• 대한핵의학회지
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• 제3권2호
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• pp.49-54
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• 1969

The present study has been undertaken to analyze scan manifestations in obstructive jaundice. Scan changes were cprrelated with the duration of jaundice. In addition, clearance rates of trace dose of colloidal radiogold were assessed in each case. The materials were consisted of 19 cases with surgically and/or histopathlogically verified obstructive jaundice from various causes including common duct stone, empyema of the gall bladder and carcinoma of the pancreas head etc. Blood clearance rates of colloidal $^{198}Au$ were determined after the injection of 8 uCi by simple geometrical drawing of recorded strip charts. Scan was performed following additional injection of the same radiogold. In 16 out of 19 cases, the scan revealed rather typical "arborifrom" mottlings around the porta hepatis. The intensity and appearance of such mottlings on the scan was related with the duration of jaundice and level of serum bilirubin and alkaline phosphatase. The blood clearance rates remained to be within normal range in 74 percent of the patients. In the remaining 26 percent, clearance rates ranged between 4.1 and 6 minutes. It is concluded that the association of "arboriform" mottlings and normal or mildly delayed clearance rates in the patients with jaundice is characteristic of obstructive changes in the biliary system.

• Archives of Plastic Surgery
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• 제47권4호
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• pp.297-300
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• 2020

Hyaluronidase, an enzyme that breaks down hyaluronic acid, has long been used to increase the absorption of drugs into tissue and to reduce tissue damage in cases of extravasation of a drug. With the increasing popularity of hyaluronic acid filler, hyaluronidase has become an essential drug for the correction of complications and unsatisfactory results after filler injection. For this reason, when performing procedures using hyaluronic acid filler, a sufficient knowledge of hyaluronidase is required. In order for hyaluronidase to dissolve a hyaluronic acid filler, it must interact with its binding sites within the hyaluronic acid. The reaction of a filler to hyaluronidase depends on the hyaluronic acid concentration, the number of crosslinks, and the form of the filler. Hyaluronidase is rapidly degraded and deactivated in the body. Therefore, in order to dissolve a hyaluronic acid filler, a sufficient amount of hyaluronidase must be injected close to the filler. If the filler is placed subcutaneously, injection of hyaluronidase into the filler itself may help, but if the filler is placed within a blood vessel, it is sufficient to inject hyaluronidase in the vicinity of the vessel, instead of into the filler itself. Allergic reactions are a common side effect of hyaluronidase. Most allergic reactions to hyaluronidase are local, but systemic reactions may occur in infrequent cases. Since most allergic responses to hyaluronidase are immediate hypersensitivity reactions, skin tests are recommended before use. However, some patients experience delayed allergic reactions, which skin tests may not predict.

• Journal of Advanced Marine Engineering and Technology
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• 제22권4호
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• pp.481-489
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• 1998

The effects of recirculated exhaust gas on the characteristics of fuel economy combustion and exhaust emissions have been experimentally investigated by a four-cylinder four cycle indirect injection water-cooled and marine diesel engine operating at several loads and speeds. in order to reduce the soot contents in the recirculated exhaust gas to intake system of the engine a novel diesel soot removal system with a cylinder-type scrubber which has 6 water injectors(A water injector has 144 nozzles in 1.0 mm diameter) is specially designed and manufactured for the experiment system The experiments in this study are performed at the fixed fuel injection timing of $15.3^{\circ}$ BTDC regardless of experimental conditions, The brake specific fuel consumption rate is slightly fluctuated with EGR in the range of experimental conditions, The maximum value of premixed combustion for the rate of heat release is decreased with EGR at engine load 25% and the ignition is slightly delayed with EGR at engine load 100% NOx emissions are markedly decreased with EGR especially at high loads while soot emissions are increased as the EGR rate rises.

• Archives of Reconstructive Microsurgery
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• 제24권2호
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• pp.75-78
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• 2015

High-pressure (HP) injection injury to the upper extremity often causes a very serious clinical problem, leading to poor outcomes, including amputation, so that a true surgical emergency is required. The outcomes can be improved with emergent wide surgical debridement. However the diagnosis of these injuries is often delayed due to underestimated evaluation at first appearance and lack of common knowledge of the seriousness of this injury. The type and pressure of the infecting material is an important factor in prognosis and organic solvents infected pressure injury can cause poor outcome and increased amputation rate. In this case, we report on reconstruction of HP oil-based paint injection injuries of the finger using T-shaped pedicles and multiple venous anastomoses. In this concept, arterial flow can be maintained by the reverse flow of distal anastomosis when there is difficulty with the proximal anastomosis. And venous flow can be preserved by deep and superficial vein anastomosis. This concept has various advantages including preserving patency of the pedicle in chronic vasculopathy or trauma cases and maintaining the arterial flow by the reverse flow of distal anastomosis and can improve the free flap survival by a two vascular anastomosis system.

• Clinical and Experimental Reproductive Medicine
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• 제32권4호
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• pp.337-346
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• 2005

Objective: The oligosaccharide moieties of glycoproteins and proteoglycans have a vital function in blastocyst differentiation. Concanavalin (ConA), a lectin, is known to bind on the preimplantation embryos, especially on blastocyst. In this study, we investigated whether ConA can modulate the trophoblast development and about the regulating mediator. Also, we investigated whether expansion is enough for hatching procession of the mouse blastocyst. Method: Embryos were collected at 72 h post hCG injection and chemicals were treated after 24 h (96 hr post hCG injection). ConA or calcium ionophore A23187 were exposed to blastocyst and than analysis the developmental process for 48 hr. Intracellular free-$Ca^{2+}$ concentration in trophectoderm was measured with confocal laser microscope after exposing to ConA or calcium ionophore A23187. ConA-pretreated blastocyst exposed to the calcium ionophore A23187 and then analyzed the developmental process. Otherwise ouabain was treated to the blastocyst to block the $Na^+/K^+$-ATPase activity. Results: In contrast to the control blastocyst, the ConA-exposed blastocysts developed beyond the expansion stage with significantly high rate (90.4%) at 12 h post administration. ConA induced an increase the intracellular $Ca^{2+}$ concentration in trophectoderm. Calcium ionophore A23187 also stimulated expansion of blastocyst. Most of the control blastocysts developed to the hatching stage at 144 h post hCG injection. However, strongly 65% of the ConA-exposed embryos were arrested at expanded stage at same time point. The developmental progression rates to hatching stage of both ConA- and calcium ionophore A23187-expose blastocysts were significantly lower than that of the control. However ConA-pretreated embryos developed to the hatching stage like control embryos. Ouabain showed a tendency to delayed the progress to expansion stage but did not inhibit the development to the hatching stage. Conclusion: ConA-mediated expansion is the result of the increase of intracellular free-calcium in blastocyst stage embryo. It is suspected that expansion of the blasocyst is a essential indirect factor in hatching and the calcium may triggering the cellular mechanisms for the both expansion and hatching progression.

• Journal of Yeungnam Medical Science
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• 제23권2호
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• pp.247-251
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• 2006

Bezoars are collections or concretions of indigestible foreign material that accumulate and coalesce in the gastrointestinal tract; they usually occur in patients who have undergone gastric surgery and have delayed gastric emptying. Treatment options include dissolution with enzymes, endoscopic fragmentation with removal or aspiration, and surgery. Recently, the efficacy of nasogastric lavage or endoscopic infusion of Coca-Cola for the dissolution of phytobezoar have been reported. We report a case of phytobezoar successfully treated by oral administration and endoscopic injection of Coca-Cola. A 62-year-old woman was referred to Yeungnam University Hospital for epigastric pain. Upper gastrointestinal endoscopy revealed one very large, dark-greenish, solid bezoar in the stomach with gastric ulcer and duodenal bulb deformity. We performed endoscopic injection of Coca-Cola into the bezoar. The patient was instructed to drink four liters of Coca-Cola per day. At endoscopy two days later, the phytobezoar was easily broken into pieces. At endoscopy on the $11^{th}$ day of admission, the phytobezoar was decreased in size and removed by endoscopic fragmentation with a polypectomy snare. At follow up endoscopy after 13 days, the bezoar was completely dissolved.

• 한국항공우주학회지
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• 제34권6호
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• pp.51-58
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• 2006

횡단 유동장내에서 일어나는 분무 현상에 대하여 분사각 변화에 대한 특성과 단일 노즐 형상에서 노즐의 크기와 길이에 대한 분무 특성을 연구하였다. 노즐은 단일 구멍으로 직경이 0.5 ㎜이고 노즐 대 노즐길이의 비(L/D)는 1.0에서 6.0이며 이미지는 고해상 줌 렌즈를 이용한 CCD 카메라를 통해 얻었으며, SMD와 액적의 속도는 PDPA와 상용 프로그램인 Image Express를 사용하였다. 액체 제트의 궤적은 웨버수와 모멘텀비, 노즐형상 변화(L/D)에 영향을 받아 액주가 후방으로 휘어지는 현상이 나타났다. 분사각이 낮을 때(${\theta}$ < $90^{\circ}$)에 노즐 형상보다는 웨버수 증가가 액체 제트의 궤적에 더 크게 영향을 미쳤으며, 분사각이 높을 때(${\theta}$ > $90^{\circ}$)에 노즐 형상 변화에 의한 분열점 변화가 액체 제트의 궤적에 더 크게 영향을 미쳤다.

• The Korean Journal of Physiology and Pharmacology
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• 제5권5호
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• pp.367-371
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• 2001

The chromosome 7-linked long QT syndrome (LQT2) is caused by mutations in the human ether-a- go-go-related gene (HERG) that encodes the rapidly activating delayed rectifier $K^+$ current, $I_{Kr},$ in cardiac myocytes. Different types of mutations have been identified in various locations of HERG channel. One of the mechanisms for the loss of normal channel function is due to membrane trafficking of channel protein. The decreased channel function in some deletion mutants appears to be due to loss of coupling with wild type HERG to form the functional channel as the tetramer. Most of missense mutants with few exceptions could interact with wild type HERG to form functional tetramer and caused dominant negative suppression with co-injection with wild type HERG showing variable effects on current amplitude, voltage dependence, and kinetics of activation and inactivation. Two missense mutants at pore regions of HERG found in Japanese LQT2 (A614V and V630L) showed accentuated inward rectification due to a negative shift in steady-state inactivation and fast inactivation. One mutation in S4 region (R534C) produced a negative shift in current activation, indicating the S4 serving as the voltage sensor and accelerated deactivation. The C-terminus mutation, S818L, could not express the current by mutant alone and did not show dominant negative suppression with co-injection of equal amount of wild type cRNA. Co-injection of excess amount of mutant with wild type produced dominant negative suppression with a shift in voltage dependent activation. Therefore, multiple mechanisms are involved in different mutations and functional abnormality in LQT2. Further characterization with the interactions between various mutants in HERG and the regulatory subunits of the channels (MiRP1 and minK) is to be clarified.

• 대한핵의학회지
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• 제26권2호
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• pp.355-359
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• 1992

The $^{67}Ga$ has somewhat long physical and biological half livies with 78 hours and 600 hours respectively, so we can get $^{67}Ga-scan$ images for 3 or more days after once injection of $^{67}Ga$. Furthermore $^{67}Ga$ scan would be useful to search some residual tumors after surgical removal of the tumors trapped with $^{67}Ga$. However $^{67}Ga$ bound with plasma proteins would be delayed in plasma clearance as approximately 10% of the dose remains in the plasma at 24 hours. If the remained $^{67}Ga$ in the plasma is redistributed into the surgical wound, we wouldn't evaluate the degree of the tumor remained after surgery. So the authors examined the amounts of the remained blood $^{67}Ga$ and the redistribution of the blood $^{67}Ga$ into the artificial wound with S or more centimeters in the diameter at the neck and chest of the rabbits. The results were as follows; 1) The $^{67}Ga$ remained in the plasma were 12%, 5.7%, 4.2% at 24, 48 and 72 hours after $^{67}Ga$ injection respectively. 2) The blood $^{67}Ga$ were redistributed into the artificial wound with 5.9% at 48 hours and 6.9% at 72 hours after $^{67}Ga$ injection.

• 대한핵의학회지
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• 제33권1호
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• pp.76-83
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• 1999

목적: 유방종괴의 악성과 양성을 구별하는 데 사용되고 있는 탈륨스캔의 조기스캔 및 지연스캔과 함께 Tc-99m MIBI 스캔을 시행하여 이들을 비교하였다. 대상 및 방법: 유방종괴를 호소한 환자 38명을 대상으로 탈륨의 조기스캔과 지연스캔 및 Tc-99m MIBI 스캔을 얻었다. 탈륨스캔은 74-111 MBq의 탈륨을 정맥주사한 후 10분과 3시간에 촬영을 하고, 이어서 555-740 MBq의 Tc-99m MIBI를 정맥주사하고 30분 후에 전면상과 측면상을 얻어 서로 비교하였다. 결과: 38명의 환자 중 23예가 악성 종양으로, 15예가 양성 종양이었다. 유방암 진단의 민감도와 특이도는 탈륨 조기스캔이 100% (23/23)와 73% (11/15), 탈륨 지연스캔이 82% (18/22)와 73% (l1/15), Tc-99m MIBI 스캔이 90% (18/20)와 83% (10/12)로서 탈륨 조기스캔의 민감도가 탈륨 지연스캔보다 유의하게 높았으나(p<0.05), 다른 지표의 유의한 차이는 없었다. 탈륨 조기스캔과 지연스캔에서 위양성을 보인 섬유선종 3예와 비정형 상피세포증식증 1예의 종괴의 크기는 음성으르 나온 11예의 양성 종양보다 유의하게 컸다(p<0.01). 액와부 림프절 전이의 진단적 민감도는 탈륨 조기스캔이 38% (5/13), 탈륨 지연스캔이 15% (2/13), Tc-99m MIBI 평면스캔이 58% (7/12), 단층영상이 67% (4/6)였다. Tc-99m MIBl 평면, 단층영상이 탈륨 지연스캔보다 높았다. 결론: 유방암 진단에서 탈륨의 조기스캔과 Tc-99m MIBI스캔은 진단능에서 차이가 없었으나 탈륨 지연스캔은 민감도가 낮았다. 액와부 림프절 전이의 진단에는 탈륨스캔보다 Tc-99m MIBI 스캔이 우수하였다.