively inhibited Toxohormone-L induced lipolysis, but did not inhibit ACTH-induced lipolysis.

• KOREAN POULTRY JOURNAL
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• v.4 no.6 s.32
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• pp.85-87
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• 1972

결과적으로 시판 피마자박을 성장하는 병아리 혹은 기타 단위 동물의 단백질 사료로서 이용하기위해서는 다시 제독처리해야함을 알 수 있다. 제독처리 방법 중에서도 끓는 물로 여과하여 독소를 축출하는 방법이 가장 좋고 이 방법이 독소를 전부는 아닐지라도 대부분 제거시키는 방법이다. 피마자박의 아미노산조성을 볼때 그 생물가가 낮은 주요 원인이 라이신 트립토판 그리고 S 함유 아미노산이 부족하기 때문임을 알 수 있다. 제독처리한 피마자박의 라이신과 메치오닌 그리고 트립토판을 첨가하면 대두단백+메치오닌(0.2$\%$) 만큼 병아리성장에 유효함을 알 수 있다. 다른 필수 아미노산의 첨가는 별 효과가 없고 어분 대두단백 혹은 난백의 첨가도 부족한 아미노산을 첨가해 주는 것만큼 효과적이 아니었다. 라이신이 가장 먼저 부족되는 것이고 다음 트립토판이다. 메치오닌은 NRC 권장량의 60$\%$ 밖에 안되나 실제로 피마자박에 적절히 함유한다. 이것은 NRC 권장량이 너무 높다는 스콧트와 그의 동료의 주장과 일치하고 있다. 체중변화를 볼 때 흥미있는 것은 피마자박에 어분을 첨가하면 각 그룹간 병아리 체중의 차이가 심한데 어분대신 아미노산을 첨가하면 그 차이가 현저히 감소한다. (25$\%$와 15$\%$) 이러한 현상은 아미노산이 부족한 사료를 먹으면 성장에 필요한 아미노산 요구량이 개체별로 차이가 있기 때문일 것이다. 피마자박에 아미노산을 첨가하면 단백질 최종이용율이 현저히 증가하나, 이정도는 대두단백+메치오닌(0.2$\%$)에 비하면 이용율이 낮은데 그 이유는 아마 피마자박중의 리그닌과 조섬유 함량이 높기 때문일 것이다. 피마자박의 사료는(사료중 40$\%$) 조섬유가 약 15$\%$나 되어 이것 때문에 사료 섭취량이 대두단백사료 보다 증가하게 되고 사료섭취량이 많으면 단백질 섭취도 많게 되어 피마자박의 단백질 이용율이 낮게 된다. 즉 최종 단백질 이용율은 단백질 섭취량과 역비례한다. 만약 피마자박의 조섬유를 일부 혹은 전부 제거하기만 한다면 양계및 기타 단위 동물의 단백질 사료 자원으로서 그 가치가 훨씬 높아질 것이다. 더욱 희망적인 것은 피마자박 생산자측에 의하면 피마자씨 껍질의 상당한 부분을 제거하는 것은 가능하다고 한다.

• Journal of Biomedical Engineering Research
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• v.30 no.3
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• pp.213-220
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• 2009

In this study, we have developed a novel step detection algorithm for gait evaluation of patients with hemiplegia based on trunk accelerometry device. For this, we have used a bandpass filter and a least square acceleration (LSA) filter which is characterized by emphasizing the peak or valley point of the acceleration signals for each 3-axis accelerometer signals. To evaluate the algorithm, the detected steps by developed algorithm and real steps by the motion analysis system were compared. As a result, we could obtain the sensitivity of 96.44%, the specificity of 99.94% and the accuracy of 99.90% for the patients' data sets and the sensitivity of 100%, the specificity of 99.93% and the accuracy of 99.93% for the normal data sets. In conclusion, the developed algorithm is useful for the step detection for patients with hemiplegia as well as normal subjects.

• The Journal of Churna Manual Medicine for Spine and Nerves
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• v.8 no.2
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• pp.39-46
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• 2013

Objectives : To identify the association between cross-sectional area of lumbar regional muscle and stability(ST), center of pressure(COP) assessed by tetrax. Methods : Patients(n=55) who had taken L-SPINE MRI and Tetrax(Sunlight, Israel) were analyzed retrospectively. To evaluate the cross-sectional area of lumbar regional muscle, L-SPINE MRI was used. Data of ST, COP were accumulated by using dynamic equilibrium analysis by Tetrax. Of the lumbar regional muscles, the Psoas muscles and the Paraspinalis muscles were examined. Using Pearson correlation, we analyzed COP, ST and the difference between the cross-sectional area of lumbar regional muscles. Results : The variance of cross-sectional area of both sides of Psoas muscle and COP had moderate positive correlation(r=0.621). Between variance of cross-sectional area of both sides of Paraspinalis and lumbar regional muscle and COP there was low positive correlation(r=0.287, r=0.329) ST also had low correlation with variance of cross-sectional area of both sides of Psoas muscle. Conclusion : The variance of cross-sectional area between both sides of Psoas muscle had moderate correlation with COP.

• PNF and Movement
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• v.21 no.1
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• pp.107-117
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• 2023

Purpose: The aim of this study is to compare the immediate effects of weight-assisting methods on vastus medialis oblique (VMO) and vastus lateralis (VL) muscle activation, on the VMO/VL muscle activation ratio, and on muscle onset time in healthy subjects when ascending stairs. Methods: Healthy participants were randomly assigned to the belt group (n = 11), hand group (n = 11), and control group (n = 11). In the belt group, a belt was wrapped around the sacrum and pulled forward with both hands, moving the center of weight forward, while ascending stairs. The hand group grasped the hips with both hands and climbed stairs, assisting their weight from the rear and moving the center of weight backward, and the control group climbed the stairs without any intervention. Results: Muscle activation of the VMO decreased significantly after the intervention in the belt and hand groups, and activation of the VL muscle in both groups showed a greater decrease than that of the VMO muscle. Further, the VMO/VL muscle activation ratio increased significantly, with an improvement shown in the order of the belt group, hand group, and control group, while muscle onset time also improved in the order of the belt group, hand group, and control group. Conclusion: The belt group demonstrated the greatest effect across all dependent variables, confirming that in clinical practice, these two weight-assisting methods are more effective interventions during stair ascent for patients with knee joint instability, pain, and imbalance than no assistance.

• Journal of Hospice and Palliative Care
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• v.8 no.2
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• pp.156-162
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• 2005

Purpose: Lymphedema is edema developing mainly in the arms and legs due to an abnormal lymphatic system, over one hundred millions of patient worldwide suffer from it. At present, prevention is the best treatment. Thus, It is important to know which patient are more pone to develop it in order to prevent it. By evaluating the risk factor for lymphedema, we intended to find the effective prevention. Methods: We have investigated that outpatients who chiefly complained of lymphedema visited the lymphedema clinic at one university hospital from September 1 in 2003 to August 31 in 2005. We evaluated the risk factor for lymphedema by questionnaires. Questionnaire consists of demographic data, disease factor, treatment factor, posttreatment factor. We evaluated the correlation between lymphedema with each factor. Results: The total number of patients was 50, 19 patients with breast cancer and 31 patients with cervical cancer. In terms of stages of edema, 12 patients were below stage 1 and 38 patients were above stage 2. The incidence of lymphangitis was more frequent, more obese and the impairment of the site of edema site more severe, the stage of cancer was higher in the patients higher than stage 2 than in the patients below stage 1 (P>0.05). Conclusion: Lymphedema is more severe when the cancer stage in higher, accompanying more frequent infections, more obesity and more impairment at the site of edema site. Above all, cancer stage and the impairment of edema site are impossible to correct but obesity and infection may be corrected. Therefore we speculate that we are able to protect the aggravation of edema by weight reduction and infection control.

• Pediatric Infection and Vaccine
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• v.24 no.1
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• pp.65-70
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• 2017

Cytomegalovirus (CMV) infection is one of the most common congenital infections. The first case of discordant congenital CMV infection in twins occurred in Korea. A 31-year-old woman became pregnant with twins (dichorionic-diamniotic). An elective caesarean section was performed at 37 weeks. The first baby was male, weighing 2,410 g with an Apgar score of 8/9. The second baby was female, weighing 1,380 g with an Apgar score of 5/8. She had experienced intrauterine growth retardation, and presented with microcephaly, micrognathia, and joint stiffness. During the work-up for discordant twins, the second baby's serum test was positive for CMV immunoglobulin M. Her urine, blood, and cerebrospinal fluid (CSF) were CMV polymerase chain reaction positive. The first baby's CMV tests were negative. Ophthalmologic exam and audiometry performed on the second baby showed CMV retinitis and bilateral sensorineural hearing loss. She was treated with intravenous ganciclovir. Currently, she is bed-ridden and has significant developmental delay. Although the causes of discordant congenital CMV infection in twins are unclear, this case shows that discordant congenital CMV infection should be considered in twins with significant differences in intrauterine growth or clinical symptoms after birth.

• Tuberculosis and Respiratory Diseases
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• v.52 no.1
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• pp.54-61
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• 2002

Background: Tracheal stenosis is an urgent but uncommon disease. Therefore, primary care clinicians have limited clinical experience. Animal models of a tracheal stenosis can be used conveniently for the learning, teaching, and developing new diagnostic and therapeutic modalities for tracheal stenosis. Recently, a canine model of a tracheal stenosis was developed using a Nd-YAG laser. To describe the methods and results of developed animal model, we performed this study. Methods : Six Mongrel dogs were generally anesthetized and the anterior 180 degree of tracheal cartilage of the animal was photo-coagulated using a Nd-YAG laser. The animals were bronchoscopically evaluated every week for 4 weeks and a pathologic evaluation was also made. Results : Two weeks after the laser coagulation, the trachea began to stenose and the stenosis progressed through 4 weeks. All animals suffered from shortness of breath, wheezing, and weight loss in the 3 weeks after the laser treatment, and two died of respiratory failure just before the fourth week. The gross pathologic findings showed the loss of cartilage and a dense fibrosis, which resulted in a fibrous stricture of the trachea. Microscopy also showed that the fibrous granulation tissue replaced destroyed cartilage. Conclusion : The canine model can assist in the understanding and development of new diagnostic and therapeutic modalities for tracheal stenosis.

• Pediatric Infection and Vaccine
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• v.10 no.2
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• pp.186-192
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• 2003

Purposes : Recently, acute gastroenteritis broke out among the neonates transferred from postpartum care centers located in Seoul, and Gyeounggi area. Thus, we researched the cause, progress and characters of the disease by analyzing the cases from 9 hospitals in Seoul and Gyeounggi area. Methods : We conducted retrospective study of 33 neonates transferred from postpartum care centers from October 2001 to July 2002 : we divided the neonates into 2 groups. The severe group had any of following 5 conditions : blood pH <7.20, respiratory difficulty, mechanical ventilation, shock, and disseminated intravascular coagulation. And the rest were classified into the moderate group. Results : The severe group was significantly more aged than the moderate group(P= 0.005). Weight loss was significantly severe in the severe group(P=0.0512). In blood gas analysis, bicarbonate was less in the severe group than the moderate group(P=0.032). In the virus examination, rotavirus was detected in 7 cases, and astrovirus was detected in 1 case. In the severe group, 4 neonates were dead. Conclusion : In acute gastroenteritis of neonates, early diagnosis and treatment are important. Thus, the legislation of postpartum care center is needed, and the medical specialists should be stationed in postpartum care center. We assume that the severe group had severe conditions because they were treated comparatively late. However, to find out the cause of the disease and to cope with it, the nationwide epidemiologic study on acute gastrenteritis of neonates is needed.