• Title/Summary/Keyword: 혈액응고

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플라즈마 제트의 혈액 응고 작용과 정량적인 측정 방법에 관한 연구

  • Kim, Yun-Jung;Lee, Won-Yeong;No, Jun-Hyeong;Hyeon, Seong-Bo;Eo, Yun;Park, Jin-Yeong;Lee, Yong-Min;Kim, Hui-Ju;Gwon, Gi-Cheong;Jo, Gwang-Seop
    • Proceedings of the Korean Vacuum Society Conference
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    • 2013.02a
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    • pp.514-514
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    • 2013
  • 플라즈마와 혈액의 상호작용 특성을 파악하기 위해 혈액응고 실험을 하였다. 생체에 적용 가능한 바이오 플라즈마 소스를 개발하여 다양한 조건으로 혈액에 플라즈마를 조사하였다. 혈액 응고의 정량적인 측정 방법으로 혈액의 저항을 측정하였다. 본 실험에 사용된 플라즈마 제트 장치는 의료용 바늘과 유리관, 외부 접지로 이루어져 있다. 플라즈마 제트 장치는 고전압 전극이 유리관 안에 위치하고 접지 전극이 유리관 바깥에 위치한다. 의료용 바늘을 통해 Ar gas를 주입하며, 약 2 kV의 전압을 인가하여 방전시켰다. 자연적으로 혈액을 응고시킨 경우, 칼슘 클로라이드를 첨가하여 응고시킨 경우, Ar gas 및 온풍을 단독적으로 불어넣은 경우, 그리고 플라즈마 제트를 조사한 경우로 나누어 실험을 진행하였다. 두개의 떨어진 전극 사이에 일정량의 혈액을 배치시켜 저항을 측정하여 응고 정도를 파악하였다. 플라즈마 제트를 조사하였을 경우 아무것도 처리하지 않은 자연상태의 혈액보다 혈액이 응고되는 속도가 빠르게 나타났다. Ar gas와 온풍을 단독으로 불어넣어 준 경우와 혈액 표면이 응고되었으나, 약 20초가 지나면 다시 원래 상태의 혈액으로 돌아감을 확인하였다. 플라즈마 제트를 혈액에 조사했을 때는 혈액이 이전의 혈액 상태로 돌아가는 경향이 나타나지 않았다.

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Manufacturing Method for Traditional Doenjang and Screening of High Fibrin Clotting Inhibitory Samples (전통된장의 제조방법 조사 및 혈액응고 저해활성이 높은 된장의 스크리닝)

  • Jang, In-Hwan;In, Man-Jin;Chae, Hee-Jeong
    • Applied Biological Chemistry
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    • v.47 no.1
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    • pp.149-153
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    • 2004
  • 전통된장 제조방법으로서 원료 혼합비, 메주의 건조시간 및 온도, 메주와 된장의 발효 시간 및 온도, 된장 간장의 분리 여부, 된장 숙성(aging) 시간을 조사하였다. 혈액응고 저해 활성(anticoagulant activity)을 fibrin clotting assay법으로 분석하여 혈액응고 저해활성과 제법간의 상관 관계를 검토하였다. 숙성 기간이 길수록 혈액응고 저해활성이 높게 나타나는 경향을 보였으나 선형적인 상관관계보다는 비선형적으로 양의 상관관계를 갖는 것으로 판단되었다. 이상의 결과를 토대로 혈액응고 저해활성이 높은 2종의 된장시료를 선발하였으며 숙성기간이 180일 이상일 경우 전통된장의 혈액응고 저해활성이 높은 것으로 판단되었다.

Analysis of the Coagulation Factors of Donated Plasma for Effective Utilization (헌혈혈장의 효율적 활용을 위한 혈액응고인자 활성도 분석)

  • Jee, Yong-Hun;Kim, Myung-Han;Kwon, So-Yong;Cho, Nam-Sun;Cho, Youn-Jung;Choi, Kyoung-Young
    • The Korean Journal of Blood Transfusion
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    • v.23 no.2
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    • pp.145-151
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    • 2012
  • 배경: 채혈 후 제제 경과시간에 따른 동결혈장의 혈액응고인자의 활성도와 이에 영향을 미치는 요인을 분석하여, 혈액응고인자제제의 원료혈장의 사용범위를 확장 가능한지 확인하고자 동결혈장의 채혈시간과 응고인자 특성을 측정하였다. 방법: ALT 부적격 혈장을 채혈 후 동결시간의 특성에 따라 4단계로 구분하였고, 6종류의 혈액 응고인자 활성도와 혈액형을 검사하였고, SAS 9.2 프로그램을 사용하여 통계처리 하였다. 결과: 혈액제제간 FVIII 활성도를 분석한 결과 PL-A>FFP>FP(8-24)${\approx}$FP(24-72) 순으로 유의하게 낮아졌고 혈액형에 따라서는 AB형이 제일 높고, O형이 제일 낮았다. 대한적십자사의 원료혈장에 대한 FVIII 활성 품질기준을 적용할 경우 PL-A, FFP와 FP24는 각각 85.0%와 82.5%로 적합하였다. 캐나다 퀘백 주처럼 FP24의 FVIII 활성이 0.52 IU/mL 이상을 적용할 경우 PL-A, FFP와 FP24는 각각 95.0%, 96.3%, 82.6%로 적합하였다. 또한 FP(8-24)의 A형과 AB형, FP(24-72)의 경우 AB형이 각각 82.1%, 83.3%, 100%로 적합하였다. 결론: 혈액응고인자제제용 원료혈장의 범위는 외국의 기준에 비추어 채혈 후 24시간 내에 동결된 혈장(FP24)으로 확대 사용이 가능하다. 이를 위해서는 채혈 후 동결시간과 혈액응고인자에 대한 품질기준을 유럽약전 또는 WHO 가이드라인과 비교하여 완화하는 것이 필요하다.

Optical Analysis for the Estimation of Whole Blood Coagulation Time with Magnetic Particles (자성 철 가루를 이용한 혈액 응고시간 측정법의 광학적 해석)

  • Lee, Jaehyun;Choi, Hyoungsoon;Jang, Dongwoo;Nahm, Kie B.
    • Korean Journal of Optics and Photonics
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    • v.24 no.6
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    • pp.338-341
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    • 2013
  • Prothrombin Time (PT) is used as a measure of blood coagulation time. An optical analysis of the signal generating mechanism is described here for the reflection-type arrangement. Thromboplastin added into serum or whole blood initiates the coagulation process. We added a sufficient amount of magnetic particles into the sample before adding thromboplastin and subjected the mixture to a rotating magnetic field. The laser light gets reflected in a periodically modulated fashion with respect to the magnetic field rotation. Analysis of this decaying modulation could produce a reasonable coagulation time. We also introduce a simulation model to explain the signal generating mechanism using LightTools.$^{TM}$

대기압 플라즈마 처리에 따른 혈액 응고도의 정량적 측정과 실시간 측정을 위한 전극구조 연구

  • No, Jun-Hyeong;Kim, Yun-Jung;Jo, Tae-Hun;Jin, Se-Hwan;Park, Gyeong-Sun;Jo, Gwang-Seop;Gwon, Gi-Cheong
    • Proceedings of the Korean Vacuum Society Conference
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    • 2014.02a
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    • pp.263.2-263.2
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    • 2014
  • 최근 바이오 산업에서 대기압 플라즈마를 생체에 적용하는 실험이 늘고 있다. 그 중 아르곤 플라즈마는 혈액 응고를 촉진시켜, 의학적 활용에 대한 연구가 많이 진행되고 있다. 본 실험은 혈액이 응고되는 동안의 변화를 정량적 측정하고자 전기적 특성 변화를 측정하였다. 정량적 측정 방법으로 Capacitance와 Impedance 등 전기적 특성을 측정하였으며, 플라즈마 처리 전후에 따른 전기적 특성의 비교를 통해 혈액 응고 정도를 분석하였다. 또한 대기압 플라즈마 처리 중 나타나는 변화를 측정하기 위해 실시간 측정이 가능한 전극을 개발을 진행하였으며, 이때 플라즈마에 의해 측정장비가 영향을 받아 전기적 특성이 왜곡되는 현상이 나타나는 것을 해결하고자 전극의 구조 및 측정방식의 개선 실험을 진행하였다.

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Thromboelastographic Analysis of the Coagulation System During Cardiopulmonary Bypass -Analysis of the Effect of Low-Dose Aprotinin (심폐바이패스시 혈액응고체계 변화의 혈전탄성검사 분석 - 단일 저용량 아프로티닌 투여 효과 분석 -)

  • 김관민;박계현
    • Journal of Chest Surgery
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    • v.30 no.7
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    • pp.677-685
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    • 1997
  • Thromboelastography(TEG) is the unique measure that gives rapid information about the whole clotting process. Simplifying the diagnosis of coagulopathy during operations, TEG can provide an adequate therapy for postoperative bleeding. Remarkable improvement in hemostasis after cardiopulmonary bypass(CPB) has been achieved by the treatment with proteinase inhibitor aprotinin, but the hemostatic mechanism of aprotinin during CPB is still unclear. This study was designed to evaluate the effects of aprotinin on coagulation system during CPB by using TEG. Forty patients who underwent CPB were divided into two groups: aprotinin(2u 106 kallikrein inhibition units, as a single dose into the cardiopulmonary bypass priming solution) treatment group(male 14, female 8, mean age=50.Byears) and no aprotinin treatment(control) group(male 10, female 8, mean age=53.4 years). TEG, activated clotting time, prothrombin time, activated partial thromboplastin time, platelet counts, fibrinogen an (ibrinogen degradation product(FDP) concentrations were checked before and after CPB(30 minutes after neutralization of heparin effect by protamine sulfate). There was no significant difference in other conventional coagulation tests of two groups except postcardiopulmonary bypass FDP concentration in control group, which was significantly increased compared to that in aprotinin group(p<0.05). In TEG variables of both groups, clot formation time(K) and alpha $angle(\alpha^{\circ})$ were significantly increased and decreased, respectively, after CPB(p<0.05), but fibrinolytic index(LYS60) was not changed during CPB. In aprotinin group, reaction time(R) was decreased significantly after CPB(p<0.05) but maximum amplitude(MA) was not changed(p>0.05). On the contrary, R was not changed markedly but MA was decreased significantly in control group after CPB(p<0.05). This result shows that main change in coagulation system during CPB is not hyperfibrinolysis but cecrease in clot strength by platelet dys unction, and the main effect of aprotinin during cardiopulmonary bypass is the maintenance of clot strength to the pre-CPB level by the preservation of platelet function.

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Clinical Significance of Coagulation Screening Tests and Platelet Counts in Children Undergoing Endoscopy (소아에서 내시경 검사의 출혈 위험 예측 인자로서 혈액 응고 검사 및 혈소판 검사의 의의)

  • Lee, Eun-Hye;Yang, Hye-Ran;Ko, Jae-Sung;Seo, Jeong-Kee
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.13 no.1
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    • pp.23-29
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    • 2010
  • Purpose: The aim of this study was to assess the benefits of routine pre-endoscopy coagulation screening tests and platelet counts in Korean children. Methods: Between March 2004 and December 2009, children who underwent gastrointestinal endoscopy for the evaluation of various gastrointestinal symptoms were included. All of the subjects included in the study also underwent routine coagulation screening and platelet count determinations prior to endoscopy and biopsy. The clinical records and laboratory tests were retrospectively reviewed in all patients. Results: One hundred sixty-two of 1,476 (11%) patients who underwent endoscopy had abnormal results on pre-screening coagulation tests. Fourteen patients underwent coagulation factor assays due to abnormal clotting results in consecutive tests or due to clinical evidence of a bleeding tendency. Seven patients were diagnosed with factor XII deficiency, one patient was diagnosed with von Willebrand disease, one patient had von Willebrand disease and factor XII deficiency, and one patient was presumed to have mild hemophilia. The remaining 4 patients had normal results with the factor assays. The results of platelet counts were normal with the exception of 1 patient. No patient had significant bleeding during the endoscopic procedures, despite abnormal pre-endoscopic coagulation tests. Conclusion: Routine coagulation screening tests and platelet counts revealed abnormal results in some patients. Most of the patients with abnormal clotting were shown to have a factor XII deficiency, which had no significant associated bleeding tendencies; the other patients were diagnosed with hemophilia or von Willebrand disease. Therefore, although abnormal pre-endoscopic coagulation is not always related to significant bleeding complications, pre-endoscopic coagulation screening may be useful in some children in predicting the risk of bleeding tendency during endoscopic procedures.

Cloning and Expression of Human Clotting Factor 9 cDNA un Escherichia coli (인체 혈액응고 9인자 cDNA cloning 및 Escherichia coli 에서의 발현)

  • Young Won Lee;Hyang Suk Hur;Myoung Hee Kim
    • Biomedical Science Letters
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    • v.2 no.2
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    • pp.231-240
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    • 1996
  • Human blood clotting (coagulation) factor 9 cDNA which codes for 461 amino acid has been cloned by screening human fetal liver cDNA library using PCR. This 1.4 kb cDNA spanning from the ATG initiation codon to the TAA termination codon was cloned into bacterial .expression vector pGEX-2T, generating pGEX-F9 plasmid. The plasmid pGEX-F9 expresses about 73 kDa GST (Glutathione S-transferase)-Factor 9 fusion protein when introduced into E. coli. Western blot analysis using polyclonal antibody raised against human factor 9 confirmed this fusion protein contains factor 9 protein. The level of GST-factor 9 expression was about 20% of total protein and the purification of fusion protein was efficiently achieved by using GST agarose bead based on one step purification protocol.

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Synthesis and Blood Compatibility of New Biocompatible Copolypeptides : Blood Compatibility of Copolypeptide Having Ethylene Glycol Oligomers Substituted in the Side Chain (새로운 생체적합성 폴리펩티드공중합체의 합성과 혈액적합성에 관한 연구 : 측쇄에 에틸렌글리콜을 함유하는 폴리펩티드 공중합체의 혈액적합성)

  • Inn-Kyu Kang;Sang Dong Park;Chong Su Cho;Yong Kiel Sung
    • Journal of the Korean Chemical Society
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    • v.36 no.6
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    • pp.947-954
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    • 1992
  • Polyethylene glycol (PEG) grafted poly (γ-benzyl L-glutamate) (PBLG) was synthesized by the substitution reaction of PBLG and PEG having primary amino groups at both ends. PEG-g-PBLG films containing hydroxyl group were also prepared by the substitution reaction of PEG-g-PBLG film and ethanolamine (EA). Adhesion of platelets and activation of plasma proteins on the copolypeptide films were studied. The results showed that platelets are less adhered and activated on the PEG-g-PBLG than on other polypeptides and plasma recalcification time (PRT) on the PEG-g-PBLG was longer than that on other polypeptides. These results were consistent with those of blood clotting time and thrombus formation on the polypeptides. As a results, PEG-g-PBLG surfaces showed better blood compatibility than PBLG or PEG-g-PBLG-EA surfaces.

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A Case of Congenital Factor VII Deficiency Presented with Subacute Subdural Hematoma

  • Kim, Min-Kyoung;Shin, Sang-Jun;Kim, Kyung-Ok;Lee, Kyung-Hee;Hyun, Myung-Soo;Cho, Hee-Soon
    • Journal of Yeungnam Medical Science
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    • v.21 no.2
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    • pp.231-236
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    • 2004
  • A congenital factor VII deficiency is a rare disorder with an estimated incidence in the western contries of one in 500,000. Because factor VII is important in initiation the coagulation cascade, a factor VII deficiency can result in significant bleeding with prolongation of the prothrombin time. We present a case of a factor VII deficiency with a subdural hematoma in an 18-year-old boy whose plasma activity of factor VII was ${\leq}10%$. Previously, he did not have any symptoms, such as hemarthrosis, easy bruising or bleeding after a minor trauma. He was administered fresh frozen plasma and a trephination was performed. His sister also had 51% lower level of factor VII.

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