• Title/Summary/Keyword: 출혈 평가

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Adhesion Ability and Inhibition of Enterohemorrhagic E. coli O157:H7 Adhesion to Intestinal Epithelial Cells in Lactobacillus acidophilus (Lactobacillus acidophilus의 장 상피세포에 대한 부착능력 및 장 출혈성 대장균의 부착 억제 능력)

  • 김영훈;박순옥;한경식;오세종;유승권;김세헌
    • Food Science of Animal Resources
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    • v.24 no.1
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    • pp.86-91
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    • 2004
  • The ability of probiotics containing Lactobacillus acidophilus to adhere to the intestinal epithelium may play an important role in colonization of the gastrointestinal tract and preventing enteric pathogen such as enterohemorrhagic E. coli(EHEC O157:H7. In the study, we investigated the adhesion to human intestinal epithelial cells(HT-29) of strains of L. acidophilus(3 from human, 2 from pig, and 1 from calf). All of the tested strains of L. acidophilus were highly observed adhesion ability(from 10$\^$6/ to 10$\^$7/ cfu/mL), compared to L. rhamnosus GG as control. Also, adhered strains of L. acidophilus were significantly preserved in serial wash-out steps. However, no correlation could be observed between cell surface hydrophobicity and adhesion abilities of the tested strains of L. acidophilus. Inhibition of adhesion of EHEC O157:H7 was also examined, a 2 log cycle reduction was observed by all of the tested strains of L. acidophilus. These results suggest that the strains of L. acidophilus with high adhesion ability are resistant to wash-out and adhesion ability inhibition by selected strains of L. acidophilus helps to prevent adhesion of EHEC O157:H7 to intestinal epithelial cells.

Early Clinical Experience with Transurethral Electrovaporization of the Prostate for Benign Prostatic Hyperplasia: Comparison with Transurethral Resection of the Prostate and Visual Laser Ablation of the Prostate (경요도전립선전기기화술의 초기 임상경험 : 경요도전립선절제술 및 레이저 전립선절제술과의 비교)

  • Kim, Jung-Hyun;Moon, Ki-Hak;Jung, Hee-Chang;Park, Tong-Choon
    • Journal of Yeungnam Medical Science
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    • v.15 no.2
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    • pp.297-305
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    • 1998
  • Recently, several alternatives have been attempted in the management of benign prostatic hyperplasia (BPH) to reduce morbidity of traditional transurethral resection of the prostate (TURP). Among new modalities, transurethral electrovaporization (TEVP) is considered as a promising alternative. To evaluate the safety and initial efficacy of JEVP using the roller loop electrode (ProSurg Inc. USA) on BPH patients, we compared the results of TEVP with those of TURP and visual laser ablation of the prostate (VLAP). In this study, a total of 115 patients with symptomatic BPH were underwent TEVP (n=17), TURP (n=59) or VLAP (n=39) since 1995. Before treatment, patients were evaluated with an International Prostate Symptom Score (IPSS) and the measurement of maximal uroflow rate (MFR) and postvoid residual urine (PVR). After treatment, the operative and hospital records were reviewed. The uroflowmetry and IPSS were re-evaluated 3-10 months after treatment. In clinical outcome of re-evaluation compared to the preoperative parameters, there was a clinically significant improvement in three procedures. TEVP resulted in 62% reduction in IPSS (TURP, 73% : VLAP, 69%), 84% improvement in MFR (TURP, 113% : VLAP, 91%), and 74% reduction in PVR (TURP, 88% : VLAP, 78%). TEVP had shorter duration of hospitalization and catheterization than the others. TEVP was associated with lower rates of treatment-related complication than TURP. In conclusions, TEVP is considered as a useful procedure to treat symptomatic BPH. And, the advantages of TEVP over TURP include excellent intraoperative hemostasis, lower morbidity, shorter hospital stay and simple technique. In addition the advantages over VLAP include lower cost, shorter duration of catheterization and early symptom improvement.

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Clinical outcome of coronary artery bypass surgery according to using cardiopulmonary bypass machine (심폐기 사용여부에 따른 관상동맥우회술의 임상성과)

  • Cho, Yeon-Hee;Kim, Hyung-Seon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.9
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    • pp.146-155
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    • 2018
  • This study was conducted to evaluate the clinical outcomes of coronary artery bypass surgery for ischemic heart disease according to use of a cardiopulmonary bypass machine. The subjects were 10,981 patients who underwent coronary artery bypass grafting for ischemic heart disease from July 2008 to June 2012. Analysis data were retrospectively collected using health insurance claims data. The results of the study showed that mean time to surgery (280 min vs 357 min, p<0.0001) and intubation time (about 24 hours vs 40 hours, p<0.0001) were significantly shorter in the Off-Pump CABG (OPCAB) group than in the On-Pump CABG (ONCAB) group. The rate of reoperation because of postoperative bleeding and hematoma was lower in the OPCAB group (2.7% vs 8.3%, p<.0001). The odds ratio of risk adjusted 30 days mortality rate was 0.339 (0.266-0.434) and the postoperative length of stay was decreased in the OPCAB (p<0.0001). Overall, the 30 days mortality and reoperation rates were lower in the OPCAB, as was the resources use.

Actual Conditions and Improvement Direction of Livestock Feces Management (가축분뇨 관리 및 이용 실태 및 개선 방향)

  • An, Tae-Woong;Choi, I-Song;Oh, Jong-Min
    • Proceedings of the Korea Water Resources Association Conference
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    • 2007.05a
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    • pp.683-687
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    • 2007
  • 우리나라의 축산업은 대략 1970년대 이후부터 급속한 산업화에 따른 인구 증가 및 국민 소득의 증가로 식품 소비 형태가 변화하면서 육류 및 유제품의 소비가 증가하게 되고 농가에서 새로운 소득원으로 축산업이 활성화되면서 전통적인 재래식 가축사육 형태에서 전업식 사육형태로 점차적으로 규모가 커지기 시작하였다. 반면, 우루과이라운드(UR) 협상에 따라 농산물을 비롯한 축산물 등 완전시장개방에 따라 국제경쟁력 약화 및 축산폐수 규제의 강화에 대한 우려 등으로 겸엽(兼業)농식의 축산업은 도태 감소하게 되고 그 규모에 있어서 전업 전문화, 대규모화로 변모되어 가고 있는 추세임은 분명하다. 따라서 축산물 시장개방에 효율적으로 대처하기 위해서는 축산전업농가 육성과 계열화와 그에 따른 고품질 축산물 생산을 통한 축산업 경쟁력 제고에 노력해야 하며 아울러 축산폐수처리에 대한 기술개발 및 연구투자 확대와 더불어 축분 유기질비료의 생산 및 유통을 촉진하기 위한 법적 근거를 마련 등을 추진함으로서 국내 축산업의 경쟁력을 유지하며 친 환경적인 축산 경영을 이루어야 할 것이다. 이에 본 연구에서는 현재 날로 심각해지는 가축분뇨가 환경에 미치는 영향을 평가가 필요하여, 기초데이터의 확충 및 현황 파악을 위하여 축산 농가 내의 분뇨처리 실태를 조사 하고 문제점을 도출하고자 하였다. 또한 현재 조사된 자료를 바탕으로 가축 분뇨에 의한 오염 발생여부 및 발생량을 예측하고, 가축분뇨에 의한 오염 방지 및 수계에 미치는 영향을 안정적으로 유지하기 위하여 가축분뇨 이용 및 관리를 전반적으로 검토함으로써 가축분뇨를 효율적으로 관리하고 앞으로의 이용에 관한 여러 대안을 제시하는 것을 목적으로 한다.요했던 출혈(2예), 흉골 지연봉합(2예), 급성 신부전(2예), 폐렴(1예), 대동맥내 풍선펌프로 인한 혈전색전증(1예),수술 후 섬망(2예) 등이 있었다. 생존한 10명의 환자들 중 1명을 제외한 나머지 9명의 환자에서 $38{\pm}40$개월간의 추적관찰이 되었는데, 추적 관찰 기간 중에 3명이 사망하였고 생존한 6명의 환자는 모두 양호한 상태(NYHA 기능등급, $I{\sim}II$)를 보였으며, 그 중 3명에서는 혈역학적으로 큰 의미가 없는 잔여단락이 있었다. 결론: 급성 심근경색증 후 심실중격 결손은 수술위험도가 높은 질환이지만, 수술 전 대동맥내 풍선펌프를 삽입하고 조기에 심실중격 결손부의 infarct exclusion 술식과 함께 관상동맥우회술을 시행함으로써 만족할 만한 수술 및 중기 결과를 얻을 수 있었다.출물 투여로 저하되었으나 NC군보다는 높게 나타났다. 간 중 중성지질 함량은 참나물 에탄올 추출물 투여 용량에 따른 유의차가 없었으나, 총콜레스테롤 함량은 고용량 병합투여한 HC-PBH군만 유의하게 저하되었다. 혈청 및 간 중의 지질 함량 변화는 정상식이를 급여한 NC군과 NC-PB군 간에는 유의차가 없었다. 따라서 고콜레스테롤식이를 급여하면서 참나물 에탄올 추출물을 병합투여 시에만 지질대사 개선 효과가 있는 것으로 여겨지며, 고용량 병합투여 시 효능이 더 큰 것으로 나타났다. 고콜레스테롤식이로 인한 산화적 스트레스가 고콜레스테롤혈증을 유발하였으며, 이는 참나물 에탄올 추출물에 함유된 항산화물질을 포함한 여러 생리활성물질이 영향을 미친 것으로 사료된다. 이상의 실험 결과에서 참나물 에탄올 추출물은 고콜레스테롤식이

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Contamination of Green Vegetable Juice by E. coli O157:H7 during Storage (E. coli O157:H7에 의한 녹즙 저장 환경에서의 미생물학적 오염도 조사)

  • Lim, Eun Seob;Koo, Ok Kyung
    • Korean Journal of Food Science and Technology
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    • v.47 no.4
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    • pp.446-451
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    • 2015
  • The market for green vegetable juice (GVJ) is growing owing to the increasing demand for healthy food; however data on the safety and quality of GVJ are poorly reported. The objective of this study was to investigate the change in microbial community in GVJ during storage and its contamination by E. coli O157:H7. The microbial community was analyzed via culturable and non-culturable methods at 5, 10, and $25^{\circ}C$ for different storage times. In the non-culturable method, denaturing gradient gel electrophoresis (DGGE) was used. The initial bacterial concentration was $2.92{\times}10^5CFU/mL$, which exceeded the limit prescribed by the Korean Food Hygiene law. The results of the DGGE analysis indicated that the microbial community during storage was diverse and the spoilage lactic acid bacteria were prevalent at a later stage. Other bacteria such as Rahnella, Citrobacter, Pseudomonas, and Cyanobacteria were identified. Thus, the results strongly emphasize the need to pay attention to GVJ production safety, especially with respect to temperature control, in order to prevent the growth of foodborne pathogens such as E. coli O157:H7 and other spoilage bacteria.

Safety Investigation on Foodborne Pathogens and Mycotoxins in Honeybee Drone Pupas (수벌번데기로부터 식중독 세균 및 곰팡이독소 안전성 평가)

  • Kim, Se-Gun;Woo, Soon-Ok;Jang, Hye-Ri;Choi, Hong-Min;Moon, Hyo-Jung;Han, Sang-Mi
    • Journal of Food Hygiene and Safety
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    • v.33 no.5
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    • pp.399-403
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    • 2018
  • In this study, safety investigations on harmful microorganisms and mycotoxins were conducted on honeybee drone pupae as a new food material, which is rich in nutrients and capable of being mass produced in apiaries. The honeybee drone pupae produced in apiaries were collected from three different regions in Korea and frozen immediately. Subsequently, the samples were subjected to freeze-drying. According to the Korean Food Code test method, coliforms, Salmonella species, Staphylococcus aureus, and enterohemorrhagic Escherichia coli were not detected in 280 honeybee drone pupas. In addition, mycotoxins, aflatoxin $B_1$, ochratoxin A, deoxynivalenol, and zearalenone were not detected. Therefore, it is proposed that the honeybee drone pupae collected from the beehives and immediately frozen as safe from harmful microorganisms and mycotoxins and can be used as a food material.

Clinical Use of Thromboelastography as Monitor of Coagulopathy at the Pre and Post-Cardiopulmonary Bypass (개심술 환자의 체외순환 전후 혈전 탄성 묘사도의 임상적 이용)

  • 강경훈;김경훈
    • Journal of Chest Surgery
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    • v.30 no.11
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    • pp.1092-1096
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    • 1997
  • Thromboelastography(TEG) enables a global assessment of hemostatic function to be made from a single blood sample, documenting the interaction of platelets with protein coagulation cascade from the time of the initial platelet-fibrin interaction, through platelet aggregation, clot strengthening and fibrin cross linking to eventual clot Iysis. Thirty-five patients(mean age 34$\pm$ 12) undergoing open heart surgery from April 1st, 1996 to August 31th, 1996 were investigated at preoperatively and immediate, one hour, and 24 hours after cessation of cardiopulmonary bypass using TEG. Comparisons were made between classic hematological indices and TEG data. There were statistically significant correlation between maximal amplitude(MA) and platelet count before CPB, activating clotting time(ACT) and TEG date(R time, K time and a angle) at 24-hour after CPB. The data on the predictive accuracy for postoperative bleeding at 24-hour after CPB, the TEG was significantly better than ACT(57%) or the coagulation profiles(43%) as a predictor of postoperative bleeding, with an accuracy rate of 100% (P=0.0043). In conclusion, TEG seems to be easy to use, clinically accurate, cost effective and provides data which can effectively manage a patient's hemostasis.

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Clinical Evaluation of Surgical Treatment for Hemoptysis Patients (객혈환자의 외과적 처치에 대한 임상적평가)

  • 이성주;문승철
    • Journal of Chest Surgery
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    • v.30 no.11
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    • pp.1097-1104
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    • 1997
  • The expectoration of blood is always a fearful experience for the patient and a matter of grave concern to the attending physician, because it may be the warning sign of serious diseases. When such bleeding occurs, the possibility of its being due to pulmonary tuberculosis, bronchiectasis or carcinoma of the lung is promptly suggested. Nowadays, with the advance of modern diagnostic studies, differential diagnosis has become possible for the hemoptysis patients to have appropriate treatment. This evaluation is based on the review of 75 cases of patients whom we performed emergency open thoracotomies for 6 years from March 1992 to February 1997 in the Department of Thoracic and Cardiovascular Surgery, Seoul Adventist Hospital. The mean age of the patients was 36.6 years old with a range from 19 to 68, and most prevalent age group was thirties. The most common underlying lung disease causin hemoptysis was tuberculosis(44%). Most accurate diagnostic study was bronchoscopy during hemoptysis(95 Vo) and right middle & lower lobe(17.3%) was the most common site of lesion. Lobectomy(50%) was the most frequent operative method and recurrent hemoptysis(31.6%) was the most common postoperative complication. But most of the patients(82.6%) were completely recovered by surgical treatment. Now we concluded that the proper management of hemoptysis was completed by surgical approach with definite diagnosis and supportive medication.

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Prediction Model for Toothache Occurrence in College Students by using Oral Hygiene Habits and the CART Model (대학생의 구강건강관리실태와 CART모델을 이용한 치통발생예측)

  • Kim, Nam-Song;Lim, Kun-Ok
    • Journal of dental hygiene science
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    • v.9 no.4
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    • pp.419-426
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    • 2009
  • The occurrence of toothache signals the malfunction in oral health, which allows the detection of any abnormal condition in the oral cavity at an early stage to prevent the condition from worsening, and thus can act as a preventive measure. This study has looked into the status of oral health management in relation to toothache through the structured survey administered to 235 college students. Based on the survey results, this study aimed at comparing the toothache occurrence prediction between regression analysis and CART model in order to clarify the relationship between the factors of oral health management habits that contribute to toothache occurrence. According to the result, there was a difference between the present health status and the health status of the past year depending on the presence or non-presence of toothache occurrence (p<0.05). There was a difference in the regularity of meal time depending on the presence non-presence of toothache occurrence from the dietary habits of the research subjects (p<0.05). As for the presence or non-presence of toothache occurrence from the oral hygiene habits of the research subject, there was a difference between the occurrence and nonoccurrence of bleeding during brushing or flossing (p<0.05). According to the results of regression analysis, no factors were signifiant in the relationship with the presence or non-presence of toothache occurrence from the status of life habits and oral hygiene habits. 70% of the researched group was randomly selected as the sample for generating an analytical model and the remaining 30% was used as the sample for generating an evaluation model. According to the results of CART model, the occurrence of toothache was higher in the case of irregular meal time and poor current health condition than the case of average or satisfactory health condition. The above results imply that CART model is very useful technique in predicting toothache occurrence compared to regression analysis, and suggests that CART model could be very useful in predicting other oral diseases including toothache.

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Adverse Events Following Yellow Fever Vaccination in Korean Children (우리나라 소아에게 황열예방 백신을 투여 후 발생한 부작용에 대한 고찰)

  • Lee, Jae Yo;Kim, Tae Hee;Park, Hyang Mi;Shin, Hye Jung;Kim, Kyeung Eun;Lee, Sang Taek;Kim, Jae Yoon
    • Pediatric Infection and Vaccine
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    • v.16 no.1
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    • pp.54-60
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    • 2009
  • Purpose : Yellow fever, a mosquito-borne viral hemorrhagic fever, is one of the most lethal diseases. Recently there have been an increasing number of Korean children who have travelled to yellow fever endemic zones and were administered yellow fever vaccine (YFV). Therefore, we carried out this study to provide child travelers with safety information of YFV. Methods : This study was conducted at the International Clinic of National Medical Center in Seoul between April 2007 and June 2008 for the evaluation of adverse events of YFV. One hundred twenty-five children received YFV (17-DD) and were prospectively monitored for adverse events through telephone interviews on day 3, 6, 9, 16, 23 and 30 after vaccination. Results : Adverse events were observed in 31 (24.8%) of 125 child travelers who received the YFV. The mean age was 12.5${\pm}$5.0 years. Sixty-six of the child travelers (52.8%) were males. The common adverse events were pain in 11 (8.8%), swelling in 8 (6.4%) and redness in 7 children (5.6%) at the injection site. The systemic adverse events included mild fever in 5 (4.0%), headache in 5 (4.0%), cough in 4 (3.2%), abdominal pain in 3 (2.4%), and vomiting in 2 children (1.6%). Most of the adverse events were detected within 7 days of administration and there were no differences in adverse events by gender or age. All travelers who had complained of symptoms improved spontaneously or following symptomatic treatment. Conclusion : This study showed that YFV is well-tolerated and there were no reports of severe adverse events. Studies are ongoing to clarify the cause and risk factors for rare adverse events.

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