• Tuberculosis and Respiratory Diseases
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• 제68권6호
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• pp.358-362
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• 2010

Intralobar pulmonary sequestration is a rare congenital lung anomaly. It is defined as a portion of nonfunctioning lung parenchyma that receives its blood supply from an anomalous systemic artery. Patients often present with chronic or recurrent pneumonia. A chest radiograph may show a cystic lesion with air-fluid levels in the lung base. A high index of suspicion is needed for a diagnosis. Surgical removal of a symptomatic intralobar pulmonary sequestration is generally the treatment of choice. Identifying the aberrant artery is a difficult problem when resecting a pulmonary sequestration. The thoracic and abdominal aortas are the most common origins for the abnormal blood supply. However, arterial supply from the celiac artery is quite rare. We present a case of intralobar pulmonary sequestration with the blood supply originating from the celiac artery.

• Journal of Veterinary Science
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• 제23권6호
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• pp.68.1-68.8
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• 2022

Background: Studies on anesthetized dogs regarding pulse pressure variation (PPV) are increasing. The influence of respiratory rate (RR) on PPV, in mechanically ventilated dogs, has not been clearly identified. Objectives: This study evaluated the influence of RR on PPV in mechanically ventilated healthy dogs after hemorrhage. Methods: Five healthy adult Beagle dogs were premedicated with intravenous (IV) acepromazine (0.01 mg/kg). Anesthesia was induced with alfaxalone (3 mg/kg IV) and maintained with isoflurane in 100% oxygen. The right dorsal pedal artery was cannulated with a 22-gauge catheter for blood removal, and the left dorsal pedal artery was cannulated and connected to a transducer system for arterial blood pressure monitoring. The PPV was automatically calculated using a multi-parameter monitor and recorded. Hemorrhage was induced by withdrawing 30% of blood (24 mL/kg) over 30 min. Mechanical ventilation was provided with a tidal volume of 10 mL/kg and a 1:2 inspiration-to-expiration ratio at an initial RR of 15 breaths/min (baseline). Thereafter, RR was changed to 20, 30, and 40 breaths/min according to the casting lots, and the PPV was recorded at each RR. After data collection, the blood was transfused at a rate of 10 mL/kg/h, and the PPV was recorded at the baseline ventilator setting. Results: The data of PPV were analyzed using the Friedman test followed by the Wilcoxon signed-rank test (p < 0.05). Hemorrhage significantly increased PPV from 11% to 25% at 15 breaths/min. An increase in RR significantly decreased PPV from 25 (baseline) to 17%, 10%, and 10% at 20, 30, and 40 breaths/min, respectively (all p < 0.05). Conclusions: The PPV is a dynamic parameter that can predict a dog's hemorrhagic condition, but PPV can be decreased in dogs under high RR. Therefore, careful interpretation may be required when using the PPV parameter particularly in the dogs with hyperventilation.

• 수면정신생리
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• 제23권2호
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• pp.97-99
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• 2016

Positive airway pressure (PAP) is currently recommended as a primary treatment for obstructive sleep apnea syndrome (OSAS) and positively affects various subjective and objective parameters related to OSAS, such as the apnea-hypopnea index, excessive daytime sleepiness, and blood pressure. However, PAP also exhibits various adverse effects, including skin breakdown, pressure intolerance, claustrophobia, unintentional mask removal, mouth leaks, and dryness. Especially, unintentional mask removal due to nasal obstruction may result in poor PAP compliance. A 47-year-old male patient with severe OSAS who had low PAP compliance due to nasal obstruction underwent nasal surgery. After the surgery, nasal obstruction was corrected and the patient experienced improved PAP compliance (from 30.4% to 86.7%). This case demonstrates that nasal surgery may be useful for improving PAP compliance in OSAS patients with nasal obstruction.

• Journal of Korean Neurosurgical Society
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• 제49권4호
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• pp.245-247
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• 2011

There were only a few reports of mercury on pulmonary artery. However, there is no data on surgery related mercury dissemination. The objective of the present article is to describe one case of postoperative injected mercury dissemination. A 19-year-old man presented severe neck pain including meningeal irritation sign and abdominal pain after injection of mercury for the purpose of suicide. Radiologic study showed injected mercury in the neck involving high cervical epidural space and subcutaneous layer of abdomen. Partial hemilaminectomy and open mercury evacuation of spinal canal was performed. For the removal of abdominal subcutaneous mercury, C-arm guided needle aspiration was done. After surgery, radiologic study showed disseminated mercury in the lung, heart, skull base and low spinal canal. Neck pain and abdominal pain were improved after surgery. During 1 month after surgery, there was no symptom of mercury intoxication except increased mercury concentration of urine, blood and hair. We assumed the bone work during surgery might have caused mercury dissemination. Therefore, we recommend minimal invasive surgical technique for removal of injected mercury. If open exposures are needed, cautious surgical technique to prohibit mercury dissemination is necessary and normal barrier should be protected to prevent the migration of mercury.

• Journal of Chest Surgery
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• 제28권5호
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• pp.491-494
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• 1995

A fibroma arising in the right ventricle outflow tract of a 14 month-old infant was successfully removed. The patient was first seen because of shortness of breath and tachycardia. Pertinent clinical and laboratory findings included a grade II/VI systolic murmur, blood pressure of 120/60 mmHg, slight cardiomegaly on chest X-ray, a mass obstructing the outflow tract of the right ventricle on echocardiography and magnetic resonance imaging. On october 30,1992, under cardiopulmonary bypass, a 4cm x 3cm x 3cm tumor was resected from the right ventricular outflow tract, together with a portion of the ventricular wall. Histologically, it was diagnosis as a fibroma. The patient was sent home on the 6th postoperative day following an uneventful recovery form the operation. Although cardiac fibroma is the second most common cardiac tumor in infancy and childhood, it is usually found in the left ventricle and one arising in the right ventricle is considered rare. Although it is a benign tumor, it could produce a severe cardiac dysfunction and even sudden death, depending on its size and location. With the advance in diagnostic techniques and operative management, there is a renewed interest in the early detection and operative removal of these tumors. The case herein presented is the first such case successfully managed and reported in the Korean literature.

• 대한의용생체공학회:의공학회지
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• 제15권3호
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• pp.259-264
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• 1994

혈액으로부터 헤파린을 선택적으로 제거하기 위하여 cellulose 기질에 양이온 고분자인 poly(allylamine)(PALA)을 새로운 방법으로 고정화하여 헤파린 제거제를 제조한 다음 in vitro 헤파린 용액내에서 흡착실험을 행하여, 미처리 cellulose control과의 흡착능을 비교하였다. 제조된 헤파린 제거제와 미처리 cellulose의 표면적은 각각 1.36 및 $2.56m^2$/g로 개질처리된 경우의 표면적이 약 1/2로 감소하였다. 또한 제조된 헤파린 제거제에 흡착된 헤파린의 양은 개질 방법에 따라 0.16~$0.03{\mu} g$/$cm^2$로 미처리 celluose($0.03{\mu} g$/$cm^2$)보다 월등히 우수한 헤파린 흡착능을 나타내었다.

• 한국의류학회지
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• 제20권3호
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• pp.550-559
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• 1996

The Effect of protease (subtilisin Carlsberg) on the removal of hemoglobin as protein soil was studied. The hydrolysis characteristics of subtilisin Carlsberg was examined by electrophoretic techniques. The fragmentation patterns of hemoglobin were analyzed by SDS-PAGE. The hydrolysis efficiency was evaluated by analysis of protein bands shown on gels before and after hydrolysis by using densitometer. 1. The hydrolysis of hemoglobin by subtilisin Carlsberg was increased markedly with the increase of the enzyme concentration. 2. The hydrolysis of hemoglobin by subtilisin Carlsberg was effectively increased in proportion to increasing of the hemoglobin concentration up to a certain point, but it began to decrease above the point. 3. The hydrolysis of hemoglobin by subtilisin Carlsberg followed the first order kinetics, yielding a rate constant of $4.05\time10^{-4}S^{-1}s$. 4. The hydrolysis of hemoglobin by subtilisin Carlsberg was highest at $50^{\circ}C$ and was decreased markedly at $80^{\circ}C$. 5. The hydrolysis of hemoglobin was comparatively low at pH 7.0~8.0, and highest at pH 11.0.

• 한국의류학회지
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• 제45권5호
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• pp.840-851
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• 2021

In this study, we used a chemiluminescence reaction to investigate the removal effect of pet soil, such as dog blood, urine and feces. The soiled fabrics were washed with a standard laundry course of 30℃ and a washing time of 30 min and a pet care laundry course of 40-60℃ and a washing time of 100 min. The detergency was evaluated by the surface reflectance and chemiluminescence reaction (bloodstain detection by luminol test and urine-stain and feces-stain detection by UV blacklight test) before and after washing. The surface reflectance results did not show any difference in detergency for both courses, whereas the chemiluminescence reaction did. The detergency of the pet care course compared to the standard course was 101% according to the surface reflectance and 120% according to the chemiluminescence reaction. Therefore, residual stains not detected by surface reflectance can be evaluated through chemiluminescence reaction, and it was confirmed that pet stains can be managed more hygienically by washing for a long time at a high temperature.

• 농업과학연구
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• 제37권1호
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• pp.53-60
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• 2010

Two experiments were conducted to investigate the effect of probiotics on the malodor removal. In experiment 1, dietary effects (several malodorous gas concentration of excreta, dry matter metabolizability, and blood profiles) were determined using laying hens. A total of 30 Hy-line brown layers, 68-wk of age, were randomly allocated into 5 groups with 3 replicates of 2 birds each. The treatments were probiotics free, 0.2% and 0.4 % addition of mixed probiotics (Bacillus subtilis PNG-4 +Lactobacillus acidophilus LAS), and 0.2 and 0.4 % addition of single probiotics (Bacillus subtilis PNG-4). In experiment 2, the effects of mixing of probiotics into the excreta on the malodorous gas removal was investigated. There were three treatments (probiotics free, Bacillus subtilis PNG-4 +Lactobacillus acidophilus LAS, and Bacillus subtilis PNG-4) with three replicates. The malodorous gas concentrations were detected at 0, 3, 7 and 14 day of incubation. In experiment 1, ammonia concentration was significantly decreased by feeding mixed probiotics at 14th day of incubation. However, amines, hydrogen sulfide, ethylmercapthan, and methylmercapthan were not significantly affected by mixed probiotics. Dry matter metabolizability was significantly increased by feeding probiotics, but no significant differences between single and mixed probiotics. There was no significant differences in blood profiles. In experiment 2, mixing of probiotics into the excreta did not affect the concentration of ammonia, amines, hydrogen sulfide, ethylmercapthan, and methylmercapthan. Therefore, these experiments suggested that Bacillus subtilis PNG-4 + Lactobacillus acidophilus LAS supplementations could improve ammonia gas removal, and dry matter metabolizability in layers. Also, decrease of ammonia concentration was higher in mixed probiotics group compare to the single probiotics group. On the other hand, mixing of probiotics into the excreta appeared not to be a useful method.

• 한국의학물리학회지:의학물리
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• 제11권2호
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• pp.101-107
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• 2000

펄스옥시메트리는 서로 다른 두 파장의 빛을 이용하여 동맥혈의 산소포화도를 측정하는 비침습성의 광에 의한 측정 방법이다. 동맥혈의 맥동성분은 정맥혈, 피부 그리고 기타의 비맥동성분들에 의해 감쇠되는 직류 성분에 중첩되어 있다. 본 논문에서는 맥동 성분의 적분비를 이용하여 산소포화도를 계산하는 알고리즘을 사용하였다. 알고리즘에서는, 심장의 수축과 관련되는 맥동신호의 1/2 싸이클만을 이용한다. 이용하는 시간은 1 cycle의 약 1/4이다. 1/4 주기를 이용하는 본 알고리즘은 기존의 방식과 유사한 결과가 나타났다. 신호의 진폭이 낮고, 시간의 점유가 많은 부분을 계산에서 배제했기 때문에, 동잡음의 영향이 감소되었다.