• Journal of Chest Surgery
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• 제15권2호
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• pp.259-265
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• 1982

We have designed a new type of bubble oxygenator (KOREA-KIM VENOTHERM OXYGENATOR) made of PVC sheet and deforming mesh incorporated in the heat exchanger, and evaluated in experimental animal for the analysis of it`s efficiency. The Oxygenator has low priming volume with high flow rate up to 6 L/rain, and efficiency of heat exchanger was excellent as 1-$1.5^{\circ}C.$ using total cardiopulmonary bypass method under moderate to deep hypothermia. Average priming volume of 1317 ml with 30% hemodilution method was perfused with an average of 1.1-3.0 L/min.$M^2$of arterial blood and pure oxygen at a rate of 2-3.4 L/min for 49.6 minutes continuously in average. During total cardiopulmonary bypass, average $PaO_2$ was $159.8{\pm}60$mmHg, $PaCO_2$ $41.0{\pm}3$mmHg respectively under $SaO_2$ over 96% with systolic arterial pressure of 70 mmHg and CVP of 5-10 cm$H_2O$. Plasma free Hemoglobin was $7.0{\pm}4$ mg/dl with 25% drop of hemoglobin and hematocrit at the end of cardiopulmonary bypass. This KKV Oxygenator was observed to have excellent capabillty of oxygen and carbon dioxide gas transfer with small amount of blood trauma, and the efficiency of heat exchanger was satisfactory during cooling and rewarming of the bubbled blood. Disadvantages have included the somewhat poor deforming effect due to loose PVC fiber mesh, the extracompact character of Teflon filters, and the rough inner surface of the heat exchanger copper pipes.

• Journal of Nutrition and Health
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• 제36권7호
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• pp.729-735
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• 2003

This study was performed to evaluate the effect of iron supplement for 4 weeks on iron status, immunity, and antioxidant status of national female soccer players (n = 25). This study was performed at summer hard training period right before competition. A single blind design was used to divide the subjects into iron-supplement (IS) or placebo group (P). Iron-supplement group was supplemented with iron (40 mg/d) for 4 weeks. The mean age of the subjects was 23.3 $\pm$ 2.5 years old. Mean height and body weight of the subjects were 164.4 $\pm$ 5.7 em and 57.4 $\pm$ 4.6 kg, respectively. The mean carrier as soccer player was 11.0 $\pm$ 2.6 years and mean training time was 7.0 $\pm$ 1.3 hr/day. The mean hemoglobin, hematocrit, total iron binding capacity and ferritin concentrations before iron supplementation were not different between two groups. After 4 weeks of summer training and iron supplementation, serum ferritin level was significantly increased only in IS group after supplementation. Mean corpuscular volume and total iron binding capacity were significantly decreased in both groups. Meanwhile, hemoglobin and red blood cell count were significantly lowered only in placebo group. The IgM concentration increased significantly in both groups, but IgG concentration had increasing tendency only in IS group (p < 0.064). Therefore, iron supplementation during hard training period may be helpful to improve work capacity of the athletes by improving ferritin status and humoral immune responses.

• 한국식품영양과학회지
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• 제28권5호
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• pp.1151-1157
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• 1999

The purpose of this study is to investigate the iron nutritional status and anemia of university female students. Seventy female subjects in Ulsan city were evaluated with questionnaire, measurement of hematological indices. The mean height and weight of 70 subjects were 160.76±0.48cm, 52.80±0.72kg and BMI(body mass index: kg/m2), %IBW(ideal body weight) were 21.0±0.29, 100.2±12.41. The mean values of hemoglobin(Hgb), hematocrit(Hct), serum iron(S Fe), serum ferritin(SF), TIBC(total iron binding capacity), transferrin saturation(TS(%)) and RBC were 12.7±11.10g/dl, 39.0± 2.61%, 96.9±41.98 g/dl, 28.9±24.78 g/dl, 369.6±54.36 g/dl, 27.1±12.40% and 4.4± 0.27(106/mm3), respectively. Iron deficiency anemia among the subjects was estimated as 15.7% by using Hgb(<12g/dl), 11.4% by Hct(<36%), 22.9% by S Fe(<60 g/dl), 34.3% by SF(<15 g/dl), 48.6% by TIBC(>360 g/dl) and 20.0% by TS(%)(<15%). 15 subjective symptoms were measured and the high prevalence symptoms were 'cold hands and feet' and 'tired out easily'. The correlation between hemotological indices and subjective symptoms was evaluated. The hemoglobin level was negatively correlated with 'cold hands and feet', 'short breath when climbing', 'fragile nail', 'inflammed inner mouth', 'pale face' and 'scaly tetter'.

• 한국식품과학회지
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• 제32권1호
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• pp.161-167
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• 2000

한국의 재래식메주로부터 분리 동정한 Aspergillus wentti가 생산하는 protease를 정제하고 그 특성을 조사하였다. 기본배지[밀기울 :1% glucose 함유$H_2O=1:1\;(w/v)]$에서의 효소생산 최적조건은 pH 9.0, $30^{\circ}C$, 4일 이었다. 효소의 정제는 먼저 배양 밀기울로부터 20mM phosphate(pH 8.0)로 효소를 추출하고 QAE-Sephadex와 SP-Sephadex의 ion exchange chromatography로 비흡착성 활성단백질을 분리한 후 두차례의 Sephadex G-100 gel filtration로서 분자량 약 32,000(SDS-PAGE분석 : 단일밴드)의 비활성도 213unit/mg, 정제배수 27.3배로 효소를 정제하였다. 본 효소의 $K_m$값은 $3.049{\times}10^{(-4)}M,\;V_(max)$값은 $151.1\;{\mu}g/min$이었으며 ISP, hemoglobin, bovine albumin 보다 casein에 대해 가수분해력이 높은 것으로 나타났다. 정제효소의 최적작용 pH와 온도는 pH 9.0, $50^{\circ}C$였으며 pH $4.0{\sim}11.0$의 범위와 $40^{\circ}C$이하에서 안정하였으며 효소활성은 금속이온에 의해 영향을 받지 않았고 2mM의 phenylmetanesulfonyl fluoride에 의해 86% 실활되었다. 이 결과로부터 본 효소는 효소 활성부위가 serine의 OH기인 serine protease인 것으로 밝혀졌다.

• Parasites, Hosts and Diseases
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• 제36권4호
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• pp.261-268
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• 1998

질편모충의 시스테인 단백분해효소가 숙주-기생충 관계에서 어떤 역할을 하는지 알아보기 위해 질편모충을 대량배양하여 초음파분쇄한 후 초원심분리하여 조추출물을 얻었고, activated Thiol-Sepharose 4B, Bacitracin Sepharose affinity chromatography, Sephacryl S-200 HR gel filtration 등을 이용하여 단백분해효소를 정제하였다. SDS-PAGE로 정제도를 확인하여 이들 효소의 생화학적 특성, 그리고 인체 면역글로불린 및 헤모글로빈 분해능을 관찰하였다. 정제된 단백분해효소는 0.1 M sodium phosphate (pH 6.0)에서 최적 활성을 나타내었으며, SDS-PAGE에서 분자량은 60 kDa이었고 gel filtration에서 native 분자량은 62 kDa이었다. 정제된 단백분해효소는 시스테인 계열 억제제인 E-64, IAA, NEM에 의해서 활성이 억제되었으며, 메탈로, 세린, 아스파틱 계열 억제제에 의해서는 활성이 억제되지 않았다. $Hg^{2+}$ 이온에 의해 활성이 억제되었고 시스테인 계열 활성제인 DTT에 의해서는 2배 이상의 활성을 보여 정제된 단백분해효소가 시스테인 계열임을 알 수 있었다. 정제된 단백분해효소와 serum IgG, serum IgA, secretory IgA를 반응시켰을 때 면역글로불린이 분해되었고 헤모글로빈과 반응시켰을 때도 헤모글로빈을 분해하였다. 이상의 결과로 보아 질편모충에서 정제한 60 kDa acidic 시스테인 단백분해효소는 인체의 IgG, IgA 및 헤모글로빈 등을 분해하여 숙주의 면역기작을 회피하며 영양대사에 이용할 것으로 생각된다.

• Environmental Analysis Health and Toxicology
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• 제1권1호
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• pp.55-60
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• 1986

The writer measured methemoglobin formation with solvent (n-hexane, ethylacetate and methanol) organic extracts from the sediments of the Wonju stream run through Wonju city on Octover 2nd, 1985. Hemoglobin was converted to methemoglobin with the n-hexane extract obtained from the sediment of the St. C and St. D was polluted industrial wastewater, but not with that from the St. B was polluted with the urban wastewater. The formation of methemoglobin was remarkable with the all solvent extracts from the sediment of the uper stream of the Wonju stream. Doses of the solvent extracts for 20% methemoglobin formation in the researched Wonju streams were as follows; 0.095～0.28 mg/m.$\ell$ in n-hexane extract. 0.85-1.3 mg/ m$\ell$ in methanol extract and 1.95～2.80 mg/m$\ell$ in ethylacetate extract.

• Journal of Chest Surgery
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• 제3권2호
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• pp.73-90
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• 1970

Clinical perfusion data on 16 cases of cardiopulmonary bypass using Sigmamotor pump and RyggKyvsgaard Oxygenator which performed at Seoul National University Hospital during the period of Aug. 1968 to Aug. 1970 was analized. AIl cases were hemodiluted and the perfusion was carried out under the normothermic condition. The age of the patients ranged between 6 and 43 years. The b:dy weight varied between 18.3 and 54.0 kg and the body surface area between 0.78 and 1. 59$M^2$. The priming solution was consiste:I with fresh ACD blood. Hartmann solution and Mannitol. The average amount of priming was approximately 2242 ml. The average hemodilution rate was 17%. The flow rate ranged from 1.7L to 3.5L/Min/$M^2$ and averaged 2.4L/Min/$M^2$ or 78mI/Min/kg. The duration of perfusion varied from 22 to 110 min with average of 56.9 minutes. Some hemodynamic responses were observed. The arterial pressure dropped immediately after the initiation of partial perfusion and was more marked after the total perfusion foIlowed by gradual increase to the safety level. The central venous pressure reflected the reduced blood volume especially in the cases of prolonged perfusion which lasted over 60 min. In most of the cases, red blood cell count decreased and white blood ceIl count increased after the perfusion. Hemoglobin level was decreased, averaging of 12.5mg%, Hct 3.3% and platelets count of 18% postoperatively. Plasma hemoglobin increased mildly, from pre-perfusion average value of 4. 06mg% to postperfusion value of 22.5mg%. Serum potassium was 4.4mEq/L pre-operatively and was decreased to 3.7mEq/L postoperatively. Five cases showed definite hypopotassemia immediately after the operation. Sodium and chloride decreased mildly. These electrolyte changes are thought to be related with hemodilution. diuretics and reduced blood volume during and after the perfusion. Arterial blood pH value revealed minimal to moderate elevation from preperfusion average value of 7.376 to 7.461 during perfusion and then 7.365 after perfusion. The pC02 and hicarbonate showed minimal to moderately lowered values. The total CO2 was decreased. Buffer base decreased during perfusion (Av. 42.6mEq/L) and further decreased after the perfusion (Av. 40.8mEq/L). These arterial blood acid base changes suggested that the metabolic acidosis was accompanied by respiratory alkalosis during and immediately after the perfusion. Authors belived that the acidosis could more effectively be corrected with the more additional dose of bicarbonate than we used by this study. The chest tune drainage during the first 24 hours following operation was 1158 ml in average. One case (Case No. 15) showd definite bleeding tendency and it was believed that the cause might be due to the defect of heparin and protamine titration. The average urinary out put during 24 hours post-perfusion was 1291ml. One case (Case No. ]) showed definite post perfusion oliguria. As conclusion hemodilution using fresh ACD blood. Hartmann and Mannitol solution added with Bivon and high flow rate unler normothermia. was thought to amelioratc the severity of mctabolic acidosis during and after perfusion with relatively satisfactory effect on the diuresis and bleeding tendency.

• Clinical and Experimental Pediatrics
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• 제55권6호
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• pp.206-211
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• 2012

Purpose: The increasing prevalence of breast feeding has led to concerns about vitamin D deficiency (VDD) and iron deficiency anemia (IDA) in children. We evaluated the prevalence of VDD in a population of Korean children with IDA and assessed the risk factors for VDD in these children. Methods: A total of 79 children who were diagnosed with IDA were prospectively surveyed from April 2010 to March 2011. Data were collected by questionnaire, medical assessment, and laboratory tests, including measurement of 25-hydroxyvitamin D (25OHD), hemoglobin, and wrist radiography. Results: The median age was 22 months and 30% of the subjects were female. Over a half of subjects (58%) had subnormal vitamin D level (25OHD<30 ng/mL), and VDD (25OHD<20 ng/mL) was present in 39% of children. There was no difference in serum hemoglobin level between IDA patients with VDD and those without VDD. Most subjects (89%) were currently or had recently been breastfed and almost all subjects (97%) who had VDD received breastfeeding. Children with VDD were more likely to be younger than 2 years, to have been breastfed, and to have been tested in winter or spring. Multivariable analysis indicated seasonal variation was a significant independent risk factor for VDD in our IDA patients. Conclusion: Our results demonstrated that VDD has a high prevalence in Korean children with IDA. Primary care physicians should be aware of the possibility of VDD in children with IDA and should supplement the vitamin D as well as iron.

• Parasites, Hosts and Diseases
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• 제30권3호
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• pp.191-200
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• 1992

한국산 유혈목이에서 스파르가눔 충체를 수집하고, 이들 충체의 추출액에서 ion-exchange chromatography와 affinity chromatography를 실시하여 cysteine proteinase를 순수 정제하였다. 경제된 효소의 최적 pH는 5.5이었고, 최적 mole 농도는 0.IM (0.1M sodium acetate, pH5.5) 이었다. 정제된 대소는 thiol-dependent이고, $4^{\circ}C$에서 pH 5.0일 때 24시간 동안 안전성을 보였다. 효소의 환성도는 저분자 합성기질인 CBZ-phe-arg-AFC에 대 해 활성이 높았다. 정제된 효소는 척추동물의 산성 cysteine proteinase의 억제인자에 감수성을 보였다. UItrogel AcA54 column chromatography로 정제된 cysteine proteinase의 분자량을 측정한 결과 28,000 dalton이었다. 정제된 효소는 collagen type I과 hemoglobin을 분해하였다. Immunoblot한 결과 정제된 효소는 스파르가눔증 환자의 혈청과 반응하였다. 이상의 결과에서 스파르가눔의 cysteine proteinase는숙주 체내이동, 조직침수성 및 영양소 섭취에 관여할 것이라 추정되며, 정제된 효소는 스파르가눔 현중의 혈청학적 진단에 이용될 수 있을 것으로 생각된다.

• Journal of Chest Surgery
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• 제10권2호
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• pp.299-314
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• 1977

Clinical experience on 16 cases of open heart surgery under the extracorporeal circulation with mild or moderate hypothermia and partial hemodilution technique at the National Medical Center during the period from June 1976 to October 1977. Nine of sixteen were congenital heart disease and seven were acquired heart disease. The age of the patient ranged between 6 and 48 years. The body weight varied from 18.5kg to 60kg and body surface area 0. 79-1.70m2. The average priming volume of pump oxygenator was 2080 ml, which was consisted fresh ACD blood, buffered Hartmann`s solution, Mannitol, 50% dextrose in water and Vit. C. The average hemodilution rate was 27%. The average flow 2.3 L/min/m2 or 80 ml/min and the duration of perfusion varied from 31 min to 270 min with average of 107 min. The perfusion was carried out under the mild or moderate hypothermia using core cooling alone in 10 cases, core cooling and local myocardial cooling with $0-4^{\circ}C$ physiologic saline in 2 cases. From a hemodynamic point of view, the blood pressure dropped down around 80 mmHg after the initiation of perfusion follwed by increase to safety level and stable during the perfusion. The central venous pressure remained within normal limits. In most cases, hemoglobin and hematocrit decreased during and after the perfusion. Hemogiobin level was decreased, average of 20.6 %, hematocrit 18.6%, pletelets 55% postoperatively. Plasma hemoglobin increased moderately, from preperfusion average valve of 7.79 mg % to post-perfusion value of 54.7 mg %. Electrolytes changes during cardiopulmonary bypass showed definite hypokalemia but changes of Na, Ca were not definite. Arterial blood gas analysis during cardiopulmonary bypass suggested that the metabolic acidosis which was accompanied by respiratory alkalosis which was corrected postoperatively. As the opera tive complication, transient hemoglobinuria in 4 cases and neurological signs in 2 cases were all cured. There were 2 death cases and operative mortality rate was 12.5%.